HomeMy WebLinkAboutPermit Building 2007-9-19 (2)
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 03/19/2008
VALUE: $ 169,533.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5741 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802030005400
SPRINGFIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence -lot 188
SAME AS :COM2007-00360 5783 Mt Vernon
TYPE OF USE: New
Residential
Owner: HA YDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110
REDMOND OR 97756
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HA YDEN ENTERPRISES
M & W ELECTRIC INCORPORATED
PACIFIC AIR COMFORT INC
DENNIS SCOTT EGGERS
License
92208
67362
39237
142776
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1 # of Stories: 2
R-3 Height of Structure: 25.00
U Type of Heat: Forced Air Gas
VB J'iW~ulres yoU to Gas
AI I cN110N~ Ore. i' lbleregon Utility Gas
tonOWjI'Ules adoP!'1ftf85rfFU1eS are set forth Path 1
Notification cente~~.mARe.s2-001. n/a .
1ft nAF\ 952-001-0 i . --=i-" ft. th, rutes bY
0090. YO_~s.o 11 ~..... ;LIlIISfm~ ~~N I
camngth O~\II"J ~!~~~
number for e nn.s32-2344).
14.00 Center iro\i-~ay1:>ist:
5.00 # Street Trees Rqd:
7.00 Paved Drive Rqd:
11.50 % of Lot Coverage:
0.00
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Phone Number: 541-228-1081
Expiration Date
07/29/2009
06/1912011
03/2512010
05/0512010
Phone
541-228-1081
541-754-6171
541-672-9510
541-459-0110
Lot Size:
Sq Ft 1st Floor: 641
Sq Ft 2nd Floor: 898
Sq Ft Basement:
Sq Ft Garage/Carport 408
Sq Ft Other:
Occupant Load:
1
Yes
37.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
Storm Sewer Available: NnTI~a:.Downspouts/Drains:
Special Instruction: For this parcel in Jasper Meadows, it is the fU6m'rife'ilUation tQ.tJlf ij.vj ~~. W~llll'J\~ City
Engineer: "that no connections shall be madlhl~PniJa~Jdr~tM\\ttm~"~ e\t1s! liWtiYl il'~
Notes: Storm water rouNtbdhlillitturis accepted by City Council". . AUTHORIZED UNDER THI PERMIT IS ~OT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 03/19/2008
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,539.00
408.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$158,517.00
$11,016.00
$169,533.00
09/12/2007
09/12/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $220.00 9/12/07 2200700000000001431
-Mech Iss 2+ Appliances- $40.00 9/19/07 1200700000000001211
+ 10% Administrative Fee $140.48 9/19/07 1200700000000001211
+ 5% Technology Fee $75.62 9/19/07 1200700000000001211
+ 8% State Surcharge $104.60 9/19/07 1200700000000001211
3 Baths One & Two Family $337.00 9/19/07 1200700000000001211
Addressing Assignment $35.00 9/19/07 1200700000000001211
Appliance Vent $7.00 9/19/07 1200700000000001211
Building Permit $873.44 9/19/07 1200700000000001211
Dryer Vent $7.00 9/19/07 1200700000000001211
Exhaust Hoods $10.00 9/19/07 1200700000000001211
Fire SF Fee - Residential $97.35 9/19/07 1200700000000001211
Fireplace (Listed) $17.00 9/19/07 1200700000000001211
Furnace - up to 100,000 btu $14.00 9/19/07 1200700000000001211
Gas Outlets 1-4 $5.00 9/19/07 1200700000000001211
Plan Review Major - Planning $205.00 9/19/07 1200700000000001211
Sanitary Sewer - Improvement $612.12 9/19/07 1200700000000001211
Sanitary Sewer - Reimbursement $805.00 9/19/07 1200700000000001211
SDC MWMC Administration $10.00 9/19/07 1200700000000001211
SDC MWMC Improvement $961.52 9/19/07 1200700000000001211
SDC MWMC Reimbursement $91.61 9/19/07 1200700000000001211
SDC Sanitary/Storm Admin $136.62 9/19/07 1200700000000001211
SDC Transpo Admin $71.08 9/19/07 1200700000000001211
SDC Transpo Improvement $862.25 9/19/07 1200700000000001211
SDC Transpo Reimbursement $195.48 9/19/07 1200700000000001211
Storm Drainage Impervious Area $615.92 9/19/07 1200700000000001211
Storm Sewer Each Addtll00' $16.00 9/19/07 1200700000000001211
Vent Fan $21.00 9/19/07 1200700000000001211
Willamalane Single Family $2,303.00 9/19/07 1200700000000001211
Total Amount Paid $8,890.09
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 03/19/2008
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine: Review
09/12/2007
I Plan Reviews I
09/12/2007 APP
TAJ
House needs to have: 3' walkway
from porch to street, windows in the
garage door and grid windows.
