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Home My WebLink AboutPermit Building 2009-2-5 _S~~IJ~~!I'i'~~ 1 ~ Status Issued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00173 ISSUED: 02/05/2009 APPLIED: 02/05/2009 EXPIRES: 08/0512009 VALUE: $16,500.00 SITE ADDRESS: 897 S 37TH ST ASSESSOR'S PARCEL NO,: 1802061203000 Springfield TYPE OF WORK: Balhroom I CONTRACTOR INFORMA!ION., on Ia.W lequ" 0_ n Utility Contractor ..AUgNilOl't ,Ol~~~d bY the Ol~~~ful\h Expiration Date GARY W A YN~-'1\lfrf~~?~'f~~\U~eflm2-001. 08122/2011 Noti\;;,lii'ill ;"=~4~iJH. .\in.ln 00. lu1es UJ In O~~\P" LV:!r" ~g t~ ~tIOne 0090. ,'(o~al~~: lNot~~i~ity NotilicatiOn R-3 calling tI'Ielg~p'!'p,9.o.~'~2-2344). I\Ull\be~IQIi'~e"liF~ Waler Type: . Range Type: Energy Path: Sprinkled Building: PROJECT DESCRIPTION: Balh addition Owner: SHEPPARD WILLIAM C & J A Address: 897 S 37TH SPRINGFIELD OR 97477 Contractor Type General # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Conslruction Type Secondary Conslruclion Type: # of Bedrooms: Fronlyard Selback: Side 1 Setback: Side 2 Setback: Rearyard Selback: Solar Setbacks: 24,00 14,00 5,00 37.00 0.00 SlreelImprovemenls: Slorm Sewer Available: Speciallnslruction: TYPE OF USE: Addilion Residenlial Phone 541-744-2999 VA Lol Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq FI Basement: Sq Ft Garage/Carporl Sq FI Other: Occupanl Load: 80 n/a I DEVELOPMENT INFORMATION I re:. 'If 1I-1E WOR\{ ~Oi\'Ot~rlttilS.\..\.. EXPIRE ERMIi IS N01 1I-1IS Qf8lP!! 1!Wl{~\S I' OR AU1I-1e~ l!?{>..13ANDONEO f Yes COM~WUlilil RHYff: 26,50 . ANY 180 DAY I'E I PUBLIC IMPROVEMENTS I REQUIRED PARKING Tolal: Handicapped: Compact: Sidewalk Type: Parlially Improved Yes Downspouts/DruiDs: , Notes: New fixtures were added but on septic; therefore, no new sanitary SDC's charged. Description Type of Conslruction I Valuation Descriotion I' $ Per Sq FI or multiplier Sq uare Foolage or Bid Amounl Value Dale Calculated Page 1 of 3 _~'~f'iillil!!!~q, J . _... ,I i,",. ~ ,. Status Iss u ed 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line Eslimale Eslimale Fee Description + 12% .Slale Surcharge + 5% Technology Fee Is1 Appliance Building Permit Fire SF Fee - Residential Fixlure Minimum/Adjustmenl Plumbing, Plan Review Residential Storm Drainage Impervious Area Tolal Amounl Paid Planning Review Slruclural Review , I ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00173 ISSUED: 02/05/2009 APPLIED: 02705/2009 EXPIRES: 08705/2009 VALUE: $ 16,500.00 $1.00 16,500,00 02/05/2009 Total Value ofProjecl $16,500,00 $16,500,00 P~~~,P,'li11 Amount Paid Receipt'Number Dale Paid $40,95 $17,06 $79,00 $204.25 $4,00 $38,00 $20,00 $132.76 $44.95 2/5/09 2/5/09 2/5109 2/5/09 2/5/09 2/5/09 2/5/09 2/5/09 2/5/09 1200900000000000081 1200900000000000081 1200900000000000081 1200900000000000081 1200900000000000081 1200900000000000081 1200900000000000081 1200900000000000081 12009,00000000000081 $580.97 I Plan Reviews I 02/05/2009 02/05/2009 02/05/2009 02/05/2009 . No planning issues, as noled on plans APP APP DDK CJC To Request an inspection call the 24 hour-recordingat 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. Ueollired Insnections , Footing: After