HomeMy WebLinkAboutPermit Building 2003-9-25
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'.
. CITY OF ~rK11'1ljt<lJ!,LU .
Building/Combination Permit
PERMIT NO: cOM2003-00746
ISSUED: 09/25/2003
APPLIED: 08/13/2003
EXPIRES: 03/25/2004
VALUE: $ 13,708.00
SITE ADDRESS: 3923 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061410800
PROJECT DESCRIPTION: Garage
Springfield TYPE OF WORK: Garage
TYPE OF USE:
Owner: WIRFS HAROLD J & JACKIE L
Address: 3923 JASPER RD SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Plumbing
I CONTRACTOR INFORMATION I
License
Contractor
OWNER
OWNER
OWNER
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I BUILDING INFORMATION I
# of Stories:
U- I Height of Structure
Type of Heat: HE WORK
tHl~\C~~"\1 ~"tet. ~lIt\REp~~~\1 IS N01
1\-1\S pl:.nIV1 ~linll~l\lllS <.n R
i\Ul\-10RllcO ltt;jMJgy ~Y1IU-lOONEO fO
McNeEO OR I;)
COM _ .: I nC:QIO\).
i\N'( I <rtEVELOPMEN1 lluuN>1ATION I
70.00
6.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
37.00
0.00
New
Residential
Expiration Date Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 576
Sq Ft Other:
Impervious Surface Area:
Yes
10.50
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC ~~~~~~~~~.r:T~ Ion la,:" reqUires you. ~o
follow rules adopted b~oolkl!lypeUtlhty ,
"Iotification Center. ThO!ijM,IIJ~Gfifu1-~~rt
\ OAR 952-001-0010 through OAR 95
J090. You may obtain copies of the rules l
calling the center. (Note: the tel~~ho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Paee 1 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2003-00746
ISSUED: 09/25/2003
APPLIED: 08/13/2003
EXPIRES: 03/25/2004
VALUE: $ 13,708.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Garaee
$ Per Sq Ft
or multiplier
$23.80
Square Footage
or Bid Amount
576.00
Value
Date Calculated
Description
Garaee
Tvpe of Construction
Total Value of Project
$13,708.80
$13,708.80
08/13/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $90.09 8/13/03 1200200000000001947
+ 10% Administrative Fee $22.86 9/25/03 1200200000000002216
+ 7% State Surcbarge $16.00 9/25/03 1200200000000002216
Add, Alter, Extend Circ $43.00 9/25/03 1200200000000002216
Building Permit $138.60 9/25/03 1200200000000002216
Minimum/Adjustment Electrical $2.00 9/25/03 1200200000000002216
Plan Review - Planning $59.00 9/25/03 1200200000000002216
SDC Sanitary/Storm Admin $15.43 9/25/03 1200200000000002216
Storm Drainage Impervious Area $308.56 9/25/03 1200200000000002216
Storm Sewer - Ist 50 Feet $45.00 9/25/03 1200200000000002216
Total Amount Paid $740.54
Initial Review
Plan nine Review
I Plan Reviews I
08/14/2003 08/19/2003 APP LLH
08/19/2003 09/10/2003 APP TAJ First 18' of driveway needs to be
paved unless Jasper Rd lacks curb
and gutter. A tree felling permit
needed if 5 or more trees 5" dbh or
greater are felled.
08/19/2003 08/28/2003 APP VRJ
08/19/2003 09/15/2003 APP DJB
Public Works Review
Structural Review
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.
, RiPflnirlp.rlln~,n~~Hnnc;!.
II IIlIiIlIIiIIIII
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Slab: To be made after all inslab building service equipment, conduit piping and otber equipment items are in
place but prior to concrete.
Paee 2 of3
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2003-00746
ISSUED: 09/25/2003
APPLIED: 08/1312003
EXPIRES: 03/25/2004
VALUE: $ 13,708.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
5 Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
6 Final Building: After aU required inspections have been reqnested and approved and the building is complete.
7 Storm Sewer Line: Prior to filling trench.
8 Final Plumbing: When aU plumhing work is complete.
9 Rough Electric: Prior to Cover
10 Electric Service: Approval required prior to utility company energizing service.
11 Final Electric: When aU electrical work is complete.
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certify that aU
information hereon is true and correct, and I further certify that any and aU work performed shaU be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 aU required inspections are requested at the proper time, that each address is readahle from the
stre~t, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at aU
~i~';:;;tr~;ib.~,= . Q-dS-()3
Owner or Contractors s~re Date
Pal!e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00746
COM2003-00746
COM2003-00746
COM2003-00746
COM2003-00746
COM2003-00746
COM2003-00746
COM2003-00746
COM2003-00746
Payments:
Type of Payment
Check
Wi-.;~"~~,,,",~,..,D," ,....c.......!,'.
