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Home My WebLink AboutPermit Building 2009-1-28 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-000n ISSUED: 01/28/2009 APPLIED: 01/16/2009 EXPIRES: 07/28/2009 VALUE: $ 22,367.73 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4667 HAILEY CT ASSESSOR'S PARCEL NO.: 1802051209900 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Add Game Room to Existing Residence Owner: Address: GONZALEZ EDGAR R & LIZBETH 4667 HAILEY CRT ' SPRINGFIELD OR 97478 I CONTRACTORINFORMATIO~, I - Contractor Type General Contractor RICKY LEE PEACOCK License 162739 Expiration Date 01113/2011 Phone 541-688-2471 BUI"~~NG INFORMATION 1 # of Units: #., of Stories: 1 Lot Size: 7,841 Primary Occupancy Group: R-3 Height of Structure Sq Ft 1 st Floor: 231 Secondary Occupancy Group: ' Type of Heat: Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft GaragelCarport # of Bedrooms: Energy Path: Sq Ft Other: ' Sprinkled Bnilding: nla Occupant Load: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING Frontyard Setback: Overlay Dist: , Total: Side 1 Setback: 5.50 #"Street Trees Rqd: Handicapped: Side 2 Setback: 534.00 Paved Drive Rqd: Yes Compact: Rearyard Setback: 10.00 % of Lot Coverage: 30.00 Solar Setbacks: 0.00 I PUBLIC IMPROVEMENTS I Sidewalk Type: . , ATTENTION: Ore~on law requires YO&!lJbSlde 5, follow P&~!!sP.9!lfl'{PJl!iY~le Oreg~ll ~ Sewer Notification Center. Those rules are set forth in OAR 952-00H01 0 through OAR 952.001- 0090., You may obtain copies of the rules by callinq the center. (Note: the telephone number lor me uregon ulIIny I~OlllICClll()n NOi\CE: XPIRE \nli~ ~a~ion Descrirtion I Center is 1-600-332-2344). HIS PERMIT S\-l~LL E RMll IS NUl D .1 . IZiPn'eltlA5R llilS ,FE ~Jtfr Sq Ft Sqnare Footage escn'WJIlHORNCcD OR \~"AlfJ.!.f.!0'8NED tfi'mnltipliel' or Bid Amonnt COMME c ANY 180 DAY PERIOD. ' I' Street Improvements: Fnlly Improved , Yes. Storm Sewer Available: Special Instruction: , Notes: Route storm to exiting Valne Date Calculated Pa2e 1 ofJ r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SFlOuplex R-3 VB 1&2, Familv , , Fee Description Plan Review Residential + 12% State Snrcharge + 5% Technology Fee Building Permit Fire SF Fee - Residential Plan Review Minor - Planning SDC SanitarylStorm Admin Storm Drainage Impervious Area Total Amount Paid Initial Review 01120/2009 , Strnctural Review 0112012009 Pnblic Works Review 01120/2009 Planning Review 01120/2009 $96.83 ;Total Valne of Project F., P,"', PQ;.! · ,1 1 I.......... Amount Paid Date Paid CITY OF SPRIl'iLr1'lJ!,LU Building/Combination Permit PERMIT NO: COM2009-00072 ISSUED: 01/28/2009 APPLIED: 01/16/2009 EXPIRES: 07/28/2009 VALUE: $ 22,367.73 231.00 01116/2009 $170.79 $31.53 $19.09 $262.75 $1l.55 $1l9.00 $5.14 $102.74 1116/09 1128/09 1128/09 1128/09 1128/09 1128/09 ,1128/09 1/28/09 $22,367.73 $22,367.73 Receipt Nnmber 3200900000000000025 3200900000000000046 3200900000000000046 3200900000000000046 3200900000000000046 3200900000000000046 3200900000000000046 3200900000000000046 Approved as noted on plans and conditions letter Storm routed to existing. Approved as shown on plans. 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. $722.59 I Plan Reviews I 0112012009 APP LLH Footing: After trenches are excavated. Fonndation: After forms are erected but prio~ to conc,:ete placement. Post and Beam: Prior to floor insulation or decking. Floor 1nsnlation: Prior to decking. Shear Wall Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rongh in inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insnlation: Prior to cover. ' 0112112009 APP CJC 01126/2009 APP, BJG 0112712009 APP DDK ~"'1''Ju~ Il'~nections 1 I' Pa2e 2 of3 ' Status Issued CITY OF SPRIN\.JJ:<lJ<.Lu Building/Combination Permit PERMIT NO: COM2009-000n ISSUED: 01/28/2009 APPLIED: 01/16/2009 ' EXPIRES: 07/28/2009 VALUE: $ 22,367.73 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Final Bnilding: After all required inspections have been...equested and approved and the building is complete. By signature, I state and agree, that I have carefully examined tbe 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 pertaiuing to the work descrihed herein, and that NO OCCUPANCY will be made of any strncture withont permission of the Community Services Division, Bnilding