HomeMy WebLinkAboutPermit Building 2008-9-3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone,
541-726-3676 Fax
541-726-3769 Inspection Line
CITY VI' ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I200
ISSUED: ' 09/0312008
APPLIED: 08/12/2008
EXPIRES: 03/03/2009
VALUE: $ 35,000.00
SITE ADD,RESS: 8045 THUR~TON RD
ASSESSOR'S PARCEL NO,: 1702362000206
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Owner: ANDY BURNETTE
Address: 8045 THURSTON RD
SPRINGFIELD OR 97478
Residential
Phone Number: 541-726-4901
"",.-
I. CONTRACTOR ~NFO.~MA nON I
\
Contractor Type Contractor License "'Expiration Date Phone
General MIKE BLANKENSHIP CORP 78966 01109/2010 541-912-4582
Electrical GERARD ELECTRIC
Mechanical JUNG ENTERPRISES INC 102455 1111712008 541-741-0002
Plumbing DOUGS PLUMBING INC 110163 II/2412009 541-688-3385
I DEVELOPMENT INFORMATION 1
--.......,
Overlay Dist:
# Street Trees Rqd:
Paved Dl'ive Rqd:
% of Lot Coverage:
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
,
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I
R-3
VB
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Re~ryard Setback:
Solar Setbacks:
I PUBLIC IMPROVEME~TS'
Street tJJ~;ro!-@.]j~nts:
Storm S1U?rP,fv~il~\Ji.sHALL EXPIRE IF THE WORK.
Speciai',',{;ft'J.I'c'tlb1f:D UNDER THIS PERi\illT IS NOT
COIVIMENCED OR IS ABANDONED FOR
Notes:ANStorm tojie into,e.x;i~ting sysTem
I I vv Unl rctiluu.
Page I of 3
I
, 20.00
LotSize:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occ~pant Load:
250
. nla
REQUIRED PARKING
Total: .
, Handicapped:
. ATTENTION: 0'<36illpact:' rec:li'i.9p 'IOU !a
I, foUow rules adopted t.y Ills (h![:fJ,: '..'filitlf
Notification Center, Those rules are s'~t forth
In OAR 952-001-11010 th'n"nh n^" nu, M'
U090" You may obtain copies of the rules -by
callmg the center. (Note: the telephone
~lklOlP!l1e Oregon Utility Notification
Do;"nspoCG~DIY[.iffil. -800-332-2344).
,^
/
/
...,,----.-
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01200
ISSUED: 09/03/2008
APPLIED: . 08/12/2008
EXPIRES: 03/03/2009
VALUE: $ 35,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541"726-3676 Fax
541-726-3769 Inspection Line
I. Valuation nesc~intion I
Bid Amount Use Bid Amount
$ Per Sq Ft
or multiplier
$1.00
Sqnare Footage
or Bid Amount
35,000,00
Value
Date Calcnlaied
Descriotion Tyoe of Construction
Total Value of Project
$35,000,00
$35,000,00
08/12/2008
L.Fp~. p~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $202.63 8/12/08 1200800000000000863
-Mechanical Issuance Fee- $21.00 9/3/08 1200800000000000929
+ 100/0 Administrative Fee $43,88 9/3/08 1200800000000000929
+ 12% State Surcharge $51.1 5 9/3/08 1200800000000000929
+ 5% Technology Fee $27,26 9/3/08 1200800000000000929
Building Permit $322,28 9/3/08 1200800000000000929
Exhaust Hoods $11.00 9/3/08 1200800000000000929
Fire SF Fee - Residential $12,50 9/3/08 1200800000000000929
Fixture $34,00 9/3/08 1200800000000000929
MinimumlAdjustmenl Mechanical $41.00 9/3/08 1200800000000000929
MinimumlAdjustment Plumbing $18,00 9/3/08 1200800000000000929
Plan Review Minor - Planning $1l9,OO 9/3/08 1200800000000000929
SDC SanitarylStorm Admin $4,09 9/3/08 1200800000000000929
Storm Drainage Impervious Area $81.87 9/3/08 1200800000000000929
Total Amount Paid $989,66
I Plan Reviews ,
Initial Review 08/1412008 08/1412008 APP NJM
Public Works Review 08/14/2008 08/18/2008 APP LKW Storm water to existing system/On
Septic
Plannine Review 08/1412008 08/2212008 APP TAJ
Structural Review 08/14/2008 08/2712008 APP CJC
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.
Page 2 ofJ
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Is'sued
PERMIT NO: COM2008-01200
ISSUED: 09/03/2008
APPLIED: 08/1212008
EXPIRES: 03/03/2009
VALUE: $ 35,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
R~o~i.red I,nsn,ecti?ns 1
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor ~nsuJatjon or decking.
