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HomeMy WebLinkAboutPermit Building 2003-05-20Building/C ombination Permit PERMIT NO: COM2003-00324Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 972 SUMMIT BLVD ASSESSOR'S PARCEL NO.: 1703341106203 PROJECTDESCRIPTION: Sunroom Owner: LEpINE A SCOTT Address: 972 SUMMIT BLYD SPRINGFIELD OR 97478 0st20t2003 0siO1/2003 1u20t2003 $ 2o,ooo.oo Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential ISSUED: APPLIED: EXPIRES: VALUE: Contractor Type General Electrical Owner Contractor MOIR CONSTRUCTION EASTSIDE ELECTRIC INC LEPINE A SCOTT License 41570 117770 Expiration Date 02fi4t2006 10t04t2003 Phone s4r-3434396 541-741-1499 CONTRACTOR INFORMATION BUILDING INFORMATIC # of Buildings: 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh 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: u-l 22.00 Hillside 28.00 \t \S t7s VN n$ r8.00 10.00 6.00 17.00 0.00 Fully REQUIRED PARIflNG Total: 2 Handicapped: Compact: Notes: Pase 1 of3 Curb and Gutter o\) -\Ie )t\.'d Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00324ISSUED: 0512012003APPLIED: 05/0112003 EXPIRESz 1112012003VALUE: $ 20,000.00 Description Estimate Tvpe of Construction Estimate $ Per Sq Ft $1.00 Square Footage 20,000.00 Value $20,000.00 $20,000.00 Date Calculated 0st0u2003 Fee Description Copies - Ea Addtl @ 50 Cnts Ea Copy lst @ 75 cents Plan Review Residential + l0oh Administrative Fee + loh State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Plan Review - Planning SDC Sanitary/Storm Admin Storm Drainage Impervious Area Total Amount Paid Amount Paid $s.s0 $0.7s $r20.51 $23.14 $r6.20 $43.00 $3.00 $18s.40 $59.00 $2.28 $4s.68 $504.46 Total Value of Project Date Paid 51u03 51u03 sfit03 5t20t03 5t20t03 5t20t03 5t20t03 st20t03 st20t03 5t20t03 st20t03 Receipt Number 2200200000000000794 2200200000000000794 2200200000000000794 1200200000000001261 1200200000000001261 1200200000000001261 1200200000000001261 1200200000000001261 1200200000000001261 1200200000000001261 1200200000000001261 Fees Paid Plan Reviews Initial Review Planning Review Public Works Review Structural Review 0st02t2003 05t02t2003 0510212003 0st02t2003 05t02t2003 05/13/2003 05n9t2003 05fi6t2003 LLH AJD DJW TCM APP APP APP OK 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. 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 Rough Electric: Prior to Cover 5 Final Electric: When all electrical work is complete. Reorrired Insnecfions Page 2 of3 Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00324ISSUED: 0512012003APPLIED: 05/0112003EXPIRES: 1112012003VALUE: $ 20,000.00 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 who are in compliance with ORS 70f .005 will be used on this project. I further are requested at the proper time, that each address is readable from the street, that of the property, and the approved set of plans will remain on the site at all times during s Zo )_ Owner or Contractors Signature Date all required is located at the Pase 3 of3 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 12002000000000 01261 Date: 0512012003 coM2003-00324 coM2003-00324 coM2003-00324 coM2003-00324 coM2003-00324 coM2003-00324 coM2003-00324 coM2003-00324 Plan Review - Planning Building Permit Storm Drainage Impervious Area SDC Sanitary/Storm Admin Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 1%6 State Surcharge + ljYo Administrative Fee 59.00 185.40 45.68 2.28 43.00 3.00 16.20 23.t4 Item Total:$377.70 CreditCard SCOTT LEPTNE djb 000073 067303 In Person Payment Total: 311.10 $377.70 s12012003 l:16:23PM Page I of I cRcccipt.rpt vt/\ JOB D D c,6zc.3 ONESCRIPTI /+bA Z .,Zcr-r!l\ Multi-Family per drvelling unit. Sen,ice Included: Items Cost 1000 sc1.