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Home My WebLink AboutPermit Building 2003-10-17 (4) Issued 225 Fifth Street, Springfield, OR 541.726--3753 Phone 541-726-3676 Fax 541.726--3769 Inspection Line SITE ADDRESS: 905 FUCHSIA ST ASSESSOR'S PARCEL NO.: 1703261304400 PROJECT DESCRIPTION: Shed . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00964 ISSUED: 10/17/2003 APPLIED: 09/25/2003 EXPIRES: 04/17/2004 VALUE: $ 3,998.00 TYPE OF WORK: Shop TYPE OF USE: New Residential Owner: JAMES BRITTON Address: 905 FUCHSIA ST SPRINGFIELD OR 97477 Contractor Type General Plumbing Contractor OWNER OWNER # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: . Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1l.50 10.80 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541.345-4975 I CONTRACTOR INFORMATION I License Expiration Date Phone ~\O _Co,!O..,,\\\l BUILDING INFORMATION' '1'1 10~~~~0t-. ~~\ \0(\. . 0(\\'3' \'(\0 ~~e ro'l-.CC \ # of Stories: ~.o10~00 '1'1 0 ~~~~ -p.?o 9 1'J\9S Height ofStru~~\O ~oo9~2:900S o~'t1t ,~l\'fi1'oo{iol'e Type of H~~ lU\0S 0(\\01. \ 0 \~l ~dltn~'l[C'cl-\\O(\ Water TyP{i)\\O'l'l '!..\O(\ C 0,\"00 i\(\ c<S~t~~i1'i: Range TY(leb\I~IC'3' 9':J'l-'O 'cl-'l 0'O\01.l...~~.g(~J~arport Energy Pat~: Op..~ -{Ou ((\ cel''' e~S.9.~9tlrer: , 090. ,^" \~e \'(\e Ol,\.'(fmpervious Surface Area: a; ~\\\\..., "...'( ".c. ~, . JH ..I....' I DEVELOPMENT INFORMlITION., .168' REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: 8{l,~pact: % of Lot Coverage: 15't.\~ ,'t\t. ~ ~Q\ _,.. .\ \ t.'j..?\~ o~~~\\ ~"Q,. I PUBLIC IMPR;;;';'1,l'JI;l;~.~Dt.~ \~;~DQ~\;.V ( \ n~~,\\a\\\I.~~D a~ ~walk Type: t>' ~t.~" ?t.~~ . COWl 'O\} D~ DownspoutslDrains: t>-~'l \ Notes: Storm to drain to existing Paee I of 4 . [' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Garaee Garaee Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer. 1st 50 Feet Total Amount Paid Initial Review Plannine Review 09/26/2003 09/2612003 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00964 ISSUED: 10/17/2003 APPLIED: 09/25/2003 EXPIRES: 04/17/2004 VALUE: $ 3,998.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $23.80 Amount Paid $39.39 $10.56 $7.39 $60.60 $59.00 $3.25 $64.96 $45.00 $290.15 Square Footage or Bid Amount 168.00 Value Date Calculated $3,998.40 $3,998.40 10/15/2003 Total Value of Project li'Pp< PiWIJ Date Paid Receipt Number 9/25/03 10/17/03 10/17/03 10117/03 10/17/03 10/17/03 10/17/03 10117/03 1200200000000002210 1200200000000002333 1200200000000002333 1200200000000002333 1200200000000002333 1200200000000002333 1200200000000002333 1200200000000002333 I Plan Reviews , 09/26/2003 10/14/2003 APP LLH APP TAJ Paee 2 of4 . . CITY OF SPRINGFIELD - Building/Combination Permit . Status Issued PERMIT NO: COM2003-00964 225 Fifth Street, Springfield, OR ISSUED: 10/17/2003 APPLIED: 09/25/2003 541-726-3753 Phone EXPIRES: 04/17/2004 541-726-3676 Fax 541-726-3769 Inspection Line VALUE: $ 3,998.00 Public Works Review 09/26/2003 10/03/2003 APP MS 10/3/20032:15 PM - Applicant came by and marked on plans that storm drainage will go to existing. Waived encroachment permit fee. -MS 10/3/2003 . Applicant called and informed me he will now take his storm drainage to existing. He will come by today and mark this on plans. No encroachment permit will be necessary. -MS 10/2/2003 . Contacted applicant and he informed me that he will take storm drainage to the French drain located on the SW corner of property. He will come by next week and mark this on bis plans. I also informed him he will need an encroachment permit to complete this work. -MS 9/29/2003 - Left message with applicant requesting a return phone call regarding storm drainage for proposed shed. Storm drainage is not clearly indicated on tbe plans. Storm drainage will need to go to a. approved city drainage system (e.g. existing or drywell). -MS Structural Review 09/26/2003 10/15/2003 APP TCM 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. , Rpn~Ip.lrtinn\l I Encroachment: After item(s) have been removed to inspect condition of public right of way. 2 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 3 Framing Inspection: Prior to cover and after 811 rough in inspections have been approved. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Storm Sewer Line: Prior to filling trench. Paee 3 of 4 ~ii~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPKll~lJNJ!.LD . Building/Combination Permit PERMIT NO: COM2003-00964 ISSUED: 10/17/2003 APPLIED: 09/25/2003 EXPIRES: 04/1712004 VALUE: $ 3,998.00 By signature, I state and agree, that I bave carefully examined tbe 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 tbe site at all times during construction. own~ct~ Paee4of4 /0//7)03 Date 225 Fifth Street ~ Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003.00964 COM2003.00964 COM2003-00964 COM2003.00964 COM2003-00964 COM2003-00964 COM2003-00964 Payments: Type of Payment Check -~-.LP~.-~~,~'.."-" .'. ,: '..' -.; i ..', ''''''.''0.'' Receipt #: 1200200000000002333 Description Storm Drainage Impervious Area SDC SanitarylStorm Admin Plan Review - Planning Building Permit Storm Sewer. 