HomeMy WebLinkAboutPermit Building 2007-8-10
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5108 DAISY ST
ASSESSOR'S PARCEL NO.: 1702333301727
Springfield
PROJECT DESCRIPTION: Bathroom addition
Owner: JACK SMITH
Address: 5108DAISY ST
SPRINGFIELD OR 97478
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01047
ISSUED: 08/10/2007
APPLIED: 07/16/2007
EXPIRES: 02/10/2008
VALUE: $ 21,000.00
TYPE OF WORK: Bathroom
TYPE OF USE: Addition
Residential
Phone Number: 541-736-9508
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Plumbing
Contractor
JERRY B TABOR
GARY MILLER
COMPLETE PLUMBING LLC
License
18222
Expiration Date
08/05/2009.
Phone
541-746-0179
741-2596
541-688-0355
163794
03/21/2009
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
VB
1
14.00
Wall Heat
Electric
Electric
Path 1
n/a
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
108
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
12.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
58.00
I PUBLIC IMPROVEMENTS I
Street Improvements: , yoU to
A I N110N' Oregon law requ res
Storm Sewer 1Vft8Wfules ~dopted by the Oregon Utility
Special Instr~~f1~bation Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
Notes: Stor~mr.t6(o\'iifh~lSt!iW~P~g:ij:lM1Ules by
calling the center, (Note: the telepho~e
number for the Oregon Utility NotificatIon
Center Is 1-800-332-2344).
Pal!e 1 of 3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
Do~nspouts/Drains:
NOTlet:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01047
ISSUED: 08/10/2007
APPLIED: 07/16/2007
EXPIRES: 02110/2008
VALUE: $ 21,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Estimate
Tvpe of Construction
Estimate
$ Per Sq Ft
or multiplier
$1.00
Square Footage
or Bid Amount
21,000.00
Value
Date Calculated
Description
Total Value of Project
$21,000.00
$21,000.00
07/16/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $138.46 7/16/07 1200700000000000918
~Mechanical Issuance Fee~ $20.00 8/10/07 1200700000000001024
+ 10% Administrative Fee $34.84 8/10/07 1200700000000001024
+ 5% Technology Fee $17.15 8/10/07 1200700000000001024
+ 8% State Surcharge $27.44 8/10/07 1200700000000001024
Building Permit $213.02 8/10/07 1200700000000001024
Fire SF Fee - Residential $5.40 8/10/07 1200700000000001024
Fixture $80.00 8/10/07 1200700000000001024
Minimum/Adjustment Mechanical $43.00 8/10/07 1200700000000001024
Sanitary Sewer - Improvement $163.23 8/10/07 1200700000000001024
Sanitary Sewer - Reimbursement $214.67 8/10/07 1200700000000001024
SDC Sanitary/Storm Admin $21.39 8/10/07 1200700000000001024
Storm Drainage Impervious Area $49.83 8/10/07 1200700000000001024
Vent Fan $7.00 8/10/07 1200700000000001024
Total Amount Paid $1,035.43
I Plan Reviews I
Initial Review 07/16/2007 07/16/2007 APP NJM
Planninl! Review 07/16/2007 08/0212007 APP TAJ No Planning issues.
Public Works Review 07/16/2007 07/19/2007 APP TSS New storm water to connect to
existing eaves.
Structural Review 07/16/2007 08/01/2007 10 LLH Forwarded to the Building
Department for review
Structural Review 08/0112007
To Request an inspection call the 24 hour recording at 726-3769, All inspections 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,
Uleouire~nSDections .
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Pal!e 2 of 3
CITY OF SPRINGFIELD -
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01047
ISSUED: 08/10/2007
APPLIED: 07/16/2007
EXPIRES: 02110/2008
VALUE: $ 21,000,00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Ceiling Insulation: Prior to cover.
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.
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
times during construction.
~A ~LJ:Z2,
;r -.
Owner or Contractors Signature
f'-IO~6)?
Date
Pa2e 3 of3
, .
CITY OF SPRINGFIELD SYSTE.M~ DEVELOPMENT WORKSHEET
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
IMPERVIOUS S.F, x COST PER S.F. CHARGE
144.00 $0.346 = $49.83
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE 1
1 0.00 . $0.346 50% = 1
C0M2007-01047
Jack and Dee Smith
5108 Daisy Street
17-02-33-33-01727
SINGLE F AMIL Y RESIDENCE
o BUILDING SIZE (SF:
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 8
COST PER DFU
$26.83
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1 x 'I COST PER DFU
j 8 I I $20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
. ADTTRIP RATE I x
9.57 I
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
= I
I NUMBER OF UNITS I x
I 0 I
NUMBER OF UNITS x
o
ITEM 3 TOTAL - TRANSPORTATION SDC
=1
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 0 $91.61
B. IMPROVEMENT COST:
NUMBER OF FEU's
o
x
ICOST PER FEU
1 $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1
SUBTOTAL (ADD ~TEMS 1,2,3, & 4) = 1
5. ADMINISTRATIVE FEE:
1 SUBTOTAL x ADM. FEE RATE
I $427.73 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Todd Singleton
PREPARED BY
DATE
144
en
~
Ci
o
u
~
~
r.rJ
.....
c.J
gz
LOT SIZE (SF):
o
DISCOUNT
$0.00
$49.83
$49.83
1070
$214.67
1091
$163.23
1092
$377.90
COST PER TRIP .
20.43
:!
'j 1093
i
x NEW TRIP fACTOR
1.00.
$0.00
COST PER TRIP
$90.10
$0.00
x INEWTRIPFACTOR
, '1:00-
1094
$0.00
I.
=
$0.00
1054
= $0.00 1055
$0.00 1054
$0.00 1056
$0.00
$427.73
CHARGE
$21.39
21.39 1079
$0.00 11078
TOTAL SDC CHARGES. =1 $449.12
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAJNAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB -
1 0 3 3
IDRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG /WATER STATION /ETe. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER 1 ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA VA TORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL 1 WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDD'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 8.
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family ,!welling unit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 11000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$O~O x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01047
COM2007-01047
COM2007-01047
COM2007-01047
COM2007-01047
COM2007-01047
COM2007-01047
CO M2007 -0 I 047
COM2007-01047
COM2007-01047
CO M2007 -01047
COM2007-01047
COM2007-01047
Payments:
Type of Payment
Check
cReceiotl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1200700000000001024
Date: 08/10/2007
Description
Fire SF Fee - Residential
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Sanitary/Storm Admin
Building Permit
Fixture
Vent Fan
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
JACK SMITH
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
llh
5290
In Person
Payment Total:
Page I of I
1l:00:llAM
Amount Due
5.40
49.83
214.67
163.23
21.39
i13.02
80.00
7.00
43.00
20.00
17.15
27.44
34.84
$896.97
Amount Paid
$896.97
$896.97
8/10/2007