HomeMy WebLinkAboutPermit Building 2009-4-2
Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6548 A ST'
ASSESSOR'S PARCEL NO.: 1702344201600
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00372
ISSUED: 04/02/2009
APPLIED: 03/20/2009
EXPIRES: 10/02/2009
VALUE: $ 3,000.00
Springfield TYPE OF WORK: Single Family Residence
,
PROJECT DESCRIPTION: Covered porch
Owner:
Address:
PICKLE TIMOTHY W & PAULINE A
6548 N A ST
SPRINGFIELD OR 97478
TYPE OF USE: Addition
Residential
Phone Nnmber: Unlisted
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
BINEHAM CONSTRUCTION
BUIL()ING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
VB
License
76336
Expiration Date
10/24/2009 .
Phone
541-484-9405
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
338
I DEVELOPMENT INFORMATION I
Front yard Setback: Overlay Dist:
Side I.Setback: 6.00 # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: 75.00 % of Lot Coverage:
Solar Setb'NeTlCE: 0.00
I HI~ r'tKIVIII ;;,nMLL CA;:;m: IF -;I.;~ .t:.:'~':.-.
AUTHORIZED UNDER THIS PEll.WlllI-\ClIIm1PROVEMENTS I
Street Imple~~~ll!NCED OR IS ABANDONED FOR
Storm Sew~i;t!~a"jIMIIElAY PERIOD.
Speciallnstrnction:
Notes: Ro~te storm to existing.
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
TvtJe of Construction
Paee I of 3
REQUIRED PARKING
Total:
Handicapped:
Yes Compact:
28.00
ATTENTION: Oregon law requires you to
. .... ""'.._ ___ .1j.:I:J...
IUllUVV IUIC~o.UVp''''''"''''', ...- -'-~_., - J
Notification Center, Those rules are set forth
ilSld~\'\ 1t?q..D.Ql-0010 through OAR 952-001-
0090. ~ou r'hay obtain copies of the rules by
D/I~p.~I??!ifll/l)ralos; (Note: the telephone
number for the Oregon Utility Notification
. Center is 1-800-332-2344).
Value
Date Calculated
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00372
ISSUED: 04/02/2009
APPLIED: 03/20/2009
EXPIRES: 10/02/2009
VALUE: $ 3,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Insl!ection Line
Bid Amount
Use Bid Amount
$1.00
3,000.00
$3,000.00
$3,000.00
03/23/2009
Total Value of Project
L-Fpp< PiWU
Fee. Descritltion
Plan Review Residential
+ 12% Stale Surcharge
+ 5% Technology Fee
Building Permit
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid
Date Paid
Receipt Number
$44.04
$8.13
$9.34
$67.75
$119.00
$8.13
$162.68
3/20/09
4/2/09
4/2109
4/2/09
4/2/09
4/2/09
4/2/09
1200900000000000203
1200900000000000233
1200900000000000233
1200900000000000233
1200900000000000233
1200900000000000233
1200900000000000233
Total Amount Paid
$419.07
I Plan Reviews I
Initial Review 03/23/2009 03/23/2009 APP LLH
Public Works Review 03/23/2009 03/23/2009 APP BJG Route storm to existing service
PlanninlZ Review 03/23/2009 03/24/2009 APP DDK
Structural Review 03/23/2009 03/27/2009 APP RWC
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.
Rpollh'f'rllnfi'.npptio~ .
Footing: After trenches are excavated.
Framing Inspcction: Prior to cover and after all rough in inspections h~ve been approved.
Roof Sheathing
Final Building: After all required inspections have been requested and approved and the building is complete,
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00372
ISSUED: 04/02/2009
APPLIED: 0312012009
EXPIRES: 10/02/2009
VALUE: $ 3,000.00
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 and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure witbout permission of the Community Services Division, Bnilding Safety,
I fnrtber certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this project.
