HomeMy WebLinkAboutPermit Building 2008-5-23
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00544
ISSUED: OS/23/2008
APPLIED: 04/18/2008
EXPIRES: 11/23/2008
VALUE: $ 61,500.00
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 2746 BURLINGTON AVE
ASSESSOR'S PARCEL NO 1703244103021
Sprmgfield TYPE OF WORK Bedroom
PROJECT DESCRIPTION. Residential Bedroom and Bath Addition
TYPE OF USE. AdditIOn
Residential
Owner' BODENHAMER SEAN
Address. 2746 BURLINGTON AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electncal
Mechamcal
Plumbmg
Contractor
BRANDON JARED HUFFMAN
HARDING ELECTRIC INC
SUNSET HEATING & AIR INC
RS PLUMBING CONTRACTING
License
140510
132089
171706
103816
BUILDING INFORMATION.
# of U mts # of Stones 1
Pnmary Occupancy Group R-3 Height of Structure 15 00
Secondary Occupancy Group. Type of Heat orced Air Electnc
Pnmary ConstructIOn Type VB Water Type.
Secondary ConstructIOn Type Range Type
# of Bedrooms Energy Path. Path 1
Al I crlT10N: Oregon law reqU.i){~Ul&aBUlldmg No
fnllnw rill... .rlnptatt '" tha OrAgnn I Itihty
Notification Center. Thofi~l!KWM:I!NlPtNFORMA TION .
In OAR 952-o01-o010thr'eu~l, 5Afi ':'DL t':'l '
0090. You may obtain copIes of the rules by
Frontyard Setback calling the center. (Note: the \@~ISt Urban Fnnge
Side 1 Setback number for the CfSr"on Utility t#diKtee.ti1~es Rqd.
Side 2 Setback Center Is 1-800-332-234lijYed Dnve Rqd
Rearyard Setback' % of Lot Coverage
Solar Setbacks 7.50
I PUBLIC IMPROVEMENTS'
Street Improvements'
Storm Sewer A vadable.
SpeCial InstructIOn
Phone Number 541-510-2977
Expiration Date
01106/2009
02/0112010
08/17/2008
01104/2010
Phone
541-510-2977
541-688-5006
541-988-3181
541-461-4714
Lot Size 8,276
Sq Ft 1st Floor 504
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load.
REQUIRED PARKING
Total
Handicapped.
Compact
Sidewalk Type
Downspouts/Drams'
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Notes On Septic/storm to eXlstmg system
Pa!!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00544
ISSUED: OS/23/2008
APPLIED: 04/18/2008
EXPIRES: 11/23/2008
VALUE: $ 61,500.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
I Valuation Description I
Dwelhn2:s
Gara2:e Conver
V Wood Frame
Gara2:e
$ Per Sq Ft
or multIpher
$10500
$7800
Square Footage
or Bid Amount
504 00
110.00
Value
Date Calculated
DeSCriptIOn
Tvpe of Construction
Total Value of Project
$52,920 00
$8,580 00
$61,50000
04/18/2008
OS/22/2008
~
Fee DeSCription Amount Paid Date PaId ReceIpt Number
Plan ReVIew ReSIdential $273 79 4/18/08 1200800000000000376
-Mech Iss 2+ Apphances- $40 00 5/23/08 1200800000000000549
+ 10% AdmmlstratIve Fee $68 10 5/23/08 1200800000000000549
+ 12% State Surcharge $78 70 5/23/08 1200800000000000549
+ 5% Technology Fee $38 59 5/23/08 1200800000000000549
BUlldmg PermIt $459.82 5/23/08 1200800000000000549
Dryer Vent $700 5/23/08 1200800000000000549
Fire SF Fee - ReSIdential $25 20 5/23/08 1200800000000000549
Fixture $96.00 5/23/08 1200800000000000549
Furnace - up to 100,000 btu $14.00 5/23/08 1200800000000000549
Mmlmum/AdJustment Mechamcal $22 00 5/23/08 1200800000000000549
Plan ReView Mmor - Plannmg $11600 5/23/08 1200800000000000549
Plan ReView ReSidential $25 09 5/23/08 1200800000000000549
Samtary Sewer - 1st 50 Feet $50.00 5/23/08 1200800000000000549
SDC Samtary/Storm Admm $872 5/23/08 1200800000000000549
Storm Dramage ImperviOus Area $17439 5/23/08 1200800000000000549
Vent Fan $700 5/23/08 1200800000000000549
Total Amount Paid $1,50440
I Plan ReVIews I
ImtIal ReView 04/18/2008 04/18/2008 APP LLH
Pubhc Works ReView 04/18/2008 04/22/2008 APP LKW Storm water to eXlstmg system on
septic
Planmn2: ReView 04/18/2008 05/01/2008 APP TAJ
Structural ReView 04/18/2008 OS/22/2008 APP DLM See documents for Plan review
comments
Pa2:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00544
ISSUED: OS/23/2008
APPLIED: 04/18/2008
EXPIRES: 11/23/2008
VALUE: $ 61,500.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
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.
