HomeMy WebLinkAboutPermit Building 2008-8-12
Status
Issued
CITY OF ~rKlj~GFIELD.
Building/Combination Permit
PERMIT NO: COM2008-01132
ISSUED. 08/12/2008
APPLIED' 07/2912008
EXPIRES' 02/1212009
VALUE $ 27,090.00
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
SITE ADDRESS 6863 IVY ST
ASSESSOR'S PARCEL NO 1802031403000
Sprmgfield TYPE OF WORK Smgle FamIly Resldenee
TYPE OF USE
AddItIOn
ResldenlIal
PROJECT DESCRIPTION Addltlon-
Owner THOMPSON COLLEEN & STEVEN
Address 6863 IVY ST
SPRINGFIELD OR 97478
Pbolle Number 541-988-5678
.
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
NICK TOLBERT
License
Explratton Date Phone
541-228-1001
BUILDING INFORMATION I
VB
# of Stories
Helgbt of Struclure
Type of Heat
Water Type
Range Type
Energy Patb
Sprinkled BuIldmg
.
2
3200
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Otber
Occupant Load
258
# of UnIts
Primary Occupdncy Group
Secondary Oceup.lDey Group
Primary Construehon Type
Secondary ConstruetlOlI Type
# of Bedrooms
I
R-3
.
No
" '
I DEVELOrMENT INFORMATION I
REQUIRED PARKING
Frolltydrd Selback
Side 1 Setback
S,de 2 Set6aek
Rearyard Setback
Solar Setbdcks
1850
700
HIllSide Total
HandIcapped
ATTENTION Oregon 18.<;:orrij'ldl:r.S you to
follow rules adopted by the Oregon Utility
Notification Center Those 1 ules are set forth
in OAR 952-001-001 0 thrnilnh nfp Q~?_nn1_
I PUBLIC IMPROVEMEN1'S't~0 You may obtam copies of the rules by
allmg the center (Note the telephone
F II I d numbelldbMltll<<Jmon Utility Notification
u v mprove Center IS l-AOO-332-2344L
Yes 4 ITownspoutsffil alii! ~urb and Gutter
Overlay Dlst
# Street Trees Rqd
Paved Drive Rqd
% of Lot Coverage
000
Street Improvements
Storm Sewer AVdIldble lVone .
SpeCIal InstructIOn T E.
HIS PERMIT SHA
Notes weep hole to cali,T&l@~D UND LL EXPIRE IF THE WORK
COMMi:^'''rl:' ~r ER THIS PFRMIT '" \',,_
ANY - -~ Vfl " ".." - - ,"".
180 DAY PER/drY-;;l~v:rt~~~lf)[Ji#tOtlOn I
"
.
DescnptlOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multiplIer
Square Footdge
or B,d Amount
Value
Date Calculated
Pace 1 of3
CITY OF ~rKIN\.JJ'lJ'.LU
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED.
APPLIED'
EXPIRES
VALUE'
COM2008-01132
08/12/2008
07/29/2008
02/ 12/2009
$ 27,09000
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Dwellm2S
V Wood Frame
$10500
258 00
$27,09000
$27,09000
07/29/2008
Total Value of Project
L.Fpp< pquU
Fee DescriptIOn Amount Paid Date PaId Receipt Number
Plan Review ReSIdentIal $173 33 7/29/08 2200800000000001163
+ 10% AdmlOlstrdtlve Fee $2796 8/12108 1200800000000000864
+ 12% State Surcharge $32 00 8/12108 1200800000000000864
+ 5% Teehnology Fee $13 33 8/12108 1200800000000000864
BUlldmg PermIt $266 66 8/12/08 1200800000000000864
Fire SF Fee - ReSIdential $1290 8/12/08 1200800000000000864
SDC SaOltary/Storm Admm $134 8/12/08 1200800000000000864
Storm DrdlDage ImpervIOus Area $2810 8/12/08 1200800000000000864
Total Amounl PaId $555 62
I Plan Reviews I
100IIal RevIew
07/30/2008
07/30/2008
APP NJM
Structural Review
07/30/2008
07/31/2008
APP CJC
Tbls space IS not approved as
habllabIe dwelhng space-
uncondItioned utlhty/storage only
AddlllOnal permIts are required to
convert to dwelhng use
Pubhe Works RevIew
07/30/2008
08/04/2008
APP LKW
weep hole to curb & gutter
Pl.mmne: Review
07/30/2008
08/05/2008
APP TAJ
No Plannmg Issue!)
