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Home My WebLink AboutPermit Building 2006-4-6 Status Issued ""~ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00026 ISSUED: 04/06/2006 APPLIED: 01105/2006 EXPIRES: 10/06/2006 VALUE: $ 10,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 757 BLACKSTONE ST ASSESSOR'S PARCEL NO.: 1703233413000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration PROJECT DESCRIPTION: Replace carport w/ garage & add. b,!,e~~~way roof. . . _-' '. ~"~,, 'J,'H rac;ulres you to .- I.. _ Residential Contractor Type Electrical .. '''''r.' ' .' :..' '-J ."" VIC8UII UllIllY HANNUM JAMES W & MARYA':' '~~" . n '- C :'i3r. i hose rules are set forth 757 BLACKSTONE ST III CI",J'\ g:,~-OO'i-COiO through OAR 952-001- SPRINGFIELD OR 97477 0090. You may obtain copies of th I ". , e ru es h\l ......."'.' '8 LJ Ie; L;t:lller. (1\lote: tile teleohone 'eON'FRWOr@R)lN<If~RMi1\ J,N;.j cation t:lller IS -tlUU-332-2344). License 99579 Owner: Address: Contractor DEANS ELECTRIC Expiration Date 06/20/2008 Phone 541-935-5303 BUILDING INFORMATION I VB # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: ~O'f\~f.~Ui~i~~\:'l' CYDI8~ IF 1\-H?~~~t Load: I DEVELbProu........"I, du'_~'~ ~JK5 ERMI1 IS NUl ~~~~N~B~N~ONEO FOR REQUIRED PARKING OX~{{a~ ~t:JAY PERIOD. Total: # street "trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.20 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: To Storm Sewer Notes: Storm drainage piped into existing to stub 1/10/2006 CAS I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 3 Status Issued ''''4ilCITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00026 ISSUED: 04/06/2006 APPLIED: 01105/2006 EXPIRES: 10/06/2006 VALUE: $ 10,400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Bid Amount Bid Amount Use Bid Amount Use Bid Amount $1.00 $1.00 4,600.00 5,800.00 $4,600.00 $5,800.00 $10,400.00 01/05/2006 02/0912006 Total Value of Project ~ Fee Description Plan Review Residential + 10% Administrative Fee + 8% State Surcharge Building Permit Plan Review Residential SDC Sanitary/Storm Admin Storm Drainage Impervious Area Amount Paid Date Paid Receipt Number $44.46 1/5/06 1200600000000000017 $11.52 4/6/06 1200600000000000422 $9.22 4/6/06 1200600000000000422 $115.20 4/6/06 1200600000000000422 $30.42 4/6/06 1200600000000000422 $1.62 4/6/06 1200600000000000422 $32.30 4/6/06 1200600000000000422 Initial Review Planninl! Review Public Works Review 01/10/2006 01/10/2006 01/10/2006 $244.74 I Plan Reviews I 01/10/2006 APP SKG 01/26/2006 APP TAJ 01/10/2006 APP CAS 02/09/2006 APP DLM No Planning issues. Impervious for Breezeway only 1/10/2006 CAS See documents for Plan review comments Total Amount Paid Structural Review 01/10/2006 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. UleouiredJnsoections I Foundation: After forms are erected but prior to concrete placement. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Firewall: Located and constructed according to plans. Final Building: After all required inspections have been requested and approved and the building is complete. Pal!e 2 of 3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00026 ISSUED: 04/06/2006 APPLIED: 01/0512006 EXPIRES: 10/06/2006 VALUE: $ 10,400.00 225 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 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. ~ C7f!;~- U~~ ?/-?-O~ ~wner or Contractors Signature Date Pa!!:e 3 of 3 CITY OF S~GFIELD SYSTEMS DEVELOPMENoi~~~RKSHEET JOURNAL OR JOB NUMBER: C0M2006-00026 NAME OR COMPANY: James Hannum LOCATION: 757 Blackstone TAX LOT NUMBER: 1703233413000 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 100 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 100.00 I $0.323 = I $32.30 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S,F. x I DISCOUNT RATE I I 0.00 $0.323 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$32.30 19050 V1 ~ ~ o u ~ ~ r-< V1 >-< o ~ DISCOUNT $0.00 $32.30 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBERO OF DFU's I x B. IMPROVEMENT COST: I NUMBER OF DFU's x I 0 COST PER DFU $25.07 $0.00 1091 $19.07 $0.00 1092 " I ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $0.00 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I 9.57 B. IMPROVEMENT COST: ADT TRIP RATE x 9.57 NUMBER OF UNITS x I o I COST PER TRIP $19.09 I x NEW TRJP FACTOR 1.00 $0.00 11093 I NUMBER OF UNITS x I 0 COST PER TRIP $84.19 $0.00 x INEWTRJPFACTOR 11.00 $0.00 1094 ITEM 3 TOTAL - TRANSPORTA nON SDC =, 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU o $82.03 = $0.00 I 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I 