The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-4-30 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00523 ISSUED: 04/30/2010 APPLIED: 04/28/2010 EXPIRES: 10/30/2010 VALUE: $ 213,020.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 960 S 56TH ST ASSESSOR'S PARCEL NO.: 1802041109300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence Owner: RONALD & K GALCERAN Address: 2407 19TH ST SPRINGFIELD OR 97477 Phone Number: 541-520-6645 I CONTRACTOR INFORMATION I Contractor Type General Contractor License GALCERAN CONSTRUCTION INC 164708 BUILDING INFORMATION I Expiration Date 05/1712011 Phone 541-520-6645 # of Units: I # of Slories: .~- I Lot Size: Primary Occupancy Group: R-3 Height of Structure 23.00 Sq Ft 1st Floor: 1,608 Secondary Occupancy Group: U Type of Heat: Forced Air Gas Sq Ft 2nd Floor: 426 Primary Construction Type VB Water Type: Gas Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft GaragelCarport 429 # of Bedrooms: 3 Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: 10.00' Overlay Dist: S~de I setbai' lTrENT/ON: orego~\l9reqUireS yReet Trees Rqd: S,de 2 Setba nl w rules adopted qYle Oregon i!JfJ/(/'f Dme Rqd: Rearyard S . ;ationCenter. T sWlrules are se'Yq6l~i\-ot Coverage: Solar Setba bAR 952-G01-0010.mIIgh OAR 952-001- call1ngthecenter. (Note; th tmtlMPROVEMENTS Street Impro~*r for the Oregon Utility 0 Ilca Ion Center is 1-8011<8&.2lllliWb)'led Storm Sewer Available: Yes c.,.. Special Instruction: Storm water to curb y~a.~~eep holes ". 2 Yes 37.70 REQUIRED PARKING Total: 2 Handicapped: Compact: Sidewalk Type: Downspouts/Drains: Curbside 7' Curb and Gutter Notes: NOTICE: Tvpe of Construction Valuation Descri tion JTHORIZED UNDER THIS PERMIT IS NOT MMENCED OR IS ABANDONED FOR Squarelff~yt~fffi) DAY PER<K/Gle Dale Calculated or Bid Amount Description $ Per Sq Ft or multiplier .~:(y! ~'ir: ;;,.'f" ",or,;: .I'-<~ Pa2e I of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Garaee/Misc SF/Duplex Estimate V VB Utilitv R-3 VB 1&2 Familv Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance 3 Baths One & Two Family Addressing Assignment Appliance Vent Building Permit Curbcut Permit Dryer Vent Exbaust Hoods Fire SF Fee - Residential Fireplace (Listed) Gas Outlets 1-4 Plan Review Major - Planning Plan Review Residential PW Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Storm - Improvement SDC Storm - Reimbursement SDC Tran Reimburs-Residential SDC Trans Improvement-Resident SDC Transportation Admin Sidewalk Permit Vent Fan Willamalane Single Family Total Amount Paid Plannil12 Review Public Works Review Structural Review 04/28/2010 04/28/2010 04/28/2010 .. ::(:\ 1\"'. 'r"... , ,-$1.00 $37,72 $96,83 150,000.00 426,00 2,034,00 Total Value of Project ~ Amount Paid" . $209,73 .'f:! ," $105.24_;,.. $79,00. $402,00 $38,00 $9,00 $1,172,73 $88,00 $9,00 $13,00 $123.00 $20,00 $7,00" -. $211:00' . $762.27 $-30,00 $617,30 $811.81 $10,00 $22,63 $1,333.57 , $101.97' .:,: $128.22"" ~" $152,25 " H,~ _ $107.49 $21 L21 $931.65 $86,77 $88,00 $36.00 $2,858,00 Date Paid " 4/3011 0 4/30/10 4/3011 0 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 ,4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/3011 0 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 4/30/10 $10,715,84 I Plan Reviews ~' 04/28/2010 04/28/20 I 0 04/28/20 I 0 APP DDK APP LKW APP CJC Paee 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00523 ISSUED: 04/30/2010 APPLIED: 04/28/2010 EXPIRES: 10/30/2010 VALUE: $ 213,020,00 $150,000,00 $16,068.72 $196,952.22 $363,020,94 04/28/2010 04/28/2010 04/28/2010 Receipt Number 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 " 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 "2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 2201000000000000437 .Approved as shown on plans. Storm water to curb via weep hole As noted on plans CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .;.... PERMIT NO: COM20IO-00523 ISSUED: 04/30/2010 APPLIED: 04/28/2010 EXPIRES: 10/30/2010 VALUE: $ 213,020.00 Status Issued 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. l..ReQlli~erIJnsnections ~ ",1' Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 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. Masonry: Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placemen! of concr~te:i Rough Plumbing: Prior to cover and includirig required testing. , " Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is complete. Undertloor Mechanical. Prior to insulation or~.clecking and including required testing. Underfloor Gas: After line is installed and re,qliired (o,sting and capped if not attached to an appliance. Rough Gas: After line is installed and required,'testi~g and capped if not attached to an appliance. Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Rongh Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Pa2e'3 of 4 ! ' ~ , ,";~ CITY OF SPRINGFIELD ." . Building/Combination Permit , , : :'," Status Issued PERMIT NO: COM2010-00523 ISSUED: 04/30/2010 APPLIED: 04/28/2010 EXPIRES: 10/30/2010 VALUE: $ 213,020.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to- ujility!company energizing service. Final Electric: When all electrical work is c.Dmplete. .g' Erosion/Grading Inspection: Prior to ground'disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standal~d: After forms are erected but prior to placemeut of concrete. 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 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, Bnilding Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will 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 stree t the permi(card is located at the front of the property, and the approved set of plans will remain on the site at all ti s d ring co truction. l/-30-10 /' Date l:,,;;~!\jl ~"k; Ii!,." :Hr;fp~ , ,~ " f;," '. . I' ~ !':~i~J )\ },;-<i' ,~ti-;.I'.,n .~. 'f, Paee 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM201O-00523 NAME OR COMPANY: Galceran C/J LOCATION: 960 S. 56th "" Q TAX LOT NUMBER: 1802041109300 0 DEVELOPMENT TYPE: Single Family Residence U NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF): 4792 ~ ~ I. STORM DRAINAGE C/J ~ DIRECT RUNOFF TO CITY STORM SYSTEM 0 ~ A. REIMBURSEMENT COST AREA DRAINING TO I IMPERVIOUS S.F. x I COST PER S.F. I DRYWELL I CHARGE I I 3281.25 I $0.046 I = 0 $152.25 I $152.25 B. IMPROVEMENT COST I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I I 3281.25 $0.033 =1 0 I I $107.49 1070 $107.49 1 I I ITEM 1 TOTAL-STORM DRAINAGE SDC $259.74 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBE~80F DFU's I x I COST PER DFU I I $28.99 I ~ I $811.81 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I I 28 I I $22.05 I ~ I $617.30 1092 ITEM 2 TOTAL - CITY SANlT ARY SEWER SDC ~ 1 $1,429.10 1 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x I NUMBER IOF UNlTS I x I COST PER TRJP I x INEW TRJP FACTORI 9.57 22.07 I 1.00 I ~ I $211.21 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBERIOF UNITS I x I COST PER TRJP I' x INEWTRJPFACTORI 9.57 $97.35 I 1.00 I ~ I $931.65 1094 ITEM 3 TOTAL - TRANSPORTATION SDC ~ 1 $1,142.86 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER ~F FEU's I x ICOST PER FEU I I $101.97 I = I $101.97 1054 B. IMPROVEMENT COST: INU'MBER 7F