Storm water routed to gutter.
Same-as review.
Public Works Review
Structural Review
09/12/2007
09/18/2007
09/12/2007 APP
09/1812007 APP
TSS
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Pae:e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01391
ISSUED: 09/19/2007
APPLIED: 09/12/2007
EXPIRES: 03/19/2008
VALUE: $ 169,533.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
U nderfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical 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.
..- ,L :/A~-
Owner or Contractors Si~nat0
;-/1-0 ?
Date
Pa2e 4 of 4
. ' ' .
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 CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 1780.00 I $0.346 = I $615.92
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I
I 0.00 I I $0.346 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$615.92
COM2007-01391
Hayden Enterprises
5741 Mt Vernon
I 8-02-03-00-05400
SINGLE F AMJL Y RESIDENCE
1 BUILDING SIZE (SF: . 1339
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:,
I NUMBER OF DFU's I x
I 30
B. IMPROVEMENT COST:
I NUMBER OF DFU's x COST PER DFU
30 $20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$26.83
=,
$1,417.12
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 9.57 I.
I NUMBER OF UNITS' x I
I 'I I
. COST PER TRIP
20.43
B. IMPROVEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP
I 9,57 I. 1 I $90.10
ITEM 3 TOTAL - TRANSPORTATION SDC = , $1,057.73
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I I
ICOST PER FEU
I $91.6I
B. IMPROVEMENT COST:
INUMBER OF FEU's
I 1
x 1 COST PER FEU
I $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FE~
I SUBTOTAL x ADM. FEE RATE
$4,153.90 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$1,063.13
$4,153.90
LOT SIZE (SF):
DISCOUNT
$0.00
I x
INEW TRIP FACTOR'
I 1.00
o
$615.92
$805.00
$612.12
$195.48
$862.25
=
$91.61
x NEW TRJP FACTOR
1.00
= $961.52 1055
$0.00 1054
$10.00 1056
I
I
I,
136.62 1079
$71.08 1078
=1 $4,361.60
.... .-.--
CHARGE
$207.70
Todd Singleton
9/12/2007
PREPARED BY
DATE.
TOTAL SDC CHARGES
VJ
~
Q
o
u
~
I~
VJ
......
o
~
i:
1070
1091
1092
1093
1094
1054
., . r J
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUN ALENT UNITS
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 . 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRNATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,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 ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
I979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / lOOO CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / lOOO CREDIT RATE
$0.00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-0 1391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
COM2007-01391
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
Plan Review Major - Planning
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
Addressing Assignment
Willamalane Single Family
3 Baths One & Two Family
Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Fireplace (Listed)
~Mech Iss 2+ Appliances-
Fire SF Fee - Residential
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENT
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001211
Date: 09/19/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 072298 In Person
Payment Total:
Page I of I
9:13:38AM
Amount Due
205.00
615.92
805.00
612.12
195.48
862.25
91.61
961.52
10.00
136.62
71.08
873.44
35.00
2,303.00
337.00
16.00
14.00
21.00
7.00
10.00
7.00
5.00
17.00
40.00
97.35
75,62
104.60
140.48
$8,670.09
Amount Paid
$8,670.09
$8,670.09
9/19/2007