HomeMy WebLinkAboutPermit Building 2005-10-28
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01149
ISSUED: 10/28/2005
APPLIED: 08/24/2005
EXPIRES: 07/06/2006
VALUE: $ 53,180.00
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Status: Issued
225 Fiftb Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3241 PHEASANT BLVD
ASSESSOR'S PARCEL NO.: 1703221300600
Springfield TYPE OF
Single Family Residence
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Rebuild existing family room and construct garage in place of carport. 200amp service
upgrade - Revised to convert garage to M.B.RJBath
Owner: DERAN PARSEGIAN
Address: 3241 PHEASANT BLVD
SPRINGFIELD OR 97477
Phone Number: 541-221-4242
I CUNTRACTUR INl<'URMATlUN I
Contractor Type
General
: Electrical
Plumbing
Contractor AfJi License Expiration Date
ROYALE CONSTRUCTI ~NTION: Oregon 1(\~3318uires 10/30/2006
1011 W ruleR ado t db' ,~ you tq
BRYAN L HURLEY Notifif' t" P e ylf1?2{?rego U '/' }12612005
SHAD CHASAN SU~IT }~~ ~enter. Tho~I_5~~5, ~"~ ~_.t: ItO,1I1412006
IlBl:JILOfflGiNfuKNiA:"i'IONIi OAR 952-001'~
· ..,vI f
Callinq the center. --,....~" i) the rules by
nurlll9fA~ri~s: . (Note: the tele~lhonJ.ot Size:
Heit~~t~?regon Utility M.6"Q,l!:atio~q Ft Ist Floor:
Type orR~~t: 1-80CFoil:'M!~Irf9.as Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Patb: Path 1 Sq Ft Other:
Sprinkled nla Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
: Secondary Construction
# of Bedrooms:
R-3
U
VN
I DEVELUPMENT INl<URMATlUN I
Phone
541-513-8261
541-606-2797
541-741-3553
264
216'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
Overlay Dlst:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Urban Fringe
IPUBLIC IMPRUVEMENTSI
Street Sidewalk Type: Off
Fullv Improved IfJNO."n
Storm Sewer Available: Yes ~Q'\{\~\?'~ SW\\J. ~~~11\;'\IIOl
Special Instruction: l~\S ~~RW\\'i OER l~\S ~Et\\IlI\ R
~.k\OI\\lEO U~ ~~al fO
Noles: No SDC existing footprint for new garage 10/12/2AAr~~~CED OR \S ~
~'.l ~OO ~'.l &~g~.
1 of 4
~
Curbside 5'
Curb and Gutter
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Status: Issued
225 Fiftb Slreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
~
Dwellines
Garaee
Garaee Conver.
V Wood Frame
Garaee
Garaee
Fee Descriplion
+ 10% Administralive Fee
+ 7% Stale Surcharge
Perm ServlFdr 200 amps or less
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% Slate Surcharge
Building Permit
Fixture
_ Miscellaneous Mechanical
Plan Review Minor - Planning
Slorm Sewer - Ist 50 Feet
Plan Review Residential
+ 10% Adminlslratlve Fee
+ 8% State Surcharge
Building Permil
Dryer Vent
Fixture
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC SanitarylStorm Admin
Vent Fan
Total Amount
> Initial Review
Initial Review
Plannine Review
10/1112005
12/16/2005
12/16/2005
Plannlne Review
10/1112005
. CITY OF SPRINGFIELD
Building/Combination Permit:
PERMIT NO: COM2005-01149
ISSUED: 10/28/2005
APPLIED: 08/2412005
EXPIRES: 07/06/2006
VALUE: $ 53,180.00
I VahllatilOl1 Descriotion ,
I III
$PerSq Ft
or multiplier
$96.00
$25.00
$71.00
Square Footage
or Bid Amount
264.00
216.00
316.00
Value
Date Calculaled
10/10/2005
10/10/2005
1211512005
$25,344.00
$5,400.00
$22,436.00
$53,180.00
;
Total Value of Project
~
Amount Paid
$6.30
$4.41
$63.00
$168.68
$10.00
$36.35
$25.45
$259.50
$14.00
$45.00
$85.00
$45.00
$135.72
$26.28
$18.40
$208.80
$6.00
$42.00
$133.49
$175.49
$15.45
$6.00
$1,530.32
Date Paid
Receipt Number
8/24/05
8/24/05
8/24/05
10/1 0/05
10/28/05
10/28/05
10128/05
10128/05
10/28/05
10128/05
10/28/05
10/28/05
12/15/05
1119106
1119/06
1119/06
1119/06
1119/06
1119/06
1/19/06
1119/06
1/19/06
1200500000000001235
1200500000000001235
1200500000000001235
1200500000000001485
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001631
1200500000000001817
1200600000000000052
1200600000000000052
1200600000000000052
1200600000000000052
1200600000000000052
1200600000000000052
1200600000000000052
1200600000000000052
1200600000000000052
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I Plan Reviews I
10/1112005
12/16/2005
12/19/2005
10/14/2005
APP LLH
APP LLH
APP TAJ
Modification to existing plans.
Must have allest 5" side selbacks.
No Planning Issues. ..
Must have alleast 5' side selback.
