HomeMy WebLinkAboutPermit Building 2008-8-11
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. COM2008-01076
ISSUED. 08/11/2008
APPLIED. 07/1712008
EXPIRES 02/11/2009
VALUE: $ 13,44000
225 FIfth Street, Sprmgfield, OR
541-726,3753 Phone
541-726,3676 Fax
541,726,3769 In'pectlOn Lme
SITE ADDRESS 4655 HAILEY CT
ASSESSOR'S PARCEL NO 1802051210000
Sprmgfield TYPE OF WORK Accessory Blllldmg
TYPE OF USE New
ReSIdential
PROJECT DESCRIPTION Accessory Strncture
Owner ELLISTER MARK K & PAULA M
Address 4655 HAILEY CRT
SPRINGFIELD OR 97478
Phone Number 541,554-4559
I CONTRACTOR INFORMATION I
Contractor Tvpe
Contractor
LIcense
ExpIratIon Date Phone
BUILDING INFORMATION I
5660
300
# of Stones
HeIght ot Structure
Type of Heat
VB ATTENTlt\~etlT~~!lh law requires you to
follow ruIHI'!lBJ!ffi!tl by the Oregon Utility
Notljlcatl&reoot~l\lhose rules are set forth
In OAR 9WOOIJ<l9d1lMbllnlQh OAR 952'-.1>01-
~- laiR "Spine nf tha rlllAA b1I
U~".u 'I......... 03_ -
InJl~~it un" ~j; i . cIlIl1ll'JN" na
nU~ber~~VIl:l 1.." J,IIr.1 ,.~,u.ljon
~\llt1o';F0-3a2.2344).
# Street Trees Rqd
Paved Dllve Rqd
% of Lot Coverage
I
Lot SIze 8,1l4
Sq Ft 1st Floor
Sq Ft 2nd FloO!
Sq Ft Basement
Sq Ft Garage/Cdrport
Sq Ft Other 440
Occupdnt Load
# of Umts
Pnmary OCCUpdnCY Group
Seconda. y Occupdncy Group
Pnmary ConstrnctlOn Type
Secondary Construchon Type
# of Bedrooms
U
REQUIRED PARKING
Frontydrd Setback
SIde 1 Setbdck
S,de 2 Setbdck
RedrYdrd Setback
SoJar Setbdcks
Total
HandIcapped
Compact
300
1250
2660
I PUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Storm Sewer AvaIlable
Spec..1 Instruction
Notes
Downspouts/Drams
NO"\CE~ RE \fl"ll: WO~~
THIS PERMIT SUHN~OlElREXPTHIIS PERMIT IS NOT
Storm to he mto extstmg sy,tem to curb UTHORIZED
~~!...,~~"('~n nRR\~~BANDONEO FOR
I Va1uatJoJ>.t;~sWIb"~h 1 .
Curb and Guller
DescrlotlOn
Type of Construction
$ Per Sq Ft
or multtphel
Square Footage
or BId Amount
Value
Ddte Calculated
Pa2e I of 4
-~
Status
Issued
225 FIfth Street, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 InspectIOn Lme
GJrJ2e
Gara2e
Fee DescnptlOn
PIJn RevIew ReSldenllJI
-Mechamcal1ssuance Fee-
+ 10% AdmmlStratlve Fee
+ 12% State SurchJrge
+ 5% Technology Fee
BUlldmg PermIt
FIre SF Fee - ResldentlJI
Fixture
Mlmmum/AdJustment Mechamcal
Plan Revle" Mmor, Plannmg
Samtary Sewer, 1st 50 Feet
Samtary Sewer, 1mpl ovement
Samtary Sewer, ReImbursement
SDC SamtJrylStorm Admm
Storm Dramage ImpervIOus Area
Storm Sewer, 1st 50 Feet
Venl Fan
WJter Lme, 1s150 Feet
TotJI Amount PaId
Imtral ReView
07/17/2008
Pubhc Works ReVIew
07/1712008
Structural ReView
07/17/2008
PIJnmne: ReView
07/17/2008
Amount PaId
$99 42
$20 00
$40 70
$46 20
$25 20
$15296
$22 00
$32 00
$43 00
$11900
$50 00
$8415
$11066
$2132
$231 53
$50 00
$700
$50 00
$1,205 14
$28 00
Total Value of Project
Fpp<, P~ilIJ
I Plan ReViews I
07/1712008
07/23/2008
07/30/2008
08/04/2008
DJte PaId
7/t7/08
8/11108
8/11/08
8/11/08
8/11/08
8/11/08
8/11 /08
8/11/08
8/11/08
8/11108
8/11/08
8/11/08
8/11/08
8/11/08
8/11/08
8/11108
8/11/08
8/11108
APP LLH
APP LKW
APP CJC
APP TAJ
Pa2e 2 of 4
CITY OF ~rKll"\.Jl'u..LD
Building/Combination Permit
PERMIT NO
ISSUED
APPLIED'
EXPIRES
VALUE:
COM2008-01076
08/11/2008
07/1712008
02/1112009
$ 13,440.00
480 00
$13,440 00
$13,440 00
07/17/2008
ReceIpt Number
3200800000000000509
t200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
t200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
1200800000000000857
Storm water to tie mto eXlstmg
system to Cll rb
Not approved for Jccesory dwelhng
umt or sleepmg use
3' mtenor setbJck IS allowed for an
accessory bUlldmg, but no porllOn 01
the bUlldmg may be closer than 3' to
the property hne
A survey IS reqUired because of
mlDlmum setbdcks
ThIS buddmg IS nol approved as an
addlllOnal dwelhng UUlt
-~~
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-01076
ISSUED. 08/1112008
APPLIED 07/1712008
EXPIRES 02/11/2009
VALUE. $ 13,440.00
225 FIfth Street, Sprmgfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 Inspection Lme
To Request an InspectIOn call the 24 hour recording at 726-3769. All Inspections requested before 7.00
a m. will be made the same workIng day, InspectIOns requested after 7 00 a m will be made the followmg
work day.
