HomeMy WebLinkAboutPermit Building 2005-2-28
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGJ11ELO
Building/Combination Permit
PERMIT NO: COM2005-00116
ISSUED: 02/28/2005
APPLIED: 01/31/2005
EXPIRES: 09/01/2005
VALUE: $ 14,400.00
SITE ADDRESS: 2630 WAYSIDE LN
ASSESSOR'S PARCEL NO.: 1703224402700
Springfield TYPE OF WORK: Garage
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Pole builcfth;grtCE:
fl4l~ EtEf!PI_ _
- , gf (hi I ~nALl EXP
Owner: KEN FARSET AUTHORIZED UNDER IRE IF THE WORK
Address: 2630 WAYSIDE LN COMM"":" -. THIS PERMIT IS N
SPRINGFIELD OR 97477N'V,ENGED OR IS ABANDONEn F OT
,q 1 Q(l h A\' ~__ m~
- - .1. \ r c:nlUU.
I CONTRACTOR INFORMATION I
Phone Number: 541-607-1941
Contractor Type
General
Contractor
JAKE EDWARD LESTER
Phone
541-607-1941
I PUBLIC IMPROVEMENTS I
. .li:i~t\Wllk Type'
Partially I~If~I~1'ION:Oregon law requires yv _' .
A 'NR 6 adopted by the OregonDbW"~pouts/Drains:
follow ru e rules are set forth
Notification centoeor'1TohtOh~~U9h OAR 952-001-
; OAR 952-001- I b
In obtain copies of the ru es ~
0090. You may .. I +n' tht:> tp.leohone
-llIng ....... ....,..l~.. (rY':' 'f' fon
. ...., tn. th a.-C\rea on .Utili Notl Ica I
nl n\bduadon"Uestr. }{ .344).
~ ~- "
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Drywell required
Description
Type of Construction
6,00
74.00
10.00
5.00
License
122551
Expiration Date
02/09/2006
BUILDING INFORMATION I
1
U
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
576
VN
1 Lot Size:
14.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Urban Fringe
10.70
Curbside 5'
Drywell - Provide
Drywell Engineering
Value
Date Calculated
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Garal!e
Garal!e
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Fixture
Garage/Carport
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
UGB Plan Rev Mj/Min - Planning
Total Amount Paid
Initial Review
Planninl! Review
Public Works Review
Structural Review
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00116
ISSUED: 02/28/2005
APPLIED: 01131/2005
EXPIRES: 08/28/2005
VALUE: $ 14,400.00
$25.00
576.00
$14,400.00
$14,400.00
01/31/2005
Total Value of Project
~
Amount Paid
Date Paid
Receipt Number
2200500000000000107
2200500000000000227
2200500000000000227
2200500000000000227
2200500000000000227
2200500000000000227
2200500000000000227
2200500000000000227
2200500000000000227
Building must have at least 10' rear
yard setback (fronting on MLK)
from the new rear property line
(after 13' dedication). No portion of
the building my extend into the 10'
PUE fronting the MLK Parkway.
Cheryl said she spoke to the owner
about shifting the building to the
east to accommodate the new rear
property line.
Drywell required
Plans reviewed by Jason Bush - no
plan review comments.
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.
$95.16
$20.54
$14.38
$14.00
$146.40
$4.46
$89.28
$45.00
$156.00
1/31/05
2/28/05
2/28/05
2/28/05
2/28/05
2/28/05
2/28/05
2/28/05
2/28/05
Footing: After trenches are excavated.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
$585.22
I Plan Reviews I
02/01/2005
02/01/2005
02/01/2005
02/22/2005
APP
APP
SKG
TAJ
02/01/2005
02/01/2005
02/03/2005
02/24/2005
APP
APP
CAS
DLM
Pal!e 2 of 3
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00116
ISSUED: 02/28/2005
APPLIED: 01131/2005
EXPIRES: 08/28/2005
VALUE: $ 14,400.00
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 co. ";4 'I,n. / /___
/;{#f~ R :;2? - c?S'--
Owner or C tractors Signature
Date
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00ll6
COM2005-00ll6
COM2005-00ll6
COM2005-001l6
COM2005-00116
COM2005-00ll6
COM2005-00ll6
. ,COM2005-00116
RECEIPT #:
City of Springfield Official Receipt
elopment Services Department
Public Works Department
2200500000000000227
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
UGB Plan Rev Mj/Min - Planning
Garage/Carport
Fixture
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Trpe of Payment Paid By
Check
~~
. ~
"o;t.
. ~ ;.
2/28/2005
JAKE LESTER
i
t
I
Date: 02/28/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
2376
Page I of 1
In Person
Payment Total:
8:50:09AM .
Amount Due
89.28
4.46
156.00
146.40
14.00
45.00
14.38
20.54
$490.06
, Amount Paid
$490.06
$490.06
"
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN , .ORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 0.00 $0.310 = I $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
576.00 $0.310 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC 1 $89.28
COM2005-00116
Ken Farrsett
2630 Wayside Ln
1703224402:]00
SINGLE F AMIL Y RESIDENCE
o BUILDING SIZE (SF:
576
LOT SIZE (SF):
o
CJ)
~
Cl
o
u
~
~
t-<
CJ)
.....
o
~
DISCOUNT
$89.28
I
$89.28
1070
I'
2, SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's x I COST PER DFU
I 0 I $24.04
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 0
$0.00
1091
$18.28
=1
$0.00
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $0.00
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x COST PER-TRIP x NEW TRIP FACTOR
I 9.57 I 0 $18:30 1.00 = I $0.00 1093
B. IMPROVEMENT COST:
ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP x INEWTRIPFACTORI
9.57 I 0 I $80}2 I 1.00 =1 $0,00 . 11094
ITEM 3 TOTAL - TRANSPORTATION SDC =1 $O.OQ:- .
~. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
lNUMBER OF FEU's I x ICOST PER FEU
I 0 I I $82.03 = $0.00 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 0 I $865.31 = I $0,00 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) =1 $0.00 I 1054
j
MWMC ADMINISTRATIVE FEE =1 $0.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $0.00
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I. $89.28 I
5. ADMINISTRATIVE FEE: I
I SUBTOTAL x I ADM. FEE RATE CHARGE
I $89.28 I 5% $4.46 II
;i
TOTAL SANITARY ADMINISTRATION FEE: 4.46 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078
Cheryl Slaymaker 2/3/2005 TOTAL SDC CHARGES =1 $93.74
PREPARED BY DATE
~.~".-- . ....,.~ .~ ...---..-..-
-. .. , ---. ---.. ,.. ,,- ,.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. cALcu1A TE ONLY THE NET AuUl1 lONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 0 0 3 = 0
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE IOIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 0 0 3 = 0
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM, SINK IDISHW ASHER / ETC. 0 0 3 = 0
iSHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
j SINK: COMMERCIAIJRESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY /RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0 1-
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIDLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5,29
o
=
$0.00
TOTAL MWMC CREDIT