HomeMy WebLinkAboutPermit Building 2007-6-20
~-
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
J CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00755
ISSUED: 06/20/2007
APPLIED: OS/25/2007
EXPIRES: 12/20/2007
VALUE: $ 50,000.00
SITE ADDRESS: 3342 Ambleside Dr
ASSESSOR'S PARCEL NO.: 1702193407000
Springfielc:lTENIYJ>.E OF WORK: Sin21e FamilYtResidence
AT iTION: Oregon law reqUires you 0
follow rulerVP~'OFrU~E~hXdditjglin Utility Residential
PROJECT DESCRIPTION: Addition to existing single family reshJre~~e:ation Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
. . . I
uvtlu. I uu II lay UUlQll1 \.AlfJle;;:, VI L11e; I UI<O" vy
calling the center. (~lum~t1JI~l{I9tllfph(MJ-747-7717
number for the Oregon Utility Notification
Centel is 1800-332 2344).
Owner:
Address:
MARK GILMAN
3342 AMBLESIDE DR
SPRINGFIELD OR 97477
Contractor Type
General
Contractor
JOHN CALHOUN
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
.Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
6.70
40.40
5.00
Street Improvements:
. Storm Sewer Available:
Special Instruction:
I CONTRACTOR INFORMATION I
License
138372
BUILDING INFORMATION'
Expiration Date
11104/2007
Phone
541.463-1410
R-3
# of Stories: 1 Lot Size:
Height of Structure: Sq Ft 1st Floor: 400
Type of Heat: orced Air Electric Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft GaragelCarport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: nla Occupant Load:
~~T~<<:'!:'
I DEVELOPMENT INFORM~MIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER TJMbQ~~MiP.lP~~G
Overlay Dist: COMMENCED OR IS ABJAl~}\t~ONED FOR
# Street Trees Rqd: ANY 180 DAY PERIOD.Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: 23.00
VB
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Notes: Storm tied to existing system. JLP APP 5/25/07
Description
Tvpe of Construction
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-00755
ISSUED: 06/20/2007
APPLIED: OS/25/2007
EXPIRES: 12/20/2007
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
50,000.00
$50,000.00
$50,000.00
OS/25/2007
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
-Mechanical Issuance Fee- $10.00 6/20/07 3200700000000000413
+ 10% Administrative Fee $54.47 6/20/07 3200700000000000413
+ 5% Technology Fee $32.83 6/20/07 3200700000000000413
+ 8% State Surcharge $43.57 6/20/07 3200700000000000413
Building Permit $370.65 6/20/07 3200700000000000413
Fixture $84.00 6/20/07 3200700000000000413
Minimuml Adjustment Mechanical $39.00 6/20/07 3200700000000000413
Plan Review Minor - Planning $112.00 6/20/07 3200700000000000413
Plan Review Residential $240.92 6/20/07 3200700000000000413
Sanitary Sewer - Improvement $197.91 6/20/07 3200700000000000413
Sanitary Sewer - Reimbursement $260.27 6/20/07 3200700000000000413
SDC SanitarylStorm Admin $31.18 6/20/07 3200700000000000413
Storm Drainage Impervious Area $165.46 6/20/07 3200700000000000413
Storm Sewer - 1st 50 Feet $45.00 6/20/07 3200700000000000413
Vent Fan $6.00 6/20/07 3200700000000000413
Total Amount Paid $1,693.26
I Plan Reviews'
Plannin2 Review
Public Works Review
05/25/2007
05/25/2007
05/25/2007
05/25/2007
APP T AJ
APP JLP
Storm tied to existing system. SDC
fees include credit for existing tub
included in remodel area.JLP APP
5/25/07
Approved as noted on plans.
Structural Review
OS/25/2007
05/25/2007
APP DLM
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.
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.
Pa2e 2 of 3
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-00755
ISSUED: 06/20/2007
APPLIED: OS/25/2007
EXPIRES: 12/20/2007
VALUE: $ 50,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Storm Sewer Line: Prior to filling trench.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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.
"~, -.:sc~-.....~
'------"' \ '
Owner or Contractors Signature
Ul ~('~.; 'N.
G-~ - d- (::j - (,,')
Date
Pae:e 3 of 3
CITY OF~:;Y:~INGFIELD SYSTEMS DEVELOPMB7.~ORKSHEET
JOURNAL OR JOB NUMBER: C0M2007-00755
NAME OR COMPANY: Mark Gilman.
LOCATION: 3342 Ambleside
TAX LOTNUMBER: 1702193407000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 493 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
493.00 . , $0.336 I I $165.46
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
, IMPERVIOUS S.F. x 1 COST PER S.F. I x I DISCOUNT RATE I I
0.00 i $0.336 I I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC I $165.46 ,
o
[fJ
~
~
o
u
~
~
.f-<
[fJ
.......
o
~.
DISCOUNT
$0.00
$165.46
1070
2. SANITARY SEWER - CITY . I.
, A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
1 10 I
B. IMPROVEMENT COST:
NUMBER OF DFU's x
10
COST PER DFU
$26.03
$260.27
1091
$19.79
I
$197.91
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= I
$458.17
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x
9.57 0
COST PER TRIP
$19.81
B. IMPROVEMENT COST: .
1 ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP
19.571 0 I $87.39
ITEM 3 TOTAL - TRANSPORTATION SDC = I $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's k COST PER FEU
o $91.61
Jeff Prociw
5/25/2007
= I $0.00 1054
= I $0.00 1055
I $0.00 11054
, $0.00 1056
=1 $0.00 ,
-
= , $623.63 ,
.. ...--.,
CHARGE
$3 I.I 8
31.18 1079
$0.00 1078
TOTAL SDC CHARGES =1 $654.81
B. IMPROVEMENT COST:
INUMBER OF FEU's
1 0 ' .
x . ICOST 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 ADM. FEE RATE
I $623.63 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
PREPARBDBY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATIITUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0
iINTERCEPTORS FOR SAND I AUTO WASH I ETC. O. 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
I CLOTHES WASHER I MOP SINK 0 0 3 = 0
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIALfRESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LA V ATORYfRESIDENTIAL BAR 0 0 1 = 0
IURINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 10
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
, BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No)
I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2
1980 $5.19 (Enter 1 for Yes, 2 for No)
1981 ..$5.12 BASE YEAR 1979
1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE I 1000 CREDIT RATE
1985 $4 .40 $0.00 x $5.29 = , $0.00
1986 $4.07
1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE I 1000 CREDIT RATE
1989 $2.73 $0.00 x $5.29 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = $0.00
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05
2~5 .Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r;ty of Springfield Official Receipt
t'elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00755
COM2007-00755
CO M2007 -007 55
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
COM2007-00755
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
3200700000000000413
Date: 06/20/2007
Description
Plan Review Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC SanitarylStorm Admin
Plan Review Minor - Planning
Building Permit
Storm Sewer - 1 st 50 Feet
Vent Fan
Minimum! Adjustment Mechanical
~Mechanicallssuance Fee-
Fixture
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
UNIQUE BUILDING SYSTEMS ddk
2281
In Person
Payment Total:
Page 1 of 1
10:20:53AM
Amount Due
240.92
165.46
260.27
197.91
31.18
112.00
370.65
45.00
6.00
39.00
10.00
84.00
32.83
43.57
54.47
$1,693.26
Amount Paid
$1,693.26
$1,693.26
6/20/2007