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Home My WebLink AboutPermit Building 2006-9-28 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01017 ISSUED: 09/28/2006 APPLIED: 08/08/2006 EXPIRES: 03/28/2007 VALUE: $ 12,480.00 SITE ADDRESS: 278 S 79TH ST ASSESSOR'S PARCEL NO.: 1702363001701 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Attached garage Owner: JAROD ANDERSON Address: 278 S 79TH ST SPRINGFIELD OR 97478 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: U Secondal)' Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 56.00 30.00 20.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Storm drainage to street side ditch. Description Tvpe of Construction Phone Number: 541-954-1554 I CONTRACTOR INFORMATION. License 1?)- _ ^ .~ 08699 BUILD IN 6)1h\ftO"RMMV.o ~ .' vOtifiC : 1I1~ a - 0171 . # of18(j),fj ?tlOn Ce dOPted b aW reGta;t~ize: HCf).gfY~~~1nter. 7'ho~ the OIW jI~tF~r: TYP~'M eCJU may -0010 thli e rUles 9f1iJtll/ijJ)O r: wflI611l'!la:thec Obtain c OUgho fFBSIt1ol}J~nt: Range ly:ittfor th enter. (tv, oPles 01 ~e.;.~~J/carport Energy P~t : Orego Ote: the Ie ftU@8~f: Sprinkled Buil;ffn'~ 1-800 n tit/lily ^" l~otWfMtoad: -'~?"'.1; Otili_ - , - <"'44 ~...uo I DEVELOPMENT INFORMATION . ~. I? REQUIRED PARKING Expiration Date 12/18/2006 Phone 480 Overlay Dist: ~t Trees Rqd: fflElIC6ye Rqd: 40%' ~f~lifilterage: rHOR ~r Sf!. r.n,I~; ~/J 4).- ~ J~~",;RE IF rHE Gravel }1y PERIOD484ND~~41rr}h"'eff( No . '"9'~\I~"'J7)U~lirains: Urban Fringe Total: Handicapped: Compact: 4.90 I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal.!e 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 I nspection Line Gara!!:e Gara!!:e Fee Description Plan Review Residential + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review Plannin!!: Review Public Works Review Structural Review CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01017 ISSUED: 09/28/2006 APPLIED: 08/0812006 EXPIRES: 03/28/2007 VALUE: $ 12,480.00 $26.00 480.00 Total Value of Project $12,480.00 $12,480.00 08/08/2006 ~ Amount Paid Date Paid Receipt Number $85.02 8/8/06 1200600000000001222 $15.48 9/28/06 1200600000000001458 $12.14 9/28/06 1200600000000001458 $10.46 9/28/06 1200600000000001458 $130.80 9/28/06 1200600000000001458 $24.00 9/28/06 1200600000000001458 $112.00 9/28/06 1200600000000001458 $8.46 9/28/06 1200600000000001458 $169.15 9/28/06 1200600000000001458 08/1 0/2006 08/10/2006 08/10/2006 08/1 0/2006 $567.51 I Plan Reviews I 08/10/2006 APP SKG 08/23/2006 APP TAJ 08/14/2006 APP JLP 09/13/2006 APP RJB Storm Drainage to street side ditch. 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. ~eQuiredJnsDections I Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the building is complete. Pa!!:e 2 of 3 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2006-01017 ISSUED: 09/28/2006 APPLIED: 08/08/2006 EXPIRES: 03/28/2007 VALUE: $ 12,480.00 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54] -726-3676 Fax 54] -726-3769 Inspection Line 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 lim@]2n. ofr or Contractors Signature Date Paee 3 of3 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 Permit#: CO~~@bb- Ol,Ol7 Address:., 27 g S 7 74-~ ~~ Issued by: Date: 7/z.~/Ob f Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare 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 be filed with the permit. Fill in.the appropriate blanks and initial boxes 1 and 2, and either box 3Aor 3B: ~1. I own, reside in, or will reside in the completed structure. c:Q-- 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. . 0 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. 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. c?f~ / 7/zg'~b (Signature of permit applicant) f , (Date) (White copy to issuing agency permit file, pink copy to apPlicant.) PropertLowner.doc 06-01-04 Acting_ a-s -~.OU~ Own General Contractor? . 'iNFORMATION NOTICE TO PROPERTY OWNER'S ABOUT CONSTRUCTION RESPONSIBILITIES, . " . NOTE: This Information Notice to Property 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 substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. ~mployer Responsibilities . .'