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Home My WebLink AboutPermit Building 2006-6-12 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00580 ISSUED: 06/12/2006 APPLIED: 05/17/2006 EXPIRES: 12/12/2006 VALUE: $ 128,160.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4577 Camellia St ASSESSOR'S PARCEL NO.: 1702324309400 PROJECT DESCRIPTION: , TYPE OF, W.ORK: Single Family Residence . '-- .......~ ...,: '~--_\:;':'".r"I;'. I .... ~ ". I 1. ,/ ,...., I I _;",,", TYPE OF USE: . - New- '~'- -~ ~,Residential ~ -. - . -' '-~ , ' I Single family residence - Andrews Acres lot 1 Same,as COM2006-00~~9:.-458tl Qaisy S,t . -.; c .' '_,,.... _. '... o-J ~-., G .... ~~ IlJ(_'" 1.1" ~u:}.; ':'!- -; '::r_~0 "n.- Owner: Address: MIKE BLANKENSHIP CORP 8063 THURSTONS ROAD SPRINGFIELD OR 97478 r-, 'I - -' -oJ); CCjli'='~ n';.ll ....v I , ,:::: =:" :.2r p'(ho!"'e ~~mb'er? n5'4;1:;-116-0194 , . ,cu_2. '-10 tol h ".",~ - -, '. \;; .,-,,81], O~e ')1 I k; L.',I"CC"nil U"'J'... ~ ' I (-',.' . ~~. ll/llf-\!O"'ific""'i . ". ".r ::; 'j -c.:~(1-"1':l') '::,,', _: Q( on -- '-''j. I;; . I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor MIKE BLANKENSHIP CORP G MILLER ENTERPRISES INC JUNG ENTERPRISES INC DOUGS PLUMBING INC License , 78966 87145 102455 110163 Expiration Date 01/09/2008 11/10/2006 10/04/2006 11/24/2007 Phone 541-912-4582 541-741-2596 541-937-2688 541-688-3385 BUILDING INFORMATION I 3 # of Stories: 1 Lot Size: Height of Structure 19.00 Sq Ft 1st Floor: 0011 r- .....,l-'EW 1\1' Type of Heat: orced Air Electr.ic .' S9f;(2"(l~IO~~;\ '101 Water Type: Electnc , ' ISg F\t.Bas'~I!J~nf,:,1 IS N 'UNG-c, II\U ..an Range Type: Electl'ic .' ,.' ~., ~~ 9.\~tM~G~ir....or.' Energy Path: , Path 1 UI \ So 'Ft Other: , "- r: Q' (',II Sprinkled Building: \ nta, ~ e., (i)ccupant Load: 4,610 1,278 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 360 I DEVELOPMENT INFORMATION , '. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 27.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 1 Yes 33.80 REQUIRED PARKING Total: 2 Handicapped: Compact: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I Fully Improved Yes Sidewalk Type: Setback 5' Curb and Gutter Downspouts/Drains: Notes: No hook-up to City infrastructure until Public Improvements accepted by the City; Storm piped to curb face 5/20/2006 Pa2:e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00580 ISSUED: 06/12/2006 APPLIED: 05/1712006 EXPIRES: 12/12/2006 VALUE: $ 128,160.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellin2:s Gara2e Type of Construction V Wood Frame Gara2:e $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,200.00 360.00 Value Date Calculated Description Total Value of Project $118,800.00 $9,360.00 $128,160.00 05/1712006 05/17/2006 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $5.00 5/17/06 1200600000000000663 + 8% State Surcharge $4.00 5/17/06 1200600000000000663 Plan Review Same As $100.00 5/17/06 ..J- 1200600000000000663 Temp Power 200 amps or less $50.00 5/17/06 \ 1200600000000000663 ~Mechanical Issuance Fee~ $10.00 6/12/06 1200600000000000843 + 10% Administrative Fee $119.68 6/12/06 1200600000000000843 + 8% State Surcharge $89.19 6/12/06 1200600000000000843 2 Baths One or Two Family $254.00 6/12/06 1200600000000000843 Addressing Assignment $31.00 6/12/06 1200600000000000843 Boiler/Comp Up To 100,000 btu $12.00 6/12/06 1200600000000000843 Building Permit $659.90 6/12/06 1200600000000000843 Curbcut Permit $80.00 6/12/06 1200600000000000843 Dryer Vent $6.00 6/12/06 1200600000000000843 Exhaust Hoods $9.00 6/12/06 1200600000000000843 Fire SF Fee - Residential $81.90 6/1 il06 1200600000000000843 Furnace - up to 100,000 btu $12.00 6/12/06 1200600000000000843 Plan Review Major - Planning $198.00 6/12/06 1200600000000000843 Residence Wiring 1000 Sq Ft $106.00 6/12/06 1200600000000000843 Residence