HomeMy WebLinkAboutPermit Building 2008-7-10
Status
Issued
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00782
ISSUED: 07/10/2008
APPLIED- 06/03/2008
EXPIRES: 01/10/2009
VALUE: $ 10,000,00
SITE ADDRESS 3791 JASPER RD
ASSESSOR'S PARCEL NO 1802061309800
Spnngfield TYPE OF WORK Smgle Famdy ReSIdence
TYPE OF USE AdditIOn
ReSIdentIal
PROJECT DESCRIPTION Dormer addltJon and remodel
Owner JENNIFER COVERT
Address 3791 JASPER RD
SPRINGFIELD OR 97478
Contractor Type
General
Mechamcal
Plumbmg
Contractor
OWNER
OWNER
OWNER
# of Umts
Pnmary Occupdncy Group R-3
Secondary Occupancy Group
Pnmary CODslructlOn Type VB
Secondary ConstructlOD Type
# of Bedrooms
Front yard Setback
S,de 1 Setback
SIde 2 Sctbdck
Rearyard Setback
Solal Setbacks
Street Improvements
Storm Sewer Available
SpecldllnstructlOn
Notes Storm drams to eXlstmg system
Pbone Number 541-729-1649
I CONTRACTOR .INFORMA TION I
License
Expiration Date Phone
ATTENTION
~ol"".. '~.\- _ _.O"'n~ _ I
I~Vp,'lmtR~~~es you to
009I1H!J~2-o01.~-~ IIms'erUles gon UtilIty
c ~- 'lfpllftl'i!ly'~IQl 0 through OAare Set fOrth Lot SIze
nu a tnGIIIIglUtll\ii tfllntli'OPles of thFl952-{)01. Sq Ft 1st Floor
In elt~IlB 't (Note' the tel e rUles by Sq Ft 2nd Floor
~T~~fgon UtIlIty Not~Phon8 Sq Ft BasemeDt
Range Typ~0D-332'2344) ncauOtt Sq Ft Garage/Carport
Energy Path . Sq Ft Other
Sprmkled Buddmg n/a Occupant Load
70
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
NOTlC~ of Lot Coverage
THIS PfRMrr ~l{.!..j .
IilfflffliiIa:IIp1f.~1fj _ TH~ WORK
Co#'f'~L~Ul"d) OR M/TJ,S l'n.,.
ANY 180 DAY P IS ABANDONED (efR-II<. Type
ER/OD. Downspouts/Drams
Total
Handicapped,
Compact
Paee I of3
_._"..~
Wii;:.
Status
Iss u ed
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectlOD LlDe
DescriptIOn
Tvpe of ConstructIOn
EstImate
EstImate
Fee DescnptlOn
PlaD Review ResIdentIal
-Mech Iss 2+ Apphances-
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
1 Bath One & Two FamIly
BuIldmg Permit
FIre SF Fee - ResidentIal
MIscellaneous MechanIcal
Samtary Sewer - 1st 50 Feet
Sdmtary Sewer - Improvement
Samtary Sewer - ReImbursement
SDC Samtary/StOl 10 Admm
Water Lme - 1st 50 Feet
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00782
ISSUED: 07/10/2008
APPLIED 06/03/2008
EXPIRES: 01/1012009
VALUE: $ 10,00000
I Valuation DescrIotlon I
$ Per Sq Ft
or multIpher
$100
Square Footage
or B,d Amount
10,000 00
Value
Date Calculated
$10,00000
$10,00000
06/03/2008
Total Value of Project
Fp.p.~,~
Amount PaId
Receipt Number
Date PaId
$77 12
$40 00
$43 21
$5144
$2143
$16000
$11864
$350
$50 00
$50 00
$142.83
$18783
$1653
$50 00
1200800000000000585
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
1200800000000000760
6/3/08
7/10/08
7/10/08
7/10/08
7/1 0/08
7/10/08
7/10/08
7/1 0/08
7/10/08
7/10/08
7/10/08
7/1 0/08
7/10/08
7/10/08
$1,012 53
I Piau ReViews I
ImtIal ReVIew 06/03/2008 06/03/2008 APP NJM
Planumfl ReView 06/03/2008 06/05/2008 APP TAJ No Plannmg Issues
Pubhc Works ReView 06/03/2008 06/05/2008 APP LKW Storm to eXlstlDg system/ Now new
surtace arealFlxtures only
Structural ReVIew 06/03/2008 07/09/2008 APP RWC
To Request an inspectIOn call the 24 hour recordmg at 726-3769, AlImspections requested before 7:00
a m, will be made the same workmg day, mspectlOns requested after 7:00 a,m, will be made the followmg
work day
Uell'llredJnsnectlo~
Footmg After trenches are excavated
Paee 2 of3
_...~"~
~'
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00782
ISSUED: 07/10/2008
APPLIED, 06/03/2008
EXPIRES: 01/10/2009
VALUE: $ 10,000,00
225 Fifth Street, Spnngfield, OR
541-726-3753 PhODe
541-726-3676 Fax
54]-726-3769 InspectIOn LlOe
FoundatIOn After forms are erected but pnor to concrete placement
Post and Beam Pnor to floor IOsulatlOn or decklOg
Floor InsulatIOn Pnor to decklOg
