HomeMy WebLinkAboutPermit Building 2004-12-7 (2)
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01302
ISSUED: 12/07/2004
APPLIED: 10121/2004
EXPIRES: 06/07/2005
VALUE: $ 25,872.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3958 PINYON ST
ASSESSOR'S PARCEL NO.: 1802061409700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Addition to existing sfr - family/sunroom
Owner: RANDY WHIDDEN
Address: 3958 PINYON ST SPRINGFIELD OR 97478
, CONTRACTOR INFORMATION'
Contractor Type
General
Contractor
KEPHART CONSTRUCTION LLC
License
57213
, bUIJ_v,m.,,-lNFORMl\TION,
I... . I\.
, .Olago"'" neOle\,l~ e\\OI\l'
# of Units: ~\O"" O?\ed 'O'#tofJi.\llrie;@S5'2..001-
Primary Occupancy Grou~ O'>l t\lliR>j\dntel. inOm'l:l1~ @'iSfr'aCJ~JS '0'"
Secondary Occupancy Gro~\ catton ce .Qo'\O \t11'Yp~ofr..FJe'ilr: r \'lOne
Primary Construction Ty~o\l\i ~ 95yjJlO'\ :e\ain Mlft~'?~~,e:,e? atiOn
Secondary Construction T~ 'lOUltla'i O(\\el. ~1tlifi'[~~P1!:)t\\\C
# of Bedrooms: 0090, 'l\9",ecB 0IetJnelW:l~!J1;4).
ealll I\OI\ne. ,\.~pDiIli<l~ifBuilding: n/a
_,,<<\'08 ,a.....f \s
I "''g''-
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.80
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
38.00
0.00
Addition
Residential
Phone Number: 541-747-2259
Expiration Date
04/03/2006
Phone
541-746-2129
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: 280
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
21.60
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMEN1:S, ?'t \I" ,Ii't \NO?''''
~U \ IV'" SSi&\-\' rl~1 -~?WI\I IS ~Oi
Fully Improved ,\-\IS \>\:?WlI\ 'ING'tR \ \i\ry~'t: !\\~O to\\ Curbside 5'
Yes irlG?I1.'t\) \Oownsp.ou/$'lIil.!;llllJ: Curb and Gutter
Storm drainage piped to curb face fl.\) WltJ\'t~C't\) 0\"\ \~OO~
cO Q() \)fl.'{ ?'t? .
fl.~'{ i u
Notes:
I Valuation Descriotion' '
Description
Dwellines
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
280.00
Type of Construction
V Wood Frame
Total Value of Project
Paee 1 of3
Value
Date Calculated
$25,872.00
$25,872.00
10/2112004
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review Minor - Planning
SDC SanitarylStorm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Total Amount Paid
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01302
ISSUED: 12/07/2004
APPLIED: 10/2112004
EXPIRES: 06/07/2005
VALUE: $ 25,872.00
I }?pp< PlI;1.I
Amount Paid
Date Paid
Receipt Number
1200400000000001494
1200400000000001700
1200400000000001700
1200400000000001700
1200400000000001700
1200400000000001700
1200400000000001700
1200400000000001700
$149.66
$27.53
$19.27
$230.25
$59.00
$5.10
$101.99
$45.00
10/21104
1217104
1217104
12/7/04
1217104
1217104
1217104
1217104
$637.80
Plan Reviews I
Initial Review 10/22/2004 10122/2004 APP SKG
Plan nine Review 1012212004 11104/2004 APP TAJ
Public Works Review 1012212004 10/25/2004 APP CAS Storm drainage piped to curb face
Structural Review 10/2212004 1110512004 OK RJB
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.
~prtin'l.l
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: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and tbe building is complete.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
Pa2e 2 of3
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01302
ISSUED: 12/07/2004
APPLIED: 10/2112004
EXPIRES: 06/07/2005
VALUE: $ 25,872.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall be done In accordance with
the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany 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 wlII be used on this project.
1 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 wlII remain on the site at all
times during construction.
