HomeMy WebLinkAboutPermit Building 2003-08-15Building/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: COM2003-00645ISSUED: 08/15/2003APPLIEDz 0712112003
EXPIRESz 0211512004VALUE: $ 28,036.00
SITEADDRESS: 233531STST
ASSESSOR'SPARCELNO.: 1702302100200
PROJECT DESCRIPTION: Open Storage building
Owner: SCHMITT ROBERT L &ELTZLBETH L
Address: 2335 31ST ST SPRINGFIELD OR 97477
Springlield TYPE OF WORK: Storage Building
TYPE OF USE: New Residential
License Expiration Date PhoneContractor Type
General
Contractor
OWNER
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction'
Secondary
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Carport
%o of
AC Mat
Yes
Storm drainage to go to new
u-1
o
s.00
9s.00
qtfttture
Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARI(NG
Total:
Handicapped:
15.00
1,720
10.00
s.00
utegul.t
adoPte d
Type of Construction
Carport
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$16.30 1,720.00
Total Value of Project
Page I of3
Value
$28,036.00
$28,036.00
Date Calculated
07t2u2003
DEVELOPMENT INF(
J
rules
-0010 of the rules
Setback 5'
Drywell - Provide
Drywell Engineering
Valuation Description I
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: COM2003-00645ISSUED: 08/15/2003
APPLIEDz 0712112003EXPIRES: 0211512004VALUE: $ 28,036.00
tr'pps Prid
Amount Paid Date Paid Receipt Number
1200200000000001799
1200200000000001972
1200200000000001972
1200200000000001972
1200200000000001972
1200200000000001972
1200200000000001972
Fee Description
PIan Review Residential
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Building Permit
Not Covered Plumbing
Plan Review - Planning
Storm Sewer - lst 50 Feet
Total Amount Paid
$161.07
$30.68
$21.48
$247.80
$14.00
$s9.00
$4s.00
7t2u03
8/15/03
8/1s/03
8/rs/03
8/15/03
8/1s/03
8/15/03
$579.03
Plan Reviews
Initial Review
Plannins Review
Public Works Review
Public Works Review
Structural Review
07t2212003
07t22t2003
07t22t2003
08/01/2003
APP
APP
LLH
TAJ
07t2312003 07t29t2003 APP VRJ
08/15/2003 08/1s/2003 APP VRJ
07t22t2003 08/13/2003 APP TCM
Tree felling permit is needed if 5 or
more trees srt dbh are removed.
Site plan does not show storm
drainage. Contacted applicant
712212003, planned to drain storm
into existing drywell. Contacted
applicant 7 123 12003, new structure
to go to new drywell unless applicant
can provide drywell documentation
to PW Engineering for their review
that will meet capacity and other
requirements. As of 10:30am
712912003, no documentation has
been provided. Roof drainage
allowed to drywell. Any pavement
area to a drywell requires
pre-treatment usually in the form of
a catchbasin with an oil liltering
medium.
Submitted plans did not show
existing pavement ares where
proposes addition it to be located.
Revised SDC's and gave credit for
pavement as per information
provied by applicant and verilied by
2000 aerials. No SDC fees.
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
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: COM2003-00645ISSUED: 08/15/2003
APPLIEDT 0712112003
EXPIRESz 0211512004VALUE: $ 28,036.00
Reouired Insnect
I Footing: After trenches are excavated.
