HomeMy WebLinkAboutPermit Building 2007-9-5
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01297
ISSUED: 09/05/2007
APPLIED: 08/29/2007
EXPIRES: 09/05/2007
VALUE: $ 36,462.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 926 HAZELNUT LN
ASSESSOR'S PARCEL NO.: 1802061415100
Springfield
TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Addition over existing garage
TYPE OF USE: Addition
Residential
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: N: "-""" taw requ1re8 you to
AI 1I:lrnO . V' V\fvn Utility
~ rpl8S adopted by the Oregon 1 f.:f.t.
I PUBLIC IMPROVEMEN1l'$Iificat1on2. ~f':1~=U;.OAR ~1:
I....,AR 95. I'V\I ~ les of the rules by
Street Improvements: F II I d 0090 Ydii"I'tl.iV~'-'C:OP eI h ne
U'C. u y mprove . ~bJ, oente,. JN~te: the t ep 0
StttlJ'St!lIver AVlJJ1'l\1 ~) RE~THE WORlfes caI:~fOi'ltiOO",~QIlIIfty N~ Sewer
Si~lllrnMtti&m T -f {Ip, m,sl R(}1b to existing nu er Center Ia 1-800-332-2344)-
AUTHORIZED UNDER . ~ t'
Ne~MMENCEO OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Owner: PATRICK HURLEY
Address: 926 HAZELNUT LN
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
CHALUS CONSTRUCTION L TD
EASTSIDE ELECTRIC INC
COMFORT FLOW
DOUG HAXBY PLUMBING COMPANY
License
113083
117770
460
140768
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
# of Stories: 2
Height of Structure: 22.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type:
Energy Path: Path 1
Sprinkled Building: nla
VB
1
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
18.00
11.50
Pae:e 1 of 3
Phone Number: 541-221-2106
Expiration Date
04/24/2008
10/04/2007
06/27/2009
03/0112008
Phone
541-461-1932
541-915-9828
541-726-0100
541-995-4725
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
354
REQUIRED PARKING
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Dwelline:s
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Building Permit
Fixture
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Minimum/Adjustment Plumbing
Plan Review Minor - Planning
Total Amount Paid
Plannine: Review
Public Works Review
Structural Review
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01297
ISSUED: 09/05/2007
APPLIED: 08/29/2007
EXPIRES: 09/05/2007
VALUE: $ 36,462.00
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$103.00
Square Footage
or Bid Amount
354.00
Value
Date Calculated
Total Value of Project
$36,462.00
$36,462.00
08/29/2007
~
Amount Paid Date Paid Receipt Number
$211.00 8/29/07 1200700000000001118
$42.46 9/5/07 1200700000000001162
$27.03 9/5/07 1200700000000001162
$33.97 9/5/07 1200700000000001162
$324.62 9/5/07 1200700000000001162
$16.00 9/5/07 1200700000000001162
$14.00 9/5/07 1200700000000001162
$36.00 9/5/07 1200700000000001162
$34.00 9/5/07 1200700000000001162
$116.00 9/5/07 1200700000000001162
$855.08
I Plan Reviews'
08/29/2007
08/29/2007
08/29/2007
08/29/2007
APP T AJ
APP MS
Storm drainage to existing. No new
impervious, so no SDC charges. -
MS 8/29/07
Need engr's letter on adequacy of
existing ftg. for the addition.
Contractor will provide 8/29/07dlm.
Received engineering 8/30/07dlm.
08/29/2007
08/30/2007
APP DLM
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.
~eollireCUQSDections I
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Floor Insulation: Prior to decking.
Ceiling Insulation: Prior to cover.
Pae:e 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01297
ISSUED: 09/05/2007
APPLIED: 08/29/2007
EXPIRES: 09/05/2007
VALUE: $ 36,462.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Final Building: After all required inspections have been requested and approved and the building is complete.
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.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Drywall: Prior to taping.
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
t;mces u" '[1;~ 4 or { ~ I CJ l
Owner or Contractors Signature
Date
Pa!!e 3 of 3
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO GITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 0.00 $0.346 . I $0.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS.
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I I
/ 0.00 $0.346 I 50% I ""I
ITEM 1 TOTAL- STO~ DRAINAGE SDC '$0.00 I
C0M2007 -01297
Patrick Hurley
926 Hazelnut Lane
18020614 TL 15100
Addition to SFR
o BUILDING SIZE(SF:
o
2. ' SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
. NUMBER OF DFU's' x
o
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 0
I . COST PER DFU
I $26.83
COST PER DFU
$20.40
ITEM 2' TOTAL - CITY SANITARY SEWER SDC
= ,
$0.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:,
I ADTTRIP RATE I x
I 9.57 , I
B. IMPROVEMENT COST:
I ADTTRIPRATE
9.57
I NUMBER OF UNITS x
I 0
LOT SIZE (SF):.
DISCOUNT
$0.00
COST PER TRIP
20.43
x INEW TRIP FACTOR I '
I 1.00 I. =,
x' 'NUMBER OF UNITS x
o
COST PER TRIP
$90.10
$0.00
x NEW TRIP F ACTORI
1.00 I
ITEM 3 TOTAL - TRANSPORTATION SDC
=,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 0
ICOST PER FEU
I $91.61
B. IMPROVEMENT COST:
INUMBER OF FEU's x' COST PER FEU
I 0 $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $0.00
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $0.00
=
o
$0.00
$0.00
$0.00
$0.00
$0.00
=
$0.00
\/)
r.Ll
Q
o
u
I~
......
o
~
I 1070
1091
I 1092
I
1093
1094
I 1054
1055
1054
1056
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$0.00 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
. $0.00
Matt Stouder
8/29/2007
PREPARED BY
DATE
TOTAL SDC CHARGES
=,
$0.00
$0.00
$0.00
#DIV/O!
#DIV/O!
$0.00
1079
1078
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 0 0 3 = 0
DRINKING FOUNTAIN 0 0 1 = 0
FLOORDRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 0 0 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
/RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 = 0
/ SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASHBASINIDOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 0 0 1 = 0
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 0 0 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
]987
1988
1989
1990
1991
]992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 I for Yes, 2 for No)
IS IMPROVEMENT ELGmLE FOR ANNEX. CREDIT?
(Enter I 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
$O~O x $529
o
TOTAL MWMC CREDIT
$0.00
=
.225' Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01297
COM2007-01297
COM2007-01297
COM2007-01297
COM2007-01297
COM2007-01297
COM2007-0l297
COM2007-0l297
COM2007-0l297
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001162
Date: 09/05/2007
Description
Plan Review Minor - Planning
Building Permit
Fixture
Minimum/Adjustment Plumbing
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
PATRICK HURLEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm 06364z In Person
Payment Total:
Page 1 of 1
2:39:36PM
Amount Due
116.00
324.62
16.00
34.00
14.00
36.00
27.03
33.97
42.46
$644.08
Amount Paid
$644.08
$644.08
9/5/2007