HomeMy WebLinkAboutPermit Building 2009-1-21
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01819
ISSUED: 01/21/2009
APPLIED: 12/31/2008
EXPIRES: 07/21/2009
VALUE: $ 26,880.00
225 Fifth Street, Springfield; OR
541-726-3753 Phoue
54]-726-3676 Fax
541-726-3769 Iuspection Line
SITE ADDRESS: 525 N]CHOLAS DR
ASSESSOR'S PARCEL NO.: 1703221201917
Springlield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Addition
Owner: THORNTON BRETT
Address: 525 NICHOLAS DR
SPRINGFIELD OR 97477
Phone Number: 541-741-3452
Contractor Type
Geueral
Electrical
r .CONTRACTOR INF<-?RMATlON ~
Contractor ' License
HIGH TECH PROTECTION SYSTEMS, LLC 67477
. TBD
Expiration Date
07/14/2010
Phone
541-914-0071
.
BUILDING INFORMATION I
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
13.00
Electric
Electric
Electric
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
256
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
u/a
I DEVELOPMENT INFORMATION I.
'"
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
25;00
25.00
10.00
0.00
Overlay Dist: Total:
# 'Street Trees Rqd: Haudicapped:
Paved Drive Rqd: Compact:! to
, laW reqou v , Tt
% of Lot Coverage: cNT\ON: iJ35~00i, h oregon Utll Y
ATTIC, oon',ed by t e set 10rt\1
fnlloW fu,es_a ...':'. ThOse ru\e~ ~~ ~",.,_nl)t-
I PUBLIC IMPROVEMENI'S:lq~~~_OO;:001 0 throui~'~ ~i ihe ruleS by
, . " btalO cop \ nhone
00' 90 'Iou 'S'iijV 0 I'" 1:'" .e- the te e... .
Fully Improved 00 \'\i09 t\18 ce,,'l"~v'" "~'Utility Notilicatlon
Yes C~rnber l[>.o\lilii!9J~rsgBr3'Y.!,s2344). Curb and Gutter
n center IS l-tI u
2
Street Improvements:
Storm Sewer Available:.
Special Instruction: NOTICE:
N t St t t.T~ltS P~RtMIT .$.1:1411' CV",C\r A--
o es: orm 0 te,(y1, PI/',xrt11g5st'J~Dm tol~nroro< "nt!~~E WORK
COMMENCED OR I~R THIS PERMIT IS NOT
ANY 180 DAY PERIOtBANDONED FOR .
Paee 1 01'3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Liue
Descriotion
Tvpe of Construction
.Dwellines
'Ij Wood Frame
Fee Description
Plan Review Residential
***+ 100/0 Administrative Fee***
-Mech Iss 2+ Appliances-
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fire SF Fee - Residential
MinimumlAdjustment Mechanical
Plan Review Minor - Planning
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Wood Stove/Insert
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01819
ISSUED: 01/21/2009.
APPLIED: 12/3112008
EXPIRES: 07/21/2009
VALUE: $ 26,880.00
I Valuat,ion Descrintion 1
$ Per Sq Ft
or multiplier
$105.00
Square Footage
or Bid Amouut
256.0Q
$26,880.00
$26,880.00
12/31/2008
Value
Date Calculated
Total Value of Project
l<'~P'~
Amount Paid
Date Paid
Receipt Number
$174.90
$33.39
$42.00
$38.53
$22.00
$269.08
$12.80
$19.00
$119.00
$1.68
$33.53
$33.00
12/31/08
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
1/21/09
2200800000000001791
1200900000000000028
1200900000000000028
1200900000000000028
1200900000000000028
1200900000000000028
1200900000000000028
1200900000000000028
1200900000000000028
1200900000000000028
]200900000000000028
]200900000000000028
$798.91
I Plan Reviews I
Initial..Review 12/3112008 12/3112008 APP NJM
Plan nine Review 12/31/2008 01/05/2009 APP DDK
Public Works Review 01/02/2009 01/05/2009 APP LKW Storm to tie into existiug systemlto
curb & gutter
Structural Review 12/31/2008 01/16/2009 APP CJC _ As noted in conditions letter
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.
~n~ll~,..t~
Footing: After treuches are excavated.
Foundation: After forms are erected but prior to concrete placemeut.
Post and Beam: Prior to floor insulation or decking.
Pa2e 2 of 3
-Q,~~!f:!~~I;j, ~+ .
f, , . ","
i -:' v'
CITY VI' ~rRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-01819
ISSUED: 01/21/2009
APPLIED: 12/31/2008
EXPIRES: 07/2112009
VALUE: $ 26,880.00
225 Fifth Street, Springfieid, OR
541-726'3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Liue
Floor Iusulation:. Prior to deckiug.
Shear Wall Nailiug: Before covering sheathing with linish materials.
Framiug Inspection: Prior to covel' and after all rough in inspections bave been approved.
Wall Insulation: Prior to cover.
Ceiliug Insulation: Prior to cover.
Final Building: After all required iuspections have been requested and approved and the building is complete.
Rough Mechauical: Prior to Cover
Final Mechauical: When all mechanical work is complete.
Wood Stove: After Installation.
Rough Electric: Prior to .Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examiued 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 Commuuity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliauce with ORS 701.005 will be used on this project.
I further agree to eusure 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 frout of the property, and the approved set of plaus will remain on the site at all
t~u;in!!~Ons:Q If ~ ~ { <--'=5
Owner or Contractors Siguature
Date
'i.
