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Home My WebLink AboutPermit Building 2004-4-5 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '. .- CITY OF SPRIN\Jt< U<_LD Building/Combination Permit PERMIT NO: COM2004-00237 ISSUED: 04/05/2004 APPLIED: 03/02/2004 EXPIRES: 10/05/2004 VALUE: $ 53,222.DO SITE ADDRESS: 4497 IVY ST ASSESSOR'S PARCEL NO.: 1802052401300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition to existing SFR Owner: CANDY LITLE Address: 4497 IVY ST SPRINGFIELD OR 97478 Contractor License MIKE BLANKENSHIP CORP 78966 G MILLER ENTERPRISES INC 8.(045 JUNG ENTERPRISES INC _\0~4Ss DOUGS PLUMBING INC ,(0'" ~1-)O~li'3~~ ~~~ w." ..'"' ;V '" I BUILDING INllgRM'~"rm&'f 0'" ,'l>" 1(:00 ~0~~..t- \~ ~0 # of ~~~i'\l 0 \-S 1(:00 '/.. '$-0 ~~o ~o~ Lot Size: R-3 ~~tJt:~!J''iic~0'" 0 ,-~0 ~~ Sq Ft 1st Floor: ,O~Y<!lb%& ~ee:~' o~~ . '$-'\W~ ~at Sq Ft 2nd Floor: VN ~'" 0,~atel<er.v~:.~ v 0,-0' ~~ r>J Sq Ft Basement: ~<() \~ ~li~~'l!\if~~~.~ ~v ~'l:r'(; Sq Ft Garage/Carport '?- ~o~ ~1'll' ~"'a~{b 0~OC'C'!?,> Path I Sq Ft Other: ,0 ~'" 5?- OJ,,) 0,,00 0" ~9' Impervious Surface Area: ,,0 ~ _In ~'tN. ~'("l; .'" \' ":.f. I-DF~eWf~E-NT,INFORMATION I - v',J.J. REQUIRED PARKING 8~erlay Dist: ~\)~\ # Street Trees Rqd: &: '\~~ {;> ~\) Paved Drive Rqd: {?~~ \~~~ ...\)~ % of Lot Coverage~\, ~ ~S ~ R:I~"'O r". ..-< S~;f'x.~ ".Q.~~<;J e ~"'.. -':.... ~:\.. . , , I PUBL,l~eIJO\{~fE\'I,'l'S"R:I~' -<~\- ~\' ('~" 0'(,\'J. . Fullv Improved '~Y:,'\~ ~~~"~~ ' S,dewalk Type: c.\)~ "ro'\:) DownspoutslDrains: According to Ms. Litl, storm to ~-dting outfalls to street Contractor Type Generai' Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-746-0198 I CONTRACTOR INFORMATION I Expiration Date 0110912006 11/1012004 10/0412004 11/24/2005 Phone 541-746-0194 541-741-2596 541-741-0002 541-688-3385 576 12.00 Total: Handicapped: Compact: 19,00 0.00 Paee I of3 '. 'rlllt:6.~~~~~~' '""-,,~". , ' ",.;:---A!: ~i ".," '.....~""_~""",,~,,"', ~.,,' r Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe or Construction V Wood Frame Dwellin!!s Fee Description Plan Review Residential -Mechanicallssnance Fee-- + 10% Administrative Fee + 7% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture MinimumlAdjustment Mechanical Plan Review - Planning Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Vent Fan Total Amount Paid . CITY OF SPRINGFIELD Building/Com bination Permit PERMIT NO: COM2004-00237 ISSUED: 04/05/2004 APPLIED: 03/02/2004 EXPIRES: 10105/2004 VALUE: $ 53,222.00 I Valuation Descrintion I $ Per Sq Ft or multiplier $92.40 Square Footage or Bid Amount 576.00 Value Date Calculated Total Value or Project $53,222.40 $53,222.40 03/0212004 Fpp<. PiilLI Amount Paid Date Paid Receipt Number 1200400000000000260 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 1200400000000000433 $251.06 $10,00 $53.63 $37.54 $43.00 $6.00 $386.25 $56.00 $39.00 $71.00 $154.89 $203.76 $27.68 $194.88 $6.00 3/2/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5/04 4/5104 4/5/04 $1,540.69 I Plan Reviews I Initial Review 03/03/2004 03/03/2004 APP LLH Plannine Review 03/03/2004 03/1912004 APP TAJ No cooking racilities arc to be added. This is not approved ror a second unit. Public Works Review 03/0312004 03/1 012004 APP VRJ According to Ms. Litle, storm drainage to tie into existing and outrallto street. Structural Review 03/0312004 03/30/2004 APP RJB Have engineering report on record. 