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Home My WebLink AboutPermit Building 2003-3-27 (3) ~u:; .' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 980 PRESCOTT LN ASSESSOR'S PARCEL NO.: 1703341200100 .- LlJ i' 0.. ~t'lOl~l..t<l,~LD Building/Combination Permit PERMIT NO: COM2002-01308 ISSUED: 03/27/2003 APPLIED: 11/19/2002 EXPIRES: 02/11/2004 VALUE: $ 56,448.00 Springfield TYPE OF WORK: Garage TYPE OF USE: New Residential PROJECT DESCRIPTION: Construct Pole Building. Per applicant, Residence is 4712 square feet. Proposed structure approx. 10' from mapped wetland<< applicant needs to talk to Public works regarding SDC's for adding hathroom>>>Addtnl fees paid for bathroom addtn 050503.DB Owner: GARY MCCLELLAN Address: 980 PRESCOTT LN SPRINGFIELD OR 97477 I CONTRACTOR INFORMA nON, \0 'iO~ ,~~'i . Contractor Lice~e0"'0~pii'1}tion Date GREG STALLINGS ~~8GIO\0~ ~0"'~~9'~8(2004 MITCHS ELECTRIC INC o~ "14~J45,,0'" 'b' f(>. f?J Q}.'IJ'8/2005 STEVE R JOHNSON . ..n\0($ ^o '<(,5.Q..~1,'S~"(\ O~ ,~0 ~~ql\,04 BUILDIN(J;~FORMA TION.f~)~0'" v 0 \.0\~~~\~" ~ '" \~\'O- G0"- J::P ~ ,~~.:,O :l.0'~~ ~ 0.'\- # of.~ori~f.' r::f~'l-\ 0'0\'0' ~o ,,~ ~kt Size: Ii~i&~t~8r~i;~ct't[11. ~\.0\'0c:Jf:O,ll.J~'/: Sq Ft 1st Floor: TYP\3f>He~t;,) 1(\0 (,0 0 0\ ,~\)l::l Sq Ft 2nd Floor: Wateri!})1pe:~~" 0\"S' j\"co" SqFtBasement: Rangel::lfxp~~~ :00\ ~ ,,<-'''' Sq Ft Garag~~arport Energy P~!lf' ('. Sq Ft O~~f?' I'!1!'li~IIS~ace Area: .r \\ ,-< \";) I DEVELOPMENT INFORMA nON J- ~i-\'\~~~~~~~ "<\)'<(\ \~~. ~ r..'f.\~\)~~ '\'(-.~~\)\)~ REQUIRED PARKING Overlay ~'\ <{y"~lIJ\ Y,,\) ~~ ,r.. \>.'0 Total: 2 # Street Tr<#'R~~1) !.JY,,\) \)~~,\)\). Handicapped: Paved DriVef!li'ii~~Y,,~ \)~ <{... Yes Compact: % of Lot cov~~ \'01:;) 11.00 Contractor Type General Electrical Plumbing # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VNSpr SETBACKS Front yard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 45.00 10.00 153.00 102.00 34.00 Street Improvements: Storm Sewer Available: Special Instruction: Phone 541-485.3615 541-747-4483 541-342.3765 43,555 U-l 2,880 I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Partiallv Improved Yes Notes: Curb and Gutter Pa~e I of4 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 Garage/Carport Plan Revlcw - Planning SDC Transpo Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Fixture Sanitary Sewer - Ist 50 Feet Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Water Line - 1st 50 Feet + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Clrc Ea Add Perm ServlFdr 200 amps or less + 10% Administrative Fee + 7% State Surcharge Sidewalk Repair Permit Storm Sewer Each Addtl1 00' Total Amount Paid Initial Review Plan nine Review 11/21/2002 11/21/2002 . . CITY Ot< ~rKll~ut<mLD Building/Combination Permit PERMIT NO: COM2002-01308 ISSUED: 03/27/2003 APPLIED: 11/19/2002 EXPIRES: 02111/2004 VALUE: $ 56,448.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $19.60 Square Footage or Bid Amount 2,880.00 Value Date Calculatcd Total Value of Project $56,448.00 $56,448.00 11/19/2002 Fpp<, p"W Amount Paid Date Paid Receipt Number $258.67 $44.30 $31.01 $397.95 $55.00 $40.61 $812.16 $45.00 $13.20 $9.24 $42.00 $45.00 $67.16 $88.36 $7.78 $45.00 $11,10 $7.77 $48.00 $63.00 $1.40 $0,98 $10,00 $14,00 11/19/02 3/27/03 3/27/03 3/27/03 3/27/03 3/27/03 3/27/03 3/27/03 5/5/03 5/5/03 5/5/03 5/5/03 5/5/03 5/5/03 5/5/03 5/5/03 8/11/03 8/11/03 8/11/03 8/11/03 10/29/03 10/29/03 10/29/03 10/29/03 1200200000000000265 1200200000000000898 1200200000000000898 1200200000000000898 1200200000000000898 1200200000000000898 1200200000000000898 1200200000000000898 1200200000000001124 1200200000000001124 1200200000000001124 1200200000000001124 1200200000000001124 1200200000000001124 1200200000000001124 1200200000000001124 1200200000000001933 1200200000000001933 1200200000000001933 1200200000000001933 1200200000000002386 1200200000000002386 1200200000000002386 1200200000000002386 $2,158,69 I Plan Reviews I 11/2112002 03/19/2003 APP LLH APP EMM Faxed information for DSL determination regarding proximity of wetlands. Garage cannot be tallcl than or have more square footage than the house. Enclosed copy of th. home occupation regulations. Paee 2 of 4 . CITY OF ~rK1j'lut<lJ!,LD Building/Combination Permit PERMIT NO: COM2002-01308 ISSUED: 03/27/2003 APPLIED: 11/19/2002 EXPIRES: 02/11/2004 VALUE: $ 56,448.