HomeMy WebLinkAboutPermit Building 2008-1-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2007-01877
ISSUED. 01116/2008
APPLIED. 12119/2007
EXPIRES: 07/1612008
VALUE. $ 8,400.00
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726,3769 InspectIOn Lme
SITE ADDRESS 2292 35TH ST
ASSESSOR'S PARCEL NO 1702194303600
Spnngfield TYPE OF WORK Smgle Family ReSIdence
TYPE OF USE New
ReSldenl1al
PROJECT DESCRIPTION PatIO cover
Owner DA VID JOHNSON
Address 2292 35TH ST
SPRINGFIELD OR 97477
Phone Numbel 541,746-7374
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
L YN PHILLIP GUTRIDGE
License
136875
ExpiratIOn Date
09/30/2009
Phone
541-747-9882
BUILDING INFORMATION I
# of Ulllts I # of Stones
Pnmary Occupancy GIOUp R-3 HeIght of Structure
Secondary Occupancy Group Xf8'fl'te~es you to
Pnmdry ConstructIOn Type ,.TTEtWJ:lN: OregoflWmeflfeQon Utility
Seconddry Conslructlon Type10llOW rules adoPte~~~re setlorth
# of Bedl ooms Notification cen~~1Cft"'twgll.clll\R 952'OO~. Path I
I~~~Rv~~~~~ Obt~~~~~~!~~~e _Y n/a
calling thEfift~ ~~T10N I
number 1o~1-80U-U -Ut!t!..:.:....'""
Center IS
Ovellay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
2
Lot SIZe
Sq Ft I sl Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Cal port
Sq Ft Other 420
Occupant Load
REQUIRED PARKING
Front yard Setback
SIde I Setback
SIde 2 Setbdck
Rearyal d Setback
Solar Setbacks
800
Total
HandIcapped
Compact
000
Notes
Storm water routed to eXlstmg eaves
I PUBLIC IMPROVEMENTS I
SIdewalk Type E \NORI<.
N01\~i~M'1>~""~~~~~1 IS N01
~~HOR\IED U~~~: ::~NDONED fOR
COMMEONCDE,\~ PERIOD.
..IV 18 1'\
Street Improvements
Storm Sewer AvaIlable
Spec..1 InstructIOn
I ValuatIOn DescrmtJon I
DescrIptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or mull1pher
Squdre Footage
or BId Amount
Value
Date Cdlculdted
Poee I of 3
Status
Issued
225 FIfth Street, Spnngfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
PatIO/POI ch
Use BId Amonnt
Fee Descrmtwn
Plan Review ReSldenhal
+ 10% AdmlDlStrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BUlldlDg PermIt
FIre SF Fee - ResIdential
Plan Review MlDor - PlannlDg
SDC Samtary/Storm AdmlD
Storm DI dlOage ImpervIOus Area
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2007-01877
ISSUED' 01/16/2008
APPLIED 12/19/2007
EXPIRES: 0711612008
VALUE: $ 8,40000
$100
8,400 00
Total Value of Project
$8,400 00
$8,400 00
12/19/2007
Fpp<, P~lrll
Amount PaId
Date PaId
Receipt Number
$71 54
$13 11
$13 21
$11 30
$11006
$2100
$11600
$280
$56 06
12/19/07
1/16/08
1/16/08
1/16/08
1/16/08
1/16/08
1/16/08
1/16/08
1/16/08
1200700000000001511
2200800000000000050
2200800000000000050
2200800000000000050
2200800000000000050
2200800000000000050
2200800000000000050
2200800000000000050
2200800000000000050
Total Amonnt PaId $415 08
r Plan ReViews I
lmhal ReVIew 12/20/2007 12/20/2007 APP NJM
Public Works ReVIew 12/20/2007 12/20/2007 APP TSS Storm water routed to eXlShng
eaves
Planmne: ReView 12/20/2007 01/14/2008 APP TAJ
Strnctural ReVieW 12/20/2007 01/14/2008 APP DLM See documents for 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
Ul-eOlllred.Jn~neChons I
Footmg After trenches are ext3vated
Frammg InspectIOn Prior to cover and after all rough III inspectIOns have been approved
FlDal BUlldlDg After all reqUIred IDspectlons have been requested and approved and the buddlDg IS complete
Paee 2 01 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO' COM2007-01877
ISSUED. 01/16/2008
APPLIED 12/19/2007
EXPIRES: 07/1612008
VALUE $ 8,400.00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fdx
541-726-3769 InspectIOn Lme
By SIgnature, I state and agree, that I have carefully exammed the completed apphcdtlOn and do hereby certIfy that dll
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance w,th
the Ordmances of the CIty 01 Spl mgfield and the Laws of the State of 01 egon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of dny structure wIthout permISsIOn of the Commu",/} ServIces DIVIsIOn, BUlldmg Sdfety
I fUl ther cel tIfy that only contractors and employees who are m comphance w,th ORS 701 005 wIll be used on thIS pI oJect
I further agree to ensure that all requIred mspectlOns are requested at the proper tIme, that each address IS readable from the
street, thM the permIt cal d IS located at the fl onl of Ihe property, and the app' oved set 01 plans WIll remam on the SIte at all
times dUring consh uchon
~ ~7(;&~
Ownel or Cont;actOls S'gnature r1
~~i?
