The URL can be used to link to this page

Home My WebLink AboutPermit Building 2008-3-3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01129/2008 EXPIRES: 09/03/2008 VALUE: $ 21,840.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5475 HIGH BANKS RD ASSESSOR'S PARCEL NO.: 1702284300601 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: Addition to existing single family residence Residential Owner: KEOPKA JOINT TRUST Address: 5475 HIGH BANKS RD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor License MIKE BLANKENSHIP CORP 78966 G MILLER ENTERPRISES INC 87145 DOUGS PLUMBING INC 110163 _-Il~\n~ on \a r>l RMA TION I ~iiENi\ON~ orered '0,/ ...~ e set 0 n # of Units: O\\OW fU\eS ad~S:-' "hoseru"%~~v3&O01. Primary Occupancy <#6\Y\Wa\iOn C~~Ob1 0 thrOU.g~\li~sdlIure Secondary occupanc)lI~9&2-0 ~lQ.'ota\n COP'~ Er~'~m.e Primary Construction(J09&. 'IOU mS:::et\\er. lNO\e.. ~~ Secondary Construction l~ \h~ ~he Oregon Ut. r.;ype: # of Bedrooms: number 10 ter \s 1-600 nergy Path: Cen Sprinkled Building Contractor Type General Electrical Plumbing Expiration Date 01/09/2010 11/1012008 11/2412009 Phone 541-912-4582 541-741-2596 541-688-3385 1 14.00 Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 208 Occupant Load: Path 1 n/a I DEVELOPMENT INFORMATION. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 7.60 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: 44.00 Street Improvements: Notl DLIe 1M 1\- ~~ 'tH\5 PER Ut~t)t.R 1\-\\5 FE D fO" Sidewalk Type: AU1HOR~~~O OR \5 ABANOONE Downspouts/Drains: COMMEO D'\'l PER\OD. AN'l18 f'\ Storm water to splash blocks Storm Sewer Available: Special Instruction: Notes: Pal!e 1 of 3 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01129/2008 EXPIRES: 09/03/2008 VALUE: $ 21,840.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s Tvpe of Construction V Wood Frame $ Per Sq Ft or multiplier $105.00 Square Footage or Bid Amount 208.00 Value Date Calculated Description Total Value of Project $21,840.00 $21,840.00 01/29/2008 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $144.04 1/29/08 1200800000000000078 -Mechanical Issuance Fee- $20.00 3/3/08 1200800000000000193 + 10% Administrative Fee $38.40 3/3/08 1200800000000000193 + 12% State Surcharge $44.83 3/3/08 1200800000000000193 + 5% Technology Fee $18.68 3/3/08 1200800000000000193 Add, Alter, Extend Circ $48.00 3/3/08 1200800000000000193 Add, Alter, Extend Circ Ea Add $4.00 3/3/08 1200800000000000193 Building Permit $221.60 3/3/08 1200800000000000193 Fire SF Fee - Residential $10.40 3/3/08 1200800000000000193 Fixture $48.00 3/3/08 1200800000000000193 Minimum/Adjustment Mechanical $43.00 3/3/08 1200800000000000193 Minimum/Adjustment Plumbing $2.00 3/3/08 1200800000000000193 Sanitary Sewer - Improvement $122.42 3/3/08 1200800000000000193 Sanitary Sewer - Reimbursement $161.00 3/3/08 1200800000000000193 SDC Sanitary/Storm Admin $19.67 3/3/08 1200800000000000193 Storm Drainage Impervious Area $110.03 3/3/08 1200800000000000193 Vent Fan $7.00 3/3/08 1200800000000000193 Total Amount Paid $1,063.07 I Plan Reviews I Initial Review 01/30/2008 01/30/2008 APP NJM Public Works Review 01/30/2008 01/3012008 OK TSS Structural Review 01/30/2008 02/20/2008 APP RWC Planninl! Review 01/30/2008 02121/2008 APP TAJ Storm water to splash blocks 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. Pal!e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Reauired Insoections , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00127 ISSUED: 