HomeMy WebLinkAboutPermit Building 2004-4-26
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00322
ISSUED: 04/26/2004
APPLIED: 03/23/2004
EXPIRES: 10/26/2004
VALUE: $ 101,640.00
.
Status
Issued
~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Springfield TYPE OF WORK: Single Family Residence
SITE ADDRESS: 4714 JASPER RD
ASSESSOR'S PARCEL NO.: 1802051303002
ou \0 TYPE OF USE:
PROJECT DESCRIPTION: Addition to existing SFR\N feo,ulfes ~ \.l\iliW
_, ~,,\.()fegol\ \~ .h9 Ofego~ ~o\ Ion
"t"'f't::''l''- \l\6u-' leSo'- 00
Owner: ARDEL SHEFFmLD, <I,les ado, ,\'10se fU O!\.f\ 952-
Address: 4714 JASPER RD.oI,S'PiuNRp!ELi>'30R,9~,478,g\'1 \ \\'1e fUles \
,~.i\ica.t'O _ ~,,~ .OO} u, \ ~ _~ieS 0 . _h"I\e
O~F\ ~~~ - ;)' I n'Oi.Ci'" ~ _~..". ,,,e I.l::il....'~. .....,,\ioo
\1\ 090. '(ou'''~I.CONTRl\CIOR\lNFORMATION I
Oiling \\'1e, Ofe~v" " '),.",.. r.
~ f~e (\~- .
ContraflW,\jef \0 "",,,' 0" LIcense
FREDmCK K CHRISTIANSEN 39287
KS ELECTRIC 70889
MARSHALLS INC 25790
BOHEMIA PLUMBING & CONSTRUCTION 141468
Contractor Type
General
Electrical
Mechanical
Plumbing
BUILDING INFORMATION I
# of Units: # of Stories: 2
Primary Occupancy Group: R-3 Height of Structure 21.50
Secondary Occupancy Group: Type of Heat: orced Air Electric
Primary Construction Type NOTICE" Water Type:
Secondary Construction Typnils PERMIT SHALL ~~e JYfe:T
# of Bedrooms: AUTHORlrE~D UNDERED-e;:l lparh: HE WORK Path 1
, L THI PERMIT IS NOT
COfl1MFNr.J:n ()Q Ie: ^O^""""'-n r:::.~
ANY 180 DA~ tnmIflDOPMENT"I~FORMATION I
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
8.00
32.00
25.00
I PUBLIC IMPROVEMENTS I
Addition
Residential
Phone Number: 541-747-4847
Expiration Date
05/14/2004
12/30/2004
12/23/2005
03/03/2005
Phone'
541-747-1381
541-686-6236
541-747-7445
541-942-8333
Lot Size:
Sq Ft 1st Floor: 853
Sq Ft 2nd Floor: 247
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Total:
Handicapped:
Compact:
16.70
Street Improvements:
Storm Sewer Available:
Special Instruction:
No
Storm Drain to Existing -MS
Sidewalk Type:
DownspoutslDrains:
Notes:
Pa!!e 1 of3
· a.:;'
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Dwellines
Tvpe of Constrnction
V Wood Frame
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Gas Fireplace
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Plan Review - Planning
Storm Drainage Impervious Area
Vent Fan
.
. CITY OF ~nUl'Oj\.d<lJ'.,LD
Building/Combination Permit
PERMIT NO: COM2004-00322
ISSUED: 04/2612004
APPLIED: 03/23/2004
EXPIRES: 10/26/2004
VALUE: $ 101,640.00
I Valuation Descrintion I
, ,
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
1,100.00
Total Value of Project
Value
$101,640.00
$101,640.00
Date Calculated
03/23/2004
Fpp<, PIilIJ
Amount Paid
Date Paid
Receipt Number
1200400000000000366
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
2200400000000000413
$371.90
$10.00
$67.32
$47.12
$572.15
$56.00
$15.00
$4.00
$20.00
$71.00
$196.04
$6.00
3/23/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
4/26/04
Total Amount Paid $1,436.53
I Plan Reviews I
Initial Review 03/24/2004 03/24/2004 APP LLH
Plan nine Review 03/24/2004 04/06/2004 APP TAJ
Public Works Review 03/2412004 03/31/2004 APP MS 3/31/2004 - Storm Drainage to
Existing. Check with Steve
Graham. -MS
Structural Review 03/24/2004 04/01/2004 APP RJB
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.
