HomeMy WebLinkAboutPermit Building 2008-4-2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00364
ISSUED: 04/02/2008
APPLIED: 03/17/2008
EXPIRES: 10/02/2008
VALUE: $ 7,080.00
SITE ADDRESS: 777 60TH ST
ASSESSOR'S PARCEL NO.: 1702342200503
Springfield TYPE OF WORK: Carport
PROJECT DESCRIPTION: Carport
TYPE OF USE: Addition
Residential
Owner: FREDERICK LEROY A
Address: 777 N 60TH ST
SPRINGFIELD OR 97478
Contractor Type
General
I CONTRACTOR INFORMATION'
Contractor License
BURRELL & SONS INC 75279
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm to curb & gutter
Description
# of Stories:
U /' T '-FNHeight of Structure
- .l"IVIIJ' ~-
IO:'fow (!Il);gem.ltl{[:;l(t)-,rJ law re '
VB .'\JotlfIC8tl&rat~~d by the 6ulres you to
In OAR 9sIJ!tWm' pifhose rUle;egon Utility
0090., You!ffi&v: - df;bthrough OA~e Set forth
cal/mg tlfwf!9J tFlBUfiDmgs of t 95417'601_
nl1l'nh:-r (\." n~r" '^'''1e. II. he rlllo<, ~)
I DE~~~CfNlE0~~J~_
V-"~2'2344). n
18.60 Overlay Dist:
5.00 # Street Trees Rqd:
Paved Drive,Rq.d:
34.00 % of Lot Coverage: 35.80
0.00
I PUBLIC IMPROVEMENTS I
Expiration Date
03/0812010
Phone
541-746-4702
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport 354
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Curb and Gutter
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AIITJ.lnDI7I::n ""~!)E9 TP.I: r[nMIT 10 rmr
Valu liUIVI ~ I ABANDONED FOR
D.
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Paj!e 1 of 3
Value
Date Calculated
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Carport
Carport
Fee Description
Piau Review Residential
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
SDC SanitarylStorm Admin
Storm Drainage ImpervIOus Area
Storm Sewer - 1st 50 Feet
Total Amount Paid
Initial Review
Public Works Review
Planninl! Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00364
ISSUED: 04/02/2008
APPLIED: 03/17/2008
EXPIRES: 10/02/2008
VALUE: $ 7,080.00
$20.00
354.00
Total Value of Project
$7,080.00
$7,080.00
03/17/2008
~
Amount Paid
Date Paid
Receipt Number
$65.96
$16.92
$18.18
$13.37
$101.48
$17.70
$116.00
$6.18
$123.53
$50.00
3/17/08
4/2/08
4/2/08
4/2/08
4/2108
4/2/08
412/08
4/2/08
4/2/08
4/2/08
1200800000000000239
1200800000000000301
1200800000000000301
1200800000000000301
1200800000000000301
1200800000000000301
1200800000000000301
1200800000000000301
1200800000000000301
1200800000000000301
$529.32
I Plan Reviews I
03/17/2008
03/17/2008
APP NJM
03/17/2008
03/21/2008
APP LKW
Stormwater to curb & gutter
03/17/2008
03/28/2008
APP T AJ
03/17/2008
04/01/2008
APP DLM
Approved as noted on the plans.
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.
~eouiredJnsDections I
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Storm Sewer Line: Prior to filling trench.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00364
ISSUED: 04/02/2008
APPLIED: 03/17/2008
EXPIRES: 10/02/2008
VALUE: $ 7,080.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
"m'ji:~"S:'"~1AJ Rfl f- d ~ Qr
F "' CO"t"}t~"at",. Date
Pa\?:e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER- COM2008-00364
NAME OR COMPANY Leroy Frednck
LOCATION 777 60th
TAX LOT NUMBER 0
DEVELOPMENT TYPE Smgle Family ResIdence
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 357 LOT SIZE (SF)
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S F x r COST PER S F CHARGE
I 357 00 I $0 346 = I $123 53
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S F x I COST PER SF x I DISCOUNT RATE I
I 0 00 I $0 346 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$123.53
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF DFU's x
o
B IMPROVEMENT COST
NUMBER OF DFU's x
o
I' COST PER DFU
I $26 83
COST PER DFU
$20 40
=,
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT TRIP RATE I x
I 957 I
B IMPROVEMENT COST
I ADT TRIP RATE I x
I 957 I
$0.00
I NUMBER OF UNITS I x
I 0 I
DISCOUNT
$000
COST PER TRIP
2043
x NEW TRIP FACTOR
I 00
I NUMBER OF UNITS I x
I 0 I
COST PER TRIP
$90 10
, $0.00
x INEW TRIP FACTOR'
I 100
ITEM 3 TOTAL - TRANSPORT A nON SDC
=,
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's x
I 0
B IMPROVEMENT COST
INUMBER OF FEU's x
I 0
COST PER FEU
$95 35
ICOST PER FEU
I $990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRATIVE FEE
I SUBTOTAL x ADM FEE RATE
I $123 53 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Kaye Wilson
PREPARED BY
3/19/2008
DATE
5227
en
P-1
Cl
o
u
~
~
en
.......