l....Reouire<Unsnections I
Ufer Electrical Ground. Install ground rod at footmg and call for mspectIon m conjunction with footmg and/or
foundation mspectIon.
Footmg After trenches are excavated.
Foundation After forms are erected but prior to concrete placement
Post and Beam Prior to floor msulatlOn or deckmg
Floor InsulatIOn Prior to deckmg
Frammg Inspection Prior to cover and after all rough m mspectlOns have been approved
Wall Insulation Prior to cover
Cedmg Insulation' Prior to cover
Drywall Prior to tapmg.
Hold Downs Installed Special Inspection performed prior to placement of concrete. PrOVide report to City
BUlldmg Inspector
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUIld 109 IS complete
Underfloor Dram Prior to cover or placement of concrete
Underfloor Plumbmg. Prior to msulatIon or deckmg
Rough Plumbmg Prior to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
Lme to Septic Tank Prior to fillIng trench and reqUIred testmg
Underfloor Mechamcal Prior to msulatIon or deckmg and mcludmg reqUIred testmg
Rough Mechamcal Prior to Cover
Fmal Mechamcal When all mechamcal work IS complete
ElectriC Service Approval reqUIred prior to utilIty company energlzmg service
Rough ElectriC Prior to Cover
Fmal ElectriC' When all electrical work IS complete.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00544
ISSUED: OS/23/2008
APPLIED: 04/18/2008
EXPIRES: 11/23/2008
VALUE: $ 61,500.00
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance wIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure wIthout permIssIon of the CommuDIty ServIces DIVIsIOn, BuIldmg Safety
I further certIfy that only contractors and employees who are m complIance wIth ORS 701 005 wIll be used on thIs project
I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each address IS readable from the
~3~o:d ~ loeated at the front of the property, and the app;~:;~ans woll remam on the ,," at all
Own~r 0/ ~tractors SIgnature Da{e f
Pae:e 4 of 4
Septic System Responsibility Form
Date S/a3/of>
I /
Property Owner ~(}./\
d/ '1m BrH'1 ~.
