HomeMy WebLinkAboutPermit Building 2008-7-22
Status
Issued
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
54]-726,3676 Fax
54]-726-3769 ]nspectlOn Lme
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00977
ISSUED: 07/22/2008
APPLIED' 07/02/2008
EXPIRES: 01/22/2009
VALUE: $ 22,000,00
SITE ADDRESS 6790 A ST
ASSESSOR'S PARCEL NO ]702344]06603
SPRlNGFIETYPE OF WORK Accessory BUlldmg
TYPE OF USE AddItion
PROJECT DESCRIPTION Pool hUlldmg and dhove ground exercIse pool
Owner VOSS MICHAEL E & JULIE A
Address 250 68TH ST
SPRINGFIELD OR 97478
Contractor Type
Gener dl
Electncal
MechamCdl
I CONTRACTOR INFORMATION I
Contractor
OWNER
BVRRELL BROS ENTERPRISES INC
OWNER
# of Vmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
Front yard Sethack
SIde] Setback
S,de 2 Setback
Rearyard Setbdck
SOIM Setbacks
Street Improvements
License
136446
BUILDING INFORMATION I
# of Stones I
V HeIght of Structure 12 00
Type of Heat
VB Water Type
ATTENTION Or~@gIal'BM;Julres you to
follow rules ado~l!l!rfmlOregon Utility
Nollflcallon CentelS"):i.U.~tBelIclillglet forth No
;1 G/",n9E2SS1 gg1gt\;:lfewftRQ^R~7?~n..
0090 YoLl rDil~lilll~DfElORM~N I
calling trl/f'cgr,r.,r. \/r.';rJ!",lr" r~~f/frWJ
number for the o~eg(m Utllrty Notification
Center IS ~/JI~~4).
Street Trees Rqd
13 00 P dved Dnve Rqd
80 00 % of Lot Coverage 3] 00
8000
I PUBLIC IMPROVEMENTS'
ReSIdential
Phone Number 541-747-94]8
Expiration Date Phone
08/20/2009 54]-747-2724
Lot SIze
Sq Ft ]st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant LOdd
280
REQUIRED PARKING
Totdl
HandIcapped
Compact
SIdewalk Type
Pa2e ] of 3
Storm Sewer AvaIlable Downspouts/Drams Curh and Gutter
SpeCIal Instruction
lJ,QTICE'
Notes No ne" fixtures added per ownerand <'fm~!fl~~ff'!HA.tl'~P1RIi>1\i, 1WieWQ~~mto eXlstmg system
AUTHORIZED UNDER THIS PERMIT ISRNOT
COMMENCED OR IS ABANDONED FO
ANY 180 DAY PERIOD.
-~
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2008-00977
ISSUED: 07/22/2008
APPLIED' 07/02/2008
EXPIRES: 01/22/2009
VALUE: $ 22,000.00
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
I Valuation OescrmtlOn I
DeSCrIptIOn Tvpe 01 ConstrnctlOn
BId Amount Use BId Amount
$ Per Sq Ft
or multIplIer
$100
Square Footage
or BId Amount
22,000 00
Vdlue
Date Calculated
Total Value of Project
$22,000 00
$22,000 00
07/02/2008
L.F"'" P~lrIJ
Fee DescrIptIOn Amount PaId Date PaId ReceIpt Number
Plan Review ReSldentIdl $14404 7/2/08 2200800000000001013
-Mechamcal1ssuance Fee- $20 00 7/22/08 1200800000000000802
+ 10% AdmmlStratIve Fee $4136 7/22/08 1200800000000000802
+ 12 % State Surcharge $47 95 7/22/08 1200800000000000802
+ 5% Technology Fee $25 93 7/22/08 1200800000000000802
Add, Alter, Extend Ore Ea Add $800 7/22/08 1200800000000000802
BuIldmg PermIt $221 60 7/22/08 1200800000000000802
Fire SF Fee - ReSIdentIal $1400 7/22/08 1200800000000000802
Mlmmum/AdJustment Mechamcal $43 00 7/22/08 1200800000000000802
Perm ServlFdr 200 amps or less $70 00 7/22/08 1200800000000000802
Plan Review Mmor - Plannmg $11900 7/22/08 1200800000000000802
Storm Sewer - 1st 50 Feet $50 00 7/22/08 1200800000000000802
Vent Fan $700 7/22/08 1200800000000000802
Total Amount PaId $811 88
I Plan Reviews I
Imhal Review 07/03/2008 07/07/2008 APP LLH
PublIc Works RevIew 07/07/2008 07/1 0/2008 APP LKW Storm water to tIe mto eXlStmg
system no new fixtUl es and eXlstmg
slab
Structural RevIew 07/07/2008 07/10/2008 APP DLM See documents for Plan reVIeW
comments
Planum!! Review 07/11/2008 07/14/2008 APP EMM
To Request an mspection call the 24 hour recordmg at 726-3769. All mspectlons requested before 7 00
a,m, will be made the same workmg day, inspectIOns requested after 7 00 a m, will be made the followmg
work day.
