HomeMy WebLinkAboutPermit Building 2003-12-05llll,iltl ilffi
PermitStatus Issued
?2.1 \rft| Street, Springfietd, oR
541-72G3753 phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
coM2003-01127
72/05/2003
11/10/2003
06/77/2004
$ 21,000.00
SITE ADDRESS: 2029 5TH ST
ASSESSOR'S PARCEL NO.: 1703262404500
PROJECTDESCRIPTION: Storage building
Owner: JAMES AppEL
Address: 2029 N sTH SPRINGFIELD OR 97427
Springfield TYPE OF WORK: Accessory Building
TypE OF USE: New Residential
Contractor Tvpe
General
Electrical
Plumbing
License
15740t
152766
157401
Expiration Date
10n7t2005
09t05t2004
t0lt7t200s
Phone
541-543-1904
541484s200
541-543-1904
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Paved
oh of
t9
IT SHAL L EXPIRE IF
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARIilNG
720
VN
u-1
12.00 #
ZED UNDER
ED OR IS iil't*$5ft hffo$ffi:x.".,10.00
0.00 180 DAY PE RIOD.
Fully Improved Sidewalk rYPe:
Yes Downspouts/Drains:
Applicant needs to complete an encroachment permit for core drilling weephole.
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page I of3
Curb and Gutter
Contractor
PACWEST BUILDERS INC
WIZARD ELECTRIC LLC
PACWEST BUILDERS INC
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01127ISSUED: 1210512003APPLIED: 1ll1012003
EXPIREST 0611712004VALUE: $ 21,000.00
Description
Bid Amount
Type of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 21,000.00
Total Value of Project
Amount Paid Date Paid
Value
$21,000.00
$21,000.00
Date Calculated
tut0t2003
Fee Description
Plan Review Residential
+ l0o/o Administrative Fee
+ 7%o State Surcharge
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy lst @ 75 cents
Encroachment Permit
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
+ l0%o Administrative Fee
+ 7oh State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Total Amount Paid
$12s.s8
$23.82
$16.67
$193.20
$1.50
$0.7s
$120.00
$59.00
$13.46
$269.r2
$4s.00
$13.80
$9.66
$12.00
$126.00
rul0/03
tzt5l03
tzl5103
t2l5l03
12t5t03
t2t5t03
t2t5t03
lzt5t03
t2t5103
tzt5t03
t2t5t03
t2n7t03
t2n7t03
t2n7t03
t2n7t03
Receipt Number
2200200000000001738
1200200000000002s60
1200200000000002s60
1200200000000002s60
1200200000000002s60
r200200000000002s60
1200200000000002560
1200200000000002s60
1200200000000002560
1200200000000002560
1200200000000002560
2200200000000001889
2200200000000001889
2200200000000001889
2200200000000001889
$1,029.56
['ees Peid
Plan
Initial Review
Planning Review
Public Works Review
tytu2003
tut4t2003
rut4t2003
tu2st2003
APP
APP
LLH
TAJ
tur4t2003 1U20t2003 APP VRJ
tut4t2003 APP
Pase 2 of3
First 18' of driveway needs to be
paved ifit abutts a curb and gutter
street.
Encroachment permit fee and
application included in building
permit. Applicant needs to completc
application and return to Public
Works to core drill curb and place
weep pipe for storm drainage.
Storm SDC credit for existing
building,640 sq ft. New structure
696 sq ft. Storm SDC's included for
paving part of driveway and for
apron.
Structural Review tut4t2003 TCM
Valuation Descrintion I
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 : COM2003-01127ISSUED: 1210512003APPLIED: 11/1012003
EXPIRESz 0611712004VALUE: $ 21,000.00
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.
1 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
3 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Storm Sewer Line: Prior to filling trench.
5 Rough Electric: Prior to Cover
6 Electric Service: Approval required prior to utility company energizing service.
Reouired Insnections
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 during
ic l1 o',
Owner or Contractors Date
Paee 3 of3
<.
225 Fifth Street r
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Receipt # z 220020000000000 I 889 Date:r2n7t2003 ll:27:42AM
Amount Paid
coM2003-01127
coM2003-01127
coM2003-01127
coM2003-01127
Perm ServlFdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 7Yo State Surcharge
+ l}Yo Administrative Fee
Item Total:$161.46
126.00
12.00
9.66
13.80
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
CreditCard PACIFIC ELECTRIC DDK 0002s l 086242 In Person
Payment Total:
$161.46
$161.46 \
225 FIFTII STREET r SPRINGFIELD,oR97477 o pH,)726-3ELECTRICALPERMITAPPLICATION I
City.lob Number ?-tl I ort"
I. LOCA
753 o f4;9. (s4Iy2G3689
I he ,ollowing projecr as submitt€d has the ,o,,owinozonrng and does nor reguire splciriclanJ;;,,*approval
Zoning
ll ltilil
-c> >
TION OF INSTALLAT'TON 3.
