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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 --- u/ j 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