HomeMy WebLinkAboutPermit Building 2005-3-9
, \
CITY OF SPRINGFIELD
.i
2 'Stat~s
Issued
Building/Combination Permit
PERMIT NO: COM2005-00076
ISSUED: 03/09/2005
APPLIED: 01/19/2005
EXPIRES: 09/09/2005
VALUE: $ 6,480.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769JnspeCtion Line
SITE ADDRESS: 2254 MAlA LP
ASSESSOR'S PARCEL NO.: 1703251302200
Springfield TYPE OF WORK: Carport
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Carport
. Owner: GENA LAMERE STATON
Address:' 46121 GOODPASTURE RD ,
VIDA OR 97488
Phone Number: 541-896-3729
I ~ONTRACTOR INFORMATION.
License .
146612
. nCl. "oU \~04929
"'~!. ul '" ., w..
I
\~N\\ON" O?\ed u\eS a\' .00'\-
# of Units: . P-\ \N {u\es ad \'.~cSi&~~\i. O~~ 9&2 '0'1
Primary Occupancy Group: \o\\~c~oo CeO\~~.ttb~ir8f~tU'eS e 11.85
Se~ondary Occupa?cy Group: ~O\\\~ 95'2.~00'\- ~~j~ete\e~no~ n
Pnmary ConstructIOn Type \0 O'Vl'itou rna.~ 0 r.t~~~. ~ati\\ca'Ua
Secondary Construction Type: 0090. .09 \ne cenWI~~~\%30\4). "
# of Bedrooms: " ca.\\\ be" \at \ne~~~~i~. . .
, . ' (\urn ce(\tet ~r'illkIed Buddmg: n/a
Contractor Type ,
General
Electrical
Contractor
MIKE STATON
JB ELECTRIC
Expiration Date
12/21/2006
03/14/2008
Phone
541-896-3729
541-687-5770
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 360
Sq Ft Ot~er:
Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total: 2
Handicapped:
Compact: .
\- Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
26.50
5.00
OVerlay Dist: .
# Street Trees Rqd: , ~' '-NG~\(
, Paved Drive Rqd: . ' \~t.. W "\. sS ~G\
\\~~~t~f.co?\et3\~~~'- t..{~\S ?t..~i'~ ~G~
,"n-\\S ?t..~~Cf\ \J~Dt..~~ p.t\~\)G~t..\)
._l \J \t"""'\u....- .....Jj L' I"
I PUBLI~~\.Il\1~GlX~ME'rs.t~\~ .
\v\JI'" Df\'\ ; ~
Fully Improved ~~'{ '\ <cO .
Yes
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Curbside 5'
Curb and Gutter
Downspouts/Drains:
, "
Notes:
'\
Pa2e 1 of3
Status
Issued -
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00076
ISSUED: 03/09/2005
APPLIED: 01119/2005
EXPIRES: 09/09/2005
VALUE: $ 6,480.00
225 Fifth Street, Springfield, OR
. 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ~'
Carport
Tvpe of Construction
Carport
$ Per Sq Ft
or multiplier
I
$18.00
Square Footage
or Bid Amount
360.00
Value
Date Calculated
" Description
Total Value of Project
$6,480.00
$6,480.00
01/19/2005
~
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
~.."rBtt.,: .:,... .'.. Permit
\)}. I, Curbcut Permit
Minimum/ Adj ustment Electrical
Plan Review Minor - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Amount Paid Date Paid Receipt Number
$54.60 1/19/05 1200500000000000079
$12.90 3/9/05 1200500000000000309
$9.03 3/9/05 1200500000000000309
$43.00 3/9/05 1200500000000000309
$84.00 3/9/05 1200500000000000309
$75.00 3/9/05 1200500000000000309
$2.00 3/9/05 1200500000000000309
$59.00 3/9/05 1200500000000000309
$5.58 3/9/05 1200500000000000309
$111.60 3/9/05 1200500000000000309
Total Amount Paid
$456.71
I Plan Reviews I
Initial Review '
Planninl! Review
Public Works Review
01/21/2005
01/21/2005
01/21/2005
01/21/2005
.02111/2005
01/21/2005
APP
APP
APP
SKG
TAJ
CAS
Storm drainage piped to curb face
1/21/2005 CAS,
Structural Review
01/21/2005
, 02/16/2005
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. ' ,
l.Re()uire~nsnections . .
