HomeMy WebLinkAboutPermit Building 2005-6-2
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-00527
ISSUED: 06/02/2005
APPLIED: 05/04/2005
EXPIRES: 12/02/2005
VALUE: $ 223,200.00
Status
Issued
. I 225 Fifth Street, Springfield, OR
- 541-726-3753 Phone
541-726-3676 Fax
., 541-726-3769 Inspection Line
SITE ADDRESS: 4190 Camellia St 4192
ASSESSOR'S PARCEL NO.: 1702323303403
Springfield TYPE OF WORK: Duplex
PROJECT DESCRIPTION: Duplex
TYPE OF USE: New
Residential
Owner: DUANE KNIGHTS
Address: 2258 33RD ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
, Electrical
: Mechanical
. Plumbing
Contractor
DUANE A KNIGHTS
BATEMAN ELECTRIC INC
MARSHALLS INC
SHAD CHASAN SURRETT
License
12112
151911
25790
158295
I BUILDING INFORMATION I
# of Units: 2 # of Stories: ou to 2
Primary Occupancy Group: TER;l ON: Oreg~\~liHftq}l~9~~"ti\ity 27.00
Secondary Occupancy Group: AT !'It es adoptecrme~L'~ et fortWall Heat
Primary Construction Type fo\~~W~n Center. It\~ ~ are s 2_001.Electric
Secondary Construction TyptNotltlcatlo 2 001"()018~~QAR 95 , by Electric
# of Bedrooms: in OAR 98 - obta\W~;ftQi\ the ru es Path 1
0090. '{au may ~nR~d\Bbtfil~O~e n/a
::.I\;n~ the ~e~~~~::~, '1' J~' ",...tif.ir-.ation
numberf<.pfjEvE~~~~TION ,
Cell~"" .m
, Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
42.00
10.00
5.00
22.00
35.00
Overlay Dist:
_# Street-Trees Rqd:
"Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-726-2960
Expiration Date
07/10/2005
06/21/2008
12/23/2005
01/14/2006
Phone
541-726-2960
541-995-4757
541-747-7445
541-741-3553
Lot Size: 6,052
Sq Ft 1st Floor: 1,080
Sq Ft 2nd Floor: 1,120
Sq Ft Basement:
Sq Ft Garage/Carport 480
Sq Ft Other:
Occupant Load:
4
Yes
25.70
REQUIRED PARKING
Total: 4
Handicapped:
Compact:
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Setback 5'
Curb and Gutter
~~I~;l~M\T SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
Notes: Storm drainage piped to curb face 5/16/2005 CAS
Pae:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00527
ISSUED: 06/02/2005
APPLIED: 05/04/2005
EXPIRES: 12/02/2005
VALUE: $ 223,200.00
225 Fifth Street, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Dwellinl!:s
Garal!:e
Tvpe of Construction
V Wood Frame
Garal!:e
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
2,200.00
480.00
Value
Date Calculated
Total Value of Project
$211,200.00
$12,000.00
$223,200.00
05/04/2005
05/04/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $629.62 5/4/05 1200500000000000570
-Mechanical Issuance Fee- $10.00 6/2/05 1200500000000000719
+ 10% Administrative Fee $197.47 6/2/05 1200500000000000719
+ 7% State Surcharge $138.23 6/2/05 1200500000000000719
2 Baths One or Two Family $508.00 6/2/05 1200500000000000719
Addressing Assignment $62.00 6/2/05 1200500000000000719
Building Permit $968.65 6/2/05 1200500000000000719
Dryer Vent $12.00 6/2/05 1200500000000000719
Exhaust Hoods $18.00 6/2/05 1200500000000000719
Miscellaneous Mechanical $144.00 6/2/05 1200500000000000719
Plan Review Major - Planning $103.00 6/2/05 1200500000000000719
Residence Wiring 1000 Sq Ft $212.00 6/2/05 1200500000000000719
Residence Wiring Ea Addtl 500 $38.00 6/2/05 1200500000000000719
Sanitary Sewer - Improvement $621.52 6/2/05 1200500000000000719