Paee 2 of 3
-Wi:
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-00977
ISSUED: 07/22/2008
APPLIED. 07/02/2008
EXPIRES: 0112212009
VALUE: $ 22,00000
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
Reolllred Tnsnechons I
Footmg After trenches are excavated
Shear Wall Nadmg Before covenng sheath 109 wIth fimsh matenals
Frammg InspectIon Pnor to cover and after all rough 10 mspectIons have been approved
Fmal BUlldmg After all reqUIred mspectlOns have been requested and approved and the bUlldmg IS complete
Storm Sewer Lme PI lOr to filhng trench
Rough Mechamcal Pnor to Cover
Fmal Mecbamcal When all mechamcal work IS complete
Rough Electnc Pnor to Cover
Fmal Electnc When all electncal work IS complete
By Signature, I state and agree, that 1 have carefully exammed the completed apphcatlOn and do hereby certIfy that dll
mformatlOn hereon IS true and correct, and I turlher certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVIsIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns dre 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
tIm:;;=J~ 7 /~ o~
L
Owner or Contractors SIgnature Date
Page 3 of3
225 FIFTH STREET. ';PRINGFIELD. OR 97477 . PH (541)726-37';3 . FAX (';41)7263689
ELECTRICAL PERMIT APPLICATION
(' ~-;UJ6/.g -O/J 5' 77
~'Y ~ """- ~"M 2'!t ~~ ~""" ,,~ """ -j-~ "'-~---
i:-LOc:ATION'(jk:INSTAlfLAHON:
'~79"o ;4--' gj-;
City Job Number
LEGAL DESCRIPTION
/7IJ2- 3</1/ Ohb{)3
JOB DESCRIPTION
'B1d.1.Lau )~
~Dl-
-.
Permits are non-transferable and expire If work IS
not started wlthm 180 days of Issuance or If work IS
Suspended for 180 days
r;- ~!i j-= _ ,~~~----~- '2"1 '1...-,.---:; - --
2 I '~O~CTOR INSTALLAT~ON ONLY
ElectrIcal Contractor
Address
BURRELL BRaS, ELECTRIC
P,O, Box 697
UJQI~rv/lI~. VI' Y/'+OY
~1.747-2724
i>none
City
SupervISor License Number ~ 7 " I,)
ExpiratIOn Date I () ..-- J ()
J 3 u l/-tfG
ExpIratIOn Date / () - / ()
,
'G'~h;~h~L
Owners Name .I11lcllAc.{ Ji> 5Y
Address ;;., 7'i' 0 A .<i r-
City jII~ Phone 7d.? - ~-L8
Constr Contr Number
OWNER INSTALLATION
The mstallal10n IS bemg made on property I own which
IS not Intended for sale, lease or rent
Owners Signature
c
InspectIOn Request 726-3769
3
COII1PLE'lii Flm SCHEDVLEBELOW .
