HomeMy WebLinkAboutPermit Building 2007-10-16
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: COM2007-01376
ISSUED: 10/1612007
APPLIED: 09/10/2007
EXPIRES: 04/16/2008
VALUE: $ 24,102.00
SITE ADDRESS: 2824 CHATEAU PL
ASSESSOR'S PARCEL NO.: 1703233203000
Springfield
TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: DON & JUDY COMBS LIVING TRUST
Address: 2824 CHATEAU PL
SPRINGFIELD OR 97477
Contractor License
DAVID ZARZYCKI GENERAL CONTRACTIllOS626
BUILDING INFORMATION I
Contractor Type
General
# 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:
Phone Number: 541-747-0539
I CONTRACTOR INFORMATION I
Expiration Date
04/26/2009
Phone
541-688-0243
# of Stories: 1
R-3 Height of Structure: 12.00
Type of Heat: orced Air Electric
VB Water Type:
Range Tti. utI. ~~~
~1'1EtmON: ~~ '. Qre~:~e\ tortW:h 1
.....,~~M~~.O ~QQOOfj
Notific ~ _ ~ . MlA~
\n 0 "OU rn8 '''''ote: '~':~..t1t\ft
0090. l' let. ~... t"lllW Noul1"--
ca\\\ng t"e O~!"~"':~~).
10.0QlUmbertof .~Wq'3:-
Cie aved Drive Rqd:
% of Lot Coverage:'
Lot Size:
Sq Ft 1st Floor: 234
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
. Sidewalk Type:
Downspouts!Drains~O~\{
t'01\Ct~ tAl'T Sl\~'-'- ~I\~~:J \S ~01
1H~~J~~lEO U~O~~ ~:~~UO~EO fOR
,.~ -\~U u en .'
V aluation De~ \t N PER\OO.
Notes: Stormwater drains to existing eaves.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 3
$776.80
I Plan Reviews I
09/1112007 09/1112007 APP
09/11/2007 10/10/2007 APP
09/1112007 09/14/2007 APP
09/1112007 10/04/2007 10
10/04/2007 10/0912007 APP
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellinl!s
V Wood Frame
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Vent Fan
Total Amount Paid
Initial Review
Planninl! Review
Public Works Review
Structural Review
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01376
ISSUED: 10/16/2007
APPLIED: 09/10/2007
EXPIRES: 04/16/2008
VALUE: $ 24,102.00
$103.00
234.00
Total Value of Project
$24,102.00
$24,102.00
09/1012007
~
Amount Paid
Date Paid
Receipt Number
1200700000000001177
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
1200700000000001309
$160.77
$20.00
$40.70
$19.77
$31.63
$247.34
$11.70
$48.00
$43.00
$96.89
$50.00
$7.00
9/10/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
10/16/07
LLH
TAJ
TSS
LLH
No Planning issues
Stormwater drains to existing eaves.
Forwarded to the Building
Department for structural review.
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield.
LLH
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouiredJnsnections .
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
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.
Pal!e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01376
ISSUED: 10/16/2007
APPLIED: 09/10/2007
EXPIRES: 04/16/2008
VALUE: $ 24,102.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Rough Plumbing: Prior to cover and including required testing.
Storm Sewer Line: Prior to filling trench.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Plumbing: When all plumbing work is complete.
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
...-------
c.---"~ C_
~~~. -2 c.~
t{:) lIb / ~7
Owner or Contractors Signature
Date
Pa2e 3 of 3
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS l
(NOTE: FOR REMODELS, CALCUlATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBA THTUB 0 0 3 = 0
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBJLE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
,TOILET, PRlV ATE 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
i"
I
I
I
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 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 I'
o
TOTAL MWMC CREDIT
=
$0.00
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET'
JOURNAL OR JOB NUMBER: C0M2007-01376
NAME OR COMPANY: Don and Judy Combs
LOCATION: 2824 Chateau Place
TAX LOT NUMBER: 17-03-23-32-03000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 280.00 ,$0.346 = I $96.89 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I DISCOUNT
I 0.00 I $0.346 50% I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC $96.89 I ,.
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OFDFU's x
o
o
r:rJ
~
Cl
o
u
~
~
f-<
r:rJ
......
10
~
$96.89
1070
I'
COST PER DFU
$26.83
$0.00
1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's' x
I 0
COST PER DFU
t" $20.40
$0.00
1092
ITEM 2 TOTAL - CITY SANIT~Y SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x
9.57 0
=1
$0.00
COST PER TRIP
20.43
x NEW TRIP FACTOR
1.00
$0.00
1093
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP
9.57 0 I $90.10
ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
o $91.61
B. IMPROVEMENT COST:
NUMBER OF FEU's x
o
x NEW TRIP FACTOR
1.00 = ,
$0.00
1094
Todd Singleton
9/14/2007
= , $0.00 1054
$0.00 1055
$0.00 1054
$0.00 1056
=, $0.00 I
=1 $96.89
'"
CHARGE
$4.84
4.84 1079
$0.00 l 1078
=1 ,
TOTAL SDC CHARGES $101.73
I COST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMlNISTRATIVE FEE
ITEM 4 TOTAL - M\VMC SANITARY SEWER SDC
SUBTOTAL (ADI? ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE
$96.89 I 5%
TOTAL SANITARY ADMlNISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
PREPARED BY
DATE
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
COM2007-01376
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001309
Date: 10/16/2007
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Building Permit
Fixture
Storm Sewer - 1 st 50 Feet
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PETER EGAN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
DJB
01580c In Person
Payment Total:
Page 1 of 1
10:07:49AM
Amount Due
11.70
96.89
247.34
48.00
50.00
7.00
43.00
20.00
19.77
31.63
40.70
$616.03
Amount Paid
$616.03
$616.03
10/16/2007