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Home My WebLink AboutPermit Building 2005-1-24 (2) . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01499 ISSUED: 01/24/2005 APPLIED: 12/08/2004 EXPIRES: 07/24/2005 VALUE: $ 24,763.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 420 RIVERVIEW BLVD ASSESSOR'S PARCEL NO.: 1703341405700 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Addition to SFR TYPE OF USE: Addition Residential / ,~\)~~ I PUBLIC IMPROVEMENTS I a.'i:.. \'t ~~~ \S ~v >t'\l\''i' <W~' <-\)~ ~'iiewa1~yp~\) , . x\\>-\: \'(0.\ \'\\\)~ :\\rv~' ~\\ S ~\.Il~~~irtslDrains: ~~ '\l'i:..'\l\ 'i:..\) ~ \S \'0.\S '0.\)~\t x..\) \)~ ~\\)\). Storm drainage piped to curb face 1/4/2005 CAS \>-'0\~\t'o'i:..~C;\)~ '?~ ' r.Ci ,,\\\\ Owner: KARLA SMITH Address: 420 RIVERVIEW BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor LARRY A SMITH License " -lO\5\~~8 I BUILDING 'NFORMWTION:I~ " I ,,\. _.,,~,o\" \'(\0 - '" \}.I" - f,'/...\Jv O~.Vlro <Jlil>>i~~I\)\0 Oi>-~ g \)\0"''0'\ ~ ~~ 5Ift'1llf~&J1~:;~\'(\e 1 X\o(">.e ~~~~~' c;a~ 1~..y!m~~\eS e\e\'il9'd\\O(">. ~~'i.~p'e:o\'il" \'\\ ~o\\\\ ~Q. ctJ1; ..R4&ll:t~y~ \)\\\\\'!,,':)lI.lI.)' tt'OI""~\'\~~VJdWlP.(">. ~'l.'" ~~~~~~lli~g: nla ~,./, _mL ."'J:iEVEOOr if..;". T INFORMATION I # orUn;ts: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 5.60 12.10 21.20 5.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: . Partiallv Improved Yes Storm Sewer Available: Special Instruction: Notes: I \",. I Valuation Descriotion Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Pa2e 1 of3 Phone Number: 541-744-2522 Expiration Date 08/21/2005 Phone 541-344-8442 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: 268 Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: 31.70 Curb and Gutter Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!s V Wood Frame Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Plan Review Minor - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet . . CITY OF SPRIr~ul'lJ!,LD Building/Combination Permit PERMIT NO: COM2004-01499 ISSUED: 01124/2005 APPLIED: 12/08/2004 EXPIRES: 07/24/2005 VALUE: $ 24,763.00 $92.40 268.00 Total Value of Project $24,763.20 $24,763.20 12/08/2004 )?pp<. P'\ilLI Amount Paid Date Paid 12/8/04 1/24/05 1/24/05 1/24/05 1/24/05 1/24/05 1/24/05 1/24/05 Receipt Number 1200400000000001707 1200500000000000107 1200500000000000107 1200500000000000107 1200500000000000107 1200500000000000107 1200500000000000107 1200500000000000107 $145.86 $26.94 $18.86 $224.40 $59.00 $4.09 $81.84 $45.00 Total Amount Paid $605.99 I Plan Reviews I Initial Review 12/10/2004 12/10/2004 APP SKG Planninl! Review 12/10/2004 01/17/2005 APP TAJ Public Works Review 12/10/2004 01/04/2005 APP CAS Structural Review 12/10/2004 Revised site plan submitted 1/4/2005 CAS Proposed Addition encroaching ioto sewer easement called owner 12/14/2004 CAS See documents for plan review comments 01/05/2005 APP DLM 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. ~IPlrl Tn",nlection~ I Foundation: After forms are erected but prior to concrete placement. Floor Insulation: Prior to 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Pal!e 2 00 . . 9TYOF ~rK.U'iGFIELD Building/Combination Permit PERMIT NO: COM2004-0I499 ISSUED: 01124/2005 APPLIED: 12/08/2004 EXPIRES: 07/24/2005 VALUE: $ 24,763.