HomeMy WebLinkAboutPermit Building 2004-5-14 (2)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRI~tJN~L1J
Building/Combination Permit
PERMIT NO: COM2004-00308
ISSUED: 05/14/2004
APPLIED: 03/19/2004
EXPIRES: 11/14/2004
VALUE: $ 38,992,00
SITE ADDRESS: 2556 DUMAS DR
ASSESSOR'S PARCEL NO.: 1703234400122
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Addition to existing SFR
Owner: BEV MEDFORD
Addre,,: 2556 DUMAS DR SPRINGFIELD OR 97477
Phone Number: 541-726-6957
Contractor Type
Architect
Electrical
I CONTRACTOR INFORMATION I
Contractor
APAZ
J K GUCKENBERGER ELECTRIC INC
Expiration Date Phone
541-744-2046
04/24/2006 541-746-4656
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
License
45129
BUILDING INFORMATION I
# of Stories: I Lot Size:
R-3 Height of Structure 14.50 Sq Ft 1st Floor: 422
Type of Heat: orced Air Electric Sq Ft 2nd Floor:
Vlhr Water Type: Sq Ft Basement:
Range Type: NOTlrE' Sq Ft Garage/Carport
Energy Path: T1fMIi 1 . Sq Ft Other:
Sprinkled Building: A (tiJ'ERM~\Ipant Load:
IfTLlnr. trAil '"il.
I DEVELOPMENT INFORMAT~,iEN'~cU UNDER T~ffil1t IF THE WqlIK
ANY 180 DA~ OR IS JfNJfND~!Jr~~()'T
Overlay Dist: Urhan FringePERIODrotal: NED FOR
5.40 # Street Tree, Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: 21.80
0.00
. I PUBLIC IMPROVEMENTS I
Street Improvement/:-TTENTION:UregOCllaw requires you 10
. follow rules aclS~J'B9~'1,YJ'O(egon Utility
Storm Sewer Avalloblffi I' C 'Ye,
Sill . no ca Ion enter. Those rUles are set forth
pec a nstructIol\i OAR 952-001-0010 through OAR 952-001
Notes: 0090, You may obtain copies of the rules b\
call,ing !he center, (Note: the telephone
................'IVI "1C'.vlt:yul~:'J::;:iltl:ail:f.
Center IS 1-aoq<:Viilulitii6n Descrintion I
Description
Sidewalk Type:
Downspout,IDrains:
Setback 5'
To Storm Sewer
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Con,truction
Value
Date Calculated
Paee I of3
Status
Issued
225 Fifth Street, Springfieid, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellin!!s
V Wood Frame
Fee Description
Plan Review Re,idential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Fixture
Minimum/Adju,tment Mechanical
Not Covered Mechauical
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - ht 50 Feet
Vent Fan
Total Amount Paid
Initial Review
Plannin!! Review
Plannin!! Review
Public Works Review
Structural Review
Structural Review
.
03/22/2004
03/23/2004
04/30/2004
03/23/2004
03/23/2004
04/28/2004
$92.40
. CITY OF SPRINGFIELD
Building/Combination Permit
P~RMIT NO: COM2004-00308
ISSUED: 05/14/2004
APPLIED: 03/1912004
EXPIRES: 11/14/2004
VALUE: $ 38,992,00
422,00
$38,992.80
$38,992.80
03/19/2004
Total Value of Project
)1'pp<. V.,W
Amount Paid
$199.10
$10.00
$43.83
$30.68
$306.30
$42.00
$24.00
$15.00
$71.00
$6.15
$122.96
$45.00
$6.00
$922.02
I Plan Reviews I
03/23/2004
04/30/2004
03/24/2004
04/07/2004
05/14/2004
Date Paid
Receipt Number
3/19/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
5/14/04
1200400000000000351
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
3200400000000000075
APP LLH
WI
Do not issue permit until the
property line adjustment on the
property is recorded
(SUB2004-00009).
Final recorded PLA survey received
on 4/30/04, The PLA
SUB2004-00009 is complete. .
Outside city limits. Needs note from
Lane County to add bedroom and
bathroom to septic sy,tem?
Need additional information from
architect and engineer to complete
the plan review. See document, for
letter to architect.
Received revised drawings and
calcuiations responding to request
from architece. Still waiting for
caiculations on snow build-up in
existing and new roofs. 4/28/2004
dim
APP TAJ
APP SB
WE DLM
APP DLM
Pa!!e 2 00
.