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 Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
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
g'(t 3
Owner or Contractors Signature Date
Page 3 of3
h fLi
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date:2:57:16PM
coM2003-00645
coM2003-00645
coM2003-00645
coM2003-00645
coM2003-0064s
coM2003-00645
Plan Review - Planning
Building Permit
StormSewer- lst50Feet
Not Covered Plumbing
+ 7o/o State Surcharge
+ 10o/o Administrative Fee
59.00
247.80
45.00
14.00
21.48
30.68
Item Total:$417.96
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check RL SCHMITT ENT djb In Person
Payment Total:
$417.96
-
(
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN WORKSHEET
JOURN AL OR JOB NUMBER: Com2003-00645
NAME OR COMPANY: Robert Schmidt
LOCATION 2335 31st Street
TAX LOTNUMBER:t7023021 tl 200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF] O LOT SrZE (SF):0
aHa
^()
&HFa
L,/
E]&
1070
1091
1092
1093
1094
1 054
1055
1054
10s6
079
078
1. STORMDRAINAGE
DIRECTRUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F
s0.290
CHARGE
$0.000.00
RI.INOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
x COST PER S.F
s0.290
x DISCOUNTRATE
50%
DISCOUNT
$o.oo
ITEM 1 TOTAL - STORM DRAINAGE SDC $0.00 $0.00
2. SANITARY SEWER. CIry
A. REIMBURSEMENT COST:
NUMBER OF DFU's
0
x COST PER DFU
s22.64
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
x COST PER DFU
$1',7.21
TTEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
ADTTzuP RATE
9.s7
x NUMBER OF LINITS
0
x COST PER TRIP
$17.23
x NEWTRIP FACTOR
1.00 : I $o'oo
B. IMPROVEMENT COST:
ADT TRIP RATE
9.5'7
NUMBER OF LTNITS
0
x COST PER TRIP
$76.01
x NEWTRIP FACTOR
1.00 : | $o.oo
ITEM 3 TOTAL - TRANSPORTATION SDC $0.00
4. SANITARY SEWER - MWMC
A, REIMBI,RSEMENT COST:
NUMBER OF FEU's
0 = I $0.00
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
x
= I $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =$0.00
COST PER FEU
$332.86
COST PER FEU
s34.83
SUBTOTAL (ADD ITEMS 1,2,3, & 4)$0.00
5. ADMINISTRATIVE FEE:
SUBTOTAL
s0.00
x ADM. FEE RATE
5%
CHARGE
$0.00
TOTAL SANITARY ADMINISTRATION FEE :
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich 811512003
PREPARED BY DATE
TOTAL SDC CHARGES
x
x
DRAINAGE FIXTURE UNIT CALCULATION TABLED.tr'u
NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
DRAINAGE
FIXTURE
LINITS
NO. OF FIXTURES
FIXTURE ryPE NEW OLD
(NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDITIONAT FIXTURES)
I.INIT
EQUIVALENT
BATHTUB 0 0 3 0
DRINKING FOUNTAIN 0 0 I 0
FLOOR DRATN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRATLER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASINiDOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 o 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
0
TOTAL DRAINAGE FIXTURE UNITS
*EDU lSa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 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
s0.00
CREDIT RATE
$4.92x : I so.oo
CREDIT FOR IMPROVEMENT OF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $4.92 :t 0
TOTAL MWMC CREDIT I $o0o
BEFORE 1979 s4.92
1919 $4.92
1980 $4.83
l98l $4.77
1982 $4.64
1983 s4.47
I 984 $4.30
1 985 $4.09
1986 $3.78
1987 $3.41
I 988 $2.98
1989 $2.52
1990 $2.06
l99l s1.64
1992 $r.45
1993 $1.31
1994 s 1.13
1995 s0.97
1996 $0.82
1997 s0.63
I 998 $0.41
1999 s0.22
2000 s0.04
20
Construction Contractors Board Permit #: LLlttu zoc---o<) 6"/f
700 Summer St ItlE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
WebAddress:ry$1!g!4
Address: 233-{ 3t>t-5 f
Issued by:b6 Date: O5/fO')
Statement: Information Notice to Property Owners
About Gonstruction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign thefollowing statement before a building
permit can be issued. This statement is requiredfor residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and2, and eitherbox 3A or 38
{'
{z
I own, reside in, or will reside in the completed structure.
I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
3A. My general contractor is
(Name)(ccB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
"-/ oR
Ef 38. I will be my own general conhactor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will conhact with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
to Property Owners about Construction Responsibilities on the reverse side of this form.
