HomeMy WebLinkAboutPermit Building 2004-3-19
.
. CITY OF ~rK1r\iu.1<lJ'.,LU
Building/Combination Permit
PERMIT NO: COM2004-00194
ISSUED: 03/19/2004
APPLIED: 02/18/2004
EXPIRES: 09/19/2004
VALUE: $ 13,608.00
'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2160 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO.: 1703240000400
Springfield TYPE OF WORK: Shop
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Shed
Owner: SHANE ROBERTS
Address: 2160 HAYDEN BRIDGE STUB SPRINGFIELD OR 97478
Phone Number: 541-746-0439
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Contractor
EHLERS CONSTRUCTION INC
MAG ELECTRIC INC
License
04231
149834
Expiration Date
11/19/2004
12/13/2005
Phone
541-689-6177
541-461-0387
I BUILDING INFORMATION I
# of Units:
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 Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
U-l
SETBACKS
I. DEVELOPMENT INFORMATION I
56;00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Floodplain
REQUIRED PARKING
Total:
Handieapped:
Compact:
Front yard Setbaek:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
182.00
55.00
7.30
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION:Oregon law reqUIres you. ~o
follow rules adopted by the Oregon Utility .
\!otification Center. Those rules are set fo~1
.1 OAR 952-001-0010 through OAR 952-00 '
0090, You may obtain copies of the rules l
calling the center. (Note: the telephone
number for the Oregon Utility Notification
"__b_'_1_l'l('lfV~:>'2-2344).
Paee 1 of3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Garaee
Tvpe of Construction
Garaee
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - Ist 50 Feet
Total Amount Paid
Initial Review
Plannine Review
02/18/2004
02/18/2004
Plan nine Review
03/19/2004
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$24.30
Square Footage
or Bid Amount
560.00
Total Value of Project
Fpp<. PwaJ
Amount Paid
Date Paid
$90.09
$22.96
$16.67
$43.00
$3.00
$138.60
$71.00
$9.57
$191.40
$45.00
2/18/04
3/19/04
3/19/04
3/19/04
3/19/04
3/19/04
3/19/04
3/19/04
3/19/04
3/19/04
$630.69
I Plan Reviews I
02/18/2004
03/04/2004
APP RJB
WE TAJ
03/19/2004
APP TAJ
Paee 2 of3
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00194
ISSUED: 03/19/2004
APPLIED: 02/18/2004
EXPIRES: 09/19/2004
VALUE: $ 13,608.00
Value
Date Calculated
$13,608.00
$13,608.00
02/18/2004
Receipt Number
1200400000000000217
1200400000000000349
1200400000000000349
1200400000000000349
1200400000000000349
1200400000000000349
1200400000000000349
1200400000000000349
1200400000000000349
1200400000000000349
Called and left a message today for
Shane Roberts to tell him that his
shed is located in the floodplain and
therefore will have to go through a
floodplain Overlay permit. Spoke
with Shane on3/5. He's not sure if
he is going to continue with the
project. He is going to talk to his
contractor. I told him I'd let Lisa
know that he might withdraw the
permit. tara 3/8/04
I spoke with a representative of
contractor today and yesterday (Boh
Andreason) and verified w/ Mel that
a floodplain overlay approval is
needed. He has the application and
will be submitting it soon. 3/9 tara
Applicant must comply with all
conditions of SHE2004-00047 the FP
Overlay District approval.
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 Renuired Tnsneetions I
6 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
1 Final Building: After all required inspections have been requested and approved and the building is complete.
5 Storm Sewer Line: Prior to filling trench.
4 Special: See Plan Reviewer or Inspectors Notes for specific requirements.
7 Rough Electric: Prior to Cover
8 Final Electric: When all electrical 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, 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 readahle from the
street, that the ermit card is located at the front of the property, and the approved set of plans will remain on the site at all
times duri on r tion.
Paee 3 of3
~i1)O~
owne~n;ractors Signature
Date
225 Fiftt/Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00 194
COM2004-00 194
COM2004-00 194
COM2004-00 194
COM2004-00194
COM2004-00 194
COM2004-00 194
COM2004-00194
COM2004-00 194
Payments:
Type of Payment
Check
,;.
II-,-~"''',!",''''~''--'''-,o'-.;'.
< -., i
,,0,-.' 'e I
. .
