HomeMy WebLinkAboutPermit Building 2003-1-17
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01372
ISSUED: 01/17/2003
APPLIED: 12/12/2002
EXPIRES: 07/17/2003
VALUE: $ 37,300.00
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 6585 MAIN ST
ASSESSOR'S PARCEL NO.: 1702344401100
Springfield TYPE OF
Siugle Family Residence
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Addition/Please check on # (NUMBER) of bedrooms for this Adult Care Facility
REQUIRED PARKING
Total: 2
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. IPUBLlC IMPROVEME;N~~t,e~~o"":o\>~;o'~e~~~~o\'
A~'i:" ~e""J~~,e~;".s~~f.r.~~~:~o"'~
Fully Improyed ~ . ~~.:s G'" t\.l;:)" .~~ O,e..x ~. !>Po...... Curbside 5'
Yes ",o.~:,o...Ro~7?t;Cj o'\:Do~~p.'tU~ t;>~ins Curb and Gutter
Connect roof drains to curb weepliollt~l~~n'!~tlb'eiiSl!!'r~-36i'drain system if existing roof
drain system is in good COnditiOns'a)Y!i:!Ple<!.tll~ ~~0\1(sP.\.~\S
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Owner: BRYANT C DALE
Address: '6585 MAIN ST SPRINGFIELD OR 97478
I CONTRACfOR INFORMATION I
Contractor Type
Owner
Contractor
BRYANT C DALE
License
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
P'rimary Construction Type
Secondary Construction
# of Bedrooms:
SETBACKS
# of Stories: R--"*-
"eigbt of -:{.\S f:)"\
Type of "e\~~ S ~
Water~~:~"\" fV~
Ra~~1f ~~ <.(.
~~rfe~'8 ~~~
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~,\'~~~ljj~V,~'M~IS'r INFORMATION'
~ 0S; f:)~vR,~~ 9.0'
~6&,9'~~~~~ <;:>18verlay Dist:
60.00\S <-\ ,~ # Street Trees
46.00' 't-~ Paved Drive Rqd:
28.00 % of Lot Coverage:
28.00
R-3
2
23.00
VNSpr
Path 1
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotlon J
Description
Dwellines
Type of Construction
V Wood Frame
$ Per Sq Ft
$74.60
Square Footaee
500.00
Total Value of Project
1 of 3
Phone Number: 541-736-8362
Expiration Date Phone
541-736-8362
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
1m pervious Surface Area:
424
240
Value
$37,300.00
$37,300.00
Date Calculated
12/13/2002
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Total Amount
Initial Review
Planninl! Review
Public Works Review
Structural Review
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. CITY OF SPRINGFIELD
Building/C ombination Permit
PERMIT NO: COM2002-01372
ISSUED: 01117/2003
APPLIED: 12/1212002
EXPIRES: 0711712003
VALUE: $ 37,300.00
I Fees Paid I
Amount Paid
Date
Receipt Number
$195.29
$34.55
$24.18
$300.45
$55.00
$9.25
$185.03
$45.00
12/12/02
1/17/03
1/17/03
1/17/03
1/17/03
1/17/03
1/17/03
1/17/03
2200200000000000297
1200200000000000569
1200200000000000569
1200200000000000569
1200200000000000569
1200200000000000569
1200200000000000569
1200200000000000569
$848.75
Plan Reviews I
12/13/2002
12/13/2002
APP LLH
DON MOORE - Please check square
footage on plans. applicant
indicated addition at 500 square feet
Plan review was calculated at 500
square feet. Plans indicate ovedr
600 square feet of addition. Please
adjust plan review and structural
page to reflect actual addition size.
Greg Ferschweiler to determine if
existing trees will count toward
street tree req.
12/13/2002
12/23/2002
APP AID
12113/2002
12/13/2002
12/24/2002
01/16/2003
APP
APP
DPE
TCM
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I R",,"ir..d r~
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Slab: To be made after all inslab huilding service equipment, conduit piping and other equipment items are in
place but prior to concrete.
4 Floor Insulation: Prior to decking.
5 Shear Wall Nailing: Before covering sheathing with finish materials.
6 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
7 Walllnsulation: Prior to cover.
8 Ceiling Insulation: Prior to cover.
9 Drywall: Prior to taping.
10 Storm Sewer Line: Prior to filling trench.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
2 of 3
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. CITY OF SPKH~l7J<IELD
Building/Combination Permit
PERMIT NO: C0M2002-01372
ISSUED: 01/17/2003
APPLIED: 12/1212002
EXPIRES: 07117/2003
VALUE: $ 37,300.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefuUy examined the completed application and do hereby certiJy 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 structnre without permission of the Community Services Division,
Building Safety. I further certiJy that only contractors and employees who are in compliance with ORS 701.005 wiD be
used on this project.