Safety. I further certify that only contractors and employees'who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all required inspections are reqnested 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 construction. , llJdl~ /-d-lY-Ot Owner or Contractors Signatnre Date Pa2e 3 of 3 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS - COM2009-000n GONZALEZ RESIDENCE 4667 Hailey ct 1802051209900 Single Family Residence' o BUILDING SIZE (SF: ,1659 I, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, '" I COST PER S,F, CHARGE I 288,00 I, $0.357 I ; I $102,74 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS liMPER VIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I I 0,00 I $0.357 I 50% I ~ I ITEM I TOTAL- STORM DRAINAGE SDC 2 SANITARY SEWER - CITY, A. REIMBURSEMENT COST: : NUMBERO OF DFU'S: '- x ,I COST PER DFU , $27,67 B. IMPROVEMENT COST: I NUMBER OF DFU's I ~ I 0 I COST PER DFU I' $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~ I ] TRANSPORTATION A, REIMBURSEMENT COST: I ADTTRlP RATE I x I 9,57 I B. IMPROVEMENT COST: I ADT TRIP RATE I I 9.57 I I NUMBER OF UNITS I x I I 0 I I I NUMBER OF UNITS I x I I" 0 I I = , x ITEM 3 TOTAL - TRANSPORT A nON SDC $102.74 LOT SIZE (SF): 7841 Ie 'I ~ 10 I~ IW ,1-< I~ I DISCOUNT $0,00 $0.00 , . COST PER TRIP 21.06 x INEW TRI, P FACTORI I 1.00' COST PER TRIP $92,89 $0.00 . I x INEWTRlPFACTORI I. I 1.00 I I 4, SANITARY SEWER - MWM(: A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 ICOST PER FEU I $97,90 B. IMPROVEMENT COST: INUMBER OF FEU's I x I 0 I ICOST PER FEU I $1,009, I 7 I I , MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWER SDC ; I SUBTOTAL (~DD ITEMS I, 2, 3, & 4) ~ I 5 ADMINISTRATIVE FEE: I SUBTOTAL x I ADM,FEERATE I~ I $102,74 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 $102.74 CHARGE $5,14 Ben Gibson ] 126/2009 PREPARED BY DATE TOTAL SDC CHARGES , $102.74 11070 _I , ' $0.00 1091 11092 _I ; I' , $0.00 , $0.00 11093 I I $0.00 I 1094 J ~ $0.00 I 1054 '1 ' ; $0.00 1055 $0.00 1054 $0.00 1056 I I 5,14 11079 $0,00 11078 ._--"" -, =1 $107.88 - DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - D~AGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DR~INAGE FIXTURE UNITS o o _10 . 0 :0 o ,0 "0 '.0 o o ,0 o o o o o o o .0 o :0 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED r-- BEFORE 1979 1 1979 I 1980 I 1981 I 1982 I 1983 II" :~:: I 1986 I 1987 19<8~ 1989 1990 : 1991 1992 1993 .\ 1994 1995 1996 1997 1998 .. ". 1999 2000 2001 CREDIT RATE/$I,OOOlr--- ' ASSESSED VALU~ IS LAND ELGIBLE FOR ANNEXATION CREDIT? 5' ' ' (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT? (Enter I forYcs,2,forNo) BASE YEAR " '. CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0,00 x $5,29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALuE II 000 CREDIT RATE $0,00 x $5.29 ~ I TOTAL MWMC CREDIT = , . , ' ,~.. . 1", . ~ , '. 1979 $0,00 $0,00 2 2 o I I I I I I I I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-000n COM2009-000n COM2009-000n COM2009-000n COM2009-000n COM2009-000n COM2009-000n Payments: Type of Payment Cash Change Job/Journal Number COM2009-000n C0M2009-000n COM2009-000n COM2009-000n COM2009-000n COM2009-000n COM2009-000n Payments: Type of Payment Cash Change cReceintl City of Springfield Official Receipt Development Services Department Public Works Department REc:EIPT #: 3200900000000000046 Date: 01/28/2009 Description Fire SF Fee - Residential Building Permit Storm Drainage Impervions Area SDC SanitarylStorm Admin Plan Review Minor - Planning + 5% Technology Fee + 12% State Surcharge Paid By RICK PEACOCK RICK PEACOCK Received By NJM NJM Description Fire SF Fee - Residential Bnilding Permit Storm Drainage Imperviolls Area SDC SanitarylStorm Admin Plan Review Minor - Planning 4- 5% Technology Fee + 12% State Surcharge Paid By RICK PEACOCK RICK PEACOCK Received By NJM NJM Page I of I Item Total: Lheck Number Authorization Batch Number Number How Received In Person In Person Payment Total: Item Total: Check Number Authorization Batch Number Number How Received In Person In Person Payment Total: 10:23:l1AM Amount D~e 11.55 262,75 102,74 5,14 119,00 19.09 , 31.53 $551.80 Amount Paid $560,00 ($8,20) $551.80 Amount Due 11.55 262.75 102,74 5,14 119,00 19,09 31.53 $551.80 Amount Paid $560.00 ($8,20) $551.80 1/28/2009