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 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 ofany structure without permission of the Community Services Division, Building Safety. I further cerAlfy that only contrac s and employ~s who are in compliance with ORS 701.005 will be used on this project. I further agl-~e to nsure that req ired ins tions are requested at the proper time, that each address Is readable from the street, that he p mit cd. located at nt of the property, and the approved set of plans will remain on the site at all times durin: t struc on. ( / zA lor { Dat~ I ' Owner or C lDtractors Signature Page 3 of3 I). . . . . . , . .' ", .." . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Pbone: 503-378-4621 Web Address: www.eeb.state.or.us Pennit#: COWlZ-O_-O/'1 9 '7 Address: Y ZO ~'''~Vl t:"v-J 111" cl Issued by: ~a Date: ,-Z'I-oS- 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 Constrnction 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 ".....v...:ate blanks and initial boxes I and 2, and either box 3A or 3B: .--E( 1. ft 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. '::0 3A. My general contractor is LNl-VL... , SV"'- -;' -l--L---- (Name) 5/ LJ 'i58' (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR o 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately nOJify the office issuing this building permit of the name of the contractor. -' IOn is correct and tbat I have read and do understand the Information struction Responsibilities on tbe reverse side of this form. tlPl/c I Property_owner.doc 06-01-04 . .' Adnlffi~ 2l~ Yl <IDU1lrr ([J)WlTIl CG~lffi~rr21n CC<IDlTIl~rr21tC~<IDrr? 1NFORi\ilATION NOTICE TO PROPERTY OWNERS ABO~T 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. lEmjplloyeIr Re!ljpoIID!ln1bill~fie!l 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 more information, call the Department of Revenue at 503-3784988. 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- I 488. , The Oregon Business Identification Number (BIN) is a combined nwnber 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' 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 Conswner 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 1-800-8294933 or visit their web site at W\\iw.irs.l!ov. (())tl:Itnell" JResjpolIllsnli:Jlnnntl:nes 2lIlMll Al1"eas olf ([;olIllCell"IIllS 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 ~ori~. , ' , , 'lfime: 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 ofrough-in and fmish trades, and to notifY building officials as the app.vp.;ate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property_owner.doc 06-01-04 CITY OF SINGFIELD SYSTEMS DEVELOPMEN.ORKSHEET ' JOURNAL OR JOB NUMBER: C0M2004-01499 - NAME OR COMPANY: Karla Smith LOCATION: 420 Riverview Blvd TAX LOT NUMBER: 1703341405700 DEVELOPMENT TYPE: ' NEW DWELLING UNITS 0 BUILDING SIZE (SF' 212 LOT SIZE (SF): 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F, I CHARGE I 264.00 I $0,310 = I $81.84 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I i I COST PER S.F. I x 1 DISCOUNT RATE I I I 0.00 I I $0.310 I 50% = I ITEM I TOTAL - STORM DRAINAGE SDC $81.84 2. SANITARY SEWER - c:n:y A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU o I i $24.04 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I o I $18.28 ITEM 2 TOTAL-CITY SANITARY SEWERSDC =, 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT ~ RATE I x I NUMBEROOF UNITS I x : B. IMPROVEMENT COST: I ADTTRlPRATE I x I NUMBER OF UNITS I x 1 9.57 I 0 I ITEM 3 TOTAL-TRANSPORTATIONSDC = , 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: INUMBER OF FEU"s