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Home My WebLink AboutPermit Building 2004-4-23 Status Issued . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00367 ISSUED: 04/2312004 APPLIED: 04/0112004 EXPIRES: 10123/2004 VALUE: $ 6,804.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1345 RAINBOW DR ASSESSOR'S PARCEL NO.: 1703274303400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Storage building Owner: DAVIS FRED S & KAY B Address: 1345 RAINBOW DR SPRINGFIELD OR 97477 Phone Number: 541-746-0794 # of Units: # of Stories: Primary Occupancy Group: U-I Height of Stru~ce\O Secondary Occupancy Group: Type ll,fJJOO1? l.)\i\i\':I Primary Construction Type VN ('I WliiJr 1)pe1\O('l e\ \Ill(\. Secondary Construction Type: O~"ole90d 8,iig~~x.ps::l.le :<:>'2...00 # of Bedrooms: ~~~\\ ~d09\e \~!Jeigy\~t!J~~ 1\l\"S \. p... "N 1\l\eSce(\\a1' 0 \"10\l~ S 0\ \"e '"-O('le t......\\O "" _",\ ...._A _\0.0\' ~0\\\ica.\9<:>'2..C;;i)iv.EioeMENiiN'ieMf:4 ifIoN I Op...~ \ll\".-, \""" U"'.' A'{,' \('1 gO, ,/0 tIe ce('l '139>0('1 ",,"_?~ 00 C'3\\i('l9 \01 \"e ('Overlay Dist: \l~1l031 # Street Trees Rqd: ('I Paved Drive Rqd: Contractor Type General SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Garaee 'CONTRACTOR INFORMATION I Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: REQUIRED PARKING Total: Handicapped: Compact: 10.00 % of Lot Coverage: 34.00 0.00 W U S"P"E~R~I J\~~~ll1)l!R~VJ!Mk'1iisi:~~ 111\ UNO'-K ,nl;) r ...! .I.{....~ AU1110RIZEO I:. NOONED FOR Sidewalk Type: COMMENCED OR IS AB'" DownspoutslDrains: ",NY 180 D"'Y PERIOD. I Valuation Descriotion I $ Per Sq Ft or multiplier $24.30 Square Footage or Bid Amount 280.00 Type of Construction Garaee Value Date Calculated Total Value of Project Paee 1 of2 $6,804.00 $6,804.00 04/01/2004 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 + 7% State Surcharge Building Permit Plan Review - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Total Amount Paid . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00367 ISSUED: 04/23/2004 APPLIED: 04/0112004 EXPIRES: 10/23/2004 VALUE: $ 6,804.00 I Ff'f'~ tlW!.I Amount Paid Date Paid Receipt Number $54.60 $8.40 $5.88 $84.00 $71.00 $5.10 $102.08 4/1/04 4/23/04 4/23104 4/23/04 4123/04 4123/04 4/23/04 2200400000000000311 1200400000000000538 1200400000000000538 1200400000000000538 1200400000000000538 1200400000000000538 1200400000000000538 $331.06 I Plan Reviews I Initial Review 04/12/2004 Plan nine Review 04/23/2004 04/2312004 APP TAJ Public Works Review 04/19/2004 04/22/2004 APP VRJ Storm drainage to splash blocks as per Steve Graham. Structural Review 04112/2004 04/12/2004 APP 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. I Rf'ollirf'd Insof'ctinnlJ 2 Footing: After trenches are excavated. 4 Post and Beam: Prior to floor insulation or decking. 3 Framing Inspection: Prior to cover and after all rough in inspections have been approved, I Final Building: After all required inspections have been requested and approved and the building Is complete, 5 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to ensnre 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, -d rJ 'L dpJr~n , nfl-,?^J ~ ni'4'''.'' / f..-~/~~/~ AJ Owner or Contractors Signature Date 4/~,';l. lAd I I 1 Paee 2 of2 -' , , . , \" ./ " " " " . Con"struction 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 #: COM '2.0. -Cro'3:> (;.., Address: 134 ~ ~,"'- bu--J ~r Issued by: b ~ Date: l{ /Z:) /0 'i I I 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 I and 2, and either box 3A or 3B: ffl. J2r2, I own, reside in, or will reside in the compIeled 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 QS: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 notify the office issuing this building permit of the name of the contractor. I hereby certify that the above informatioo is correct and that I have read and do uoderstaod the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. ~ 1'r7-. ':' A 1'11)_11 ~ :1-$l~-"r.J j;Jl--<1~ J (Signa~rmit appIicantX::r .M /.:2..3 / t"J# I I (Datej" . (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner,doc 03/11103 -1 ~. . Adnnng a~ Y ([j)\lllIr' ((})wnn GenneIr'all C([j)nn~Ir'a~~([j)Ir''P 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, JEmJPilloyer ResJPioll1lSibmties " You will, in most i,nslances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractor~ 