HomeMy WebLinkAboutPermit Building 2005-4-7
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00274
ISSUED: 04/07/2005
APPLIED: 03/09/2005
EXPIRES: 10/07/2005
VALUE: $ 62,208.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3982 NORTH ST
ASSESSOR'S PARCEL NO.: 1802061105400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Addition to existing single family residence
Residential
Owner: STEVEN CROSS
Address: 3982 NORTH ST
SPRINGFIELD OR 97478
Phone Number: 541~2.1o 'I5Qq;
\.t{
I CONTRACTOR INFORMATION I
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATIO'l'
II
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
600
R-3
n/a
I DEVELOPMENT INFORMATION I
14.00
8.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
47.00
5.00
32.70
I PUBLIC IMPROVEMENTS I
Street Improvements:
Notes:
Storm drainage to existing piped to curb face. 3/11/2005 CAS
Curbside 5'
DJIl!!!~I!lHl.tsmr.ains: Curb and Gutter
A1 I t:NTluN: uregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
II:U Illit: UUl:IU. YOU may omaln copies 01 the rules by
THIS PERMIT SHALL EXPIRh-laliiiitiohlDescriotion I calling the center. (Note: the telephone
AUTHORIZED UNDER THIS PI:HMII IS NU I number for the Oregon Utility Notification
corr' '-"fcr - ~ or. . 9AND~Perr~~(F~ Squa.re Footage CerJtllili.'il1-800-33fillt~tll\culated
I iVP!'.O - 'onstroction or It'(,ltiplier or BId Amount
ANY 180 DAY PERIOD.
Fully Improved
No
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Description
Paee 1 00
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00274
ISSUED: 04/0712005
APPLIED: 03/0912005
EXPIRES: 10/0712005
VALUE: $ 62,208.00
,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DweIlines
V Wood Frame
$96.00
648.00
$62,208.00
$62,208.00
03/14/2005
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $261.20 3/9/05 1200500000000000311
-Mecbanical Issuance Fee- $10.00 4/7/05 1200500000000000429
+ 10% Administrative Fee $51.14 4/7/05 1200500000000000429
+ 7% State Surcharge $35.79 4/7/05 1200500000000000429
Building Permit $421.35 4/7/05 1200500000000000429
Gas Fireplace $15.00 4/7/05 1200500000000000429
Gas Outlets 1-4 $4.00 4/7/05 1200500000000000429
Minimum/Adjustment Mechanical $20.00 4/7/05 1200500000000000429
Minimum/Adjustment Plumbing $45.00 4/7/05 1200500000000000429
Miscellaneous Mechanical $6.00 4/7/05 1200500000000000429
Plan Review Minor - Planning $59.00 4/7/05 1200500000000000429
Plan Review Residential $12.68 4/7/05 1200500000000000429
SDC Sanitary/Storm Admin $11.31 4/7/05 1200500000000000429
Storm Drainage Impervious Area $226.22 4/7/05 1200500000000000429
Total Amount Paid $1,178.69
I Plan Reviews I
Initial Review 03/10/2005 03/1 0/2005 APP SKG
Plan nine Review 03/10/2005 03/16/2005 APP TAJ Must bave at least 5' side setback.
Public Works Review 03/10/2005 03/1 1/2005 APP CAS Storm drainage to existing to curb
race. 3/11/2005 CAS
Structural Review 03/10/2005 03/11/2005 10 LLH Plans forwarded to Jason Bush for
review
Structural Review 03/11/2005 03/15/2005 APP JB
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.
IRpr~
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Berore covering sheathing with finish materials.
Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Paee 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00274
ISSUED: 04/07/2005
APPLIED: 03/09/2005
EXPIRES: 10/07/2005
VALUE: $ 62,208.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Coyer
Final Electric: When all electrical work is complete.
