HomeMy WebLinkAboutPermit Building 2004-7-7
.
. CITY OF SPKll~Ld'lJ'.LU
Building/Combination Permit
PERMIT NO: COM2004-00694
ISSUED: 07/07/2004
APPLIED: 06/11/2004
EXPIRES: 01107/2005
VALUE: $ 13,996.80
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 203 74TH PL
ASSESSOR'S PARCEL NO.: 1702354200127
Springfield TYPE OF WORK: Garage
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Add 2nd garage structure
Owner: BENNINGER JOHN W & MONICA K
Address: 203 74TH PL SPRINGFIELD OR 97478
Phone Number: 541-741-4933
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Contractor
ALPINE CONSTRUCTION
OWNER
License
125864
Expiration Date
04/0212005
Phone
541-953-2194
BUILDING INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1 Lot Size:
16.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
576
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U-l
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
9.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
22.30
10.00
. .
I PUBLIC IMPROVEMENTS I
Street Improvements: ATTENT~~M!lW requires you to
Storm Sewer Available: Yes follow rulD&~~vJlil~:Oregol(:\,\ljji1ll1d Gutter
Special Instruction: 6/21/2004 - Storm drainage shall be directe<lllotifillstliqrrl&:dnI\\1i1 if~~1I!P. /lfli'eset forth
NOTICE' contractor/owner shall initial the plans at bmr~~~~.().msgh OAR 952-001-
THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by
-;-; I~F,::::::~ 'j"n<:o nile; PFRMIT_~S NOT ....n;nn IrA (",An!er. INote:.the telephone
t\u MENCED OR IS ABANDlll'l.l;U rv~ . . nlmber for the Oregon Utility Notllicatlon
COM ERIOD' ValuatIon DescrmtlOn Center is 1-800-332-2344).
ANY 180 DAY P .
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Notes:
Tvpe of Construction
Value
Date Calculated
Description
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Garaee
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ Ea Add
Building Permit
Perm Serv/Fdr 200 amps or less
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Storm Sewer Each AddU 1 00'
Total Amount Paid
Initial Review
Plan nine Review
Public Works Review
.
06/14/2004
06/14/2004
06/14/2004
Amount Paid
$90.09
$26.66
$18.66
$6.00
$138.60
$63.00
$59.00
$10.57
$211.41
$45.00
$14.00
$682.99
$24.30
Total Value of Project
]?pp<. p"\W
I Plan Reviews I
06/17/2004
07/02/2004
06/21/2004
Date Paid
6/11104
7/7/04
7/7/04
7/7/04
7/7/04
7/7/04
7/7/04
7/7/04
7/7/04
7/7/04
7/7/04
APP
APP
APP
Paee 2 of 3
. CITY VI' ISrK11~uI'IELU
Building/Combination Permit
PERMIT NO: COM2004-00694
ISSUED: 07/07/2004
APPLIED: 06/11/2004
EXPIRES: 01/07/2005
VALUE: $ 13,996.80
576.00
$13,996.80
$13,996.80
06/11/2004
Receipt Number
1200400000000000893
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
1200400000000001054
LLH
TAJ
MS
6/18/2004 - Drainage from the
structure shall be directed to
existing house as per telephone
conversation on 6/18/2004. Both
applicant and contractor agreed to
take drainage to existing house.
Contractor agreed to initial plan
change at building permit pickup. -
MAS
6/18/2004 - Contacted applicant and
contractor and informed them
building was located in PUE. Both
agreed to move out of PUE by
changing the 5 foot dimension on th,
plans to 9 feet as per phone
conversation on 6/18/2004. The
contractor agreed to initial the
change on the plans at building
permit pickup. - MAS
6/16/2004 - Permit placed on hold
due to drainage and PUE
encroachment. - MAS
.
. U1):" OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00694
ISSUED: 07/07/2004
APPLIED: 06/11/2004
EXPIRES: 01107/2005
VALUE: $ 13,996.80
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
06/14/2004
07/07/2004
APP DLM
See documents for plan review
comment
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.
~ Reouired T n.nection.'
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Foundation: After forms are erected hut prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Rough Electric: Prior to Cover
Underground Electric: Prior to cover
Final Electric: When all electrical work 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 he 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.
,~. lit J D.
o~;contractors Signature
j-7,-QLJ
u--
Date
Pa2e30f3
" 'l .' t. ~.; -' ~. ... !' ".", - " .' .', ~ .~, ..
