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Home My WebLink AboutPermit Building 2006-12-6 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01428 ISSUED: 12/06/2006 APPLIED: 11107/2006 EXPIRES: 06/06/2007 VALUE: $ 16,400.00 Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 PhoDe 541-726-3676 Fax 541-726-3769IDspectioD LiDe SITE ADDRESS: 3478 OL YMPIC ST ASSESSOR'S PARCEL NO.: 1702300001926 SpriDgfield TYPE OF WORK: IDterior TYPE OF USE: Repair Commercial PROJECT DESCRIPTION: Two CircDits in office. Relocating 2 restrooms, adding 3rd restroom & rough-in for 4th. Owner: JEFF HOMOLKA Address: 3478 OLYMPIC STREET SPRINGFIELD OR 97477 Phone Number: 541-461-6956 I CONTRACTOR INFORMATION' Contractor Type GeDeral Electrical Plumbing Contractor OWNER GERARD ELECTRIC TWIN RIVERS PLUMBING INC License Expiration Date Phone 17695 03/11/2007 541-688-1444 BUILDING INFORMATION' # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Grouy:'UTENTlON:u . Type of Heat: Primary Construction TYp'~OIl~w rUles ad l~gUWatq ;{;i: Secondary Construction -f,n{!',cation Os tOPtedR9tj~'lflj '11("'''' YOu 10 # of Bedrooms: I OAR 952-()()1" Sr. Thtll.!y~Pa gOn Utility 0090. 'tOU....n -0010 m.I!fJ.D){I~%1il1Wl!lHOrtt- ^_II' .....\1 nI'l._,. !:In OJ.!&:> n_. nu';"~~;~: ca'IIIDEV~L6p~~1YIlSto'Mr~TlON , the Vt'CJ)lJ . - "'''eph . Center;s l-BOO-on Utility~i9i o~e ~ ~~rlt' t: cation # Street ees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: D/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: /1In_" THIS' ~~t:: . I PUBLIC IMPROVEMENTS' AUTHa RMJT SHALL caMME~gED UNDER ;~;;RE IF THE WaR ANy 180 DA~/ER IS ABAND~ENREMIT IS NO; RIDD. D FOR Sidewalk Type: DownspoutslDrains: Notes: Paee I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Bid Amount Use Bid Amount Use Bid Amount Fee Description Plan Review Comm/Ind/Public + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add -Mechanical Issuance Fee- + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit Fixture Minimum/Adjustment Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Vent Fan Total Amount Paid Public Works Review 12/04/2006 Public Works Review 11/20/2006 Structural Review 11/20/2006 . .ITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01428 ISSUED: 12/06/2006 APPLIED: 11107/2006 EXPIRES: 06/06/2007 VALUE: $ 16,400.00 I Valuation Descriotioo I $ Per Sq Ft or multiplier $1.00 $1.00 Square Footage or Bid Amount 16,400.00 2,000.00 Value Date Calculated $16,400.00 $2,000.00 $18,400.00 12/06/2006 12/06/2006 Total Value of Project Fpp< PlWIJ Amount Paid $29.25 $4.60 $2.30 $3.68 $43.00 $3.00 $10.00 $39.60 $19.80 $31.68 $43.00 $6.00 $162.00 $140.00 $27.00 $138.53 $182.19 $16.04 $18.00 $919.67 Date Paid Receipt Number 2200600000000001567 1200600000000001624 1200600000000001624 1200600000000001624 1200600000000001624 1200600000000001624 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 2200600000000001661 1116/06 1118/06 11/8/06 11/8/06 11/8/06 11/8/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 12/6/06 I Plan Reviews I 12/04/2006 11/20/2006 11/20/2006 APP JLP (The Following info copied from 6-01428 @ Don's request on 12/4 by JLP.) Rcvd & edited a quick rvw permit for Don Moore today 11120/06 Received and edited a quick review permit for Don Moore today 11120/06. APP JLP APP DLM Paee 2 of3 . .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-01428 ISSUED: 12/06/2006 APPLIED: 11107/2006 EXPIRES: 06/06/2007 VALUE: $ 16,400.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. . Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Fire Department. After all requirements of the Fire Department have been met. Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be requested and approved prior to requesting any occupancy approval. Final Building: After all required inspections have been requested and approved and the building is complete. Underslab Plumbing: Prior to filling the trench and including required testing. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 of any structure without permission of the Community Services Division, Building Safety. I 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 times during construction. ~;?~-- / '2. / r;/O h O,..re; or Contractors Signature Date Paee 3 of 3 ZON tt1'" INITIALS N'JVl DATE \?-I~/CJl..{/ SOURCE V\Ar 1 ,/) I 225 FIFTU STREET . SPRI~'GFIElD, OJ{ 9747i . PH:(54l)726-3753 _ FAX: (541)126-3689 ELECTRICAL PERMIT APPLICATION City Job Number ---C0 - r;w.. t/..,. r lir? e7 JOB DESCRIPTION: I 1000 sg. ft. or less .k!/ednc.J(j 1'1 -e:~{f/~o..~ Each additional 500sg. ft.or -12L1:Ld h?d2.//f' /AJ~ /U"~~('q4~ portion thereof Permits are non.transferable and expire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder " New Alteration or Extension Per Panel ./1d~ One Circuit X - Each AdditIOnal Circuit or with --r;, 1'/ J I? fl .AIP.! Service or Feeder Permit -;2, $ 3.00 Owners Name -.LLr-rt1'/1grll/l~/? /7{J.d;'~lj'ICE: Address ~ JJ(<.- Zck.i> ~tf n -e r ins P~RI.Nisc,ellaneous (Service/l'oeder,not included) -Each Installation 9~ .1l? //L / /... 0 j\UTHaRf'c~ SHALL EXPIRE1F TH' City {~tf . Uf<... Phone 7fP/-(P/);,(;, ~umpldf,i[JL&'ltiPPifS E WORlt 550.00 / vvMMENSi8iY'<f.,Qtlil'5 ~iohhngPERMIT (~ M"T $ 50.00 OWNER INSTALLATION ANY 1 80 CLlliii~f~l'ff~yM~~1[,lN.liD FOP - . 525.00 The installation is being made on property I own which . Limited Energ)'/Commercial $ 45.00 is not intended for sale, lease or rent. !\1ininlum Electric Permit Inspection Fee is $45.00 + Surcharges , . 4-9.(9<) 8% State Surcharge . ~ {t 2.- 10% Administrative Fee 4.90 5% Technology Fee -9_ 4"; TOTAL _ ~D ;J..-7 Shared Dri\'c(T:)/Building FonnslElectrical P.:nnit Application 8.0b.doc 1. LOCATION OF INSTALLATION: . . ~,~ 3f'7? O/t-I/hOrc Sf LEGAL DESC~Tl()N: 170;:}.\?,O - J 9;2~ 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Ge.IrlJ.~ ~'e.C\ Address .C' "19'54 J-I().'fd~ n.. Rd . City~ ('Ie! Phone ,,/, -259{. Supervisor License Number ;16$4 5 Expiration Date /0 - /- C> I Constr. Contr. Number 8714S Expiration Date /1 - /0 - 0 I Signature of Supervising Electrician Owners Signature: /!/"1J. lnspectioo Request: 726-3769 8PRellLD c::::::!<.tr.l'l g ~ j' .~ ".-c ,.....r":',,,.r, r~~;,=~;::: t !, . ~~ ., ~ ///clloh i f Date 3. COMPLETE FEE SCHEDULE BELOW < A. New Residential- Single or Multi-Family per ~welling unit. Service Included $106.00 $ 19.00 S50.00 B. Services or .Feeders - installation, Alterations or Relocatiuu: 200 Amps or less 20 I Amp' to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 S 50.00 1--~-/llji.)lJp\,l;M:\:...S~Jg'il;~sat.J'eeders: fO!'?W rules adopted b' t It;QUlres you to Notlfli1\Wall.ii'oj)nMler.li~oP~ld~'illi~ Utility In OAR g<;~-M.L .. "'" rules are setf . 0090 ~t1'1\mp"""'llln10throughOAn -. o5too.oo '209lAIJ1Wt'oOID~o I "'Od:::-o0fl69.00 cal'J"Wil A'Mpf.fmirJD' N~/'.as 0' t! '" ,ules ~ 00.00 numberfg,R~he(') , e. th\3ta''''''''one~ Over. 'J\l)1p{~cUlilltysM)\Wl.ab",ve. '" erJS 1oRnO 33 \;illuon D. Branch CIrcuit<' - 2-2344). $ 43.00 13.0D tP.