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. Pa!!e 2 or3 . . CITY OF ~rKlJ~tJl'lt<.,LD Building/Combination Permit Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2004-00237 ISSUED: 04/05/2004 APPLIED: 03/02/2004 EXPIRES: 10/0512004 VALUE: $ 53,222.00 I Reouired Insnedions I I Erosion/Grading Inspection: After all erosion measures are in place, 2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 3 Footing: After trenches are excavated. 4 Foundation: After forms are erected but prior to concrete placement. 5 Post and Beam: Prior to tloor insulation or decking. 6 Floor Insulation: Prior to decking. 7 Shear Wall Nailing: Before covering sheathing with finish materials. 8 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 9 Wall Insulation: Prior to cover. 10 Ceiling Insulation: Prior to cover. II Drywall: Prior to taping. 12 Final Building: After all required inspections have been requested and approved and the building is complete. 13 Undertloor Plumbing: Prior to insulation or decking. 14 Rough Plumbing: Prior to cover and including required testing, 15 Water Line: Prior to filling trench and including required testing. 16 Sanitary Sewer Line: Prior to filling trench and including required testing. 17 Storm Sewer Line: Prior to filling trench. 18 Final Plumbing: When all plumbing work is complete. 19 Undertloor Mechanical. Prior to insulation or decking and including required testing. 20 Rough Mechanical: Prior to Cover 21 Final Mechanical: When all mechanical work is complete. 22 Rough Electric: Prior to Cover 23 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 Ihal 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 Ihis project. I further agree to ensure that all required inspections are requested at the proper lime, that each address is readable from the street, that the permit card is 107at at the front of the property, and the approved set or plans will remain on the site at all ".. '"ri., "~[:;1 V Lf r/ '( Owner or Contractors Signature Date Paee 3 of3 '. ~; .. of Springfield Official Receipt .velopment Services Department Public Works Department 2~5 Fifth Street , S'pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 , COM2004-00237 COM2004-00237 COM2004-00237 COM2004-00237 RECEIPT #: 1200400000000000433 Date: 04/05/2004 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC SanitarylStorm Admin Plan Review - Planning Building Permit Fixture Vent Fan -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee Payments: Type or Payment Paid By Check MIKE BLANKENSHIP Item Total: Check Number Authorization Received By Batch Number Number How Received djb 8845 In Person Payment Total: &/.<:;I?nfl.d P~np 1 nf 1 10:06:5IAM Amount Due 43,00 6,00 194,88 203,76 154,89 27,68 71.00 386,25 56,00 6.00 10,00 39,00 37,54 53,63 $1,289.63 Amount Paid $1,289,63 $1,289.63 \Q'- fO'" -1$'0 b" '1>" \'1><.' , .~'~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~\'I>~~O\~'~ ..~.. -"J ELECTRICAL PERMIT APPLICATION, ~<i-"'~"''' ~ ,~'8~~~ , City Job Number , luate .,..'0,...