,:' -,
,- ,
,.'.... ,
. ,
,- "
.,. :<
"";''' '-"'- .~; "'--' '"
Receipt #: 1200200000000002216
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin.
Plan Review - Planning
Building Permit
Storm Sewer - 1st 50 Feet
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
PACIFIC HOMES
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department I
:/
Public Works Department.
Date: 09/25/2003
2:38:05PM ,
Amount Paid
Item Total:
308.56
15.43
59.00
138.60
45.00
43.00
2.00
16.00
22.86
$65U.45
How Received
In Person
Payment Total:
Amount Paid
$650.45
$650.45
.
.
. . ..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENfWoRKSHEET
JOURNAL OR JOB NUMBER: Com2003,00746
NAME OR COMPANY: Jeb Wirfs
LOCATION: 3923 Jascer Road
TAX LOT NUMBER: 18020614 t110800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF'
"
o
LOT SIZE (SF):
13940
lri
I'"
11:i
10
I~
~
E-<
'"
(3
~
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. x! COST PER S.F, I I CHARGE I
I 1064.00 I $0,290 I = $308.56
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 DISCOUNT
I 0.00 I I $0,290 I 50% = I $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $308.56 ~
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COSTo
I NUMBER OF DFU's 1 x I COST PER DFU
I 0 I I $22,64
B. IMPROVEMENT COST:
1 NUMBER OF DFU's 1 x COST PER DFU
I 0 I $17:21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3. TRANSPORTATION
SO.OO
A. REIMBURSEMENTCOSTo
1 ADT TRIP RATE 1 x I NUMBER OF UNITS I x I
I 9.57 I I 0
x I
= ,
COST PER TRIP
$17.23
B,IMPROVEMENTCOST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9.57 1 I 0
ITEM 3 TOTAL . TRANSPORTATION SDC
COST PER TRIP
$76.01
SO.OO
x INEWTRJPFACTORI
I 1.00
x INEW TRIP FACTORI
I 1.00
S308.56
SO.OO
SO.OO
SO.OO
SO.OO
1070
11091
I
11092
I
11093
I
11094
I
4. SANITARV SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I 0 I I $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
o I I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = I
SUBTOTAL (ADD ITEMS J, 2, 3, & 4) = I
5, ADMINISTRATIVE FEEo
I SUBTOTAL I x ADM. FEE RATE 1=
1 $308.56 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
SO.OO
=
SO.OO
11054
I
11055
11054
11056
I
S308.56
CHARGE
$15.43
Virginia Jurasevicti
PREPARED BY
8/27/2003
DATE
TOTAL SDC CHARGES
=
SO.OO
SO.OO
SO.OO
1079
1078
15.43
$0.00
=, $323.99
.
.
, .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW RXTURES X UNIT EQUIVALENT '" DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
BATHTUB 0 0 3 = 0
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE/OILI SOLIDS I ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
ILAUNDRYTUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 0 0 3 = 0
ICLOTHESWASHER,3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
IRECEPTOR FOR COM, SINK I DISHWASHER I ETC. 0 0 3 I = 0
ISHOWER. SINGLE STALL 0 0 2 I = 0
ISHOWER, GANG (NUMBER OF HEADSl. 0 0 2 I = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 I = 0
ISINK: COMMERCIAL BAR 0 0 2 I = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 I = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 I = 0
IURINAL. STALL! WALL 0 0 5 I = 0
ITOILET. PUBLIC INST ALLA TION 0 0 6 I = 0
ITOILET. PRIVATE INST ALLA TION 0 0 3 I = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwellim!. Unit) is a dischar~e eQuivalent to a sin~e family dwellin~ unit (20 DFU's) set al 167 ~lIons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR CREDIT RA TE/$ I .000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT! 0
I BEFORE 1979 S4,92 (Enler I for Yes, 2 for No)
1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT! 0
I 1980 S4.83 (Enter I for Yes, 2 for No)
1981 S4.77 BASE YEAR 1979
i 1982 S4.64 I
I 1983 S4.47 I CREDIT FOR LAND (IF APPLICABLE)
I 1984 S4.30 I VALUE/IOOO CREDIT RATE
I 1985 S4.09 I $0,00 x $4.92 ~ , $0.00
I 1986 $3,78 . I
1987 $3.41 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $2.98 :i VALUE 11000 CREDIT RATE
I 1989 $2.52 " $0.00 x $4.92 ~ , 0
I 1990 $2.06
I 1991 $1.64
I 1992 $1.45 TOTAL MWMC CREDIT = $0.00
I 1993 SUI
I 1994 $1. 13
I 1995 $0.97
I 1996 SO.82
I 1997 SO.63
I 1998 SO.41
I 1999 SO,22
L 2000 $0.04
, :' t.. <<,0' o.'V~-
'(\1>~ \1>f\
.~eo. .~\C
~'>'O<S'~
C\'lJ.? ..,eo.v.