Sanitary Sewer - Reimbursement $817.36 6/2/05 1200500000000000719
SDC MWMC Administration $10.00 6/2/05 1200500000000000719
SDC MWMC Improvement $1,730.62 6/2/05 1200500000000000719
SDC MWMC Reimbursement $164.06 6/2/05 1200500000000000719
SDC Sanitary/Storm Admin $157.62 6/2/05 1200500000000000719
SDC Transpo Admin $139.47 6/2/05 1200500000000000719
SDC Transpo Improvement $1,544.98 6/2/05 1200500000000000719
SDC Transpo Reimbursement $350.26 6/2/05 1200500000000000719
Storm Drainage Impervious Area $703.08 6/2/05 1200500000000000719
Temp Power 200 amps or less $50.00 6/2/05 1200500000000000719
Vent Fan $24.00 6/2/05 1200500000000000719
Willamalane Attached (duplex) $1,848.00 6/2/05 1200500000000000719
Total Amount Paid $11,201.94
I Plan Reviews I
Initial Review
05/05/2005
05/06/2005
APP LLH
Pal!:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00527
ISSUED:06i02/2005
APPLIED: 05/04/2005
EXPIRES: 12/02/2005
VALUE: $223,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, Plannine Review
05/06/2005
05/13/2005
APP T AJ
1. Partition Plat for SUB2005-00008
recorded 4/06/05.
Public Works Review
05/06/2005
05/16/2005
APP CAS
2. Street only required if not
planted as part of the condtions for
the partition.
Storm drainage piped to curb face
5/16/2005 CAS
Approved as noted
Structural Review
05/05/2005
05/06/2005
APP JB
To Request an inspection call the 24 hour r~cording 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.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
RoughPlumbing: 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 Sewt;r Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical:, .When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Paee 3 of 4
,~..'"
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00527
ISSUED: 06/02/2005
APPLIED: 05/04/2005
EXPIRES: 12/02/2005
VALUE: $ 223,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
t::.:~::~Lk
. ~ ..}..t7S-
Date
Pal!e 4 of 4
. Job. No. (\)~... 2f2Tj
SYSTEM DEVELOPMENT CHARGE
WORK'SHEET
NAME: ~OJ\Q--/ \( ~'S"O~t-~ PHONE: 11llo;9-oqtoO
ADDRESS: ,9.fJ..~ ~~ S~\LQil STATE: (\}..R2IP: C{l41B
. .
.LOCATION OF PROPOSEU BUILDING SITE:
Street Address: . 4\C\.() + \\Ctry.,~ 0(jJI\Q1~ ~\~
Plat Name:' t\ \0 -" _ Tax Lot Number: \\{)ft:t/l,,'!J'?1 b3\~
. \,
1~ '.DEVELOPMENT TYPE (Check appropriate dwel!1ng(s). SOC calculations and dwelllng t
, yP€ deunilions are on the back.)
A llillillA-Familv Detached
Single Family home
, Manufactured home not in a parI< .
NO. OF UN[TS
,X $1,000 per unit =$
8. Sinole-Familv Attached
~... 4 .'
NO. OF UNITS A
'-
. X ,$924 per unit _, $ \~ QOO
C. Multi-Famiiy Apartment
NO. OF UNITS
,X .$692 per unit == $
~. 1t2-nufadured HOm~P2d\
$
$
l ~4S .w _
r;f
NO. OF UNITS
. WILLAMALANE SOC
X $699 per unit ==
2. SDC CREDIT (if appficab(e) SOc-payer must furn1sh proof of
\ViU2malane Credit approvaL See SOC Credit Worksheet. $
- ---
,"
3. TOTAL W!LLAMALANE NET SDC ASSESSED
(If SOC reduced for Credit) / $
..\t - V ~ . Z
Devel~~t~~~~~partment-.- o~ I ~
City of Springfield .
[0~ ,00
/65
1 9S
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELE~l.KICAL ~RMIT ~PUCATlON
City Job Number ~'6 '" 'tflJ 1 ,Date S - \~ ,-OS
,... .-~.~_.
