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Home My WebLink AboutPermit Building 2008-9-8 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008"01258 ISSUED: 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 03/08/2009 VALUE: $ 9,975.00 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: . 645 M ST ASSESSOR'S PARCEL NO.: 1703264309800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Laundry ronm addition Owner: HAS FORTH DIONNE L Address: 80884 LOST CREEK RD DEXTER OR 97431 Phone Number: 541-741-0223 I CONTRACTOR,lNFORMATlON , Contractor Type General Contractor OWNER License Expiration Date Phone BUILDING INFORMA nON, VB # of Stories: Height of Structure Type of Heat: Water Type: Rangc Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemcnt: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 95 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: R-3 No I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC 1MPROV~MENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Downspouts/Drains: Speciallnslruclion: Storm water to existing system t N ATTENTION' Oregon law requires you 0 Notes' OnCE: follow rules ~dopted by the Oregon Utility . THIS PERMIT SHAll EXPIR~ . . Notification Center. Those rules are set foOo~h '\i;ffl- . .-- II: nil '''FJRI' - -.:r. J81 991" +~'''''':ll:l..O.AfHlfi2- . COM~t'LtU UNDER THIS PERMIIr J~ 'Jlm; , .. I 0090' You-may obtain copies of the rules by ENGED OR IS ABANDONED'I' V3manon Descr,lDtton , caliin the center; (Note: the telephone ANY 180 DAY PERIOD I vn' b~r for the Oregon Utility Notification . , ' . '.. $ Per Sq Ft Sqnare Foota~~m , '800332 "''''44''- DeSCrIptIOn Type of ConstructIOn It' I' B'd A CentWlIfue- - ])llt~ Calculated or rou Ip lef or I mount Paee 1 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01258 ISSUED: 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 03/08/2009 VALUE: $ 9,975.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectioll Line Dwellines V Wood Frame $105.00 95,00 $9,975.00 $9,975.00 0812012008 Total Value of Project I<pp< p.,i.II.J Fee Description Amount Paid Date Paid ' Receipt Number Plan Review Residential $79.87 8120108 3200800000000000590 -Mechanical Issuance Fee..... $21.00 918108 1200800000000000949 + 10% Administrative Fee \ $26,56 9/8108 1200800000000000949 + 12% State Surcharge $31.31 9/8108 1200800000000000949 + 5% Technology Fee $13.04 918108 1200800000000000949 Building Permit $122.88 918108 1200800000000000949 Dryer Vent $8,00 918108 1200800000000000949 Fire SF Fee - Residential $4,75 918108 1200800000000000949 Fixture $34,00 918108 1200800000000000949 MinimllmlAdjustment Mechanical $44,00 918108 1200800000000000949 SDC SanitarylStorm Admin $1.94 918108 1200800000000000949 Storm Drainage Impervious Area $38,81 918108 1200800000000000949 Storm Sewer - 1st 50 Feet $52.00 918108 1200800000000000949 Total Amount Paid $478.16 I Plan Reviews I I nitial Review 0812012008 0812012008 APP NJM Public Works Review 0812012008 0812612008 WE LKW called and left message for owner Iwaiting for Iixture information from owner Public Works Review 0812712008 0812712008 APP LKW Storm water to tic into existing .system Plannine. Review Structural Review 0812012008 0812012008 0910212008 0910212008 APP TAJ APP CJC No Planning issues 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 following work day. ~f'l"irpd '~lP,rtioN I Footing: After trenches are excavated, Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to noor insulation or decking. Paee 2 of 3 CITY 01' ~rKlJ'\iLJl'II',LD Building/Combination Permit Status Issued PERMIT NO: COM2008-01258 ISSUED: 09/08/2008 APPLIED: 08/20/2008 EXPIRES: 03/08/2009 VALUE: $ 9,975.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Underfloor Plumbing: Prior to insulation or decking. Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backlill. Underfloor Drain: Prior to cover or placement of concrete. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Final Plumbing: When all plumbing work is complete, Storm Sewer Line: Prior to filling trench, 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 Springlield 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 fnrther agree to ensnre 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. d~ f'_W- f J<....v ........ Owner or Contractors Signature Se.rf-- 8' ID~ Date . Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-0 1258 NAME OR COMPANY: , Dionne Hasforth LOCATION: 645 M Street TAX LOT NYMBtR: -="_' .,,'" - 1703264309800' -- DEVELOPMENT TYPE: Sin~1e Familv Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF; 95 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S,F. 