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 Withholdiog Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will he liable for the tax payments even if you don't actually withhold the lax 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' Compeosation Insurance: As an employer, you are subject to the Oregon Workers' CV'''I'~..sation 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 Reveoue Service: As an employer, you must withhold federal income lax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax, For a Federal ElN number, call the IRS at 866-816-2065 or fax them at 801-620-7115, " Other ResJPioll1lsibillities ~mdl Are21s of COll1lceIrlllls 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 Prope,rty Damage losurance: Contact your insurance agent to see if you have adequate insurance coverage for acciden\s 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 e'mployees, 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 al'l'<Vl" ;ate 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 03/11/03 . ~ .iilY of Springfield Official Receipt .veIopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541'726-3759 Phone Job/Journal Number COM2004-00367 COM2004-00367 COM2004-00367 COM2004-00367 COM2004-00367 COM2004-00367 Payments: Type of Payment Check 4/23/2004 RECEIPT #: 1200400000000000538 Date: 04/23/2004 Description Stonn Drainage Impervious Area SDC SanilarylStonn Admin Plan Review - Planning Building Pennit + 7% Slate Surcharge + 10% Administrative Fee Paid By KAY DAVIS Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3312 In Person Payment Total: Page I of I 3:06:03PM Amount Due 102,08 5,10 71.00 84,00 5,88 8.40 $276.46 Amount Paid $276.46 $276.46 CITY OF S!NGFIELD SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: Com2004-00367 NAME OR COMPANY: Kay Davis LOCATION: 1345 Rainbow TAX LOT NUMBER: 17032730 II 3400 DEVELOPMENT TYPE: Shed NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF): J. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 352.00 I $0.290 = I $102,08 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 ! DISCOUNT I 0.00 I $0.290 I 50% = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $102.08 I 2. SANITARY SEWER - CITY o $102,08 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 COST PER DFU I 0 $17,21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3. TRANSPORTATION 50.00 $0.00 $0.00 A, REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 I 0 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 I 0 ITEM 3 TOTAL - TRANSPORTATION SDC '" "-l Q o U P<: ~ '" - " ~ 1070 1091 1092 x I COST PER TRIP x I NEW TRIP F ACTORI I $17.23 I 1.00 I $0,00 1093 x I COST PER TRIP x I NEW TRIP F ACTORI I $76.01 I 1.00 I $0,00 i 1094 = , $0,00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x I COST PER FEU I 0 I $314.63 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I .0 $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER So( = $0,00 = , $0,00 = , 50,00 , 50.00 = , $0,00 I ~ , $102,08 I' ~ CHARGE I $5.10 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE:. ISUBTOTAL I x I ADM.FEERATE I~ I $102.08 I I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5.10 $0,00 Virginia Jurasevich PREPARED BY 4/22/2004 TOTAL SDC CHARGES = $107.18 DATE 11054 I 1055 1054 1056 1079 I 1078 . . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL 1 SOLIDS 1 ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND I AUTO WASH 1 ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER 1 MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP.!I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS\. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 IURINAL, STALL 1 WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INST ALLA TION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwellin~ Unit) is a disch~e equivalent to a sin~le family dwel1inp; unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 I CREDIT RA TE/$ I ,000 ASSESSED VALUE $5.04 $5.04 $4.95 $4.88 $4.75 $4.58 $4.41 $4.20 $3.88 $3.50 $3.07 $2.60 $2.14 $1.71 $1.52 $1.38 $1.19 $1.03 $0.87 $0.68 $0.46 $0.27 $0.09 $0.04 IS LAND ELGIBLE FOR ANNEXATION CREDITI (Enler I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDITI (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $0.00 x $5.04 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5.04 ~ I o TOTAL MWMC CREDIT = $0.00