HomeMy WebLinkAboutPermit Building 2007-11-14
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01561
ISSUED: 11/14/2007
APPLIED: 10/1712007
EXPIRES: 05/14/2008
VALUE: $ 21,630.00
Status
Issued
225 Fifth Street, Springfield, OR
.541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 115 DORRIS ST
ASSESSOR'S PARCEL NO.: 1803022401800
SPRINGFIETYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Add Utility Room To Relocated Residence
Sidewalk Type:
No D~'Ynspouts/Drains:
Monel: sl.'.-
TH'S PERMlT SM~ll TM\S PERtA\T \S t\Ql
AuntORlZED UND~: ABANOONEO fa"
COMMENCED OR. . .
ANY 180 DAY PER'OD~ .
Owner: WIDMER MOLLY
Address: 13621-2 S 2ND ST #1
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
. Plumbing
Contractor
JAMES MARTIN PRULL
BAXTER PLUMBING & ROOTER LLC
License
79127
169028
BUILDING INFORMATION I
# of Units: # of Stories: 1
Primary Occupancy Group: R3 Height of Structure 14.00
Secondary Occupancy Group: Type of Heat: orced Air Electric
Primary Construction Type VB Water Type:
Secondary Construction Type: I~f~. you to
# of Bedrooms: ATTENT\ON: oreOd f~ o.~on Uti~ Path 1
foUOW r~'~~f'~c:~eT 'kl~:~.4)01. n/a
~OoAi952~~ION I
0090. Yo~,: center. \Note: r NOtlfica'lOl'
'tor the oreQoPrY\\!"~~\. Urban Fringe
n Center" 1cjQ~f{qd: ...
Paved Drive Rqd:
. % of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Stormwater to weep holes in curb
Pa2e 1 of3
Residential
Expiration Date
01/10/2008
03/13/2008
Phone
541-344-8500
541-935-6696
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
210
REQUIRED PARKING
Total:
Handicapped:
Compact:
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01561
ISSUED: 11/14/2007
APPLIED: 10/17/2007
EXPIRES: 05/14/2008
V ALUJE: $ 21,630.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!:s
Type of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
210,00
Value
Date Calculated
Description
Total Value of Project
$21,630.00
$21,630.00
10/17/2007
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $33.21 11/14/07 1200700000000001404
+ 5% Technology Fee $16.08 11/14/07 1200700000000001404
+ 8% State Surcharge $25.73 11/14/07 1200700000000001404
Building Permit $221.60 11/14/07 1200700000000001404
Fire SF Fee - Residential $10,50 11/14/07 1200700000000001404
Fixture $16.00 11/14/07 1200700000000001404
Furnace - up to 100,000 btu $14.00 11/14/07 1200700000000001404
Minimum/Adjustment Mechanical $36.00 11/14/07 1200700000000001404
Minimum/Adjustment Plumbing $34.00 11/14/07 1200700000000001404
Plan Review Residential $144.04 11/14/07 1200700000000001404
SDC Sanitary/Storm Admin $3.63 11/14/07 1200700000000001404
Storm Drainage Impervious Area $72.66 11/14/07 1200700000000001404
Total Amount Paid $627.45
I Plan Reviews I
Initial Review 10/17/2007 10/17/2007 APP LLH
Public Works Review 10/1712007 10/1912007 APP LKW Stormwater to weep holes in curb
Structural Review 10/17/2007 10/22/2007 APP DLM See documents for Plan review
comments
Planninl!: Review 10/17/2007 11/13/2007 APP TAJ No Planning issues.
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.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Pal!:e 2 of 3
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2007-01561
ISSUED: 11/14/2007
APPLIED: 10/17/2007
EXPIRES: 05/14/2008
VALUE: $ 21,630.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Ceiling Insulation: Prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking,
Underfloor Drain: Prior to cover or placement of concrete,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 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 constru
.. u. /@\1 ~
Owner ~ontractors Si~
I i-/ J.AJ 01-
, . I
Date
Paee 3 of3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
. TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 210.00 I $0.346 = $72.66 .
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS,
I IMPERVIOUS S.F. x I. COST PER S.F. x DISCOUNT- RATE DISCOUNT
I 0.00 I $0.346 50% $0.00
Com2007-01561
Widmer
115 Dorris Street
1803022401800
Utility Room
o
BUILDING SIZE (SF:
210
LOT SIZE (SF):
21780
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ITEM 1 TOTAL - STORM DRAINAGE SDC $72.66 $72.66 1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x (I COST PER DFU
0 I $26.83 = 1 $0.00 1091
B. IMPROVEMENT COST:
NUMBER OF DFU's x' I COST PER DFU
0 I $20.40 $0.00 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $0.00
"3. TRANSPORTATION II
A. REIMBURSEMENT COST:
I ADT TRIP RATE 1 x NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTOR'
I 9.57 I .0 20.43 I 1.00 $0,00 I 1093
B. IMPROVEMENT COST: I
I ADT T~ RATE x I NUMBER OF UNITS I x I COST PER TRIP x NEW TRIP FACTOR
1 9.57 I 0 I I $90.10 1.00 $0,00 1094
ITEM 3 TOTAL - TRANSPORTATION SDC =, $0,00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x ICOST PER FEU.
0 I I $95.35 = $0,00 1054
B. IMPROVEMENT COST:
I NUMBER ~F FEU's. x ICOST PER FEU
I . $990.39 $0.00 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $0.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $0,00 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $72,66 I
--~--.
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE 1=
$72.66 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$3.63
,3.63
$0.00
1079
1078
Kaye Wilson
10/19/2007
TOTAL SDC CHARGES
='$76.29
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBA THTUB 0 0 3 = 0
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FORREFRIG /WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL! WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$],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 ] for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter] for Yes, 2 for No)
BASE YEAR
2
2
]979
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
=
22~ F,ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-0 1561
COM2007-01561
COM2007-0 1561
COM2007-01561
COM2007-01561
COM2007-01561
COM2007-01561
COM2007-01561
COM2007-01561
COM2007-01561
COM2007-01561
COM2007-01561
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
1200700000000001404
Date: 11/14/2007
Description
Plan Review Residential
Fire SF Fee - Residential
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
Fixture
Minimum/Adjustment Plumbing
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CHRIS MELOTTI
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
03564C In Person
Payment Total:
Page I of I
2:26:12PM
Amount Due
144.04
10.50
72.66
3.63
221.60
16.00
34.00
14.00
36.00
16.08
25.73
33.21
$627.45
Amount Paid
$627.45
$627.45
11/14/2007