. CITY OF SrKlI~ul'lELD
Building/Combination Permit
PERMIT NO: COM2004-00308
ISSUED: 05/14/2004
APPLIED: 03/19/2004
EXPIRES: 11/14/2004
VALUE: $ 38,992,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 In'pection Line
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 Reoui~~Ii!Jlmmdiow
7 Footing: After trenches are excavated.
8 Foundation: After forms are erected but prior to concrete placement.
11 Post aud Beam: Prior to Ooor insuiatiou or decking,
6 Floor Insulation: Prior to decking.
13 Shear Wall Nailing: Before covering sheathing with finish materials,
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved,
19 Wall In,ulation: Prior to cover.
4 Ceiling Insulation: Prior to cover.
5 Drywall: Prior to taping.
1 Finai Building: After all required inspections have been reque'ted and approved and the building is compiete.
16 UnderOoor Drain: Prior to cover or placement of concrete.
10 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill,
18 UnderOoor Plumbing: Prior to insulation or decking.
14 Shower Pan. Prior to covering and including required te,ting,
15 Storm Sewer Line: Prior to filling trench.
3 Final Plumbing: When all plumbing work is complete,
12 Rough Mechanical: Prior to Cover
2 Final Mecbanical: When all mechanical work is compiete.
17 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Eiectric: Prior to Cover
21 Final Electric: When all electrical work is complete.
By signature, I ,tate 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 u,ed 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
'treet, 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.
&JUA}M- Yl1JA /. /
V ~
Owner or Contractors Signa&'re
..:;,- _/c/_ 13 V
Date
Page 3 00
CITY OF SINGFIELD SYSTEMS DEVELOPMEN&RKSHEET
JOURNAL OR JOB NUMBER: COM2004-00308
NAME OR COMPANY: BILL & BEV MEDFORD
LOCATION: 2556 DUMAS DR
TAX LOT NUMBER: 17032344 00122
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF'
o
LOT SIZE (SF):
o
'"
W
o
o
U
0::
~
'"
G
;:j
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE
I 424.00 I $0.290 = I $122.96 I
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0.290 I 50% I = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC S122.96
2 SANITARY SEWER - CITY
SI22.96
I 1070
I
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x I COST PER DFU
I 0 I S22.64 SO.OO 1109\
B. IMPROVEMENT COST: I
I NUMBER OF DFUs 1 x COST PER DFU
I 0 S17.2i SO.OO I 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , SO.OO
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9.57 I 0 I I $17.23 1.00 I SO.OO 11093
B. IMPROVEMENT COST: I
I ADT TRIP RATE 1 x I NUMBER OF UNITS I x I COST PER TRIP x !NEWTRlPFACTORI
I 9.57 I 0 I I S76.01 I 1.00 I SO,OO 11094
ITEM 3 TOTAL - TRANSPORTATION SDC =, SO.OO I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I 0 I $314.63 = $0,00 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's 1 x ICOST PER FEU
I 0 I S214.23 = $0.00 , 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054
MWMC ADMINISTRATIVE FEE SO.OO 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , SO.OO I
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , S122.96
5 AOMINISTRATIVE FEF.;
I SUBTOTAL I x I ADM. FEE RATE 1= CHARGE
I $122.96 I I 5% S6.15
TOTAL SANITARY ADMINISTRATION FEE: 6.15 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: SO.OO 1078
Steve Beaudry Barnes 3/2412004 TOTAL SDC CHARGES =, $129.11
PREPARED BY DAm
-.
. ..
DRAINAGE FIXTURE UNIT (DFU) <;ALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUJV ALENT -= DRAINAGE FIX11.JRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 0 0 3 = 0
IDRlNKlNG FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 0 0 3 = 0
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
I SHOWER. SINGLE STALL 1 0 2 = 2
I SHOWER. GANG (NYMBER OF HEADSl. 0 0 2 = 0
I SINK: COMMERCWJRESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
IURlNAL. STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 6 I
*EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a sinJde family dwellinR unil (20 DFU's) set at 167 gallons per day ..J
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATfJ$l,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $'.04 (Enter I for Yes, 2 for No)
1979 $5.04 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
1980 $4.95 (ElIter I for Yes, 2 for No)
1981 $4.88 BASE YEAR i979
1982 $4.75
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE I 1000 CREDIT RATE
1985 $04.20 $0.00 x 55.04 ~, 50.00
1986 $3.88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 .I VALUE I 1000 CREDIT RATE
1989 $2.60 I $0.00 x $5.04 0
1990 $2.14 I
1991 $1.71 I
1992 $1.52 I TOTAL MWMC CREDIT = $0.00
1993 $1.38 I
1994 $1.19
1995 $1.03 I
1996 $0,87 I
1997 $0.68 I
1998 $0.46 I
1999 $0.27 I
2000 $0,09 I
L 2001 $0.04 II
.'
.
A~M~S Flie
.
.
~
TO BE COMPLfTEO BY INSTALLER: p ~
'EIlMIT ISSUEll TO: I..lall...,..... r r- ~. , . 0 ~ --:-...
N_ '.n,. S~'TH ..ildlntp....IIo...be, '2I'....n.
M.ilin, .dd_ ~o?n NOtoT.. 7T", SPro n ,..perty address 2556 nu"'l!.. OIl. n
., I G.S. DE~EE
T 0101 ..01"": Un., ..;J .B~ms...i-..~ Bose.....: Y.. 0 No l!""
Wole, '.ppl, by: 'ublic S}'St..... IndlYid.., "",... Com....i" .,.....
Septic '..k: DIs",.co from w./1 FHt Mot~ No. of CODIportmep"--L-_
To..r I",.id c.pocltJ I",.,. ,.1. I.side Ie"lllf! ~ _It. I.sic/e widtIo. 04' ft.
DI.m'le,. It. Uquid dept.. L- ft.
Tile disposal mid: Dlstribotio. boxl Y.. C!J' No 0 0tII..
Lengtlt eoch IIn. __ _ -=1A .1l.9.. It.
Totclllenirt. ~~-^ It
WId.. oIlrenchL ft. .
....... sq.... foa"". -.!tS-. It.
DIst.... betw... lines k V- It.
T,.,. of liltor ".leri./: Grortl=-' > -'/"-K- - Oth..
~DeptIa af lilter material 0'11' fil,,-2::.- inches.
SUTCH IS.. .._...." '"'~"
. C~'Y ~
~ p..C .
O'tV)...!" ~
~ V 10'1
~r-~ ---t
~.Y vY~~
~ \,r #--
. I
$~
'. .'({e~rd of Individual Sew. Dispo5al S>.)i.w~ '.
DIsIa... /rom:
We/I
N.._
Lot Ii..: F..., 0 Sid. or'Reo, 0 / "
Fovnc!..... I., feet.
De,... of 'Ute, ma....rial beneath HIli 1_
lent.
lent.
i......
- -
J!.!i. ;'. !',J
0(:(;'<, "--"
~ ", "
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Il~
\ I 1l'UJ
I '~II!
j- ~ ,I $-'
1- _ \. '...,.),~.
~~~~;~~
'ND/CATE H~'nLY ~':fCTJON .'
SI'.'tv..~~_~ n-
- .-, --
fu.ctio. satisfOdoril,. :'Is ",...10.. .pprond 10, ::* Disapp"'ed 0
;;f~';::\&>.c.'G";:, ,0 ~f I
~ ~sID-\ ..
mt:T pa ~~
~ tn:: p~ A..t0
T0
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iAlI:. COUNTY H:ALTH D&'T.
Dat.. '
"7 _ 2..r-~ 8
FOR USE OF SANITA~ ONLY:
System apparently ";11 )l\,will Mt 0
Rem."'",
D...7~rl$~ro B
(!,
ft~~~~
~ \ -.
-'" ,\--~
.--
-- ...
,
',"("'.. \..<.1'. I
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541/682.3754
FAX: 541/682-3947
Katrinka.KnoxCco.tane.or.us
"
KATRINKA KNOX
OFFICE ASSISTANT II
DEPARTMENT OF PUBLIC WORKS
LAND MANAGEMENT DIVISION
125 E, 8TH AVENUE
EUGENE, OREGON 97401.2926
.
Ul:
'. ,I
..... "
. .
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.-'
225 Fifth Street
Springfielll,.Oregon 97477
541-726-3759 Phone
.
.~~l...
~.
~.~~_r' ,I
av of Springfield Official Receipt
.elopment Services Department
Public Works Department
~
Job/Journal Number
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
COM2004-00308
RECEIPT #:
3200400000000000075
Date: 05/14/2004
Deseripllon
Stann Drainage Impervious Area
SDC Sanitary/Stann Admin
Building Pennit
Fixture
Stann Sewer - 1st 50 Feet
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Not Covered Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
. Payments:
il, Type of Paymellt Paid By
Item Totai:
Check Number Authorization
Received By Batch Number Number How Received
Check
.,
't
5/i4/2004
BEVERLY MEDFORD
dim
il23
In Person
Payment Total:
Page I ofl
2:39:11PM
Amount Due
122.96
6.15
306.30
42.00
45.00
6.00
24.00
10.00
15.00
30.68
43.83
71.00
$722,92
Amount Paid
$722.92
$722,92