5s.3t.742 9
LEGAL DESCRIPTION
JOB DESCRIPTION
5e..vit. u r^.{t.\e.-. Oul t
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. CoI\J"IRACTOR TNSTALTATION ONLY
canrPLErE},E!-scrd&I)
liutitonzecl Signature
A.Nerv Residential - Single or Multi-Family per drvelling unit
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft" or
portion tlrereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$ 106.00
$ 19.00
$50.00
$ 63.00
$ 7s.00
$125.00
$ r 63.00
$375.00
$ s0.00
s s0.00
$ 69.00
$ 100.00
$3
Electrical Contractor €
B. Serr.ices or Feeders - Installation, Alterations or Relocatio':
L tzG
Address
city €vq<-qe Phone 'l B'1-)
200 Amps or less
201 Amps ro 400 Amps
401 Amps ro 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
C. Temporary- Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Arnps to 400 Amps
401 Amps to 600 Amps
Over 6(X) Amps or 1000 Volts see "B" above.
D. Branch Circuits
or Extension Per Panel
PIRE IF THE W $ 43.00
5e
5Z.C,O
Supervisor License Number
Expiration Date lO
Constr. Contr. Number I L7b
Expiration Date
Owners Name
Address
City Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
tI
{Sen ice/feeder not included) -Bach Installation
A LEX
P
Service or .00 tz
E. 1\{iscellaneous
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. SUBTOTALOFABOW
7% State Surcharge
l0% Administrative Fee
TOTAL
Shared Driv(T:VBuildine Fonns/Electrical Permit
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
$ 50.00
$ 50.00
$ 25.00
i O,3G,
t q'8'o
CC
4,bb
Inspection Request: 726-3769
'P.,'l
C
b
l, t-7-9, I 0,
oo*JH;F-
]llu
&*EtltcFtsl,p
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2003-01127ISSUED: 1210512003APPLIED: 11/1012003EXPIRES: 06i05t2004VALUE: $ 21,000.00
SITE ADDRESS: 2029 5TH ST
ASSESSOR'S PARCEL NO.: 1703262404500
PROJECT DESCRIPTION: Storage building
Springfield TYPE OF WORI(: Accessory Buitding
TYPE OF USE: New Residentiat
Owner:
Address:
JAMES APPEL
2029 N sTH SPRINGFIELD OR 97477
Contractor Type
General
Plumbing
Contractor
PACWEST BUILDERS INC
PACWEST BUILDERS INC
License
157401
157401
Expiration Date
10n7t2005
10n7t2005
Phone
541-543-1904
541-543-1904
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
N01
Rqd:
Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
t9
u-1
VN
720
IS
REQUIRED PARIflNG
Total:
Handicapped:
Compact:Yes
11.80
Fullv Improved Sidewalk rYPe:
Yes Downspouts/Drains: Curb and Gutter
Applicant needs to complete an encroachment permit for core drilling weephole.
re telephone
tv Notification
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
\-1rr\ l r(A\. l lrII^ ll.t I (rI(IYIA I l(r1\
L U I LI-rl1\ (r rr\ I (JIL1Yl$l!2lll
F
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: COM2003-01127ISSUED: 1210512003APPLIED: 11/1012003EXPIRES: 06/0512004VALUE: $ 21,000.00
Description
Bid Amount
Tvpe of Construction
Use Bid Amount
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$1.00 21,000.00
Total Value of Project
Amount Paid Date Paid
Value
$21,000.00
$21,000.00
Date Calculated
tut0t2003
Fee Description
Plan Review Residential
+ l0o Administrative Fee
+ 7o/o State Surcharge
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy lst @ 75 cents
Encroachment Permit
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - lst 50 Feet
Total Amount Paid
$125.58
$23.82
$16.67
$193.20
$1.s0
$0.7s
$120.00
$s9.00
$13.46
$269.12
$45.00
$868.10
11/10/03
t2t5/03
t2t5t03
t2t5t03
t2tst03
t2t5t03
t2t5t03
t2t5t03
t2t5t03
t2tst03
t2tst03
Receipt Number
2200200000000001738
1200200000000002560
1200200000000002s60
1200200000000002s60
1200200000000002560
1200200000000002560
1200200000000002s60
1200200000000002560
1200200000000002s60
1200200000000002560
1200200000000002560
Fees Paid
Plan Reviews
Initial Review
Planning Review
tutu2003
tut4t2003
tUt4t2003
tu2st2003 First 18' of driveway needs to be
paved ifit abutts a curb and gutter
street.
Encroachment permit fee and
application included in building
permit. Applicant needs to complete
application and return to Public
Works to core drill curb and place
weep pipe for storm drainage.
