HomeMy WebLinkAboutPermit Building 2006-07-14Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676 Fax
S4l -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00736ISSUED: 0711412006
APPLIEDz 0611412006
EXPIRESz 0611412007VALUE: $ 25,245.00
F
SITE ADDRESS: 2418 16TH ST
ASSESSOR'S PARCELNO.: 1703243403700
PROJECT DESCRIPTION: Newbathroom.
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition Residential
PhoneNumber: 541-747-3301Owner:
Address:
ZIMMERMAN REVOCABLE TRUST
2418 18TH
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
EASTSIDE FLOORS & CONSTRUCTION IN 469
DAVID R KIDD 35651
OWNER
OWNER
Expiration Date
0u07t2008
05/05/2008
Phone
541-726-5593
54r-726-9303
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
7.00
Fully Improved
Yes
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy
Sprinkled
Overlay Dist:
# Street Trees
Paved Drive Rqd:
o/o oI Lot Coverage:
Lot Size g91
16.00 255R-3
VB
I
bt
PARKING
1\s Total:
Handicapped:
Compact:
1\\E
Notes: Storm drainage piped to existing curb face (weep hole) CJS 06/19/06
PUBLIC IMPROVEMENTS
Page I of3
I, U ILUIN U rN r Ut(lYl.t l_!gN_l
\ct:
NN\
\t0
Curb and Gutter
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00736ISSUED: 0711412006APPLIED: 0611412006EXPIRESz 0611412007VALUE: $ 25,245.00
Valuation Descrintion
Description Type of Construction
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 8olo State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
+ l0oh Administrative Fee
+ 5%o Technology Fee
+ 8%o State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
Total Value of Project
Date Paid
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value Date Calculated
Amount Paid
$149.66
$10.00
$34.40
$26.s0
$230.25
$r2.7s
$56.00
$39.00
$5.77
$1r5.31
$6.00
$7.30
$3.6s
$5.84
$43.00
$30.00
$775.43
Receipt Number
2200600000000000837
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
1200600000000001758
1200600000000001758
1200600000000001758
1200600000000001758
1200600000000001758
6n4t06
7n4/06
7n4t06
7n4t06
7n4t06
7n4t06
7n4t06
7n4t06
7n4t06
7n4t06
7n4t06
t2n4t06
t2n4t06
12n4t06
12n4t06
t2n4t06
tr'ees Pn
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review
06tr5t2006
06n6t2006
06n6t2006
07n4t2006
06n6t2006
06n6t2006
0612312006
06fi9t2006
07n4t2006
07t05t2006
LLH
TAJ
CJS
SB
RWC
APP
APP
APP
APP
APP
Please verify during plan review or
at issuance heat source.
No Planning issues.
Storm drainage piped to existing
curb face (weep hole) CJS 06/19/06
Removed SDCs for plumbing
fixtures. Still on septic.
waiting for planing
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
Paee 2 of3
GFIELD
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00736ISSUED: 0711412006APPLIED: 0611412006
EXPIRESz 0611412007VALUE: $ 25,245.00
Reouired Insnections
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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 atl 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 construction.
Owner or Contractors Signature
Pase 3 of3
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit, of Springfield Official Receipt
Dt __ .opment Services Department
Public Works Department
RECEIPT #: 1200600000000001758 Date: 1211412006 1:25:17PM
Job/Journal Number
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5%o Technology Fee
+ 8% State Surcharge
+ 10Yo Administrative Fee
Amount Due
43.00
30.00
3.6s
s.84
7.30
Item Total:$89.79
Payments:
Type ofPayment Paid By
rc
Received By Batch Number
ffi
Number How Received Amount Paid
Check JOHN ZIMMERMAN djb 89 In Person $89.79
Payment Totat:
-58ffi
cReceintl Page I of 1 1211412006
225 FIF-tIl STREET o SPRINCFIELD, OR 97477 r PH:(541)726-3753 o FAX: (541)726-3689
PERMIT APPLICATON
City tb rvl AnL *nn7 7a
S,tBlltr -t,
Date
ZON
t*tyz
INITIALS
DATE I
SOURCE
o
JOB DESCRIPTION *
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
.,
Electrical Contractor
Address ')
Phone
Supervisor License Number
Expiration Date
3.
