HomeMy WebLinkAboutPermit Building 2008-4-10
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: COM2008-00050
ISSUED: 04/10/2008
APPLIED: 01/14/2008
EXPIRES: 10/1012008
VALUE: $ 20,000.00
SITE ADDRESS: 1072 56TH ST
ASSESSOR'S PARCEL NO,: 1702331100168
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Fire Damage & Bedroom/Bath Addition
TYPE OF USE: Repair
Residential
Owner:
Address:
GOLBEK CHERYL A
1072 N 56TH ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
Contractor -~ "'" License
PACIFIC FIRE & FLOOD INC 173615
MAG ELECTRIC INC 149834
CLIMATE CONTROL INC 62196
ROCS P~M' ~ra'1nn Jim, ....-::.1'~9: .,.~H?! 17
follow rute:, qJ.{l)lffi'fHll~ lNFO~
Notification ~\;;IIL\;;I. Illu::;e rUles are set t6M
In OAe 952-001-0~1RMl09~n OAR 952-001- 1
oo~ "ou may 0'ii~i2JRQf{lSfrgHtJt:eru'es by 12.00
C /Og the cen!Y1'Il\NH"titeYt~ telephone Electric
nU~er for the,l{V1~~II~W Notification Electric
Center IS~- - -2344) EI t'
Ra e,' ec nc
Energy Path: Path 1
Sprinkled Building n/a
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I DEVELOPMENT INFORMATION I
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
29,50
Phone Number: 541-953-8914
Expiration Date
12/28/2008
12/13/2009
10/25/2009
01/03/2010
Phone
541- 726-5896
541-461-0387
503-453-4822
541-607-8704
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
NnTIr.E~
I PUBUG fN1M@lViiWml1il~JR~ " TH~ WORK
AU I HUKlLtlJ ~,m!Jg'l' I~ P~RNlIt~,]gl
COMMENCED OR ~~ M~O~ f~J4 y ,
.ANY 113.0 DAY PiEiffiU@l!i1.. Downspouts/Drains:
Notes: Stormwater drains to existing eaves,
Pae:e 1 of 4
Status
Issued
CITY OF SPRINGFIELO
Building/Combination Permit
PERMIT NO: cOM2008-00050
ISSUED: 04/10/2008
APPLIED: 01/14/2008
EXPIRES: 10/10/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
20,000,00
Value
Date Calculated
Description
Total Value of Project
$20,000,00
$20,000,00
03/12/2008
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $10,30 1/22/08 3200800000000000048
+ 12% State Surcharge $12,36 1/22/08 3200800000000000048
+ 5% Technology Fee $5,15 1/22/08 3200800000000000048
Add, Alter, Extend Circ $48,00 1/22/08 3200800000000000048
Service Reconnect $55.00 1/22/08 3200800000000000048
Plan Review Residential $132.89 3/12/08 2200800000000000317
~Mech Iss 2+ Appliances~ $40,00 4/10/08 2200800000000000433
+ 10% Administrative Fee $51.74 4/10/08 2200800000000000433
+ 12% State Surcharge $62,09 4/10/08 2200800000000000433
+ 5% Technology Fee $25,87 4/10/08 2200800000000000433
1 Bath One & Two Family $160,00 4/10/08 2200800000000000433
Boiler/Comp Up To 100,000 btu $14,00 4/10/08 2200800000000000433
Building Permit $204,44 4/10/08 2200800000000000433
Dryer Vent $7,00 4/10/08 2200800000000000433
Exhaust Hoods $10,00 4/10/08 2200800000000000433
Fixture $80,00 4/10/08 2200800000000000433
Furnace - up to 100,000 btu $14,00 4/10/08 2200800000000000433
Heat Pump $14,00 4/10/08 2200800000000000433
Sanitary Sewer - Improvement $142,83 4/10/08 2200800000000000433
Sanitary Sewer - Reimbursement $187.83 4/10/08 2200800000000000433
SDC Sanitary/Storm Admin $21.18 4/10/08 2200800000000000433
Storm Drainage Impervious Area $92.99 4/10/08 2200800000000000433
Vent Fan $14,00 4/1 0/08 2200800000000000433
Total Amount Paid $1,405,67
Initial Review
I Plan Reviews I
03/12/2008 03/12/2008 APP NJM
03/12/2008 03/13/2008 APP TSS Stormwater drains to existing eaves,
03/12/2008 03/24/2008 APP TAJ No Planning issues
03/12/2008 04/07/2008 APP RWC
Pae:e 2 of 4
Public Works Review
Plannin2: Review
Structural Review
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: cOM2008-00050
ISSUED: 04/10/2008
APPLIED: 01/14/2008
EXPIRES: 10/10/2008
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
UeouiredJnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Electric Service: Approval required prior to utility company energizing service.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete,
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Wall Insulation: Prior to cover,
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete,
Underslab Plumbing: Prior to filling the trench and including required testing,
Undertloor Plumbing: Prior to insulation or decking,
Undertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing,
Shower Pan. Prior to covering and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing,
Water Line: Prior to filling trench and including required testing,
Final Plumbing: When all plumbing work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00050
ISSUED: 04/10/2008
APPLIED: 01114/2008
EXPIRES: 10/10/2008
VALUE: $ 20,000.00
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
times during construction.