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54l)726-3753 . FAX: (541)726-3~~\~ ",0'
ELECTRICAL PERMIT APPLICATION 0'0~0"'~~0 000 .
City Job Number <:.3 -oc 7'1 b Date -<"""0""",Q,~0\' Ii-''''Q,
l' iI'o 1-0
f)o.,~ A>1o.
3.. ~61fg~~ffiEE!Sk1!Ji~~~l:.~
A. ~~~$.!^~~~~~iii~("
Service Included
.' . ,.: '. . em": OFspi ..KiFiELD, OREGON ': ". .'" '"','.
., ....'. .,'. .'., ... .
1. t~.tj@N'eEi.rNSifJ!;iQ:'j'e.Ni ..
LEGAL DESCRIPT~ '
\ q.n1da-l+ \OW)
JOB DESCRIPTION
. (l~.
permi~e n.o~~t~sferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
. e;;;,,;',~"J1'&t1~\iNSrT~iiY' \1@NLW.~
l.._"I.J'Mf'";J;t';'1. ' . .i!!f
Address
City
Expiration Date
Owners Name ~~~e. \l)ids
Address ~C\'L? ~eR. Rfii2t
City ~Phone ~lo'~
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
~i~
Inspection Request: 726-3769
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
. Each Manufact'd Home or
. Modular Dwelling SeNice or
Feeder
$106.00
$ 19.00
$50.00
'"'-,.....~~.- ~,.-...~'..... .. ""...,,'....
B. ~enyicesr~r~Eeeders -~Jpstall:i.QQ..ll;(A3terations or, Rt".lo~.a(ion:
200 Amps or less $ 63.00
201 Amps to 400 Amps . ") $ 75.00
"U""'
401 Amps to 600 Amps e~U\tes, S}\\\~125.00
601 Amps to 1000 i\'lJi0.'Il t ote'i)otl ~\..di63.00
Over 10Qq\'4~~'j\"e u\ell eta ^c:.~~75.00
~~t(~9\\"oset ~OP<<'l;.~.\~s'o.OO
'" ,I tu\ell_on\et., ~tOug.!,~ \""" ',- one
~X; ~t....~St~~~'. a~~ ~f! ".
NO ('\jl.~ \'CIe.'lo " t. ~~o \ ~\\\\'j ~
,~,,!Illf'''''h~~Sti!~~dft~~i'l.~ .
~~~~\~~"e ~ ,\.eoO-
20~~~~Wfuis
40 I Amps to 600 Amps
$ 50,00
$ 69.00
$100.00
. Over 600 Amps or 1000 Volts see "B" above.
D'. '~-f.i"ii~ch~Gi'rcn~ts
I ~I tI! l "J~ '<~f ,~.~ a-,-t't\..~ 1.i ~:...'l;, ii'U~""
t'; ."5~'?~::?:;' ~......,._Ft, ~.r....c. 'f';,!'.!~:-,..'Ff~ ',~....rt:~"'...tlh,):
l()
pu~~~~~<(;l~ ~ $ 50.00
~~~~A~~ $50.00
'F~~~;I $25.00
Li;'~~~mercial $ 45.00
Minimum ~ ~ermit Inspection Fee is $45.00 + Surcharges
<;M~,~~,p~.~~' ~~lIJwW: . J ".
4. S&BlJieT;4:L~eliJ~@ME
".....'..,--.
Lf)
7% State Surcharge
10% Administrative Fee
:;/-'
l..{JD
52 bJ-
TOTAL
Shared Drive(T:)lBuilding FormslElectrical Permit Application l-Q3.doc