FEU's I x ICOST PER FEU I I $1,333.57 I = I $1,333.57 1055 C. COMPLIANCE COST: INUMBER ~F FEU's I x ICOST PER FEU I I $22.63 I = $22.63 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~ $0.00 1054 MWMC ADMINISTRATIVE FEE ~ $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $1,468.17 1 SUBTOTAL (ADD ITEMS 1,2,3, & 4) -I $4,299.88 I 5. ADMINISTRATIVE FEE: I SUBTOTAL I x I ADM. FEE RATE I~ I CHARGE I $4,299.88 5% $214.99 TOTAL SANITARY ADMINISTRATION FEE: I 128.22 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I $86.77 1078 Kaye Wilson 4/28/20] 0 TOTAL SDC CHARGES -I $4,514.87 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FJXTURES x UNIT EQUIVALENT - DRAJNAGE FlXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TI-fE NET ADDITIONAL FIXTIJRES) NO. OF FIXTURES . DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRlNKING FOUNTAIN 0 0 1 - 0 FLOOR DRAIN 0 0 3 - 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 - 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 - 0 LAUNDRY TUB 1 0 2 - 2 CLOTHESW ASHER / MOP SINK 1 0 3 - 3 CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 - 0 MOBILE HOME PARK TRAP (] PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG/WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC I 1 0 3 = 3 SHOWER, SINGLE STALL 1 0 2 - 2 SHOWER, GANG (NUMBER OF IlliADS) 0 0 2 - 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 - 3 SINK: COMMERCIAL BAR 0 0 2 - 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 - 0 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 3 0 1 - 3 URlNAL,STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = O. TOILET, PRlVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDO'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS I 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 ]993 1994 1995 1996 1997 1998 1999 2000 2001 MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT RATE/$I,OOO ASSESSED VALUE 5:29 IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I fnr Y cs, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 2 2 2006 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $0.00 $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $0.00 o TOTAL MWMC CREDIT = $0.00 'tructural Permit Application 225 Fifth Stre't . Springfield, OR 9747J . PH(541 )726-3753 . FAX(541)726-3689 [)EPARTMEI'lT USE ONLY COMZC/O- 0.., S-Z~ Perrmt no.: Date: - Z-f -/ () This permit is issued uuder OAR 918-460-0030. Permits expire if work is not started within 180 days ofissDance or if work is suspended for 180 days. , ,\ ,:;0 ;,~':/, },~i~!~Qt;Ak: '~'Qy~J~NM~t:tf0:4~Ff~9y_~~f,;,~:~ii;:~{~~~it~i~~:~ This project has finalland~use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~~1iif{}.1~f~9At~,9,QJiYliQJ:~~~,Q_N_$)t~UG,ifIQ~~~f~;~~'if~~!til)~!:j ~Residential D Government D Commercial gf,!:}.~~:;;\;:tJ9B:SltE!..fN~6~MA, 'rJON'!!ANR~r~9'iiA'tlcSNi0Ert';;~t!,f::~ qb ~~ 5 t City: State: 0 R- ZIP: "17 'n &5-4k.r 7 c)L{l 0'7300 :" PROPERTY oWNER. . Name: GA I '-107 1"I+h. ZIP:~7'177 City: Phone: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from-licensing requirements under ORS 701.010_ Sign here: OA Address: City: Phone: E-mail: ZIP: lfl'f 7 7 Fax: I Print name: Signature: ;:t.~1Df~:t~~-)S'~;~*KSQI3.~(r, -N:1t:~.AG~._b~~;I_N_~.QRMAiI9N~;~~~~~-~~~~~i.i~_? - Name CCB License Number Phone Number Electrical Plumbing Mechanical TI7 1Il'~ 11\ ,.,-:-/ A' - '~ :;,"X;"'FEE'S'CHEpiJE!("i. '"Y"" :':'---' . ;', 7!'~ ,S: ai _~~:~i.o ~f:'i~{ fOrm a't~~:~i&Yikf~-~i~17~t1Wi\h~~[L4~t ~j.i&t;;;-{;'_l;.