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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