HomeMy WebLinkAboutPermit Building 2002-09-27SPFIt''OFIELD
Job# 02-01114-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Numbe r: 02-01 1 1 4-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02300
Subdivision:
€n
225 Fifin Street
Springfield, OR97477
Location Of Proposed Site: 534 00018th St Spr
AssessorsMap#: 17033624
Lot: Block: Addition:
crTY oF SPRTNGFTELD, OREGOTV
Owner: Larry Sisk
Address: 534 18th Street
Scope Of Work: Storage Building
Phone Number:
City/State/Zip:
New
541-747-6838
Springfield, OR97477
Value: $2,000
Contractor Type
GeneralContr
Plumbing Contr
Contractor
Larry Sisk
534 lBth Street, Springfield, OR97477
Larry Sisk
534 18th Street, Springfield, OR97477
Registration # Expiration Date Phone
541-747-6838
541-747-6838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
(VN) Wood Frame
office use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
1
up: Accessory Structu
200
#of
s1 \SE:
b
To request an inspection call the 24 hour recording at before 7:00
a.m. will be made the same working day, inspections req
working day.
^t'il
t 800
be made the following
Required lnspections
- Prior to cover
-when all required inspections have been approved and the building is complete.
l\
Framing
FinalBuilding
Drywell
PI
-Engineered Drywell is required
Zoning: LDR
Job#02-01 1 I 4-01
Overlay District:
# of Street Trees:
Page 2 of 3
Land Use: Single FamilY Dwelling
Pave Driveway? IFloodPlain?
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fi[:
Supplier:
Drainage:
Floodway FEMA:
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:200 Accessory:
Fee
tl Gtenwood Area? !
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Wetlands? [
2-.
Construction Types(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buitdings: 1
Flood Ptain FEMA:
# Of Stories: 1
Current Units:
Gensus Code: Does not apply
Total200
Height (feet):
Proposed Units:
14
Paid On Receipt#
09t16t2002 10628
ntity Fee Amount
$2e.25
$29.25
2,000 $45.00
$3.1 5
$3.60
$51.75
$45.00
$3.1 5
$3.60
$s1.75
200 $28.20
$1.41
$29.61
$55.00
$55.00
Value/Qua
Residentialplan Check
Total Plan Check 500
Building permit
:igt: S_urcharge For Bui|ding permit
8% Buitding Administrative Fee
Total Buitding
09t27t2002
09t27t2002
09t27t2002
09t27t2002
09t27t2002
09t27t2002
09t27t2002
09t27t2002
10741
10741
10741
10741
10741
10741
Minimum plumbing permit Fee
State Surcharge _ plumbing
8% Administrative Fee _ ptlmbing
Total Plumbing
Residential- Single Family _ Storm
S DC Admin istratr:ve Fee
Total System Development
Planning plan Review
Total Planning
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
09t27t2002 10741
Date Completed
09t17t2002
09t23t2002
09t19t2002
10741
10741
1
Plan Check
Bu
Plann
Comment
$217.36
I
1
Checked By
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Structural-Res
Plan Gheck Type Checked By Date Completed Comment
Tom Max 0912412002
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and corect, 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project 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
Signatu
Job# 02-01114-01 Page 3 of 3
a_27 -o2
Date
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS 0 BUILDING SIZE: 0 SF LOT SIZE: 0 SF
Larry Sisk
534 l8th Street
17033624 rl 2300
SINGLE FAMILY RESIDENCE - Addition
JOURNAL OR JOB NUMBER: 02-01I 14-01
IMPERVIOUS S.F COST PER S.F DISCOUNT RATE
200.00 $28.20
IMPERVIOUS S.F.
