HomeMy WebLinkAboutPermit Building 2006-12-26 (2)
.
.CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-0I303
ISSUED: 12/26/2006
APPLIED: 10/11/2006
EXPIRES: 06/26/2007
VALUE: $ 26,730.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 591 PINEDALE AVE
ASSESSOR'S PARCEL NO,: 1703224206211
Owner:
Address:
DELGADO LEO BARDO & ISABEL
591 PINEDALE AVE
SPRINGFIELD OR 97477
Springfield TYPE OF WORK: Single Family Residence
NOTICE:
rr1yg~'BfrvVi~E: HA Addition Residential
AU ~ Ll EXPIRE IF THE WORK
nn!.~O_R/ZEO UNDER THIS PFRMIT It' ""T
........"U'lLJ'VlJCU Ut'i. I, !IQ."~I _ . -
ANY 180 D Phone'Nnm,"~nvElS~~tl-1404
AY PERIOD,
PROJECT DESCRIPTION: Addition
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
OWNER
OWNER
License
Expiration'Date Phone
BUILDING INFORMATION'
VB
# of Stories: 1 Lot Size:
Height of Structure Sq Ft 1st Floor: 270
Type of Heat: ""ced Airl Electric. go,Sq Ft 2nd Floor: , " .
Al I t::N I UI\l.Utt:: Il~"'~ . ':.."....... 1....~ llo.i
WR ater TType: follow rules adopted ~S' ~ EF,lt''''GBmW~!Ic,H Utilily
ange ype:, !f, t aragel arport I
Ener Path: Notificalion C'pl'tfiElr. TtiSl';Fl(Wil~ii'rtl :;~'II(Jr r
spril::~led Buiiai;;)f.R 952-0Qli0010 ~1PJ~rw.I,ei!ild~52-001
nnon V,no m"" nhl,,;n r.onles Of me rules b'
I DEVELOPMENT INFORMl\WIONlt' nor. (Note: .t~e !?I~~hO~e .
nUIIIUto, IUI" Oregon Ut,hlaEQ'(JIRElD:P/\RKING
Center is ~ -800-332-?3441.
Overlay Dist: Urlian Frmge Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
43,00
0,00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved
Yes
Sidewalk Type:
DownspoutslDrains:
Curb and Gutter
Notes: Storm to curb & gutter, Owner notified by telephone msg machine, needs LC septic "Responsibility Form".JLP
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
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Dryer Vent
Fire SF Fee - Residential
Fix tu re
Minimum/Adjustment Mechanical
Miscellaneous Mechanical
Plan Review Minor - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
Total Amount Paid
.
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01303
ISSUED: 12/26/2006
APPLIED: 10/11/2006
EXPIRES: 06/26/2007
VALUE: $ 26,730.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp(', P'RIirIJ
Amount Paid
Date Paid
Receipt Number
2200600000000001422
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
1200600000000001791
$153,47
$10,00
$37,86
$23,86
$29.21
$236.10
$6.00
$13.50
$84.00
$21.00
$12.00
$112,00
$257,28
$338,34
$35.82
$120.82
$6,00
10/11106
12126/06
12126/06
12126/06
12126/06
12126/06
12126/06
12/26/06
12126/06
12126/06
12/26/06
12/26/06
12/26/06
12/26/06
12/26/06
12126/06
12/26/06
$1,497.26
Plan Reviews I
Initial Review 10/13/2006 10/13/2006 APP NJM
Planniol! Review 10/13/2006 10/20/2006 APP TAJ
Public Works Review 10/13/2006 10119/2006 APP JLP
Structural Review
10/13/2006
Structural Review
11108/2006
11108/2006
Storm to curb & gutter, Owner
notified by telephone msg machine,
needs LC septic" Responsibility
Form",JLP
Forwarded to Tom Rogers for
review
Forwarded to Tom Rogers for
review today 11/8/2006, Received
email drawings and forward to Tom
Rogers today, 12112106
10
LLH
12/12/2006
10
LLH
Paee 2 of3
-iF
.
. U 11' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01303
ISSUED: 12126/2006
APPLIED: 1O/II/2006
EXPIRES: 06/26/2007
VALUE: $ 26,730.00
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.
L.Rf>ollirf>rl T~
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Ceiling Insulation: Prior to cover,
Final Building: After all required inspections have been requested and approved and the building is complete.
Underl100r Plumbing: Prior to insulation or decking,
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete,
Underl100r Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 du . g construction,
~,d~_j}~
wner or contract.Qigna~~
/2 A/. h't"i
.,
.
