HomeMy WebLinkAboutPermit Building 2005-8-1
.
Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00882
ISSUED: 08/0112005
APPLIED: 07/11/2005
EXPIRES: 02/0112006
VALUE: $ 28,000.00
SITE ADDRESS: 1087 LOCHA VEN AVE
ASSESSOR'S PARCEL NO.: 1703272207529
Springfield TYPE OF
Garage Conversion
PROJECT DESCRIPTION:
Garage conversion
TYPE OF USE: Alteration Residential
, laW requires YOU to
__~"T'''l\I' Oregon . ~_~nnn UtilitY
r" ,- d te?n'Y .,,- - - dl110
tallow rule': a op hon'1D1,\!mbei':S':!4r-.7f11-0056
, C oter. ou"" 952.001-
NOo'.i~:~~;.0~1.001 0 thrOU9= ~~~e rules by
In _ht<::lln COOle .._ ___.0.
009U, 'uU ,,,-, r Note: to" ""'V,~' . ,
'CONTRACTOR INFORMATI0N ,eote. ( n Utili'" Notlllcat1on
. e Orego .,
numo'" 'v. .1 . 1_800-332-2344).
Licen~ter I\:xpiration Date Phone
67328 06/18/2007 541-729-2482
Owner:
Address:
SUSAN PAYNE
1087 LOCHA YEN AYE
SPRINGFlELD OR 97477
Contractor Tvpe
General
Contractor
JAMIE L STANDIFER
, BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
, I'rimary Construction Type
Secondary Construction
# of Bedrooms:
VN
Lot Size:
Sq Ft 1st Floor:
l\Wall/Heat Sq Ft 2nd Floor:
"v..u....
THIS Sq Ft Basement:
PERMIT S':'''F^t' G' cvnl,C- .~ -rtlE W
AUTLJ(ln ? ,,~'-.:._Il!:'~g., 'arpo ORK
rB!.IAEO SqIFt:Otbe~:3 PERivllT IS NOT
~~~L~~.."N~~,~ ~~~~!.~~d,)NEO FOR
. -- ......t I L.llIVU.
I DEVELOPMENT INFORMATION I
# of Stories:
Height of
Type of Heat:
Water Type:
. Range Type:
Energy Patb:
Sprinkled
R-3
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains
Setback 5'
, Curb and Gutter
Noles:
I Valuation Oescrintion I
Description
Tvpe of Construction
SPerSq Ft
or multip6er
Square Footage
or Bid Amount
Value
Date Calculated
1 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Bid Amount
Use Bid Amount
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Appliance Not Listed
Building Permit
Dryer Vent
Fixture
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00882
ISSUED: 08/0112005
APPLIED: 07111/2005
EXPIRES: 02/0112006
VALUE: $ 28,000.00
$1.00
28,000.00
Total Value of Project
$28,000.00
$28,000.00
07/II/2005
Fees P,llid.l
Amount Paid
Date Paid
Receipt Number
2200500000000000907
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
1200500000000001120
$157.27
$10.00
$33.20
$23.24
$18.00
$241.95
$6.00
$42.00
$15.00
$3.00
$133.49
$175.49
$15.45
$6.00
7/II/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1/05
8/1105
8/1/05
8/1/05
811/05
$880.09
I Plan Reviews I
Initial Review 07/21/2005 07/21/2005 APP SKG
Plannin!! Review 07/21/2005 07/28/2005 APP TAJ No Planning review required.
Public Works Review 07/21/2005 07/22/2005 APP CAS New bathroom SDC Fee
Structural Review 07/21/2005 07/26/2005 APP JB Approved as noted on plans
To Request an inspection caD 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. wiD be made the following
work day.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building Is complete.
2 of 3
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CITY OF ~rKli~G1<lliLJJ
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00882
ISSUED: 08/01/2005
APPLIED: 07/11/2005
EXPIRES: 02/01/2006
VALUE: $ 28,000.00
Rough Plumbing: Prior to cover 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.