'I COST PER S,F, 'CHARGE L 108,80 $0,357 I = I $38.81 I RUNOFF ROlITED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. I " I COST PER SF I, 1 DISCOUNT RATE I 1 I 0.00 I I ' $0.357 I I. 50% I '= I DISCOUNT $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY SEWER - CITY $38,81 $38.81 11070 A, REIMBURSEMENT COST: I NUMBER OF DFU's I , I ,0 I COST PER DFU $27,67 ll. IMPROVEMENT COST: I NUMBER OF DFU's I , 1 0 I COST PER DFU $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $0,00 3. TRANSPORTATION A, REIMBURSEMENT COST: I ADT TRIP RATE I ' I 9,57 ll. IMPROVEMENT COST: 1 ADTTRJP RATE I, , I 9.57 I 1 NUMBER OF UNITS I , I 0 I COST PER TRIP 21.06 , INEWTRIPFACTORI 1 1.00 I I NUMBER OF UNITS 1 , 1 I 0 I I = , COST PER TRIP $92,89 $0.00 , INEW TRJP FACTORI I 1.00 I ITEM 3 TOTAL. TRANSPORT A nON SDC 4, SANITARY SEWER. MWMC A, REIMBURSEMENT COST: INUMBEROF.FEU's I , I 0 I ICOST PER FEU $97,90 ll. IMPROVEMENT COST: INUMBER OF FEU's I , L ' 0 I ICOST PER FEU I $1,009.17 MWMC CREDIT IF APPLICABLE (SE~ REVERSE) , MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $38.81 5. ADMINISTRATIVE FEE: I SUBTOTAL ,ADM, FEE RATE 1= $38,81 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $1.94 ~ L.LI Cl o U ~ ~ t/J (3 ~ 7841 $0,00 11091 I $0,00 11092 I -I $0,00 1093 $0.00 1094 = = $0.00 1054 = $0.00 1055 $0.00 1054 I $0.00 1056 -I I i i I 1.94 '1079 $0.00 11078 ., =l $40.75 Kaye Wilson PREPARED BY TOTAL SDC 'CHARGES 8/26/2008 DATE , DRAINAGE F~TURE UNIT (DFU) CALCULATION TABLE NUMBER OF NE\y FIX11JRES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES ' DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 0 0 3 ,- 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 [MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 fRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0 RECEPTOR FOR COM, SINK I DISHWASHER I ETC 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = 0 [SHOWER, GANG ~BER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIALlRESIDENTIAL KITCHEN 0 0 3 = 0 [SINK: COMMERCIAL BAR 0 0 2 = 0 [SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 [SINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 I URINAL, STALL I WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 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 (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day L [ [ [ [ [ I I I I I I MWMC CREDIT CALCULATION 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 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) . VALUE I 1000 CREDIT RATE $0,00 x $5.29 =, $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE I 1000 CREDIT RATE $0,00 x $5,29 o TOTAL MWMC CREDIT $0,00 = ,.... e. . . , , , , ' '. .0 , o. o. Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140. Salem OR 97309-5052 . Phone: 503-378-4621 Web Address: www.ccb:state.or.us F ,P,eiinit#K:8't- DI L5 'is 'Ad~ess:G4S- M :5T~"" Issued by: \s bn-l Date:q, <f$; CfZ5 , j!, " '. ~ : n " StatEmjent: Info'rmationNotice to. Prop~rty Owners . ,.; Abc;>ut COl'lstruction Responsibilities " Note: Or~gon,'Law, ORS 701.055(4) requires residential constrUction permit applicants who .are not " . . licensed with'the ConstrUction Contractors Board to sign the following statement before a building , . . perm it can be issued, This statement 'isrequired for residential building, electrical. mechanical and plumbingpermits, License{{architect and engineer applicants, exemptfrom licensing under ORS 7P], 0] 0(7), need not submit this stateme,nt !his state.'!lent will be filed wi~h the permit. , .- ., Fill in the appropriate blanks and irutial,poxes I and 2, and either bo~ 3A or 3B: , j ~l: -r2P i. I own, reside in, or will reside in the compl_e~ed structure. :, runderstand.that I mustbec'ome licensed'asa construction contractor if the structure is sold or offered for sale before or on: completion. o 3A. My. general contractor is (Name) (CCB #) ~ .' . , , I'will instruct mygener3l contractor that all subcontractor~ who work on the structure must be . licensed with the Construction Contractors Board, ' . OR ' -w 3B. I will be ~y own gehe~iil contractor. , ,. ." .- " In hire subcontractors, I will hire ,only subcontriictorslicensed with the Construction C~ntractors Board: In change my mind and hire a general contractor,'! will'contract with a contractor who is licensed with the CCB and will immediately notify the 'office issuing this building permitofthe , name of the contractor. ., , ' , .1 her~by certify that the above information is correct and that I have ~ead,and do understand the Information Notice,to.Property Owners about Const'ruc.tion Responsibilities on the reverse side of this form. .. '-. '. ',... . M ~, ~gIOf5 (Signature o~permit applicant) ,Ii (Date) (Whitf copy, to issuing agencyp.erm~tfile. pink:'popyto applicant.) " ,c , :1' Property_owner.doc 06-01-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01258 COM2008-0 1258 COM2008-01258 COM2008-0 1258 COM2008-01258 COM2008-0 1258 COM2008-01258 COM2008-01258 COM2008-0 1258 COM2008-01258 COM2008-0 1258 COM2008-0 1258 Payments: Type'ofPayment Check cReceinll RECEIPT #: City of Springfield Official Receipt Development Services Department Public-Works Department 1200800000000000949 Date: 09/08/2008 3:05:42PM Item Total: Check Number Authorization Received By Batch .Number ,Number How Received Amount Due 38,81 1.94 122.88 34.00 52,00 8,00 44,00 21.00 4,75 13M 31.31 26,56 $398,29 Description Stann Drainage lmp~rvious Area SDC SanilarylSlonu Admin . Building Penuit Fixture Storm Sewer - Isl50 Feet Dryer Vent MinimumlAdjuslmenl Mechanical ~Mechanicallssuance Fee- Fire SF Fee - Residential + 5% Technology Fee + 12% Slate Surcharge + 10% Administrative Fee Paid By DIONNE HASFORTH Amount Paid llh 2628 $398,29 $398.29 In Person Payment Total: Page I of I 91812008