Service Included
1000 sq. ft. or less
- Jach additional 500 sq. ft. or
1) f($ortion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401Amps
COMPLETE FE,E SCHEDULE BELAW
A. Nerv Residential - Single or i\{ulti-Fa*ril1' per drvelling unit.
B. Servires or I;eeders - Installation. Alttrations or Relocatir-rn:
$ 63.00
s 75.00
$ 125.00
$163.00
$375.00
$ 50.00
$ 1 06.00
$ 19.00
$s0.00
b)r
or Relocation
$ 50.00
$ 69.00
$100.00
13*
oR /E hq.o'
7to
City
I
$aY
lor the
rc
New
E'. on"
Alteration
is Amps to 400 Amps
401 Amps to 600 Amps
Constr. Contr. Number
Expiration Date
Signature of Supervising
Owners Name
Address
City s7lr\
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Over 600 Amps or 1000 Volts see "B" above'
D. Branch Circuits
R
$ 43.00
$ 3.00
\i\MEN
1 P,0 Pump or irrigation $ 50.00
Sign/Outline Lighting $ s0.00
Limited Energy/Residential $ 2s.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
a3
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL 87L
(
S
Inspection Request: 726-3769
4.
Shared Drive(T)/Building Fonns/Electrical Permit Application 8-06.doc
OF INSTALI-ATIAN:
t//-/o7'/ /
Electrician
Feeders
x
(Service/lbeder not included) -Each Installation
unv
5 6',{
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00736ISSUED: 0711412006
APPLIEDz 0611412006
EXPIRESt 0111412007VALUE: $ 25,245.00
SITE ADDRESS: 2418 16TH ST
ASSESSOR'S PARCEL NO.: 1703243403700
PROJECT DESCRIPTION: New bathroom.
Owner:
Address:
ZIMMERMAN REVOCABLE TRUST
2418 rSTH
SPRINGFIELD OR 97477
celllng the
numbcrlor the
Center ls 1-800'332-2U41.
Contractor Type
General
Mechanical
Plumbing
Contractor License
EASTSIDE FLOORS & CONSTRUCTION IN 469
OWNER
OWNER
Expiration Date
0110712008
Phone
541-726-5593
]TOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements;
Storm Sewer Available:
Special Instruction:
7.00
Fully Improved
yes
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
E
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Curb and Gutter
R-3
VB
# of Stories: THIS PERMhI SlfltLsEIPlRI lF THE W0RK
Height of structure A U TH 0 EI€.p0 u Nffi s 1 tlrsrgqrn ru r ir c il ;
H[t:fff];.'
.
:syy#iie;ffiBBihffif#
s NoT
nange rype: AIY Y i uU UAY PEBffi curage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: nla Occupant Load:
255
Notes: Storm drainage piped to existing curb face (weep hole) CJS 06/19/06
DEVELOPMENT INI
PUBLIC IMPROVEMENTS
Pase I of3
tollow rulladopted the
Nofrffiffilffio5nter.tr[dtbruleg are snbJftBhtiar
lnOAR952-001'0010 throughOAR 952-001
rules
Springfield
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
OF
Building/Combination Permit
PERMIT NO: COM2006-00736ISSUED: 0711412006
APPLIEDz 0611412006
EXPIREST 0111412007VALUE: $ 25,245.00
Description
Dwellings
Type of Construction
V Wood Frame
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
$99.00 255.00
Total Value of Project
Amount Paid Date Paid
Value
$25,245.00
$25,245.00
Date Calculated
06n4t2006
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 87o State Surcharge
Building Permit
Fire SF Fee - Residential
Fixture
Minimum/Adjustment Mechanical
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Total Amount Paid
$149.66
$10.00
$34.40
$26.50
$230.25
$12.7s
$s6.00
$39.00
$5.77
$115.31
$6.00
$68s.64
6n4t06
7fi4t06
7n4t06
7n4t06
7n4t06
7n4t06
7fi4t06
7n4t06
7n4t06
7fi4t06
7fi4t06
Receipt Number
2200600000000000837
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
2200600000000000977
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review
06fi5t2006
06fi6t2006
06n6t2006
07n4/2006
06n6t2006
06n6t2006
06t23t2006
06n9t2006
07n4t2006
07t0st2006
APP LLH
APP
APP
APP
APP
TAJ
CJS
SB
RWC
Please verify during plan review or
at issuance heat source.
No Planning issues.
Storm drainage piped to existing
curb face (weep hole) CJS 06/19/06
Removed SDCs for plumbing
fixtures. Still on septic.
waiting for planing
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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Page 2 of3
f,l enrr irpd Insneefions
Valuation Description I
Hees Paid
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00736ISSUED: 0711412006
APPLIEDz 0611412006
EXPIRESz 0111412007VALUE: $ 25,245.00
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 Safefy.