0 $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. ADMINISTRATIVE FEE: 'SUBTOTAL x I ADM. FEE RATE $32.30 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 1/10/2006 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE J UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBA THTUB 0 0 3 = 0 I I DRINKING FOUNTAIN 0 0 1 = 0 1 IFLOORDRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 1 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 I CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EOD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (2opFU's0,et at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = Address: 7S7 16 'b-oooz-b fJ I A---v~s ke- Date: l/ /b~ b I I :Co~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 #: Co VV1 Z,..(.. Issued by: Statement: Information Notice to Property Owners 'About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare 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: -- ES, 1. I own, reside in, or will reside in the completed structure. ... 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. 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 :.Dr 3B. I will be my own general contractor. IfI 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 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. LA4atJ-~__ ;/ v (Signature of permit applicant) , . . (White copy to issuing agency permit file, pink copy to applicant.) ~/i6 Property _ owner. doc 06-01-04 Acting' as \o~r Own General Contractor? INFORMATION NOTICE TO ,PROPERTY OWNERS ABOUT. CONSTRUCTION RESPONSIBILITIES, '--" . ,t, 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 yo~ are acting as your own contractor to construct a new ho~e or make a substantial iinprovement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to bean "employer" and the contractors you contract with will be "employees" if you use contractors not licen~ed with t~e Construction Contract9rs Board to d9 labor in co~s,tructing or to assist in the construction or improvement of a residential structur~. As'the ~mployer, you must comply with t~e following: Oregon's Withholding Tax Law: As an employer, yo'u 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 ofRevemie 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 numb~r for, both Oregon Withholding and Un...wployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsnav.htmll for the appropriate fOTITIs. , ..- ." .' I Workers' Compensation Insurance: As all employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation ~nsurance f<)r 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 taxf.vu~ 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 orvisit.their web site at www.il"s.i!ov. : . Other Responsibilities and Areas .of Concerns: . . , , 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. . .. \ . '. f . . Liability and Prop~:rty 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 redohe. \. . . ~- ", -, , - Time: Make sure you ~have sufficient time to supervise your, employees!' . .," .' . t' -. . . ,., ..; .' ,. Expertise: Make sure you have theskiHs"to act as your oWn generiil 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. ..~ ':.<. .: J :.l. PropertLowner.doc 06-01-04 225 Fifth Street SjJringfleld, Oregon 97477 541'-726-3759 Phone ,~ of Springfield Official Receipt <;!telopment Services Department Public Works Department Job/Journal Number COM2006-00026 COM2006-00026 COM2006-00026 COM2006-00026 COM2006-00026 COM2006-00026 Payments: Type of Payment CreditCard 4/6/2006 RECEIPT #: 1200600000000000422 Date: 04/06/2006 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Plan Review Residential + 8% State Surcharge + 10% Administrative Fee Paid By JAMES HANNUM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 049762 In Person Payment Total: Page I of 1 10:21:40AM Amount Due 32.30 1.62 115.20 30.42 9.22 11.52 $200.28 Amount Paid $200.28 $200.28 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone of Springfield Official Re~ei.pt. Development Services Depa.,'troent. Public Works Dep.ar.tment Job/Journal Number CO M2006-00026 CO M2006-00026 COM2006-00026 COM2006-00026 COM2006-00026 COM2006-00026 Payments: Type of Payment CreditCard 4/6/2006 RECEIPT #: 1200600000000000422 Date: 04/06/2006 Description Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Plan Review Residential + 8% State Surcharge + 10% Administrative Fee Paid By JAMES HANNUM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 049762 In Person Payment Total: Page 1 of 1 10:21:40AM Amount Due 32.30 1.62 115.20 30.42 9.22 11.52 $200.28 Amount Paid $200.28 $200.28