HomeMy WebLinkAboutPermit Building 2002-11-04Buildin g/C ombination Permit
Status: Issued
225 Fifth Street Springfield, OR
541:726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
SITE ADDRESS: 1610 KELLOGG RD
ASSESSOR'S PARCEL NO. : 17 03342200918
PERMIT NO: COM2002-01212ISSUED: 1110412002
APPLIEDz 1011412002E)PIRESz 05/0412003VALUE: $ 4,312.00
Springfield TYPE OF
TYPE OF USE:
Garage
Addition
PROJECT DESCRIPTION: Add Bay to Existing Two Car Garage
Expiration Date
02n4t2006
10t04/2003
Residential
Phone
541-343-4396
54t-741-1499
Owner:
Address:
FONDREN ROBERT B & LOIS M
1610 KELLOGG RD SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Owner
Contractor
MOIR CONSTRUCTION
EASTSIDE ELECTRIC INC
FONDREN ROBERT B & LOIS M
License
41570
r17770
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group :
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
RearTard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of
Type of
Water
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Im pervious Surface Area:
10,916
u-1
VNSpr
220
I
F
.r(\
27.00
10.00
86.00
86.00
Fully Improved
Yes
Connect new roof drain to
o/o of Lot Coverage:
s
PARIilNG
Type
ratns
existing roof drain
Notes:
Description Type of Construction $ Per Sq Ft Square Footage
1of 3
Value Date Calculated
r
,!
I
€fc
Paved Rqd:
Valuation Descrintion I
Status: Issued
225 Fifth Streef SpringfieH, OR
541:726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
FIELD
Buildin g/C ombination Permit
PERMIT NO: COM2002-01212ISSUED: 1110412002APPLIED: 1011412002E)PIRFS: 05/0412003VALIIE: $ 4,312.00
Garage Garage
Fee Description
PIan Review Residential
+ 7oh State Surcharge
+ 87o Administrative Fee
SDC Sanitary/Storm Admin
Storm Sewer - lst 50 Feet
PIan Review - Planning
Building Permit
Storm Drainage Impervious Area
Total Amount
Total Fees Paid Prior to 9130102
$19.60 220.00
Total Value of Project
Amount Paid Date
$4,312.00
$4,312.00
r011412002
Received By
$44.46
$7.94
$9.07
$13.99
$4s.00
$55.00
$68.40
$279.89
$523.75
t0lt4l02
tu4t02
tu4l02
tU4t02
tu4t02
tu4t02
tu4t02
tu4t02
Receipt Number
1200200000000000059
1200200000000000r87
1200200000000000187
1200200000000000187
1200200000000000187
1200200000000000187
1200200000000000187
1200200000000000187
llh
Ih
llh
ilh
llh
llh
llh
llh
F ees Paid
Plan Reviews
lnitial Review
Planning Review
Public Works Review
Structural Review
10n5t2002
10fi5t2002
10n5t2002
10fi't2002
10n512002
10t23t2002
t0t30t2002
LLH
EMM
DPE
TCM
APP
APP
OK
APP
See enclosed survey letter due to
minimum street side yard setback.
To Request an inspection call the24 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 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Shear Wall Nailing: Before covering sheathing with finish materials.
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
5 Final Building: After all required inspections have been requested and approved and the building is complete.6 Storm Sewer Line: Prior to filling trench.
Renrrired Incnecfinns
2of3
Status: Issued
225 Fifth Streef Springfield, OR
541-726-3753 Phone
541-726-K76 Fax
541-726-37 69 Inspection Line
CITY OF
Building/C ombination Permit
PERMIT NO: COM2002-01212ISSUED: 1110412002APPLIED: 1011412002E)GIRES: 05/0412003VALUE: $ 4,312.00
By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 certiff 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
the street, that the permit card is located at the front
at all times during construction.
-. .\-)
are requested at the proper time, that each address is readable from
of the property, and the approved set plans main on the site
L
Owner or Contractors Signature Date
3 of 3
- CITY OF SPRINGFII SYSTEMS DEVELOPMENT CH, ;E WORKSHEET
JOURNAL OR JOB NUMBER: COM2002-0I212
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING LTNITS
Robert & Lois Fondren
1610 Kellogg Road
17 -03-34-22-00918
SINGLE FAMILY RESIDENCE
0 BUILDING SIZE: 1646 SF LOT SIZE: 10961 SF
aI!