, . Curbcut - Standard: . After forms are erected but prior to placement of concrete.
Footing: After trenches are excavated~ '
Slab: . To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete. .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover .
Final Electric: When all electrical work is coinplete.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00076
ISSUED: 03/09/2005
APPLIED: 01119/2005
EXPIRES: 09/09/2005
VALUE: $ 6,480.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
(
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 cert~fy 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, t t e permit card' ocated at the front of the property, and the approved set of plans will remain on the site at all
timesd eonstru iun. 7(. ... / I. 6 ~ / ~.
~~ v/b!d~ ~Cp / v.
L...---" na-t'ure /, Da /e /
Owner or Contractors './ fe
Page 3 of3
225 Fifth Street-
SpringfiHd, Oregon 97477
541-726-3759 Phone
C'ity of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00076
COM2005-00076
COM2005-00076
COM2005-00076
COM2005-00076
COM2005-00076
COM2005-00076
COM2005-00076
COM2005-00076
Payments:
Type of Payment
Check
3/9/2005
RECEIPT #:
1200500000000000309
Date: 03/09/2005
Description
Add, Alter, Extend Circ
Minimum! Adjustment Electrical
Curb cut Permit
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review Minor - Planning
':;L:IJ~...eYPrn:ti.t - ~ '" 1\ I'\~J..- \)0 1ffi ,Hltl
+ 7% State Surcharg~v\",I''' " I'~ JI
+ 10% Administrative Fee
Paid By
GENA LAMERE STATON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1110
In Person
Payment Total:
Page 1 of 1
10:51:31AM
Amount Due
43.00
2.00
75.00
111.60
5.58
59.00
84.00
9.03
12.90
$402.11
Amount Paid
$402.11
$402.11
~ "1_i,-,"',~-'.~':':J-~ ......'{,J).!a.;)\;:..,..~ r"+...'.....,~~.:': .~..~,~!~ .:)::V~,:_; d..'",;........'.~..."': .',..<:""~:,..., ': .1'"'~ ~'.:
>~ i. : >,~.::)"'~'.,~~."~-','; t~lrV,Y)t;-. Sf r~t f~ 1'1-:"["D ;"'CIF< Ftf~ ('JJ':'i' " ,,:,r-""i/\'" 3- .'
;' ~ ;;'\::~~::'>~::~:' ~ ,,'~;,::' '. : ~;:=:):: , ';;:. -\.~./,,;:';~::' ", ~'" i/~/ " -';:"; ',\_, -;:,:_J>: ';., :';: :, :~..~.~; ). :.;:: "-;'7
",,,. j ,.,'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~9
'. ~ s
ELEl,l J:dCAL PERMIT APPUCATlON ~ O.,/~ "'o~o
City Job Number c-r:- OOO~ Date 6/8/04 ;O/'ot-~ ~">C.ol':
0'0%
1.
2-2S~ Ma.JCA.. 4.
.
LEGAL DESCRIPTION
Iw:s Z-S1~ 02WO
JOB DESCRIPTION
UvpOI'd-
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2,
Electrical Contractor JB Electric. Inc.
Address 4685 Isabelle Street
City Eugene
Phone 687-5770
Supervisor License Number 2708-S
Expiration Date 10/1/07
Constr. Contr. Number
37587C
Expiration Date 7/1/06
(CCB 104929 3/14/08)
Siwmcr:iAg.~.
