HomeMy WebLinkAboutPermit Building 2003-5-5
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00272
ISSUED: 05/05/2003
APPLIED: 04/15/2003
EXPIRES: 11/05/2003
VALUE: $ 16,263.00
Status
Issued
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 948 DARLENE AVE
ASSESSOR'S PARCEL NO.: 1703272100700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Addition to SFR - extend M,B.R & add bath,
Addition
Residential
Owner: FOX NORMAN & CHERYL
Address: 948 DARLENE ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Owner
Contractor
WL POOLE CONSTRUCTION INC
NEAL INVESTMENTS LTD
FOX NORMAN & CHERYL
BUILDING INFORMATION I
License
78319
93953
Expiration Date
12/12/2004
10/22/2004
Phone
541-726-2870
541-485.2472
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
-Q
o-:Ran~e Type:
0c,,~ ~'iit-<!iy.path:
r:>.~'~ 0<C- 0'" Ri'
. <0 _,0C$ ,0,<:> .n,<:J '"
o<c-\~~~~,iU;VECOP.MENiJ: INFORMATION I '
SETBACKS O\0C$ 00'0 S0' ;s.- ~~.- fr- 'i;:.o'
~. R" ~~o o~'" c" 0 _~0 .~,~~
Frontyard Setback: ~\O ,<>00 0\' \:J~~ ~,0 K'9v~!ay Dist:
Side I Setback: ^<v~ ,s.0c" (j0<C-" \:J\:J'\ . ~ vo 1..0~.,~,~trt"nTrees Rqd:
Side 2 Setback: ~ 'o~ \ . o<C- l::pV12'!!~ ~o -.)~~a~~ Drive Rqd:
.~, ~ b'!: ~ u ,~0\' 0<c- ~'5(;
Rearyard Setback: -J.'v ~ c;j ,.) ~'l)4?:00 O\0C$ s;)<Y % of Lot Coverage: 21.00
Solar Setbacks: ~o O~ -l,0 ~05.~Ol, c" .../?3 ..
.~(\ ......(\. .",,0. \.....-<. /" 1"'0't\.
\:J"- v'<>~'00' 00<C-'~ I PUBLIC IMPROVEMENTS I \?~ \r \~~ ~ ~Q\
Street Improvements: <C-" Fully Improved \\01\C~:' ~\\ t;,~~\.~?~~~~~~e\,Q?
Storm Sewer Available: No ,\\\t;, ~t.?; It.Q \}~Q 'il.~~~outsmrains:
Special Instruction: No Public Works permits ~\},~Q?\ Ct.Q Q? \t;,OQ,
CQ~~~~ Q~'l ~t.?~ ,
Notes: ~~'l ,\'Ov
14
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
10,680
R-3
Wall Heat
VN
Path 1
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curb and Gutter
Paee I of 3
.
.
Lll l' OF 1:lrKlN\,d'lJ!.LD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00272
ISSUED: 05/05/2003
APPLIED: 04/15/2003
EXPIRES: 11/05/2003
VALUE: $ 16,263.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descriotion ,
Description
DwelIines
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
$74,60
Square Footaee
218.00
Value
$16,262,80
$16,262,80
Date Calculated
04/15/2003
Total Value of Project
Fppo P~W
Fee Description Amount Paid Date Pai Receipt Number
Plan Review Residential $105,30 4/15/03 1200200000000001009
-Mechanical Issuance Fe..... $10,00 5/5/03 1200200000000001123
+ 10% Administrative Fee $31.20 5/5/03 1200200000000001123
+ 7% State Surcharge $21.84 5/5/03 1200200000000001123
Add, Alter, Extend Circ $43.00 5/5/03 1200200000000001123
Add, Alter, Extend Circ Ea Add $6.00 5/5/03 1200200000000001123
Building Permit $162.00 5/5/03 1200200000000001123
Copies - Ea AddU @ 50 Cnts Ea $1.50 5/5/03 1200200000000001123
Copy 1st @ 75 cents $0.75 5/5/03 1200200000000001123
Fixture $56.00 5/5/03 1200200000000001123
Minimum/Adjustment Mechanical $39.00 5/5/03 1200200000000001123
Plan Review. Planning $59.00 5/5/03 1200200000000001123
Sanitary Sewer - Improvement $117.53 5/5/03 1200200000000001123
Sanitary Sewer - Reimbursement $154.63 5/5/03 1200200000000001123
SDC Sanitary/Storm Admin $18.16 5/5/03 1200200000000001123
Storm Drainage Impervious Area $90.95 5/5/03 1200200000000001123
Vent Fan $6.00 5/5/03 1200200000000001123
Total Amount Paid $922.86
I Plan Reviews I
Initial Review 04/1612003 04/17/2003 APP LLH
Plan nine Review 04/17/2003 04/21/2003 APP AJD
Public Works Review 04/17/2003 04/23/2003 APP VRJ SDC's calculated for addition, No
Public Works permits.
Structural Review 04/17/2003 05/0212003 APP DLM
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.