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 construction.
+fz:--
or re Date
Pase 3 of3
at*tl
JOURNAL OR JOB NUMBER:
NAME ORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLINC UNITS
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN1 vI/ORKSHEET
Zimmerman
24t8 1 st.
17032434 0370
SINGLE FAMILY RESIDENCE
BUTLDTNG SrZE (SF, 0 LOT SIZE (SF):0 0
DIRECT RTINOFF TO CITY STORM SYSTEM
I IMPERVToUS sf. x| :sz.oo
RLNOFF ROUTED TO DRYWELL DESIGNED AND
CHARGE
$11s.31
TO CITY STANDARDS
DISCOUNTRATE
50%
$115.31
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
0
B. IMPROVEMENT COST:
NUMBER OF DFU's
0
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
$115.31
COST PER S.F
$0.323
COST PER DFU
$2s.07
$ 19.07
NUMBER OF LNITS
0
NUMBER OF LINITS
0
ADM. FEERATE
5%
x DISCOUNT
$0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A. REIMBURSEMENTCOST:
x
x
x
x
x
x
x
ITEM 2 TOTAL. CITY SANITARY SEWER SDC $0.00
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
xx
xx
COST PER TRIP
$ 19.09
COST PER TRIP
$84. l9
$0.00
NEWTRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
0
B. IMPROVEMENT COST:
NUMBER OF FEU's
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - ]VIWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
$0.00
$115.31
CHARGE
s5.77
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION
Carol Stineman 71t812006
FEE:
COST PER S.F
$0.323
COSTPERFEU
s82.03
$115.31
$0.00
$0.00
$121.08
I 070
l09l
t092
l 093
I 094
I 055
I 056
l0'79
1078
ar!
t-.toQ
&rrlFa
r >'l
E]&
I
I
-U
COST PER FEU
s86s.3 r
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBEROFNEW FD(TURES X UNIT EQI.]IVAI.ENT = DRAINAGE FXTURE IJMTS
FOR CALCULATE ONLY T}IE NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXruRE TYPE NEW OLD
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FTXTURE UNITS
tsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
2
2
1979
+EDU
BEFORE 1979
1979
1980
l98l
1982
1983
1984
1985
1986
1987
1988
1989
1990
l99l
1992
1993
1994
1995
1996
1997
1999
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$+.oz
$3.02
$3.22
$2.73
$2.25
$1.80
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 LAND (IF APPLICABLE)
VALUE/ IOOO
s0.00
CREDITRATE
ss.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.29
TOTAL MWMC CREDIT
1998
$1.59
$1.45
$1.25
$1.0e
$0.s2
$0.72
$0.48
$0.28
$0.09
$0.05
1 0 3 3BATHTUB
,|0DRINKING FOUNTAIN 0 0
0 0 3 0FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
LATINDRY TUB 0 0 2 0
3 0CLOTHESWASHER / MOP SINK 0 0
0 0 b 0CLOTHESWASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
SHOWER, SINGLE STALL 1 0 2 2
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
0 0 3 0SINK: COMMERCIAL/RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR 0 0 2 0
SNK: WASH BASIN/DOUBLE LAVATORY 1 0 2 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 0
URINAL, STALL/ WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
I 0 3TOILET, PRIVATE INSTALLATION 3
10
YEAR
ANNEXED
CREDIT RATE/SI,OOO
ASSESSED VALUE
2000
2001
225 Fifti., Street
Springfield, Oregon 97 477
541-726-3759 Phone
C''-' of Springfield Official Receipt
L relopment Services Department
Public Works Department
RECEIPT #: 2200600000000000977 Date: 0711412006 1:50:21PM
Job/Journal Number
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
coM2006-00736
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Building Permit
Vent Fan
-Mechanical Issuance Fee-
M inimum/Adjustment Mechanical
Fixture
+ 8% State Surcharge
+ lOoh Administrative Fee
SDC Sanitary/Storm Admin
Amount Due
t2.7s
I15.31
230.25
6.00
10.00
39.00
56.00
26.50
34.40
5.77
Item Total:$s3s.98
Payments:
Type of Payment Paid By
CheckNumber Authonzatron
Received By Batch Number Number How Received Amount Paid
Check WAYNE ZIMMERMAN lkw 2l l8 In Person
Payment Total:
$535.98
-ffi
cReceintl Page I of I 7lt4/2006