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Paid By JAMES BRITTON Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department .. Public Works Department .. Date: 10/17/2003 9:54:43AM - Amount Paid 64,96 3,25 59.00 60.60 45,00 7.39 10,56 $250.76 Item Total: How Received In Person Payment Total: Amount Paid $250,76 $250.76 . . . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2003-00964 NAME OR COMPANY: James Britton LOCATION: 905 Fuchsia Street TAX LOT NUMBER: 17032613 Tax Lot 04400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE. DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 224.00 I $0.290 I = I $64.96 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I 0.00 I $0.290 I 50% . I ~ $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $64.96 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 0 I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $0.00 1. TRANSPORTATtON A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I '957 I 0 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 957 I 0 ITEM 3 TOTAL - TRANSPORT A nON SDC x I COST PER TRIP x I NEW TRIP F ACTORI i $17.23 I 1.00 I x I COST PER TRIP x INEW TRIP FACTORI I $76.01 I 1.00 I = , $0.00 o $64.96 $0.00 $0.00 $0.00 $0.00 ri u ~ ~ "'" t/l a ~ -' 11070 I I 1091 I J 1092 I 109J 11094 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL. MWMC SANIT ARV SEWER Sot SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE: ISUBTOTAL I x I ADM. FEE RATE I~ I $64.96 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: r Matt Stouder 10/20/2003 PREPARED BY DATE = $0.00 1054 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS l (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE I FIXTURE TYPE UNIT FIXTURE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP} I PER TRAILER) 0 0 12 = 0 !RECEPTOR FOR REFRIG / WATER ST A nON I ETe. 0 0 1 = 0 !RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 :1 ISHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADSl. 0 0 2 = 0 I ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 I ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 I I URINAL. STALL / WALL 0 0 5 = 0 I ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (EQuivalent Dwellin~ Unit) is a dischar~e equivalent to a single family dwellin,g unit (20 DRJ's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$I.OOO ANNEXED ASSESSED V AWE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0 BEFORE 1979 $4.92 (Enter I for Yes, 2 for No) 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 t980 $4.83 (Enter I for Yes, 2 for No) 1981 $4.77 BASE YEAR 1979 1982 $4.64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 V AWE / 1000 CREDIT RATE 1985 $4.09 $0.00 x $4.92 ~ , $0.00 1986 $3.78 t987 $3.4t CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) t988 $2.98 VALUE/IOOO CREDIT RATE t989 $2.52 $0.00 x $4.92 ~ , 0 1990 $2.06 1991 $1.64 1992 $1.45 TOTAL MWMCCREDIT = $0.00 1993 $1.31 1994 $1.13 1995 $0.97 t996 $0.82 1997 $0.63 t998 $0.41 1999 $0.22 2000 $0.04 e. . , . . ", " . .' . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phooe, 503-378-4621 Web Address: www.ccb.state.or.us . ' Permit #: C.OWl 20. - 00 961{ Address: 90 S- F'^<" L.. "i>1-A ~ Issued by: :sf- /OIt7/0 3- / f Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction 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 app.vp.;ate blanks and initial boxes I and 2, and either box 3A or 3B: ~ 1. -->> 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. o 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 X 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract 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 understaud the Information Notice to Property Owners about Constructiou Respousibilities on the reverse side of this form. n~ g~ 9/;ZS-/O?; - "T(Si~ature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner,doc 03/11103 . . Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS 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. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure, As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from 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 a State Business ID number, call the Business Information Center at 503.986-2200. 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. . 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' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of 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 employees' 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 866-816.2065 or fax them at 801.620.7115. 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 be brought to your attention through inspections, ' Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be redone. Time: Make sure,you have sufficient time to supervise your employees. ~. : Expertise: Make sure you have the skills to act as your own general 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 03/11103