~ C-ffr/2t.~
(2- 7-0 \../
,
Owner or Contractors Signature
Date
Paee 3 013
.- '" CITY OF SaGFIELD SYST,EMSDEVELOPMENARKSHEET
JOURNAL OR JOB NUMBER: COM2004-01302
NAME OR COMPANY: Rand~ Whidden
LOCATION: 3958 Pinyon
TAX LOT NUMBER: 1802061409700
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 280 LOT SIZE (SF):
I. STORM DRAINAGE
o
,~
ICIl
t.Ll
10
,0
u
~
~
CIl
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x I COST PER S.F. CHARGE
I 329.00 I $0.310 I = I $101,99 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 DISCOUNT RATE I I
0.00 I $0.310 I I 50% = I
ITEM t TOTAL - STORM DRAINAGE SDC $101.99 I
2, SANITARY SEWER - CITY
DISCOUNT
$0,00
$101.99
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 0 I $24.04 $0.00 1 1091
B..IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 0 I $18.28 $0.00 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $0.00
, TRANSPOIl.TATION I
A. REIMBURSEMENT COST:
J ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP F ACTORI
I 9,57 I o I $18.30 i 1.00 I = , SO.OO 1 1093
B. IMPROVEMENT COST: I
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I 0 $80.72 I 1.00 1 $0.00 1 1094
ITEM 3 TOTAl. - TRANSPORTATION SDC = , SO.OO I
4, SANITARY SEWER - MWMr.
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU I
I 0 I I $82.03 = SO.OO 11054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 0 I I $865,3 I = $0.00 , 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054
,
MWMC ADMINISTRATIVE FEE $0.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00 1
SUBTOTAL (ADD ITEMS 1,2,3. & 4) = , $101.99
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I $101.99 I 5% I $5.10
TOTAL SANITARY ADMINISTRATION FEE: 5.10 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 111078
--
Cheryl Slaymaker 10/25/2004 TOTAL SDC CHARGES =, $107.09
PREPARED BY DAlC
. . " - ,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL RX11JRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
BATHTUB 0 0 3 = 0 I
DRINKING FOUNTAIN 0 0 1 = 0 I
FLOOR DRAIN 0 0 3 = 0 !I
INTERCEPTORS FOR GREASE lOlL 1 SOLIDS I ETC, 0 0 3 = 0
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0 I
LAUNDRY TUB 0 0 2 = 0 I
CLOTHESW ASHER 1 MOP SINK 0 0 3 = 0 I
CLOTHES WASHER - 3 OR MORE (EAl 0 0 6 = 0 I
MOBILE HOME PARK TRAP (1 PER TRAlLER) 0 0 12 = 0 I
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETe. 0 0 1 = 0 I
RECEPTOR FOR COM, SINK I DISHWASHER 1 ETC. 0 0 3 = 0
SHOWER. SINGLE STALL 0 0 2 = 0
ISH OWER. GANG (NUMBER OF HEADSl. 0 0 2 = 0
I SINK: COMMERCIAURESIDENTlAL KITCHEN 0 0 3 = 0
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLE LA V A TORY 0 0 2 = 0
ISINK: SINGLE LAVATORYIRESIDENTlAL BAR 0 0 1 = 0
IURINAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
.EDU (EQuivalent DwellinJ!: Unit) is a dischat~ eQuivalent to a single family dwellin~ unit (20 DFU's) set at 167 rotIlons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
II
I
I
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0,00 x $5.29
~ ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0,00 x $5.29
o
TOTAL MWMC CREDIT
$0,00
=
"
225 Fifth Street
Spl'bigt~lil, Oregon 97477
541-726-3759 Phone
.
.,P~~N"""a.l? .., :
Wit,
'~ '
. ~ J
.~---.. .
JiiilY of Springfield Official Receipt
.elopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1302
COM2004-0 1302
COM2004-0 1302
COM2004-0 1302
COM2004-0 1302
COM2004-0 1302
COM2004-0 1302
Payments:
Type of Paymeat
Check
121712004
RECEIPT #:
1200400000000001700
Date: 12/07/2004
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
Building Permit
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
KEPHART CONSTR
Item Total:
l:beck Number Authorization
Received By Batcb Number Number How Received
djb 6445 In Person
Payment Total: '
Page I of I
9:21:22AM
Amount Due
101.99
5.10
59.00
230.25
45.00
19.27
27.53
$488.14
Amount Paid
$488,14
$488.14