Owners Name &'L7/Ytk U:t-VIIIb7i.c_ <::..;J-I~'flJ~
Address (,/'-12-( C. '-'Dc! {k-kve (l1 E.
\f, '0. A Phone g 7b - s72 7
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent. .
Owners Signature:
Inspection Request: 726-3769
3.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
. e' th
i'Jotlficat;r, eYe OregDDJ /ti/'
200 An:1ps"or,les,s~ n enter. ThORP. rulas a :I> o3':OO'ty
'" V/",,'1 Y52-nn1 lr~ ~et fnrth
20t A1DB~t~ t~O Amps -001~ through OP.Ftg~~)~.~o-'
401 AmP's,tO/'60WtNh~ obtaIn Cooies nl.l.. '1:1 .&Pl-
vall 119 he c t ~Ie-r es by
601 Anw~It,ql1t9,oPO~~ er. (Note: the te'~dr9a
Over 1000 Amn...,~We~~ Oregon Utility Noti~tMiB9.
Reconnect Only IS 1-800-J32-2344).$ 50.05'
Co
Installation, Alteration or Relocation .
200 Amps or less $ 50.00
201 Amp~,to1~,00.8mps $ 69.00
f\HJJ H.~:....
401 AmP$t!P 600 ~ps $100.00
I nlS PERMIT ~1.U1/ I f"V",/G'c l~
Over 6 's,or 100.0 61ts seeI.:'-B" a\)O\(e-. T
D.
New AI~Nt'iiQQ3Qr~te..~'l-t~ ~8~ Panel
One Circuit }
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Lf),oo
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
Minimum Electric Permit Inspecti
$ 50,00
$ 50.00
$ 25,00
$ 45.00
4.
cbarges
7% State Surcharge
10% Administrative Fee
y S-;Ov
3fS-
,.
'Jo
'71
1~2~
TOTAL
v
CITY OF SPk.I~GFIELD SYSTEMS DEVELOPMEN1
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
. LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
360.00 I $0.3 I 0 = ,$111.60 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I I
I 0.00 $0.310 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC l $111.60 ,
COM2005-00076
Staton
2254 Maia Loop
1703251302200
SINGLE FAMILY RESIDENCE
o BUILDING SIZE (SF:
360
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
o
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 0
COST PER DFU
$24.04
$18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
.= ,
$0.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE x
I 9.57
, .1 NUMBER OF UNITS I x I
I 0 I
COST PER TRIP
$18.30
x NEWTRIPFACTOR
1.00
B. IMPROVEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP
I 9.57 0' $80.72
ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00
4. SANITARY SEWER - MWMC
, A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 0 $82.03
B. IMPROVEMENT COST:
NUMBER OF FEU's I x COST PER FEU
o I $865.3 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
,RKSHEET
LOT SIZE (SF):
DISCOUNT I
$0.00 I,
x I NEW TRIP FACTOR
I 1.00 =,
$0.00
$111.60
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
$111.60 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$5.58
Cheryl Slaymaker
1/21/2005
PREPARED BY
DATE
TOTAL SDC CHARGES
5210
$111.60
$0.00
$0.00
$0.00
$0.00
=
$0.00
=
$0.00
$0.00
$0.00
5.58
$0.00
=, $117.18
r/)
p:.1
r:l
o
u
~
p:.1
IE-<
r/)
......
o
~,
1070
I'
1091
1092
1093
11094
]054
1055
1054
I 1056
1079
11078
I
I
DRAINAGE F:IXTURE UNIT (DFU) CALClILATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDlTIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 0 0 3 = 0
IDRlNKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 II
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0 I:
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRlVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (~O DFU's) set at ] 67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
1979
]980
]98]
]982
1983
]984
]985
1986
]987
]988
1989
]990
]991
1992
]993
]994
1995
]996
]997
]998
]999
2000
200]
CREDIT RATE/$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
II
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
$0.00 x $5.29
=1
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=