03/03/2008 APPLIED: 01129/2008 EXPIRES: 09/03/2008 VALUE: $ 21,840.00 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' spections are requested at the proper time, that each address is readable from the street, that the permit rd is loc d at e front of the property, and the approved set of plans will remain on the site at all times during constru on. Owner or Contractors Signature Pal!e 3 of 3 Date ') /) / r I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2008-00127 NAME OR COMPANY Keopka LOCATION 5475 HIgh Banks Road TAX LOT NUMBER 17-02-28-43-00601 DEVELOPMENT TYPE SINGLE F AMll.. Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 318 LOT SIZE (SF) 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS SF x I COST PER S F CHARGE I 31800 I $0346 1= $11003 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S F x I COST PER S.F I x I DISCOUNT RATE I o 00 I $0 346 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$110.03 o r/) ~ (:l o u ~ ,I ~ r/) ~ o ~ DISCOUNT $000 $110.03 ]070 2 SANITARY SEWER - CITY A REIMBURSEMENT COST I NUMBER OF DFU's I x I 6 I B IMPROVEMENT COST. NUMBER OF DFU's x 6 COST PER DFU $26 83 $161.00 109] COST PER DFU $20 40 $122.42 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $283.42 3 TRANSPORTATION A REIMBURSEMENT COST ADT TRIP RATE x 957 . NUMBER OF UNITS. x o COST PER TRIP 2043 x INEWTRlPFACTOR. I 100 $0.00 1093 B IMPROVEMENT COST I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP I 9 57 I 0 I $90 10 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0.00 x NEW TRIP FACTOR 100 $0.00 1094 4 SANITARY SEWER - MWMC A REIMBURSEMENT COST. NUMBER OF FEU's x o ICOST PER FEU I $9535 = $0.00 1054 B IMPROVEMENT COST INUMBER OF FEU's x COST PER FEU I 0 $990 39 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = $0.00 ]055 $0.00 1054 $0.00 1056 = , $0.00 II =, $393.45 I CHARGE $1967 SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVE FEE I SUBTOTAL x I ADM FEE RATE I $393 45 I 5% TOTAL SANITARY ADMINISTRATION FEE. TOTAL TRANSPORTATION ADMINISTRATION FEE 1967 $000 1079 ]078 Todd Singleton 1/30/2008 TOTAL SDC CHARGES =, $413.12 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 IDRlNKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRYTUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 SINK COMMERCIAL BAR 0 0 2 = 0 ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 JSINK SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRlV ATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 *EDU (EqUIvalent Dwelhng Urnt) IS a discharge eqUIvalent to a smgJe family dwelhng urnt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $529 $529 $519 $512 $498 $480 $463 $440 $4 07 $367 $322 $273 $225 $180 $159 $145 $125 $109 $092 $072 $048 $028 $009 $005 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 = , $000 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0 00 x $5 29 o TOTAL MWMC CREDIT $000 = ~~,or s~~~'-"" .1r 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELEcl1dCAL PERMIT APPLICATION CIty Job Number (bMt1=:D8'- 00/2-7 Date (0)03/ o~ r' ""' "J> "(' ':' ""~>7fl"~'t, C;'~' "C;:;'''' "'!T ~ 1. ~ LOCATIONOE;,INST:MJ.ATION . 5l("7~~;:{:':l ~i~,~ (~~J~--' I LEGAL DESCRIPTION /7D Z. z8'L(3. OObC ( JOB DESCRIPTION ~-dJ Z L.c. r L.4." ~ k Permits are non-transferable and expire irwork is not started within 180 days of issuance or if work is Suspended for 180 days. ~ ~ "'"'4,--.""..,..... -~.".- <w___4~01< 2 ~r.CoNfRA~TOiiIN.~T4U:{TION~(JlV;;f~j . N""- "'-"".....~~.<M-....,"' ',_. v ~.