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Home My WebLink AboutPermit Building 2009-1-21 Status Issued CITY VJ< ~PRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00023 ISSUED: 01/21/2009 APPLIED: 0110712009 EXPIRES: 07/21/2009 VALUE: $ 80,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2969 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703224104800 Spriugfield' TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition Owner: MICHAEL NOWAK Address: 2969 GAME FARM RD SPRINGFIELD OR 97477 Phone Number: 541-746-0687 Contractor Type Geueral f~~;~JI2M~AA\~'7RjW9~J(I~N 1 NOlificatiO. n Center. Those rules are !Vl!1Qtlh ContraC1lm)AR 952-001-0010 through OAR 9~!(f(Jl!e OWNER 0090. You ma~ obtain copies of th.e rl"". hv (;a"lngl~- a~.- 1,1. J-'-~' _ L__, n b [, TN(; I'N'I' (IN. urn ef I,ll. Iii I Cenleris 1-BOU-332-2344). # of stones: 1 R-3 Height of Structure 16.00 Type of Heat: Heat Pump Water Type: Electric Range Type: Electric Energy Path: Sprinkled Building: . Expiration Date Phone 3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basemeut: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 429 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VA nla Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 61.50 44.00 27.00 I DEVELOPMENT ]NFORMATION ,I NOTICE: TOO~flT: SHAll EXIlIRJiAfFTlitieWORK Al!JlH'OOIfe8slR@ER THIS PERMIT IS NOT cl!'>>.lWfl9ftErf!ffi IS ABANDONED FOR AWl Mt6Mep~IOD. 8.20 REQUIRED PARKING Total: Handicapped: Compact: 0.00 I PUBLIC IMPROVEMENTS' Street Improvemeuts: Storm Sewer Available: Special Iustruction: ",.' Sidewalk Type: Downspouts/Drains: Notes: Storm drain to existing I Valuation Descrintion I Description Type of Construction $ Per SqFt or multiplier Square Footage or Bid Amount Value Date Calculated . , 'Paee 101"3 ". CITY OF ~rKINGFIELD Building/Combination Permit PERMIT NO: COM2009-00023 ISSUED: 01/21/2009 APPLIED: 01/07/2009 EXPIRES: 07/21/2009 VALUE: $ 80,000.00 Status Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate '$1:00 80,000.00 $80,000.00 $80,000.00 01/07/2009 Total Value of Project Fp:p:~, P~~irlJ Fee Description Plan Review Residentia] + ]2%.State Surcharge + 5% Technology Fee 1st Appliance Building Permit Dryer Vent Fire SF Fee - Resideutial Fixtu re Plan Review Minor - Planning SDC SauitarylStorm Admin Storm Draiuage Impervious Area Vent Fan' Amount Paid ' Date Paid . Receipt Number $397.38 $106.60 $50.37 $79.00 $611.35 $9.00 $21.45 $]71.00 $119.00 $8.95 $179.09 $18.00 1/7/09 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 1/21/09 3200900000000000007 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 2200900000000000076 Total Amount Paid $1,771.19 I Plan Reyiews .I. Initial Review 01/09/2009 01/09/2009 APP NJM Public Works Review 01/09/2009 01/12/2009 DON BJG Plannine Review 01/09/2009 01/1312009 APP DDK Structural Review 01/09/2009 01/21/2009 APP CJC Approved as noted on plans and couditions 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. . IR"(JJ~ , Footing: After trenches are excavated. Fouudation: After forms are erected but prior to concrete placement. Post aud Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Iuspection: Prior to cover and after all rough in inspections have beeu approved. . Paee 2 of 3 CITY OF SPRINul'lJ<..LD Building/Combination Permit Status Issued PERMIT NO: COM2009-00023 ISSUED: 01/21/2009 APPLIED: 01/07/2009 EXPIRES: 07/21/2009 VALUE: $ 80,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Drywall: Prior to taping. Final Building: After all required inspectious have been requested and approved and the building is complete. Underfloor.Plumbing: Prior to insulation or decking. Underfloor Draiu: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including req~ired testing. Final Plumbing: When all plumbing work is complete. Underfloor Mechauical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: Wheu all mechauical work is complete. Rough Electric: Prior to Cover Fiual Electric: When all 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 aud the Laws or the State of Oregon pertaiuing to the work described herein, and that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety. I further certify that only contractors aud employees who are in compliance 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 