Storm SDC credit for existing
building,640 sq ft. New structure
696 sq ft. Storm SDC's included for
paving part of driveway and for
apron.
Public Works Review tUt4t2003 1u20t2003 APP vRJ
Structural Review tut4t2003 tut4t2003 APP TCM
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.
Paee 2 of3
APP
APP
LLH
TAJ
fr
Valuation Descrintion I
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: COM2003-01127ISSUED: 1210512003APPLIED: 11/1012003EXPIRES: 06/0512004VALUE: $ 21,000.00
I SIab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
2 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
3 Final Building: After all required inspections have been requested and approved and the building is complete.
4 Storm Sewer Line: Prior to filling trench.
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 Iocated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
/2- 05 _D3
Owner or Signature Date
Pase 3 of3
Keourreo rnsDecuons I
225Fifth Street'
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Departnient
Public Works Department
Receipt #: 1200200000000002560 Date: 1210512003 2:36:19PM
Amount Paid
coM2003-01127
coM2003-01127
coM2003-01127
coM2003-01127
coM2003-01127
coM2003-01127
coM2003-0r 127
coM2003-01127
coM2003-01127
coM2003-01127
Copy lst @75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Building Permit
Storm Sewer - lst 50 Feet
+ 7%o State Surcharge
+ l0o/o Administrative Fee
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Encroachment Permit
Plan Review - Planning
Item Total:$742.s2
0.75
1.50
193.20
45.00
16.67
23.82
t3.46
269.12
120.00
59.00
Type of Payment Paid By Received By Batch Number Authorization Number [Iow Received Amount Paid
Check JAMES APPEL djb In Person
Payment Total:
$742.52
$742.s2
CITY OF S} ..NGFIELD SYSTEMS DEVELOPMEN'. /ORKSHEET
OR NUMBER: Com2003 -01 l2'7
NAME OR COMPANY
LOCATION:
TAX LOTNUMBER:
James
2029 Street
17032624 tl 4500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COSTPER S.F
s0.290
BUTLDTNG SrZE (SF) 0 LOT SrZE (SF)
CHARGE
$269.12
RTINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
928.00
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
0
B. IMPROVEMENT COST:
NLIMBER OF DFU's
0
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$269.t2
COST PER S.F
$0.290
COST PER DFU
$22.64
COST PER DFU
sr7.2t
NUMBER OF I-]NITS
0
NUMBER OF UNITS
0
ADM. FEE RATE
5%
DISCOUNTRATE
s0%
s269.12
DISCOUNT
$0.00
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL. CITY SANITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
xx
xx
COST PER TRIP
$17.23
COST PER TRIP
$76.01
$0.00
NEWTRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER- MWMC
A. REIMBURSEMENTCOST:
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 SD( =
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
s269.12
CHARGE
$r3.46
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich tU2012003
COST PER FEU
$314.63
$0.00
$0.00
$0.00
$0.00
13.46
$282.s8
1070
1091
1092
1093
1094
1054
1056
079
078
ai!noU
&
E]Fv)
or!&
COSTPERFEU
s214.23
PREPARED BY DATE
TOTAL SDC CHARGES
x
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBEROF NEW FXTURES x UNIT EQUIVALENT: DRAINAGE FIXTURE T]NITS
FOR CALCULATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
0
*EDU
0 0 3 0BATHTUB
DRINKING FOLINTAIN 0 0 1 0
0 0 3 0FLOORDRAIN
0 0 3 0INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
0 0 2 0LATINDRY TUB
CLOTHESWASHER / MOP SINK 0 0 3 0
CLOTHESWASHER - 3 OR MORE (EA)0 0 b 0
0 12 0MOBILE HOME PARK TRAP (I PER TRAILER)0
0 0 1 0RECEPTORFORREFRIG/ WATER STATION / ETC.
RECEPTOR FOR COM. SINK I DISHWASHER / ETC.0 0 3 0
0 2 0SHOWER, SINGLE STALL 0
SHOWER. GANG TNLMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
0 0 1 0SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALL IWALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
0
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
0
0
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1OOO
$0.00
CREDIT RATE
$5.04x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.04 =t 0
TOTAL NTWMC CREDIT
BEFORE 1979 $5.04
1979 $5.04
1980 $4.95
198 l $4.88
1982 $4.75
1983 $4.58
1984 $4.41
1985 $4.20
1986 $3.88
1987 $3.50
1988 $3.07
1989 $2.60
1990 $2.14
t99t $1.71
1992 $1.52
1993 $ 1.38
1994 $1.19
1995 $1.03
1996 $0.87
1997 $0.68
1998 $0.46
1999 $0.27
2000 $0.09
2001 $0.04
l-$d:o-6-