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Home My WebLink AboutPermit Building 2007-11-21 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: OS/21/2008 VALUE: $ 10,300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1146 SEQUOIA AVE ASSESSOR'S PARCEL NO,: 1703273402702 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Bathroom Addition Owner: LITTLEJOHN MARJORIE L Address: 1146 SEQUOIA AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor License GRAVELINE ANDERSON CONSTRUCTION 45238 KS ELECTRIC 70889 GRA VELINE ANDERSON CONSTRUCTION 45238 DOUGS PLUMBING INC 110163 BUILDING INFORMATION I Expiration Date 01/31/2009 12/30/2008 01/31/2009 11/2412007 Phone 541-579-2500 541-686-6236 541-579-2500 541-688-3385 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: Sq Ft 1st Floor: Wall Heat Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Path 1 Sq Ft Other: nla Occupant Load: 100 VB I DEVELOPMENT INEORl\;1AJ.lON'I19gon law requires you,~.O. f 110111 "'!c~ adopted by the OreQlill\)Uill\.irJiu PARKING 0, . &\ ....., et forth Overlay Dist:Notification Center. Those rules ~~2-001. # Street TreesrR'ijdl:R 952-001-001 ~ throu,gh ~fl\~ert: Paved Drive Rlq(iI[.), You may obtain COPI:S 0 ComR~I>I... ",II' the center (Note, the ten"l"noTlI:; Rearyard Setb~r % of Lot Coverage:mg he Or~ on Utility Notification Solar Setbacks: DeE: . numberCfor t , 1-~00-332-2344). TUlC nrn" 1/T - . . enter IS - I ~ U~, vI/ALL t^fJl.~ L'Ii-.=:.-. . AUTHOR/ZED UNDER THISLI:.IM'i/It~VEMENTS , rnnl!AIlENCED . , Iv IIlU I Street ImprovArJ"ts:1 OR IS ABANDONED FOR Storm Sewer AvaXa6~9 DAY PERIOD. Special Instruction: Frontyard Setback: Side 1 Setback: Side 2 Setback: 5.00 Sidewalk Type: Downspouts/Drains: Notes: Storm water drains to existing eaves, Pa2:e 1 of 3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: OS/21/2008 VALUE: $ 10,300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellinl!s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $103,00 Square Footage or Bid Amount 100,00 Value Date Calculated Description Total Value of Project $10,300.00 $10,300,00 10/15/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $82,69 10/15/07 1200700000000001306 -Mechanical Issuance Fee- $20,00 11/21/07 1200700000000001434 + 10% Administrative Fee $24,62 11/21/07 1200700000000001434 + 5% Technology Fee $12,06 11/21/07 1200700000000001434 + 8% State Surcharge $19,30 11/21/07 1200700000000001434 Building Permit $127.22 11/21/07 1200700000000001434 Fire SF Fee - Residential $5.00 11/21/07 1200700000000001434 Fixture $64.00 11/21/07 1200700000000001434 Minimuml Adjustment Mechanical $43.00 11/21/07 1200700000000001434 Sanitary Sewer - Improvement $163.23 11/21/07 1200700000000001434 Sanitary Sewer - Reimbursement $214.67 11/21/07 1200700000000001434 SDC SanitarylStorm Admin $20,84 11/21/07 1200700000000001434 Storm Drainage Impervious Area $38,93 11/21/07 1200700000000001434 Vent Fan $7.00 11/21/07 1200700000000001434 Total Amount Paid $842,56 I Plan Reviews I Initial Review 10/15/2007 10/15/2007 APP LLH Public Works Review 10/15/2007 10/1612007 APP TSS Storm water drains to existing eaves Planninl! Review 10/1512007 11/1512007 APP TAJ Addition must maintain 5' side setback, The eaves may not extend more than 2 feet into that setback, No other Planning issues, Structural Review 10/15/2007 1111512007 APP DLM See notes on plans, and see documents for additional Plan review comments. 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. Pal!e 2 of 3 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: OS/21/2008 VALUE: $ 10,300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insoections . 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. Shear Wall Nailing: Before covering sheathing with finish materials. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough 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 be done in accordanee 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, ~ fJ1~ / / - d.