HomeMy WebLinkAboutPermit Building 2007-6-28
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2645 G ST
ASSESSOR'S PARCEL NO.: 1703361112300
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00966
ISSUED: 06/28/2007
APPLIED: 06/28/2007
EXPIRES: 12/28/2007
VALUE: $ 21,304.00
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Addition and carport
TYPE OF USE: Addition
Residential
Owner: TODD ANDERSON
Address: 88902 BRIDGE ST
SPRINGFIELD OR 97477
Phone Number: 541-51-2543
I CONTRACTOR INFORMATION I
Contractor Type
General
Contractor
CHAMPOUX ENTERPRISES LLC
License
173723
Expiration Date
01/05/2009
Phone
541-912-6522
Overlay Dist: Total:
# Street Trees Rqd: I W flThau~pJsa'pp~d.:]
Paved Drive Rqd: AlTENTION: Ormon ba the~~:U;~:Uti\ity
% of Lot CoveragtfollOW rules aclgP1N~ ~e rutes are set forth
Notification Center. 0 hOAR 952-001-
171 ':'''D Ot:;?.no1.oo1othrou;~o vI ihs ~'il,.. hy
I PUBLIC IMPROVEME6l]iq You may ortal(:~: the te'epho~e
--"mung th~ cen !..:.. Utility Notification
Street Improvements: Partially Improved number 1iPtmP;;~.2344).
Storm Se~&le: Y es C8g~spouts/Drains:
Special InstfWSi?JERM1T SHALL EXPIRE IF THE WORK
AUTHORI?~D UNDER THIS PERMIT IS NOT
Notes: SC'(SIV\~l\fd~fi~wtfsnf.tBAiRm:m!fjsJfDiroof drains and carport to go to splash blocks.
I'\I~ I 1 Gt tX.' rtm~~. .
I Valuation Description I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
27.00
5.00
18.00
0.00
Description
Type of Construction
BUILDING INFORMATION.
,/
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
200
168
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
Pal!e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00966
ISSUED: 06/28/2007
APPLIED: 06/28/2007
EXPIRES: 12/28/2007
VALUE: $ 21,304.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Carport
DwelIinl!s
Carport
V Wood Frame
$20.00
$103.00
200.00
168.00
$4,000.00
$17,304.00
$21,304.00
06/28/2007
06/2812007
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
+ 10% Administrative Fee $25.44 6/28/07 1200700000000000839
+ 5% Technology Fee $17.90 6/28/07 1200700000000000839
+ 8% State Surcharge $19.68 6128/07 1200700000000000839
Building Permit $201.00 6/28/07 1200700000000000839
Fire SF Fee - Residential $8.40 6/28/07 1200700000000000839
Plan Review Minor - Planning $112.00 6128/07 1200700000000000839
Plan Review Residential $130.65 6128/07 1200700000000000834
SDC MWMC Administration $7.95 6/28/07 1200700000000000839
Storm Drainage Impervious Area $159.08 6128/07 1200700000000000839
Storm Sewer - 1st 50 Feet $45.00 6/28/07 1200700000000000839
Total Amount Paid $727.10
I Plan Reviews I
Planninl! Review 06/28/2007 06/28/2007 APP TAJ used south property line for side
line.
Public Works Review 06/28/2007 06/28/2007 APP BRC Stormwater for addition to tie in to
existing roof drains and carport to
go to splash blocks.
Structural Review 06/28/2007 06/28/2007 APP DLM Approved as noted on plans
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.
~eouiredJnsnections I
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.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation:- Prior to cover.
Ceiling Insulation: Prior to cover.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2007-00966
ISSUED: 06/28/2007
APPLIED: 06/2812007
EXPIRES: 12/28/2007
VALUE: $ 21,304.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 the building is complete.
Undertloor Drain: Prior to cover or placement of concrete.
Storm Sewer Line: Prior to filling trench.
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.
'7%/~/&~~--- C/J-Y'OJ
Ow~r or con~ors Signature / Date
Pal!e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: C0M2007-00966
NAME OR COMPANY: Todd Anderson
LOCATION: . 2645 G Place
TAX LOT NUMBER: 17-03-36-11 12300
DEVELOPMENT TYPE: Addition & Carport
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 474 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I, CHARGE
I 474.00 I $0.336 I = I $159.08
RUNOFF ROUTED TO DRYWELLDESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. I x I DISCOUNT RATE
0.00 $0.336 I I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC '$159.08
2. SANITARy SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OFDFU's I x
I 0 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 0
COST PER DFU
$26.03
$19.79
, I
I
ITEM 2 TOTAL - CITY SANITARy" SEWER SDC
3_ TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRlP RATE x NUMBER OF UNITS x
.1 9_57 0
= ,
B. IMPROVEMENT COST:
I ADT TRIP RATE
I 9.57
x
I NUMBER OF UNITS I x I
I 0 I I
= ,
ITEM 3 TOTAL - TRANSPORTATION SDC
4: SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 0
COST PER FEU
$91.61
B. IMPROVEMENT COST:
INUMBER OF FEU's x
I 0
I COST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ,
5. ADMINISTRATIVE FEE:
1 SUBTOTAL x I' ADM. FEE RATE
I $159_08 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Billy Curtiss
6/28/2007
PREPARED BY
DATE
$0.00
DISCOUNT
$0.00
COST PER TRIP
$19.81
~ ~
x NEW TRIP FACTOR
1.00
COST PER TRIPI x I NEW TRIP FACTORI
$87.39 I I 1.00 I
$0.00 I
TOTAL SDC CHARGES
o
rfJ
p:.1
~
o
u
~
.~
>-<
d
gz
$159.08
1070
$0.00
I 109]
$0.00
1092
$0.00
1093
$0.00
1094
=
$0.00
1054
, 7.95 1079
I $0.00 1078
~~
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LAVATORY /RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
.TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$~OO x $5.29
=1
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
225 Fifth Street
Sprhigfield, Oregon 97477
541.726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-00966
COM2007-00966
COM2007-00966
COM2007 -00966
COM2007-00966
COM2007-00966
COM2007-00966
COM2007-00966
COM2007-00966
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200700000000000839
Date: 06/28/2007
Description
Plan Review Minor - Planning
Storm Drainage Impervious Area
SDC MWMC Administration
Building Permit
Storm Sewer - 1 st 50 Feet
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
CHAMPOUX CONSTRUCTION nJm
1327
In Person
Payment Total:
Page I of 1
2:21:09PM
Amount Due
112.00
159.08
7.95
201.00
45.00
8.40
17.90
19.68
25.44
$596.45
Amount Paid
$596.45
$596.45
6/28/2007