'. .... ,- . --;'.: CITY-OE,SI NGFIELD, OREGON' ..':: ,_. "" ..;
'" .' ..", ...,::' . _ _ "_., __ . . ~ . .. .: ~. " .J....
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54i)726-3753 . FAX: (541)726-3689
ELECTRICAL~<RMrr 'P~~TION The/aI/owing ,
Zonin project as submitt -
City Job Number . ate appro~~~nd does not require s~~~~sc ',he fOllOWing
and USA
I. t:,EQeATJON';6E:iNsfJt'il'fii:iiflf@N~r::1"~:1 3. ~-:Ce(;JMREEJjEiFEE'SCHEBfiti~J'n'R;:;dii"-'k ~';!:~KW;';i:;;';1?~;4
i1.,-,. . '.' .....".'><....',_ "." .t. .."!.~,__"'....~_'.._~.,'""',_"..."h_."-_,.r:.,. -.;~.:d-J t:?_-... . '_~__-:J. ~.,,- ,..'Jo.....'~ ...."'u~"" ,,,'n,'- ...:-:::..--'.. _~-...
--__ . -- ,?- '~::Jt.P 8"""", ~.;1
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It't\1:''' .,',..","' l'-";'UI',~t........"o::t>U-~""gllt'.~ "I. ";''\';-~'''''''~''__''''7",h'1~~~~
LEGAL DESCRIPTION A. ~~~:iResJ.~~!lti.~I"i:'lil!lg!~'o:rJm;.Ilf:~~Ji:'!I>'l!er;(Jwelli_~,,~&
\1l):t~sA.').... ~-, Service Included
JOB DESCRIPTION
-S~t~~~rabl~e~~if~~
not started within 180 days of issuance or if work is
Suspended for 180 days.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
t .~~\' : : . ",>:' ',';?^ -;'"li)':' ,,-,,",~~'t't" ,j" <l;r;'';-;'...-Vt.''I>'^';A ,," ~,:. ;"'i~'<A,"-I;.J '\ l""<"",J;-Ui', :;~
B....~~:~~!~~&rff~~~!~~~;;;.l~.st!!.~~.~~o,_~~t~~ef~~~}~t).~;,?~K~~t!~t~!t~~.;:~~
1/ $ 63.00 b:!." "
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolls
Reconnect Only
c. ~~feinHbr~b~_:$~~~1j:~19:~i~4.~r~~;?1tS4:~~~> '~~i,;;~'~::~J~{.~~~:~~f
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Expiration Date
$ 50.00
$ 69.00
$100.00
NOli
Exp~ ~MIT SH.~l..l EYPIQI= TI-II= IIJlOB.K
~S\l~&Oi,!;\N,~Jl:Ji~k~ PE IT IS NOT
MMEN'CED-Ci'R IS ABANDONE OR
ANY 180 DAY PERIOD.
. Over 600 Amps or 1000 Volts see "B" above.
~'i..., '" ~..,~ ; '....'; ~ ...:'f.l-,v,.;-:t:!.,;>,---:"r.,,1i:';":' .:;~. '.; .it'_""<1'i.1'~':-i."'."';' T;:_;", '_;."r..>-~: :<;'-f'1
D. ',Dranchl€u:CUlts-,.;.. t, !..,_,':;".:..,' ':/~>?~I..'.:'t':'IA,,--;~~.t^ 1('> ,-\>:'1 ';4"~;~~-s-'1'c;';71~~:~
',.'~, .,..~-- '~" ",.. .:.:..l..iJ=~,-" ......~_.__:c." -'\::<f':. ,. .,.,1> .,__t..w,:t:r;" ....,._, '"
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
.
Owners Name ~\ci\{\ ~(\(\\~er
Address 'l.r)~ l4...~ 0\
City~hone 14l, ~?'3
O\VNERINSTALLATION
-~~{)
'2
E. ~:.j'M~J.\i1:~l~~11iii1~.'~~s~~;tc~7Ie'~'~~1{&'t~itic3fu*a~d t~E~~h4i~i~~llkti~h~
~"'l;W"c'<-<.s.~~,j{,....k;J'J1,y-"/,,,"q".";\.:'H",,:""-{"" ;.~n"<n.,k ,.',~'1", "-.;-' '~'u4."h"'~~.
