HomeMy WebLinkAboutPermit Building 2005-1-14
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01554
ISSUED: ' 01114/2005
APPLIED: 12/17/2004
EXPIRES: 07/14/2005
VALUE:, $ 100,900.00
225 Fifth Street, Springfield, OR
, 541-726-3753 Phone
541-726-3676 Fax
541-726-~769 Inspection Line
SITE ADDRESS: 6355 C ST
ASSESSOR'S PARCEL NO.: 1702343102805
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
PROJECT DESCRIPTION: Master Bedroom & Study Addition to existing house
Residential
Owner: JOHN LESSAR
Address: 6355 C ST
SPRINGFIELD OR 97478
Phone Number: 541-
I CONTRACTOR INFORMATION.
Contractor Type,
General '
Electrical
Mechanical
Plumbing
Contractor
R NEUHARTH CONSTRUCTION INC
KIDD ELECTRIC INC
JUNG ENTERPRISES INC
DONALD CLEWIS
License
66019
154009
102455
33076
Expiration Date
06/19/2006
01/27/2005
10/04/2006
06/10/2007
Phone
541-747-3846
541-942-1352
541-741-0002
541-688-1931
VN
I BUILDING INFORMATION.
'rAS v~ to
# Of~~~T'ON: Oregon law ,r~U1 D'ot ~~.
Hei IilrSjfi~US@OPted by the Ore~ oor: 187
TYPlo . filSn ~ ~trOSad'tJ'es a~~!iR loor: 905
wnst a :S2-001-Q()1O through O~ ement:
Ralrg :u may obtain copies oft5~ N1W1. ~e/Carport
EnD2~fP:; 1(: cente[ (t-Imth Ile tESqpilqMer: '
SprinIQealft~lilnfte;: Or~go"~ti\ity NOiitia~~oad:
..."mhp.r for me .~ i !)
I DEVELOPMENT I~1Ib~'-lwt=f... ~, - ,
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction' Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
16.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
, Handicapped:
Compact:
41.70
0.00
20.50
Street Improvements:
Jj;:;wr,
I PUBLIC LT~~OrY&1\'Il~~1$l.LL EXPIRE IF THE WORK
AUTHORIZED UNDER s~~~jif<ML1~}S NOT
Fully Improved tftANDONEtr rOR
Yes COMMENCED OR IS ~wnspouts/Drains:'
ANY 180 DAY PERIO .
Setback 5'
Curb and Gutter
, ,
Stor:~ Sewer A~ailable: '
Special Instruction:
, ,
Notes: Storm drainage piped to curb face 12/21/2004 CAS
Page 1 of3
_~!l~!-""@Ji.'~~r"",!<~.
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1/- ~
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Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-01554
ISSUED: 01114/2005
APPLIED: 12/17/2004
EXPIRES: 07/14/2005
VALUE: $ 100,900.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellings
Tvpe of Construction
V Wood Frame
$ Per Sq Ft
or multiplier
$92.40
Square Footage
or Bid Amount
1,092.00
, Value
Date Calculated
Description
Total Value of Project
$100,900.80
$100,900.80
12/17/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $369.79 12/17/04 1200400000000001756
-Mechanical Issuance Fee- $10.00 1/14/05 1200500000000000061
+ 10% Administrative Fee $66.99 1/14/05 1200500000000000061
+ 7% State Surcharge $46.89 1/14/05 1200500000000000061
Building Permit $568.90 1/14/05 1200500000000000061
Fixture $56.00 1/14/05 1200500000000000061
Minimum/Adjustment Mechanical $24.00 1/14/05 1200500000000000061
Miscellaneous Mechanical $15.00 1/14/05 1200500000000000061
Plan Review Minor - Planning. $59.00 1/14/05 1200500000000000061
Sanitary Sewer - Improvement $127.96 1/14/05 1200500000000000061
Sanitary Sewer - Rehnbursemtmt $168.28 1/14/05 1200500000000000061
SDC Sanitary/Storm Admin $18.61 1/14/05 1200500000000000061
Storm Drainage Impervious Area $75.95 1/14/05 1200500000000000061
Vent Fan '$6.00 1/14/05 1200500000000000061
Total Amount Paid $1,613.37
I Plan Reviews ,
Initial Review' 12/20/2004 12/21/2004 APP LLH
Planning Review " 12/21/2004 , 12/29/2004 APP TAJ
Public Works Review 12/21/2004 APP CAS
Structural Review 12/21/2004 01/13/2005 APP 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
d' , . . ' ' . . ' '
ay.
