HomeMy WebLinkAboutPermit Building 2003-6-13
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4630 UNION TER
ASSESSOR'S PARCEL NO.: 1702324308500
Springfield TYPE OF WORK: Garage Conversion
TYPE OF USE:
Remodel
Residential
PROJECT DESCRIPTION: Garage conversion
Owner: DAVID TRIPLETT
Address: 680 GREGORY DR YUBA CITY CA 95993
Phone Number: 916-372-8538
Phone Number: 530-755-1260
I CONTRACTOR INFORMATION I
Contractor Type
General
Owner
Contractor
OWNER
DA VID TRIPLETT
License
Expiration Date Phone
530-755-1260
BUILDING INFORMATION.
# of Stories:
Height of Structure
Type of Heat:
~~ater Type:
~\j ~nge Type:
,\V:-~ ~ ~Energy Path:
<. ~ -# (.~Q:.
.0.": r~ ('"
~t ~v~v ~
,,<() ~S ~~YiEVELOPMENT INFORMATION . ':\o~ .~~'\ &
SETBACKS ~~ 9:- ~ o...~ ~.:,,0~ ~ '0~ \CID;QUlRED PARKING
S S)<<; ~v o.Y> ~o ~0\. ~\)"
Front yard Setba~. -# ~~ {;> ~. Overlay Dist: ~ ,,0 0-<.,0 '!-.0 b~!o~al7;i
Side 1 Setbac~~ <:?<<.,~ ~ ~ ~~$\j # Street Trees Rqd: ~ \0'-.;s-0 ~0~ ~~<(o. OJ -<.,JI'1nQjcapped:
Side 2 Setba~., ~ fJ~ ...SJ<<) ~ ~ Paved Drive Rqd: 'f...0~0 0. 'Q'\ 0 -<.,Y> ~ 0 .;s-0 <~o~p,~t:
'\'" ~~ ~... <v~ :\:0 ~e o~ ~t::$ 0\ ~0'('. v'b-"
Rearyard Setba~ ~~ ~~ % of Lot Cover?lfe:' 0.0~ ~~~ ~,o '~0~ 0\.0 o~"
Solar Setbacks: ,,\j_~ "\ ~~~ 0~fQ. ~\.0 R)"\), ('P~ 0~~~~ ro..~'
..~ Av .,~ r.e, ('i ~,~ ,"~ .,;~ _n..v<
, , ~, .,. "" !:) , ~"- ~ - v ,v
I PUBLIC IMP~~y,EME'~if_SJI~~ 0 ~0-<'" ~o~ f:>'Of?;
'\" '"J \" 0~ 0",0 _~()
~o~O~~ .J.. o~ ~e ('; ~!5l~w;~11{ Type:
.~ R). ~;~ 'f...~ <\~
" d~ ~~ '5.,\0 Dpwnspouts/Drains:
C5 C'l> ~0 00\'
~~~
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN
Lot Size: ,
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement: ,
Sq Ft Garage/Carport \.
Sq Ft Other: \\
Impervious Surface Area: ';
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
Square Foota2e
Value
Date Calculated
Pa2e 1 of 3
._~~
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Bid Amount
Use Bid Amount
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Minimum/Adjustment Plumbing
Plan Review - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Total Amount Paid
Initial Review
Planninl! Review
Public Works Review
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00384
ISSUED: 06/06/2003
APPLIED: 05/19/2003
EXPIRES: 12/06/2003
VALUE: $ 24,000.00
$1.00
24,000.00
Total Value of Project
$24,000.00
$24,000.00
05/19/2003
~
Amount Paid Date Paid Receipt Number
$140.79 5/19/03 1200200000000001252
$26.16 6/6/03 1200200000000001461
$18.31 6/6/03 1200200000000001461
$216.60 6/6/03 1200200000000001461
$42.00 6/6/03 1200200000000001461
$3.00 6/6/03 1200200000000001461
$59.00 6/6/03 1200200000000001461
$117.53 6/6/03 1200200000000001461
$154.63 6/6/03 1200200000000001461
$13.61 6/6/03 1200200000000001461
$791.63
I Plan Reviews I
OS/20/2003
OS/21/2003
OS/21/2003
06/02/2003
APP
APP
LLH
AID
Confirmed zoning as LDR. Need to
supply 1 additional 9 x 18 paved
parking space on-site.
SDC's calulated for bathroom.
06/0212003
OS/21/2003
06/04/2003
06/05/2003
APP
APP
VRJ
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 a.m. will be made the following work
day.
lJe(]uir~<UnSDections .
