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Home My WebLink AboutPermit Building 2005-8-19 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line '. .. CITY OF SPRINGFIELD Building/Combination Permi( PERMIT NO: COM2005-00795 ISSUED: 08/19/2005 APPLIED: 06/24/2005 EXPIRES: 02/19/2006 VALUE: $ 19,500.00 SITE ADDRESS: 1116 PLEASANT ST ASSESSOR'S PARCEL NO.: 1703264106300 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Metal shop Owner: Address: '- -::;mSN' 0 ,,, ". " fegon law rPn"'rM, ,_ . ......vfJt~ll nv th J -... '''''' "l"!l;:;n Center TPhone7fumliern lM.'I.726-2724 , , " nose I ""Y . ~','" ,~;52-001-0010 thr ru es are set forth -~~: You may Obtain ,..,..~~_~h ?AA 952-001_ . .''''~ tile cent . -..... 'i.lIll::tUles b I CONTRACTOR INFORMA'FION'I;:~g(oNnotue:, the telephone Y t'lityN t'" venrer is 1-800." A 0 ii/cation License Exp'i~iffijlli'1)ate Phone COONTZ BRIAN & CATHLEEN 1116 PLEASANT ST SPRINGFIELD OR 97477 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: BUILDING INFORMATION I # of Stories: Lot Size: U Height of Structure 18.75 Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: VN Water Type: Sq Ft Basement: Range Type: ' Sq Ft Garage/Carport 780 Energy Path: '" '~f'-"I 1'''_, S!I_FtOther: Sprinkled Building:, " " i1Ia ,,"', R rOcc~pani IJoiid: ,l! (":"FH rl-!.~ Dr,)' :,T In.. .'~' "., .., ..... "VI I DEVELOPMENT INFORMATION' I Di'\i~OONEO FOR , "" 'L1dUU, REQUIRED PARKING Overlay Dist: Total: 5.00 # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: 12.00 % of Lot Coverage: 33.00 15.00 I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewatk Type: DownspoutslDrains: Setback 5' Curb and Guller Notes: Storm drainage piped to curb face 6/29/2005 CAS Description I Valuation Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Type of Construction Value Date Calculated Paee I of3 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line GarB!!e Gara!!e Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Copies - Ea Addtl @ 50 Cnts Ea Copy 6th @ 75 cents Encroachment Permit Garage/Carport Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Total Amount Paid Initial Review Plannln!! Review Public Works Review Structural Review Structural Review . . CITY OF SP1Ur~t..FIELD Building/Combination Permit PERMIT NO: COM2005-00795 ISSUED: 08/19/2005 APPLIED: 06/24/2005 EXPIRES: 02/19/2006 VALUE: $ 19,500.00 $25.00 780.00 Total Value of Project $19,500.00 $19,500.00 08/17/2005 Fpp< PiIilIJ Amount Paid Date Paid 6/24105 8/19/05 8/19/05 8119105 8/19/05 8/19/05 8/19/05 8/19/05 8/19/05 8/19/05 8/19/05 Receipt Number 2200500000000000821 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 2200500000000001129 $125.58 $23.04 $16.13 $10.00 $0.75 $130.00 $185.40 $59.00 $12.90 $257.92 $45.00 $865.72 I Plan Reviews I 06/27/2005 06/27/2005 06/27/2005 06127/2005 07119/2005 06/2912005 APP SKG APP T AJ APP CAS Storm drainage piped to curb face, encroachment permit fee added to building permit. Application must still be submitted to PW 6/29/2005 CAS I discussed with metal building supplier who is to get missing plan sheets, details, and structural calcutatlons to me. JB Approved as noted on plans 06/27/2005 07/01/2005 WE JB 08115/2005 0811 5/2005 APP JB 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. , Rpnlli~I~,.tilnl"i.l Encroachment: After item(s) have been removed to Inspect condition of public right of way. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Framing Inspection: Prior to cover and after ail rough In inspections have been approved. Pa!!e 2 of3 -1i1tIr'~';""-- .. l . .. -' . . . CITY OF SPRI[\j\..yJ'mLIJ Building/Combination Permit PERMIT NO: COM2005-00795 ISSUED: 08/19/2005 APPLIED: 06/2412005 EXPIRES: 02/19/2006 VALUE: $ 19,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building Is complete. Storm Sewer Line: Prior to filling trench. 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 tbat any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and tbe 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 d~ring construc~rJ ;1( t, ll"j L-.k1 ) f If r / tr """... C.....;;.. so,uruD Date Paee30f3 I); .... .: ". .' '. .' , .. . Construction Contractors Board 700 Summer St NE Suite 300 PO BO:l14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: C5 ~071'5 11/ (p f'iR'CL<.Cl/rt:f'..y M'1/o<::; Address: Issued by: ;U - ()1:J..Cf? U() 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. ~lfuo ::::=i~::l:::':~::::::~ 3A,,3B o 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. 