HomeMy WebLinkAboutPermit Building 2003-3-7
CITY OF SPRING~lELD .
Building/Combination Permit
PERMIT NO: COM2003-00079
ISSUED: 03/07/2003
APPLIED: 02/11/2003
EXPIRES: 09/07/2003
VALUE: $ 1,500.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5558 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702331200806
Springfield TYPE OF
Single Family Residence
PROJECT DESCRIPTION: Add bath and interior partitions
TYPE OF USE: Alteration
Residential
.~
# of Buildings: #....cp.:stories:
,'lJ ..;\\~
Primary Occupancy Group: R-3 '5.,eS Hagn~8l~
Secondary Occupancy eo..-V" ~oiY~8'\Of~eat:
Frimary Construction Type V~J.~ '\ e 0"'0 ~Wa~5mg~i'l
Secondary Construction e~O'0 ~>lSI f,.J;.eS \!~higl\\!.'yp.~
# of Bedrooms: ~9'\ ~eO '0 OSe ~'(\ ~"\n~~~alh\o~
,. ,/_\~ '\ \~c, ~O~~e'\ ~~ %''\O:Q\e:~e '\.0:~'\,\\\c,~
~ ~~~ '\~~'" ~~~\'\)~~~fni:V-E~~F~Nlf INFORMATION I
SETBACK,S'~ '1i.\c.~~.;Jl: '3-~ 0 ~e'\' '^O\~ -n..r;)tF
NO~ 'R- ~ ~ c,e~ 0,,0'0 ~'~
Front yard Setback:.. O~ .J.O ~e K\e ,vCOCS Overlay Dist: Total~t\\Q~'&
Side 1 Setback: ~\)\)<?>\). ~\~ \O"~ e'<.\S ' # Street Trees \Tl\~~A~1t:
Side 2 Setback: v?J. ~'Oe'\ Cle"'~ Paved Drive Rqd: t.'I-.'r\~t ~~.
Rearyard Setback: '(\0 % of Lot Cov.~~~'f:. ~\, <2>\'\t>-~~~ ,\,\\<2> ~~~t.\) ~Ql\
Solar Setbacks: ~~~S \>~~\1t.U ~~, \S t>-'O~~
IPUBLIC IMPROVE~~~ ~~C't.~ 'rt.~\Q'V.
\.J~~'{ ,roc;} \)f;dewalk Type:
Downspoutsillrains
Owner: DWYER WILLIAM J & JANET P
Address: 5558 THURSTON RD SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
BILL DWYER
BILL DWYER
BILL DWYER
DWYER WILLIAM J & JANET P
BILL DWYER
License
I BUILDING INFORMATION.
Street
Storm Sewer Available:
Special Instruction:
Notes:
1 of 3
Expiration Date Phone
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Bid Amount
Type of Construction
Use Bid Amount
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Building Permit
Fixture
Minimum/Adjustment Mechanical
Minimum/ Adj ustment Plumbing
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Vent Fan
Total Amount
Initial Review
Public Works Review
Structural Review
02/19/2003
03/06/2003
02/19/2003
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00079
ISSUED: 03/07/2003
APPLIED: 02/11/2003
EXPIRES: 09/0712003
VALUE: $ 1,500.00
I Valuation Description I
$ Per Sq Ft
$1.00
Square Footage
1,500.00
Total Value of Proj ect
Value
$1,500.00
$1,500.00
Date Calculated
02111/2003
I Fees Paid I
Amount Paid
Date
Receipt Number
$29.25
$10.00
$18.10
$12.67
$43.00
$3.00
$45.00
$42.00
$39.00
$3.00
$100.74
$132.54
$11.66
$6.00
2/11/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
3/6/03
1200200000000000681
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
1200200000000000787
$495.96
I Plan Reviews I
APP RJB
APP VRJ
APP DLM
03/06/2003
03/06/2003
SDC's for new bathroom only.
Adding bath within existing building
over existing slab (on raised wood
floor)
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.
I Reauired Inspections I
1 Post and Beam: Prior to floor insulation or decking.
2 Floor Insulation: Prior to decking.
3 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
4 Wall Insulation: Prior to cover.
5 Ceiling Insulation: Prior to cover.
6 Drywall: Prior to taping.
2 of 3
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00079
ISSUED: 03/0712003
APPLIED: 02/11/2003
EXPIRES: 09/07/2003
VALUE: $ 1,500.00
7 Final Building: After all required inspections have been requested and approved and the building is complete.
S Underfloor Plumbing: Prior to insulation or decking.
