HomeMy WebLinkAboutPermit Building 2008-2-7
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753.. FAX: (541)726-3689
City~umber f?,>6 ~ ./ ~ 7
~ 1 & 2 Family Dwelling or Ac~esso,.y [B"" New Construction
D . Multi-Family D AdditionlAlterationlReplacement
D CommerciallIndustrial D Tenant Improvement
Job Address J{- / 7/ hYrJ -Ih..e--~
Lot i 5 Block J Subdivision -r7 tJ '1 A-
Project Name A 1 n ",..Ii J,p ~ J f)/2 viA
Description of Work/location on premises/special conditions fi-dd
D
Name ,HI'_ '9 IJAUdL-
Mailing Address 41 7/ ;::;'~.f~ LA'
City ~n--J~fi4 State J-- Zip 1/7'176
Phone Fax
Owner Representative -r; M WI R ~ S
Phone :]_:./77'C,cf Fax '7lj7.1r~Fi
D
pc;, Box. i,~ 7
. State. /Jv Zip Cf'1f(77
Fax? i.f 7 Ylr.3 ~
Mailing Address
City 0- n f:-t.d
,
Phone 2'-/7 %LfLc/
D
Address
City
Contact Person Ka.e-/!;-
Phone 7 1/7 II 'TO
D
State Zip
al!cIA/
Date
'2.--7- tJ15
D Demolition
D Other.
Bldg No_
Tax MapfTax Lot
Suite No.
New Dwelling Area
Garage/Carport Area
Other Structure Area
SQFt
*0
Value
X $/SQ Ft
-4" el 0
Existing Building Area
New Building Area
Total Value
Existing New
Occupancy Group( s)
Const. Type( s)
Number of Stories
Contractor's Name)
General -n n1 IA/IR J=s;;J,)J}<{ 7 7 ':f 7 F 7 ~ </i
Plumbing }.// LJ-. ~
Mechanical ;./1 InI ;11111'1 I~<--r- ,~ .:,-\}.-y,~')f
Electrical r.LJlr .;:? 'I? I.?r"o
o mreont'meJfCiiillmaUs~ialFRrjjTeci$~m D ,rR~aentili!fRrgJectSill~~~Ii~[~_~~a'"0:~~~~~Uil~_4~ta
Has site review application.been submitted? Heat Source: ;;~ ~lI't.() A-II--- aCbh~.. J.I-- j/ ~ .
DYes D No D N/A Water Heater A-- Range All A.- ner ::Piitll-h-ll_rmd
If so, Name of Planner Do you require any fthe following for thirp.6ject? ~ //
Journal Number Over-width or Second Driveway D Yes ~~
Temporary Power DYes l.d'No
Notice; All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon
under of ORS 70 I and be to be licensed in the where work is
I
PERMIT
I PLAN CHECK FEE I
BUILDING
I DATE
I BY I
APPLICATION
Shared Drive(T:)lBuilding Forms/Building Permit Application JO-02.doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER; COM2008-00189
NAME OR COMPANY; Tom Wirf
LOCATION; 4171 FoOS)'!hia Street
TAX LOT NUMBER; 18-02-05-22 00400 /
DEVELOPMENT TYPE;. Addition to SFD.
NEW DWELLING UNITS 0 BUILDING SIZE (SF 1118 LOT SIZE (SF);
I. STORM flllAINAGE
DIRECT RUNOFF TO CITY:STORM SYSTEM
I IMPERVIOUS S.F_ x I COST PER SF CHARGE I
I 1118.00 $0346 I ; I $386_85
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S_F. I x I COST PER S.F. I x I DISCOUNT RATE I I
0_00 I I $03461 . 50% ~. I
ITEM 1 TOTAL - STORM DRAINAGE SDC $386.85
12197
I
It/)
I~
10
.u
c>::
~
f-<
t/)
6
gj
DISCOUNT
$0.00
$386.85
11070
2 SANITARY SEWER - r.ITY
A. REIMBURSEMENT COST;
I NUMBER OF DFU's Ix COST PER DFU
. I 0 I $26.83
B. IMPROVEMENT COST; .
1 NUMBER OF DFU's I . -xl COST PER DFU
.1 0 I I $20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
$0.00
1091
$0.00
1092
~I
$0.00
JI
A. REIMBURSEMENT COST;
I ADT TRIP RATE. I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I 0 I I 20.43 1.00 1 $0.00 1093
B. IMPROVEMENT COST; I
I ADT TRIP RATE I x I NUMBER OF UNITS 1 xl COST PER TRIP . x INEW TRIP FACTORI
I 9_57 I I 0 1 I $90.10 I 1.00 I $0.00 1094
ITEM 3 TOTAL - TRANSPORTATION SDC ; , SO.OO
.I
4 SANITARY SEWER - MWMr. - -I
A. REIMBURSEMENT COST:.
INUMBER OF FEU's I x ICOST PER FEU I
I 0 I I $9535 .1 ; SO_OO. I 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I $99039 ; $0.00 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) So.OO 1054
MWMC ADMlNlSTRATNE FEE SO.OO . 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~ I $0.00 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $386.85 -I
5 ADMINISTRATIVE FEE. I
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I $386_85 5% I $1934
TOTAL SANITARY ADMlNlSTRATION FEE; 1934 1079
TOTAL TRANSPORTATION ADMlNlSTRATION FEE; $O.O~ 1078
--
Billy Curtiss 2/12/2008 TOTAL SDC CHARGES = I $406.19 II
PREPARED BY DATE' .
. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT-EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE. FOR REMODELS. CALCULATE ONLY TIJE NET ADDmONAL FIXTURES)
NO. OF FIXTURES
"EDU lBluivalent Dwellin~ Unit) is a dischar.~e equivalent to a single family dwellin,g wiit (20 DFIJ's) set at 167 ~Ions per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR
ANNEXED
I BEFORE 1979 '
I 1979
I 1980
I 1981
I ]982
I! 1983
I 1984
I 1985
I 1986
I 1987
I 1988
I 1989
I 1990
I 199]
I ]992
I 1993
I 1994
I 1995
I 1996
I 1997'
I 1998
I 1999
I 2000
I 2001
CREDIT RATE/$l,OOO
.. ASSESSED VALUE
jE~fi
. . _".... $4.80'. :.;.-- .
-)~;;~:~;;~:~~)i~d:: ..
;!~~~!~~{
!
I
DRAINAGE I
FIXTURE
. UNITS .
0 .1
0 I
0 I
0 I
0 I
0 ,
,
0 I
0 I
0 I
0 I
0 I
0 I
0 I
0 I
0 I
0 I
0 1
0
0
0
o
o
I
I
I
I.
II
2
1
I
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT aGlBLE FOR ANNEX_ CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
. CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0_00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $5.29 ,
TOTAL MWMC CREDIT
=
2
1979
$0.00
o
I.
$0.00
. 4PAJ'.
,
. .
BUILDING PERMIT CHECKLIST
_. ~
Lo+-
I Lot Size
I Zoning
I Plan Designation
r Metro -Plan. Designation
. ., Building Height
I Solar Setback Approved
I Percentage Lot Coverage
./ WillametteGreenway
I Hillside Development
I UF- i 0
I Historic
I FloodPlain Zone . .
I FloodPlain Panel
I Floodway
I Wetlands
. IhR'..&' p"L~:nhi.1TL.--i
r Tree Felling .
Setbacks fJJ_~ .
(house) 5 J.1J Ws . .
. Pave Driveway
Number of Street Trees
Prior Journal Numbers
Comments
.. I Plan Check Fee Entered
l~ I l't::r
.~
. GG--f\-
-
/.--Ct ~ h ~ .
X - R-k<.J"
-
-
-- - --- -----
-
-
-
I
-
Setbacks
(garage)
-1t:'" (0; I 6 Cf
Ad.dr',
.. ~1'"41 ~~\
/ I
J
I
I
I
~
I
i
I
i
I
j
I
-.,
J
N S .
--
E W
---
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City of Springfield .
Building Permit & Inspection Summary
2/7/2008
3 ;48;50PM
Job #:
I COMl008-00189
225 Fifth street
541~726-3753 Phone
541-726-3676 Fax
Project Status: In Review
,
Job Address:
4171 FORSYTHIA ST
Springfield
Scope of Work: Single Family Residence
Description of Work: Family Room & Garage Addition
Owner & Contractor(s)
Name
CON TOM WIRFS ENTERPRISES INC
ELC BILLS ELECTRIC
MEC . HOME COMFORT HEATING & AIR
OWN BLOOD JOSEPH D & DARLA J
Address
PO BOX 237 .
3170 WEST ]ITHAVENUE
PO BOX 24205
4]7] FORSYTHIA ST
City. State. Zi~
SPRINGFIELD OR 97477.
EUGENE OR 97403
EUGENE OR 97402
SPRINGFIELD OR 97478
Phone
541-747-8704
541-501-5650
541-345-2838
Valuation ofProiect
Occunancv
Construction Tvne
Cost Per So Ft So Ftl!;
Date
Valuation Calculated. Staff
Dwellings
Garage
V Wood Frame
Garage
$ 105.00
$ 28.00
400:00
500.00
$42,000.00
$ I 4,000.00
$56.000.00
2008/02/07
.2008/02/07
DLM
DLM
Descrintion
Amount Paid
Fees Paid
Date Paid
Receint #
PliufReview Residential
Total Amount Paid
$282.15
$282;] 5
. 02/07/2008
1200800000000000]]4
Plans Reviewed
Denartmei1t
Received Due Date Comnleted Result Reviewer ~omment~
oi/07/2008
02/07/2008
02/07/2li08 ..-----,
I
. ..02/07/2008 -- -
. 02/07/2008 APP
NJM
Planning Review
Public Works Review
1- - . ~
, Structural Review
initiaj Re~i~~
lnsnections Conducted.
I nsnections
Comments
Date
Result
}n.snector
, .
I
1 of 1
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00189
Payments;
Type of Payment
Check
cReceintl
RECEIPT #:
Description
Plan Review Residential
Paid By
COZY HOMES, INC.
f
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000114
Date: 02/0712008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk
42015
In Person
Payment Total:
Page 1 of I
12;10;47PM
Amount Due
282.15
$282.15
Amount Paid
$282.15
$282. I 5
2/7/2008