Irenches are excavated, Fou,ndation: After forms are erected but prior to concrete placement. ,Post and Beam: Prior to tloorinsulation or,decking. Floor Insulalion: Prior 10 decking; Framing Inspection: Prior 10 cover and after all rough in inspeclions have been approved, Wall Insulalion: Prior 10 cover. Ceiling I.nsulalion: Prior 10 cover, Final Building: Afler all required inspeclions have been requesled and approved and the building is complele, Undertloor Plumbing: Prior 10 insulation or decking, Underfloor Drain: Prior to c.over or placement of concrete. Rough Plumbing: Prior 10 cover and including required testing, Final Plumbing: When all plumbing work is complete, Pal1e 2 of 3 By signature, I state and agree, that J have c'arefully examined the completed application and do hereby cerlify Ihatall information hereon is Irue and correcl, and I further certify thaI any and all work performed shall ~e done in accordance with the Ordinances of the City of Springfield and Ihe Laws of the Slale of Oregon perlaining 10 the work described herein, and Ihal NO OCCUPANCY will be made of any slructure without permission oflhe Community Service.s Division, Building Safety, J furlher cerlify Ihal only conlraclors and employees who are in compliance wilh ORS 701.005 will be used on this project, I further agree 10 ensure Ihat all required inspeclionsare requested at the proper time, Ihat each address is readable from the slreel, I t Ihe permil card is located al Ihe fronl o/'the properly, and the approved sel of plans will remain on Ihe site al all times ring construction. ow.,,:~"~ . Status Iss u ed 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complele, Rough Ele,clric: Prior 10 Cover Final Eleclric: When all eleclrical work is complele, Pa!!e 30f 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00173 ISSUED: 02/05/2009 APPLIED: 02/05/2009 EXPIRES: 08/05/2009 VALUE:' $ 16,500.00 d- ~~ 0 9 Dale CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2009-00173 NAME OR COMPANY: Bill and Judy Sheppard LOCATION: 897 South 37th St. TAX LOT NUMBER: 18020612-03000 DEVELOPMENT TYPE: Single Familv Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM lJRAINAGF. o DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE 120.00 I $0.357 I = $42.81 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 0.00 I $0.357 I I 50% I .~ I ITEM 1 TOTAL - STORM DRAINAGE SDC DISCOUNT $0.00 $42.81 $42.81 -~ I~ 10 I~ I~ ~IJ) o ~ I 1070 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I . 0 I $1,009.17 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4TOTAL-MWMC SANITARY SEWERSDC ~ , $0.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $42.81 5 ADMINISTRATIVE FEE: 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 0 I COST PER DFU $27.67 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 0 $21.04 ITEM 2 TOTAL - CITY SANITARY SEWER SDC J. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 I B. IMPROVEMENT COST: I ADTTRIPRATE I I 9.57 I I NUMBER OF UNITS I x I o I I I NUMBER OF UNITS I x I I 0 I I ~, x ITEM 3 TOTAL - TRANSPORTATION SDC 1 SANITARY SEWER. MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x o I ICOST PER FEU I $97.90 ISUBTOTAL x I ADM. FEE RATE I~ I $42.81 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 $0,00 = , $0.00 COST PER TRIP 21.06 x INEW TRlP FACTORI I 1.00 I $0,00 COST PER TRIP $92.89 $0.00 I x INEW TRlP FACTORI I 1.00 I ~' $0,00 = $0.00 = $0,00 $0,00 $0,00 , 11091 1092 ',1093 I [1094 J 11054 11055 I I 1054 1056 I 'I 2.14 11079 $0.00 J 1078 , =1 $44.95 CHARGE $2.14 Eric Walter 2/5/2009 TOTAL SDC CHARGES PREPARED BY DATE .-.. - -.--- --- DRAINAGE F!.XTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENf'" DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELs. CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 0 0 3 = 0 IDRINKlNG FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/ MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION i ETC. 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 1 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAIJRESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (&luivalent Dwelling Unit) is a discharge equivalent to a sinJde family dwelling unit (20 DFU's) set at 167 gallons per day r I Ii I I I I I 'I I I .1 I I I MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE ~ CREDIT RATE/$I,OOO ASSESSED VALUE ~fI1[,:[',;j~}'~( ~;:~~1':'1;::;'; ~t;;:~ ",,_ 1'+ ,~~ $5.19 .;;~' .$5012 :':;':r}i:'~~~~:::. $(98~:~ ~ $4.80 $4.63 fi!;r:l~,:~j ::.,~:~91~" , $4..07.' '.':~~1~i ~;:~t; "r';'""~~ '~ $2.73 YEAR ANNEXED BEFORE 1979 1979 1980 1981 19R2 1983 1984 ]985 1986 1987 19R8 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 , IS LAND ELGIBLE FOR ANNEXA nON CREDIT?' (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 ~ , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o "" . $2.25 '$1.80' $1.59 $1.45 $1.25)'" ' $1.09 $0.92 $o.'h;'I,' '$0.4!l $0.28 $0.09" $0.05" II TOTAL MWMC CREDIT = $0.00 Structural Permit Application 5PRINCi"'lU.D ~ _MIII-~~ 225 Fifth Street + Springfield, QR97477 + PH(54t)726-3753 + FAX(541)726-3689 ,., ~ I~~~e;:!rj[[~;m~~jl COWl. ~O,- Permit no.: J . 00/7' I Date: Z/S-/O 9 This permil is issued under OAR 918-460-0030, Permilsexpire if work isnol slarled wilhin 180 days o'fisshance or if work is snspended for 180 days, '~~~..9~iI@:Y5[NM:~.~i,~\p:g!fR@YA'~~li~ ~~gi~~~;eect has final land-use approvaL Date 1l;;~.~_Em~:c;]ig~gggl\i._~~1 I ~~~~:~~:ct has DEQapprovaL Date W~~~:~~~~~~o;m~QRf.t~~1~~~': I Zoning approval verified: DYes D No Occupancy L{ (S I 1~;~ii~~~~~~~~@:1j~;~QNR.lt!ftJ~!~11' ~::::u;et~:ntype'~(~~ ~~+'cl r~~ I ~;~~::!:U 4"~_=~JE~:::rn.::~~~,,,~.,~~le.;~~~~~~~,_-.1 . I Cost per square foot:, J ,~~!';~Q.tl!LSJ;'IlI;ll.lN~0~M~mLQm:~NP~gt<;B1Q~I!"~~ lather information: \ I Job site address: I':) 97 .5qLt:-f l-. $/-1 h.. I Type ofHeat: I . I City: 5 DFJ, I State: "V I ZIP: I' I I I I Energy Path: I SUbdivision~c>"., -.LI ' ) LO~~__OO I I D new' D alteration tGil)ddition Reference: / O"""'c.- ~ &- TaxJot: '-'..-.'-' I III,B'. -m''''''''%I:I-~'' "j~-"'-_'__'''.'_~~'''~.~~''',~-,.I~'1a,t,'''''''r' I (b) Foundation-only permit? DYes DNo I , "~"" ~''''"",,,,PR0RER:tiXi':OWNER-''li' ,,,!\fIN1,:' "1!'.IEii',,,' <^,j~=iM1. <,,,,__,,,",c~,~,,,^,~,,,,".,,,.,_R.~~.....__,".)\li= ._,.",~+'~"~,,,, .~",,,,..~..".,d I Total valuation: I $ {~ , ~o o! Name: Blu: JUd1 C;-hp~"",~ . f" ...........