1. LOCATION OF INSTALLATIO]ll., . .... 3.
~\C\O'~~C\t[ '~~J.J .llJ..-
LEGAL DESCRIPTION
\\(JI) ~1:3o ~~
JOB DESCRIPTION 2lo2D
\>u.D~ -\ \J>rf\U~~\.~
Permits \re no~-transferab;e and hpi~e if work is
not started within 180 days of issuance or ifwork is
Suspended for 180 days.
- .
COMPLJ:,1..e :t'Af!,SC1u!.UULE:BELOW
r~~~d5?..... ' ~t;;-~
~..,.,...,....~... ~
".~.';'.-...<";.,~--;;XQu" .'"( _.. ....'.. ~.":
~ .. , . ,',.-,'", .~ .,.... .~ ." .... "
",' -', ....--..., .. .-.,-'
.t.?a.;L ... ff ~
:-7~""]';-~;"' _.''''. /;,;-<.--.'".',--7- ,.." .. -~->. --,,'-
A. Ne,x ~~ide~~~l__~ingle ol-l\l1ulti-Family per dwelling ul1Jt: -. .
~""'-'-";;-C:'-' -...."'.,,~ .. ..:: '::;C"",O>\>: ..-~.,.,: -..: ',,:-'S~'~'-"':' ""'.-''''-.~
. CONTRACTORINSTALlATlJJN ONLY
2.
Electrical Contractor
Signature of Supervising Electrician
0?'~ ~~
Owners Name \\lYU\\L '< f\ \r\hl~
Address4~~ ~~~ffi-~
Ci~~~tX\,fRXj Phone ~"
OWNER INSTALLATION
The installation is being made on property I own whicrh
is not intended for sale, lease or rent. ',. .'
Owners Signature:
Inspection Request: 726-3769
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or.
Modular Dwelling Service or
Feeder
&
A
$106.00 .l11flJ1'
$ 19.00 _,~c:t:>
$50.00
"~""",.',",~-"-', '"c''' ~','-": ,-.~. .
B. Se~ces orFeeders-Installatio~ Alterations or Relocation:
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder pennit
4. SU>>luTAL OFABOVE
7% State Surcharge
10% Administrative Fee
TOTAL
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
-~. Ie. ..-.....
$ 50.00
$ 69.00
$100.00
~~
-'" --.. ....;).;
El.t','; . (---200 Amps or less
. 1 201 Amps to 400 Amps
Address ::) \ v" ( 401 Amps to 600 Amps
...- , ' . 1\ . A (), 0 60~ps to 1000 Amps
Ci~ U /\.,'i,1 on, (.' ,~Phone \../1"'"\ (,; ~ :1~W~ 'lOHM~OOOAmpsIVolts
\....,..1 oregon \<:}.'1 o{e90t' We'8~ct Only
f~~o~~.. p\~d b'l.\n~\l\es a.{e 5~;_..\)\yV.' .... . ..,.. h' '7
Supervisor License Nu ~ (U~~j bi~~~, ~ Of:>.~ ~~~9'. Servic~~ or F.:eeders .'--~
~\~n ' N'\"\ 0 tt" uJ,~ \ \'(\8 {Ij, ,
1~C~ "."nr:\~~v ()\eS 0 . fini.
Expiration Date R'"9 ~~D",~t' CO\", , . e \e\~S Ron, Alteration or Relocation
- t \ r {{\ci; C ~O\tl \\1 f _'/\.\0 \
090.~~ . ~e{~~: D\\\\\'1\~~UOaCXmpsorless
Constr. Contr. Number ()-ea\\iha ~ >CI~\I 3'2._2'2/'ti40l Amps to 400 Amps
1. ,;-(\ber 'P{ " \"/\,,aoq,-.;) 401 Amps to 600 Amps
E . . D ",uo".. l"'~{\\e~, J (/
xplranon ate : ~ ' '.. . OVer ~~~_~ps or 1000 Volts see ''B''_above.
D. Branch Circuits
"
.~11:';"\ -)":-"'_ .....,--':"~;,-...-.- - -. .---
E. Miscellaneous ~~rvW~f~el',~ot tncluded)-Each Installation
, r:r-''.':-~ \\ ';'.\ \,,) ,-"v..' .