I x ICOST PER FEU I 0 ! $82.03 B, IMPROVEMENT COST: INUMBER OF FEU"s I x ICOST PER FEU I 0 I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5 ADMINISTRA llVF. FEE: I SUBTOTAL I x I ADM. FEE RATE 1= $81.84 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker PREPARED BY 1/512005 DATE DISCOUNT $0,00 $0.00 J COST PER TRIP $18.30 x INEWTRIPFACTORI I 1.00 I = , COST PER TRIP $80.72 $0.00 x INEWTRIPFACTORI , 1.00 1 = , $0.00 $81.84 CHARGE $4.09 TOTAL SDC CHARGES - , = , = , = , = , = , 6534 $81.84 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 4.09 $0.00 =, $85.93 II IV> ~ 10 ,U '~ Ii=: . V> Is ~ 1070 11091 I 11092 I 11093 I 11094 I 1054 I' 1055 I 1054 11056 I I 11079 11078 . . DRAINAGE rul.,.mE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTIJRES x UNIT EQUIV AIDIT - DRAINAGE FIXTURE UNITS (Nom: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTIJRES) NO. OF FIXTURES ' UNIT FIXTURE TYPE NEW OLD EOUN ALENT IBATHTUB 0 0 3' = DRINKING FOUNTAIN 0 0 1 = iFLooR DRAIN 0 0 3 = IINTERCEPTORS FOR GREASE I 00..1 SOLIDS I ETC. 0 0 3 = ilNTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = !LAUNDRY 11JB 0 0 2 = ICLOTIlESW ASHER I MOP SINK 0 0 3 = ,CLOTIlESWASHER - 3 OR MORE LEA) 0 0 6 = IMOBo..EHOME PARK TRAP (I PER TRAILER) 0 0 12 = l!U'l.."...uRFOR REFRlGI WATER STATION I ETe. 0 0 1 = RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = SHOWE~ SINGLE STALL 0 0 2 = SHOWE~ GANG ~ER OF HEADS).. 0 0 2 = SINK: COMMERC1AURESIDENTIAL KITCHEN 0 0 3 = SINK: COMMERCIAL BAR 0 0 2 = SINK:WASHBASlNroOUBLELAVATORY 0 0 2 = SINK: SINGLE LAVATORY /RESIDENTIAL BAR 0 0 1 = URINAL. STALL I WALL 0 0 5 = ITOo..ET. PUBLIC INSTALLATION 0 0 6 = iTOo..ET. PRIVATE INSTALLATION 0 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS _ -mu (EQuivalent Dwellins Unit) is a disc~ cauivalent to a ~e family dwelling unit (20 DFU's) set at 167 RBlIODS per day I D;E II o o o o o o o o o o o i o I o I o I o I o I o I o I o I o .1 o o MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TFJ$I,OOO ]1 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5,29 (Enter I for Yes, 2 for No) 1'979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT'I 2 1980 $5,19 (Enter I for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4,98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 " t$4.63 VALUE 11000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 = I $0,00 1986 , -, $4.07 1987 $3.67 ...- CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE 11000 CREDIT RATE 1989 . $2.73 $0.00 x $5.29 0 1990 $2.25 1991 $1.80 1992 ' $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 : 1994 $1,25 1995 $1.09 1996 ' $0.92 1997 $0.72 1998 $0.48 1999 $0.28 $0.09 .';' 2000 2001 $0.05 225 Fifth Street Springfuild, Oregon 97477 541-726-3759 Phone . ~i ilL.ty of Springfield Official Receipt "elopment Services Department Public Works Department Job/Journal Number COM2004-0 1499 COM2004-01499 COM2004-01499 COM2004-01499 COM2004-01499 COM2004-01499 COM2004-01499 Payments: Type of Payment Check 1/24/2005 RECEIPT #: 1200500000000000107 Date: 0112412005 Description Storm Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Plan Review Minor - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Item Total: (;heck Number Authorization Paid By Received By Batch Number Number How Received SELCO COMMUNITY CREDIT njm 14000029 In Person UNION Payment Total: Page I of I 2:38:02PM Amount Due 45.00 18,86 26.94 59.00 81.84 4.09 224.40 $460.13 Amount Paid $460.13 $460.13