~f:,i'~)l~~{~\~~ ',~;-~: (a) Job description: > I.... r:;......... Occupancy Ii- J Construction type: Square feet: Cost per square foot: <f2(,~ Other information: Type of Heat: Fltu. :2A- o addition ~7};)J:~U~~iig-":fe~sJJ#:01~q~1~;1~~ij~~31~~:~t~~- ().t::.. ?l>).b'fJ$;j't::~:; $ $ $ .('(1. (a) Pemlj( fee (use valuation table): (b) Investigative ree (equal to [2a]): (c) Reinspectiim ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): (e) Subtotal of fees .bove (2. through 2d): $ $ (a) Seismic fee, 1% (.01 x permit fee [2a]): $ TOTAL fees and surcharges (2e+3c+4a): $ e~ willamalane . t\tj Park and Recreation District " Job. No. 60 - r23 SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 3D, 2010 PHONE: 5':20 ~~~ l{ r STATEr.:ve ZIP: 977''l? NAME: ti"'~eJlj1-/V ADDREss:.?tm If"" ..fr . CITY S"rrt.f) LOCATION OF PROPOSED BUILDING SITE: Street Address: 90 5. 5"&,r,( y- Plat Name: ~t!IV c-:f1 Tax Lot Number: !.jtJ2- e:'l{ II Cfj 3d:> 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) $ :2ifS-6' ~ I~ I'd Date '30 A. Sinale-Family Detached NO. OF UNITS J X $2,858 per unit = B. Sinale-Family Attached NO. OF UNITS X $3,100 per unit = C. Multi-Family Apartment NO. OF UNITS X $2,641 per unit = D. Sinale Room Occupancy NO. OF UNITS X $1,321 per unit = E. Accessory Dwellina Unit NO. OF UNITS X $1,550 per unit = WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDC payer must furnish proof of. Willamalane Credit approval.) 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) .ot-- Development Services Department City of Springfield $ :2-~S-r $ $ $ -'~- $ $ $ (,t' 5 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000437 8:45:1 lAM Date: 04/30/2010 Job/Journal Number Description COM2010-00523 Plan Review Major - Planning COM20 I 0-00523 Plan Review Residential COM20 I 0-00523 Building Pem,it COM20 I 0-00523 Addressing Assignment "'\~:\' ','.,1 . "...... >" COM20 I 0-00523 Willamalane Single Family .''',;:' ,.., COM20 I 0-00523 3 Baths One & Two Family .,-;' :s :. /~ .'''-. ,,' .',' COM20 I 0-00523 I st Appliance COM20 I 0-00523 Vent Fan COM20 I 0-00523 Appliance Vent COM20 I 0-00523 Exhaust Hoods COM20 I 0-00523 Dryer Vent COM20 I 0-00523 Gas Outlets 1-4 COM20 1 0-00523 Fireplace (Listed) COM20 10-00523 Fire SF Fee - Residential COM20 I 0-00523 Sidewalk Permit 1,' '. COM20 I 0-00523 Curbeut Permit ) " COM20 I 0-00523 PW Disc - 2nd Permit .{ ~ ' COM20 I 0-00523 SDC Storm - Improvement COM20 I 0-00523 SDC Storm - Reimbursement COM20 I 0-00523 Sanitary Sewer - Reimbursement COM20 I 0-00523 Sanitary Sewer - Improvement COM20 I 0-00523 SDC Tran Reimburs-Residential COM20 I 0-00523 SDC Trans Improvement-Resident COM20 I 0-00523 SDC MWMC Reimbursement COM20 I 0-00523 SDC MWMC Improvement . ,".h~? - ~ ,:; . ;1~'-,." .~ ~~: ,,';01 ' COM20 1 0-00523 SDC MWMC Administration ....t. ." COM20 I 0-00523 SDC MWMC Compliance Charge: .."1 . " COM20 10-00523 SDC Sanitary/Storm Admin COM20 I 0-00523 SDC Transportation Admin COM20 I 0-00523 + 12% State Surcharge COM20 I 0-00523 + 5% Technology Fee LDP20 I 0-00053 LDAP Short Form LDP20 I 0-00053 + 5% Technology Fee Payments: Type of Payment CreditCard Check , Check Number 8atch Number , Paid By RONALD GALCERON RONALD GALCERON Received By njin' > " ',1. rijm '. ,,\.;;;:' }: '," ":1 ~,. <~1 .,..:~'" "" .f. cRcccintl Page I of2 Item Total: Authorization Number How Received 4181 00711 B In Person 4181 In Person Payment Total: Amount Due 211.00 762.27 1,172.73 38.00 2,858.00 402.00 79.00 36.00 9.00 13.00 9.00 7.00 20.00 123.00 88.00 88.00 (30.00) 152.25 107.49 811.81 617.30 211.21 931.65 101.97 1,333.57 10.00 22.63 128.22 86.77 209.73 105.24 450.00 22.50 $11,188.34 Amount Paid $9,500.00 $1,688.34 $11,188.34 4/30/20 I 0