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Home My WebLink AboutPermit Building 2003-3-6 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: COM2003-00052 ISSUED: 03/06/2003 APPLIED: 01130/2003 EXPIRES: 09/06/2003 VALUE: $ 35,424.00 SITE ADDRESS: 2833 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702193200404 Springfield TYPE OF Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Bed and bath addition to existing SFR and garage addition Addition Residential Owner: JERRY TABOR Address: 2833 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACfOR INFORMATION I Contractor Type General Electrical Owner Plumbing Contractor JERRY TABOR JERRY TABOR JERRY TABOR JERRY TABOR License Expiration Date Phone 541-746-0179 541-746-0179 541-746-0179 BUILDING INFORMATION' Notes: # of Stories: Height of Typ~of Heat: VN ~W:a'tet:~yp.e.: ~"..~, VN ~~0~i1~;,.(1l),~~' <.,0tS. ~0~1I~JQ;y(pt~') ~~ 0 qf. C?J~ ~0~ _<\" ~'(\0 .\0~ t-.~ (..;s. ^0 , _,,, II .. ~- ':\)..... ,. V 'i _ ,. ~-:-V'.I :.:-~ J '. _, 'I .0<.,0 ~(i) ~DJE\ZE~Qf,~ ~:FORMATION . SETBACKS ,O~. ~()~ '5..~\' ~v ;..{Zl' 0'-:'\.o"~" ~ s-O: r:.,e ~\) Cp'<: .~ \'\~ ~. Front yard Setback: ~<<; ,,~0 08l!:O~~ qy~ ~O'~'~f.laxi?Pist: Urban Fringe Side 1 Setback: ~ ~o~ ~o~ ~;~O 0'O~ ~.~ tS~et'Trees Side 2 Setback: \~ ''i:..,v'lf. Q)~O~-(l:O\ e~'\.eO~e~Ji!!~ed Drive Rqd: o~ '!?'-<<- :V ~ C; !O Rearyard Setback: ~ 0 !::):-\~~'fffi' ~.;s-e \C;) V % of Lot Coverage: 5.00 Solar Setbacks: ~,pq) ~'\ 0,,\0 t;;.'\.0\ ...$J~~ U ,'C'i r.e Ir~ '\,l-' t;j-C ~v>" . !pUBLIC IMPROVEMENTS I ~~ \4( ~\\ \~ ~ ~:~<?'\ ~~~'iw~(J~ Partially Improved ~ ~\\~\..\.. \~ ~~ e. Storm Sewer Available: Yes r\,,\,f\;' ~~ ~~~~ ~~!~sPouts/Drains Special Instruction: According to applicant, stor~~~l?~~1f!$~~~t~ drywell. \: ~\~(J~ ~c,~'VJ f{~~(j . ~ ~~~~ 'VJ~ c; ~~'{ '\ ~\) # of Buildings: Primary Occupancy Group: Secondary Occupancy Vrimary Construction Type Secondary Construction # of Bedrooms: U-l 1 15.00 Wall Heat Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 416 224 Path 1 REQUIRED PARKING Total: Handicapped: Compact: Street Drywell - Provide Drywell Engineering 1 of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00052 ISSUED: 03/06/2003 APPLIED: 01130/2003 EXPIRES: 09/06/2003 VALUE: $ 35,424.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Dwellines Garaee Type of Construction V Wood Frame Gara2e $ Per Sq Ft $74.60 $19.60 Square Footage 416.00 224.00 Total Value of Project I Fees Paid I Value $31,033.60 $4,390.40 $35,424.00 Date Calculated 01130/2003 01/30/2003 Fee Description Amount Paid Date Receipt Number Plan Review Residential $187.69 1/30/03 1200200000000000628 -Mechanical Issuance Fee- $10.00 3/6/03 1200200000000000782 + 10% Administrative Fee $42.18 3/6/03 1200200000000000782 + 7% State Surcharge $29.52 3/6/03 1200200000000000782 Add, Alter, Extend Circ $43.00 3/6/03 1200200000000000782 Add, Alter, Extend Circ Ea Add $3.00 3/6/03 1200200000000000782 Building Permit $288.75 3/6/03 1200200000000000782 Fixture $42.00 3/6/03 1200200000000000782 Minimum/Adjustment Mechanical $39.00 3/6/03 1200200000000000782 Plan Review - Planning $59.00 3/6/03 1200200000000000782 SDC Sanitary/Storm Admin $5.39 3/6/03 1200200000000000782 Storm Drainage Impervious Area $107.72 3/6/03 1200200000000000782 Vent Fan $6.00 3/6/03 1200200000000000782 Total Amount $863.25 I Plan Reviews I Initial Review 01/31/2003 01/31/2003 APP LLH Plannine Review 01/31/2003 02/0712003 APP AJD Public Works Review 01/31/2003 02/18/2003 APP VRJ Structural Review 01/31/2003 Heat source not indicated on plans. Assumption made of wall heat. If incorrect, please adjust permits if required and change heat source on permit. Addition determined to be outside of 100-yr flood plain per FIRM Map Panel # 1154 dated 6-2-99 Called applicant, Mr. Tabor has an existing drywell, storm drainage to go to existing drywell. SDC;s reflect discounted rate for drywell. 