.P~~t.jrri~~~\=--' . $ 50.00
,sigDIQudirte\ UgQtittg \ $ 50.00
\ ',_'" . .... "', _; _\ " ". ~-
Li~i~d, ED~lResidential $ 25.00
tUnit~ttJ:nergy/C.~'m..ercial $ 45.00
",\ \'
l\finirl'riim Electric Permit Inspection Fee is $45.00 + Surcharges
$ 43.00
$ 3.00
~.~
~(.,
..~.CJ6
35(.00
,__........ ", .J~_ _ T!___1C'1..........:.....IUA........it Ann1ir~tinn 1..03.doc
CITY OF S....r<INGFIELD SYSTEMS DEVELOPME~~ORKSHEET
JOURNAL OR JOB NUMBER: COM2005-00527
NAME OR COMPANY: Duane Knights
LOCATION: 41904192 Camellia
TAX LOT NUMBER: 1702323303403
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 2 BUILDING SIZE (SF: 1744 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2268.00 I $0.310 = I $703.08
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F, x I COST PER S,F. x' I DISCOUNT RATE I DISCOUNT
I . 0.00 I $0.310 I 50% = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC '$703.08
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 34
, COST PER DFU
$24.04
B. IMPROVEMENT COST:
NUMBER OF DFU's x
34
$18.28
ITEM 2 TOTAL - CITY'SANITARY SEWER SDC
= ,
$1,438.88
6051
$703.08
$817.36
$621.52
if)
~
Cl
o
U
~
~
t-<
if)
"'""'
o
~
11070
.1
1091
1092 .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUJV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
\ BATHTUB 2 0 3 = 6
IDRINKJNG FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
I CLOTHESW ASHER / MOP SINK 2 0 3 = 6
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 2 0 3 = 6
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 4 0 1 = 4
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 4 0 3 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 34
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day II
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
]987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED V ALOE
$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
2
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
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0.00 x $5,29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE /1000 CREDIT RATE
$0,00 x $5.29
o
=
$0,00
TOTAL MWMC CREDIT
225 Fifth Street
Springfield, Orego~ 97477
541-726-3759 Phone
L:i.ty of Springfield Official Receipt
~velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000719 Date: 06/02/2005 10:30:50AM
Job/Journal Number Description Amount Due
COM2005-00527 Building Permit 968.65
COM2005-00527 Addressing Assignment 62.00
COM2005-00527 Willamalane Attached (duplex) 1,848.00
COM2005-00527 2 Baths One or Two Family 508.00
COM2005-00527 Vent Fan 24.00
COM2005-00527 Exhaust Hoods 18.00
COM2005-00527 Dryer Vent 12.00
COM2005-00527 Miscellaneous Mechanical 144.00
COM2005-00527 -Mechanical Issuance Fee- 10.00
COM2005-00527 Residence Wiring 1000 Sq Ft 212,00
COM2005-00527 Residence Wiring Ea Addt1500 38.00
COM2005-00527 Temp Power 200 amps or less 50.00
COM2005-00527 Plan Review Major - Planning 103.00
COM2005-00527 Storm Drainage Impervious Area 703.08
COM2005-00527 Sanitary Sewer - Reimbursement 817.36
COM2005-00527 Sanitary Sewer - Improvement 621.52
COM2005-00527 SDC Transpo Reimbursement 350.26
CbM2005-00527 SDC Transpo Improvement 1,544.98
COM2005-00527 SDC MWMC Reimbursement 164.06
COM2005-00527 SD.C MWMC Improvement 1,730.62
COM2005-00527 SDC MWM'C Administration 10.00
COM2005-00527 SDC Sanitary/Storm Admin 157.62
COM2005-00527 SDC Transpo Admin 139.47
COM2005-00527 + 7% State Surcharge 138.23
COM2005-00527 + 10% Administrative Fee 197.47
" Item Total: $10,572.32
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check DUANE KNIGHTS djb 5721 In Person $10,572.32
Payment Total: $10,572.32
t'
.'
:r
6/2/2005
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