Spl I~ ~1.e r cI {j K
Twnshp 11 ,Range fY:S ,Section ?t/, ~ Section LI/ , Tax Lot 630~1
SIte Address
St> den htfM eI
Av~
q7i/7FJ
I certIfy that I have personally mvestIgated the eXIstmg sewage dIsposal system on the above referenced property and
have Identified the exact location of all parts of the septic system, mc1udmg the
eJ Septic tank
~/Distnbution box or drop boxes
1rI Drainfield lines associated treatment units (e.g. sand nIter, and future septIc system replacement area)
The attached plot plan IS an accurate representation of the locatIOn of the septic system, eXIstmg structure(s) and proposed
structure(s) on the property, and, I have venfied that the proposed development meets all rmrumum setback requrrements
from the eXIstmg septic system and the future system replacement area (OAR 340-71-220 Table I), mc1udmg, but hrmted
to
~ 10-foot separation distance from foundation lines to drainfield
~ 5-feet separation from foundation lines to septic tank
I further certIfy that I have, to the best of my abIhtIes, thorougWy mspected the septic system and found no eVIdence of
any fallure The system appears to be functIomn atlsta manner at tills time
...-"
~
~ -:::;::..---:>
(pfoDertv~r Authonzed AllenO
SIGNATURE
Pnnted Name S(""Ov') r~() den 110m eJ
Address d. 7'1& SUtlfu4-dV\ /J...1I~ 5' RC\JO
iJ 05-23-08 A08
5r~(:hf1 all. C11tl1~
Lane County Land Management Division
On-SIte Sewage Program
125 East 8th Avenue
Eugene OR 97401
H \\LMD\SANITATION\FORMS\Owner ResponsIbIlity form ORF doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00544
NAME OR COMPANY Bodenhamer
LOCATION 2746 Burlmgton
TAX LOT NUMBER 1703244103021
DEVELOPMENT TYPE Smgle FamIly ResIdence
NEW DWELLING UNITS 0 BUILDING SIZE (SF 504 LOT SIZE (SF)
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S F x I COST PER S F CHARGE
504 00 I $0 346 I = I $174 39
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S F x COST PER S F x DISCOUNT RATE I DISCOUNT
I 0 00 $0 346 50% I $0 00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - CITY
A REIMBURSEMENT COST
NUMBER OF DFD's x
o
$174 39
COST PER DFU
$26 83
B IMPROVEMENT COST
I NUMBER OF DFD's x
I 0
COST PER DFU
$20 40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
$000
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT TRIP RATE x NUMBER OF UNITS x
I 957 0
COST PER TRIP
2043
x I NEW TRIP FACTOR
I 100
B IMPROVEMENT COST
ADT TRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP
9 57 I I 0 I $90 10
ITEM 3 TOTAL - TRANSPORT A nON SDC = / $000
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's I
I 0 I
x INEW TRIP FACTOR
I 100
x
COST PER FEU
$95 35
B IMPROVEMENT COST
INUMBER OF FEU's
I 0
x
I COST PER FEU
I $99039
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
= /
=/
$000
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRATIVE FEE
I SUBTOTAL x I ADM FEE RATE
I $17439 I 5%
TOTAL SANITARY ADMINISTRATION FEE
TOTAL TRANSPORTATION ADMINISTRATION FEE
$17439
CHARGE
$872
Kaye Wilson
4/22/2008
TOTAL SDC CHARGES
PREPARED BY
DATE
8726
$17439
$000
$000
$000
$000
=
$000
=
$000
$000
$000
872
$000
=,
$183.11
r/J
~
Q
o
U
~
~
t-<
r/J
.......
o
gz
1070
I'
1091
1092
I'
1093
1094
1054
1055
1054
1056
I
I
I
II
11079
11078
I
]1
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTIJRES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRA BFI{) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
ISINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASHBASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / 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
*EDU (EqUIvalent Dwellmg Umt) IS a d1scharge eqUIvalent to a smgle falmly dwelling umt (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RA TE/$1 ,000
ASSESSED VALUE
$529
$529
$519
$512
$4 98
$4 80
$463
$440
$407
$367
$322
$273
$225
$180
$1 59
$145
$125
$109
$092
$072
$048
$028
$009
$005
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
= ,
$000
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0 00 x $5 29
o
TOTAL MWMC CREDIT
$000
=
225 Fifth Street
,
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
COM2008-00544
Payments
Type of Payment
Check
c RecelOt 1
RECEIPT #:
1200800000000000549
Date: OS/23/2008
DescriptIOn
Fire SF Fee - ResidentIal
Storm Dramage ImpervIOus Area
SDC SanItary/Storm Admm
Plan Review Mmor - PlannIng
Plan Review Residential
BUlldmg Permit
FIxture
SanItary Sewer - 1st 50 Feet
Furnace - up to 100,000 btu
Dryer Vent
-Mech Iss 2+ Apphances-
Vent Fan
Mmlmum/ Adjustment Mechamcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
Paid By
BRANDON JARED HUFFMAN
CONSTR
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
1132
In Person
Payment Total
Page I of 1
8 52 40AM
Amount Due
2520
174 39
872
116 00
2509
459 82
96 00
5000
1400
700
4000
700
2200
3859
78 70
68 10
$1,23061
Amount Paid
$1,23061
$1,23061
5/23/2008