c:>
~
$123.53
1070
$0.00
1091
$0.00
1092
$0.00
1093
$0.00 1094
I
J:
= $0.00 1054
DRAINAGE FIXT!!RE UNIT ~FU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB ---
0 0 3 = 0
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH / ETC 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 0 0 3 = 0
ICLOTIlESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
I RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 J
SINK COMMERCIAL BAR 0 0 2 = 0
SINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (EqUIvalent Dwelling Umt) IS a dIscharge eqUIvalent to a smgle famIly dwelling umt (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
]979
]980
]98]
]982
]983
]984
]985
]986
]987
]988
]989
]990
]99]
]992
]993
]994
]995
]996
]997
]998
]999
2000
200]
CREDIT RATE/$l,OOO
ASSESSED VALUE
$529
$529
$519
$512
$498
$480
$463
$440
$407
$367
$322
$273
$225
$180
$1 59
$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
=1
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29 = 1
o
TOTAL MWMC CREDIT
$000
I
Construction Contractors Board
I
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
Pe~t #. \:{]rf1 l,U7J 8:' - OO~ ~
Address::f/, (O~ ~+- ,
Issued by: ~ - Date: l.( 4.~/ 6Y
'I / -:
Statement: Information Notice to Property Owners
About Construction Responsibilities
: Note: Oregon Law, ORS 701.055(4) requires residentlal constructzon permzt applzcants who are not
I licensed wzth the Cbnstructzon Contractors Board to sign the followzng statement before a buildzng
permit can be issued. This statement zs requzred for reszdential building, electrzcal, mechanical and
I
jplumbing permits. Licensed architect and engzneer applzcants, exempt from lzcensing under
: ORS 701.010(7), need not submit thzs statement. This statement wzll be filed with the permit.
I
Fill in ~e appropriate blanks and initiai boxes 1 and 2, and either box 3A or 3B:
~ 1.
f)(ff
~21.
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a constructIOn contractor if the structure is sold or
offered for sale before or on completion.
o 3A. My geI).eral contractor is
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
lIcensed with the Construction Contractors Board.
OR
jZ( 3;S. I will be my own general contractor.
IfI hire subcontractors, I will hire only subcontractors lIcensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and. will munediately notifY the office issumg this bUIlding permIt of the
name of the contractor.
I'
I hereb'~ certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners abou Construction Responsibilities on the reverse side ofthis form.
)Jct~ oC !j-;2-0F'
( ~. (Signatf"e 0 ermit applicant) - '----_ ' (Date)
. :: (White copy to zssuzng agency permzt file, pznk copy to applicant.)
I
PropertY,- owner doc 06-01-04
II
, ,-
..~~ \"-.. ~-\
In "'~
,: \
\ ,
t \_t
\ .. -
NOTICE TO
ABa]':.\[ CONSTRUCTION. RESPONSIBILITIES
""~___ \ t-. ~
NOTE This Notice to Property Owners about Construction Responsibilities was
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989
by the
are as your own contractor to construct a new home or make a substantml to an
you can prevent many problems by be~ng aware of the foHowmg respomHbIht!es and concerns.
.
,an "emp)oyer" and the ~ontractors you contract
Contr:act?rs to do labor m
As the employeR:, must
or to a8:>18t m
If
'.
'Law: As an you must'wlthhold nicome taxes
hable for the tax even If you don't
. call Revenue at 503-378-4988. .=
are required to pay a tax for
call Oregon Employment
'l
on
at
- ~~,I/"\
'-
;":'
~
,'" \/,.
.I'
. ,
(BIN) IS a combined n,umber. for~.both
for a BIN, call 503-945-8091 or
fonTIS.
"
-,
-,
Insurance: an yo~ are subject to
,msurance for your employees. you
and hable for all claIm costs
DivI&JOn at
Law,
you must Wlthhold
dIdn't actually WIthhold
EIN
wages: ,
\.
, ~ f ,
,::
- .'
holder for thIS
to your attentIon
Y'Ol! are responSIble
mspechons.
, ;.
\ -
Code
any
to meet
.. ~ .., \ .
your msurance to see
pamt spray, water
or
sure you
tIme to
your employees.'
.'
skills to act as your own
as appropnate tImes so
and
1) or vmte
at
. '-
doc 06-01-04
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
,.
Job/Journal Number
COM2008-00364
COM2008-00364
COM2008-00364
COM2008-00364
COM2008-00364
COM2008-00364
COM2008-00364
COM2008-00364
COM2008-00364
Payments:
Type of Payment
Check
cRecemt 1
RECEIPT #:
1200800000000000301
Date: 04/02/2008
Description
Fire SF Fee - Residential
Storm Dramage ImpervIOus Area
SDC SamtarylStorm Admm
Plan Review Mmor - Plannmg
Bmldmg Permit
Storm Sewer - 1st 50 Feet
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
PaId By
TERRY BURRELL
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How Received
dJb 3009 In Person
Payment Total:
Page 1 of I
11 :37:35AM
Amount Due
17.70
123 53
6 18
116 00
101 48
5000
1337
18,18
1692
$463.36
Amount PaId
$463 36
$463.36
4/2/2008