-. I - 0 '7 Owner or Contractors Signature Date Pal!:e 3 of 3 , 20.84 $0.00 TOTAL SDC CHARGES = I $437.67 . CITY OF SPR~NGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2007-01553 NAME OR COMPANY: Marge Littlejohn LOCATION: 1146 Sequoia TAX LOT NUMBER: 17-03-27-34-02702 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: . 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITYS'TORM SYSTEM I IMPERVIOUS S.F, x COST PER S.F. I I CHARGE I 112,50 $0.346 = I $38.93 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. I x COST PER S.F. I x I DISCOUNT RATE I DISCOUNT I 0.00 I $0.346 - I I 50% , $0.00 ' ITEM 1 TOTAL - STORM DRAINAGE SDC '$38.93 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x 8 B. IMPROVEMENT COST: NUMBER OF DFU's x 8 COST PER DFU $26.83 COST PER DFU $20.40 JTEM2 TOTAL -CITY SANITARY SEWER SDC = , $377.90 3. TRANSPORTATION / A. REIMBURSEMENT COST: ADT TRIP RATE x 9.57 , B. IMPROVEMENT COST: I ADTTRlPRATE I 9.57 I NUMBER OF UNITS x I I 0 I COST PER TRIP 20.43 x INEW TRIP FACTOR I 1.00 NUMBER OF UNITS I x I o I I =, COST PER TRIP $90.10 $0.00 I x I NEW TRIP FACTORI. i. I 1;00 = , I x ITEM 3 TOTAL - TRANSPORT A nON SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 0 $95.35 B. IMPROVEMENT COST: INUMBER OF FEU's x I 0 ICOST PER FEU I $990.39 . MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD~ =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: 'SUBTOTAL x I ADM. FEE RATE $416.83 ! 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 $416.83 CHARGE $20.84 ' Todd Singleton - /0/1' hI- PREPARED BY ,DATE\ ' --. - ---- o $38.93 $214.67 , ' $163.23 $0.00 $0.00 = $0.00 = , =, ~ , $0.00 $0.00 $0.00 \ rJJ ~ ~ o u ~ ~ rJJ ..... o ~ 11070 I I' 1091 1092 1093 1094 1054 1055 I. I 1054 1056 1079 : j 1078 I II DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION I ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER I ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 8 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 19&0 19&1 19&2 19&3 1984 1985 1986 1987 1988 19&9 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 I 1000 CREDIT RATE $0,00 x $5.29 o TOTAL MWMC CREDIT $0.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01553 COM2007-01553 COM2007-01553 COM2007-01553 COM2007-0 1553 COM2007-01553 COM2007-01553 COM2007-01553 COM2007-01553 COM2007-01553 COM2007-01553 COM2007-01553 COM2007-01553 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 11/21/2007 1200700000000001434 Description Building Permit Fixture Vent Fan Minimum/Adjustment Mechanical ~Mechanical Issuance Fee- Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStorm Admin Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICHARD GRAVELINE Item Total: Check Number Authorization Received By Batch Number Number How Received nJm 076728 In Person Payment Total: Page 1 of 1 3:13:16PM Amount Due 127.22 64.00 7.00 43.00 20.00 38.93 214.67 163.23 20.84 5.00 12.06 19.30 24.62 $759.87 Amount Paid $759.87 $759.87 11/21/2007 . 8cITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1146 SEQUOIA AVE ASSESSOR'S PARCEL NO.: 1703273402702 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Bathroom Addition Owner: LITTLEJOHN MARJORIE L Address: 1146 SEQUOIA AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plnmbing I CONTRACTOR INFORMATION I Contractor License GRA VELINE ANDERSON CONSTRUCTION 45238 KS ELECTRIC 70889 GRA VELINE ANDERSON CONSTRUCTION 45238 DOUGS PLUMBING INC 1I0t63 Expiration Date 01/31/2009 12/30/2008 01/31/2009 11/24/2009 Phone 54 I -579-2500 541-686-6236 541-579-2500 54 I -688-3385 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Wall Heat Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path I Sq Ft,Other: n/a Occupant Load: 100 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Side I Sethack: 5,00 # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard. ~e~~ac~: Ul!\pf Lot Coverage: Solar Setbacks:-i:'M1T SUl\ll. EXPIRE IF THE WNOT ATTENTION: Oregon law requires you to ..-IIIC' D~R n ..... ....,rnl\ft1T \~ fnllnw "III.or- ........