HomeMy WebLinkAboutPermit Building 2005-05-05Building/C ombination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2005-00370ISSUED: 05/05/2005APPLIED: 03/3112005EXPIRES: 11i0512005VALUE: $ 5,500.00
SITE ADDRESS: 1375 S 2ND ST
ASSESSOR'SPARCELNO.: 1803022401200
PROJECT DESCRIPTION: Add 20x40 hayshed to existing barn
Springfield TYPE OF WORI(: Accessory Building
TYPE OF USE: Addition Residential
PhoneNumber: 541-746-7299
License Expiration Date Phone
Owner:
Address:
TODD FORTIER
1375 S 2ND ST
SPRINGFIELD OR 97477
t$'Contractor Type
General
Contractor
OWNER
BUILDING INFORMATI(
# of Units:
Primary Occupancy Group: U
Secondary Occupancy Group:
Primary Construction Type \N
Secondary Construction Type:
# of Bedrooms:
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:
Sprinkled
o/o of
1o Lot Size:
Ft lst Floor:
2nd Floor:
Basement:
Garage/Carport
Notes: No roof drainage to abutting properties, ditch to the north and south of site.
Partially Improved
Yes
tle 15
Square Footage
or Bid Amount
Sidewalk Type:
Downspouts/Drains:
Load:
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
PUBLIC IMPROVEMENTS
Description Type of Construction
Page 1 of3
Value Date Calculated
q
Fv
#
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00370ISSUED: 05/05/2005APPLIED: 03/31t2005EXPIRES: 1ll0512005YALUE: $ 5,500.00
Bid Amount Use Bid Amount
Fee Descriotion
Plan Review Residential
+ l0%o Administrative Fee
+ 7%o State Surcharge
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
$1.00 5,500.00
Total Value of Project
Date Paid
$5,5oo.oo
$5,500.00
0313U2005
Amount Paid Receipt Number
1200s00000000000397
2200500000000000s36
2200500000000000s36
2200500000000000536
2200500000000000s36
2200500000000000s36
2200500000000000s36
$49.s3
$7.62
$s.33
$76.20
$s9.00
$6.20
$124.00
3/3U05
5/s/0s
5/s/0s
5t5t0s
5/s/0s
s/s/05
5/5/05
$327.88
Fees Paid
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
04t04t200s
04t04t2005
04t04t200s
04t04t2005
04120t2005
04t0st2005
APP
APP
APP
SKG
TAJ
CAS Hay shed add to existing, no
drainage to abutting properties
ditch north and south propert5r lines
4/5/200s cAs
04t04t2005 05/03/200s APP RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wiII be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Pase 2 of 3
Building/Combination Permit
Keouired lnsnections 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: COM2005-00370ISSUED: 05/05/2005APPLIED: 03/3112005EXPIRES: 11/0512005VALUE: $ 5,500.00
By signaturer l 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
1
Owner Contractors Date
Page 3 of3
)5/s/os
Clry OF Sl-,{INGFIELD SYSTEMS DEVELOPMEN'I vTIORKSHEET
JOLiRNAL OR JOB NUMBER: COM2005-00370
NAME OR COMPA}ry Todd Fortier
LOCATION 1375 S 2nd St
TAX LOTNUMBER:1803022401200
DEVELOPMENT TYPE:SINGLE FAMILY RESIDENCE
NEW DWELLING LINITS 0 BUILDTNG SIZE
I. STORM DRA]NAGE
DIRECT RTINOFF TO CITY STORM SYSTEM
0
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F,
0.00
IMPERVIOUS S.F.
800.00
NUMBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADTTRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SUBTOTAL
$124.00
COST PER S.F-
$0.310
COSTPER S.F
$0.3 r 0
COST PER DFU
$24.04
$18.28
NUMBER OF I'NITS
0
NUMBEROF UNITS
0
ADM. FEE RATE
5Yo
800
CHARGE
$0.00
DISCOT]NT RATE
50o/o
$r24.00
LOT SrZE (SF):
DISCOTINT
$124.00
x
x
x
x
x
x
x
x
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A. REIMBURSEMENTCOST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
$0.00
COST PER TRIP
$ r 8.30
COST PER TRIP
$80.72
$0.00
NEWTRIP FACTOR
L00
NEWTRIP FACTOR
r.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBEROF FEU'S
0
B. IMPROVEMEN'T COST:
NUMBER OF FEU'S
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
$124.00
CHARGE
$6.20
TOTAL SANITARY ADMINISTRATION FEE:
ADMINISTRATION FEE:TOTAL
CherylSlaymaker 4/5/2005
COST PER FEU
$82.03
$0.00
$0.00
$0.00
$130.20
I 070
l09l
1092
l 093
1094
I 054
1055
1054
1056
1079
I 078
a
rrl
t-.1o()
trlFO
o
tr.l
COST PER FEU
$865.31
PREPARED BY DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NIIMBER OF NEW FD(TURES x UMT EQUTVALENT = DRAINAGE FXTURE UNITS
FOR REMODELS, CALCULATE ONLY T}IE NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTURE ryPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NTIMBER OF EDU'S
TOTAL DRAINAGE FXTURE TJNITS
lsa toa unit al 167
MWMC CREDIT CALCULATION TABLE: BASED ON COI.]NTY ASSESSED VALUE
DRAINAGE
FD(TURE
UNITS
0
2
2
1979
*EDU
BEFORE I979
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CBEPIT FOR LAND (IF APPLICABLE)
1980
1982
l98t
1979
I 983
1984
xI 985
1 986
1987
'1988
1989
r990
'1991
1992
1993
1994
I 995
1996
1997
1998
1999
2001
$5.29
$5.1 9
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE / 1OOO
$0.00
CREDITRATE
$5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
BATHTUB 0 0 3 0
DRINKING FOUNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH / ETC.0 0 b 0
LATINDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWE& SINGLE STALL 0 0 2 0
sHolMER" GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL IWN-L 0 0 5 0
TOILET, PT]BLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 0 0 3 0
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$0.00
0
00
2000
20
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
oity of Springfield Official Receipt
evelopment Services Department
Public Works Department
RECEIPT #: 2200500000000000536 Date:05/05/2005 e:01:38AM
Job/Journal Number
coM2005-00370
coM200s-00370
coM2005-00370
coM2005-00370
coM2005-00370
coM2005-00370
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
+ 7%o State Surcharge
+ l0% Administrative Fee
Amount Due
124.00
6.20
59.00
76.20
5.33
7.62
Item Total $278.35
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check RENAL E FORTIER jmp I 1238 In Person $278.35
Payment Total:
-$ffi
5151200s Page I of I
SPrutllirtsl-o
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