front of the property, and the approved set of plans will remain on the site at all times during constructiop.. ~JTh'~L- 1- ;)./-01 Owner or Contractors Signature Date Paee 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCAT]ON: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELUNG UNITS COM2009-00023 MIKE AND MICHELLE NOWAK 2969 GAME FARM RD. ] 703224104800 Single Family Residence o BUILDING SIZE (SF: 429 LOT SIZE (SF): 33541 I If{] Ie 10 I~ u.J f- en o ~ I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM. I IMPERVIOUS S.F. x I COST PER S.F_ r CHARGE I 502.00 I $0.357 I = I $179.09 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 ~ I DISCOUNT I $0.00 I. ITEM I TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $179.09 $179.09 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x o I B. IMPROVEMENT COST: '1 NUMBER OF DFU's I x COST PER DFU o I $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC COST PER DFU $27.67 $0.00 11091 $0.00 1092 = , $0.00 1 TRANSPORTATION. A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I I 9.57 I 0 ' I i 21.06 I 1.00 I .1 $0.00 1'1093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I I 9.57 I I 0 I i $92.89 I 1.00 I $0.00 I 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = 1 $0.00 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I 0 I I $97.90 = . $0.00 I 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I , ICOST PER FEU L 0 I I $],009. I 7 = $0.00 1055 I, MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 '11054 MWMC ADMINISTRATIVE FEE $0.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $0_00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $179.09 _I 5. ADMINISTRATIVE FEE: ..--. I SUBTOTAL , I ADM. FEE RATE 1= CHARGE 1 $179.09 1 5% I $8.95 TOTAL SANITARY ADMINISTRATION FEE: 8.95 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078 --~ Ben Gibson 1/] 2/2009 TOTAL SDC CHARGES =, $188.04 I PREPARED BY DATE _II __0- DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE --. -- -..'. ~~-- ... -I' NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUlV ALENT UNITS I BATHTUB -0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE I OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER I MOP SINK 0 0 3 = 0 ICLOTIlESW ASHER - 3 OR MORE (EA) 0_ 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG I WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK I DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF 1.IEADS) 0 0 2 = 0 I SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 .3 = 0 I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLELA V A TORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL. STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 .EDU (EQuivalent Dwelling Unit) is a discharJ: equivalent to a single f~ilv dwellinR unit (20 DFU's) set at 167 gallons per day -,J MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED CREDIT RA TE/$ I ,000 ASSESSED V AlOE ~..:::,$5.29 l': /~~i~~!~:; . --:-:',;',,: ..':==~$4.98 .80 ., .63. o:!:c~,~:~~' ~';$3_67 'r~Jfu$3_22 . ~~)2.73 ~ $2.25 .., ~ $1.80 ,!:}~:~:~~. '.;;;.$1.25 ;""'$1.09.. $0.92" ,., $0.72 :~ ~~:~~-,:~- '1~:~~:6~""':~;": ' BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 ]995 1996 1997 1998 1999 2000. 2001 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0_00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) VALUE l 1000 CREDIT RATE $0.00 x $5.29 o TOTAL MWMC CREDIT $0.00 = 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ' Job/Journal Number COM2009-00023 COM2009-00023 COM2009-00023 COM2009-00023 . COM2009-00023 COM2009-00023 COM2009-00023 . COM2009-00023 COM2009-00023 COM2009-00023 COM2009-00023 Payments: Type of Payment Check cRcccint I RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000076 1:36:03PM Date: 01/21/2009 Item Total: Checl{ Number - Authorization Received By Batch Number Number How Received Amount Due 21.45 179,09 8.95 119.00 611.35 171.00 79.00 18.00 9.00 50,37 106.60 $1,373.81 Description Fire SF Fee - Residential Storm Drainage Impervious Area SDC SanitarylStorm Admin .Plan Review Minor - Planning Building Permit Fixture I st Appliance Vent Fan Dryer Vent + 5% Technology Fee + 12% State Surcharge Paid By MICHAEL NOWAK . ' Amount Paid djb $1,373.81 $1,373.81 5110 In Person Payment Total: Page 1 of I 1/21/2009