Shear Wall Nallmg Before covermg sheathlOg With fimsh matenals
Frammg InspectIOn Pnor to cover and after all rough 10 IOSpeCtIons have been approved
Wall InsulatIOn Pnor to cover
Cetlmg InsulatIon Pnor to cover
Drywall Pnor to taplOg
FlOal ButldlOg After all reqUIred mspectIons have been requested and approved and the bulldmg IS complete
Pen meter FounddtIon Drams After gravel and filter cloth IS mstalled but pnor to backfill
U nderfloor Plumbmg Pnor to msulatlOn or deckmg
Underfloor Dram Pnor to cover or placement of concrete
Rough PlumblOg Pnor to cover and mcludmg reqUIred testlOg
Shower Pan Pnor to covenng and mcludlOg reqUIred testmg
Water Lme Pnor to fillIng trench and mcludlOg reqUIred testmg
Samtdry Sewer Lme Pnor to fillIng trench and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
Rough Mechamcal Pnor to Cover
FlOdl Mechamcal When all mechamcal work IS complete
Rough Electnc Pnor to Cover
Fmal Electnc When dll electncal work IS complete
By signature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certIfy that all
mtormatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done m accorddnce WIth
the Ordmances ofthe City of Sprmgfield and the Laws of the State of Oregon pertalOmg to the work descnbed herem, and
that NO OCCUPANCY will be mdde of any structure "Ithout permissIOn of the Commumty Services DIVIsIOn, Butldmg Safety
I further certIfy that only contractors and employees who are m complIaDce With ORS 701 005 Will be used on thiS project
I further agree to ensure that all reqUIred mspectIons 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 remam on the site at all
-""y 7~/o-OiJ
Owner or Cont.rs Signature Date
Paee 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER COM2008-00782
NAME OR COMPANY Dennis & Jenmfer Covert
LOCATION 3791 JasEer Road
TAX LOT NUMBER 18020+ 1309800
DEVELOPMENT TYPE Smgle family Residence
NEW DWELLING UNITS 0 BUILDING SIZE (SF 70 LOT SIZE (SF)
16553
IUl
,L1J
10
I~
,I-
Ul
~
o
~
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IIMPCRVIOUS S F x I COST PER S F CHARGE
o 00 1 $0 346 1 = 1 $0 00 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS SF 1 x 1 COST PER S Fix 1 DISCOUNT RATE 1 1
1 0 00 I 1 $0 346 1 1 50% I ~ 1
ITEM 1 TOTAL - STORM DRAINAGE SDC I $000
2 SANITARY SEWER - f:lTY
A REIMBURSEMENT COST
1 NUMBER OF DFU's 1 x
1 7 I
DISCOUNT
$000
$000
11070
COST PER DFU
$26 83
$18783
11091
B IMPROVEMENT COST
1 NUMBER OF DFU's I x
1 7 I
COST PER DFU
$20 40
$14283
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
~I
$330 66
3 TRANSPORTATION
A REIMBURSEMENT COST
I ADT fRlP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP I x INEWTRIP FACTORI
1 957 I 1 0 1 I 2043 I 100 $000 11093
B IMPROVEMENT COST
I ADT TRIP RATE I I NUMBER OF UNITS 1 x I COST PCR TRlP - 1-; INEW TRlP FACTORI
x
1 957 I 1 0 1 I $9010 I 100 $000 1094
ITEM 3 TOTAL - TRANSPORTATION SDC =1 $000
4 SANITARY Sr:WER - MWM(
A REIMBURSEMENT COST
INUMBER OF FEU's I x ICOST PER FEU
I 0 1 1 $95 35 = $000 11054
B IMPROVEMENT COST I
INUMBER OF FEU's I x ICOST PER FEU
I 0 1 1 $990 39 = $000 ,11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $000 I 1054
MWMC ADMINISTRATIVE FEE $000 110%
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $000 I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) ~ I $330 66 I
5 ADMINISTRATIVE FEE I
I SUBTOTAL x 1 ADM FEE RATE I~ CHARGE
1 $330 66 I 5% 1 $1653
TOTAL SANITARY ADMINISTRATION FEE 1653 1079
TOTAL TRANSPORTATION ADMINISTRATION fEE $000 11078
---
Kaye WIlson 6/5/2008 TOTAL SDC CHARGES $347 19 I
PREPARED BY DATE .1
----
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQillV ALENT = DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL fIXTURES)
NO OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD CQUIV ALENT
--.......
