HomeMy WebLinkAboutPermit Building 2002-10-17 (2)
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. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-01141-01
ISSUED: 10/17/2002
APPLIED: 09/24/2002
EXPIRES: 04/17/2003
VALUE: $ 58,188.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1064 Darlene Ave
ASSESSOR'S PARCEL NO.: 1703272201000
PROJECT DESCRIPTION: Solar approved - 35 feet required
Spr
TYPE OF WORK Single Family Residence
TYPEOFUSE: Addition
Owner: David Kimelman
Address: PO Box 70444 Eugene OR 97401
Phone Number: (541) 988-0888
I Contractor Information I
Contractor Type
General
Owner
Contractor
Robert Eugene Laroe
David Kimelman
License
Expiration Date Phone
(541) 895-4776
(541) 988-0888
SETBACKS
\)~~
# of Stories: 2 ~<Q..~t ~
Heigbt of.~ofl: ~q~1:..1st Floor:
Type of Heat: Force~~~~~~<ftliflnd Floor:
Water Type: ~\.. ~S ~~'(8'q Ft Basement:
Range TXI!-o; ~ S~~\)\.~ :Q.."'~\S Sq Ft Garage/Carport:
Ene.;gy~alIi~~ YJ~ ,S Nth I Sq Ft Other:
~\j ~S 'V,\; o..v.-\'\) ,,\)~ ~\)\). Impervious Surface
.o(~ \(\"', ,..YV .....(;."'i' ... _~_,
- -,.- .
I "". ,,\\V (\.\'" I
DEVELOPMENT'lNFORM'A TlON
- "'~.... REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees 0'1>\0 Handicapped: 0
Paved Drive Rqd: ...-&~'i U\~\\'lRllmpact:
% of Lot Coverage: ~ ,0'VJ.9~(\ <00\\0 "...
\~ 0\ ~0 n~'V.,
__0.0.0(\ ~.,~e ",,,s-a:o.9":i:r,\,>'01
IPUBLlC IMPROV.tmreN.'ffif'~oS0~~\\U~\\\e' ~O(\~ ^
, . _~~.\'-"",\O . ,,0 ~e~ ~O"
AC Mat ~~ ,..s.0~ G0(\~ ~\~:SI~l)~~~1YPei#i\C-a:
No \O\\o.~ 'i,,\0(\ J;)~"'c;j ;o\i6Wt.M'po~\t~r\\,it"
Connect roof drain to existing sy~,~$l~?f~st!~~.!3" ~ 0(\ \:>\~ 'J:'l-'Y""
~.~o~ -{O'l> ~0cF>(\ O\e<:$fJ,,/!:J'?'J
~ ~c';~~ ~~\(\~ '\o,~e\\S ...~
c ....e' _",\0
,n:' . ,_
I Valuation Description i
$ Per Sq Ft Square Footal!e
$74.60 780.00
I BUILDING IN~'URMAlIUN I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy
Primary Construction Type
Secondary Construction
# of Bedrooms:
R-3
10,680
780
VN
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
10.00
13.00
68.00
84.00
S tree t
Storm Sewer Available:
Special Instruction:
Notes:
Description
Dwellinl!s
Type of Construction
V Wood Frame
Total Value of Project
Value
$58,188.00
$58,188.00
Date Calculated
10/14/2002
I of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Dryer Vent
Appliance Nt Listed Mechanical
-Mechanical Issuance Fee-
Vent Fan
SDC Administrative Fee
Plan Review - Planning
Fixture
SDC Sanitary Improvement
SDC Sanitary Reimbursement
Building Permit
Total Amount
Residential Plan Check
Total Fees Paid Prior to 9/30/02
Engineering-Res
Initial Review-Res
Planning-Res
Structural-Res
.
. CITY OF ~t'KINGFIELD
Building/Combination Permit
PERMIT NO: 02-01141-01
ISSUED: 10/17/2002
APPLIED: 09/24/2002
EXPIRES: 04/17/2003
VALUE: $ 58,188.00
I , Fees Paid I
Amount Paid Date Receipt Number Received By
$6.00 10/1 7/2002 1200200000000000092 djb
$9.00 10/17/2002 1200200000000000092 djb
$10.00 10/17/2002 1200200000000000092 dib
$12.00 10/17/2002 1200200000000000092 dib
$23.33 10/17/2002 1200200000000000092 dib
$55.00 10/17/2002 1200200000000000092 dib
$98.00 10/17/2002 1200200000000000092 dib
$201.48 10/17/2002 1200200000000000092 dib
$265.08 10/17/2002 1200200000000000092 dib
$405.75 10/17/2002 1200200000000000092 dib
$1,085.64
$263.74 09/24/2002 10701
$263.74
I PIau Reviews I
10/14/2002 APP DPE
09/25/2002 Appr LH
10/03/2002 APP EMM
1011112002 APP TCM
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 3.m, will be made the following work
day,
I Required Inspections I
I Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Shear WaU Nailing: Before covering sheathing with finish materials.