_J----t47f.~
ownenn~(;ISignatn"
ij.-/~--Zoo8
,
Date
Pae:e 4 of 4
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTIffiSW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
*EDU (Eqwvalent Dwelhng Umt) IS a dIscharge eqwvalent to a smgle fmmly dwelhng urnt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$] ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDI~ 2
BEFORE 1979 $529 (Enter ] for Yes, 2 for No)
1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDI~ 2
1980 $519 (Enter ] for Yes, 2 for No)
1981 $512 BASE YEAR ]979
1982 $4 98
1983 $480 CREDIT FOR LAND (IF APPLICABLE)
1984 $463 VALUE /1000 CREDIT RATE
1985 $440 $000 x $529 =1 $000 r
1986 $407
]987 $367 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $322 VALUE / 1000 CREDIT RATE
1989 $273 $000 x $529 0
1990 $225
199t $180
1992 $159 TOTAL MWMC CREDIT = $000
1993 $145
1994 $125
1995 $109
1996 $092
1997 $072
1998 $048
1999 $028
2000 $009
2001 $005
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER C0M2008-00050
NAME OR COMPANY Cheryl Golbek
LOCATION 1072 56th Street
TAX LOT NUMBER 1702331100168
DEVELOPMENT TYPE SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF)
1 STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS SF x COST PER S F CHARGE
I 268 75 $0 346 = I $92 99
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S F x I COST PER S F x DISCOUNT RATE DISCOUNT
I 0 00 I $0 346 50% $0 00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - CITY
$92.99
A REIMBURSEMENT COST
NUMBER7 OF DFU's I x
B IMPROVEMENT COST
'. NUMBER OF DFU's I x COST PER DFU
I 7 $20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$26 83
= ,
$330.66
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT TRIP RATE x
I 957
I NUMBER OF UNITS' x I
I 0 I
COST PER TRIP
2043
x NEW TRIP FACTOR
100
B. IMPROVEMENT COST
ADT 1RIP RATE x NUMBER OF UNITS x I COST PER 1RIP
957 0 I $9010
ITEM 3 TOTAL-TRANSPORTATIONSDC =, $0.00
4 SANITARYSEWER-MWMC
A REIMBURSEMENT COST
NUMBER OF FEU's x COST PER FEU
o $95 35
B IMPROVEMENT~OST
INUMBER OF FEU's' x COST PER FEU
I 0 $990 39
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
x NEW 1RIP FACTOR
100
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMTNlSTRA TIVE FEE
I SUBTOTAL x I ADM FEE RATE
I $423 65 I 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
Todd Singleton
3/13/2008
PREPARED BY
DATE
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$92.99
11070
$187.83
1091
$142.83
1092
$0.00
1093
$0.00
1094
=
$0.00
1054
225 Fifth Street
Springfield, Oregon 97477
541-726~3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
COM2008-00050
Payments:
Type of Payment
Check
cRecemtJ
RECEIPT #:
2200800000000000433
Date: 04/10/2008
DescrIptIOn
Storm DraInage ImpervIous Area
Sallltary Sewer - Reimbursement
Sallltary Sewer - Improvement
SDC Sallltary/Storm AdmIn
BuddIng PermIt
1 Bath One & Two Famtly
FIxture
Furnace - up to 100,000 btu
BOller/Comp Up To 100,000 btu
Exhaust Hoods
Dryer Vent
Vent Fan
Heat Pump
~Mech Iss 2+ Apphances-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
PACIFIC FIRE AND FLOOD
INC
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
dJb
2286
In Person
Payment Total:
Page 1 of 1
11:05:20AM
Amount Due
9299
187 83
14283
21 18
20444
160 00
8000
1400
1400
10 00
700
1400
1400
4000
2587
6209
51 74
$1,141.97
Amount PaId
$1,14197
$1,141.97
4/1 0/2008