The URL can be used to link to this page

Home My WebLink AboutPermit Building 2003-6-4 (2) Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY U1< ~t'Klj'lGFIELD Building/Combination Permit PERMIT NO: COM2003-00350 ISSUED: 06/04/2003 APPLIED: 05/07/2003 EXPIRES: 12/04/2003 VALUE: $ 5,000.00 SITE ADDRESS: 2356 DORNOCH ST . ASSESSOR'S PARCEL NO.: 1703272207632 Springfield TYPE OF WORK: Garage Conversion TYPE OF USE: Alteration Residcntial PROJECT DESCRIPTION: Garage convcrsion Owncr: ROY ALBERT Addrcss: 2356 DORNOCH ST SPRINGFIELD OR 97477 Contractor License KELLY M KING 65'!$lo1''t. OWNER f It ,\'If 0\ ROY ALB'M1:\l',~".", ,\ :u~\ \. fj..:~ ~cp.~I':~; ,\,\\S I'~' '~\'JlllDINGfi~EtlRMX'lllitl"l ~ \.1,\'10,,, - 0\\ \;:l 1.- r>: ()\'J\\'J\f~ClJ1f~~' R-~ .\~ \ 'CQ GH~ight of Structure r>:" Type of Heat: VN Water Type: Range Type: Energy Path: Contractor Type General Elcctrical Owncr # of Buildings: Primary Occupancy Group: Sccondary Occupancy Group: Primary Construction Type Sccondary Construction Type: # of Bedrooms: SETBACKS Front yard Sctback: Sidc I Sctback: Side 2 Setback: Rearyard Sctback: Solar Sctbacks: Strcct Improvements: Storm Scwcr Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I Expiration Date 04f2712005 Phone 541-741-0460 Lot Sizc: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Bascmcnt: Sq Ft Garage/Carport Sq Ft Othcr: Impervious Surfacc Arca: I DEVELOPMENT INFORMATION"II UO{I \~'l'J '; Ole~O'" ~e\ \O(\~ 20.00 \' "OveJililr,Eist:\\\ ,\eS ~le "c.ZoOO , h,\\J _""., _-(I "~",, '0, 6.00:\\\:.I~ s#,,-Strec! 1i~~cs,Rqil:1 Or {\.I\eS 14.00' ~\0'l'J {\.I\e (.'!.>:idIDri~c:.Rijd;~'s 0\ \\\e ~O(\ey, \0 , \10(\. ..1)0"\ "O?le \e\e? \IO,ICS 40'~~0\\\IC~ gS'l:%00f IooJ\(':ovcr~~~;\~e ~o\\\\C~ \(\ O~ '10\.1 {l\~~",(\\e{. ~"(\ U\I~\~fJ,44~. ~u ~1~p,(mBic.IMPROVE~1ENTS I "'\.I(\'~ - ce(\\"" ... Sidcwalk Typc: DownspoutslDrains: REQUIRED PARKING Total: 2 Handicappcd: Compact: Pa!!c I of3 . . CITY OF M"Kll'll:J1<lJ!.LD Building/Combination Permit PERMIT NO: COM2003-00350 ISSUED: 06/04/2003 APPLIED: 05/07/2003 EXPIRES: 12/04/2003 VALUE: $ 5,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Dcscriotion I Description Bid Amount Tvpe of Construction Use Bid Amount $ Per Sq Ft $1.00 Square Footal!e 5,000.00 Value $5,000.00 $5,000.00 Date Calculated 05f07l2003 Total Value of Project Fpp,", P"lW Fcc Description Amount Paid Date Paid Receipt Number Plan Review Residential $44.46 5/7/03 1200200000000001142 + 10% Administrative Fee $11.44 6f4f03 1200200000000001438 + 7% State Surcharge $8.01 6/4f03 1200200000000001438 Add, Alter, Extend Cire $43.00 6/4f03 1200200000000001438 Add, Alter, Extend Circ Ea Add $3.00 6/4f03 1200200000000001438 Building Permit $68.40 6/4f03 1200200000000001438 Plan Review - Planning $59.00 6f4f03 1200200000000001438 Total Amount Paid $237.31 I Plan Reviews I Initial Review 05f08f2003 05f08f2003 APP LLH Planninl! Review 05f0812003 05116f2003 APP AJD Need a minimum 18-foot hy 18-foot area paved for parking. Public Works Review 05f08f2003 05f20f2003 APP DJW No SDC charges for garage conversion. Structural Review 05/08f2003 05f29f2003 OK 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. ' ~nllirptt In~,~ I 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 Ceiling Insulation: Prior to cover. 6 Drywall: Prior to taping. 7 Final Building: After all required inspections have been requested and approved and the building is complete. 8 Rough Electric: Prior to Cover 9 Final Electric: When all electrical work is complete. Pal!e 2 of3 . . CITY OF ~rKll'lu1<IJ!.LJJ Status Issued Building/Combination Permit PERMIT NO: COM2003-00350 ISSUED: 06/04/2003 APPLIED: 05/07/2003 EXPIRES: 12/04/2003 VALUE: $ 5,000.00 225 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 arc in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections arc requested at the proper time, that each address is readahle 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. ~' D:y~h ,~ ~r Contractors Slgnat.;~ Page 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00350 COM2003-00350 COM2003-00350 C0M2003-00350 COM2003-00350 COM2003-00350 Payments: Type or Payment Check 6f4f2003 City of Springfield Development Services Department j Public Works Department. Official ReceiptOY; Receipt #: 1200200000000001438 Description Plan Review. Planning Building Permit Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Paid By ALBERT ROY Received By djb 2:25:30PM Date: 06/04/2003 Amount Paid Item Total: 59.00 68.40 43.00 3,00 8,01 11.44 $192.85 L'heck Number Confirm No Amount Paid How Received In Person Payment Total: 192,85 $192.85 Page I ofl . . cReceiptrpt -"", ~ CITY OF SJNGFIELD, OREGON . 'n' , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION , lassubmil\edhaSlheldo\~:,ing . 9 prolec . eci11c tan ,;! City Job Number CO"", 2003 -DO J)~ Date :~~.I~t~~ does nol ,equae sp L[)f=::- I. LOCA110N OF INSTALLA110N 3. COMPLE~rFE~~'b'~JO'3iW _ ;;2.:?,.5' 6 j)or~d'l ~~ ~"".J \Me 16 Dale _ K~ A. New Resi<\lmt.u.1ce<si!ij;Ill'IW"Multi-Family per dwelling unit. LEGAL DESCRIPTION 170327Z'L 07632 Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or ponion thereof $106,00 JOB DESCRIPTION <9Ci...~<2... &>p\J~~i-oO $ 19,00 ("-. Each Manufact'd Home or Modular Dwelling Service or $50.00 F eeder ~ B.s;r~'~~~~~s - I~stali~tion, ,~1terations ()~Relocati()(): - - -'x.'~ \. ~\?,. .. f/OrY1e nJJ-EfL. \.. \.~~~~h,~~ft~~ ~. ~ 'O,,~\~ '\2b'f> ~~to 400 Amps \\r\,\\\J <~*" _ 'V>~\j ,'0 ~!'IAmps to 600 Amps ~\>..''O ~;~'1..\:.~\) \)~ ~,~l Amps to 1000 Amps Phone \'\\\ ..}\:~\J'J~ ~~ Over 1000 AmpsNolts c,\)~\' \ 'Or:::. Reconnect Only ~~'\ . - .-- -.- c. ,_Temporary Servi~es or Feeders $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 . ........ ])ermits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . CONrRACTOR INSTALLATION ONLY 2. Electrical Contractor Address City Supervisor License Number Expiration Date Installation, Alteratioh~o~ Relocation oe.'I- :i:-\\" . 200 Amps orJeS's ~ \:j \0<:- $ 50,00 201 Amps~~40012n,P~'n.~~'" $ 69.00 ,<>' nV '^,- SO' '0. 401\)'\mpSlto 600 Amp"S' ~\eoe. $100.00 O~eYi c\ '0'1 - ,,~\)'~ o?'\ ,,~ ~e O~' Ove!<600;A:mfls'or 1,000'$9IiS see~'B" above, ~~ AOV--- \ \" l'\v~--O - I\e~ 7>'\'.... - <"'_~ ^'" '2D. ~lCBranch{Circu'it< ~ ,\13 .$.\C :.0"" J-'" e(C' ~'l.v COV -,'i$'v_~Ov - ~ \\101'll \,'O~ G ",Ne\\',4Iitrration0or\'E;!tensi;)n Per Panel 0\\ .,' .\J'" 0'" ~. $' ~:l" ~ .,,\c'l> ~~'"/; ~~rie 9,="uit o.O~ r:>:,,!>'l: I. $ 43,00 If> ,$ /J ~v-O~?- ~O~ Eac~Adilit'ibnal:Circuit or with - 3 \~ ~~. . ~''S~lWic~;r:Perderpennit I $ 3,00 lJ() \)\5 ~\~ ~ W' e~ \~ C'l> -s>e ~..#~ -- --. --.. -- --- .. - .. - .. - - . ~~~ E. :5':l~s.:ella~::ousJSer~'ice/feedcr not included) :-!E~I~lns~all~~n ~ '-, . Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name A I he ~ +- f?.O<J Address 9 J S t Jkr.ooc.~ City <'f'1-;'.v~ ~(> I~ Phone 9RR-o<-J'T1 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited EnergyfCommercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fcc is $45.00 + Surcharges ow~~. ~(J- r---~-~----~'- - ------- ----- 4. : SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee 46,60 .3,2. L 'f .6" 0 53,<6'2.