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 .:::2: 3B. I will be my own general contractor. If! 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 bereby certify tbat tbe above information is correct and tbat I bave read and do nnderstand tbe Information Notice toP pe Owners about C ction Responsibilities on tbe reverse side oftbis form. I L' CiJ I. -. !. -- ~-1 7, _ _' t. /q ~ (Signature ofpemU! applican~ ( (Dide) -- (White copy to issuing agen1y permit file, pink copy to applicant.) Property_owner,doc 06-01-04 '. . . . AtC~nlID~ till~ If @llllJl" (Q)WlID CGlelIDleJl"tillll CC@lID~Il"tilltC~@Il"? , \ 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 foIlowing responsibilities and concerns. JEmJPIlloyer JRe!lJPIoll1l!lfiJl)fillfi~]e!l You will, in most illstances, be ruled to be an "employer" and the contractors you contract with wiIl 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 tbe following: Oregon's Withholding 'lI'aJi 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 503-378-4988. 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/formsoav.htmll. for the appropriate form~. , 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 1-800-829-4933 or visit their web site at www.irs,,,ov. Ol~llner Re:!lJPI~,JIllnsfilGm,11:fies ~IID1[ll AIr<ems oj[ COJl]~eIrrrn:!l Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements t~at may be brought to your attention through inspections. " Liability and "Property Damage Rnsul"ance: 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 redoqe} ,\-' l' \)\ \ . ~ 1, ,.' 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- owq'er.doc 06-01-04 . . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTIJRE FIXTURE TYPE NEW OLD EQUNALENT UNITS IBATHTUB -- 0 0 3 0 = I DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OlL I SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC, 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER I 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 I WATER STATION I ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC, 0 0 3 = 0 SHOWER. SINGLE STALL 0 0 2 = 0 SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiALiR.ESlDENTIAL KITCHEN 0 0 3 = 0 ISlNK: COMMERCIAL BAR 0 0 2 = 0 ISlNK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 I SINK: SINGLE LAVATORYIRESlDENTIAL BAR 0 0 1 = 0 IURINAL. STALL I 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 I .EDU (EquivD;l.ent Dwellina Unit) is a dischar~ equivalent to a single family dwc:l1inR unit (20 DFtls) set Bt 167 gallons per day II MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I, 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 RA TE/Sl,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 ' $0.74' . $0.48 $0.28 .$0.09 $0,05 II I ~S ~ ELGlBLE FOR ANNEXATION CREDIT? (Enter t for Yes, 2 for No) . , IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) , BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE SO.OO x S5.29 = , so.oo "". CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT so.oo = 225 Fifth Street Springfield, Oregon 97477 . 541-726-3759 Phone Job/Journal Number COM2005-00795 COM2005-00795 COM2005.00795 COM2005-00795 COM2005-00795 COM2005-00795 C-OM2005-00795 COM2005-00795 COM2005-00795 COM2005-00795 " . RECEIPT #: .r~RIN~~a.o...__.. _.......~}.. ~' "'-. I . , ...' , '-,--_.- - .J;,lty of Springfield Official Receipt .velopment Services Department Public Works Department 2200500000000001129 Date: 08/19/2005 Description Encroachment Pennit Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin Plan Review Minor - Planning Garage/Carport Copy 6th @ 75 cents Copies - Ea Addtl @ 50 Cnts Ea Stonn Sewer - 1st 50 Feet + 7% State Surcharge + 10% Administrative Fee Payments: Type or Payment Paid By OreditCard CATHLEEN COONTZ ,'t " " .. ;; " 8/1912005 Item Total: Check Number Authorization Received By Batch Number Number How Received njm 135270 In Person Payment Total: Page 1 of I 1:4S:36PM Amount Due 130.00 257,92 12.90 59.00 185.40 0,75 10,00 45,00 16.13 23,04 $740.14 Amount Paid $740.14 $740.14