...no__ a 3
BATHTUB 1 =
DRINKING FOUNTAIN a a 1 =
FLOOR DRAIN a 0 3 =
INTERCEPTORS fOR GREASE / OIL / SOLIDS / ETC 0 0 3 =
I INTERCEPTORS FOR SAND / AUTO WASH / ETC a 0 6 =
I LAUNDRY TUB 0 0 2 =
ICLOTHESWASHER / MOP SINK 0 0 3 =
ICLOTHESWASHER - 3 OR MORE (EA) 0 a 6 =
IMOBILC HOME PARK TRAP (I PER TRAILER) 0 0 12 =
RECEP roR FOR REFRIG / WATER STAnON / ETC 0 0 1 =
RECEPTOR FOR COM SINK / DISHWASHER / ETC a a 3 =
SHOWER SINGLE STALL a a 2 =
ISHOWER GANG (NUMBER OF I-lEADS) a a 2 =
ISINK COMMERCIALiRESIDENTIAL KITCHEN a a 3 =
ISINK COMMERCIAL BAR a a 2 =
ISINK WASHBASINIDOUBLELAVATORY a a 2 =
ISINK SINGLE LAVATORYIRESIDENTIAL BAR 1 a 1 =
I URINAL, STALL / WALL a a 5 =
ITOILET, PUBLIC INSTALLATION a 0 6 =
TOILET, PRIVATC INSTALLATION 1 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
2a =
TOTAL DRAINAGE FIXTURE UNITS
. .EDU (EQUIvalent Dwellmg Urnt) IS a discharge eqUIvalent to a smgle farmly dwellmg urnt (20 DFU's) <;et at 167 gallons per day
7 _
DRAINAGU
FIXTURE
UNITS
3 ' I
a I
a I
a I
a I
a
a
a
a
a
o
o
a
o
a
o
1
o
o
3
a
II
II
_1- ,
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
YCAR
ANNEXED
BEFORE 1979
1979
1980
\981
1982
1983
1984
1985
1986
1987
1988
1989
1990
]991
]992
1993
1994
1995
1996
1997
1998
1999
2\)\)\)
2001
CREDIT RATE/$I ,000l1
ASSESSED VALUE--.J
~ $529 _
,,,- 1T$5 29 :~~ ~~ ~:;r
:$519- '=;:,
r-.f I $5-12 I
- ~ C$498~-- t
~ _ '$480- -~"
't,,,.T ~ - ::...
=-~_ i-' --.-$4 63~
$4 4a-:~ -
- - $4 a7 -, ~" ,-"
'....."
hlf -$3 67 ~
- ,',,~" $3 22 - c;;'=
El_l ~ $2 73 ' :=
, ~\" $2 25~ ~ ~~+'=--
_+ _\ ir$189'" "'1-~[-,r-
$1 59c- e;.
-!.t " - ~r , -'1+,' ~
) I $1 45i~<-' -.. ~
- _ ,- T--r-
~ ~ "'" $1 25~, ~;'i'~ ,;""
, I, -=....."..
:::-, -,"Ii $1 09 f1-~ 1-=]F~
-, ..."- "" ' 'R ~
__if f:' $092 <1 ll-
t ~ -'";:"$0 72 ~~ -',
,_c$a48" ~
~ l~ -" ,<1
~j'::'_ :$0 28 i >,"- - ~ 1-fIo
~ "
:~:';- $0 a9_~ "",
,~e,$a 05 'f-=-'-'
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$000 x $048
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$Oaa x $048 ~ I
TOTAL MWMC CREDIT
II
2
2
1998
~ I
$000
o
=
$000
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~AI~Q~~~"'. ,.,.~I!(;
. ,
~ _M .)
CIty of Sprmgfield Official Receipt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
COM2008-00782
Payments
Type of Payment
Check
cRecelntl
RECEIPT #:
1200800000000000760
Date, 07/10/2008
Description
Fife SF Fee - ReSidential
Sanitary Sewer - ReImbursement
Sanitary Sewer - Improvement
SDC Sanltary/Stonn Admm
BUIld 109 Pennlt
I Bath One & Two Family
Sanitary Sewer - 1st 50 Feet
Water Lme - 1st 50 reet
Miscellaneous Mechanical
-Mech Iss 2+ ApphaDces-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmlDlstralIve Fee
P dId By
DENNIS COVERT
Item Total
~heck Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 130 In PersoD
Payment Total
Page I of I
2 48 17PM
Amount Due
350
18783
14283
1653
11864
16000
5000
5000
5000
4000
2143
5144
4321
$935 41
Amount Paid
$935 41
$935 41
7/1 0/2008