- Inspection Request: 726-3769 TOTAL Shnrc..-d Drive(T:)lBuilding FOIllls/Elcctrical Pcnnit Application 1-G3.doc ''''' . t CITY OF alNGFIElD SYSTEMS DEVElOPMEavORKSHEET - , JOURNAL OR JOB NUMBER: Com2003-00350 NAME OR COMPANY: Roy Albert LOCATION: 2356 Domoch TAX LOT NUMBER: 17032722TL07632 DEVELOPMENT TYPE: NEW DWELLING UNITS 0 BUILDING SIZE (SF) 0 LOT SIZE (SF): 0 I. SlDRM DRAINAGE DIREcr RUNOFF TO CITY SlDRM SYSTEM I .IMP.ERVIOUS S.F. , I COST PER S.F. I = : CHARGE I I , I 0,00 I $0.282 $0.00 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUcrED TO CITY STANDARDS I IMPERVIOUS S.F, I ' I COST PER S.F. I ' : DISCOUNT RATE I = : DISCOUNT I I . 0,00 I $0,282 50% . $0.00 I ITEM I TOTAL. STORM DRAINAGE SDC , $0.00 I , $0.00 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I , I COST PER DFU I I 0 I I $22,09 = I $0.00 B. IMPROVEMENT COST: I NUMBER OF DFU's I , I COST PER DFU I I 0 I I $16,79 = , $0.00 , ITEM 2 TOTAL. CITY SANITARY SEWER SDC = I $0.00 ~ 3. TRANSPORTATION I A. REIMBURSEMENT COST: I ADTTRIP RATE I , I NUMBER OF UNITS I ' I COST PER TRIP I ' INEWTRIPFAcrORI , 9.57. I 0 I $16,81 I 1.00 I = , $0.00 B.IMPROVEMENTCOST: I ADTTRIPRATE I ' I NUMBER OF UNITS I ' I COST PER TRIP I ' INEWTRIPFACTORI I 9.57 I 0 I $74,17 I 1.00 I = , $0.00 ITEM 3 TOTAL. TRANSPORTATION SDC = , $0.00 I - 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I ' ICOST PER FEU I I 0 I $332,86 = , $0.00 B.IMPROVEMENTCOST: INUMBER OF FEU's I , ICOST PER FEU I I 0 I $34.83 = , $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , $0.00 I MWMC ADMINISTRATIVE FEE = , $0.00 ITEM 4 TOTAL. MWMC SANITARY SEWER SDC = , $0.00 I SUBTOTAL (ADD ITEMS I, 2, 3, & 4) 5. ADMINISTRATIVE FEE' ISUBlDTAL I , I ADM, FEE RATE 1= I $0.00 I I 5% lDTAL SANITARY ADMINISTRATION FEE: lDTAL TRANSPORTATION ADMINISTRATION FEE: = , $0.00 CHARGE $0.00 #DIVfO! #DIVfO! D. Wright 5f20f2003 TOTAL SDC CHARGES = $0.00 PREPARED BY DATE r---' 1[2 10 10 I~ I~ 'tIl G ~ 1070 1091 1092 1093 1094 I I 1054 I 1055 1054 1056 j 1079 I 111078 . . ' . .- DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE = NUMBER OF NEW AXTURES x UNIT EQUIVAlENT = DRAINAGE AXTURE UNITS (NOTE: RlR REMODELS. CALCUlATE ONLY THE NET ADDITIONAL AXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLooR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 0 0 3 = 0 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG f WATER STATION fETe. 0 0 1 = 0 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC,I 0 0 3 = 0 ISHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASINfDOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAV ATORYIRESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL/WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOlLET. PRIV ATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 0 *EDU (Equivalent Dwellinlt Unit) is a di~h~ eQuivalent to a sinJ!.le family dwellinJ!: unit (20 DfU's) set at 167 J1:a.!!ons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE I YEAR CREDIT RA TE/$ I .000 ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0 I BERlRE 1979 $4,92 (Enter I for Yes. 2 for No) I 1979 $4,92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 I 1980 $4,83 (Enter I 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) I 1984 $4.30 VALUE/lOoo CREDIT RATE I 1985 $4,09 $0,00 x $4.92 = , $0,00 I 1986 $3,78 I 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2,98 VALUEflOoo CREDIT RATE 1989 $2,52 $0,00 x $4.92 = 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