Ddte
P.12e 3 of3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2007-01877
NAME OR COMPANY Johnson
LOCATION 2292 35th Streel
fAX LOT NUMBER 17-02-19-43-03600
DEVELOPMENT TYPE SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF 0 LOT SIZE (Sf)
J STORM DRAINAGE
I~
I'"
liS
10
I~
IW
-' I-
113
&j
o
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S F x 1 COST PER S F CHARGE I
1 16200 1 $0346 I = 1 $5606
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS SF I x 1 COST PER S F I x I DISCOUNT RATE I 1
1 0 00 1 $0 346 I 1 50% 1
ITEM I TOTAL - STORM DRAINAGE SDC $5606 I
] SANITARV SEWER - CITY
A REIMBURSEMENT COST
I NUMBER OF DFU's I x
I 0 I
DISCOUNT
$000
$56 06
i 1070
.1
COST PER DfU
$26 83
$000
11091
II
I 1092
I
B IMPROVEMENT COST
I NUMBER OF DFU's 1 x
I 0 1
COST PER DFU
$20 40
~ I
$000
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
~ I
$000
1 TRANSPORTATION
A REIMBURSEMENT COST
i ADT TRIP RATE 1 x I NUMBER OF UNITS I xl COST PER TRIP x INEW TRIP FACTORI
1 957 1 o 1 1 2041 1 100 I $000 11093
B IMPROVEMENT COST
I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACTORI !
I 957 I I 0 I I $9010 I 100 1 $000 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC ~I $000
4 SANITARY SEWER - MWMC [I
A REIMBURSEMENT COST
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $9535 = $000 1 1054
B IMPROVEMENT COS f I
INUMBER OF FEU's 1 x ICOST PER FEU
I 0 1 $990 39 = $000 JI 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $000 I 1054
MWMC ADMINISTRATIVE FEE $000 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~, $000
-.-- .."..--
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , $56 06
5 AI1MINISTRA T1VE FEE
ISUBTOfAL x 1 ADM FEE RATE I~ CHARGE
1 $56 06 1 5% I $280
TOTAL SANITARY ADMINISTRATION FEE 280 11079
.1
:r:o:rAle. TRAN~.~ORTATION ADMINISTRATION FEE $000 J 1078
Todd Singleton 12/20/2007 TOTAL SDC CHARGES ~ , $58 86
PREPARED BY DATE
DRAINAGE_ FIXTURE UNIT (DFU) CALCU_LATION TABLI~ I
NUMBER OF NEW FIXTURES x UNIT EQUTV ALENT = DRAINAGE FIXTURE UNITS
(NOn. FOR REMODELS CALCULATE ONLY TIffi NET ADOmONAL FIXTURhS)
NO OF FIXTURES DRAINAGE
UNIT FIXTIJRE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
- ~ 3
BATHl1JB 0 0 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRY l1JB 0 0 2 = 0
ICLOTIffiSWASHER / MOP SINK 0 0 3 = 0
\CLOTIffiSWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
[RECEPTOR FORREFRlG/WATER STA1ION /ETC 0 0 1 = 0
RECEPTOR rOR COM SINK / DISHWASHER / E rc 0 0 3 = 0
I SHOWER SINGLE STALL 0 0 2 = 0
fSHOWER GANG ~ER OF HEADS) 0 0 2 = 0
SINK COMMERCWJRESIDENTIAL KITCHEN 0 0 3 = 0
ISINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LAVATORYIRESlDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INS1ALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
.EDU (EqUivalent Dwelhng Urnt) IS a discharge eqUIvalent to a smgle famdy dwelling umt (20 DFU's) set at 167 gallons per da.,.
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MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
I~CREDITRATEI$I 000 ~ I
YEAR
ANNEXED ASSeSSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $529 (Enter I for Yes, 2 for No) I
1979 $529 IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT? 2
1980 $519 (Enter I for Yes, 2 for No) I
1981 $512 BASE YEAR 1979
1982 $4 98 I
1983 $4 80 CREDIT FOR LAND (IF APPLICABLE)
1984 $463 VALUE/IOOO CREDIT RATE
1985 $440 $000 x $529 ~ , $000
1986 $407
1987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $322 VALUE /1000 CREDIT RATE
1989 $273 $000 x $529 ~ I 0
1990 $225
1991 $180
1992 $159 TOTAL MWMC CREDIT = $000
1993 $145
1994 $125
1995 $109
1996 $092
1997 $072
1998 $048
1999 $028 "
2000 $009 I
2001 $005
225 Fifth Street
Spnngfi~ld, Oregon 97477
541~726-3759 Phone
~~
Iii:
City of Sprmgfield Official Receipt
Development Services Department
PublIc Works Department
,Job/Jouro.1I Number
COM2007-0 1877
COM2007-0 1877
COM2007-0 1877
COM2007-0 1877
COM2007-0 1877
COM2007-0 1877
COM2007-0 1877
COM2007-0 1877
Paymenls
Type of Payment
Check
cRecemtl
RECEIPT #.
2200800000000000050
Date' 01116/2008
DeSCriptIOn
Fire SF Fee - Residential
Storm Dramage ImpervIOus Area
SDC Sanitary/Storm Admin
Building Permit
+ 12% State Surcharge
+ 10% AdministratIve Fee
Plan ReView Minor - Planning
+ 5% Technology Fee
Paid By
NU LOOK CONSTRUCTION
Item Total
t.:heck Number AuthonLatlOn
Received By Batch Number Number How Received
1059
dJb
In Person
Payment Total
"
Page I of I
100827AM
Amount Due
2100
5606
280
11006
1321
13 II
11600
1130
$343 54
Amount Paid
$343 54
$343 54
1/16/2008