HomeMy WebLinkAboutPermit Building 2006-4-3
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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: COM2006-00144
ISSUED: 04/03/2006
APPLIED: 02/06/2006
EXPIRES: 10/03/2006
VALUE: $ 21,900.00
SITE ADDRESS: 890 ALDRIDGE PL
) ASSESSOR'S PARCEL NO.: 1802061204324
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: garage conversion
Owner:
Address:
ATTENTION: Oregon law requires you lU N b
follow rules adopted by the Oregon Util~;one urn er:
Notification Center. Those rules are set forth
;~ r'I ^ D o!:;0J\()1_nn1 n thrnllnh OAR !=l52-001-
~Ni/'}'J 1tdIfi~r ~til 8hLl rules by
I. ~_1.~f.1 n- i ~ J! phone
number for the oregOn~ili~NotificatiOn. . D
C t ' 1 800 ~I} EXpIratIon ate
en er IS - - - Of .
ZAC DETWEILER
890 ALDRIDGE PL
SPRINGFIELD OR 97478
541-686-2698
Contractor Type
General
Electrical
Contractor
OWNER
OWNER
.. # of Units:
, . Primary Occupancy Group:
. Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
"'~
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
'~~: Street Improvements:
,>
.~ Storm Sewer Available:
Special Instruction:
Notes:
Phone
616-455-2223
I. BUILDING INFORMATION'
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
U Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occup.l.lJlt\\*ad:
_\ Ie \N\J
1 DEVELOPM~ORMAT~_?\~t. ~~~\~ \<<2> ~\J \
~~W\\\ ~\~\)t~ ,\,\\<<2> ~Q~t\) rOMQUlRED PARKING
overl~W.~!i.Q~\1.t.\) \) O~ \<<2> ~'O~~ Total:
# Stree~ :t.O t:~\aO. Handicapped:
Paved DD~ \)~'{ ?~ Compact:
% of Lot~'{re age:
I.!.UBLIC IMPROVEMENTS'
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Pal!e 1 of 3
Description Tvpe of Construction
Garal!e Conver. Garal!e
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
...
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 8% State Surcharge
Building Permit
Total Amount Paid
Initial Review
Planninl! Review
Public Works Review
Structural Review
I
1
CITY OF SPRINGFIELD.:.-
Building/Combination Permit
PERMIT NO: COM2006-00144
ISSUED: 04/03/2006
APPLIED: 02/06/2006
EXPIRES: 10/03/2006
VALUE: $ 21,900.00
I Valuation Descriution I
$ Per Sq Ft
or multiplier
$73.00
Square Footage
or Bid Amount
300.00
Value
Date Calculated
$21,900.00
$21,900.00
02/06/2006
Total Value of Project
'.
~
Amount Paid Date Paid Receipt Number
$130.65 2/6/06 1200600000000000119
$20.10 4/3/06 1200600000000000399
$16.08 4/3/06 1200600000000000399
$201.00 4/3/06 1200600000000000399
$367.83
I Plan Reviews ,
02/08/2006 02/08/2006 APP SKG
02/08/2006 APP TAJ No Planning Issues.
02/08/2006 02/09/2006 APP CAS No sdc fee interior remodel only no
new fixtures 2/9/2006 CAS
02/08/2006 03/27/2006 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.
l..Jl.eouire~nSDections I
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pal!e 2 of 3
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: COM2006-00144
ISSUED: 04/03/2006
APPLIED: 02/06/2006
EXPIRES: 10/03/2006
VALUE: $ 21,900.00
,~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
times during construction.
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Owner ~tractors Signature
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....
Pal!e 3 of 3
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4,3 -ule
t
Date
CITY OF S.GFIELD SYSTEMS DEVELOPMEN"~~~~RKSHEET
JOURNAL OR JOB NUMBER: COM2006-00144
NAME OR COMPANY: Zac Detweiler
LOCATION: 890 Aldridge PI
TAX LOT NUMBER: 1802061204324
DEVELOPMENT TYPE: SINGLE F AMlL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. . I CHARGE
0.00 $0.323 = I $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S,F. x I DISCOUNT RATE I I
0.00 $0.323 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$0.00 I
2. SANITARY SEWER - CITY
DISCOUNT
$0,00
o
$0.00
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1070
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
I CLOTHES WASHER / MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
IURlNAL, STALL! WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
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 ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIDLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0,00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
. ,225 -Fifth Street
Sp~irigfiild, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00 144
COM2006-00 144
, GOM2006-00144
Payments:
Type of Payment
CreditCard
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4/3/2006
RECEIPT #:
Description
Building Permit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ZAC DETWEILER
1200600000000000399
Check Number
Received By I Batch Number
djb
Page 1 of 1
f'ity of Springfield Official Receipt
velopment Services Department
Public Works Department
Date: 04/03/2006
Item Total:
Authorization
Number How Received
034775 In Person
Payment Total:
3:04:36PM
Amount Due
201.00 , :
16.08
20.10 .
$237.18
Amount Paid
$237.18
$237.18
. ' .
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 #!.!.arI'2CLn-v - CD l '+'t
Address: ~O A ( ri eir1cr ...
Issued by:
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 be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 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
tW 3B. I will be my own general contractor.
If I 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 understand the Information.
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
~ ___ '1, 12-)010
(Signature of permit applicant) . I (I9ate)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner. doc 06-01-04
Acting as I our, 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 t~ construct a new home or make a substantial improvement to an existing
structure, you can prevent many problems 'by being aware of the followirigtesponsibilities and concerns.
You wi.11, in most instances, be ru}(~d to be an "employer" anq the cOl1tractors you contract with wili, qe "employees" if
you Use contractors not hcensed with the C<?nstruc~ion Contractors Board to do labor in constructing or to assist in the
construction or improvement of a re~idential stnlcture. ~s tI~e employer, you must comply wit~ the following:
Oregon's Withholding Tax L'aw: .As an employer, ydu must Withhold income ~xes 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 503-378-4988. . ' .
. i"
E~~loye:r Res~o~sibilities
Unemployment Insurance Tax: .As an employer, you are requireo.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/formsoav.html1 for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' cvu<pensation insurange 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. 1..:800-829-4933 or visit their web site at www.irs.lwv.
Other Responsibilities and Ar~as of C'oncerns
Code Compliance: As the permit holder for this project, you are responsible for resoiVingany failure to meet code
requireme?~s that may be br<?ugl:t to, your attention through inspections.
Liability and Property Dan:.age' insur~nce: Contact your -ihsurance 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~'
.~~
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Expertise: Make sure you' have the skills to ~ct as your'owTI general contractor', to coo~din'ate' 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.
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Property- owner.doc 06-01-04