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlons 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.
UeOlllrerUnsnectlons I
FootlDg After trencbes are excavated
Sbear Wall NaIlmg Before covering sbeathmg WIth fiOlsb materials .
FramlDg InspectIOn PrIor to cover and aftel all rougb m mspectlOns have been dpproved
Fmal BuIldmg After dll required mspectlOns have been requested and dpproved and tbe bUlldmg IS complete
Pa2e 2 of3
-~~
Status
Issued
225 Flftb Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01l32
ISSUED' 08/12/2008
APPLIED: 07/29/2008
EXPIRES: 02/12/2009
VALUE: $ 27,090.00
By sIgnature, I state and agree, that I have carefully exanuned the completed apphcallOn and do hereby certify tbat all
IDformatlOn hereon IS true and cO! rect, and I further certIfy tbat dny and dll work performed shall be done m dccorddnce WIth
tbe OrdlDdnees of tbe CIty of Springfield and tbe Laws of tbe State of Oregon pertdmmg to tbe work descnbed berem, and
that NO OCCUPANCY WIll be mdde of any structure WIthout permISSIon of tbe CommuOlty ServIces DIVISIOn, BUlldlDg Safety
I furtber certIfy that only contractors and employees who are ID comphanee WIth ORS 701 005 wIll be used on tb.s project
I furtber agree to ensure that all reqUIred IDspeetlOns are requested at the proper tIme, that each address IS reddable from the
street, that the permIt card IS located at the front of the property, and tbe approved set of plans wIll remalD on tbe sIte at all
times dunng cons chon
>::
. i
Owner or Contrdctors Signature
o
P d2e 3 of 3
<{,')'J'of!;'
Ddte
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBCR
NAME OR COMPANY
LOCATION
TAX LOT NUMBCR
DEVELOPMENT TYPE
NEW DWELLING UNtTS
I STORM ORAINAGE
COM2008-01132
Colleen & Steven Thompson
6863 Ivy
1802031403000
Smgle Family ReSIdence
o BUILDING SIZE (SF
258
LOT SIZE (SF)
7841
DIRrCT RUNOFF TO CITY STORM SYSTEM
I IMI'LRVIOUS ~ I ,I CO~ I I'LR S r CIIARGi:
I 75 00 1 $0 357 I ~ I $26 76 1
RUNOn ROUli:D 10 DRYWi:LL DESIGNLD AND CONS I RUCI LD 10 CIIY SlANDARD~
I IMI'LRVIOUS S I I , I COS I I'i:R sri ,I DISCOUN I RA I i: I I
I 000 I I $0357 1 I 50% I ~ 1
ITEM I TOTAL - STORM DRAINAGE SDC I $2676
2 SANII ARY SCWER - <'11 Y
A REIMBURSEMCN r COST
I NUMBER OF DFU's I ,
I 0 I
B IMrROVEMENT COST
1 NUMBER OF DFU's 1 ,
I 0 I
COST rER Dru
$27 67
COST PER Dru
$2104
3 TRAN~I'ORT A liON
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$000
~,
DISCOUN I
$000
$26 76
$000
$000
II
Ir/)
~
10
10
I~
I~
,I-
'r/)
t5
~
11070
II
. 1091
11092
I
A REIMBURSEMi:NT COST
I ADr IRlrRATE 1 ,
I 957 I
INUMBEROFUNllsl ' I
I 0 I
COST ri:R TRIr
2106
B IMrROVEMENT COST
1 ADT TRJr RATE I , I NUMBER OF UNITS I , 1
1 957 I 0 I I
ITEM 3 TOTAL-TRANSrORTATlON SDC ~ I
COST PER TRIr
$92 89
$000
, 1 NEW TRlr F AC IORI
I 100
$000
, INEW TRlr FACTOR 1
I 100 I
$000
~ SANII ARY SEWCR - MWMC;
A REIMBURSEMENT COST
INUMBER OF FCU's I ,
I 0 I
B IMrROVEMENT COST
INUMBCR OF FEU's I x
I 0 I
ICOST rER FEU
I $9790
ICOST PER FEU
I $1,00917