__.._ _' \. AUTHORIZED UNUt\Sl"I ~BANOON8LJ'\:!BIiIC IMPROVEMENTS iMiCation Center, -ih;~~';~I~~~~~~e~f~:rh ,..nMM~N~ED OR OAR 952-001-.Q010through OAR 95 Street Improvement :.v PERIOD 0090 \,!de~m*dtlil!'~ C I I 2-001. ClNY 180 ", . Ii, _ ~ ~. _. <I op es 0 the rules bV Storm Sewer Available: ca ~'DJ.'ffis(/{intsTD~ftIilk:>: the telephonEl Special Instruction: nurn er lor the, Oregon Utility Notification Center IS 1-800-332-2344). Total: Handicapped: Compact: Notes: Storm water drains to existing eaves, Paee I of 4 -Wli:.~II~GrJ~ . , . . u. _..... ' . &=ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Oeseriotion I Dwellines Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 100.00 Value Date Calculated Description Total Value of Project $10,300,00 $10,300,00 10/15/2007 ~ F p~< I:iilU Fee Description Amouut Paid Date Paid Receipt Number Plan Review Residential $82.69 10/15/07 1200700000000001306 -Mecbanicallssuance Fee- $20,00 11/21/07 1200700000000001434 + 10% Administrative Fee $24.62 11/21/07 1200700000000001434 + 5% Technology Fee $12.06 11/21/07 1200700000000001434 + 80/0 State Surcharge $19,30 11/21/07 1200700000000001434 Building Permit $127.22 11/21/07 1200700000000001434 Fire SF Fee - Residential $5,00 11/21/07 1200700000000001434 Fixture $64,00 11/21/07 1200700000000001434 Minimum/Adjustment Mecbanical $43,00 11/21/07 1200700000000001434 Sanitary Sewer - Improvement $163,23 11/21/07 1200700000000001434 Sanitary Sewer - Reimhursement $214,67 11/21/07 1200700000000001434 SDC Sanitary/Storm Admin $20,84 11/21/07 1200700000000001434 Storm Drainage Impervious Area $38,93 11/21/07 1200700000000001434 Vent Fan $7,00 11/21/07 1200700000000001434 + 10% Administrative Fee $5.00 1/15/08 1200800000000000036 + 10% Administrative Fee $5.20 1/15/08 1200800000000000038 + 12% State Surcharge $6.00 1/15/08 1200800000000000036 + 12% State Surcharge $6.24 1/15/08 1200800000000000038 + 5% Technology Fee $2.50 1/15/08 1200800000000000036 + 5% Technology Fee $2,60 1/15/08 1200800000000000038 Add, Alter, Extend Circ $48,00 1/15/08 1200800000000000038 Add, Alter, Extend Circ Ea Add $4,00 1/15/08 1200800000000000038 Storm Sewer - 1st 50 Feet $50,00 1/15/08 1200800000000000036 Total Amount Paid $972.10 Plan Reviews I Initial Review 10/15/2007 10/15/2007 APP LLH Public Works Review 10/15/2007 10/16/2007 APP TSS Storm water drains to existing eaves. Plannine Review 10/15/2007 11/15/2007 APP T AJ Addition must maintain 5' side setback, The eaves may not exlend more than 2 feet into that setback, No other Planning issues, Paee 2 of 4 . &:ITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2007-0I553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review 10/15/2007 11115/2007 APP DLM See notes on plans, and see documents for additional Plan review comments. 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. . Rp~ 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, Shear Wall Nailing: Before covering sheathing with finish materials. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: Wben all electrical work is complete. Storm Sewer Line: Prior to filling trench. Paee 3 of 4 . acITY OF ~nuNGFIELD ' Status Issued Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 225 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. Owner or Contractors Signature Date Paee 4 of 4 &:ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541.726.3769 Inspection Line SCANNffO SITE ADDRESS: 1146 SEQUOIA AVE ASSESSOR'S PARCEL NO,: 1703273402702 Springfield TYPE OF WORK: Bathroom PROJECT DESCRIPTION: Bathroom Addition TYPE OF USE: Addition Residential Owner: LITTLEJOHN MARJORIE L Address: 1146 SEQUOIA AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing Contractor License GRAVELINE ANDERSON CONSTRUCTION 45238 KS ELECTRIC 70889 GRA VELlNE ANDERSON CONSTRUCTION 45238 DOUGSPLUMBING INC 110163 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: NOTI~~.:.:. <'U^, I ~l~~~~~Vi~IJIl{)~~ }:u~~oRizE~ (1IIl.EM~IlO~f.i1l)~~A TION I COMMENCED OR I~ !.ol\,<<LJI.H ,. ". ANY 180 DAY PERIO[\;)verlay Dist: 5.00 # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: R3 Wall Heat VB Path I n/a Expiration Date 01/31/2009 12/30/2008 01/31/2009 11/24/2009 Phone 541-579-2500 541-686-6236 541-579-2500 541.688.3385 I Lot Size: Sq Ft 1st Floor: 100 Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: ,." IJ:"'.LOQI' - . follow ~-rJJB(;I~'1MPR~~fI.s 40u to Not'fi' - ...L," ...71He Ure Street Improvements: Ilcaflon Center Th gon Utilitjlidewalk Type: In OAR 952-001 O' Ose ruleSSre settorth Storm Sewer Available: 0090. You ma . ~10 thro~gh OAR 952.