, '
A
New ReSldentldl- &mgle or Multt-F.lmll} per dwelling umt
ServIce Included
1000 sq ft or less
Each addItIOnal 500 sq ft or
portion thereof
Each Manufac!' d Home or
Modular Dwellmg Service or
Feeder
$11700
$ 2100
$55 00
B
,
~ervlces or Feeders - Install,atlOn, .<\.lteratlOn<;J 01 Relocation
200 Amps or less ( $ 70 00 m .tP lJ
201 Amps to 400 Amps $ 83 00
401 Amps to 600 Amps $13800
601 Amps to 1000 Amps $18000
OyerJ~OO AmpsIVolts $413 00
Reco~.nect. OniYHALL EXPIRE IF THE WUg~5 00
- , :' "'"RivdT ;\ PERMIT IS NOT
'T'" ,~rr. 1J.l m~l:t T~_P,~
C I, ,emp6mrY"'etvi'Ce's.Ilf~m;D FOR
GGlvFv1ENCED OR ts I-\tl,
AI~!jSt~B'!1Im\,{\RWlklhlor Relocation
200 Amps or less $ 55 00
20 I Amps to 400 Amps $ 76 00
40 I Amps to 600 Amps $110 00
Over 600 Amps or 1000 Volts see "B" above
D Blanch CirCUIts
New Alteration or ExtenSIOn Per Panel
One ClfcultAT " $ 48 00
E h dd T'C'ITI"~I (' "~, I
ac A r~nal IrCUlt Or wlthll ~v "'::r'lJfrsS' VOl' to
Service orNJ'~~1ti pl,'f~ii aC1opld,j r ?'-' (')If g'l.HPUtlhty-$l;
_ ~~catl~;: ~enter" l,~~o~ l'Jtil,;.,<l(&iX1Morth ,
E MlScel~8u~jJffl'~ltlfmef,l itG'IQbgiJ<!M~~lWftanatlOn
~ Ii ou may obtain copIes of the rules by
Pump or ''lififfilr the center, (Nole the lIalefllilonA
Slgn/Outlme Llgh111'pr the Oregon Ullllly t$Qid.wJltlon
"tinter IS 1-800-"",-.:,,44\
L,mited EnergylReSldentlaI ~'l~ 00
L,mited Energy/Commercial $ 50 00
Mllllmum ElectrIC Permit InspectIOn Fee IS $50 00 + Surcharges
4 SUBTOTAL OF ABO'VE
"'7p,t:ro
<?. .3 b
'7.fi(L
~.~~
12% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL 97 tJC-,
Shared Drlve(T )/BUlldmg Forms/Electncal Penmt ApphcatlOn ] 08 doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
_n____
JOURNAL OR JOB NUMBER Com2008,00977/Sunroom
NAME OR COMPANY Michael & Juhc Voss
LOCATION 6790 A Street
r AX LOT NUMBER ] 702344106603
DEVELOPMENT TYPE SlOgle Farmlv ReSidence
NEW DWELLING UNITS 0 BUILDING SIZE (SF 280 LOT SIZE (SF)
] STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPCRV]OUS S t x I COST PER S F I I CHARGE
I 28000 I $0357 I = $9989 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I ]MPERVIOUS S F I x COST PER S F I x I DlSCOUNl RATE I I
I 000 I $0357 I 50% I ~ I
DISCOUNT
$000
ITEM I TOTAL - STORM DRAINAGE SDC
2 SANITARY SI~WER ,CITY
$99 89
I 1070
A RLIMBURSEMENT COST
I NUMBER OF DFU's I
I 0 I
B IMPROVEMENT COST
I NUMBER OF DFU's I
I 0 I
x
COST PER DFU
$27 67
COST PER DFU
$2104
x
ITEM 2 TOTAL-CITY SANITARY SEWERSDC = ,
, TRANSPORTATION
$000
A RLIMBURSEMENT COST
I ADTTRJP RATE I x
I 957 I
B IMPROVEMENT COST
I ADT1RJP RATE I x
I 957 I
I NUMBER OF UNI rs I x !
I 0 I I
COST PER TRJP x INEW TRIP FACTOR!