I furtber agree to ensure that all required inspection's 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 "pproved set of plans will remain on the site at all
times during c ction.
c -,
Owner or Con~ctors Signature
.-
Pa2e 3'ofJ
#7/0/
Date
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
COM2009-00372
PICKLE RESIDENCE
6548 A S1'.
1702344201600
Single Family Residence
o BUILDING SIZE (SF:
456
LOT SIZE (SF):
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I' COST PER S.F. I I CHARGE
I 456.00 $0.357 I '= $162.68 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS SF I x I COST PER S.F. I x I DISCOUNT RATE I 1
I 0.00 I $0.357 I 50% I ~ I
ITEM I TOTAL - STORM nRAINAGE SOC. I $162.68
2. SANITARY SEWER - f:ITY
A REIMBURSEMENT COST:
I NUMBER OF DFUs I x
I 0 I
B. IMPROVEMENT COST:
I NUMBER OF DFUs I
o I
COST PER DFU
$27.67
COST PER DFU
$21.04
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
;, I
$0.00
DISCOUNT
$0.00
i-
lK]
10
10
IU
,[iJ
9148 f-
I~
!
II
$162.68 I 1070
$0.00
$0.00
1091
1092
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRJP RATE I x
I 9.57 I
I NUMBER OF UNITS I x I
1 0 I I
B: IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9.57 I 0 I I
ITEM 3 TOTAL- TRANSPORTATION SDC ~ I
4. SANITARY SEWER - MWMf:
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I 0 I
ICOST PER FEU.
I $97.90
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x
I 0 I
ICOST PER FEU
$1,009.17
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADO ITEMS 1,2,3, & 4) ~ ,
5. ADMINISTRATIVE FEE:
ISUI3TOTAL x I ADM. FEE RATE I~
I $162.68 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
COST PER TRIP
21.06
COST PER TRJP
$92.89
$0.00
x INEW TRJP FACTOR I
I 1.00 1
x INEW TRIP FACTORI
I 1.00 ~ I
Ben Gibson
3/23/2009 .
PREPARED BY
DATE
so.oo
$0.00
=
$0.00
11093
I
11094
I
I
I
I 1054
DRAINAGE FIXTURE UNIT (DFU) CALC~~TION TAB-,=E
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO: OF FIXTURES .
DRAINAGE
FIXTURE
uNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
I BATHTUB -
0 0 3 =
IDRINKING FOUNTAIN 0 0 1 =
IFLOOR DRAIN 0 0 3 =
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. '0 0 3 =
INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 =
LAUNDRY TUB 0 0 2 =
CLOTHESW ASHER / MOP SINK 0 0 3 =
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 =
IMOBILE 1.10ME PARK TRAP (I PERTRAILER) 0 0 12 =
RECEPTOR FOR REFRIG/ WATER STATION /ETe. 0 0 1 =
I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 =
ISHOWER SINGLE STALL 0 0 2 =
!SHOWER GANG (NYMBER OF HEADS) 0 0 2 =
I SINK: COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 =
I SINK: COMMERCIAL BAR 0 0 2 =
I SINK: WASH BASINIDOUBLE LA V A TORY 0 0 '2 =
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 =
URINAL. STALL / WALL 0 0 5 =
TOILET. PUBLIC INSTALLATION 0 0 6 =
TOILET. PRIVATE INSTALLATION 0 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
o
o
..EDU (Equivalent DwellinJ!: Unit) is a dischar~e equivalent to a single family dwelling unit (20 DFU's) set at 167 R3Jlons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNToY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980.
1981
1982
1983
1984
1985
1986
1987
1988
1989
]990
1991
. 1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
.,
I
I
I
I
I
I
I
i
I
I
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29.':/;
$5.29)
$2.73,"
$2.25.' I"
$1.80 "
$1.59.' .
~\ :~~:~:'''>'il;i
$1.09c - ,
$0,9'
$0.7 ..
. $0,48c,"'
$0.281'~'~1'
T Ir'lr "~
$0.09",;:",1
$0.05;::';
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR'
2
.2
1979
.Ii~
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
$0.00
"',
CREDIT FOR 1I\1PROVEMENT (IF'AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
TOTA~ MWMC C,!-EDIT
$0.00
=
~
~I
I
I
I
,I
I
I
I
.1
11
,
'I
I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~;:~
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00372
COM2009-00372
COM2009-00372
COM2009-00372
COM2009-00372
COM2009-00372
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200900000000000233
Date: 04/02/2009
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JAKE D BURNHAM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR 084727 In Person
Payment Total:
Page I of I
8:56:50AM
Amount Due
162.68
8.13
119.00
67,75
9.34
8.13
$375.U3
Amount Paid
$375.03
$375.03
4/2/2009