{)0t.:ownspoutslDrains: Special I nstruction: cal/lng the ~ ~ taln copIes of the rules by nUmber for then Jr. (Note:, the telephone Notes: Storm water drains to existing eaVSonter Is ~e-egon UtIlity Notification 00-332'2344). Paee I of 4 . a:ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691 nspection Line I Valuation DescriDtion I Dwellincs Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 100,00 Value Date Calculated Description Total Value of Project $10,300,00 $10,300,00 10/15/2007 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $82,69 10/15/07 1200700000000001306 -Mechanical Issuance Fee- $20,00 11/21107 1200700000000001434 + 10% Administrative Fee $24,62 11/21/07 1200700000000001434 + 50/0 Technology Fee $12,06 11/21/07 1200700000000001434 + 8% State Surcharge $19.30 11/21/07 1200700000000001434 Building Permit $127,22 11/21/07 1200700000000001434 Fire SF Fee - Residential $5.00 11/21/07 1200700000000001434 Fixture $64.00 11/21/07 1200700000000001434 Minimum/Adjustment Mechanical $43,00 11/21107 1200700000000001434 Sanitary Sewer - Improvement $163,23 11/21107 1200700000000001434 Sanitary Sewer - Reimbursement $214,67 11/21/07 1200700000000001434 SDC Sanitary/Storm Admin $20,84 11/21/07 1200700000000001434 Storm Drainage Impervious Area $38,93 11/21/07 1200700000000001434 Vent Fan $7.00 11/21/07 1200700000000001434 + 10% Administrative Fee $5,00 1/15/08 1200800000000000036 + 12% State Surcharge $6,00 1/15/08 1200800000000000036 +,5% Technology Fee $2,50 1/15/08 1200800000000000036 Storm Sewer - 1st 50 Feet $50.00 1/15/08 1200800000000000036 Total Amount Paid $906,06 I Plan Reviews I Initial Review 10/15/2007 10/15/2007 APP LLH Public Works Review 10/15/2007 10/16/2007 APP TSS Storm water drains to existing eaves. Plaooine Review 10/15/2007 11/15/2007 APP TAJ Addition must maintain 5' side setback, The eaves may not exlend more than 2 feet into that setback, No otber Planning issues. See notes on plans, and see documents for additional Plan review comments. Structural Review 10/15/2007 11/15/2007 APP DLM Pace 2 of4 . a:ITY OF ~rt<ll~\..JI'lELD' Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Rpnl~ 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, Shear Wall Nailing: Before covering sheathing with finish materials. 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, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Storm Sewer Line: Prior to filling trench. Paee 3 of 4 . -=ITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: 07/15/2008 VALUE: $ 10,300.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 1 state and agree, that 1 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 witbout 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, 1 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, ~fi~ ;-/':)-Zl<r Owner or Contractors Signature Date Paee 4 of4 225 Fiftb Street Spri,ngfield, Oregon 97477 541-726-3759 Pbone . j7.