0.00
COST PER S.F
$0.282 $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
ITEM l TOTAL. STORM DRAINAGE SDC
NUMBER OF DFU's COST PER DFU
0 I 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:
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
ADT TRIP RATE NLIMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
1.00 $0.000l7
ADT TRIP RATE
9.s7
NUMBER OF L1NITS
0
COST PER TRIP
$ 16.8 I
NEW TRIP FACTOR
1.00 $0.00
B. IMPROVEMENT COST:
xxx
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM 3 TOTAL. TRANSPORTATION SDC
NUMBER OF FEU's
0
COST PER FEU
$332.86 $0.00
NUMBER OF FEU's
0
COST PER FEU
$34.83 $0.00
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
$28.20SUBToTAL (ADD ITEMS 1,2,3, & 4)
$r.41
t.4t
SUBTOTAL
$28.20
ADM. FEE RATE
57o
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
5. ADMINISTRATIVE FEE:
x
$29.61TOTAL SDC CHARGES
SDC COORDINATOR DATE
Steve Templin 9127/2002
rprrr[
-un[
CITY OF SPRINGFIELD SYSTBMS DEVELOPMENT CH .GB WORKSHEET
a
rI]ooU
&EFa
(,
E]&
1070
l09l
1092
I 093
1094
t055
I 056
1079
1078
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
l"rl' u
NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
(NOTE: FOR REMODELS, CAIIULATE ONLY THE NET ADDITIONAL FXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE (#NEW - #OLD )
UNIT* peutvAtENT =
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
0 0 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
3 0
DRINKING FOUNTAIN 0 0 I 0
FLOOR DRAIN 0 0 .,0
INTERCEPTORS FOR GREASE / OIL ISOLIDS IETC.0 0 J 0
INTERCEPTORS FOR SAND / AUTO WASH IETC,0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 -1 0
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 0 I 0
0 0 -1 0
SHOWER, SINGLE STALL 0 0 2
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 -1 0
SINK:COMMERCIAL BAR 0 0 2 0
SINK:DOMESTIC BAR 0 0 I 0
WASH BASIN 0 0 2 0
LAVATORY 0 0 I 0
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET PRIVATE INSTALLATION 0 0 -1
MISCELLANEOUS DFU TYPE NUMBER OF EDU,S*
( 0 - 0 )x 20 0
TOTAL DRAINAGE FTXTURE 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
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
I 980 $4.83 l99l $r.64
l98l $4.77 1992 $1.45
1982 $4.64 l 993 $1.3r
I 983 $4.47 1994 $1.13
I 984 $4.30 1995 $0.97
I 985 $4.09 t996 $0.82
I 986 $3.78 1997 $0.63
1987 $3.41 I 998 $0.41
I 988 $2.98 1999 $0.22
I 989 $2.s2 2000 $0.04
x $0.00
TOTAL MWMC CREDIT =
0.000
VALUE / IOOO CREDIT RATE
0.000 x $0.00
0
0
c.(
?7- {E
.4
/er-////-ct
F?l
,.-.. 124 ;i, .-^1*/i
53 ./ '''N / t -s7
5 p/2/a1,a/i; t*t' /-,9.7./21
2 x.-1:ct-d-*r'- .f,-l i
-/E 2ltS--
t-^ iU
4b-cttl*.! . Ce'4t / rq -crtfu fuL/. A rPR-)
. ji*'rr/.,*i*u*
,dn? /.tu|
C'TY OF OREGO'I'
SPFIIN .ELO
DEVELO PM ENT SER VI C E S DEPARTM ENT
August 11,2003
Larry Sisk
534 l8th Street
Springfield, Oregon 97477
Dear [Vr. Sisk:
Your request for an extension of your permits for the construction of a storage
structure located at 534 18tn Street, Springfield, oregon, City Job 02-01 114-01
has been reviewed and approved. This extension may only be granted one time
and will expire on Februa ry 11,2004.
lf you have any questions, or if I may be of any assistance, please feel free to
phone me at 726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
225 FIFTH STREET
SPRINGFIELD, OR 97477
(s41) 726-3753
FAX (s41) 726-3689
lh
City of Springfield
225 Fifth Street, Springfield, OR91471
547-726-3759 Phone
541-726-3676 Fatx
July 18,2003
Larry Sisk
534 18th Street
Springfield
Job Number:
Location:
oR 97477
02-011 14-01
534 00018th st
Project:LandUse: Single FamilyDwelling, Zoning: LDR,
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid,
the work which has been authorized by the permit must begin wthin 1 80 days of the date of isuance, and an
inspection must be requested at least every 180 days.
According to our rccords, you obtained a permit for a project at 534 0001 8th St which is set to expire on
811112003. Our records indicate thatyou have not requested an inspection within the past five (5) months. This
letter is written to notifu you that your permit$) *ill be expiring shortly. If you are ready to request an
inspection for your projec! please phone the inqpection line at 541-726-37 69. If you do not request an inspection
prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to
complete your project.
If you have any questions, please feel free to phone me at 541 -726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor