HomeMy WebLinkAboutPermit Building 2005-11-2
TYPE OF USE: Addition Residential
PROJECT DESCRIPTION: Addition to existing single family residence
rA~TENTION: Oregon law reauire!=: \lnl I tn
"..fIV" IUIt::~ aaOPte~thQ.nrt:1n ".,
Notification Ce t T J\'e'N'U'ml)e'tFl15.nt1l47-8340
, n er. ose rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You mav oht::lin fV,ni,.,,", ~.f tL. --, L
callinQ,thp. rl'>nte~ (No~ . thO ','- ....."... Y
I CONTRACTOR INFjQ~;rjJ,.O~" e." e te ~~hone
Oregon Utility NotIfication
Center is 1.J300-~'i:i? ?:i.a..t\
License EXPft1l1ion 'Date Phone
156743 08/20/2007 541-954-3343
96275 01/25/2006 541-689-7973
140768 03/01/2008 541-995-4725
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3448 OREGON AVE
ASSESSOR'S PARCEL NO.: 1702313106900
Owner:
Address:
RAYGENA HALL-YOUNG
3448 OREGON ST
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Plumbing
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01394
ISSUED: 11/02/2005
APPLIED: 10/06/2005
EXPIRES: 05/02/2006
VALUE: $ 50,976.00
Springfield TYPE OF WORK: Single Family Residence
Contractor
JAY P MARCOTT CONSTRUCTION INC
BOB FISHER ELECTRIC INC
DOUG HAXBY PLUMBING COMPANY
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
25.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
I BUILDING INFORMATION I
3
# of Stories: 2 Lot Size:
Height of Structure 22.50 Sq Ft 1st Floor:
Type of Heat: Wall Heat Sq Ft 2nd Floor:
Water Type: Electric Sq Ft Basement:
Range Type: NOTICE. Sq Ft Garage/Carport
Energy Path: · Pdl~ AlL E' t11~~~E WORK
Sprinkled BuiIdi~: PERMIT )1 ~ '~ r,A;tmaJ\1 ftIlm NOT
^'Hunom:n II \.r}f,R T'-I\) f'~n I J\)
DEVELOPMENT I ... "MlOO~ 11 IS ABANDONED tUK
ANY 8 RIOO. REQUIRED PARKING
Total: 2
Handicapped:
Compact:
531
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Fully Improved
Yes
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm drainage piped into existing to curb face 10/10/2005 CAS
Pal!e 1 of 3
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01394
ISSUED: 11/02/2005
APPLIED: 10/06/2005
EXPIRES: 05/02/2006
VALUE: $ 50,976.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Dwellinl!s
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$96.00
Square Footage
or Bid Amount
531.00
Value
Date Calculated
Description
Total Value of Project
$50,976.00
$50,976.00
10/06/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $243.46 10/6/05 1200500000000001458
-Mechanical Issuance Fee- $10.00 11/2/05 2200500000000001532
+ 10% Administrative Fee $51.36 11/2/05 2200500000000001532
+ 7% State Surcharge $35.95 11/2/05 2200500000000001532
Add, Alter, Extend Circ $43.00 11/2/05 2200500000000001532
Add, Alter, Extend Circ Ea Add $6.00 11/2/05 2200500000000001532
Building Permit $374.55 11/2/05 2200500000000001532
Fixture $42.00 11/2/05 2200500000000001532
Minimum/Adjustment Mechanical $39.00 11/2/05 2200500000000001532
Minimum/Adjustment Plumbing $3.00 11/2/05 2200500000000001532
Plan Review Minor - Planning $85.00 11/2/05 2200500000000001532
Sanitary Sewer - Improvement $133.49 11/2/05 2200500000000001532
Sanitary Sewer - Reimbursement $175.49 11/2/05 2200500000000001532
SDC Sanitary/Storm Admin $15.45 11/2/05 2200500000000001532
Vent Fan $6.00 11/2/05 2200500000000001532
Total Amount Paid $1,263.75
I Plan Reviews I
Initial Review 10/07/2005 10/07/2005 APP LLH
Planninl! Review 10/11/2005 10/21/2005 APP TAJ 10' front setback is OK, garage
doors remain at 18'.
Public Works Review 10/07/2005 10/10/2005 APP CAS Storm drainage piped into existing
to curb face 10/10/2005 CAS
Structural Review 10/07/2005 10/19/2005 APP 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.
~eouirerUnSDections I
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Pal!e 2 of 3
CITY OF SPRINGFIELD,
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01394
ISSUED: 11/02/2005
APPLIED: 10/06/2005
EXPIRES: 05/02/2006
VALUE: $ 50,976.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover 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.
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.
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225 FIFTH STREET . SPRINGFIELD, OR 97477 · PH:(541)726-3753 . FAX: (541)726-3689, 'c;., c,,\}o.:~\~e
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ELECTRICAL pJ}RMIr APPLICATION . ~ \,,~ y\~~: ,,0'-
City Job Number ~::,. t~~ Date /I-();) - ~a')S')~"",6 ()
,-,-".)
1.
'bAJr 9) 2D{iJ
LEGAL\~SD~j\3\ ()\g~~
JOB DESCRIPTION
~\~~ ~tt:rd1Mj
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~d r;'7~ ' !:;{;/((J!t ~
Address I Jdt:L,tl Ak;~
A tlt...~
City f: U) l%V /'
f
Phone jY; ccz:L7 3
Supervisor License Number ,-19 /,') - <
Expiration Date
/0- I - t>7
Conste Conte Number ;? t)- -"3 S 7_ - C
Expiration Date 7 ~ I - () t
Signature of Supervising Electrician
Owners Name
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
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3.
Service Included
1000 sq, ft. or less $106.00
Each additional 500 sq, ft, or
pOltion thereof $ 19.00
'\ C~' '!'-.~, \',,' r.... ',- I
Each M~tmrac't'd Hdmiciregon law requires you to
MOdu,ldr pweIlln~'S~~IG'~brd by the Oregon ~5g~B6
Feeder '.., _ (",c.:er Iter, TllOSe-fi..iI",.;) QI c; set forth
\i :.. lh'
B.
c;:l!iin~i the center. (Note: the tele )2028
200 A~rWrY~~Sfor the Oregon Utility Noti~c~tlon
201 Amps to 4Qge\mpf> is 1-800-8':l?-?144).$ 75.00
401 Amps to 600 Amps $125,00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50,00
c.
New Alteration or Extension Per Panel
I
Z
$ 43.00
$ 3,00
~3
b
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
E.
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50,00
$ 50.00
$ 25,00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
'-17
3'-11
vfo
~'7 "YJ
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Permit Application I-03,doc
CITY OF ~'?tNGFIELD SYSTEMS DEVELOPMEI\
JOURNAL OR JOB NUMBER: COM2005-OJ394
NAME OR COMPANY: Ragena Young
LOCATION: 3448 Oregon
TAX LOT NUMBER: 1702313106900
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF: 531
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S,F, CHARGE
I 0,00 $0.323 = $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S,F. x COST PER S,F, x I DISCOUNT RATE I
0,00 $0.323 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $0.00
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
. NUMBER OF DFU's x
7
COST PER DFU
$25,07
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 7
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1
$308.98
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x
I 9,57 0
B. IMPROVEMENT COST:
I ADT TRIP RATE ' x NUMBER OF UNITS x I
'9.57 0 I
ITEM 3 TOTAL - TRANSPORTATION SDC = 1
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 0
COST PER TRIP
$19,09
COST PER TRIP
$84.19
$0.00
ICOST PER FEU
I $82,03
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
o $865,31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5, ADMINISTRATIVE FEE:
SUBTOTAL x I ADM,FEERATE
$308.98 I 5%
TOTAL SANITARY ADMlNISTRATION FEE:
TOTAL TRANSPORTATION ADMlNISTRATION FEE:
$0.00
$308.98
CHARGE
$15.45
iORKSHEET
LOT SIZE (SF):
DISCOUNT
$0,00
x INEWTRlPFACTOR
I LOO
I x I NEW TRIP FACTOR'
I I 1.00
I
Cheryl Slaymaker
10/1 0/2005
PREPARED BY
DATE
TOTAL SDC CHARGES
4972
$0.00
$175.49
$133.49
$0.00
$0.00
=
$0.00
=
$0.00
$0.00
$0.00
15.45,
$0,00
$324.43
rJ:J
D::l
Cl
o
u
~
D::l
f-<
rJ:J
>-<
o
~
1070
109]
1092
1093
]094
1054
1055
I
11054
]056
1079
r 1078
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BAlBTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
SINK:WASHBASINillOUBLELAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EOD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$ 1,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No)
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/I000 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 / 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
I 1993 $1.45
I 1994 $1.25
I 1995 $1.09
I 1996 $0.92
I 1997 $0.72
I 1998 $0.48
I 1999 $0.28
I 2000 $0.09
Ll 2001 $0.05
225 Fifth Street' ·
Springfield, Oregon 97477
541-726-3759 Phone
Wi:~
c:ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1394
,COM2005-0 1394
COM2005-0 1394
CpM2005-0 1394
COM2005-0 1394
COM2005-0 1394
COM2005-01394
COM2005-0 1394
COM2005-0 1394
COM2005-0 1394
COM2005-01394
COM2005-01394
COM2005-01394
COM2005-0 1394
Payments:
Type of Payment
Check
:~
;fl
:~,
:,
'}
"
1
,i
:J
11/2/2005
RECEIPT #:
2200500000000001532
Date: 11/02/2005
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Minimum! Adjustment Plumbing
Vent Fan
~Mechanical Issuance Fee~
Minimum! Adjustment Mechanical
Plan Review Minor - Planning
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge'
+ 10% Administrative Fee
Paid By
RA YGENA 0, YOUNG
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 1895 In Person
Payment Total:
Page 1 of 1
8:11:02AM
Amount Due
175.49
133.49
15.45
374.55
42,00
3,00
6.00
10.00
39.00
85,00
43.00
6.00
35.95
51.36
$1,020.29
Amount Paid
$1,020,29
$1,020.29