HomeMy WebLinkAboutPermit Building 2009-1-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01817
ISSUED: 01/14/2009
APPLIED: 12i31/2008
EXPIRES: 07/14/2009
VALUE: $ 13,428.32
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1083 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264412600
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New Carport
Owner: SHIRLEY BELL
Address: 80428 DELIGHT V ALLEY SCHOOL RD
COTTAGE GROVE OR 97424
Phone Number: 541-942-7990
I cONTRACTORINFORMATION I
Contractor Type
General
Contractor
DEAN ALAN LOCKE
License
80344
Expiration Date
04/25/2010
Phone
541-520-4608
BUILDING INFORMATION.
# of Units:
. Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
. Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:'
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,970
VB
356
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
35.00
55.00
0.00
'Overlay Dist:
# Street Trees Rqd:
, Paved Drive Rqd:
% of Lot Coverage:
No
16.10
Total:
Handicapped:
Compact:
2
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
ATTENTICDbWb'S}AAI'ls\'f)~ifn'S!jires you t.o
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
""' ,- ...._-.......I...rh,.......t'lo
NOTICE' . ~"'''''8 LI'" "",,,,,.. \""" ,.- ...'. .
THIS PERMIT SHALL EXPIRE IlfflIjiatJ6ihlDescrip,tiOrijll'ber6~~tt=rei~~~~g~.~d~~~3~~:~fICatlon
. AUTHORIZED UNDER THIS P~~T is NUl
. , '. r t S uare Foota e ' ,
DescnptlOn COM~tP,~(,ot~~t~!\C1\W\NDO uffi1,~er o~ Bid Amou~t Value . Date Calculated
ANY 180 DAY PERiOD.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Yes
Notes:
Storm water connect to existing use.
Page 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
541-726-37691nspection Line
Gara2e/Misc
U VB Utility
Fee Description.
***+ 100/0 Administrative Fee***
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
Plan Review Residential
SDc Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
Ipitial Review
Public Works Review
Plannin2 Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01817
ISSUED: 01/14/2009
APPLIED: 12/31/2008
EXPIRES: 07/14/2009
VALUE: $ 13,428.32
$37,72
$13,428.32
$13,428.32
01/07/2009
356,00
Total Value of Project
Frf'l..P,W
. Amount Paid
Date Paid
Receipt Number
$17.61
$19.00
$13.87
$158.32
$17.80
$119.00
$102.91
$8.54
$170,88
2200900000000000049
2200900000000000049
2200900000000000049
2200900000000000049
2200900000000000049
2200900000000000049
2200900000000000049
2200900000000000049
2200900000000000049
1/14/09
1/14/09
1/14/09
1/14/09
1/14/09
1/14/09
1/14/09
1/14/09
1/14/09
12/30/2008
12/31/2008
$627,93
Plan Reviews I
12/31/2008 APP LLH
12/31/2008 APP BJG
01/05/2009 APP DDK
'01/07/2009 APP CJc
Front columns embedded for lateral
12/31/2008
12/31/2008
Approved according to plans.
To Request an inspection caIl the 24 hour recording at 726-3769. AIl 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 foIlowing
work day.
R~nl~~nP'PtionIi;J
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have heen approved,
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Pa2e 2 of 3
Status
Issued
CITY OF M'Kll~\.;rFIELD
Building/Combination Permit
PERMIT NO: COM2008-01817
ISSUED: 01/14/2009
APPLIED: 12/31/2008
EXPIRES: 07/14/2009
VALUE: $ 13,428.32
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefuny examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall he 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, 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 further agree to ensure that an 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 pia us will remain on the site at all
tim~a:~o~trZL ///Lj /09
Owner or Coutractors Siguature Dat€' I .
Paee 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2008-0] 817
NAME OR COMPANY: Shirley Bell
LOCATION: 1083 Centennial Blvd.