~~ouireCUnsnections. , '
Footing: After trenches are excavated. , , '
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking. '
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover. .
Page 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01554
ISSUED: 01114/2005
APPLIED: 12/17/2004
EXPIRES: 07/14/2005
VALUE: $ 100,900.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Ceiling Insulation: Prior to cover.
Drywall: ,Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 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
tim'/')g~o~t:tion. ~ I! /J
~ Z - /ltltfied;r 1- /<I-CJS
Owner or Contractors Signature
Date
Page 3 of3
. CITY OF S, . .lNGFIELD SYSTEMS DEVELOPMENI ~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 245.00 $0.3] 0 = I $75,95
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x COST PER S.F. x I DISCOUNT RATE I
0.00 $0.3]0 I 50% = ,
ITEM 1 TOTAL - STORM DRAINAGE SDC '$75.95
COM2004-0] 554
John Lesser
6355 C ST
] 702343] 02805
o
BUILDING SIZE (SF:
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER7 OF DFU's I x
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 7
COST PER DFU
$24.04
$18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE ' x
9.57
B.' IMPROVEMENT COST:
I ADT TRIP RATE
I 9.57
I NUMBER OF UNITS x'
I 0
NUMBER OF UNITS x I
o I
= I
x
ITEM 3 TOTAL - TRANSPORTATION SDC
4, SANlTARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
, 0
ICOST PER FEU
I $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 0 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5,ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1=
I $372.19 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINlSTRATION FEE:
Cheryl Slaymaker
12/21/2004
PREPARED B'l;
DATE
= ,
$296.24
COST PER TRIP
$] 8.30
COST PER TRIP
$80.72 '.
$0.00
$0.00
186
LOT SIZE (SF):
7600
$75.95
$168.28
$127.96
$0.00
, '
$0.00
lfJ
I:L1
Cl
o
u
~
I:L1
E-<
lfJ
>-<
o
gj
1070
11091
1092
,I
1093
1094
1054
1055
r 1054
1056
$372.19
DISCOUNT
$0.00
x NEW TRIP FACTOR
1.00
x INEW TRIP FACTOR
I 1.00
=
$0.00
CHARGE
$18.61
TOTAL SDC CHARGES
=
$0.00
$0.00
$0.00
18.61 1079
$0.00 )1078
~ I $390.80 I
. ,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 0 0 3 = 0
I DRINKING FOUNT AlN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 7
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ELGIBLE 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
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street'
S'prjngfleld, Oregon $)7477
541: 726-3759 Phone
Job/Journal Number
COM2004-0l554
COM2004-01554
~OM2004-01554
COM2004-0l554
COM2004-01554
COM2004-01554
.cOM2004-0l554
COM2004-01554
C01\12004-01554
COM2004-0 1554
COM2004-0l554
COM2004-0l554
COM2004-01554
Payments:
Type of Payment
Check
1/14/2005
RECEIPT #:
~ity of Springfield Official Receipt
, Development Services Department
Public Works Department
1200500000000000061
Date: 01114/2005
Description
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
SDC Sanitary/Storm Admin
Sanitary Sewer - Improvement
Plan Review Minor - Planning
Building Permit
Fixture
Vent Fan
Miscellaneous Mechanical'
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
R NEUHARTH CONSTR
Received By
djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
6375
In Person
Payment Total:
11:42:35AM
Amount Due
75.95
168.28
18.61
127.96
59.00
568.90
56.00
6.00
15.00
24.00
10.00
46.89
66.99
$1,243.58
,Amount Paid
$1,243.58
$1,243.58