~' ~" ~"..,'<I-<I/i., ";~''''''' 11,'<1'--- 0 3. g~Q~{PigTEI:i!i~~'f;r(i(r:rj~1i&~1i:~ - . -.... --- ....:~0 --;'0. ._~" . Q?; _ ~,1,: A. ~~N~~\rit~~~~~;tj~!i~si'~~I~~~:f'~itirti~.~;,~~f?6t~~fi.!ti:~~'~'~i~ry~:-J. l......~_~..."""""'__,.....__~\~...-...;~~.....~__...':;V;f<I:I~-l....~..."""'___.....,... _._.._-""....;..# 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75,00 401 Amps to 600 Amps'. $125,00 601 Amps to 1000 Amps $163,00 Phone ''7'-//- 25'9(, Over 1000 AmpsNolts ?" $375,00 Reconnect Only If i\-le '1'JD ';': $ 50,00 "'01\Cf."~AA\;:,"-t.~;IffiW\\1-'~S \'IV.:', , ) .'_"," .."',," '~' " c rP!:l'!JIiemporarv,S-..t,Vll:"s'll[iF~Y ~ 'C -;::, ..~~~ ""'t!'''''',,,, \-II" r c:n~"t~I:l\'4\7{,"~D\)"""V- _ ,,- n ',-~-..." ""'" , - "0"'111'. p. I~~'O~ fI,\.l \ p,,\.!ns~ia~ll~ teration or Relocation OM"''-'' ~,,-.J OF \). e :1 \,~,Qp~p~ or ess. $ 50,00 ~\'4 201 Amps to 400 Amps $ 69,00 40 I Amps to 600 Amps $100,00 O,:,~_~OO Amps or 1000 Volts see "B~~:: . tr: T"""." ,.-.-r;-~_-.~." . ""'.'~;," ,~j"."";_,,,~...'" " ',1 D. fL~r~nch:~.)r.~~Jt~,~il '... '. ..'y ;.,:' c " ~xti'_ ,~, 'l.:,;{ \, " :^~';"_ t:f1 D~:("J:~'~i...t'\'1":,",:,"",~,"""~;'P;>t:-:.-""i ,__ ,_..-,..._~,:,-" ).~;".'{ 1. Ll-e.&J-!JPf;,E1.fJ.1'fS.!A~b1.TIQN:;,'f.~,' '&'1 44a1 ~\I\\ ~-trept LEGAL DESCRIPTION () t <j<l1l.D5?_4 0\?iY) JOB DESCRIPTION , QooidurlioQ..~~ Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ,~.~ ,y""-n 2, ~o~p;~,~.f;t9&1I{P~;9E-it'l Electrical Contractor G e rOo -rd. 'eEl c:.c::r-- g", Rcl Address c:3 ~ 5 <{ iIo.-'f d. ~ City Sp+ I cI. . Supervisor License Number .3 {," 51 S' Expiration Date, /0 "1 - D <.( Constr, Contr, Number go 7 I 4 ::; Expiration Date 11- /6 - 0 <-f Signature of Supervising Electrician Service Included 1000 sq, ft, or less Each additional 500 sq, ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19,00 $50,00 ~~-' , '~'--.,~...........,.,..,...~~-.. B. ! ~s;F~{i'c~s';o;~'. F e~(I~';s ';? ihtttilla ii~rt;~Wt'~'a'tioris~o~~R:~lo~.i tio~;.;'.ii .~. 'i...:..,...1-.....(..tt.:.iL...:.:.~ ";, '+h..",'" ''A?-oI".. "-~.W""",.t..:-"'~.;~..:::,:~~ " , , New Alteration or Extensio'ls~rn~ r\ A II ;"V) /-t ~ ~ One Circ~tegon laW reqUI go Uf I\':! $ 43,00 ~ yv CJ . I . I \ '\\n~t~4'aIi)A-ti&lliO{Wijy:~ru~re s~on I - 00 ~ 't1\rl1. ,..,. ?s~ic@6'rql):ean-l.:%ll1itUleS ~ $ 3,00 U'. Owners Name (\, li 0 ..L \O~~~~~i~fl~9~p\~'\o,t"r~!,l9~P~~e'ru\ei;~l".""" ','",-' .'1 Address A-'\C\"1 ~ tJ u, ." -\r.9" r \0 ~p.\={ ~~8!~lf~~~\:LS$QYiiJeff~U\~i~~b\J!f\lYde~)t,..Ea-Ch!n~J~lIa.t@,1 ~ Y. ft..L (\ In YoU IT\ay u . t\'lot6:\\ie 'tlcatiOn City t\" U,.yho~ l<\t~f)-aAi090. PU(l'Prfl! ;m~!l~h on U\i".'.\':!. \'lotI $ 50,00 , \ cal~~RI\llli\&'e~~~itI_~",?-?34"'. $ 50,00 OWNER INST ALLA nON numLimited -Eri'ergylResidential $ 25,00 Limited Energy/Commercial $ 45,00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges h~....f"-N--:-C~7.' _ '. . _ ., _ , ,; ,~",~, 1 ~~. . 4, r-SUBTOTAL OF.ABOVE:"'.,,, 1-',....,:c'N_._:>'.,'~~.:...:.:_.I; . -- :'.~. .: ,: ".,'. 7% State Surcharge 10% Administrative Fee "i'., \~ .A Iq aJ '.' .e':l . ~.