9 Rough Plumbing: Prior to cover and including required testing.
10 Final Plumbing: When all plumbing work is complete.
11 Rough Mechanical: Prior to Cover
12 Final Mechanical: When all mechanical work is complete.
13 Rough Electric: Prior to Cover
14 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 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 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:
'. "" /7 ' /
:~/f'/~!'~
Owner or Contrac~ors Signa~
,3 - 7- 0-3
Date
3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
COM2003-00079
Receipt #: 1200200000000000787
Date: 03/06/2003
Description
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Minimum! Adjustment Plumbing
Vent Fan
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee-
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 7% State Surcharge
+ 10% Administrative Fee
Page 1 of2
3/7/2003
8:14:19AM .
City of Springfield
Development Services Depa. Lment
Public Works Department
Official Receipt
Amount Paid
132.54
100.74
11.66
45.00
42.00
3.00
6.00
39.00
10.00
43.00
3.00
12.67
18.10
Line Item Total:
$466.71
cReceiptrpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Payments:
Type of Payment
Check
Receipt #: 1200200000000000787
Date: 03/06/2003
Paid By
Received By
Check Number Confirm No
WOOD PRODUCTS
djb
Page 2 of2
3/7/2003
8:14:19AM ·
City of Springfield
Development Services Department
Public Works Department
Official Receipt
How Received
Amount Paid
In Person
466.71
$466.71
Payment Total:
..
cReceipt.rpt
CITY OF SPRINGFIELD SYSTEMS DEVELOPME~t<tORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00097
NAME OR COMPANY: Bill Dwyer
LOCATION: 5558 Thurston Road ,_,
TAX LOT NUMBER: 17023312 t1806
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF:
"'1
. ~ : "
,"";l.
o
LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 0.00 $0.282 = I $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x' COST PER S,F. I x I DISCOUNT RATE I DISCOUNT
I ,0,00 , $0.282 I 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $0.00 I,
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU'sl x COST PER DFU
, 6 I $22.09
B. IMPROVEMENT COST:
NUMBER OF DFU's x
6
COST,PER DFU
$16.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP
I 9.57 I 0 I $16.81
RIMPROVEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x <<"",q)STPER TRIP
I 9.57 0 $74.17
$233.28
ITEM 3 TOTAL - TRANSPORTATION SDC
=,
$0.00
4. SANITARY SEWER - MWMC
'A. REIMBURSEMENT COST:
'NUMBER OF FEU's I x
, 0
B. IMPROVEMENT COST:
INUMBER OF FEU's' I x
I 0 ,
'COST PER FEU
$332.86
ICOST PER FEU
, $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1=
I $233.28 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORT AnON ADMINISTRA nON FEE:
$0:00
$233.28
CHARGE
$11.66
x NEW TRIP FACTOR
1.00
x NEWTRIPFACTOR
1.00
o
CZl
W
c:l
0,
U
~
CZl
.......
o
~
$0.00
1070
" $132.54
1091
$100.74
1092
I _~ n, $0.00
1093
r $0.00
1094
= L $0.00 1054
= , $0.00 11055
, $0.00 11054
, $0.00 1056
r 11.66 1079
$0.00 1078
r i
$244.94
Steve Templin
3/6/2003
PREPARED BY
DATE
TOTAL SDCCHARGES
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
I BATHTUB 0 0 3
IDRINKING FOUNTAIN 0 0 1 =
I FLOOR DRAIN 0 0 ,3
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 =
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 =
LAUNDRY TUB 0 0 '2 =
CLOTHESW ASHER / MOP SINK 0 0 3 =
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 =
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 '12 =
RECEPTOR FOR REFRIG / WATER ST AnON / ETC. 0 0 'c: 1 -
RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 0 0 '3 =
ISHOWER, SINGLE STALL 1 0 :2 =
SHOWER, GANG (NUMBER OF HEADS) 0 0 '2 =
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 ;:3 =
SINK: COMMERCIAtBAA -- 0 0 ;~.'2 =
SINK: WASH BASIN/DOUBLE LAVATORY' 0 0 ;'2 ' -
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 =
URINAL, STALL / WALL 0 0 "5 =
ITOILET, PUBLIC INSTALLATION 0 0 6 -
ITOILET, PRIVATE INST ALLA TION 1 0 '3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set ai 167 gallons per day
~..
DRAINAGE
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
2
,0
o
o
o
1
o
o
3
o
6
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TE/$ I ,000 II
ASSESSED VALUE
, $4,92
$4.92
$4,83 .
