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Home My WebLink AboutPermit Building 2004-5-14 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRI~tJN~L1J Building/Combination Permit PERMIT NO: COM2004-00308 ISSUED: 05/14/2004 APPLIED: 03/19/2004 EXPIRES: 11/14/2004 VALUE: $ 38,992.00 SITE ADDRESS: 2556 DUMAS DR ASSESSOR'S PARCEL NO.: 1703234400122 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing SFR Owner: BEV MEDFORD Address: 2556 DUMAS DR SPRINGFIELD OR 97477 Phone Number: 541-726-6957 Contractor Type Architect Electrical I CONTRACTOR INFORMATION I Contractor APAZ J K GUCKENBERGER ELECTRIC INC Expiration Date Phone 541-744-2046 04/24/2006 541-746-4656 # 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: License 45129 BUILDING INFORMATION I # of Stories: I Lot Size: R-3 Height of Structure 14.50 Sq Ft 1st Floor: 422 Type of Heat: orced Air Electric Sq Ft 2nd Floor: Vlhr Water Type: Sq Ft Basement: Range Type: NOT/rE' Sq Ft Garage/Carport Energy Path: T1fMIi 1 . Sq Ft Other: Sprinkled Building: A (tiJ'ERM~lIpant Load: IfTLlnr, trAil '",I_ I DEVELOPMENT INFORMAT~,iEN'~cU UNDER T~ffi"t IF THE WqlIK ANY 180 DA~ OR IS JfNJfND~!Jr~~()'T Overlay Dist: Urhan FringePERIODrotal: NED FOR 5.40 # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: 21.80 0.00 . I PUBLIC IMPROVEMENTS I Street Improvement/:-TTENTION:UregOCllaw requires you 10 . follow rules aclS~J'B9~'1,YJ'O(egon Utility Storm Sewer Avalloblffi I' C 'Yes Sill . lVO ca Ion enter. Those rUles are set forth pee a nstructIol\i OAR 952-001-0010 through OAR 952-001 Notes: 0090. You may obtain copies of the rules b\ call,ing !he center. (Note: the telephone ................'IVI "1C'.vlt:yul~:'J::;:iltl:ail:f. Center IS 1-aoq<:Viilulitii6n Descrintion I Description Sidewalk Type: DownspoutsIDrains: Setback 5' To Storm Sewer $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Value Date Calculated Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DweIlin!!s V Wood Frame Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 10% Admiuistrative Fee + 7% State Surcharge Bulldiug Permit Fixture Minimum/Adjustment Mechanical Not Covered Mechanical Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Storm Sewer - 1st 50 Feet Vent Fan Total Amount Paid Initial Review Plannin!! Review Plannin!! Review Public Works Review Structural Review Structural Review . 03/22/2004 03/23/2004 04/30/2004 03/23/2004 03/23/2004 04/28/2004 $92.40 . CITY OF SPRINGFIELD Building/Combination Permit P~RMIT NO: COM2004-00308 ISSUED: 05/14/2004 APPLIED: 03/1912004 EXPIRES: 11/14/2004 VALUE: $ 38,992.00 422.00 $38,992.80 $38,992.80 03/19/2004 Total Value of Project )1'pp<, V.,W Amount Paid $199.10 $10.00 $43.83 $30.68 $306.30 $42.00 $24.00 $15.00 $71.00 $6.15 $122.96 $45.00 $6.00 $922.02 I Plan Reviews I 03/23/2004 04/30/2004 03/24/2004 04/07/2004 05/14/2004 Date Paid Receipt Number 3/19/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 5/14/04 1200400000000000351 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 3200400000000000075 APP LLH WI Do not issue permit until the property line adjustment on the property is recorded (SUB2004-00009). Final recorded PLA survey received on 4/30/04. The PLA SUB2004-00009 is complete. ' Outside city limits. Needs note from Lane County to add bedroom and bathroom to septic system? Need additional information from architect and engineer to complete the plan review. See documents for letter to architect. Received revised drawings and calculations responding to request from architece. Still waiting for calculations on snow build-up in existing and new roofs. 