2106 I 100 I
I NUMBER OF UNITS I x I
I 0 I
COST PER TRJP 1 x !NEW TRIP FACTORI
$92 89 I I I 00 I
$000 I
ITEM 3 TOTAL - TRANSPORTATION SDC = I
4 SANITARY SEWER - MWMC
A REIMBURSEMENT COST
INUMBER OF FEU's I x
I 0 I
ICOST PER FEU
I $97 90
B IMPROVEMENT COST
INUMBER OF FEU's I x
I 0 I
ICOST PER FEU
I $],009 ] 7
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL, MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
5 ADMIN IS I RATIVE rrE
ISUBIOTAL x I ADM FEE RATE
$99 89 I 5%
TOTAL SANITARY ADMIN]STRATION FEE
TOTAL TRANSPORTATION ADMlNlSl RATION FEE
Kaye Wilson
PREPARED BY
7/1 0/2008
DATE
25700
$99 89
$000
$000
$000
$000
$000
!I f2
10
18
I~
rFJ
-
o
~
I,
I
I 1091
I
I 1092
I
l
I 1093
I
I 1094
I
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FlXTURES x UNIT EQUlV ALENT = DRAJNAGE FIXTURE UNITS II
(NOTE FOR REMODELS CALCULATE ONLY TIlE NET ADOmONAL FIXTIJRES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
~THTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0 I
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 I
ICLOTHESWASHER,3 OR MORE (EA) 0 0 6 = 0 I
IMOBILE HOM!: PARK TRAP (I PER TRAILhR) 0 0 12 = 0 I
IRECEPlOR FOR REFRlG/WATER STATION iETC 0 0 1 = 0 I
IRECEPTOR FOR COM SINK / DISHWASHER / ETC 0 0 3 = 0
I SHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG ~ER OF HEADSl. 0 0 2 = 0
ISINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
ISINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
IURINAL. STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC IN STALLA I ION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (EQwvalent Dwelling Umt) IS a discharge eQUivalent to a Single faImly dwelling UTIlt (20 DFU's) set a1 167 ~Ions per day
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
i-: YEAR l CREDIT RATE/$I,OOO l -I
ANNEXED ASSESSED VALUE IS LAND ELGIBLE rORANNEXAfION CREDIT" 2
BEFORE 1979 $529 (Enter I for Yes. 2 for No)
i 1979 $529 IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT" 2
I 1980 $519 (Enter 1 for Yes 2 for No)
I \981 $512 BASE YEAR 1979
I 1982 $4 98
I 1983 $4 80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4 63 VALUE / 1000 CREDIT RATE
I 1985 $440 $000 x $529 ~ I $000
I 1986 $407
I 1987 $367 CREDIT fOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $322 VALUE / 1000 CREDIT RATE
I 1989 $273 $000 x $529 ~ , 0
i 1990 $225
I 1991 $180
1992 $159 TOTAL MWMC CREDIT = $000
I 1993 $145
I 1994 $125
I 1995 $109
I 1996 $092
I 1997 $072
I 1998 $048
I 1999 $028
I 2000 $009
I 2001 $005
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OffiCIal Receipt
Development ServIces Department
Public Works Department
Job/Jou.-nal Number
COM2008,00977
COM2008-00977
COM2008-00977
COM2008-00977
COM2008-00977
COM2008-00977
COM2008-00977
COM2008,00977
COM2008,00977
COM2008,00977
COM2008-00977
COM2008-00977
Payments
Type of Payment
Check
cReccmt 1
RECEIPT #
1200800000000000802
Date 07/22/2008
Descnptlon
Fife SF Fee - Residential
Buddmg Penn.t
Stonn Sewer - 1st 50 Feet
Vent Fan
MmlmumlAdJustment Mechamcal
-Mechamcallssuance Fee-
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend CIfC Ea Add
Plan Review Mmor - Plannmg
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid Bv
MICHAEL VOSS
Item Total
Check Number AuthOrization
Received By Batch Number Number How Received
dJb
3995
In Person
Payment Total
Page I of I
II 16 49AM
Amount Due
1400
22160
5000
700
4300
2000
7000
800
11900
2593
4795
4136
$667 84
Amount Paid
$667 84
$667 84
7/22/2008