By signature, I state and agree, that 1 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 of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will 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
~':":'a~ '//7~S
Owner or Contractors Signature Date
Pa2e 3 of3
. CITY OF S_NGFIELD SYSTEMS DEVELOPME.ORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00274
NAME OR COMPANY: Sleven Cross
LOCATION: 3982 North SI
TAX LOT NUMBER: 1802061105400
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 652.25 LOT SIZE (SF):
L STORM DRAINAGE
7767
'fi
o
u
co:
~
III
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 729.75 I $0.310 I = I $226.22
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 $0.310 I 50"10 = I
ITEM I TOTAL - STORM DRAINAGE SDC , 5226.22 ~
2. SANITARY SEWER - nTY
DISCOUNT
$0.00
5226.22
I to70
, ~
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 0
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 0 $t8.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$24.04
$0.00 I tQ91
I
$0.00 1 to92
=1
$0.00
J. TRANSPORTATION
--l
A. REIMBURSEMENT COST:
I ADT TRtP RATE I x I NUMBER OOF UNITS I x 1 COST PER TRIP x INEW TRIP FACTORI
9.57 I I $18.30 I 1.00 I $0.00 I 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OOF UNITS I x I COST PER TRIP x /NEWTRIPFACTORI
9.57 I I $80.72 I 1.00 I $0.00 tQ94
ITEM 3 TOTAL - TRANSPORTATION SDC = I $0.00
~. SANITARY SEWER - MWMr,
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 1 I $82.03 = $0.00 I to54
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $865.31 = 50.00 toSS
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
MWMC ADMINISTRATIVE FEE 50.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , 50.00
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5226.22
5. AOMINISTRATIVE FEE'
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
$226.22 5% I $11.31
TOTAL SANITARY ADMINISTRATION FEE: 11.31 to79
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078
Cheryl Slaymaker 3/1112005 TOTAL SDC CHARGES =, $237.53
PREPARED BY DATE
. . .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUlV ALENT "" DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 = 0
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHERI MOP SINK 0 0 3 = 0
CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
!RECEPTOR FOR REFRIG I WATER STATION I ETe. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAURESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
I URINAL. STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 :1
.EDU (EQuivalent Dwellinlt Unit) is a dischar,r:c eouivalent to a sinstlc famil" dwellinl?: unit (20 DFlfs) set at 167 J!;allons per day
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
I~ YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Entcr I for Y cs, 2 for No)
I 1981 $5.12 BASE YEAR 1979
I 1982 $4.98
I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE I 1000 CREDIT RATE
L 1985 $4.40 $0.00 x $5.29 - , $0.00
I 1986 $4.07
I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.22 VALUE I 1000 CREDIT RATE
I 1989 $2.73 $0.00 x $5.29 0
I \990 $2.25
I \99\ $1.80
I 1992 $1.59 TOTAL MWMC CREDIT = $0.00
I 1993 $1.45
I 1994 $1.25
I 1995 $1.09
I 1996 $0.92
I 1997 $0.72
I \998 $0.48
I 1999 $0.28
I 2000 $0.09
I 2001 $0.05
I' 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
-~Q""'"
~'.,"","""""""""""'"
I .'
".. ]
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00274
COM2005-00274
COM2005-00274
COM2005-00274
COM2005-00274
COM2005-00274
COM2005-00274
COM2005.00274
COM2005.00274
COM2005-00274
COM2005-00274
COM2005-00274
COM2005.00274
Payments:
Type of Payment
CreditCard
'I
"
4/7/2005
RECEIPT #:
1200500000000000429
Date: 04/07/2005
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Residential
Building Permit
Minimum/Adjustment Plumbing
Gas Outlets 1-4
Gas Fireplace
Miscellaneous Mechanical
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Minor - Planning
Paid By
STEVEN M CROSS
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
dim 003667 In Person
Payment Total:
Page 1 of 1
II :S3:S6AM
Amount Due
226.22
11.31
12.68
421.35
45.00
4.00
15.00
6.00
20.00
10.00
35.79
51.14
59.00
5917.49
Amount Paid
$917.49
$917.49