HomeMy WebLinkAboutPermit Building 2009-12-15
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01740
ISSUED: 12/15/2009
APPLIED: i2/07/2009
EXPIRES: 06/15/2010
VALUE: $ 1,363.00
225 Fiflh Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 380 17TH ST
ASSESSOR'S PARCEL NO,: 1703362405000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Screen porch
Owner: JOSEPH JANDURA
Address: 380 17TH ST
SPRINGFIELD OR 97477
Phone,Number: 541-743-3853
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
OWNER
License
Expiration Date Phone
Lot size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 494
Sq Ft Other:
Occupant Load:
,
..' ,..~
"'.-
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
9,00
, Overlay, Dist:
#'Street Trees Rqd:
Paved Drive Rqd:
~l of Lot Coveragl~:'
,'f' ,.,.
Total:
Handicapped:
Compact:
"."
24,00
0.00
Notes:
I PUBLIC IMPROVE~~
"O,.\C~~ S\-\f:>.\.'- ff.1'1\'-~~~~\1- IS ~O I., Sidewalk Type:
1\-\\5 I'E"'Mli \.\~Ot\'- II-\\S \)O~t\) fO\'- -' Downspouts/Drains:
~\li\-lO\l.I7.t\) \) O\'- IS I\\:.I\~ .
COWlWlt~Ctp\'{ I't\,-IO\).
I\\'\'{ 180 \) ,
Street Improvements:
Storm Sewer Available: '
Special Instruction :
I Valuation Descriotion,'
Description
Type of Construction
, $ Per Sq Ft
or multiplier
, Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'3
_~~~!!l!~l';lE!;,E~l
"",.' ,
~~ '
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Bnilding Permit
Fire SF Fee - Residential
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination 'Permit
PERMIT NO: COM2009-0I740
ISSUED: ]2/15/2009
APPLIED: ]2/07/2009
EXPIRES: 06/15/2010
VALUE: $ 1,363.00
$1.00
1,363,00
12/0712009
Total Value of Project
$1,363,00
$1,363,00
F"".. P.irl I
Amount Paid
Date Paid
Receipt Number
$37,70
$6,96
$8,85
$58.00
$24,70
$119.00
$9.23
$184.69
12/7/09
12/15/09
12/15/09
12/15/09
12/15/09
12115/09
12115/09
12/15/09
120~900000000001312
2200900000000001390
2200900000000001390
2200900000000001390
2200900000000001390
2200900000000001390
2200900000000001390
2200900000000001390
$449,]3
Plan Reviews ,
Initial Review 12/08/2009 12/0812009 APP LLH
Plannine: Review 12/08/2009 12/09/2009 APP DDK
Structural Review 1210812009 12/1012009 APP' CJC As noted on plans
Public Works Review 12/08/2009 12/11/2009 APP LKW Storm water to tie into existing
system
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.
~"O~
Footing: After trenches are excavated.
, Framing Inspection: Prior to cover and after all rough in inspections have been approved,
Final Building: After all required inspections have beenreqnested and approved and the building is complete,
Pa2e 2 of 3
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: COM2009-01740
ISSUED: 12/15/2009
APPLIED: 12/07/2009
EXPIRES: 06/15/2010
VALUE: $ 1,363,00
Status
Issued
By signature, I state and agree, that I have carefully examined the cnmpleted application and do herehy 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 Oregonpertaiuing to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and emplnyees who are in compliance with ORS 701.005 will he used on this project.
I further agree to ensnre 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
timoZl~~
/2.. -/5 -Or
q.in'er or cont~ si;;nature
Date
:",
Page 3 01'3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2009-0 1740
NAME OR COMPANY, Joesph Jandur.