~~ ~. . Claf Springfield Official Receipt D",,"opment Services Department Public Works Department Job/Journal Number COM2007-0 1553 COM2007-01553 COM2007-0 1553 COM2007-0 1553 Payments: Type of Paymeot CreditCard cReceinll RECEIPT #: Description Storm Sewer - 1 st 50 Feet + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By RICHARD GRA VELlNE 1200800000000000036 Date: 01/15/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 990791 In Person Payment Total: Page I of 1 9:22:40AM Amount Due 50.00 2.50 6.00 5.00 $63,5U Amount Paid $63.50 $63,5U 1/15/2008 . -1tc7""~~~~~' , ........, . - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCANNED SITE ADDRESS: 1146 SEQUOIA AVE ASSESSOR'S PARCEL NO.: 1703273402702 -=ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: OS/21/2008 VALUE: $ 10,300.00 Springfield TYPE OF WORK: Bathroom I CONTRACTOR INFORMATION I Contractor License GRAVELINE ANDERSON CONSTRUCTION 45238 KS ELECTRIC 70889 GRAVELINE ANDERSON CONSTRUCTION 45238 DOUGS PLUMBING INC 110163 BUILDING INFORMATION I PROJECT DESCRIPTION: Bathroom Addition Owner: LITTLEJOHN MARJORIE L Address: 1146 SEQUOIA AVE SPRINGFIELD OR 97477 Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building: R3 VB TYPE OF USE: Addition Residential Expiration Date 01/31/2009 12130/2008 01/31/2009 11/24/2007 Phone 541-579-2500 54 I -686-6236 541-579-2500 541-688-3385 I Lot Size: Sq Ft 1st Floor: Wall Heat Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Path I Sq Ft Other: nla Occupant Load: 100 I DEVELOPMENT INFORMAJ.lON"\I,gon law requIres you.t,o 1....110": :LOka adopted by the Ore.\!EfilUIR'Ig\) PARKING Frontyard Setback: Overlay Dist:t,otiiiC?:i91l Cenier, Those ru~e~i~J~:g~~ Side I Setback: 500 # Street TreesIRqd{' 902-001-0010 throu,g .ndic.need: . , 0"-" You may obtain caples of "TIll""-'- Side 2 Setback: Paved Drive Rqd:J, (Note' the t~RP'R!~~ . f C ",-'I:ng the center, . ' ,t' , Rearyard Setba.~)c. II. 0 Lot overage: h 0 gon Utility Notification S I S b k .NuT/CE' number for t e re oar et ac S:T1J'C' ...~......._ ... Center is 1-800-332-2344). AUTHORIZED UNDER ~~~~lfr~iJ?I~IMPR~VEMENTS I rnr""ENC . ,_.)I.r., oj "VI Street Improvements: ED OR IS ABANDONED FOR Storm Sewer A1~~a~~? DAY PERIOD. Special Instruction: Notes: Storm water drains to existing eaves. Paee I of 3 Sidewalk Type: DownspoutslDra;ns: -iF Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction V Wood Frame Dwellines Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 80/0 State Surcharge Building Permit Fire SF Fee - Residential Fixture Minimum/Adjustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Total Amount Paid Initial Review 10/15/2007 Public Works Review 10/15/2007 Plan nine Review 10/15/2007 Structural Review 10/15/2007 . _ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: OS/21/2008 VALUE: $ 10,300.00 I Valuation Descriotion I $ Per Sq Ft or multiplier $103.00 Square Footage or Bid Amount 100,00 Value Date Calculated Total Value of Project $10,300,00 $10,300,00 10/15/2007 ppp~ PqirIJ Amount Paid Date Paid Receipt Number $82,69 $20,00 $24,62 $12,06 $19,30 $127,22 $5,00 $64,00 $43,00 $163,23 $214,67 $20,84 $38,93 $7,00 10/15/07 11/21107 11/21107 11/21107 11/21107 11/21107 11/21107 11/21/07 11/21107 11/21107 11/21107 11/21107 11/21107 11121107 1200700000000001306 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 1200700000000001434 $842,56 I Plan Reviews I 10/15/2007 APP LLH 10/16/2007 APP TSS Storm water drains to existing eaves, 11/15/2007 APP TAJ Addition must maintain 5' side setback, The eaves may not extend more than 2 feet into that setback. No other Planning issues. See notes on plans, and see documents for additional Plan review comments. 11/15/2007 APP DLM To Request an inspection call the 24 hour recordhig 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. Paee 2 of 3 . _ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01553 ISSUED: 11/21/2007 APPLIED: 10/15/2007 EXPIRES: OS/21/2008 VALUE: $ 10,300.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reouired Insne~t~ Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to Ooor insulation or decking, Floor Insulation: Prior to decking, Shear Wall Nailing: Before covering sheathing with finish materials. 