- ;,
*#. __,',~._ ..0 "h..:'
~)'
Receipt #: 1200400000000000349
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
Storm Sewer - 1st 50 Feet
Plan Review - Planning
Add, Alter. Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
EHLERS CONSTR
33751
City of Springfield OfficiaFReceipt._
Development Services Department _
Public Works Department
Date: 03/19/2004 2:02:11PM
Amount Paid
Item Total:
191.40
9.57
138.60
45,00
71.00
43.00
3.00
16.07
22.96
$540.60
.
How Received
In Person
Payment Total:
Amount Paid
$540,60
$540.60
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'flWORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00194
NAME OR COMPANY; Shane Roberts
LOCATION: 2160 Hayden Brid~e
TAX LOT NUMBER: 170324 tl 400
DEVELOPMENT TYPE: SFD - Shop Addition
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x I COST PER S,F, CHARGE
I 660,00 I $0,290 I = I $191.40 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 I 50% ~ I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC S19\.40 I
o
I
ICIl
~
10
o
u
~
~
It;
'6
~
S19\.40
1070
2. SANITARV SEWER - CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 0 I I S22,64 SO.OO 1091
R IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
o I $17,21 SO.OO 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I SO.OO
3. TRANSPORTATION
A, REIMBURSEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI
I 9.57 I o I $17,23 1.00 SO.OO 1093
R IMPROVEMENT COST:
I ADTTRIP 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 1.00 $0.00 1094
ITEM 3 TOTAL - TRANSPORTATION SDC ~ I $0.00
4. SANITARV SEWER - MWMC '"
A, REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
,
I 0 I I $314,63 = $0.00 1054
RIMPROVEMENTCOST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $214,23 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO I 1054
MWMC ADMINISTRATIVE FEE SO.OO 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( ~ I SO.OO I
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ I $191.40 ]
5. ADMINISTRATIVE FEE: .
ISUBTOTAL I x I ADM. FEE RATE I~ CHARGE
I $191.40 I 5% I $9,57
TOTAL SANITARY ADMINISTRATION FEE: 9,57 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00. .11078
Virginia Jurasevich 3/2/2004 TOTAL SDC CHARGES ; $200.97
PREPARED BY DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT"" DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONL V THE NET ADDITIONAL RXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 0 0 3 = 0
IDRINKING FOUNTAIN 0 0 '1 = 0
IFLOOR DRAIN 0 0 3 = 0
IlNTERCEPTORS FOR GREASE 1 OILl SOLIDS 1 ETC 0 0 3 = 0
IlNTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER 1 MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EAt 0 0 6 = 0
IMOBILE HOME PARK TRAP P PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG 1 WATER STATION IETC 0 0 1 = 0
IRECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC, 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0
URINAL. STALL 1 WALL 0 0 5 0
TOILET. PUBLIC INSTALLATION 0 0 6 = 0
TOILET. PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
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-EDU (Equivalent Dwellin~ Unit) is a discharJ,!;e equivalent to a sinJ,!;le family dwelling unit (20 DFU's) set at 167 AAllons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
L YEAR CREDIT RA TE/$ 1,000
ANNEXED ASSESSED V AWE IS LAND ELGlBLE 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 54.95 (Enter 1 for Yes, 2 for No)
1981 $4.88 BASE YEAR 1979
1982 $4,75
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 V AWE 1 1000 CREDIT RATE
1985 54.20 $0,00 X $5,04 ~ , $0,00
1986 S3,88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 53.07 VALUE 11000 CREDIT RATE
1989 S2.60 $0.00 x $5,04 0 I
1990 $2.14 II
1991 $1.71
1992 $1.52 TOTAL MWMC CREDIT = $0,00 I
1993 $1.38 I
1994 $L19
1995 $1.03
1996 $0,87
1997 $0,68
1998 $0.46
1999 $0.27
2000 $0,09
I. 2001 $0,04 I.
Dec-19-01 04:46P
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. P.02
E~CAL PERMlT APPLICATION
. , '
,'Clty Joh Number {oWlZoO'i..:oO I 9'/f
3: COMPLETE FEE SCHl!DUl.E BELOW
225 FIFTH STREIIT
, '. SPRJ!'IGFlELD. OREGON 97477 .
lN~r"" "ON REQUEST: 726.3169 ,
':. ,OfFICE: 726-3759 .
I. LOCATION OF INSTALLA110N ;.. :.'.,
'Z-t 1,,0 H,4y~t:7cf ~(2.J (~G-C
LEGAL DESCRIPTION
170~ Z400
OOLfo-O
A: New Re.Udentinl-Singlc or
Multi.Famlly per dwellin~ unit.