4 Framing Inspection: Prior to cover and after aU rough in inspections have been approved.
5 WaU Insulation: Prior to cover.
6 Ceiling Insulation: Prior to cover.
7 DrywaU: Prior to taping.
8 Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
9 Final Building: After aU required inspections have been requested and approved and the building is complete.
10 Rough Plumbing: Prior to cover and including required testing.
II Final Plumbing: When aU plumbing work is complete.
12 Rough Mechanical: Prior to Cover
13 Final Mechanical: When aU mechanical work is complete.
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 02-01141-01
ISSUED: 10/17/2002
APPLIED: 09/24/2002
EXPIRES: 04/17/2003
VALUE: $ 58,188.00
Status: Issued
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 carefuUy examined the completed application and do hereby certity 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 certity that only contractors and employees who are in compliance with ORS 701.005 wiD be
used on this project.
I further agree to ensure that ali 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.
g~~J;:)
Date
/0 - I r - O'~
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3 of 3
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CIT\;,OF SPRINGFIEaYSTEMS DEVELOPMENT CH"'E WORKSHEET
JOURNAL OR JOB NUMBER: 02,01141,01
NAME OR COMPANY: David Kimelman
LOCATION: 1064 Darlene Ave
TAX LOT NUMBER: 17,03,27,22,01000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 0 BUILDING SIZE: 0 SF LOT SIZE:
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I x I COST PER S.F. I
0.00 I I $0.282
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I xl COST PER S.F. J x I DISCOUNT RATE
0.00 1 L-$0.282 50%
lITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER, CITX
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I,.' COST PER DFU
12 $22.09
B. IMPROVEMENT COST:
I NUMBER OF DFU's I" I COST PER DFU
I 12 I $16.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
o
=1
$0.00
SF
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Ci
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o
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=1
=1
$0.00
$0.00
II
__L11070 .
1091
1 1092
1-
A. REIMBURSEMENT COST:
I ADTTRIP RATE IxlNUMBER OF UNITS I xl COST PER TRIP IxlNEWTRIP FACTOR I
I 9.57 0 $16.81 I 1.00 =1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP
I 9.57 0 $74.17
lITEM 3 TOTAL - TRANSPORTATION SDC
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1,1 COST PER FEU
I 0 $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1,1 COST PER FEU
'0 $34.83 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
, MWMC ADMINISTRATIVE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4) -
5. ADMINISTRATIVE FEE:
SUBTOTAL I ^ I ADM. FEE RATE
$466.56 5%
I x I NEW TRIP FACTOR I
I 1.00 =1
=1
=1
$265.08
1093
I 1094
I
=1 $0.00 I
=1 $0.00 I
=1 $0.00 J 1055
=1 $0.00 I 1056
- II
=L $0.00
=1 $466.56 II
~
=1
TOTAL SANITARY ADMINISTRATION FEE: 1
TOTAL TRANSPORTATION ADMINISTRATION FEE: 1
~1~
SDC COORDINA TOR
TOTAL SDC CHARGES =1
10/15/2002
DATE
=1
=1
$201.48
$466.56
,
I 1079
I 1078
-I
II
$0.00
$0.00
$0.00
=1
$0.00
$23.33
23.33
$0.00
$489.89
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) x UNIT = FIXTURE
EQUIVALENT UNITS
(0 O)x 3 0
(0 0) x I 0
(0 O)x 3 0
(0 O)x 3 0
(0 O)x 6 = 0
(0 O)x 2 0
(0 O)x 3 0
(0 O)x 6 = 0
(0 0) x 12 0
(0 0) x I 0
(0 O)x 3 0
(2 O)x 2 4
(0 O)x 2 0
(0 O)x 3 0
(0 O)x 2 0
(0 0) x I 0
(0 O)x 2 0
(2 0) x I 2
(0 O)x 5 0
(0 O)x 6 0
(2 O)x 3 6
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
INTERCEPTORS FOR SAND / AUTO WASH / ETC.
LAUNDRY TUB
CLOTHESW ASHER / MOP SINK
CLOTHESW ASHER, 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlG / WATER ST A nON / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAURESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL / WALL
TOILET. PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(0 0) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 12
.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
II IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $ I ,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 II 1990 S2.06
1980 $4,83 1991 SI.64
1981 $4.77 1992 SI.45
1982 $4.64 1993 SI.JI
1983 $4.47 1994 SI.13
1984 $4.30 1995 SO.97
1985 $4,09 1996 SO.82
1986 $3.78 1997 $0.63
1987 $3.4 I 1998 $0,4 I
1988 S2.98 1999 $0.22
1989 S2.52 2000 $0,04
VALUE /1000 CREDIT RATE
0.000 x $0.00 =1
0.000 x $0.00 =1
TOTAL MWMC CREDIT =1
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
$0.00