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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-