IRp~
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
Paee 2 013
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00322
ISSUED: 04/26/2004
APPLIED: 03/23/2004
EXPIRES: 10/26/2004
VALUE: $ 101,640.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 UnderDoor Plumbing: Prior to insulation or decking.
14 Rough Plumbing: Prior to cover and including required testing.
15 Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
17 Final Ptumbing: When all plumbing work is complete.
18 UnderDoor Mechanical. Prior to insulation or decking and including required testing.
19 UnderDoor Gas: After line is installed and required testing and capped if not attached to an appliance.
20 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
21 Rough Mechanical: Prior to Cover
22 Final Mechanical: When all mechanical 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, Buildiug Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 wiD 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 tbe
street, that the permit card is located at the front of the property, and the approved set of plans will remain on tbe site at all
ti~uring const~~ion. fJ.
~~/~ (1 ~~_ ~-~-C::Sct-
Owner or Contractors Signature Date
\
Page 3 00
v . CITY OF S!lGFIELD SYSTEMS DEVELOPMEN_RKSHEET
- ---..
JOURNAL OR JOB NUMBER: COM2004-00322
NAME OR COMPANY: Sheffield
LOCATION: 4714 Jasper Road
TAX LOT NUMBER: 18020513 Tax Lot 03002
DEVELOPMENT TYPE: Addition to SFR
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 676 LOT SIZE (SF):
o
.IIi
o
u
~
(Ll
f-<
[/)
a
I~
L STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S,F. I CHARGE
I 676.00 I $0.290 = I $196.04 I
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 $0.290 I 50"10 I ~ I $0,00
ITEM I TOTAL- STORM DRAINAGE SDC $196.04
S196.04 11070
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 10 I $22.64 $0.00 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 10 I $17.21 $0.00 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEWTRJPFACTORI
I 9.57 I o I I $17.23 I LOO I SO.OO 1093
B. IMPROVEMENT COST:
I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
,
I 9.57 I o I I $76.01 I LOO I SO.OO 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , SO.OO
4, SANITARY SEWER - MWMG
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I $314.63 = SO.OO 1054
B. IMPROVEMENT COST:
INUMBER ~F FEU's I x ICOST PER FEU
I $214.23 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE So.OO 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = , $0.00
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , S196.04
5, ADMINISTRATIVE FEE:,
I SUBTOTAL I x I ADM. FEE RATE 1= CHARGE
$196.04 I I 5% I $0.00
TOTAL SANITARY ADMINISTRATION FEE: 0,00 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: SO,OO 1078
Matt Stouder 3/31/2004 TOTAL SDC CHARGES = I $196.04
PREPARED BY DAm
. . ' ..,
DRAINAGE NAl lIRE UNIT (DFU) CALCULATION TABLE
"
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIY ALENT UNITS
IBATHTUB -
1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
[INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE tEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER. SINGLE STALL 1 0 2 = 2
I SHOWER. GANG (NUMBER OF HEADS). 0 0 2 = 0
I SINK: COMMERClAURESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
IURINAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 10
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set a!.,!67 ~lIons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
II YEAR CREDIT RATFJ$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
I BEFORE 1979 $5,04 (Enter I for Yes, 2 for No)
I 1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
I 1980 $4.95 (Enter I for Yes, 2 for No)
1981 $4.88 BASE YEAR 1979
I 1982 $4,75
I 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.41 VALUE / 1000 CREDIT RATE
I 1985 $4.20 SO.OO x S5,04 ~, SO.OO
1986 $3,88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 VALUE /1000 CREDIT RATE 'I
1989 $2.60 $0.00 x $5,04 0
1990 $2,14 I
1991 $1.71
1992 $1.52 TOTAL MWMC CREDIT = $0,00 I
1993 SI.38
1994 SU9
1995 $1.03
1996 SO.87
1997 $0.68
1998 $0.46
1999 $0,27
2000 $0.09
2001 SO,04 ,I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
COM2004-00322
.
.!'A'N~._"''''I.U,.g, __ :,.
~.- .
..., ,<
lIIIIIIIiiiilY of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
RECEIPT #:
2200400000000000413
Date: 04/26/2004
2:54:31PM
Description
Building Permit
Fixture
Vent Fan
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
Plan Review - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
Storm Drainage Impervious Area
Amount Due
572.15
56,00
6,00
4.00
15.00
10,00
20,00
71.00
47.12
67.32
196.04
$1,064.63
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Payments:
Type of Payment Paid By
Check
. 4/26/2004
Amount Paid
FREDRICK CHRISTIANSEN
njm
In Person
Payment Total:
$1,064.63
$1,064.63
3878
Page I of 1