APP T AJ
2 of 4
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CITY OF SPRINGFIELD
Status: Issued
225 Fiftb Slreel, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecdon Line
Building/Combination Permit
PERMIT NO: COM2005-01l49
ISSUED: 10/28/2005
APPLIED: 08/24/2005
EXPIRES: 07/06/2006
VALUE: $ 53,180.00
Public Works Review
10/1112005
10/12/2005
APP CAS
Existing carport replace same
foolprinl for new garage no SDC
Slorm drainage piped Inlo exisling
10 curb face 10/1212005 CAS
Modificalion 10 existing plans.
Modification to existing plans.
See documents for Plan review
comments.
Public Works Review
Slructural Review
Slructural Review
12/16/2005
12/16/2005
10/1112005
12/16/2005
0110612006
10/21/2005
APP CAS
APP DLM
APP DLM
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.
L.RMuired Tn'il1e~tinns I
Electric Service: Approval required prior to utility company energizing service.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to Ooor insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
- Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and lhe building Is complete.
UnderOoor Plumbing: Prior to insulation or decking.
UnderOoor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior 10 cover and including required lesting.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complele.
UnderOoor Mechanical. Prior to insulation or decking and Including required testing.
Final Mechanical: When all mechanical work is complele.
Rough Mechanical: Prior to Cover
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3 of 4
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. CITY OF SPRINGFIELD
Building/Combination Permit,
PERMIT NO: COM2005-01149
ISSUED: 10/28/2005
APPLIED: 08/24/2005
EXPIRES: 07/06/2006
VALUE: $ 53,180.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signalure, 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 certity that any and all work performed shall be done in accordance
with lhe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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 lime, that each address is readable from
the ~~~~at the p,e~d is located at the frnnt of the property, and the approved Sjf plans wiD remain on lhe site
at al~~u~~~t:::~~ . t /!<i / c ~
Owner or Conlractors Signature Dati {
4 of 4
, ' CITY OF ttlNGFIELD SYSTEMS DEVELOPMEAORKSHEET
JOURNAL OR JOB NUMBER: COM2005-0l149
NAME OR COMPANY: Deran ParseRian
LOCATION: 3241 Pheasant
TAX LOT NUMBER: 1703221300600
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF; 0 LOT SIZE (SF):
I. STORM DRAINAGE
o
{/)
LLl
o
o
u
~
~
{/)
a
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F. x I COST PER S,F, I I CHARGE I
I 0,00 I $0.323 = I $0.00
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 $0.323 I 50% = I
ITEM I TOTAL - STORM DRAINAGE SDC '$0.00
2 RANITARY REWER - CITY
DISCOUNT
$0.00
$0.00
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 7 $25,07 S175.49 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x
I 7 $19,07 S133.49 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $308.98 I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRiP x INEWTRIPFACTORI
I 9,57 o I I $19,09 I 1.00 SO.OO 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRiP F ACTORI
I 9.57 I I 0 I I $84.19 I 1.00 I SO.OO 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER ~F FEU's I x ICOSTPER FEU
I I $82,03 = SO.OO 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I $865.31 = SO.OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) So.OO 1054
MWMC ADMINISTRATIVE FEE SO,OO 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SO.OO
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $308.98
5. ADMINIRTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~ I CHARGE
I S308.98 I 5% SI5,45
TOTAL SANITARY ADMINISTRATION FEE: 15.45 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0,00 11078
Cheryl Slaymaker 12/16/2005 TOTAL SDC CHARGES =1 $324.43 I
PREPARED BY DATE I
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DRAINAGE FIXTURE UNIT (DFU) ~ALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE I.IOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
SHOWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
I~)JNK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
iSINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
I URINAL. STALL / WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRlVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
_.EDU (Equivalent Dwelling Unit) is a discharRc eQuivalent to a single family dwelling unit (20 DFU's) set at 167 RR110ns per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5,29
$5.19
$5,12
$4,98
$4,80
$4.63
$4.40
$4,07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1,45
$1.25
$1,09
$0,92
$0,72
$0,48
$0,28
$0,09
$0.05
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
200t
IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 I
(Enter I for Yes, 2 for No) I
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
(Enter I for Yes, 2 for No) I
BASE YEAR 1979
CREDIT FOR LAND (IF APPLICABLE) I
VALUE 11000 CREDIT RATE
$0,00 x $5,29 ~ , $0,00 I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) I
VALUE / 1000 CREDIT RATE
$0,00 x $5,29 0 I
I
TOTAL MWMC CREDIT = $0,00 I
I
,I
~~5 Fifth Stree~ " .
Springfield, Oregon 97477
541-726-3759 Phone
I,
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IJob/Journal Number
kOM2005-01149
~ ,~
~GpM2005-01149
ICpM2005-01149
COM2005-01149
~~: C OM2005-01149
'i\COM2005-01149
'lio',
':;CjOM2005-01149
IqbM2005-0 1149
'''COM2005-01149
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Payments:
Type of Payment
Check
I
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1/19/2006
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RECEIPT #:
1200600000000000052
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Stonn Admin
Building Pennit
Fixture
Vent Fan
Dryer Vent
+ 10% Administralive Fee
+ 8% Stale Surcharge
Paid By
STEWARDSHIP PROPERTIES
Received By
djb
Check Number
Batch Number
I of 1
.ty of Springfield Official Receipt .
Wevelopment Services Department
Public Works Department
Date: 01/19/2006
Item Tolal:
AuUlorizallon
Number How Received
34664
In Person
Payment Total:
10:06:01AM
Amou nl Due
175.49
133.49
15.45
208.80 ~
42.00 :
6,00.
6,00.,
I
26,28
18.40
$631.91 '
Amount Paid
$631.91
$631.91
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