[^tt -c:\
(Signature applicant)(Date)
(lthite copy to issuing agency perrnitfile, pink copy to applicant.)
Property_owner.doc 03/ 1 I /03
GITY OF SPRI NGFI ELD SYSTEMS DEVELOPM EN'I 1TI'ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00645
NAME OR COMPANY Robert Schmidt
LOCATION 2335 3lst Street
TAX LOT NUMBER:17023021 tl200
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF, O LOT SIZE (SF):0
U)
14
t-.1o(,
HFari
r!&
1070
1091
1092
1093
1094
1054
1 055
1 054
1 0s6
t079
1078
I. STORM DRAINAGE
DIRECT RUNOFF TO CIry STORM SYSTEM
IMPERVIOUS S.F. x COSTPER S.F
s0.290
CHARGE
$0.000.00
RI.INOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
1890.00
x COST PER S.F
s0.290
x DISCOUNT RATE
50%
DISCOUNT
($274.05)
ITEM 1 TOTAL. STORM DRAINAGE SDC $274.05
2. SANITARY SEWER - CITY
A. REIMBURSEMENTCOST:
NTA4BER OF DFU'S
0
x COST PER DFU
$22.64
B. IMPROVEMENT COST:
NUMBER OF DFU'S
0
x COST PER DFU
$r7.2t
ITEM 2 TOTAL - CITY SAIIITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADTTRIP RATE
9.s7
x NTII\4BER OF LINITS
0
x COST PER TRIP
s17.23
x NEWTRIP FACTOR
1.00 = I $o.oo
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
x NUMBER OF UNITS
0
x COST PER TRIP
$76.01
x NEWTRIP FACTOR
1.00 = I $o.oo
ITEM 3 TOTAL - TRANSPORTATION SDC $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBEROF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
x
= | $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - NIWMC SANITARY SEWER SD( =
: I so.oo
$0.00
COST PER FEU
$332.86
COST PER FEU
s34.83
SUBToTAL (ADD ITEMS 1,2,3, & 4)s274.05
5. ADMINISTRATIVE FEE:
SUBTOTAL
s274.0s
x ADM. FEE RATE
5%
CHARGE
$ 13.70
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
I tr.zo
l-Sor-o-
Virginia Jurasevich 7t29t2003
PREPARED BY DATE
TOTAL SDC CHARGES
= l-$o-06-
x
: I $o.oo
DRAINAGE FIXTURE UNIT CALCULATION TABLEDTl'U
NUMBER OF NEW FXTURES x T]NIT EQUTVALENT : DRAINAGE FXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY T}IE NET ADDITIONAL RXTURES)
DRAINAGE
FIXTURE
UNITS
NO. OF FIXTURES
FIXTT]RE TYPE NEW OLD
LTNIT
EQUIVALENT
0 0 3BATHTUB 0
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLOTHESWASHER. 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. STNK / DISHWASHER / ETC 0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER 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
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
TIRINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
TOTAL DRAINAGE FIXTURE UNITS
ts a toa set at 167
0
+EDU unit
MISCELLANEOUS DFU ryPE NUMBEROF EDU'S
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/S1,OOO
ASSESSED VALUE
BEFORE I979 $4.92
1979 $4.92
1980 $4.83
l98l $4.77
I 982 $4.64
1983 $4.47
I 984 s4.30
I 985 $4.09
1986 s3.78
1987 $3.41
1988 s2.98
1989 $2.52
1990 s2.06
I 991 s1.64
1992 sr.4s
1993 sl.3 r
1994 $1.13
1995 $0.97
t996 $0.82
1997 $0.63
1998 s0.41
1999 s0.22
2000 $0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
TOTAL MWMC CREDIT
0
x
0
I so.oo
CREDIT FOR LAND (IF APPLICABLE)
1979
VALUE / IOOO
$0.00
CREDITRATE
s4.92
VALUE / IOOO CREDIT RATE
$0.00 x $4.92
IE
20
=l--