1 Footing: After trenches are excavated,
2 Foundation: After forms are erected but prior to concrete placement,
3 Post and Beam: Prior to floor insulation or decking.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00272
ISSUED: 05/05/2003
APPLIED: 04/15/2003
EXPIRES: 11/05/2003
VALUE: $ 16,263,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
4 Floor Insulation: Prior to decking.
5 Framing Inspection: Prior to cover and after all rough in inspections have been approved,
6 Wall Insulation: Prior to cover,
7 Ceiling Insulation: Prior to cover,
8 Drywall: Prior to taping.
9 Final Building: After all required inspections have been requested and approved and the building is complete.
10 UnderOoor Plumbing: Prior to insulation or decking,
11 UnderOoor Drain: Prior to cover or placement of concrete,
12 Rough Plumbing: Prior to cover and including required testing,
13 Shower Pan. Prior to covering and including required testing,
14 Final Plumbing: When all plumbing work is complete.
15 Rough Mechanical: Prior to Cover
16 Final Mechanical: When all mechanical work is complete,
17 Rough Electric: Prior to Cover
18 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 construction.
~~ -d p~
Owner or Contractors Signature
~0'J
Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00272
COM2003.00272
COM2003.00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003.00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003-00272
COM2003-00272
Payments:
Type of "ayment
Check
5/5/2003
City of Springfield i
Development Services Department
Public Works Department j
Official Receipt
Receipt #: 1200200000000001123
Description
Plan Review - Planning
Stonn Drainage Impervious Area
Sanitary Sewer. Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Stonn Admin
Building Pennit
Fixture
Vent Fan
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Copy 1st @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
"aid By
WL POOLE CONSTR
Received 8y
djb
9:47:06AM
Date: 05/05/2003
Check Number Confirm No
Amount Paid
59,00
90,95
154.63
117.53
18.16
162,00
56.00 .
6,00
39.00
10,00
43,00
6,00
21.84
31.20
0,75
1.50
Item Total: $817.56
How Keceived Amount Paid
In Person 817.56
Payment Total: $817.56
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Page 1 ofl
cRec:e:ipllpt
>.
Cost S
~
$106,00 .~
$ 19.00
TOTAL
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CITY OF SI'NGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: Com2003-00272
NAME OR COMPANY: Norm Fox
LOCATION: 948 Darlene Street
TAX LOT NUMBER: 1.70327E+12
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF; 0 LOT SIZE (SF):
I. STOIl.M DRAINAGE
o
'r---
ItIl
"-l
10
18
p::
!=:
tIl
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. ,I COST PER S.F. CHARGE 1
322.50 I $0.282 I = I $90.95
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I ,I COST PER S.F. I, I DISCOUNT RATE I I DISCOUNT
0.00 I $0.282 I I 50% I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC $90.95 I
2. SANITARY SEWER - CITY
S90.95
1070
-I
A. REIMBURSEMENT COST:
I NUMBER7 OF DFU's I ' : COST PER DFU
$22.09 $154.63 11091
B. IMPROVEMENT COST: I
I NUMBER7 OF DFU's I ' COST PER DFU
$16.79 S1I7.53 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , S272.16 I
.' TRANSPORTATION II
A. REIMBURSEMENT COST:
I ADTTRIP RATE I ' I NUMBER OF UNITS I , I COST PER TRIP , INEW TRIP FACTORI
, 9.57 I 0 I I S16.81 I 1.00 I SO.OO 1093
B.IMPROVEMENTCOST:
I ADT TRIP RATE I ' I NUMBER OF UNITS I , I COST PER TRIP , INEWTRIPFACTORI
I I ,
9.57 I 0 I $74.17 I 1.00 I SO.OO 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , SO.OO
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I ' ICOST PER FEU
I 0 I I $332.86 = SO.OO 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I , ICOST PER FEU
I 0 I $34.83 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO I'""
MWMC ADMINISTRATIVE FEE SO.OO
ITEM 4 TOTAL - MWMC SANITARY SEWER So( = , SO.OO 1056
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , S363.11 I
5. ADMINISTRATIVE FEE: I
ISUBTOTAL I , I ADM. FEE RATE I~ CHARGE
I 5363.11 I 5% I 518.16
TOTAL SANITARY ADMINISTRATION FEE: 18.16 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078
Steve Templin 4/22/2003 TOTAL SDC CHARGES = , $381.27
PREPARED BY DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL RXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
0 0 3 - 0
BATHTUB =
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FORSANDI AUTO WASH I ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP.l1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
iSHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL. STALL! WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
IT01LET. PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
.EDU (Equivalent Dwel1in~ Unit) is a dischar~ eauivalent to a ~g1e family dwellin~ unit (20 DFU's) set at 167 ~allons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$I,OOO II 1
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
(Enter I for Yes, 2 for No) I
BEFORE 1979 $4.92
1979 $4.92 I IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.83 I (Enter 1 for Yes, 2 for No)
1981 $4.77 I BASE YEAR 1979
1982 $4.64 1
1983 $4.47 I CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE 11000 CREDIT RATE
1985 $4.09 .1 50.00 x $4.92 ~ , $0.00
1986 $3.78
1987 $3.41 1 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2.98 I VALUE I 1000 CREDIT RATE
1989 $2.52 I $0.00 x $4.92 0
1990 52.06 I
1991 $1.64 I
1992 $1.45 I TOTAL MWMC CREDIT = $0.00
1993 $1.31 I
1994 51.13 1
1995 50.97 1
1996 $0.82 I
1997 $0.63 1
1998 50.41 I
1999 50.22 :1
2000 $0.04