4/28/2004 dim APP TAJ APP SB WE DLM APP DLM Pa!!e 2 00 . . CITY OF SrKlI~ul'lELD Building/Combination Permit PERMIT NO: COM2004-00308 ISSUED: 05/14/2004 APPLIED: 03/19/2004 EXPIRES: 11/14/2004 VALUE: $ 38,992.00 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 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. I Reoui~~Ii!Jlmmdiow 7 Footing: After trenches are excavated. 8 Foundation: After forms are erected but prior to concrete placement. 11 Post and Beam: Prior to Ooor insulation or decking. 6 Floor Insulation: Prior to decking. 13 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 19 Wall Insulation: Prior to cover. 4 Ceiling Insulation: Prior to cover. 5 Drywall: Prior to taping. 1 Final Building: After all required inspections have been requested and approved and the building is complete. 16 UnderOoor Drain: Prior to cover or placement of concrete. 10 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 18 UnderOoor Plumbing: Prior to insulation or decking. 14 Shower Pan. Prior to covering and including required testing. 15 Storm Sewer Line: Prior to filling trench. 3 Final Plumbing: When all plumbing work is complete. 12 Rough Mechanical: Prior to Cover 2 Final Mecbanical: When all mechanical work is complete. 17 UnderOoor Mechanical. Prior to insulation or decking and including required testing. 20 Rough Electric: Prior to Cover 21 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 tbe 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. &JUA}M- Yl1JA /. ./ V ~ Owner or Contractors Signa&"re ..:;,- _/c/_ 13 V Date Page 3 of3 CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET JOURNAL OR JOB NUMBER: COM2004-00308 NAME OR COMPANY: BILL & BEV MEDFORD LOCATION: 2556 DUMAS DR TAX LOT NUMBER: 17032344 00122 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' o LOT SIZE (SF): o '" W o o U 0:: ~ '" G ;:j 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 424.00 I $0.290 = I $122.96 I RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT I 0.00 I $0.290 I 50% I = I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC S122.96 2 SANITARY SEWER - CITY SI22.96 I 1070 I A. REIMBURSEMENT COST: I NUMBER OF DFU's 1 x I COST PER DFU I 0 I S22.64 SO.OO II09t B. IMPROVEMENT COST: I I NUMBER OF DFUs 1 x COST PER DFU I 0 S17.21 SO.OO I 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I 0 I I $17.23 1.00 I SO.OO 11093 B. IMPROVEMENT COST: I I ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x !NEWTRlPFACTORI I 9.57 I 0 I I S76.01 I 1.00 I SO.OO 11094 ITEM 3 TOTAL - TRANSPORTATION SDC =, SO.OO I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's 1 x ICOST PER FEU I 0 I $314.63 = $0.00 I 1054 B. IMPROVEMENT COST: I INUMBER OF FEU's 1 x ICOST PER FEU I 0 I S214.23 = $0.00 , 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054 MWMC ADMINISTRATIVE FEE SO.OO I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , SO.OO I SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , S122.96 5 AOMINISTRATIVE FEF.; I SUBTOTAL I x I ADM. FEE RATE 1= CHARGE I $122.96 I I 5% S6.15 TOTAL SANITARY ADMINISTRATION FEE: 6.15 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO 1078 Steve Beaudry Barnes 3/2412004 TOTAL SDC CHARGES =, $129.11 PREPARED BY DAm -, . .. DRAINAGE FIXTURE UNIT (DFU) <;ALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUJV ALENT -= DRAINAGE FIX11.JRE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS I BATHTUB 0 0 3 = 0 IDRlNKlNG FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER 1 MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 1 0 2 = 2 I SHOWER. GANG (NYMBER OF HEADSl. 