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Home My WebLink AboutPermit Building 2003-7-9 (2) .' . Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20.0.3-0.0.458 ISSUED: 0.7/0.9/20.0.3 APPLIED: 0.6/0.5120.0.3 EXPIRES: 0.110.9/20.0.4 VALUE: $ 3,0.0.0..0.0. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 604 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703341400900 Springfield TYPE OF WORK: Bathroom TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Bathroom addition Owner: SHERMAN RONALD M Address: 2312S38THAVE YAKIMA WA 98903 I CONTRACTOR INFORMATION I Contractor Type General Electrical Owner Plumbing Contractor CHAMBERS CONSTRUCTION THE MURPHY HARRIS COMPANY INC SHERMAN RONALD M ROBINSON PLUMBING INC License Expiration Date Phone 142410 04/20/2004 541-736-1292 107124 07/13/2003 541-345-6909 I, BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure. Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Notes: NOTICE: ALL EXPIRE IF THE WORK :~tfoER~~~ ~~DER THIS PERM I r IS NOT COMMENCED OR IS ABANUONED FOR ANY 180 DAY PERIOD. , I .1~:q?~P~P2~.!~'!?.r.a.l~~: requires YOLl ~,. i. 'ow rules <,uO!liea r>y the Oregon Ulii'\y "',, I' i r '. ~- rulf's dr(? s:t t{ ': (,f 1(1~ ...." \ 'If"?-f)~ vl...'~l', '11 .' ' .)t ,'('nE 'E':""" ,:-: C;_l.,'.' 01. ,.' u. ~...... numberfortil:J Oreg:m! lI':itl' jl'c','r;,.:lI,.d Center is 1-800-332-2344). Page 1 00 Status Issued 225 Fifth ,Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769Inspection Line Description Tvpe of Construction Bid Amount Use Bid Amount Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SOC Sanitary/Storm Admin Vent Fan Total Amount Paid Initial Review 06/06/2003 Plannlne Review 06/06/2003 Public Works Review 06/12/2003 Structural Review 06/06/2003 . I Valuation Descrintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 3,000.00 Total Value of Project Fpp< Pili4J Amount Paid Date Paid $34.32 $10.00 $18.88 $13.22 $43.00 $3.00 $52.80 $42.00 $39.00 $3.00 $100.74 $132.54 $11.66 $6.00 6/5/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9/03 7/9103 7/9/03 7/9/03 7/9/03 7/9/03 $510.16 I Plan Reviews I 06/0612003 APP 06/13/2003 APP 06/12/2003 APP 06/27/2003 APP Paee 2 00 . CITY OF ~rK.lI'lul'lJ!,LD Building/Combination Permit PERMIT NO: COM2003-00458 ISSUED: 07/09/2003 APPLIED: 06/0512003 EXPIRES: 0110912004 VALUE: $ 3,000.00 Value Date Calculated $3,000.00 $3,000.00 06/05/2003 Receipt Number 1200200000000001446 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 1200200000000001728 LLH PlumbingIMechanical Contractor. Crane Plumbing, CCB # has been suspended. This permit cannot be issued until Crane Plumbing Is current with CCB or PlumbinglMechanical Contractor has been changed on the job. Confirmed zoning as LDR. Single Family dwellings are outright permitted and the setabcks conform to the standards of the SOC. No public works permit. SOC's calculated for bathroom fixtures. See documents for plan review comments. AJD VRJ OLM . . CITY OF ~t'K1j~GFIELD Building/Combination Permit PERMIT NO: COM2003-00458 ISSUED: 07/09/2003 APPLIED: 06/05/2003 EXPIRES: 01109/2004 VALUE: $ 3,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspeetion 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 Rp.OIwp.1 T~f?P.r.~ 1 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 2 Firewall: Located and constructed according to plans. 3 Drywall: Prior to taping. 4 Final Building: After all required inspections have been requested and approved and the building is complete. 5 Underfioor Plumbing: Prior to insulation or decking. 6 Rough Plumbing: Prior to cover and including required testing. 7 Final Plumbing: When all plumbing work is complete. 8 Rough Mechanical: Prior to Cover 9 Final Mechanical: When all mechanical work is complete. 10 Rough Electric: Prior to Cover 11 Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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 tbe approved set of plans will remain on the site at all times during construction. k7~ 7-9~ Owner or Contractors Signature Date Paee 3 00 0: , CITY OF SINGFIELD' SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: com2003-00458 NAME OR COMPANY: Ronald Sherman LOCATION: 604 Kelly Blvd TAX LOT NUMBER: 17033414 II 900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF: 1. STORM DRAINAGE o LOT SIZE (SF): DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 0.00 I $0.282 I = $0.00 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 $0.282 I 50% = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC , $0.00 , 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 6 I I $22.09 8. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 6 I $16.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, S233.28 .1 3. TRANSPORTATION. A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9.57 I I 0 I 8. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9.57 I I 0 I ITEM 3 TOTAL - TRANSPORTATION SDC = I COST PER TRIP $16.81 COST PER TRIP $74.17 SO.OO x I NEW TRIP F ACTORI I 1.00 I x INEW TRIP FACTORI I 1.00 I I' 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU o I $332.86 8. IMPROVEMENT COST: INUMBERO OF FEU's I x I COST PER FEU I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE . ITEM 4 TOTAL - MWMC SANITARY SEWER SO< = , SUBTOTAL (ADD ITEMS I, 2,3, & 4) ~ , 5. ADMINISTRATIVE FEE: ISUBTOTAL I x I ADM. FEE RATE 1= I $233.28 I 5% I TOTAL SANITARY ADMINISTRATION FEE: tTOTAL TRANSPORTATION ADMINISTRATION FEE: Virginia Jurasevich 6116/2003 PREPARED BY DATE SO.OO $233.28 CHARGE $11.66 o SO.OO S132.54 $100.74 SO.OO SO.OO = $0.00 = SO.OO SO.OO SO.OO = TOTAL SDC CHARGES r; 10 10 I~ !~ CIl G ~ 1 1070 11091 I 11092 I 1093 1094 1054 'I 11055 ,11054 1 1056 I 11.66 1079 $0.00 1078 = , $244.94 I I , .. . . DRAINAGE FIX!URE UNI] (DFU) CALCULATION TAB!o.E NUMBER OF NEW RXTURES x UNIT EQUIVALENT" DRAINAGE RXTURE UNITS " (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL RXTURES) I NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 0 0 3 = 0 -I IDRINKING FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 I I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IiNTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I ILAUNDRYTUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER ST A TJON / ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2' = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I URINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 -EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 ]983 1984 1985 19S6 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$I ,000 ASSESSED V AWE $4.92 $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 _ $2.52 $2.06 $1.64 $1.45 $I.31 $1.13 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $4.92 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) V AWE /1000 CREDIT RATE $0.00 x $4.92 = , o TOTAL MWMC CREDIT = $0.00 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number C0M2003-00458 COM2003-00458 C0M2003-00458 C0M2003-00458 COM2003-00458 . COM2003-00458 COM2003-00458 COM2003-00458 COM2003-00458 COM2003-00458 COM2003-00458 COM2003-00458 C0M2003-00458 Payments: Type or Payment Check Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Sanitary Sewer - Reimbursement Sanitary Sewer - Improvemenl SDC Sanitary/Stonn Admin Building Permit Fixture Minimwnl Adjustment Plumbing Vent Fan Minimwnl Adjustment Mechanical -Mechanical Issuance F ee- + 7% State Surcharge + 10% Administralive Fee Paid By TAMMY CRAFTON ~'''.~J,'!i!-'',''',.'.' ~~: . ,''''''"" ; "f~' c' Receipt #: 1200200000000001728 Received By dim Check Number Batch Number Authorization Number 5904 City of Springfield Official Receipt Development Services Department Public Works Department' ' Date: 07/09/2003 9:59:4IAM Amount Paid Item Total: 43.00 3.00 132.54 100.74 11.66 52.80 42.00 3.00 6.00 39.00 10.00 13.22 18.88 $475.114 How Received In Person Payment Total: Amount Paid $475.84 $475.114 . . . 1 . . :(<",<.;.' :,....... CITY 9F.~ .:~Gl:n;:Lp,,QRE:GQN.:\'. ,:' ,:. ':', City Job Number Date MO,'" .." ,", .,,' . "':... . I. LOCATION,pF INSTALlATION;: , ". .. _....1.~....... ,. , ,-, ... ~~~\rl \,03~ rmoo JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. f'l;~~"""'.~':t"'1.:.."....,..,. '~,,',' .i~,~'\~' ,~7-'~'r.;:'--:'~~;:'1 ;'.CONTRACTOR INSTALlATION-ONLY:'.. 2. -:'lS:r,;;.~~Ol..~~,~~.i;.~...;.:;1ii_~;::. ..:_<?~.''::i.,_J:':'~.:~~l 3. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ~ ';,'=t!..~;::;;...~;" :-';~~.:;.;5;,j;t$:,";j~:;' ~.'~. ,; .....p. ;J" ,;:~;t;'r:~:::r---~--:'r.::J:""~ 7"~ B. ~ Servlces:or Fee~ers "=",JnstallatJon; Alterations or.Relocation::';g." ~;"J..;;7;..2.b....\):.~~,l.~.,....lJ"t...;~...s.i~l;r.'....:.. J.:i~~\':"'~.. "..: ,.. ~1.t :.\J....,..~_..":..u,.;~:~...' Electrical Contractor The Murohv Harris CornpanyOO Amps or less 20 I Amps to 400 Amps Address 149 9th street 401 AmpSlo 600 Amps 60 I Amps to 1000 Amps City Sorinqfield Phone 736-1292 Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number 46645 Expiration Date 1 0/1 /04 \ \ Constr. Contr. Number 20 - 4 7 4 C Expiration Date 10/1/03 Signature of Supervising Electrician .~.~~~ Owners Name ~ Address S 3~~' City \ ~ (. \ N\~ Phone . OWNER lNST ALLA nON The installation is being made on property I own which is not- intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3~\~'L\D c. ~~~rrtfY7~~~i~~~~~~~~~lj Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. ~~;~lfeir~liits New Alteration or Extension Per Panel One Circuit \ Each Additional Circuit or with \ Service or Feeder Permil $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 41f,.dJ .~,oO E. ~~~~~~{~m~~.t:~~jfr]ll~~J~~. Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~~.E!~,,?[~ 4\.0 ~. ~ .'l-'L . A..toO t;)~ .eo- 7% State Surcharge 10"/0 Administrative Fee TOTAL Sh=d Drive(T:YBuilding Forms.E_:_1 Permit Appl~ 1~3Aoc '. ',~. .. r' ..' ~;' ",., ' .. "_i..:t:F.,g" '\~_~