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE Fi:E
HEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I
SUBTOTAL (ADD ITEMS 1,2,3. & 4) ~ I
., AOMINISTRATIVE FEE
I SUBTOTAL x I ADM FEE RATE I~
I $26 76 I 5% 1
TOTAL SANITARY ADMINISl RATION FEE
TOTAL TRANsrORTATION ADMINISTRATION FEE
Kaye Wilson
PREPARED BY
8/4/2008
DATE
~
$000
11093
I
11094
I
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT CQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE FOR REMODELS CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TyrE NEW OLD EQUIVALENT UNITS
IBATHrUB 0 0 3 = 0
IDRINKING roUNl AIN 0 0 1 = 0
IFI OOR DRAIN 0 0 3 = 0
IiN ILRCD' I ORS roR GRrA~L 1 OILl ~OLlDS 1 F IC 0 0 3 = 0
I INTI RCLPIORS rOR ~ANDI AUIO WASil 1 E1C 0 0 6 = 0
ILAUNDRYTUB 0 0 2 = 0
ICLOTHESW ASIIER 1 Mor SINK 0 0 3 = 0
ICLOTII[~WASII[R - 3 OR MORE (loA) 0 0 6 = 0
IMOBILI HOME PARK TRAP (I PER 1 RAILER) 0 0 12 = 0
IRECErTOR FOR REFRIG 1 WATER STATION 1 El C 0 0 1 = 0 I
IRECErTOR FOR COM SINK 1 DISHWASHER 1 ETC 0 0 3 = 0 I
I SHOWER. SINGLE STALL 0 0 2 = 0 I
ISHOWER. GANG (NUMBER OF HEADSt 0 0 2 = 0 I
ISINK COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I
ISINK COMMERCIAL BAR 0 0 2 = 0 I
I SINK WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0 I
ISINK SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0
I URINAL, STALL 1 WALL 0 0 5 = 0 I
1101Ln, PUBLIC INS rALLATION 0 0 6 0 I
I 10lLr I.PRIVArL INsrALLAIION 0 0 3 = 0 I
MISCELLANEOUS Dru TYrE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
.EDU (EqUivalent DwellmR Umt) IS a discharge eqwvalent to a sm~le famIly dwelhn$t urnt (20 DFU's) set a1167 ~lIons per day
II
I
I
II
MWMC CREDIT CALCULA TION TABLE BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOOlI
ASSESSCD VALUE II
__ $5 29
$529
$519~
$512 ,
$498
$4 80-
$4 63_
.1 $440~--='"
$407 _
$367 c
- $322~1
$273
$225'-
$180 -
$159
$145
- $125
$109 ,
-, I $092'1- r!,I'f I
$072
$048
$0 28- _
,i_ '$009
$0 05c
IS LAND ELGIBLE 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
2
2
1994
CREDIT FOR LAND (IF ArrLlCABLE)
VALUE 11000 CREDIT RATE
$000 x $1 25
~ ,
$000
CREDIT FOR IMrROVEMENT (IF AFTER ANNEXA nON)
VALUE 11000 CREDIT RATE
$0 00 x $1 25 ~ I
o
TOTAL MWMC CREDIT
$000
=
225 Fifth Street
Sprmgfleld, Oregon 97477
541-726-3759 Phone
:~Rr:~":o 4'id
JIll; , -
CIty of Sprmgfield OfficIal Receipt
Development Services Department
PublIc Works Department
Job/Journal Number
COM2008-0 1132
COM2008-0 1132
COM2008-0 1132
COM2008-0 1132
COM2008-0 1132
COM2008-0 1132
COM2008-0 1132
Payments
Type of raymeot
CredttCard
{,Rt':LelOtl
RECEIPT #:
1200800000000000864
Date: 08/12/2008
Description
Fire SF Fee - ReSidentIal
BuIidmg Penn II
Stonn Dramage ImpervIOus Area
SDC Samtary/Stonn Admin
+ 5% Teehnology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
raId By
NICK TOLBERT
Item 10tal
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm 150645 In Person
Payment Total
Page 1 of I
9 13 14AM
Amount Due
1290
266 66
2810
134
13 33
3200
27 96
$382 29
Amount Paid
$38229
$382 29
8112/2008