~ I!' 4. SUBTOTAL OFABOVE CITY OF SINGFIELD SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: COM2006-01440 NAME OR COMPANY: Jeff & Susan Homolka LOCATION: 3478 Olympic Street TAX LOT NUMBER: 0 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I 0.00 I $0.336 = I $0.00 1 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 1 1 0.00 1 $0.336 50% 1 = I ITEM 1 TOTAL - STORM DRAINAGE SDC I $0.00 B. IMPROVEMENT COST: I ADT TRIP RATE I x 1 NUMBER OF UNITS I x I COST PER TRIP I 9.57 I I 0 I I $87.39 ITEM 3 TOTAL - TRANSPORT AnON SDC = , $0.00 4 SANITARY SEWER - MWMC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x I 7 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 7 I T COST PER DFU $26.03 $19.79 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x 1 9.57 I I NUMBER OF UNITS I x 1 I 0 I I o r/J U.l o o u e>:: ~ r/J G ~ DISCOUNT $0.00 $0.00 1070 $182.t9 11091 I $138.53 11092 5320.72 I l COST PER TRIP $19.81 x INEWTRIPFACTORI 1 1.00 $0.00 1093 x INEW TRIP FACTORI I 1.00 = I 11094 J $0.00 A. REIMBURSEMENT COST: INUMBER OF FEU's I x I 0 B. IMPROVEMENT COST: I NUMBER OOF FEU's I x ICOST PER FEU 1 $961.52 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ICOST PER FEU I $91.61 MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS I. 2. 3. & 4) = , 5 ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE 1= I $320.72 I I 5% 1 TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: = SO.OO 1054 = SO.OO 1055 $0.00 1054 $0.00 1056 $0.00 J 5320.72 ~ CHARGE $16.04 16.04 11079 $0.00 11078 , TOTAL SDC CHARGES =, $336.76 .__n_ .___ Jeff Prociw 11/20/2006 PREPARED BY DA1C . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS [BATHTUB 0 0 3 = 0 '1 IDRINKING FOUNTAIN 0 0 1 = 0 1 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER 1 MOP SINK 0 0 3 = 0 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 ,MOBILE I.IOME PARK TRAP P PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0 IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0 I SHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF I-lEADSt 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL. STALL 1 WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 1 0 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 7 ~ ,.EDU (Eauivalcnt Dwel1in~ Unit) is a dischar~ eauivalent to a simde familv dwellin~ unit (20 DFU's) set at 167 gallons pc~y MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RATFJ$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 I 1980 $5.19 (Enter I for Yes, 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/lOOO CREDIT RATE I 1985 $4.40 SO.OO x $5.29 ~ , SO.OO 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE 11000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $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 1991 $0.72 1998 $0.48 1999 $0.28 2000 $0.09 2001 $0.05 225 Fifth Street Springfie'ld; Oregon 97477 541-726-3759 Phone ~ .' .,...'..... 1I1it:' I . l . . ,: " n _ _ ,_-_, . _T_v_~ ~. <:;aof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2006-0 1428 COM2006-01428 COM2006-01428 COM2006-0 1428 COM2006-01428 COM2006-01428 COM2006-01428 COM2006-0 1428 COM2006-0 1428 COM2006-01428 COM2006-01428 COM2006-01428 COM2006-01428 Payments: Type of Payment I Check cReceintl RECEIPT #: 2200600000000001661 Date: 12/06/2006 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Fixture Vent Fan Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Building Permit + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By JEFF HOMOLKA Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw 1503 In Person Payment Total: Page 1 ofl 1:54:55PM Amount Due 182.19 138.53 16.04 140.00 18.00 27.00 10.00 43.00 6.00 162.00 19.80 31.68 39.60 $833.84 Amount Paid $833.84 $833.84 12/612006