Service Intluded:
llems Cost Sum
JOB DI!;SCRlPTION L-' 1000 sq.l\, or less
AbD Z L.l /2u.A~ 1 S; bmittedhliallh~ SOO
The fO\lOWI~~ t;;~"~~~~:~Ulre spe<itf.lP8fIjIlMion
Pemlits arc non.trllnsfe"lhle'llllll~ lhereof
if work is not staned within H't.Vffii91l. lJ)~ F'n~h Jt."'nnaN HOlDe or
or issuance or irwork is suspended forZonln~ _ ')..;t' -o~ Modulor Dwelling
180 days. Date _ . " ;)ClVlce or Feeder
~ll) .
2. CONTRACTOR INST ALLA'M~eJ\~L9(leture B. Servi.es or Feeders
" ~\ ^ ~ I ..' IDstnllalio1J, Alterations or
E'ectricatc..~._~..rm1) \} L -un ILRelocation:
~ AI \Q~ c...- 200 lIIDJl50Tless ..
City~~hone61l!-~;~t. ~~ ::ia::.
SupeIV..:U~.,::,:,~_ '1!,!-!-!;>~~{:,:.;'; . ,~~~voIts
E."<P1I8IImlDak;_J/> 'dJl, ,4Y,'" .,: "..' ... ' . "
:' . ':".." , , . ,in,-:;d~.'ij'u :,.'':~<'u. C:-:'.T c':"" "r')'.Senri.osGrFftd....
. COnstr Contr. Number / ':LZ"'l1 .2.J:.,.'" :. ;,,:::, , . "JnstalJation, AlteratioD or ReIocatiCDl
'E.<pirationD3;c~.2J'j3 ~::)iS~.0{ " ':',~~~~.'" $50.00
. <"', 'i' .:.':;:2Ql'a!tIJIS1o,400amps _,$69.00
';.:":~i~:iffi;t;'.;~~ciaa ' ''';~abo~:=~;;roo~s= " ~100:~
J:'.:.~;"',.. '" ~HMiV~t!El-TS D. BraacbCiiCiuls -
;~!!:tJ~:o,~ 15( ;~o:~.~'''''' to
',:.,':,'Cit,' S~r-~ ':l'botIo.::.;:..;.~,("\",.nregon\a\lilacit1Addlii"""I,CitcuitOT"ithScrvice ' '7
. :.:; '.. .' :'. ?~~I.~'" . - - tad by t'oiF~~llln, .. ---L S 3.00 ..:.L-
"'.'OWNERDlSTALLAnoNf61i~)WrU\es adop :(de:, ,are'set fort '
, .,' .' . Center Those. '. - -~
,'" ~" n.,;",,' be; --0...... atlon . E. l\i-' ..'" 'm~~'" '''-'-~-
,.,'.....___1$ ag~llI\lC 0 ,."...~ .....\J. ..'a;uL~notlnclod"')
,. .:'tIlpCIl;yloWnwbichisDOl....~~ i...1,952-001-O lUlI"':'v_&chiDsQIlatiOlts L '
. P, " ". " ' bt 'n COri"'''' ,., -"". . .
" "lOrsale,'Iease'or RDl OOQ!1 You may 0 al . PIijiIp"OT'. ,:".,,~ ,,' e SSO.OO'
, ',"'u','. ter. (Not~oi&'i:i8!!ii $SO.OO
':',;,0',00, ,en Signature: ,'9al,l\ns' ~he cen Oregon 'iiiiliii..ft.;:;:~~~. $25,00
"~i.JrnQ-sr;;~~ ~~~;~ 1_R('I('I:'UIJ,UtUlEDCtgy/Comm $45,00
SI06.00
SI9,OO
$ SO.OO
563.00
. , S 15.00
$125,00
-----: 5163.00 ~
5315.00
$ 50.00
NOTICE: " " ",
THis PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMiT IS NOT
COMMENCED OR IS ABANDONED fOR' . '
ANY 180 DAY PERIOD.
" .
lI-1iDinnim Electrle Pcnnlt IOspetliDO Fcc i. S4S.0Q + Surcharge.
4. SUBTOTAL OF ABOVE 4 b
7% Stat. Surcharge '";?2:Zi.J-<!r
8% AdmioistMl!h'c Fee tJ 60
nrr~ 53~L