1 Foundation: After forms are erected but prior to concrete placement.
2 Post and Beam: Prior to floor insulation or decking.
3 Floor Insulation: Prior to decking.
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
5 Wall Insulation: Prior to cover.
6 Ceiling Insulation: Prior to cover.
7 Drywall: Prior to taping.
8 Final Building: After all required inspections have been requested and approved and the building is complete.
9 Rough Plumbing: Prior to cover and including required testing.
10 Underfloor Plumbing: Prior to insulation or decking.
11 Final Plumbing: When all plumbing work is complete.
12 Rough Electric: Prior to Cover
13 Final Electric: When all electrical work is complete.
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00384
ISSUED: 06/06/2003
APPLIED: 05/1912003
EXPIRES: 12/06/2003
VALUE: $ 24,000.00
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 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.
r~~ {P('/~' '5
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00384
COM2003-00384
COM2003-00384
COM2003-00384
COM2003-00384
COM2003-00384
COM2003-00384
COM2003-00384
COM2003-00384
Payments:
'Type of Payment
CreditCard
6/6/2003
City of Springfield .
Development Services Department
Public Works Department'
Official Receipt '
Receipt #: 1200200000000001461
Description
Plan Review - Planning
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Minimum! Adjustment Plumbing
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
JANICE TRIPPLET
9:59:02AM
Received By
djb
Date: 06/06/2003
Amount Paid
Item Total:
59.00
154.63
117.53
13.61
216.60
42.00
3.00
18.31
26.16
$650.84
Check Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
000088 027825
650.84
$650.84
Page 1 of 1
cRccciptrpt
CITY OF '~INGFIELD SYSTEMS DEVELOPMEr-.. I WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00384
NAME OR COMPANY: David Triplett
LOCATION: 4630 Union Terrace
TAX LOT NUMBER: 17023243 t18500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF:
o
LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 0.00 $0.282 = $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, x.l COST PER S.F. I x I DISCOUNT RATE I DISCOUNT
I 0.00 I $0.282 I I 50% I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $0.00 ,
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFUs x COST PER DFU
. I 7 $22.09
B. IMPROVEMENT COST:
NUMBER OF DFUs
7
x I COST PER DFU
I $16.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = 1
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x NUMBER OF UNITS x
I 9.57 I 0
B. IMPROVEMENT COST:
I ADT TRIP RATE
I 9,57
I
$272.16
COST PER TRIP
$16,81
x I NEW TRIP F ACTORI
I 1.00 I
x I NUMBER OF UNITS x
I 0
COST PER TRIP
$74.17
$0.00
x NEW TRIP F ACTORI
1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
= 1
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I' 0 $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's . x ICOST PER FEU
I 0 I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER sm = I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = 1
5. ADMINISTRATIVE FEE:
SUBTOTAL I, x I ADM. FEE RATE
$272.16 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$0.00
$272.16
CHARGE
$13.61
o ,
$0.00
=1
$154.63
$117.53
$0.00
1
$0.00
1 $0.00
= $0.00
$0.00
$0.00
13,61
$0,00
Virginia Jurasevich
PREPARED BY
TOTAL SDC CHARGES
$285.77
6/4/2003
DATE
Vl
fI.1
Cl
o
u
~
fI.1
E-<
Vl
......
c:J
~
1070
1091
;; 1092
1093
1094
1054
lOSS
1054
1056
1079
11078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT'
BATHTUB 1 0 3 =
DRINKING FOUNTAIN 0 0 1 =
I FLOOR DRAIN 0 0 3 =
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 =
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 =
LAUNDRY TUB 0 0 2 =
CLOTHESW ASHER / MOP SINK 0 0 3 =
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 =
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 =
IRECEPTOR FORREFRIG / WATER STATION / ETC. 0 0 1 =
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 =
SHOWER, SINGLE STALL 0 0 2 =
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 =
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 =
I SINK: COMMERCIAL BAR 0 0 2 =
I SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 =
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 =
IURINAL, STALL / WALL 0 0 5 =
ITOILET, PUBLIC INSTALLATION 0 0 6 =
ITOILET, PRIVATE INSTALLATION 1 0 3 =
MISCELLANEOUS DFU TYPE NUMBEROF EDU'S
-20 =
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFUs) set at 167 gallons per day
DRAINAGE
FIXTURE
UNITS
3
o
o
o
o
O'
o
o
o
o
o
o
o
o
o
o
1
o
o
3
o
I 7
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR CREDIT RA TE/$I ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
I BEFORE 1979 $4,92 (Enter 1 for Yes, 2 for No)
I 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
I 1980 $4,83 (Enter 1 for Yes, 2 for No)
I 1981 $4.77 BASE YEAR 1979
I 1982 $4,64
I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $430 VALUE /1000 CREDIT RATE
1985 $4,09 $0.00 x $4,92 = I $0,00
1986 $3,78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2.98 VALUE / 1000 CREDIT RATE
1989 $2,52 $0.00 x $4.92 = I 0
1990 $2,06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = $0.00
1993 $1.31
1994 $1.13
1995 $0,97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04