TAX LOT NUMBER: 1703264412600
DEVELOPMENT TYPE: Single Family Residence
NEW DWELLING UN]TS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF):
I. STORM DRAINAGE
o
I~
1[2
10
18
Ie>::
.I ~
a
gj
DIRECT RUNOFF TO CITY STORM SYSTEM
I ]MPERVIOUS S.F. x I COST PER S.F. I' CHARGE
479.00 I $0.357 I = I $170.88 J
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F.' x .1 COST PER S.F. I ex 1 DISCOUNT RATE I I
. I 0.00 I $0.357 I , 50% I ~ I
DISCOUNT
$0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
$170,88
J
$170.88
1]070
'l- SANITARY SEWER - C]TY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's' x
I 0 I
B. ]MPROVEMENT COST:
1 NUMBER OF DFU'sl. x
I 0
COST PER DFU I
$27,67 ,
I
$0.00 1109]
I
COST PER DFU
$21.04
$0,00 11092
I
._,~
ITEM 2 TOTAL - CITY SANITARY,SEWER SDC= ,
3. TRANSPORTATION
$0,00
A. REIMBURSEMENT COST: .
I ADT TRIP RATE I. x
! 9.57 I
I NUMBER OF UNITS I x I
I 0 I I
COST PER TRIP
21.06
I
COST PER TRIP
$92.89
$0.00
x INEW TRIP FACTORI
I 1.00 .
$0.00
,1093
II
1094
B. ]MPROVEMENT COST:
I ADT TRIP RATE 1 x I NUMBER OF UNITS I x I
I 9.57 0 I. I
ITEM 3 TOTAL - TRANSPORTATION SDC ,=. ,
x INEWTRlPFACTORI
I 1.00' I
$0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU 1
I 0 'I I $97.90 = $0,00 1054
B. IMPROVEMENT COST:
IN UMBER OF FEU's I x ICOST PER FEU
I 0 I I $],009.] 7 = $0.00 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMIN]STRATIVE FEE $0.00 11056
ITEM 4 TOTAL - MWMC SANITARV SEWER SDC =1 $0,00 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $t 70,88 I
~ ADMI"ISTRATIVE FEE:
1 SUBTOTAL J x I ADM. FEE RATE 1= CHARGE
I $] 70.88 I 5% $8.54 I
TOTAL SANITARY ADMINISTRATION FEE: 8.54 11079
TOTAL TRANSPORTATION ADMINISTRAT]ON FEE: $0.00 p078
-
Ben Gibson 12/31/2008 TOTAL SDC CHARGES =1 $179.42 I
PREPARED BY DATE I
----
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FDITuRE UNITS
(NOTE: FOR REMODELS, CALCVLA TE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQlJIVALENT UNITS
fBATIITUB 0 - 0 , 0
3 =
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. :0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY 1lJB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER ST A nON / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 O. 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) ,0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 1
UlUNAL,STALL/WALL 0 0 5 = 0 I
TOILET, PUBLIC INSTALLATION 0 0 6 = 0 I
ITOILET, PRIVATE INST ALLA TION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 I
. :EDU (Equivalent DwellingUnit) is a discharge equivalent to a single family dwelling Unit (20 DFU's) set ad67 gaHm'ls per da't' 1
r
I.
I
I
I
I
I
I
,I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
]984
1985
1986
]987
1988
1989
1990
1991
1992
1993
1994
]995
]996
1997
1998
\999
2000
2001
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I fnr Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I fnr Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 ; x $5.29
~I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29 ~ ,
o
I
TOTAL MWMC'CREDIT
=
$0.00
225 Fifth Street
Spriugfield, Oregon 97477
541-726-3759 Phone
'City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-01817
COM2008-0 1817
COM2008.01817
COM2008-0l817
COM2008-0l8l7
COM2008.0 1817
COM2008-018l7
COM2008-018l7
COM2008-0l817
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Date: 01/14/2009
2200900000000000049
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Plan Review Residential
Building Permit
Fire SF Fee - Residential
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee***
Paid By
DEAN A LOCKE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 06026c In Person
Payment Total:
, Page 1 of 1
10:06:53AM
Amollnt Due
170.88
8.54
119.00
102.91
158.32
17,80
13.87
19.00
17.61
$627,93
Amount Paid
$627.93
$627,93
1/[4/2009