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
The installation is being made on property I own which
is not intended for sale, lease or rent
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
f' -. i'~::';..'_.b." "'1-.....~ ,:.h.:".It";t~.:';;"~.-'lj,i;f!:";;;'''''';~'<-''' :.-.r:"."'l"""l
'8">>"""""'-" '0'''' A'DOT>'V"-"",," /'V --" r" M
4. V.LH. .,.I.-nL' . T.~~ ' .olv:C.'\'~~t.r.,<<"v.rS-.:- '\f~
,_ ..:'.0' t~. ,,'.,.... ~".: ..-..-r' - -..l!"i'i..:;i;:'i,'t; I.l _:' it ~..r; . ,,' ~! ,:.,.,.. :5:::
Owners Signature;
~..~ {Q
'A- _ {,
\ \;;-~
&"~
4.&1
n.'O
SO, .,:r
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application l-03.doc
. , CITY OF StNGFIELD SYSTEMS DEVELOPMEN_ORKSHEET
JOURNAL OR JOB NUMBER: COM2004-00694
NAME OR COMPANY: John Benninger
LOCATION: 203 74th Place
TAX LOT NUMBER: 17023542 Tax Lot 00127
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 576 LOT SIZE (SF):
L STORM DRAINAGF,
o
11-
II",
~
10
o
U
p;:
~
E-
'"
6
gj
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 729.00 I $0.290 I = I $211.41
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 I DISCOUNT
I 0.00 $0.290 1 50% ~ 1 $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $211.41
$211.41
1070
2 SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I x 1 COST PER DFU
I 0 I $22.64 $0.00 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x COST PER DFU
I 0 $17.21 $0.00 11092
ITEM 2 TOTAL- CITY SANITARY SEWER SDC ~ , $0.00 I
J. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I 0 I 1 $17.23 I 1.00 $0.00 11093
B. IMPROVEMENT COST: I
I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x I NEW TRIP FACTORI
1 9.57 I 0 I 1 $76.01 1 1.00 $0.00 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0.00 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x 1 COST PER FEU
I 0 I $314.63 = $0.00 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I 0 $214.23 = $0.00 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 !11054
MWMC ADMINISTRATIVE FEE $0.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER So( = I $0.00 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $211.41 J
5 ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE 1= CHARGE
1 $211.41 I 5% I $10.57
TOTAL SANITARY ADMINISTRATION FEE: , 10.57 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: ..I $0.00 . 11078
Matt Stouder 6/21/2004 TOTAL SDC CHARGES =, $221.98
PREPARED BY DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUrv ALENT"" DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 = 0
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTIlESWASHER / MOP SINK 0 0 3 = 0
ICLOTIlESWASHER - 3 OR MORE CEA) 0 0 6 = 0
IMOBlLE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCiAiiii.ESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
IURlNAL. STALL / WALL 0 0 5 = 0
iTOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 0 0 3 = 0
,
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
.EDU (Equivalent Dwelling Unit) is a discharge equivalent to a sin~le family dwellin~ unit (20 DFU's) set 811671!ll1lons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATEI$I.OOO I
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
BEFORE 1919 $5.04 (Enter 1 for Yes, 2 for No) I
1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.95 (Enter I for Yes. 2 for No) I
1981 $4.88 BASE YEAR 1979
1982 $4.75 I
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE /1000 CREDIT RATE
1985 $4.20 $0.00 x $5.04 ~ , $0.00 I
1986 $3.88 I
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 VALUE /1000 CREDIT RATE
1989 $2.60 $0.00 x $5.04 0 I
1990 52.14 I
1991 $1.71
1992 $1.52 TOTAL MWMC CREDIT = $0.00 I
1993 $1.38 I
1994 $1.19 I
t90S $1.03 I
1996 $0.87 :1
1997 $0.68
1998 $0.46 I
1999 $0.27 I
2000 $0.09 I
2001 $0.04 II
225 Fjfth StFeet
Springfield, Oregon 97477
541-726-3759 Phone
.
a",~'~!"Q.F1,!!U'," _....,
~' :
'eAj;, I
w.! ,.
....;...._H"~,......... ,
~y of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
COM2004-00694
Payments:
Type of Payment
Check
7/7/2004
RECEIPT #:
1200400000000001054
Date: 07/07/2004
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Storm Sewer. 1st 50 Feet
Storm Sewer Each Addtl 100'
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JOHN BENNINGER
Item Total:
Check Number AuthoriZation
Received By Batch Number Number How Received
dIm
1544
In Person
Payment Total:
Page I of I
3:12:32PM
Amount Due
211.41
10.57
59.00
138.60
45.00
14.00
63.00
6.00
18.66
26.66
$592.90
Amount Paid
$592.90
$592.90