Paee 3 013
I
I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER.: Com2008-01819
NAME OR COMPANY: Brett Thornton
LOCATION: 525 Nicholas Drive
TAX LOT NUMBER: 1703221201917
DEVELOPMENT TYPE: Single Family Residence
NEW DWELLING UNITS 0 BUILDING SIZE (SF; 256 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. ,x I COST PERS.F. I CHARGE
I 94.00 . I $0.357 = I $33.53 I
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
I 0.00 . I I $0.357 I 50% I 'C I
ITEM.I TOTAL - STORM DRAINAGE SD\= I $33.53
II ",'
I P'!,
I.CI
18
Ip::
4792 I ~
I~
DISCOUNT
$0.00
$33.53 11070
---- ----
- -, .
2. SANTTARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 0 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 0 I
I
I
I 1091
I
COST PER DFU
$27.67
. $0.00
COST PER DFU
$21.04
I
= ,
$0.00
$0.00
11092
II
I
~ Tn.A_Ns!'.()RTATION
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
A. REIMBURSEMENT COST:
! ADT TRIP RATE I x
I 9.57
B. IMPROVEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I x I
I 9.57 I I 0 I
ITEM 3 TOTAL - TRANSPORT A nON SDC ~ I
I NUMBER OF UNITS I x I
I ' 0 I i
COST PER TRIP I x INEWTRIPFACTORI
21.06 I I 1.00 I
. .' $0.00
1093
,,'
"
COST PER TRIP x !NEW TRIP FACTORI
$92_89 I 1.00 I
$0_00
$0.00
1094
4 SANTT ARY SEWER - 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
ICOST PER FEU
I $97.90
= $0.00 1054
1 . I
= $0:00 I 1055
$0_00 I 1054
$0_00 I 1056
$0_00 I
--- ---,_... -
----.- .--- .. I
$33.53
CHARGE ,I
$1.68
1.68 11079
ICOSTPER FEU
I $1,009.17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
= I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
). ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE I~
I $33.53 I I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
- ,
,-
TOTAL TRANSPORTATION ADMINISTRATION FEE:
1/5/2009
,
TOTAL SDC CHARGES
$0.00__!11078
=, ' '$35.21
Kaye Wilson
PREPARED BY
DATE
.!
DRAINAGE J'lAlllRE UNIT (DFU) CALCULATION TABLE
~- NUMBER OF NEW FixTuREs x UNIT EQUIVALENT,: DRAINAGE FIXTURE UNITS 1
(NOTE: FOR REMODELS. CALCUlATE ONLY THE NET ADDmONAL FIX1URES)
NO. OF FIXTURES DRAINAGE I
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUNALENT. UNITS
fBATIITUB -- I
0 0 3 = 0
IDRINKlNG FOUNTAIN 0 0 1 = o' I
I FLOOR DRAIN 0 0 3 = 0 I
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 '0 3 = 0 !
INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 I
LAUNDRY TUB 0 0 2 = 0 I
CLOTIIESW ASHER / MOP SINK 0 0 3 = 0 I
ICLOTIIESW ASHER - 3 OR MORE rEA) 0 0 6 = 0 I
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER / ETC. 0 0 3 = 0
ISHOWER SINGLE STALL 0 0 2 = 0
ISHOWER GANG (N1!l'@EROF HEADS\. 0 0 2 = 0
ISINK: COMMERCIALlRESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLELAVATORYIRESIDENTIAL BAR 0 0 1 = 0
IURlNAL. 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 I
20 = 0
TOTAL D,RAINAGE FIXTURE UNITS 0
.EDU (EQuivalent DweJlina: Unit) is a disc~e equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day I,
, I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
r--- YEAR
I ANNEXED
r-- BEFORE 1979
I. 1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
I
=
$0.00
IS LAND ELGIDLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No) .
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Ent",- I for Yes, 2 for No)
BASE YEAR
2
2
1999
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RAFE
$0.00 x $0.28
~I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE .
$0.00 x $0_28 ~ ,
o
TOTAL MWMC CREDIT
I'
City of Springfield Official Receipt
Development Services Department
Public Works Department
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone .
Job/Journal Number
COM2008-01819
COM2008-0 1819
COM2008-0 1819
COM2008-0 1819
COM2008-0l8l9
COM2008-0 1819
COM2008-0 1819
COM2008-01819
COM2008-0l819
COM2008-0l819
COM2008-0l819
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200900000000000028
1:37:07PM
Date: 01/21/2009
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Wood Stove/lnsert
,Minimum/Adjustment Mechanical
-Mech Iss 2+ Appliances-
+ 5% Technology Fee
+ 12% State Surcharge
***+ 10% Administrative Fee***
Amount Due
12.80
33.53
1.68
119.00
269.08
33.00
19.00
42.00
22.00
38.53
33.39
$624.0]
f
Paid By
HIGHTECH PROTECTION,
LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm 2023 In Person
$624.0 I
Amount Paid
Payment Total:
$624.0 I
Page I of 1
1/21/2009
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01819
COM2008-0 1819
COM2008-0 1819
COM2008-0 1819
Payments:
Type of Payment
Check
RECEIPT #:
Description
Fixture
Miscellaneous Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000029
Date: 01/21/2009
,
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
HIGHTECH PROTECTION SYS njm
2024
In Person
Payment Total:
cReceiotl
Page 1 of I
1:45:08PM
Amount Due
17.00
41.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
\/21/2009