. You wil1, in most instances, be ruled tope an "e:rp.ployt;r" and the contractors you contr~ct with will be "employ,ees" if you use contractors not license9. with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residenti~l structure. As the employe.r, 'yo1;i m,ust comply with tbe following: Oregon's Withholding Tax La~: As an employer, you must withhold income taxes froin employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes -. on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. --...... The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' cVULpensatioI) insurance, you could' be subject to penalties and be liable for all claim 'costs if one or'your employees is injured on the job: For 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 empfoyees' wages.:.' ------ You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-'8294933 or visit their web site at\",\-w.irs.s!Ov. #. . ." .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 requirement~ that n:.aY, ?e prought to your att~ntion through i~spections. . ' Liability and Property Damage Insurance: Contact your insurance agent to'see if you have adequate insurance coverage for accidents and oJ;TIissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. . . ':,.' " -. -' \ " 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, i .... ~ ' Property _ owner.doc 06-0 I -04 CITY OF Slt~NGFIELD SYSTEMS DEVELOPME~~ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x' I COST PER S.F. CHARGE I 504.00 $0.336 = I $169.15 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I I 0.00 $0.336 50% = I COM2006-01017 Jarod Anderson 278 S 79th St 1702363001701 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF: 480 LOT SIZE (SF): o r:/J W c:l o U ~ ~ r:/J ...... c:; ~ DISCOUNT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $169.15 $169.15 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 0 I $26.03 $0.00 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's ,x I 0 $19.79 $0.00 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = 1 $0.00 I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x INEWTRlPFACTOR r 1093 I 9.57 I 0 $19.81 I 1.00 $0.00 B. IMPROVEMENT COST: ADTTRIP RATE I x NUMBER OF UNITS x COST PER TRIP x INEWTRlPFACTOR 9.57 I 0 $87.39 I 1.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I 0 I $91.61 = $0.00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I $961.52 $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $0.00 SUBTOTAL (ADD ITEMS 1,2,3, &4) = 1 $169.15 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE CHARGE $169.15 I 5% $8.46 TOTAL SANITARY ADMINISTRATION FEE: 8.46 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078 Jeff Prociw 8/14/2006 TOTAL SDC CHARGES =1 $177.61 PREPARED BY DATE 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 DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0 I URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons peT day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$1,000 ASSESSED VALUE $5.29 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 = IS LAND ELmBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELmBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = 1 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT 2 2 1979 $0.00 o $0.00 225 Fifth SJreet , ' Springfield, Oregon 97477 541-726-3759 Phone r"~, of Springfield Official Receipt I elopment Services Department Public Works Department Job/Journal Number COM2006-0 1 0 17 COM2006-0 I 0 17 COM2006-0 I 0 17 COM2006-0 1 0 17 COM2006-01017 COM2006-0 1 0 17 COM2006-0 1017 COM2006-0 1 0 17 Payments: Type of Payment Check c Rccemll RECEIPT #: 1200600000000001458 Date: 09/28/2006 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC Sanitary/Storm Admin Plan Review Minor - Planning "A'~\~ B~ing Permit ~,,,,,7\ l\tJ ~"-- + 5% Technology Fee ~~CS + 8% State Surcharge + 10% Administrative Fee Paid By lAROD ANDERSON Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1336 In Person Payment Total: Page I of 1 8:06:31AM Amount Due 24.00 169.15 8.46 112.00 130.80 12.14 10.46 15.48 $482.49 Amount Paid $482.49 $482.49 9/28/2006