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. 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: COM2003-00052 ISSUED: 03/06/2003 APPLIED: 01130/2003 EXPIRES: 09/06/2003 VALUE: $ 35,424.00 l Reauired Insoections I 1 Footing: After trenches are excavated. 2 Foundation: After forms are erected but prior to concrete placement. 3 Post and Beam: Prior to floor insulation or decking. 4 Floor Insulation: Prior to decking. 5 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 6 Wall Insulation: Prior to cover. 7 Ceiling Insulation: Prior to cover. 8 Drywall: Prior to taping. 9 Final Building: After all required inspections have been requested and approved and the building is complete. 10 Underfloor Plumbing: Prior to insulation or decking. 11 Underfloor Drain: Prior to cover or placement of concrete. 12 Rough Plumbing: Prior to cover and including required testing. 13 Shower Pan. Prior to covering and including required testing. 14 Water Line: Prior to filling trench and including required testing. 15 Sanitary Sewer Line: Prior to filling trench and including required testing. 16 Rough Mechanical: Prior to Cover 17 Final Mechanical: When all mechanical work is complete. 18 Rough Electric: Prior to Cover 19 Final Electric: When all electrical work is complete. 20 Final Plumbing: When all plumbing work is complete. 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 wor k 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. a..ull II timmee) ~ duu~ring constru~tion. .., ~i~~/2~h#D raa/23 t}/. / r~~ Owner or ContractM'S Signature Date 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 COM2003-00052 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Fixture Vent Fan Receipt #: 1200200000000000782 Date: 03/06/2003 Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Page 1 of2 . . 3/6/2003 11:46:54AM; City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 43.00 3.00 59.00 107.72 5.39 288.75 42.00 6.00 39.00 10.00 29.52 42.18 Line Item Total: $675.56 .. cReceipt.rpt 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Payments: Type of Payment Check Receipt #: 1200200000000000782 Date: 03/06/2003 Paid By Received By Check Number Confirm No KATHRYN JTABOR djb Page 2 of2 3/6/2003 11:46:54AM; City of Springfield Development Services Depa. l"uent Public Works Department Official Receipt . How Received Amount Paid In Person 675.56 $675.56 Payment Total: " cReceipt.rpt . itted has the following 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-375JZ~P~!1~~lt2WJ3f689ire specific land use approval (L ELECTRICAL PERMIT APPLICATION ZO . /5) mng City Job Number COviA ZD 0 3. - CJ 00 S-LDate ? - C6 - 0 '?> 1. Z~3) /~fJc7V ,&-J(,. i2d LEGAL DESCRIPTlm! ' \ 'lD'LlQ.3L ~ JOB DESCRIPTION A- \:') \\ 2 C ( <L<...v-.. :-- t ~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor / / Address / City Supervisor License Nu ' Expiration Date / / Constr. Contr. Number EXPiratiLate SignZ'~~ Supervising Electrician O~,~N=, a~ Address Q ",R~ J - &irts City ~ Phon,"l4\oD1"i1, OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~J;~ --- Inspection Request: 726-3769 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. ~?