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. UnderOoor Plumbing: Prior to insulation or decking, UnderOoor 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, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rough Electric: Prior to Cover Final Electric: When all electricalwork 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 ofuny 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. =L //-&-1 -0'7 Owner or Contractors Signature Date Paee 3 of 3 CITY OF SPIGFIELD SYSTEMS DEVELO~MENT_RKSHEET .r---' JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS I. STORM DRAINAGE COM2007-01553 Mar~e Littleiohn 1146 Se9uoia 17-03-27-34-02702 SINGLE FAMILY RESIDENCE o BUILDING SIZE (SF; en ~ Cl o I~ o I ~ I~ o LOT SIZE (SF): 2. SANITARY SEWER - CITY ITEM I TOTAL - STORM DRAINAGE SDC COST PER DFU $26.83 COST PER DFU $20.40 ITEM 2 TOTAL - CITY SANITARY SEWER SDC I NUMBER OF UNITS I x I I 0 I I B. IMPROVEMENT COST: I ADTTRlPRATE I x I NUMBER OF UNITS I x ! I 9,57 I 0 I I ITEM 3 TOTAL - TRANSPORTATION SDC = , 4. SANITARY SEWER - MWMG A. REIMBURSEMENT COST: INUMBER OF FEU's I x o I B. IMPROVEMENT COST: INUMBER OF FEU's I x i 0 I ICOST PER FEU I $95.35 ICOST PER FEU I $990.39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD~ = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5 ADMINISTRATIVE FElt I SUBTOTAL x I ADM. FEE RATE 1= I $416.83 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 112.50 I $0.346 I = I $38.93 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 I 0.00 I I $0.346 I I 50% = I Todd Singleton PREPARED BY DISCOUNT $0.00 $38.93 $38,93 $214.67 5163.23 = , $377.90 1070 11091 I 11092 I 11093 I 11094 I 1054 = $0.00 1055 50.00 1054 50.00 11056 50.00 I 5416.83 CHARGE $20.84 20.84 f079 $0.00 .1078 -, TOTAL SDC CHARGES =l $437.67 COST PER TRJP 20.43 x INEW TRJP FACTORI I 1.00 I 50,00 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 8 ,I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 8 I J TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE 1 x I 9.57 I COST PER TRIP $90.10 $0,00 x INEW TRJP FACTORI I 1.00 I $0.00 = 50,00 /o/I~ 1&1- DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTIJRES x UNIT EQUIVALENT'" DRAINAGE FlXTIJRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS IBAmTUB 1 0 3 = 3 IDRINKING FOUNTAIN. 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE rEA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 ~RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 I ISHOWER. SINGLE STAl.L 0 0 2 = 0 I ISHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0 I ISINK: COMMERClALJRESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 I URJNAL, STALL! WALL 0 0 5 = 0 I :rOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 1 0 3 = 3 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S !I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 8 .EDU (Equivalent Dwellinp; Unit) is a disc~ eQuivalent to a sin~le family dwellinJt unit (20 DFU's) set al167 ~Ions per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED V AWE IS LAND ELGlBLE FOR ANNEXATION CREDIT'? 2 I BEFORE 1979 $5.29 (Enter I fnr Yes. 2 for Nn) I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT'? 2 I 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I \984 $4.63 VALUE/1000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~ , $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE /1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 I 199. $0.92 I 1997 $0.72 1998 $0.48 1999 $0.28 2000 r $0.09 2001 $0.05 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ..u:~~ ~. Cia Springfield Official Receipt Dell'ropment Services Department Public Works Department I Job/Journal Number COM2007-0 1553 COM2007-0 1553 COM2007-01553 COM2007-0 1553 COM2007-01553 COM2007-01553 I COM2007-01553 COM2007-01553 COM2007-0 1553 COM2007-0 1553 COM2007-0 1553 COM2007-0 1553 COM2007-0 1553 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Date: 11/21/2007 1200700000000001434 Description Building Permit Fixture Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fire SF Fee - Residential + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By RICHARD GRA VELlNE Item Total: Check Number Authorization Received By Batch Number Number How Received njm 076728 In Person Payment Total: Page I of I 3:13:16PM Amount Due 127.22 64.00 7.00 43,00 20,00 38.93 214.67 163.23 20.84 5.00 12.06 19.30 24.62 $759.87 Amount Paid $759.87 $759.87 11/21/2007