(-)
r!Fa
or!&
070
091
092
1
I
093
094
I 055
I 056
079
078
IMPERVIOUS S.F COST PER S.F DISCOUNT RATE
0.00 s0.282 50%$0.00
IMPERVIOUS S.F
992.50
COST PER S.F
$0.282 $279.89
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
79.89ITEM 1 TOTAL - STORM DRAINAGE SDC
DFU's
0 16.79 $0.00
NUMBER OF DFU's
0
COST PER DFU
$22.09 $0.00
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
$0.00ITEM 2 TOTAL - CITY SANITARY SEWER SDC
ADTTRIPRATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
9 0 $74 7 1.00 $0.00
ADT TRIP RATE
9.57
NUMBER OF TINITS
0
COST PER TzuP
$ 16.81
NEW TRIP FACTOR
1.00 $0.00
B. IMPROVEMENT COST:
x x x
x x x
A. REIMBURSEMENT COST:
ITEM 3 TOTAL - TRANSPORTATION SDC
$0.00
s0.00
NUMBER OF FEU's
0
COST PER FEU
$332.86 $0.00
NUMBER OF FEU'S
0
COST PER FEU
$34.83
AL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
$0.00
($3 r 7.38)
B.IMPROVEMENT COST:
x
x
SUBTOT
_lMWMC ADMINISTRATIVE FEE
A. REIMBURSEMENT COST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL SANITARY4ITEMMWMC SEWER SDC $0.00
SUBTOTAL ITEMS 1(ADD &3 4))79.89
SUBTOTAL
$279.89
ADM FEE RATE
5%$13.99
13.99
x
TRATION FEETOTAL TRANSPORT ATION ADMINIS
TOTAL SANITARY ADMINISTRATION FEE:
$293.88
tlr//&Tui,l;"r-
SDC COORDINATOR
r0t23/2002 TOTAL SDC CHARGESDATE
1
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITS(#NEW - #OLD )x I.INIT
EQUIVALENTFIXTURE TYPE
BATHTUB
DRINKINC FOUNTATN
FLOOR DRAIN
TNTERCEPTORS FOR GREESETOII- AO.IOS IETC.
INTERCEPTORS FOR SAND / AUTO WASH IETE.
LATINDRY TUB
CLOTHESWASHER T IAOF STNT
CLOTHESWI,SJTEB l oR \4oBE (EAI
MOBILE HOME PARK.TRAP (I PERTRAILER)
RECEPTOR FOR REFRIG / WATER STATION IETC,
RECEPTOR FOR COM. SINK / OISUWESHCN Z C1C.
sHowE& G4\G OIrA4B!R OLHE4D!)
SINK: COMMERCIAL/RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
WASH BASIN
LAV4TORY
UB]Y,L, STALL / WALL
TOILET, PUBLIC INSTALIE TON
TOTLET. PzuvATE TNST4LLATLO[
MISCELLANEOUS DFU TYPE NUMBER Or EnUls*
(0 0 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J 0
0 0 1 0
0 0 3 0
0 0 J 0
0 0 6 0
0 0 2 0
0 0 3 0
0 0 6 0
0 0 t2 0
0 0 I 0
0 0 3 0
0 0 2 0
0 0 2 0
0 0 J 0
0 0 2 0
0 0 1 0
0 0 2 0
0 0 I 0
0 0 5 0
0 0 6 0
0 0 3 0
( 0 - 0 )x 20 0
TOTAL DRAINAGE FIXTURE UNITS :
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
0
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$317.38
AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$85.78
$231.6r
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I 979 OR BEFORE
I 980
l 981
i s82
1 983
1 984
I 985
I 986
tgs7
lt88
I 989
$4.83
$4.n
$4.54
$4A7
s4.30
s+.os
$3J8
$3.41
szq8
{zn
-1991
1992
tss3
1994
1995
19%
reei
t qs8
lsss
2000
$1.64
$1.45
$131
sr. i:
_ r_-
$0.82i4-
- tolt
$0.22
$0.04
TOTAL 1VTWMC CREDIT :
x
112.430 x $2.06
IF IMPROVEMENTS OCCURRED
VALUE / 1OOO
41.640
CREDIT RATE
$2.06