HomeMy WebLinkAboutPermit Building 2001-4-24
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I Job# 01-00380-01 I
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Page 1 of 3
TRANS#:01-0005042
DATE:APR 24 2001
AMT RECD:2 $ 386.32
CHANGE:
CASHIER:003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00380-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4684 Hailey Ct Spr
Assessors Map#: 18020512
Lot: 12 Block: Addition:
Tax Lot #: 10300
Subdivision: Haidyn
Owner:
James Kinslow
Phone Number: 541-736-1654
City/State/Zip: Springfield, OR 97478
New Value: $8,300
Address: 4684 Hailey Ct
Scope Of Work: Carport
Modular carport installed on pad
Quad Area: 3RSC
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land.Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Accessory Structu
Heat Source:
Sq. Footage:
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
working day.
Footing
Foundation
Framing
Final Building
Required Inspections
I Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement
- Prior to cover.
- When all required inspections have been approved and the building is complete.
I Plumbing
- Prior to filling trench,
I Public Works I
-After forms are erected but prior to placement of concrete
Storm Sewer Line
CC-Second
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 01-00380-01
Overlay District:
# of Street Trees:
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Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
rArea (Sq. Feet)
I Main: Accessory588
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
New Curbcut
Total Public Works
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Flood Plain FEMA: Panel 1162 of 2975
# Of Stories:
Current Units:
Census Code: Does not apply
Height(feet): 16
Proposed Units:
Total:588
Paid On Receipt# Value/Quantity
Plan Check I
04/16/2001 4952 8,300
Fee Amount
$48.43
$48.43
Buildin!!
04/24/2001 5042
04/24/2001 5042
04/24/2001 5042
8,300
$74.50
$5.22
$224
$81.96
Plumbin!!
04/24/2001 5042
04/24/2001 5042
04/24/2001 5042
04/24/2001 5042
36
$.00
$1.75
$25.00
$,75
$27.50
Public Works
04/16/2001 . 4952
1
$65.00
$65.00
System Development
04/24/2001 5042
04/24/2001 5042
973
$263,68
$13,18
$276.86
$499.75
Date Completed
Comment
04/18/2001
This structure cannot exceed the height of the
primary structure (residence)
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Plan Check Type
Engineering-Res
Planning-Res
Structural-Res
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Job# 01-00380-01 I
Date Completed
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Page 3 of3
Checked By
Steve Templin
04/23/2001
Comment
VERIFY ALL SETBACKS SO THAT NO
PORTION OF STRUCTURE IS PLACED
WITHIN EASEMENTS, PLOT PLAN IS NOT
TO SCALE AND ALL DIMENSIONS SHALL
BE VERIFIED BEFORE CONSTRUCTION
Same Comments as above regarding
setbacks
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located front of the property, and the approved set of plans will remain on the site at all times
duringc s ction'2~
Liz Miller
04/24/2001
Tom Marx
04/19/2001
Date
., CITY OF SPRINGFI~ SYSTEMS DEVELO~ENT C~E ~ORKSHEET
JOURNAL OR JOB NUMBER: 01-00380-01
NAME OR COMPANY: KINSLOW
LOCATION: 4684 HAILEY COURT
TAX LOT NUMBER: 18-02-05-12-10300
DEVELOPMENT TYPE: CARPORT
NEW DWELLING UNITS: 0 BUILDING SIZE: 0 SF LOT SIZE: 0 SF
] STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, I. 1 COST PER S,F. I
I 973.00 1 $0.271 =1 $263.68
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I' I COST PER S.F. I" I DISCOUNT RATE
I 0,00 I $0.271 50% =1 $0,00
I ITEM 1 TOTAL - STORM DRAINAGE SDC =1 $263.68
2 SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's II COST PER DFU
lOLl $21.25
B, IMPROVEMENT COST:
1 NUMBER OF DFU's II COST PER DFU
I 0 'I $16.15
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
I:LIRA NSPORT AJlOO
A. REIMBURSEMENT COST:
I ADT TRIP RATE 1..1 NUMBER OF UNITS I x I COST PER TRIP I x I NEW TRIP FACTOR I
I 9,57 I 0 $]6.12 1.00 1=1
B, IMPROVEMENT COST:
I' ADT TRIP RATE I ~ I NUMBER OF UNITS I x I COST PER TRIP
L 9.57 I 0 $68.55
I ITEM 3 TOTAL - TRANSPORT AnON SDC-
4 SANITARY SFWFR - MWMr
I xl NEW TRIP FACTOR I
. 1.00 1=1
=1
=1
$0.00
rJ1
~
Cl
o
U
'~
~~
~
1
I-! 1070
-
1091
1092
1093
1094
=1 $0,00 1
=1 $0.00 1
=1 $0.00 I 1055
=1 $0.00 : ~'ll056
=1 $0.00
=1 $263.68 1 I
A. REIMBURSEMENT COST:
I NUMBER OF FEU's II COST PER FEU
I 0 ~I $285.91 .
B, IMPROVEMENT COST:
I NUMBER OF FEU's I x I COST PER FEU
I 0 I $2433
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
II SUBTOTAL (ADD ITEMS 1,2,3, & 4)
I .5...AQMTNlSTR A TTVF FEE'.
SUBTOTAL I 1 ADM. FEE RATE
$263.68 I x I 5%
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=1
TOTAL SDC CHARGES =1
S:t- ~
4/23/0 I
soc COORDINATOR
DATE
=1
=1
$0.00
$0.00
$0.00
$0,00
$0.00
=1
$0,00
$]3,18 1 1073
$276.86 II
DRAINAGE F&m: UNIT (DFU) CALCUI:.ATIO.BLE "
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BATIfTUB ( 0 0 ) x 3 0
DRINKING FOUNTAIN ( 0 0 ) x I 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC, ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOTIfESW ASHER / MOP SINK ( 0 0 ) x 3 0
CLOTIfESWASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC, ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( 0 0 ) x 3 0
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 0 0 ) x 1 0
URINAL, STALL / WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOILET, PRIVATE INSTALLATION ( 0 0 ) x 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000 I
ANNEXED ASSESSED V ALOE ANNEXED ASSESSED V ALOE
1979 OR BEFORE $4.74 II 1990 SI.96 l
1980 $4.65 1991 SI.55 1
1981 $4.59 1992 SI.36 I
1982 $4.46 1993 S 1.23 I
1983 $4.30 1994 SI.05 I
1984 $4.14 1995 SO.90 1
1985 S3.93 1996 SO.75 I
1986 S3.63 1997 S0.57
1987 S3.26 1998 S0.35
1988 S2.85 1999 SO.15
1989 S2.40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE / 1000 CREDIT RATE
0.000 X $0.00 =1
0.000 X $0.00 =1
TOTAL MWMC CREDIT =1
$0.00
$0.00
SO.OO