0 0 2 = 0 I SINK: COMMERCWJRESIDENTIAL KITCHEN 0 0 3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURlNAL. STALL 1 WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 I *EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a sinJde family dwellinR unil (20 DFU's) set at 167 gallons per day ..J MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATfJ$l,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.04 (Enter I for Yes, 2 for No) 1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $4.95 (Enter I for Yes, 2 for No) 1981 $4.88 BASE YEAR 1979 1982 $4.75 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.41 VALUE 1 1000 CREDIT RATE 1985 $04.20 SO.OO x S5.04 ~, SO.OO 1986 $3.88 1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.07 .I VALUE 1 1000 CREDIT RATE 1989 $2.60 I $0.00 x $5.04 0 1990 $2.14 I 1991 $1.71 I 1992 $1.52 I TOTAL MWMC CREDIT = $0.00 1993 $1.38 I 1994 $1.19 t995 $1.03 I 1996 $0.87 I 1997 $0.68 I 1998 $0.46 I 1999 $0.27 I 2000 $0,09 I L 2001 $0.04 II .' . A~M~S Flie . . ~ TO BE COMPLfTEO BY INSTALLER: p .-,i- 'EIlMIT ISSUEll TO: I..lall...,..... r r- ~. . , 0 ~ --:-... N_ '.n,. S~'TH ..ildlntp....IIo...be, '2I'....n. M.ilin, .dd_ ~o?n NOtoT.. 7T", SPro n ,..perty address 2556 nu"'l!.. OIl. n .. I G,S. DE~EE TOlo/..m",,: Un., ..;J .B~ms...i-..~ Bose.....: res 0 No l!'" Wole, '.ppl, by: 'ublic S}'St..... IndlYid.., "",... Com....i" .,..... So,Iie '..k: DIs",.co from w./1 Feet Mot~ No. of CODIPO''"'ep''-...l.-_ To..r I",.id c.pocltJ I",.,. ,.1. I.side Ie"lllf! ~ _It. I.sic/e widtIo. -4' ft. DI.m'le,. It. Uquid dept.. L- ft. Tile disposal mid: Dlstriboti.. boxl res [!(' No 0 0lIl.- Lengtlt eoch IIn. __ _ -=1A ..Jl.9.. It. Toted lenirt. ~~-^ It WId.. oIlrenchL ft. ' ....... sq.... foa"". --!fro It. DIst.... betw... lines k v- It. T,.,. of lilt., ".leri./: Grorel=-' > -'/"-K- - Oth., ~DeptIa af lilter material 0'11' fil,,-2::.- inches. SUTCH IS.. .._...." '"'~" . C~-y ~ ~ p..C . O'tV"!" ~ ~ V 10'1 ~r-~ ---t ~.Y vY~~ ~ \,r #-- . I $~ ", .'({e~rd of Individual Sew. Dispo5al S>.)i.w~ '. DIsIa... /rom: We/I N.._ Lot Ii..: F..., 0 Sid. or'Reo, 0 / " Fovnc!..... I., feet. De,... of 'Ute, ma....rial beneath HIli 1_ Iott. Iott. i...... - - .1!.!i. ;'. !'.J 0(:(;'<, "--'- ~ "', " " , '\Jot , '\ \3'" I \~ Il~ \ I 1l'UJ I '~II! j- ~ ,I $-' 1- _ \. '''',..)'~' ~~~~;~~ 'ND/CATE H~'nLY ~':fCTJON .' SI'.'tv..~~_~ n- - .-, -- fu.ctio. satisfOdoril,. :'Is ",...10.. .pprond 10, ::* Disa,p"'ed 0 ;;f~';::\&>.c.'G";:, 10 ~f I ~ ~sID-\ .. mt:T pa ~~ ~ tn:: p~ A..t0 T0 ,-/ J", . ~. \ iAlI:. COUNTY H:ALTH D&'T. Dat.. . '7 _ 2._r-~ 8 FOR USE OF SANITA~ ONLr: System apparently ";11 )l\,will Mt 0 Rem."'., , D...7~rl$~ro B <!. ft~~~~ ~ \ -. -'" ,\._~ oJ" - . , ',' or "'.. \. .<.!: I " .~\):"\ 541/682.3754 FAX: 541/682-3947 Katrinka.KnoxCco.tane.or.us " KATRINKA KNOX OFFICE ASSISTANT II DEPARTMENT OF PUBLIC WORKS LAND MANAGEMENT DIVISION 125 E. 8TH AVENUE EUGENE, OREGON 97401.2926 . Ul: '. ,I ..... " . ' '" , . .. I. '. .-' 225 Fifth Street Springfielll,-Oregon 97477 541-726-3759 Phone . .~~l... ~. ~.~~_r' ,I av of Springfield Official Receipt .elopment Services Department Public Works Department ~ Job/Journal Number COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 COM2004-00308 RECEIPT #: 3200400000000000075 Date: 05/14/2004 Description Stonn Drainage Impervious Area SDC Sanitary/Stonn Admin Building Pennit Fixture Stonn Sewer - 1st 50 Feet Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Not Covered Mechanical + 7% State Surcharge + 10% Administrative Fee Plan Review - Planning . Payments: il, Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Check ., 't 5/14/2004 BEVERLY MEDFORD dim 1123 In Person Payment Total: Page I ofl 2:39:11PM Amount Due 122.96 6.15 306.30 42.00 45.00 6.00 24.00 10.00 15.00 30.68 43.83 71.00 $722.92 Amount Paid $722.92 $722.92