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Home My WebLink AboutPermit Building 2004-7-13 Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00734 ISSUED: 07/13/2004 APPLIED: 06/21/2004 EXPIRES: 01/1312005 VALUE: $ 44,167.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . au to 'I~'" rpmllfes '.{ ^ -rTJ:I\ITION: VI tl\:lv," - '\-.~ ("\rpnon UlI\\lY . ' ~~iOlIOU L y .1.. - t lonll SITE ADD~SSbJ rules '63 6 Cfrtose rules are se _ ASSESSO~\~\J\~.aa:~~B5~r. \:7~Md~Q)$R 952-001 . QAo 952-001-001 'es of the fules by In" btain cop' PROJECT B~~w~Y:O 'I7H tM~~~mett~e ~~llinQ the center. ""n , Itint\' NotiiicaUon ~' tOf \II~ e~ ";o..~"_2344). Owner: . ~~W~ S Address: 6326 C ST ~NGFIELD OR 97478 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential Phone Number: 541-726-7909 Contractor Type General Designer Electrical Mechanical Plumbing , I CONTRACTOfi~~ATION I . PER~ SHALL ~PIRE IF THE WORK Contractor 1HIS ~'~RfmTI19~~OTPhone R NEUHARTH CONSTRUCTION Il'1WTHORI ~~~t ABANB~f.?ttjHttlR 541-747-3846 ACADIA DESIGN COMMENCED 541-683-3688 OWNER ANY 180 DAY PERIOD. OWNER OWNER BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary O,ccupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: 2 Height of Structure 28.00 Type of Heat: orced Air Electric Water Type: Electric Range Type: Electric Energy Path: Path 1 Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 478 R-3 , DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 2 14.00 48.00 I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Addition is a 2nd story, and therefore not adding any impervious surfaces. Follows same building footprint. Drainage is to existing. Notes: Pa2e 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00734 ISSUED: 07/13/2004 APPLIED: 06/21/2004 EXPIRES: 01113/2005 VALUE: $ 44,167.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellinl!:s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 478.00 Value Date Calculated Description Total Value of Project $44,167.20 $44,167.20 06/21/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $221.91 6/21/04 2200400000000000821 -Mechanical Issuance Fee- $10.00 7/13/04 2200400000000000916 + 10% Administrative Fee $44.24 7/13/04 2200400000000000916 + 7% State Surcharge $30.97 7/13/04 2200400000000000916 Building Permit $341.40 7/13/04 2200400000000000916 Fixture $56.00 7/13/04 2200400000000000916 Minimum/Adjustment Mechanical $39.00 7/13/04 2200400000000000916 Plan Review Minor - Planning $59.00 7/13/04 2200400000000000916 Sanitary Sewer - Improvement $51.63 7/13/04 2200400000000000916 Sanitary Sewer - Reimbursement $67.92 7/13/04 2200400000000000916 SDC Sanitary/Storm Admin $5.98 7/13/04 2200400000000000916 Vent Fan $6.00 7/13/04 2200400000000000916 Total Amount Paid $934.05 I Plan Reviews I Initial Review 06/22/2004 06/22/2004 10 LLH Returned to John Pearson, Intake Person, to contact applicant for plot plan. Cannot process plans until the plot plan is received. Initial Review Planninl!: Review Public Works Review 06/25/2004 06/25/2004 06/25/2004 06/25/2004 07/09/2004 06/29/2004 APP LLH APP EMM APP MS 6/29/2004 - No SDC storm drainage fees because addition is a 2nd story over the first story footprint. Drainage to go to existing. - MAS Structural Review 06/25/2004 07/09/2005 OK RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Pal!:e 2 of3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2004-00734 ISSUED: 07/13/2004 APPLIED: 06/21/2004 EXPIRES: 01/13/2005 VALUE: $ 44,167.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Reuuired Insoections , Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to floor insulation or decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all t1m'~:on. (~, Owner o-r contractors Signature --- ~7-~-oLf Date Page 3 of 3 225. Fifth Street Springfield, 'Oregon 97477 541-726-3759 Phone ('~"v of Springfield Official Receipt elopment Services Department Public Works Department Job/Journal Number COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 COM2004-00734 Payments: Type of Payment Check 7/13/2004 RECEIPT #: 2200400000000000916 Date: 07/13/2004 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Plan Review Minor - Planning Building Permit Fixture Vent Fan ~Mechanical Issuance Fee~ Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Paid By JOHN RUDKINS Item Total: Check Number Authorization Received By Batch Number Number How Received 1010 In Person Payment Total: nJm .' Page 1 of I 10:01:38AM Amount Due 67.92 51.63 5.98 59.00 341.40 56.00 6.00 10.00 39.00 30.97 44.24 $712.14 Amount Paid $712.14 $712.14 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EQUIVALENT, BATHTUB 1 0 3 = DRINKING FOUNTAIN 0 0 1 = I FLOOR DRAIN 0 0 3 = IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = I INTERCEPTORS FOR sAND / AUTO WASH / ETC. 0 0 6 = I LAUNDRY TUB 0 0 2 = ICLOTHESW ASHER / MOP SINK 0 0 3 = CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 I 1 = RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 I 3 = SHOWER, SINGLE STALL 0 0 I 2 = SHOWER, GANG (NUMBER OF HEADS) , 0 0 I 2 = SINK: COMMERCIAL/RESIDENTIAL KlTCHEN 0 0 1 3 = SINK: COMMERCIAL BAR 0 0 1 2 = I SINK: WASH BASIN/DOUBLE LA VA TORY 0 0 j ,2 = SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 I 1 = URINAL, STALL / WALL 0 0 I' 5 = TOILET, PUBLIC INSTALLATION 0 1 0 I 6 = ITOILET, PRlV ATE INSTALLATION 0 I 0 ,I 3 -.. MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 -, TOTAL DRAINAGE FIXTURE UNITS , , ' *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day MWMC CREDIT. CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE] 979 ]979 1980 198] ]982 1983 1984 ]985 1986 ']987 1988 ]989 1990 1991 1992 ]993 1994 1995 ]996 ]997 1998 ]999 2000 200] CREDIT RATE/$I,OOO ASSESSED VALUE $5:04 $5,04 $4,95 $4,88 $4,75 $458 $4.4] I $4.20 I $3,88 I $3.50 I $3,07 I $2,60 1 $2.14 I $']7] $152 $1.38 $1.19 $1.03 $0,87 $0,68 $0.46 $0,27 $0,09 $0,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) . BASE YEAR . CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 , CREDIT RATE $0.00 x $5.04 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5,04 = 1 TOTAL MWMC CREDIT =1 DRAINAGE FIXTURE UNITS 3 o o o o o o o o o o o o o o o o o o o o 3 o o 1979 $0,00 o $0.00 CITY OF Sf::~GFIELD SYSTEMS DEVELOPMENT viORKSHEET JOURNAL OR JOB NUMBER: COM2004-00734 NAME OR COMPANY: . John and Linda Rudkins LOCATION: 6326 C Street TAX LOT NUMBER: 17023424 Tax Lot 02900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 478 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 0.00 . I $0.290 I = $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I I DISCOUNT 0.00 $0.290 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 I 12197 $0.00 r.rJ P-l Cl o U ~ P-l J~ ...... o gz 1070 Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us perrmt#~ d"DJ( -(j07~/ . Address: GS:)( 1/ '-::::Y Issued b/l. oiJrmdeJ Date: I //~/d07J~~ '- , ( /' Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construciion permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will'befiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: ~.1. D 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. '% D 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR D 3B. I will be my own general contractor. In hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contra~t with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ~~CL K~ (8' ' of permit applicant) "( _\~.,C:>~ (Date) (White cOl!Y to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 12-09-03 \. r. . \ .~ \. /' .Actin'g 'as">i~'ur _Ow~ General' Co,ntractor? . INFORMAtiON NOTICE TO PROPERTY OWNERS \~ ABqur 'C_9~ST~UCTION RESPONSIBILITIES :. ': '. '.1 \, NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature, If you are acting as your own contractor to construct,a new home or make a substan!ial improvement to an existing structure, you can prevent .many problems by being aware of the following responsibilities and concerns. Employer Responsibilities ~, . . You will, in most'instances, pe ruled to be an "employer" and the contractors YPucoHtract '\Vith \vill. be "employees" if yo~ usecontractors not licensed with the Construction Contractors Board to do labor iri'c~nstructing or to assist in the construction or improvement of a residential structure. As the,eDlployer, you must comply with the following: . , ;. ", . ~. . . .., . . 1 , . Oregon's Withholding Tax La\v: As an employer, you must withhold income'taxes from employee wages at the time employees are paid. , You will b~, liabl,e for the ,ta~ p~yments even 'if you don't ac~allyw{thhold the tax from your employees. For more information, call the Department-or-Revenue it'503~378-4988. . ' , " >' Unemployment Insurance Tax: As an employer; Y01:(are requlred.to pay a~tax for:unemploytllent insurance purpos~' . on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. . , . .'. ~ .., ~ . " The Oregon B~iness Identification. Numper ('BIN) is ~ combined' number for',:,both Oregon ,Withholding and Unemployment Insurance Tax. To file for a J~IN, ,call 503-945-8091 or \V\vw.dor.state.or.usiformsnaV.htmll for the appropriate forms. .. . . Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and ITI-L1st ob,tain workers' compensation in~urance, for YI,:)Ur. employee~. If y,ou fai~ to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim cqsts if one ,of your employees is injured on the job. F()r more information; call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. " ) , .' ", , U.S. Internal Revenue Service: As an employer, you must withhold 'federal income tax from'employees"wages', You will be liable for the tax payment even if you didn't actually withhol~ the tax. For a Federal EIN n~mber. call the IRS at 866~816-2065 or:fax them at80F620-7l15. : , ' , ,. _ . Other Responsibilities and Areas of Concerns .. Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may l?e brought to your atten~ion through inspections. Liability and PfopertyDamage Insurance: Contact yotir insuranc"e agent to ~ee if you have adequate insu~ance coverage for accidents and omissions such as falling tools, paint over spray, water-damage from pipe punctures, fire or work that mLlst q,e redone. .' ' , , ., }, Time: Make sLlre you have sufficient time to supervise your employees: " ' Expertise: Make sure you 'have the skills to act as your 0\\011 g~rieral contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 12-09-03