='...'_.,ciJ>_I....,.....'j'T\I......."'~.. . -~~,. ....."".1.1 - - -. -, ~,i2:)'Building~fees'f'<''i~t;i;,~tW~ll,~;t;;1~S"\{'~:f~i1~\{1f~:[iF~,t., . ',ffi:t~;'.<~. '~~YJ/ I Address: 897 Sou. h. 5/-f", L..._...~,.. ........"...'..'...'._.1_;-,....'.._....."';.., . ,~= .....",,,,.1. I. L p' I I 0'" I (a) Permit fee (use valuatIon table): ,$ I City: ' ? P c State: V ZIP: I . "./ . 8 I (b) Investigative fee (equal to (2a]): $ I Phone:'S41- '7CtD - { 6 { Fax: - . . I (c) Remspectlon ($ per hour): I I E-mail: (number of hours x fee per hour) $ This installation is being made. on residential or farm property owned by I (d) Enter 12% surchar e (. 12 x [2a+2b+2cj): I $ I me or a member afmy Immediate famllYI and IS exempt from hcensmg - g requirements under ORS 701.010.' I (e) Sobtotal offees above (2a Ihrough 2d): I $ I rB~Ri~["Yre'tii~~!fffi~'!!?!!'f"!~~~!~~"'-iif;i!;"~!%-~-~t Sign here: IL""""''''';',_'''''~e~*,~,.",,_..,,~,~~t.,,~~_~~~i~F~~ li__90NTfR1i:Cfi:OR~NSmAi!ifA:]ff0NV&1!~~f'~.Jl!I~jfl (a) Plan review (65% x permit fee [2a]) I $ /3. Z 'Bu~;~~s:naJl1e -'~~~"-S~~"~-~.C;;;:.s';~'~'''''I''''1 I (b) Fire and life safety (40% xpermit fee [2a]) . I $ I I Address ? { S- S b C6 be.. \.-4 C3~ Lp I 11~4~~>'M.s~~~tl-Ia~:::':~:~;'~~:;~~~I~"~'~~i~;~~i:iifr;,"~~"'~~j'lfilfj!i!'l.\''''''l'\'~11 : ~~:~e: (Z(A<j ~ I ~:e 6v- I zIPQ7Yo8 J ((~;'~:~S~;;~f:::9;!I~:~e~;i~~~~:~:~:~i[~:];'~i~~[4~-tY:""'-~<J'~JI I E-mail:' I I TOTAL fees and surcharges (2e+3c+4a): I $ I I CCB license no.: 17 fj 0 [,1 I I Print name: (514....'1 SFe-fjq.v~k I I Signature ~~ ~ I r:;~~::l~~~r~~~r:~~~M~~~~i. I Plumbing\("cuIR:.- 1(,.:7 1) 2. 543." 4'>0 I I Meehariical5k6i,J,G. I 'I t) 1::>( 7 52u- 5'3 '17 I 225 FifthSireet Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00 173 COM2009-00 173 COM2009-00 173 C0M2009-00173 COM2009-00 173 COM2009-00 173 COM2009-00173 COM2009-00 173 COM2009-00173 Paymenls: Type of Paymenl Cash Change Job/Journal Number .COM2009-00173 COM2009-00173 COM2009-00 173 COM2009-00 173 COM2009-00 173 . COM2009-00 173 COM2009-00 173 COM2009-00 173 COM2009-00 173 Payments: . . Type of Paymenl Cash Change cReceintl RECEIPT #: 1200900000000000081 Description Plan Review Residential Storm Drainage Impervious Area Building Permit Fixture Minimum/Adjustment Plumbing IsI Appliance Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge City of Springfield ()fficial Receipt Development Services Department Public Works Department Date: 02105/2009 Item Total: Lheck Number Authorization Received By Batch Number Number How Received In Person In Person Paymenl Tolal: Paid By Description Plan Review Residential Storm Drainage Impervious Area Building Permit Fixture Minimum/Adjustment Plumbing 1st Appliance Fire SF Fee - Residential + 5% Technology Fee + 12% State Surcharge Paid By L:heck Number Batch Number Received By Page I of I Item Talal: . Authorization Number How. Received In Person In Person Paymenl Tolal: 2:00:35PM Amount Due 132.76 44.95 204.25 38.00 20.00 79.00 4.00 17.06 40.95 $580,97 Amount Paid $590.00 ($9.03) $580,97 Amount Due 132.76 44.95 204.25 38.00 20.00 79.00 4.00 17.06 40.95 $580.97 Amount Paid $59Q.00 ($9.03) $580,97 2/5/2009