I further agree to ensure 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 d~, rin ""if~on. .....--
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Owner 0; Co tra~tors Signature - Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2002-01372
COM2002-01372
COM2002-01372
COM2002-01372
COM2002-01372
COM2002-0 13 72
COM2002-01372'
Payments:
Type of Payment
Check
Paid By
Receipt #: 1200200000000000569
Date: 01117/2003
Description
Plan Review - Planning
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Building Permit
+ 7% Stale Surcharge
+ 10% Administrative Fee
Storm Sewer - 1st 50 Feet
Received By
Check Nnmber ConfinnNo
OAK HAVEN ADULT FOSTER
HOME
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Page 1 of I
1/17/2003 .
10:33:12AM .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Line Item Total:
.
Amount Paid
55.00
185.03
9.25
300.45
24.18
34.55
45.00
$653.46 .
Amount Paid
653.46
$653.46
How Received
In Person
Payment Total:
cReceipt.rpt
~I $0.00 I
=1 $0.00 I
~I $0.00 I 1055
~I $0.00 .-J 1056
=L $0.00 I
~I $185.03 I I
~I $9.25
I 9.25 1079
I $0.00 ,1078
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CITY OF SPRlNGFIEeSYSTEMS DEVELOPMENT CH.E WORKSHEET
JOURNAL OR JOB NUMBER: COM2002-01372
NAME OR COMPANY: ~ryant C. Cole
LOCATION: 6585 Main St
TAX LOT NUMBER: 17-02-34-44-01100
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW OWELLING UNITS: 0 BUILDING SIZE:
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
III IMPERViOUS S.F. 1,1 COST PER S.F. I
I 656.14 $0.282
RUNOFF ROUTED TO ORYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
L IMPERVIOUSS.F'lxl COSTPERS.F. Ixl DlSCOUNTRATE I
.r 0.00 $0.282 50%
I ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I" I COST PER DFU
o $22.09
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
. 0 , $16.79
liTEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I AOT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I x I NEW TRIP F ACfOR I
I 9.57 0 $16.81 I 1.00 ~I
B. iMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS 1 x l COST PER TRIP
I 9.57 0 $74.17
I ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I" I COST PER FEU
I '0 $332.86
B. JMPROVEMENT COST:
I NUMBER OF FEU's I" I COST PER FEU
I 0 $34.83 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT. IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL II ADM. FEE RATE
XI
$185.03 5%
500
SF
LOT SIZE:
o
SF
~! $185.03
~I $0.00
=1 $185.03
~I
$0.00
~I
=1
$0.00
$0.00
$0.00
l xl NEW TRIP FACTOR I
L 1.00 -1=1
=1
$0.00
$0.00
~I
$0.00
'1
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
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II S~OORDlNATOR
12/24/2002
TOTAL SDC CHARGES =1 $194.28
DATE
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1070
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1091
11092
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1093
1094
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNiTS
BATHTUB ( 0 0 ) x 3 0
DRINKING FOUNTAIN ( 0 0 ) x I 0
FLOOR DRAIN ( 0 0 ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOTHESW ASHER / MOP SINK ( 0 0 ) x 3 0
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
JvlOB1LE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. ( 0 0 ) x 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAURESIDENTIAL KJTCHEN ( 0 0 ) x 3 0
SINK: COMMERCIAL BAR ( 0 0 ) x 2 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 0
WASH BASIN ( 0 0 ) x 2 0
LAVATORY ( 0 0 ) x 1 0
URINAL. STALL / WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOILET, PRlV A TE INST ALLA TION ( 0 0 ) x 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(0 0) x 20
TOTAL DRAINAGE FIXTURE UNITS =1
I *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwel1ing unit (20 DFU's) set at 167 gallons per day
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY II
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
\979 OR BEFORE $4.92 1990 $2.06
\980 $4.83 \99\ $1.64
1981 $4.77 1992 $\.45
\982 $4.64 \993 $UI
1983 $4.47 1994 $1.13
1984 $4.30 \995 I $0.97
1985 $4.09 1996 I $0,82
1986 $3.78 \997 $0,63
1987 $3.41 1998 I $0.41 II
\988 $2.98 1999 I $0.22
\989 $2.52 2000 I $0,04
VALUE / 1000 CREDIT RATE
CREDIT FOR LAND (IF APPLICABLE) 64.760 X $0.00 =1 $0.00 I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 0.000 X $0.00 =1 $0.00 ,
TOTAL MWMC CREDIT =1 $0.00 ~