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Home My WebLink AboutPermit Building 2005-6-8 (2) . . CITY OF SPRINGFIELD Building/Coinbination Permit PERMIT NO: COM2005-00575 ISSUED: 06/08/2005 APPLIED: 05/16/2005 EXPIRES: 1210812005 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 541.726.3769 Inspection Line ,,_~,".".41 ~(". THIS PER~P'l''1.g~,e,I~~ IXr!f\~fr"'~~i&i~Kage Conversion AUTHORIZED UNDER THIC; PFflMIT IS ~IOT TYPE.OF USE: Alteration PROJECT DESCRIPTION: Garage conversion. COIVIMENCED OR IS fI!Ji\I~UUNtU l'OR ANY 180 DAY PERIOD. SITE ADDRESS: 948 DARLENE AVE ASSESSOR'S PARCEL NO.: 1703272100700 Residential Owner: FOX NORMAN & CHERYL Address: 948 DARLENE ST SPRINGFIELD OR 97477 Phone Number: 541-746-7430 I CONTRACTOR INFORMATION' Contractor Type General Electrical Plumbing Contractor WL POOLE CONSTRUCTION INC GLEN NEAL GARY ALAN MUSTIN License 78319 Expiration Date 1211212006 Phone 541-726-2870 129990 06/24/2006 541-463-7568 VN BUILDING INFORMATION I .~ I I ENTJON: Oregon law reouires~ou to # o~ Stortes~w rules adopted by the dtgfS q:'tilit HelghMJl&~!!!!;tl\~e~enter. T~se rul~~q~l i~(E1~~!:: Type oll Heat: 952 001 OWaU eat ~n~~n ob'..: "-";'''' - -'V-Ill rvugh ~ ~~'_ 01. WaterCTYl!e:v,ou may obtElectnc. J" t se ent: .... ~ v. ;..uq CQOles .;.CJ: ~dJ)C:: hv. Rauge Typ.e:ng th t Electnc I'l Garage/Carport Energy Path': e cen er. p\}'t'htf thfSlj-Ftq!jIh'e\l: S . k1"d' 'B" 1l11P1. for the Orea"r" UtilityA'''U'''"n't'''''' d prlD e Ul ulDg: -n a ucc pan "&:Jua : I.;ellter is 1.ROO.T'l??"ldd\ I DEVELOPMENT INFORMATION I REQUIRED PARKING # of Units: Primary Occupancy Group: Secondary Occupancy Group: f Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Partially Improved Yes Sidewalk Type: DownspoutslDrains: Curb and Gutter Notes: SDC for new bathroom fixtures only Page 1 of3 -- Status Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Estimate Estimate Fee Description Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Water Line - 1st 50 Feet -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Building Permit Fixture Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing Miscellaneous Mechanical Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC SanitarylStorm Admin Vent Fan . . CITY OF ~rK1f\jlj..u..LD Building/Combination Permit" PERMIT NO: COM2005-00575 ISSUED: 06/08/2005 APPLIED: 05/16/2005 EXPIRES: 1210812005 VALUE: $ 20,000.00 I Valuation Oescril)tion , , " $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Value Date Calculated Total Value of Project $20,000.00 $20,000.00 0511612005 Fpp<. P"irll Amount Paid Date Paid Receipt Number $120.51 $4.50 $3.15 $45.00 $10.00 $27.54 $19.28 $185.40 $42.00 $3.00 $3.00 $18.00 $109.68 $144.24 $12.70 $24.00 5/16105 616105 616105 616105 618105 618105 618105 618105 618105 618105 618105 618105 618105 618105 618105 618105 2200500000000000587 1200500000000000769 1200500000000000769 1200500000000000769 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 2200500000000000727 Total Amount Paid $772.00 I Plan Reviews I Initial Review 0511712005 0511712005 APP SKG Plan nine Review 0511712005 0511812005 APP TAJ No Planning Review needed. Public Works Review 05/1712005 0511712005 APP CAS SDC for new bathroom only 511712005 CAS Structural Review 0511712005 0512512005 IO LLH Sent to Jason Bush for review Structural Review 0512512005 05131/2005 APP JB Approved as noted on plans 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. Floor Insulation: Prior to decking. Paee 2 of3 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726.3769 Inspection Line . CITY OF ~rKll'1ld<IJ'.,LD Building/Combination Permit PERMIT NO: COM2005-00575 ISSUED: 06/08/2005 APPLIED: 05/16/2005 EXPIRES: 12/08/2005 VALUE: $ 20,000.00 Framing Inspection: Prior to cover and after all rough in inspections have been approved. Shear Wall Nailing: Before covering sheathing with finish materials. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover.. Drywall: Prior to taping. Final Building: After all required inspections have been requested and approved and the building Is complete. Undernoor 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. Water Line: Prior to filling trench 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, th'at 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. . M4~ ~~. C/~> t Owner or Contractors Signature Paee30f3 Date CITY OF aNGFIELD SYSTEMS DEVELOPMEaORKSHEET JOURNAL OR JOB NUMBER: COM2005-00575 NAME OR COMPANY: Nonnan Fox LOCATION: 943 Darlene SI TAX LOT NUMBER: 170327210700 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF" 0 LOT SIZE (SF): I. STORM DRAINAGE o :r; 10 10 u I~ 1t.Ll f- [/) t3 ~ DIRECT RUNOFF TO CITY STORM SYSTEM liMPER VIOUS S.F. x I COST PER S.F. I I CHARGE 0.00 I $0.310 I = $0.00 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x 1 DISCOUNT RATE I I 0.00 I I $0.310 1 50% I = 1 ITEM I TOTAL - STORM DRAINAGE SDC $0.00 "}. SANITARY SEWER. CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 6 I DISCOUNT $0.00 50.00 _11070 COST PER DFU $24.04 5144.24 11091 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x i 6 I 518.28 5109.68 1092 ITEM 2 TOTAL. CITY SANITARY SEWER SDC = I 5253.92 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI I 9.57 I I 0 I I $18.30 I 1.00 I 50.00 '1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI ..... I 9.57 I I 0 I I $80.72 I 1.00 I 50.00 I 1094 it ITEM 3 TOTAL - TRANSPORTATION SDC = , 50.00 I 4. SANITARY SEWER. MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I I 582.03 = 50.00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $865.31 = 50.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 1054 I MWMC ADMINISTRATIVE FEE 50.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $0.00 SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~I 5253.92 .i..ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE I~ CHARGE 5253.92 5% $12.70 TOTAL SANITARY ADMINISTRATION FEE: 12.70 .1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 -.-. Cheryl Slaymaker 5117/2005 TOTAL SDC CHARGES =, $266.62 . PREPARED BY DATE . . "' DRAINAGE FIXTURE UNIT (DFUl CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITiONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESWASHER-3 OR MORE (EAl 0 0 6 = 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 .0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I ISINK: COMMERCiAURESIDENTIAL KITCHEN 0 0 3 = 0 I ISINK: COMMERCIAL BAR 0 0 2 = 0 I ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 I ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I I URINAL, STALL / WALL 0 0 5 = 0 I ITOILET. PUBLIC INST ALLA TION 0 0 6 = 0 I ITOILET. PRIVATE INSTALLATION 1 0 3 = 3 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S I 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 6 .EDU (Equivalent DwellinR Unit) is a dischar~e equivalent to a sin,gle family dwelling unit (20 DFU's) set at 167 ~]ons oer day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE '1 YEAR l CREDIT RATE/$I,OOO ~ ~ ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No) I 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 $4.98 I 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 VALUE / 1000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~ , $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE / 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 ~ , 0 I 1990 $2.25 I 1991 $1.80 I ]992 $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 I 2001 $0.05 225 Fifth Street Springfield, Oreg~n.97477 54I-726-3759'Phone . . 8!'~.' ~: lILt) ! Job/Journal Number COM2005-00575 COM2005-00575 CpM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 COM2005-00575 Payments: Type of Payment Check :' :. .. '( ; ~ :' :' 6/812005 RECEIPT #: City of Springfield Official Receipt eelopment Services Department Public Works Department 2200500000000000727 Date: 06/08/2005 Description Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Sanitary/Storm Admin Building Permit Vent Fan Miscellaneous Mechanical Minimum! Adjustment Mechanical -Mechanical Issuance F ee- Fixture Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Paid By W.L. POOLE CONST. INC Received By ddk Page I of I Item Total: Check Number Authorlzatlon Batch Number Number How Received 2264 In Person Payment Total: 9:57:50AM Amount Due 144.24 109.68 12.70 185.40 24.00 18.00 3.00 10.00 42.00 3.00 19.28 27.54 $598.84 Amount Paid $598.84 $598.84