~rflrl Insnectlons I
Ufer Electrical Ground Install ground rod at footmg and call for mspectlOn m conjunction WIth footmg andlor
foundation IIlspectJOn
Footmg After trenches are excavated
Foundation Aftel forms are erected but prior to concrete placement
Shear Wall NaIling Before covering sheathmg WIth fimsh materials
Frammg InspectIOn Prior to cover and dfter dll rough m mspectlOns hdve been approved
W dllln,uldtlon Prior to cover
Cellmg Insulation Prior to cover
Fmal BuIldmg After all reqUIred mspectlons hdve been requested and approved and the bUlldmg IS complete
Underslab Plumbmg Prior to filling the trench and mcludmg reqUIred testmg
Pellmeter FoundatIOn Drams After gravel and filter cloth IS mstalled but prior to backfill
Rough Plumbmg Prior to cover and mcludmg reqUIred testmg
Water Lme PrlO! to filling tI ench and mcludmg reqUIred testmg
Samlary Sener Lme Prior to filling trench dnd mcludmg reqUIred testmg
Storm Sener Lme Prior to filling trench
Fmdl Plumbmg When all plumbmg work IS complete
Rough Mechamcal PI lOr to Cover
Fmdl Methamcal When all mechamcal work IS complele
Underground Electric Prior to cover
Undersldb Electric Prior to cover
Rough Electric Prior 10 Cover
Electric ServIce ApP,oval reqUIred prior to utility company energlzmg servIce
Fmal Eleclflc When all electrical work IS complete
Paee 3 of 4
-Wi:4iii
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01076
ISSUED. 08/1112008
APPLIED 07/17/2008
EXPIRES: 0211112009
VALUE: $ 13,44000
225 FIfth Street, Spnngfield, OR
541,726,3753 Phone
541,726,3676 Fax
541,726,3769 InspectIon Lme
By slgn,lture, I state and Jgree, thJt I have carefully exammed the completed JpphcatlOn and do hereby certIfy that JII
mformatlOn hereon IS Irue and correct, and I further certIfy that Jny and all work performed shall be done 10 Jccordance WIth
the OrdmJnces of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY WIll be mJde of any structure WIthout permISSIOn of the Commumty ServIces DIVIsIOn, BuIldmg Safety
I further certIfy thJt only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each address IS reJdable from the
street, that the permIt card IS located at the front 01 the property, and the approved set of plans wIll remam 011 Ihe sIte Jt JII
times dUrIng construction
//'1 ~-,
~
/5-1!-0 '2
Owner or Conti dctors Slgndture
DJte
Paee 4 of4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY
LOCATION
fAX LOl NUMBER
DEVELOPMENT TYPE
NEW DWELLING UNITS
C0M2008,O I 076
Mark Elltsler
4655 Hatley Court
1802051210000
Smgle Farmlv ReSldcnl"c
o BUILDING SIZE (SF
LOT SIZC (SF)
480
I STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTCM
I IMPERVIOUS S F x I COST PER S F CHARGE I
I 64900 I $0357 I = I $231 53
RUNOFF ROU rED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY S fANDARDS
I IMPERVIOUS S F I x I COST PER S F I x I DISCOUNT RATC I I
I 000 I I $0357 I I 50% ~ I
DISCOUNT
$000
ITEM J TOTAL, STORM DRAINAGE SDC
2 SANITARY SEWER, CITY
$231 53
$231 53
A REIMBURSEMENT COS I
I NUMBER OF DrU', 1 x
I 4 I
B IMPROVEMENT COST
I NUMBCR OF DFU's I x
I 4 I
COST PI:R DfU
$2767
COST PER DFU
$2104
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= , $1948t
3 TRANSPORT A nON
A REIMBURSEMEN f COST
I ADl rRIP RAl I: I x I NUMBER OF UNITS I x I COST PER lRIP x !NEW TRIP FACTOR I
I 957 I I 0 I 2106 100 I
B IMPROVEMENT COST
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW rRIP FACTORI
I 957 I I 0 I i $92 89 I 100 I
ITEM 3 TOTAL - TRANSPORTATION SDC
~ I $000
4 SANITARY SEWr:R - MWMC