$4.77
$4,64
$4.47
$4.30
$4.09
$3,78
$3.41
$2,98
$2,52
$2.06
$1. 64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for'y es, 2 for. No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR '
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 'CREDIT RATE
$0.00 x $4.92
= l.
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92 l.
, TOTAL MWMC CREDIT
=
o
o
1979
$0.00
o
[
$0.00
Of
225 FIFTH STREET It SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number (OW{ ZDO '3 -DO 07f bate
C) 0/0;l. .
3. COMPLETE FEE SCHEDULE BELOW
1. LOCA110N OF INSJ'ALLAI10N
.~5S8 '-;i:V3~ $ jrfi/
LEGAL DESCRIPTION
/7 tJ2, 33 12- COBo~
A. New Residential - Single or Multi-Family per dwelling unit.
Service Included
JOB DESCRIPTION
?tY1cl1Ja# f- ~ rL~ ~~ I
v
Permits are non-transferable and expire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
" .,' Gta$ SUbmitte~ ha~ the following
CONTRACTOR INSTALLATION 01\i1JFtollOWlng W.oJe~ervtl;es J)!; 'Cml:H5nd liWallation, Alterations or Relocation:
2. -. toning, and dOes nOI rB4Urre e
... approval ( D r'L
E]ectrica] Contractor ,. Zoninif,OO Amos or ]e~~ ."'_~' $ 63.00
/ '20] Amps to 400 A11W~ ~ "~JO~j $ 75.00
Date .tV
Address 40] Amps to 600 Amps T\, $125.00
M,-ilnOrlzed Signature ' ,
601 Amps to 1000 Amps $] 63.00
Phone Over 1000 Amps/Vo]ts $375.00
n .-' Reconnect Only 't1(j~'t.. $ 50.00
,\~t./ , \r\~C ~Q\
Supervisor License Number \ ~ C. t~~~~r~~\~<< or Feeders
, rJ C~. S~~\..\.. 1\"\\S? ~t--\) {Q
n\) \\\)"~ ?t.~\'S\\' U~'O't8isw~~~fteration or Re]ocation
V ,\\\';) \\G?SLt.'O \) ()?S~Oftmps or less
~~\~~t\~~c.t; ~ ?~})X~lPS to 400 Amps
c.G ~ \'O~ \)~ 401 Amps to 600 Amps
\\~ Over 600 Amps or 1000 Volts see"B" above.
D.Branch Circuits '~~ '-+--
, . .u . ' ~l.j
New Alteration or Extension Per Panel '~J I '
One Circuit . \0---/ $ 43,00 1-..3 '. '
< ' Each Additiona] Circuih\\~~i't1P\\\\\} .,:-'
Owne" NameX;'(~,Dtv,/p~ secv~:';9(f~il~%I:~~~ ~~~ ':i< $ 3.00 3
Address c"'S-..<s-\es-JJ' I h (/'t- S' '[;\1 I"a \ \ ,;;SE~ \~%~ eDWC6~~fJ?~~?~!Uded) -Each Installation
.<'r:n~ ' J '., .~~'\! ~I.}\e \.en\~~' . ~~o\).~'n ~ \'ne ~U e
City /~r /.( Phone 7 a '-Olb\Y:~'C'o.,\~fimp.Q1{JifJg~1~n O?\eS 0 V3\e'9'non. -ft $ 50.00
\~o\\ ~'f\ ~81~~~~I~\flt~~~&e', ~~e ~o\\'\Gaw.J $ 50.00
OWNER INSTALLATION ~~090.'fEA\hmS~igf!l\co\t!e~\1~1~'3L>A~' $ 25.00
, ". . \)0 \ii(\o. ,-"" O~Etg f),t),?"''-
The m.stallatlOn 1S bemg made on property I own wh1ch Ca\ l'..1~1{tfl~e\W~98nfl1llerC1a] $ 45.00
1S not mtended for sale, lease or rent. Mi'rim&m~-e~lflc Permit Inspection Fee is $45.00 + Surcharges
~~ rev 1f6;,M)
3'~
iL ~
~ S~~~
1000 sq. ft. or less
. !JI} Each additional 500 sq. ft. or
~ portion thereof
$ J 06,00
$ 19.00
$50.00
City
Expiration Date
Constr. cont? Nun m
Expiration Da
Signature of Supervising E]ectrician
$ 50.00
$ 69.00
$] 00.00
Owners s~gnature~. d
~ 'j/'
7~ .' ,~t~/7'
/'
4. SUBTOTAL OF ABOVE
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building Fonlls/Electrical Penllit Application I-03,doc