By signature, I slllte 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 certi!)' 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 wiD be made of any structure without permission ofthe Community Services Division,
Building Safety. I further certi!)' 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 wiD remain on the site
~.~~I;;:1n:c;nst)~M~~~~tr* A~~ 'Or-
Owner or conl,ors Signature Date tJ
3 of 3
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CITY OF .INGFIELD SYSTEMS DEVELOPME.ORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
'I~
1<Il
L1.l
Cl
,0
U
p::
L1.l
IE-
<Il
(3
~
COM2005.00882
Susan Pa~e
1087 Lockhaven Ave
1703272207529
SINGLE F AMIL Y RESIDENCE
o BUILDING SIZE (SF:
o
LOT SIZE (SF):
o
I. STORM IJRAINAGr;
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, I I CHARGE I
I 0,00 I $0.323 = 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
I 0,00 I I $0.323 I 50% ~ I
ITEM I TOTAL. STORM DRAINAGE SDC SO.OO ~
2, SANITARY SEWER - r:ITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I x
I 7
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 7 $19,07
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
DISCOUNT
$0,00
$0,00
I 1070
COST PER DFU
$25,07
I
$175,49 11091
I
$133.49 11092
=1
$308.98
I
-,
1 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRJp FACTORI
I 9,57 I 0 I I $19,09 I 1.00 I $0.00 11093
B. IMPROVEMENT COST: I
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEWTRJPFACTORI
I 9.57 I 0 I $84,19 I 1.00 SO.OO 1094
ITEM 3 TOTAL. TRANSPORT A nON SDC =, $0.00
4 SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $82,03 = $0.00 11054
B. IMPROVEMENT COST: I
INUMBER ~F FEU's I x ICOST PER FEU
I I $865,3 I = $0,00 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 11054
MWMC ADMINISTRATIVE FEE $0.00 11056
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC ~ , SO.OO
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , $308.98 I
5 AIJMINISTRATIVE FEE:
I SUBTOTAL x I ADM, FEE RATE I~ CHARGE
I $308,98 I 5% I $15.45
TOTAL SANITARY ADMINISTRATION FEE: 15.45 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 :11078
Cheryl Slaymaker 7/22/2005 TOTAL SDC CHARGES =, $324.43
PREPARED BY DATE
.--.-...-
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIfE NET ADDmONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
rLOOR DRAIN 0 0 3 = 0
. INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER. 3 OR MORE lEA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
SHOWER. GANG Q'lUMBER OF HEADSt 0 0 2 = 0
SINK: COMMERClAURESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLELAVATORY 0 0 2 = 0
I SINK: SINGLE LA V A TORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL / WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7 I
.EDU (EQuivalent Dwel1in~ Unit) is a dischar~ eQuivalent to a single family dwelling unit (20 DRYs) set at 167 gallons per day II
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
l YEAR CREDIT RATfl$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 2
1980 $5,19 (Enter I for Yes, 2 for No)
1981 $5,12 BASE YEAR 1979
1982 $4,98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4,63 VALUE /1000 CREDIT RATE
1985 $4.40 SO,OO x S5,29 ~ , SO,OO
1986 $4,07
1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3,22 VALUE /1000 CREDIT RATE
1989 $2,73 $0,00 x $5,29 0
1990 $2,25
1991 $1,80
1992 $1,59 TOTAL MWMC CREDIT = $0,00
1993 $1.45
1994 $1,25
1995 $1,09
1996 $0,92
1997 $0,72
1998 $0.48
1999 $0,28.
2000 $0,09
2001 $0,05
225 Fifth Street
Springfield. Oregon 97477
541-726-3759 Phone
.
ap~IHQ~~'
WiL. ...'.." '...'1
..A!: r
'~i .i
"'.""--"'," .
~~ of Springfield Official Receipt
.,.-velopment Services Department
Public Works Department
Job/Journal Number
<:,OM2005-00882
COM2005-00882
COM2005-00882
COM2005.00882
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
COM2005-00882
Payments:
Type of Payment
Check
"
\
8/112005
RECEIPT #:
1200500000000001120
Date: 08/0112005
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer. Improvement
SDC Sanitary/Stonn Admin
Building Pennit
Fixture
Minimum! Adjustment Plumbing
Vent Fan
Dryer Vent
Appliance Not Listed
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
EDIE B, JACOBSON
Item Total:
LDecK NumDer AuttlonzatiOD
Received By Batch Number Number How Reeeived
njm 3282 In Person
Payment Total:
I of I
11:55:37AM
Amou nt Due
175.49
133.49
15.45
241.95
42,00
3,00
6,00
6,00
18,00
15,00
10,00
23,24
33,20
5722.82
Amount PBld
5722,82
5722.82