HomeMy WebLinkAboutPermit Building 2005-11-22 (2)
'.
. Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1995 SCOTT RD
ASSESSOR'S PARCEL NO.: 1703254301200
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-0I551
ISSUED:' 11/22/2005
APPLIED: 11/02/2005
EXPIRES: OS/22/2006
VALUE: $ 13,346.00
Springfield TYPE OF WORK: Garage
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Add carport, rear porch and new roof
(' --n I
' n ow r8nl ,j,.o~ "...... ,1._
J '!t' . .'" 'jil:'l f"\ ,. .-
Phone Numlier:e!541-7.47~454
':~. I 'lOse rules are set forth
. . -t'J1 0 through OAR
: ':.F:', ol.I";n ~~~,__ _,.. 952-001_
I CONTRACTOR INFO~;ION~I: t~l~n~:~g(~~)h~t~;;~h;~~e uy
t,;enter is 1-80():'l ~ Ity NOliflcation
Contractor License Expiratilirl'Dii'te1). Phone
STEVEN MELVIN HOLLIS & SPENCERDERI67039 10/27/2007 541-514-1765
Owner:
Address:
CAROL ROGERS
1995 SCOTT RD
SPRINGFIELD OR 97477
Contractor Type
General
# 01 Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# 01 Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
5.00
6.00
BUILDING INFORMATION.
R-3
U
VN
# of Stories: Lot Size:
Heigbt of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: NOT Sq Ft Basement:
Range Type: ICE: Sq Ft Garage/Carport
Energy Patb: THIS PERMIT SH.&IU!"~~~
Sprinkled Building: AUTHORrilIf.D UN6lfflur PHE WORK
""f 'J '--. - - RMIT '" '/':';-
I DEVELOPMENT INFOroWA\iiON1~ypUEHA',I;iO' ABANDONED FOR' ~.
D. REQUIRED PARKING
384
288'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Fully Improved
Yes
Sidewalk Type:
Downspoutsmrains:
Curbside 5'
Curb and Gutter
Notes: existing 10 x 10 concrete and asphalt sdc credits given: storm into existing to curb face l1n12005 CAS
Description
Type of Construction
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of3
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Carport
Estimate
PatlolPorch
Carport
Estimate
Use Bid Amount
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Garage/Carport
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
.
. CITY OF ~rKll"\jljFIELD
Building/Combination Permit
PERMIT NO: COM2005-01551
ISSUED: 11/22/2005
APPLIED: 11/02/2005
EXPIRES: 05/22/2006
VALUE: $ 13,346.00
$18.00
$1.00
$1.00
384.00
1,250.00
5,184.00
Total Value of Project
Fpp<. PIilLI
Amount Paid
Date Paid
11/2/05
11122/05
11122/05
11/22/05
11/22/05
11122/05
11122/05
$90.09
$18.36
$12.85
$138.60
$5.04
$100.78
$45.00
Total Amount Paid $410.72
I Plan Reviews I
Initial Review 11103/2005 11/0412005 APP LLH
Plannln!! Review 11104/2005 11/10/2005 APP TAJ
Public Works Review 11104/2005 11/07/2005 APP CAS
Structural Review
11/04/2005
11/18/2005
APP TCM
.
.
$6,912.00
$1,250.00
$5,184.00
$13,346.00
1110212005
11/0212005
1110212005
Receipt Number
1200500000000001663
3200500000000000655
3200500000000000655
3200500000000000655
3200500000000000655
3200500000000000655
3200500000000000655
;
No Planning issues.
SDC credit given for existing
Impervious surface; storm to
existing piped to curb face
11/712005 CAS
Forwarded to Tom Marx for review
11/15/05
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.
~r~t1ln<~
;:
Footing: After trenches are excavated.
Slab: To be made after all inslab building service equipment, conduit piping and other equipment Items are in
place but prior to concrete.
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.
Pa!!e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
.
CITY OF SPRINGnl<..Lu
Building/Combination Permit
PERMIT NO: COM2005-01551
ISSUED: 11/2212005
APPLIED: 11/02/2005
EXPIRES: 05122/2006
VALUE: $ 13,346.00
By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 ofany 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 readahle from the
street, that the permit card is located at the front of the property, and the approved set of plans wlll remain on the site at all
times during construction.
~L.~~
Owner or Contractors Signature
Pa!!e 3 of 3
//-,jl-()'7
Date
CITY OF S!GFIELD SYSTEMS DEVELOPMENTtORKSHEET
JOURNAL OR JOB NUMBER: COM2005-0 1551
NAME OR COMPANY: Rogers
LOCATION: 1995 Scott Rd
TAX LOT NUMBER: 1703254301200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 0 BUILDING SIZE (SF; 312 LOT SIZE (SF):
L STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE 1
312.00 I $0.323 I = I $100.78
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. 1 x I COST PER S.F. I x I DISCOUNT RATE 1 I
I 0.00 I $0.323 I I 50% = I
ITEM] TOTAL - STORM DRAINAGE SDC I 5100,78 ~
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x
I 0
8. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x
I 0 $19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$25.07
= ,
50,00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x
I 9.57 I
I NUMBER OF UNITS I x I
I 0 I I
COST PER TRIP
$19.09
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I. x I COST PER TRIP
I 9.57 I I 0 I I $84.19
ITEM J TOTAL - TRANSPORTATION SDC ~ , 50,00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I 0 I
ICOST PER FEU
I $82.03
8. IMPROVEMENT COST:
!NUMBER OF FEU's I x
I 0 I
ICOST PER FEU
I $865,31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
DISCOUNT
$0.00
o
5100,78
x I NEW TRIP F ACTOR I
I 1.00 I
x INEW TRIP FACTOR I
I 1.00 I
ISUBTOTAL x I ADM. FEE RATE 1=
I $100.78 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
11/18/2005
PREPARED BY
DATE
=
50.00
50.00
50,00
50,00
50,00
~
"-'
"-l
o
o
u
~
"-'
G
;:j
11070
I
1091
11092
1093
1094
1054
.
225 Fifth Street
. Springfield, Oregon 97477
~41-726-3759 Phone
.
~I
~WJ ..
~
Job/Journal Number
COM2005-0 1551
COM2005-0155 I
COM2005-0 1551
COM2005-0155 I
COM2005-0155 I
COM2005-0155 I
Payments:
iype of Payment
Check
.'.
:'
.
"
,,'.
I
"
,,'
11/22/2005
RECEIPT #:
3200500000000000655
Description
Stann Drainage Impervious Area
SDC Sanitary/Stann Admin
Garage/Carport
Stann Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
CAROL L. ROGERS
Received By
njm
Cbeck Number
Batcb Number
Page 1 of 1
.ty of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
Date: 11/22/2005
Item Total:
Autborlzatlon
Number How Received
2427
In Person
Payment Total:
1:25:43PM
Amount Due
100.78
5.04
138.60
45.00
12.85
18,36
$320.63
Amount Paid
$320,63
$320.63