HomeMy WebLinkAboutPermit Building 2003-7-18
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00533
ISSUED: 07/18/2003
APPLIED: 06/19/2003
EXPIRES: 01118/2004
VALUE: $ 10,472.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 885 ANDERSON LN
ASSES~~mw~lOi~ri~aQ.9tMl<7myou to
follow rules adogted by the Oregon Utility
PRO~Wi~:T~ms are set fort'
in ()ARQfi?-O01-001nt'hvn"nhn.6col:')_-Qf'\ Q/n,.,Cc. , ._, '
..~ I'IU -. lEXPIKtlr1flL"""
OwnD090. )Ji~~~op'es 'of the rules 1 THIS PERM\1 SHAl - ERMIl \::i I~U I
Addresscafti:qgnwtY~rNer~~tH~~ftbne THORIZEO UNDER 1HIS P UK
nlllltlhpr fnr tho r'lrog"'" 11+;lit~, I>lgtifiM+;-;-" AU -1''l[0 "p I~ ~NOONED f
, . " - __I.- . CUMIVIt: N .. ~ " '
Center IS 1-800-332-2344)1 CONTRACTOR4\\\Jt~~i'OD.
Springfield
TYPE OF WORK: Garage
TYPE OF USE:
New
Residential
Contractor Type
General I
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
1 Lot Size:
12.00 Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
440
U-l
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
30.00
11.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
29.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Partially Improved
No
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Garaee
Type of Construction
Garaee
$ Per Sq Ft
or multiplier
$23.80
Square Footage
or Bid Amount
440.00
Value
Date Calculated
Description
Total Value of Project
Paee 1 of3
$10,472.00
$10,472.00
06/19/2003
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
CITY OF SPRING111ELD .
Building/Combination Permit
PERMIT NO: COM2003-00533
ISSUED: 07/18/2003
APPLIED: 06/19/2003
EXPIRES: 01118/2004
VALUE: $ 10,472.00
~
Amount Paid
Date Paid
Receipt Number
2200200000000001083
2200200000000001270
2200200000000001270
2200200000000001270
2200200000000001270
2200200000000001270
2200200000000001270
2200200000000001270
$74.88
$16.02
$11.21
$115.20
$59.00
$9.87
$197.40
$45.00
6/19/03
7/18/03
7/18/03
7/18/03
7/18/03
7/18/03
7/18/03
7/18/03
Total Amount Paid $528.58
I Plan Reviews I
Initial Review 06120/2003 0612012003 APP LLH
Plannine Review 06120/2003 07/0112003 APP TAJ measured setbacks from the
partition line; this is Parcell of
Sub2002-05154
Public Works Review 06/2312003 06/24/2003 APP DJW
Structural Review 06120/2003 07/14/2003 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
day.
lJeauiredJnsnections I
1 Footing: After trenches are excavated.
2 Foundation: After forms are erected but prior to concrete placement.
3 Shear Wall Nailing: Before covering sheathing with finish materials.
4 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
5 Final Building: After all required inspections have been requested and approved and the building is complete.
6 Storm Sewer Line: Prior to filling trench.
Paee 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00533
ISSUED: 07/18/2003
APPLIED: . 06/1912003
EXPIRES: 01/18/2004
VALUE: $ 10,472.00
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 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.
-.::---
C-. ~ ~~
-
j-)q-03
Owner or Contractors Signature
Date
Paee 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00533
COM2003-00533
COM2003-00533
COM2003-00533
COM2003-00533
COM2003-00533
COM2003-00533
Payments:
Type of Payment
Check
Reccipt#:2200200000000001270
Description
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
Plan Review - Planning
Building Permit
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
nJill
Check Number
Batch Number Authorization Number
Paid By
VERN BENSON
2662
City of Springfield Official Receipt.
Development Services Department _
Public Works Department.
Date: 07/18/2003
8:40:54AM
Amount Paid
Item Total:
197.40
9.87
59.00
115.20
45.00
11.21
16.02
$453.70
How Received
In Person
Payment Total:
Amount Paid
$453.70
$453.70
., . ' r
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
o
COST PER DFU
$22.09
B..IMPROVEMENT COST:
NUMBEROOF DFU's I x . COST PER DFU
$16.79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC' = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x
9.57 0
B. IMPROVEMENT COST: .
. ADT TRIP RATE l x . NUMBER OF UNITS' x
9.57 0
ITEM 3 TOTAL - TRANSPORTATIONSDC = ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 0 '$332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's
o
x ICOST PER FEU
, $34.83
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:
SUBTOTAL x I ADM. FEE RATE
$197.40 'I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
D~ Wright
6/24/2003
PREPARED BY
DATE
=
9.87 )"1079
$0.00 1078
_~07.27J.
$197.40
$0.00
COST PER TRIP
$16.81
COST PER TRIP
$74.17
$0.00
x NEW TRIP FACTOR
1.00
x I NEW TRIP FACTOR'
I 1.00
o
1[2
Q
o
U
0::
~
E-<
V)
.....
o
~
0::
$197.40
1070
$0.00
1091
$0.00
1092
'~
.~;.v
$0.00
~ 1093
$0.00
I
1094
$0.00 J
-
$197.40 I
CHARGE
$9.87
= , " ' $0.00 1054
= $0.00 1055
$0.00 1054
$0.00 11056
'j
TOTAL SDC CHARGES
. :'
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIY ALENT = DRAINAGE AXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
I 'BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN .-0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 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 (1 PER TRAILER) 0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 = 0
c:i I URINAL, STALL/WALL 0 0 5 = 0
-, TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INST ALLA TION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*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 CALCULA nON 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
CREDIT RA TE/$1 ,000
ASSESSED VALUE
$4.92
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
$2.98
$2.52
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGlBLE 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
o
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0.00 x $4.92
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $4.92
o
TOTAL MWMC CREDIT
=
$0.00