A REIMBURSEMENT COST
INUMBCR OF fEU's I
I 0
ICOST PCR FEU
I $97 90
x
B IMPROVeMENT COST
INUMBER OF FEU's I x ICOST PER fl:U
I 0 I $1,00917
MWMC CRCDlT IF APPLICABLE (SCE REVCRSC)
MWMC ADMINISTRA liVE FCE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = ,
5 ADMINISTRATIVE FEE
ISUBIOIAL x I ADM noE RATE 1=
I $426 34 I 5% I
roT AL SANITARY ADMINISTRATION FEE
lOTAL TRANSPORTAl ION ADMINISTRATION FEE
Kaye Wilson
PREPARED BY
7/23/2008
DATE
7841
$110 66
$8415
$000
$000
=
$000
I
I'"
ItS
10
I~
w
f-
'"
G
~
1070
, 1091
I
11092
I'
I
I 1093
I
I 1094
I
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBFR OF NEW FIXTURES x. UNIT EQUIVALENT "" DRAINAGE FIX11JRE UNITS
(NOTE FOR RLMODELS. CALCULATE ONLY THE NCI ADDITIONAL Fl.XTlJRbS)
NO OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS / ETC 0 0 3 = 0
INTERCEP roRS FOR SAND / AUTO WASIl / ETC 0 0 6 = 0
LAUNDRY TIJB 0 0 2 = 0
CI OTI IESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0
IMOBILE HOME PARK TRAP (J PER TRAIIJ:R) 0 0 12 = 0
RECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0
RECEPTOR FOR COM SINK / DISHWASHER I ETC 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF IIEADS) 0 0 2 = 0
ISINK COMMERCiAuRESIDENTIAL KITCHEN 0 0 3 = 0
ISINK COMMERCIAL BAR 0 0 2 = 0
ISINK WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK SINGLE LAVAroRY/RC<;IDENTJAL BAR 1 0 1 = 1
I URINAL, STALL I WALL 0 0 5 = 0
TOILCT, PUBLIC INS r ALLA TION 0 0 6 = 0
ITOILCr. PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS L 4 I
*EDU (EquIValent DwelhnR Umt) IS a discharge equivalent to a smgle Calmly dwelling umt (20 OFU's) set at 167 gallons per day IJ
MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE
t YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDI f? 2
, BEFORE 1979 $529 (Enlcr I for Y cs, 2 for No)
I 1979 _-~~ , $5 29 - IS IMPROVEMENT ELGlBLE FOR ANNEX CREDIT" 2
I 1980 $519 (Enler I for Yes, 2 for No)
1981 - $512 _ BASE YEAR 1997
I 1982 $4 98
I \983 -- , $4 80 CREDIT FOR LAND (IF APPLICABLI:)
I =J... $463 VALUE / 1000 CREDIT RATE
1984
I 1985 $4 40= $000 x $072 ~ , $000
I 1986 $4 or
I 1987 Q'1'- $367= CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I ,
1988 $322 V ALUC! 1000 CREDI r RATE
I 1989 - $273- $000 x $072 ~ , 0
-
I 1990 $225
I 1991 $180 c
I 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 Phonc
~
City of Sprmgfield OfficIal ReceIpt
Developmcnt ServIces Departmcnt
PublIc Works Department
.
Job/Journal Number
COM2008,O I 076
COM2008,O I 076
COM2008-0 I 076
COM2008,O I 076
COM2008-0 I 076
COM2008-0 I 076
COM2008,O I 076
COM2008-0 I 076
COM2008-0 1 076
COM2008,O 1 076
COM2008,O I 076
COM2008-0 I 076
COM2008-0 I 076
COM2008,O I 076
COM2008,O I 076
COM2008-0 I 076
COM2008-0 1 076
Payments
Type of Payment
Check
cRt.cemtl
RECEIPT #.
1200800000000000857
Datc. 08/11/2008
DescriptIOn
rlre SF Fee, ReSIdentIal
Stonn DraInage ImperVIous Area
Sanitary Sewer - Reimbursement
SanItary Sewer, Improvement
SDC San'tary/Stonn AdmIn
BuildIng PennIt
Fixture
SanItary Sewer, 1 st 50 Feet
Water LIne, 1st 50 Feet
Stonn Sewer, 1 st 50 Feet
Ven! Fan
MInImum/AdJustment MechanIcal
-MechanlCdllssuance Fee-
Plan ReView MInor - PlannIng
+ 5% Technology Fee
+ 12% Stdte Surcharge
+ 10% AdmInistratIve Fee
Paid By
MARK ELLlSTER
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb 1295 In Person
Payment Totdl
Page 1 of I
84329AM
Amount Due
22 00
231 53
11066
84 15
21 32
15296
3200
5000
5000
5000
700
4300
2000
11900
2520
4620
4070
$1,10572
Amount Paid
$1,10572
$1,10572
8/1112008