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Drvelling Service or Feeder 200 amps or 201 alups to 401 amps I amps $ 106.00 $ 19.00 s 50.00 Permits are tlon -transferable and expire if work is sttrrted rvithin I80 days of issuance 180 days. lvork is suspended for 2 " Electrical' TALLATIONONLY B. 5r5io€ €Leqfuc A6€ of Supen'ising Electrician (t"'E +"k/"J is being rnade rvhich is not intended s50.00 s50.00 s25.00 $-t5.00Lin-ri ted EnergyiComm il'Iinimum Electric Permit Inspection Fee is S-15'00 + 4. SUBTOTAL OF ABOVE 77o Stlte Surchitrge 87o Administrativc Fee Surchrrrgcs qL 7ZL--- u6d-- s36: or rent. t. TOTAL CITY OF SP'{INGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: Com2003-003 NAME OR COMPANY Scott [,epine LOCATION 972 Summit Blvd. TAX LOT NUMBER:r703341 1TL06203 DEVELOPMENTTYPE: NEW DWELLING UNITS 0 BUTLDTNG SrZE (SF) 0 LOT SrZE (SF)0 a 14noU/rrlF(h (,r!il 1070 l09t 1092 1093 1094 1054 1055 1054 1056 to79 r078 I. STORM DRAINAGE DIRECT RUNOFF TO CIry STORM SYSTEMI rMFERvrorJS s-F. x | 162.00 COSTPER S.F. $0.282 CHARGE $45.68 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F 0.00 x COST PER S.F. $0.282 x DISCOUNT RATE 50Vo DISCOUNT $0.00 ITEM 1 TOTAL. STORM DRAINAGE SDC $4s.68 f T4s:68 2. SANITARY SEWER - CITY A. REIMBURSEMENTCOST: NUMBER OF DFU's 0 x COST PER DFU $22.09 = I $0.00 B. IMPROVEMENT COST: NUMBER OF DFU's 0 x COST PER DFU $r 6.79 = I $o.oo ITEM 2 TOTAL - CITY SANITARY SEWER SDC $0.00 3. TRANSPORTATION A. REIMBURSEMENTCOST: ADTTRIPRATE 9.57 x NUMBER OF UNITS 0 x COST PER TRIP $ 16.81 x NEW TRIP FACTOR L00 = f-----T(xx) B. IMPROVEMENT COST: ADTTRIPRATE 9.57 x NUMBER OF UNITS 0 x COST PER TRIP $74.17 x NEW TRIP FACTOR 1.00 = I $0.00 ITEM 3 TOTAL - TRANSPORTATION SDC A. REIMBURSEMENTCOST: NUMBER OFFEU's 0 x = I $0.00 B. IMPROVEMENTCOST: NUMBER OF FEU's 0 x = f----To.oo MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = = f-----m.oo = I $0.00 $0.00 COSTPER FEU $332.86 COST PER FEU $34.83 SUBTOTAL (ADD ITEMS I,2,3, & 4)$4s.68 5. ADMINISTRATIVE FEE: SUBTOTAL $4s.68 x ADM. FEE RATE 5Vo CHARCE $2.28 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: | 2.28 I $o.oo D. Wright 5t19/2003 PREPARED BY DATE TOTAL SDC CHARGES u.00 DRAINAGE FIXTURE UNIT CALCULATION TABLElrt u NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINACE FXTURE UNITS DRAINACE FIXTURE UNITS NO. OF FIXTURES FIXTURE TYPE NEW OLD (NOTE: FOR REMODEIS,CArcUT-A.TE ONLY THE NET ADDITIONAL FIXTURES) UNIT EQUIVALENT 0BATHTUB003 0 0 1 0DRINKING FOUNTAIN FLOOR DRAIN 0 0 3 0 0 0 3 0FOR GREASE / OIL / SOLIDS / ETC. INTERCEPTORS FOR SAND //ETC.0 0 6 0 0 0 2 0LAUNDRY TUB 0 0 3 0CLOTHESWASHER / MOP SINK 0 0 6 0- 3 OR MORE 0 0 12 0MOBILE HOME PARK TRAP PER 0 1 0FOR REFRIG / WATER STATION / ETC.0 0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 2 0SINGLE STALL 0 0 2 0OF HEADSGANG 0 3 0COMMERCIAURESIDENTIAL KITCHEN 0 0 0 2 0SINK: COMMERCIALBAR 0WASH BASIN/DOUBLE LAVATORY 0 0 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0 5 0STALL/WALL 0 0 0 0 o 0TOILETPUBLIC INSTALLATION ATE INSTALLATION 0 0 3 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 0 TOTAL DRAINAGE FXTURE UNITS +EDU lsa toa unit ser at 167 MWMC CRBDIT CALCULATION TABLE: BASBD ON COUNTY ASSESSED VALUE 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 OF APPLICABLE) VALUE / 1OOO $0.00 CREDITRATE $4.92x T-$o:m CREDIT FOR IMPROVEMENT OF AFIER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $4.92 0 TOTALMWMC CREDIT rsmo BEFORE I979 $,1.92 1979 $4.92 1980 $4.83 l98l $4.77 1982 $4.64 I 983 $4.47 1984 $4.30 1985 $4.09 1986 $3.78 1987 $3.41 1988 $2.98 r989 $2.s2 1990 $2.06 199 I $1.64 1992 $1.45 1993 $1.31 1994 $ l.l3 199.5 $0.97 1996 $0.82 t997 $0.63 1998 $0.41 1999 s0.22 2000 $0.04