~""'..",.,...E::...,<.u_"'....~i"^'~J1~~~: .,c~'_~ ~{ Electncal Contractor G ev-6.V'-d ~(eJ Address 31 S'I ;laydeo B,. Rd CIty 51') + I d Phone )<11 ....2$96 - ( F'~~~''''"~'\''V'"r':''-'.--''- ---. I ~*"....,..~,1'~---"sM"'<~~" ..^'" " 3. "COlffPLETEFEESCHEDULE BELbw~< .......:;:.."'.., =__o,iiii> "'" t..Y"',,^,,_,~)2.. ;:4;<:_._""~~_"""",,,,,"~..,,,,,J; ~"'....~" "~~ 1 . j j .........."'V~"f:t-N"'-~q~~'J.0 ;;"'t4&~'~~'~'-' ,~?!i"O;"---~;~'!i!$~';t"h-,~ A. ' NelV'Resident' lli'h . v e:,or Mfilti~Family Rer'dwelling unit. ~ &.k~<t"' ,,_""~. " ~~& '.A.\.>.0. ~ "" .......~'\-~.w,,< .k"!>>,_, Service Included 1000 sq. ft. or less Each addItIOnal 500 sq. ft. or portlon thereof Each Manufact'd Home or Modular Dwelling Semce or Feeder $10600 $ 19.00 $50.00 r"ts,"-"l--; ;~:% --"': --" r r-" '~V7~yt'ry;.." "'%~;" B. ES~zi~~~ ~e~q:~~.: ~nstalbitiol!, j~l!et~!io!!s or, ~elocation: , I I 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63 00 $ 75.00 $125.00 $16300 $375.00 $ 50.00 Supemsor LIcense Number 365</ S requtre '~~~~1~i :~~d:fsr, .,' :teN: Oregon 1aw Oregon Uti\ EXpIratIOn Date /6 "yr.E~T:"c. adopted 'o'/.the \es afe!6e11~, Alteration or Relocation 10'~~i~ '~. - enter. 1 ~~~~~h OAi\)e~~9~less $ 50.00 Constr. Contr. Number r~01.0~~~f\-GOP\es ot ~.o 400 Amps $ 69 00 I ;@9Q9 'I9U ma,/ '~'t~;" lNote: the mt~ 600 Amps $100.00 EXpIratIOn Date I - ,.~~ the can Or'egon U\\\\t'/~O' 600 A 1000 V I "B" b .d ....or tor the - ~N\......'.l.'.\2.. m~~. o~. 0 ts see a ove. nuO\uv 1.. 1-ouv-- " '.- - -' . SIgnature of Supemsmg ElecmcIan center tv D. ~~~~1!c~~~llf~~ , . \ New Alteration or Extension Per Panel ../1 ~. ~ One CIrCUIt I o Each AddItIOnal CIrCUIt or WIth I y "- '-^. /) (A ServIce or Feeder PermIt Owners Name r---C L.J \.' LI""J Address stl7 r /-1-"IA I f~ ts.; 12 J E. ~lsc~il~~~~~JS~~~~/f~eder not ~~~~~~<!L -E~c,l{i;;h.llati~n j 5~r~ Phone 7/i. ~ 678"7 I~~~ $50.00 N~ M,,.S~~tt~ I~~\ite\Si g $50.00 OWNER INSTALLATION 1H\5 Pt.~IED UNDER 1\-\\ _ eSIdentIal $ 25 00 The installatIOn IS being made on pJb\J~~~I~R \5 AB ImIted Energy/CommerCIal $ 45 00 IS not Intended for sale, lease or renCti 80 O~'l PER\t;\P.oimum Electric Permit Inspection Fee is $45.00 + Surcharges AN'l1 -r;yn ;" '<' .-_., ~ ""'" Owners SIgnature. 4. SUf!Ji!7:4L OF ~.?~~_' 52- ~o State Surcharge btt{ 10% AdmmIstratIve Fee szP >~ rf!Z.&-f' -Zbo TOTAL -L/ . ,_ t/OU'1 Shared Dnve(T )/BUlldmg FonnsIElectncal PermIt ApplicatIOn 1-03 doc CIty Inspection Request: 726-3769 '!/IIi!:;Jo $LfOO lIf L/ 225 Fifth Street Spl'ingfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00 127 COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00 127 COM2008-00127 COM2008-00 127 COM2008-00 127 COM2008-00127 COM2008-00127 COM2008-00127 COM2008-00 127 COM2008-00127 Payments: Type of Payment Check cRecelOtl RECEIPT #: 1200800000000000193 Date: 03/03/2008 Description FIre SF Fee - ReSIdential Storm Dramage ImpervIous Area SanItary Sewer - ReImbursement SanItary Sewer - Improvement SDC SanItary/Storm Admm BUlldmg PermIt Fixture Mmlmum/Adjustment Plumbmg Vent Fan Mmlmum/ Adjustment MechanIcal -MechanIcal Issuance Fee- Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmistratlve Fee Paid By MIKE BLANKENSHIP CORP Item Total: Check Number AuthOrizatIOn Received By Batch Number Number How Received djb 11468 In Person Payment Total: Page 1 of 1 8:09:22AM Amount Due 10 40 110 03 16100 122 42 1967 22160 4800 200 700 4300 2000 4800 400 1868 4483 3840 $919.03 Amount Paid $91903 $9J 9.03 3/3/2008