LOCATION; 380 17th
TAX LOT NUMBER; 1703362405000
DEVELOPMENT TYPE; Single Family Residence
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 0 LOT SIZE (SF);
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, I CHARGE
I 494,00 I $0,374 = I $184,69 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 DlSCOUNT RATE 1 I
1 0,00 II $0,374 I I 50% I ~
ITEM I TOTAL - STORM DRAINAGE SDC $184,69 I
2, SANIT AR Y SEWER - CITY
A. REIMBURSEMENT COST;
I NUMBER OF DFUs I x
I 0 I
DISCOUNT
$0,00
I
, r/)
'~
CI
10
u
lpe:
o I [:S
r/)
~
o
~
$184.69 1070
COST PER DFU
$28,99
B, IMPROVEMENT COST,
I NUMBEROOF DFU's I x II. COST PER DFU
$22,05
ITEM 2 TOTAL,- CITY SANITARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST,
,I ADT TRIP RATE I x
I 9.57 I
/
= ,
$0.00
I NUMBER OF UNITS I x I
I 0 I I
COST PER TRIP
22,07
x INEWTRIP FACTORI
I, 1.00 I
B, IMPROVEMENT COST;
I ADT TRIP RATE I, x
9,57 I
I NUMBER OF UNITS I x I
I 0 I I
~I
COST PER TRIP
$97,35
$0.00
x INEWTRlPFACTORI
I 1.00 I
ITEM 3 TOTAL - TRANSPORT A nON SDC
4 SANITARY SEWER - MWMr;
A. REIMBURSEMENT COST,
INUMBER OF FEU's I 'x
1 0 I
ICOST PER FEU
I $101.97
"
B, IMPROVEMENT COST:
!NUMBER OF FEU's I
I. 0 I
x
I COST PER FEU
I $1,044,54
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINlSTRATlVE FEE
ITEM 4 TOTAL-'MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~,'
5, ADMINISTRATIVE FEE:
$0.00
$184.69
I SUBTOTAL x I ADM, FEE RATE I~
$184,69 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE;
CHARGE
$9,23
Kaye Wilson
12/11/2009
TOTAL SDC CHARGES
PREPARED BY
DATE,
,
l.
=1
~>
$0.00
$0.00
$0.00
$0.00
=
$0.00
=
$0.00 !11055
$0.00 I 1054
$0.00 11056
J
I
I
9,23 1079
,
$0,00 I 1078
$193.92 -j
, 1091
11092
I
11093
I'
1094
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD _ EQUIVALENT
IBATBTUB 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 =
[CLOTIlESWASHER / MOP SINK 0 0 3 =
!CLOTHESWASHER -3 OR MORE (EA) 0 0 6 =
[MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 =
[RECEPTOR FOR REFRlG / WATER STATION / ETC, 0 0 1 =
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 0 0 3 ' -
SHOWER SINGLE STALL 0 0 2 =
I SHOWER GANG (NUMBER OF HEADS) 0 0 2 = i
I SINK: COMMERCiAL/RESIDENTIAL KirCHEN 0 0 3 = I
I SINK; COMMERCIAL BAR 0 0 2 = [
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = [
ISINK; SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = [
IURINAL, STALL/WALL 0 0 5 = [
[TOILET, PUBLIC INSTALLATION 0 0 6 = [
lTOILET, PRlV ATE INST ALLA nON 0 0 3 = I
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
. _oI<EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwellins unit (20 DFU's) set at 167 ,gallons oer day
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
,MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0,00 X $5,29
L
I
[
r CREDIT ~TE/$I,OOO
ASSESSED VALUE
5.
YEAR
ANNEXED
BEFORE 1979
1979
1980
19&\
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
]995
1996
1997
1998
1999
2000
2001'
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No) ,
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $5,29
TOTAL MWMC CREDIT
1979
~l
$0,00
$0,00
';,
I,
[
I,
2
l
I
I
I
I
I
2
o
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Puplic Works Department
Job/Journal N-umber
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
Payments:
Type of Payment
Check
CreditCard
Job/Journal Number
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-0 1740
COM2009-01740
Payments:
Type of Pnyment
Check
CreditCard
cReceinll
RECEIPT #:
2200900000000001390
Date: 12/15/2009
Description
Fire SF Fee - Residential
Plan Review Minor - Planning
Building Penn it
Storm Drainage Impervious Area
SDC Sanitary/Stonn Admin
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
PLEASANT HILL CONSTR
LLC
JOSEPH JANDURA
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1229
In Person
djb
141556 In Person
Paym~nt Total:
Description
Fire SF Fee - Residential
Pla,n Review Minor - Planning
Building Permit
Stonn Drainage Impervious Area
SDC Sanitary/Stonn Admin
+ 5% Technology Fee
o + ] 2% State Surcharge
Paid By
PLEASANT HILL CONSTR
LLC
JOSEPH JANDURA
Item Total:
t.:heck Number Authorization
Received By Batch Number Number HowiReceivcd
djb
1229
In Person
djb
141556 In Person
Payment Total:
.:f'
Page 1 of I
1:18:40PM
Amount Due
24,70
119,00
58,00
] 84,69
9,23
8,85
6,96
$411.43
Amount Paid
$311.00
$100.43
$411.43
Amount Due
24,70
119,00
58,00
184,69
9,23
8,85
6,96
$411.43
Amount Paid
$311.00
$100.43
$411.43
12/15/2009