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