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-37691nspection Line Plannine Review 12/12/2002 WE EMM Public Works Review 11/21/2002 APP OPE 12/10/2002 Public Works Review 04/25/2003 APP VRJ 04/25/2003 Puhlic Works Review 10/28/2003 DON VRJ 10/28/2003 Structural Review 12/1312002 12/t3/2002 APP TCM Received fax from DSL. Applicant is being mailed letter and information from Jennifer Goodrich at OSLo Jennifer is requesting a delineation report from consultant or a request from applicant for a sitl visist determination. Also the Corps of Engineers needs to OK. Check OSL permit to ensure condition have not changed site plan. Calculated SOC fees for toilet and sink. These were not shown on original plan. Applicant has acquired a private easement to run storm sewer to Janus Court. Sidewalk repair permit was added to permit for instanation of storm pipe In ROW, DO NOT NOTCH CURB, curb must be core drilled. no plans from PW yet 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. 1 Footing: After trenches are excavated. 2 Slab: To be made after all inslah building service equipment, conduit piping and other equipment items are in place but prior to concrete. 3 Framing Inspection: Prior to cover and after all 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. 6 Rough Plumbing: Prior to cover and including required testing. 7 Sanitary Sewer Line: Prior to filling trench and including required testing. 8 Final Plumbing: Wben all plumbing work is complete, 9 Water Line: Prior to filling trench and including required testing, 10 Rough Electric: Prior to Cover 11 Final Electric: When all electrical work is complete, 12 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Paee 3 of 4 . . CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2002-0I308 ISSUED: 03/27/2003 APPLIED: 11119/2002 EXPIRES: 02/1112004 VALUE: $ 56,448.00 225 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 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. ~~jlYl~~ Owner or Contractors Signature /0 .e..P/'o 3 Date Page 4 of 4 . . .. 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 -. . , \. ./ " .' " ,,' Pcnnit#: COWl 'Z..O-' - o/3cB Address: ? 80 ?tZ.t--Sc.otf LN Issued by: ~t.S Date: Irz.0~ Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 70],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 70],0] 0(7), need not submit this statement, This statement will be filed with the permit, Fill in the app.vpriate blanks and initial boxes I and 2, and either box 3A or 3B: 91. {r2. 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 -&r 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. ~ rAl./YJ ~}~ 10 .z.q '0.3 ~ignature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) :',v~""f_owner.doc 03/1 1/03 . . Ad~Jillg m~ 1{ ({])1lll1l" OWJill GteJilltell"mll C({])Jillttll"md({])ll"? 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,iyou can prevent many problems by being aware of the following responsibilities and concerns, lEmjpRoyer ReSjpmllsillJilities 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'sWithhofding 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 ill number, call the Business Information Center at 503-986-2200, " Unemployment Insnrance 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 qbtain 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. Inter~al 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, ~ Otllner ResjpolllsillJillities and! Areas of COHllCell'KllS Code Compliance: As the pennit 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 10 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 (503.3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052, Property_owne~,doc 03/11/03 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ Receipt #: 1200200000000002386 Job/Journal Number COM2002-0 1308 COM2002.0 1308 COM2002-0 1308 COM2002-0 1308 Payments: Type of Payment Cash Change JobfJournal Number COM2002-0 1308 COM2002-0 1308 COM2002-01308 COM2002-0 1308 Payments: Type of Payment Cash Change " Description Sidewalk Repair Permit Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By GARY MCCLELLAN GARY MCCLELLAN Received By djb djb Description Sidewalk Repair Permit Storm Sewer Each Addtl 100' + 7% State Surcharge + 10% Administrative Fee Paid By GARY MCCLELLAN GARY MCCLELLAN Received By djb djb ,; Check Number Batch Number Authorization Number Check Number Batch Number Authorization Number City of Springfieid Official Receipt Development Services Department Public Works Department Date: 10/29/2003 11:08:19AM Amount Paid Item Total: 10.00 14.00 0.98 1.40 $26.38 How Received In Person In Person Payment Total: Amount Paid $30.00 ($3.62) $26.38 . Amount Paid . Item Total: 10.00 14.00 0.98 1.40 $26.38 How Received In Person In Person Payment Total: Amount Paid $30.00 ($3.62) $26.38 .