\~~9..~\ In~nation~AJJtl~'9r(Re~I{.\}~ ~\'i\\i~'llP1 ~\:.'" \~~~\)fJ \~\~&~\)o "\S~A~ ~~~~~ . $100.00 C~r ~~ps or 1000 Volts see "B" above. D. $ 50.00 $ 69.00 New Alteration or Extension Per Panel One Circuit I $ 43.00 Each Additional Circuit or with / Service or Feeder Permit $ 3.00 l.(5 ~ E. ,.A 'I" . ~ - (), . 1\'-'_ 'OJ ~ \ ,.,-, c' 1;-./.' Pump.bi ~fibh , 0'; ,.0, h'.\;f\.':)' '.~\~s 'cS $ 50.00 . ,0' .(\)d. --;{\ \ "" ~i~&0u~i~,\\,g;-ighti~g;()\$ '.. .;\' ",n\,8 $ 50.00 ,,' (v\ ,~{J' ,'" '0'\ \ ,.J ' ,.: LiroitM'E,n~rg~/Ke~{~eti.fial ...., r,?"\\ '$ 2 5.00 \\\;..J'/' h{)..\J'- x;,~"'I~ _'"(...... ~\P\., . \,' LimilectEn~rgy/Com.rilef(hal'\\"~ \ ^' $ 45.00 ,)h' $i\\'" ",\C\.." '(\')\\' r)'::....." MinirnUln.'EleotttlC::~e~:miefifspetl,t1()n'Fee is $45.00 + Surcharges ,'.J~ \\' Q,\.' (;'j rrl"~'" 4. LIb ~ .'2'2. . .4 .\00 53.A?_ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03.doc .(," ~ - r,---_ CITY OF SPRINGFIELD SYSTEMS DEVELOPME~~ORKSHEET JOURNAL OR JOB NUMBER: Com2003-00052 NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: . NEW DWELLING UNITS I. STORM DRAINAGE Jerry Tabor 2833 Hayden Bridge Road . - 17021932 tl404 Sin~le Family Residence - Addition o BUILDING SIZE (SF: o LOT SIZE (SF): o CIl i:I.l Cl o U ~ i:I.l E-< CIl >-; Cl ~ ($107.72) ~ 1070 $0.00 1091 COST PER DFU $16.79 $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 I COST PER TRIP I 9.57 I 0 I $16.81 B. IMPROVEMENT COST: ADT TRIP RATE 9.57 x INEW TRIP FACTOR , LOO $0.00 1093 x I NUMBER OF UNITS x I 0 COST PER TRIP $74.17 x INEW TRIP FACTOR I LOO $0.00 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU o $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I 0 $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I = $0.00 1054 SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE 1= ($107.72) 5% TOTAL SANITARY ADMINISTRATION FEE: = I = $0.00 1055 .. $0.00 1054 , $0.00 11056 $0.00 I -$107.72 I CHARGE -$5.39 -5.39 1079 $0.00 1078 TOTAL SDC CHARGES =, ($113.11) TOTAL TRANSPORTATION ADMINISTRATION FEE: Steve Templin . PREPARED BY 2/18/2003 DATE ..:;.~, - ""' .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXllJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 .0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 0 0 3 = 0 CLOTHESW ASHER - 3. ORMORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIALIRESIDENTIAL KITCHEN 0 0 3 = 0 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = .0 SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 - 0 TOILET, PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwelling Unit) is a dischar~e equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE' YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1~84 1985 1986 '1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$ I ,000 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. $I.I3 $0.97 $0.82 $0.63 $0.41 $0.22 $0.04 IS LAND ELGIBLE FOR ANNEXATION CREDIT.? 0 (Enter 1 for Yes, 2 for No) .. IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIt? 0 (Enter 1 for Yes, 2 for No) BASE YEAR. 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $4.92 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE .. $0.00 x $4,92 '--u_ ... 0 .. TOTAL MWMC CREDIT = LU- $0.00 I .