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheathing with finish materials,
Framing Inspection: Prior to cover and after all rongh 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,
Vnderlloor Plumbing: Prior to insnlation or decking,
Rough Plumbing: Prior to cover and including reqnired testing,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Electric: Prior to Cover
Final Electric: When "II electrical 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 Springfield 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, Bnilding Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all re ired inspections are requested at the proper time, that each address is readable from the
street, that the permit card's loc d at the front of the property, and the approved set of plans will remain on the site at all
times during constructio
0'4
Owner or Contractors Signature
Date
Page 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S.F, CHARGE I '
I 229,50 I $0357 I = I $81.87
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
.1 IMPERVIOUS S,F, I x I COST PER S.F. I x I DISCOUNT RATE I ' I
I 0.00 I I $0.357 I I 50% ~ I
ITEM I TOTAL-STORM D~INAGESDC ,'$81.87 '"
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I STORM DRAINAGE
COM2008-0 1200
Andy Burnette
8045 Thurson Road
1702362000206
Single Family Residence
o BUILDING SIZE (SF;
2 SANITARY SEWER - CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 6 I '
B. IMPROVEMENT COST:
I NUMBER OF DFU's I
I 6 I
COST PER DFU
$27.67
x
I COST PER DFU
I $21.04
1 'J'RANSPOHTATION
ITEM 2 TOTAL: CITY SANITARY SEWER SDC
A. REIMBURSEMENT COST:
I ADTTRJP RATE I x
I 9,57
B. IMPROVEMENT COST:
I ADT TRJP RATE I x I NUMBER OF UNITS I
I 9.57 I 0 I
ITEM 3 TOTAL - TRANSPORT A nON SDC
- -
4: SANITARY SEWEH - MWMC
A. REIMBURSEMENT'COST:
INUMBER OF FEU's I x
I 0 I
B, IMPROVEMENT COST:
INUMBER OF FEU's I. x
I 0 I
I NUMBER. OF UNITS I x I
I 0 I I
x I
I
. =,
o
398574 '
:~
10
u
Ic:e:
ILlJ
,f-<
if)
a
~
I 1070
11091
I
11092
I
11093
I
1'1094
I
I
I
ICOST PER FEU
I $97. 90
ICOST PER FEU
I $1,009,17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMJNISTRATIVE FEE
ITEM4TOTAL-MWMCSANITARYSEWERSDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I
."/.
LOT SIZE (SF):
DISCOUNT
$0.00
$81.87
$165,99
L $126,22
= ,
$0:00
\
COST PER TRIP x INEW TRIP FACTORI
21.06 I 1.00 I
$0,00
COST PER TRJP, I x INEWTRJP FACTOR I
$92,89 I I 1.00 . I
$0,00 I
$0,00
~
= ,
$0,00
=
$0,00
$0,00
$0,00
$0,00 I
$81.87 I
CHARGE
$4,09
5. ADMINISTRATlVEFEE:
I SUBTOTAL I ,x I ADM, FEE RA TE I~
I . $81.87 I I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Kaye Wilson
PREPARED BY
8118/2008
DATE
4.09. 11079
$0,00 J 1078
$85.96
n_1
TOTAL SDC CHARGES
=,
1054
.lID55
I 1054
I 1056
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW ~s x UNIT EQUIVALENT = DRAINAGE FI5ITuRE UNITS r
(NOTE: FQRREMODELS. CALCULATE ONLY TIIE NET ADOmONAL FIXTuRES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 = 0
IDRINKlNG FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
1 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. " 0 0 3 = 0
1 INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = ,0
ILAUNDRY TUB . 0 0 2 = 0
ICLOTHESWASHER I MOP SINK I 0 0 3 = 0
ICLOTIiESWASHER - 3 OR MORE (EA) 1 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER rRAn,ER) I 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION iETe. I 0 0 1 = 0
IRECEPTOR FOR COM, SINK I DISHWASHER I ETC, ,I 0 0 3 = 0
ISHOWER. SINGLE STALL 1 1 0 2 = 2
I SHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERClAuRESIDENTIAL KITCHEN 0 0 3 - 0
1 SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL I WALL .0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = i 0
ITOILET, PRIVATE INSTALLATION 1 0 3 1 3
MISCELLANEOUS DFU TYPE NUMBER OF EDO'S
20 - 0
TOTAL n1{AINAGE FIXTURE UNITS 6 1
*EDU (Equivalent Dwelling Unit) is a dischafJ:!:e equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day ~
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
II
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982 "
1983
1984
1985'-
]986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
I
I
I
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2Jor 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 ANNEXA nON)
VALUE I 1000 'CREDIT RATE
$0,00 x $5,29 , . ~ ,
o
TOTAL MWMC CREDIT
$0.00
=
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1200
COM2008-0 1200
COM2008-0 1200
COM2008-0 1200
COM2008~0 1200
COM2008-0 1200
COM2008-0] 200
COM2008-0 1200
COM2008-0l200
COM2008-0 1290
COM2008~0 1200
COM2008-0 1200
COM2008-0 1200
Payments:
Typ.e of Payment
Check
cReceintl
RECEIPT #:
1200800000000000931
Date: 09/03/2008
8:49:IOAM
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Plan Review Minor - Planning
SDC SanitarylStorm Admin
Building Permit
Fixture
Minimum/Adjustment Plumbing
Exhaust Hoods
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Amount Due
12.50
81.87
119.00
4.09
322.28
34.00
18,00
11.00
41.00
21.00
27.26
51.15
43.88
$787,03
Paid By
MIKE BLAKNESHlP
,
Item Total:
<"':heck Number Authorization
Received By :Batch Number Number How Received
Amount Paid
11958
In Person
Payment Total:
$787.03
$787,03
njm
Page I of I
9/3/2008