HomeMy WebLinkAboutPermit Building 2005-10-11Building/Combination Permit
Status Issued
225 Fifth Streel Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01222ISSUED: 10/11/2005APPLIEDz 0910712005
EXPIRESz 0411112006VALUE: $ 8,000.00
SITE ADDRESS: 473 SPRINGDALE AVE
ASSESSOR'S PARCEL NO.: 1703224204600
PROJECTDESCRIPTION: Workshop
Springfield TYPE OF WORK: Shop
TYPE OF USE: New Residential
PhoneNumber: 541-953-1195Owner:
Address:
JAMES NICHOLS
473 SPRINGDALE AVE
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
METAL CLAI)
Expiration Date
tut7t2006
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
torth
952-001'
the rules bY
telePhone
Noti{ication
-2344).
Sprinkled Building:nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
t
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
Phone
541-895-2786
Drywell - Provide
Dryrvell Engineering
tollow
VN
number
5.00
s.00
Fullv Improved
No
REQUIRED PARJSNG
Total:
Handicapped:
Compact:
rr lpr
Notes: UGB Storm drainage to dryrvell g/9/200S CAS
Street Improvements:
Storm Sewer Available:
Special Instruction:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
TVr
Description Tvpe of Construction
Page I of3
Value Date Calculated
OAR
the
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01222ISSUED: 10/11/2005
APPLIEDz 0910712005
EXPIRESz 0411112006VALUE: $ 8,000.00
Garage Garage
Fee Description
Plan Review Residential
+ l0oh Administrative Fee
+ 7%o State Surcharge
Building Permit
Fixture
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount Paid
$25.00 320.00
Total Value of Project
Date Paid
$8,ooo.oo
$8,000.00
09t07t200s
Amount Paid
$s9.67
$1s.08
$10.s6
$91.80
$14.00
$2.88
$s7.66
$45.00
$296.6s
9t7tos
10/11/05
10/11/05
10/11/05
10/11/05
10/11/0s
10/11/0s
10/11/05
Receipt Number
120050000000000131s
220050000000000r408
2200s00000000001408
2200s00000000001408
2200500000000001408
2200500000000001408
2200500000000001408
2200500000000001408
['pps Pnid
Plan Reviews
Initial Review
Planning Review
Public Works Review
09/08/200s
09/08/2005
09/08/200s
09t30t200s
APP
APP
SKG
TAJ 5' rear setback approved for
accessory building with no vehicle
access. No other Planning issues.
Drywell approved with increase 3.3'
X 3.3r X 2.5' redline calcs. 9/9/2005
CAS
Structural Review 09/08/2005 09t23t2005 APP R.IB
To Request an inspection call the 24 hour recording at 726-3769. AII 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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. provide report to CityBuilding Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEe application to keep on file.
Final Plumbing: When all plumbing work is complete.
09/08/2005 09109t2005 APP CAS
Page 2 of3
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01222ISSUED: l0lll,12005APPLIEDz 0910712005
EXPIRESz 0411112006VALUE: $ 8,000.00
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 readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times
,/2 -/J -dS
or Signature Date
Page 3 of3
OR JOB -NUMggR:
NAMEORCOMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
IMPERVIOUS S.F
357.00
NUMBEROFDFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADTTRIPRATE
9.57
B. IMPROVEMENT COST:
ADTTRIPRATE
9.57
ST]BTOTAL
ss7.66
Jim Nickol
4',73 Rd
SINGLEFAMILY RESIDENCE
CITY OF 5t-
0 (sF) 320 LOr SZE (SF):0BLIILDING SIZE
1. STORMDRAINAGE
DIRECTRUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. X
0.00
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
COST PER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
$25.07
$19.07
NUMBEROFUNITS
0
NTIMBEROF UNITS
0
ADM. FEE RATE
5Yo
CHARGE
$0.00
DISCOTINTRATE
5OYo
$s7.66
DISCOLINT
$57.66
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
xx
xx
COST PER TRIP
$r9.09
COST PER TRIP
$84.19
$0.00
NEW TRIP FACTOR
1.00
NEWTRIPFACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBIIRSEMENT COST:
NLIMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I, 2, 3, & 4\
5. ADMINISTRATIVE FEE:
$0.00
$s7.66
CIIARGE
$2.88
TOTAL SANITARY ADMIMSTRATION FEE
TRANSPORTATION ADMIMSTRATION FEE:
Cheryl Slaymaker 9t912005
COST PER FEU
s82.03
$s7.66
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
2.88
$60.s4
r070
l09l
1092
1093
l0s4
1055
I 054
10s6
1079
I 078
/-^
rqFa
o
IJ]&
a
H
o
U
COST PER FEU
$865.3 r
PREPARED BY DATE
TOTAL SDC CHARGES
x
1094
NI]MBER OF EDU'S
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FDflURES x L]NTT EQUTVAI-ENT: DRAINAGE FXTURE TIN]TS
FOR CALCLILATE ONLY TT{E NET ADDITIONAL
NO. OF FIXTLIRES
LINIT
DRAINAGE
FIXTURE
UNITS
0
2
2
1979
FXTTIRE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FXTURE T]NITS
+EDU rsa
BEFORE 1979
t979
1980
198 I
1982
1983
1984
1985
1986
1987
1988
1989
1990
t991
1992
1993
1994
1995
1996
1997
1998
1999
NEW OLD
lmit set at 167
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
toa
$5.2S
I
2
VALTIE / 1OOO
$0.00
CREDITRATE
$s.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1OOO CREDITRATE
$0.00 x $5.29
TOTALMWMC CREDIT
$0.72
BATI{TT]B 0 0 3 0
0 0 1 0DRINKING FOL]NTA]N
FLOORDRAIN 0 0 3 0
0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0
0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0 0 2 0LATINDRY TT]B
0 3 0CLOTHESWASHER / MOP SINK 0
0 0 b 0CLOTHESWASHER - 3 OR MORE (EA)
12 000MOBILE I]OME PARK TRAP (I PER TRAILER)
0 0 1 0RECEPTOR FOR REFRIG / WATER STATION / ETC.
3 000RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 0 2 0SHOWER SINGLE STALL
0002SHOWE& GANG CNUMBER OF IIEADS)
0 3 00SINK: COMMERCIAL/RESIDENTIAL KITCHEN
0 0 2 0SINK: COMMERCIAL BAR
0002SINK: WASH BASIN/DOTIBLE LAVATORY
1 000SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0 0 5 0URINAL, STALL/WALL
0006TOILET, PUBLIC INSTALLATION
0 3 00TOILET, PRTVATE IN STALLATION
0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALLIE
$0.00
2000
EI
2001 $0.05
20
225 Fifth Street
Springfitld, Oregon 97 477
541-726-3759 Phone
nity of Springfield Oflicial Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001408 Date: l0llll2005 8:14:07AM
Job/Journal Number
coM200s-01222
coM200s-01222
coM200s-01222
coM2005-01222
coM2005-01222
coM2005-01222
coM2005-01222
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
Fixture
Storm Sewer - 1st 50 Feet
+7o StateSurcharge
+ l}oh Administrative Fee
Amount Due
57.66
2,88
91.80
14.00
45.00
10.56
15.08
Item Total:$236.98
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check METAL CLAD BUILDERS djb 13001 In Person S236.98
Payment Total :
-523
6-lfE-
,t
t0/tt/200s Page I of I
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