Date
Pa~e 3 of3
, CITY OF StiNG FIELD SYSTEMS DEVELOPMEN_ORKSHEET
JOURNAL OR JOB NUMBER: COM2006-0I303
NAME OR COMPANY: Leobardo & Isabel Delgado
LOCATION: 591 Pindale Ave
TAX LOT NUMBER: 17032242062 II
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF' 360 LOT SIZE (SF):
I. STORM llRAINAGE
1-
tI.l
tJ.l
Cl
o
u
~
~
tI.l
(3
:;2
o
DIRECT RUNOFF TO CITY STORM SYSTEM
! IMPERVIOUS S.F, x I COST PER S,F, I I CHARGE
I 360.00 50.336 = $120,82 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, 1 x I COST PER S,F, I x I DISCOUNT RATE 1 I
0,00 I 50,336 50% I = 1
DISCOUNT
$0.00
ITEM I TOTAL - STORM DRAINAGE SDC
2, SANITARY SEWER - (CITY
5120.82
5120.82
1070
A REIMBURSEMENT COST:
1 NUMBER OF DFU's I x COST PER DFU
1 13 I $26,03 5338.34 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 13 1 519.79 5257.28 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 5595.62
- -
), TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNtTS I x I COST PER TRIP I x INEW TRIP FACTORI
I 9,57 I 0 I I 519,81 1 1.00 1 SO.OO 11093
B. IMPROVEMENT COST: I
I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP I x INEW TRIP FACTOR I
9.57 I 1 0 1 I 587.39 1 1.00 I 50.00 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , 50.00
4. SANITARY SI;;WER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
1 0 1 591.61 = SO.OO 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
1 0 1 5961.52 = SO,OO 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 1054
I
MWMC ADMINISTRATIVE FEE SO.OO 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SO.OO I
SUBTOTAL <ADD ITEMS 1,2,3, & 4) = , 5716.44 I
'.
5, ADMINISTIlATtVF FEE:,
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
5716,44 I 5% I 535,82
TOTAL SANITARY ADMINISTRATION FEE: 35,82 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: .. -.- --- 50,00 11078
n _ _ ____
Jeff Prociw 10/1912006 TOTAL SDC CHARGES = , $752.26
PREPARED BY DATE
. . .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS I[
(NOm FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXI1JRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER ~ 3 OR MORE tEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC 0 0 1 = 0
RECEPTOR FOR COM, SINK I DISHWASHER I ETC 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
SHOWER. GANG ~ER OF HEADSl. 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0
IURINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA TION 1 0 3 = 3 I,
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 13 I
:EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a sin~h: family dwellin~ unit (20 DFlJs) set at 167 gallons per day --.JI
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IL ~^:ED CREDIT RATFJ$I,OOO J
ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
r-- - $5,29 I
BEFORE 1979 (Enter I for Yes, 2 for No)
I 1919 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
I 1980 $5.19 (Enter I for Yes, 2 for No) I
I 1981 $5,12 BASE YEAR 1979
I 1982 $4,98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4,63 VALUE I 1000 CREDIT RATE
I 1985 $4.40 $0.00 x $5,29 ~ , $0,00 I
I 1986 $4,07 II
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
I 1990 $2,25 I
I 1991 $1,80
I 1992 $1,59 TOTAL MWMC CREDIT = $0,00 I
I 1993 $1.45
1994 $1.25
1995 $1.09 I
1996 $0,92
1997 $0,72
1998 $0.48 r
1999 $0,28
2000 $0,09
2001 $0,05
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. 1j7'~.~~.. ..:..
~.i
.,
" ;
_b,;""'_,"_", _ .'-, .
<aof Springfield Official Receipt
_Iopment Services Department
Public WDrks Department
Job/Journal Number
COM2006-0 1303
COM2006-0 I 303
COM2006-0 1303
COM2006-01303
COM2006-0 1303
COM2006-0 1303
COM2006-0 1303
COM2006-0 1303
COM2006-0 1303
COM2006-01303
COM2006-01303
COM2006-01303
COM2006-0 I 303
COM2006-01303
COM2006-0 I 303
COM2006-01303
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000001791
Date: 12/26/2006
Description
Building Permit
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Dryer Vent
Miscellaneous Mechanical
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
LEOBARDO DELGADO
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 92 In Person
Payment Total:
Page I of I
12:16:24PM
Amount Due
236.10
84.00
23.86
29,21
37.86
13,50
120,82
338.34
257,28
35,82
112.00
6,00
12.00
6,00
21.00
10,00
$1,343,79
Amount Paid
$1,343,79
$1,343,79
12/26/2006