~'2r Df) . ~~ TOTAL Shared Drive(T:VBuilding FonnslElectrical Permit Application 1-03,doc .,,'. . CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN~ORKSHEET JOURNAL OR JOB NUMBER: Com2004-00237 NAME OR COMPANY: Candy Litle LOCATION: 44971yy Street TAX LOT NUMBER: 18020524 tI 1300 DEVELOPMENT TYPE: SFD Addition NEW DWELLING UNITS 0 ' BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUSS,F, ,I COSTPERS,F, I I CHARGE I 672,00 I $0,290 = I $194,88 I 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 I DISCOUNT I 0,00 I $0,290 I 50% I = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $194.88 o ~ !~ CIl G .~ J $194.88 11070 2, SANITARY SEWER, CITY A, REIMBURSEMENT COST: I NUMBER OF DFU's I ' I COST PER DFU I 9 I $22,64 = $203.76 1091 B. IMPROVEMENT COST: I I NUMBER OF DFU's I , COST PER DFU I 9 $17,21 $154,89 11092 ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , $358.65 I 3, TRANSPORTATION A, REIMBURSEMENT COST: I ADTTRIPRATE I ' I NUMBER OF UNITS I ' I COST PER TRIP , INEW TRIP FACTORI I 9,57 I 0 I $17,23 I 1.00 I $0.00 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I ' I NUMBER OF UNITS I ' I COST PER TRIP , INEW TRIP FACTOJ I 9.57 I 0 I $76,01 I 1.00 $0,00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 4, SANITARY SEWER, MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I ' ICOST PER FEU I 0 I $314,63 = $0.00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I ' ICOST PER FEU I 0 I $214,23 = $0,00 t055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0,00 1054 MWMC ADMINISTRATIVE FEE $0,00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SO< = , $0,00 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , $553.53 5, ADMINISTRATIVE FEE: ISUBTOTAL I , I ADM, FEE RATE 1= CHARGE I $553,53 I 5% I $27,68 TOTAL SANITARY ADMINISTRATION FEE: 27,68 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 J 1078 Virginia Jurasevich 3/] 0/2004 TOTAL SDC CHARGES = , $581.2] PREPARED BY DATE , . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES, UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS IBATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IiNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRfG / WATER STATION / ETC, 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LA V ATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INST ALLA TION 1 0 3 = 3 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 9 :1 'EDU (Equivalent DwellinJ!; Unit) is a discharRe equivalent to a sincle familvdwellin,g unit (20 DRJ's) set at 167 ~lIons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$ I ,000 I l ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT! 0 BEFORE 1979 $5.04 (Enler I for Yes, 2 for No) 1979 $5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT! 0 1980 $4,95 (Enter I for Yes, 2 for No) I 1981 $4,88 BASE YEAR 1979 1982 $4,75 I I 1983 $4,58 II CREDIT FOR LAND (IF APPLICABLE) 1984 $4.41 VALUE / 1000 CREDIT RATE 1985 $4.20 $0,00 X $5,04 ~ I $0,00 1986 $3,88 I 1987 $3,50 I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3,07 I VALUE / 1000 CREDIT RATE 1989 $2,60 I $0,00 x $5,04 0 1990 $2.14 I 1991 $1.71 I 1992 $1.52 I TOTAL MWMC CREDIT = ,$0,00 1993 $1.38 I 1994 $1.19 I 1995 $1.03 I 1996 $0,87 I 1997 $0,68 I 1998 $0.46 I " 1999 $0,27 ' ' .:) ..!~ 2000 $0,09 L 2001 $0,04 II