Wiring Ea Addtl 500 $38.00 6/12/06 1200600000000000843 Sanitary Sewer - Improvement $343.26 6/12/06 1200600000000000843 Sanitary Sewer - Reimbursement $451.26 6/12/06 1200600000000000843 SDC MWMC Administration $10.00 6/12/06 1200600000000000843 SDC MWMC Improvement $865.31 6/12/06 1200600000000000843 SDC MWMC Reimbursement $82.03 6/12/06 1200600000000000843 SDC SanitarylStorm Admin $108.99 6/12/06 1200600000000000843 SDC Transpo Admin $67.77 6/12/06 1200600000000000843 SDC Transpo Improvement $805.70 6/12/06 1200600000000000843 SDC Transpo Reimbursement $182.69 6/12/06 1200600000000000843 Storm Drainage Impervious Area $794.90 6/12/06 1200600000000000843 Vent Fan $18.00 6/12/06 1200600000000000843 WiIlamalane Single Family $1,000.00 6/12/06 1200600000000000843 Total Amount Paid $6,595.58 Pa2:e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00580 ISSUED: 06/12/2006 APPLIED: 05/17/2006 EXPIRES: 12/12/2006 VALUE: $ 128,160.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Planninl! Review I Plan Reviews I 05/18/2006 05/19/2006 APP LLH 05/19/2006 OS/2512006 APP TAJ Survey is required because of minimum side setbacks. 05/19/2006 05/20/2006 APP CAS No hook-up to City Infrastructure until Public Improvements accepted by the City; storm drainage piped to curb face 5/2012006 CAS 05/19/2006 06/06/2006 OK RWC Public Works Review Structural Review 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. ErosionlGrading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. ErosionlGrading 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 andlor foundation inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Post and Beam: Prior to tloor 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. 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. Undertloor Plumbing: Prior to insulation or decking. Undertloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering 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. Pal!e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00580 ISSUED: 06/12/2006 APPLIED: 05/17/2006 EXPIRES: 12/1212006 VALUE: $ 128,160.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Plumbing: When all plumbing work is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Underfloor 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. Low Voltage: Prior to cover. 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 a e uired inspections are requested at the proper time, that each address is readable from the street, that the permit ard is oca ed at the front of the property, and the approved set of plans will remain on the site at all times during cons ion. G (f Z-- ;;, Owner or Contractors Signature Date Pa2:e 4 of 4 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726;.3689 ELECTRICAL MRMIT APPLICATION " City Job Number l:.lo. Fjf{) Date (Q I 'If ~) 0 ~ ' 1. !;;~I:<i>m:pio~v,g7.NsTJfjlJT~1C.f@1Nl'l~i9j:\\:.~\I\1 3. ~~1t~~illlcLtfM" "~~f! LEGAL DESCRIPTION \f) ("n;524::"3, tA~J JO~DESCR~~J ~ ~on-...anS(erable':l "pi" I(wo,k Is not started within 180 days of issuance or if work is Suspended for 180 days. Signature of Supervising Electrician .--.. _ t i\ 11 NeM~lte'r.liiloPIW .~X!rn~QP. Per Panel .J1 ~ v~ One Circuit CJ ~- ~ Each Add,tional Circuit or with \ \ -. " ~ Service or Feeder Permit . Owners Name \~ C\.. Address Enio?::' -rn~~~ E. 2. Electrical Contractor C e "'" \r- cL C. t-P Cl Address ,- ~ 15 <-/ Halt d a~ .13 r R.d - l City fi/J1 / d Phone 7i..f( - 2S9t. '"" I Supervisor License Number J t 5'1 s Expiration Date /0 -- / - 0 7 Constr. Contr. Number 87 J <../ S Expiration Date 11-/0 -Db City ~~ - '\ \)....... OWNER INST ALLA nON -. Phone \~O\ct+ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 A. Service Included $106.00 \0.0 fX/ :?JtCfJ { 1.- $ 19.00 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwell~Ilg'~~!=~3>N: Oregon law reI$5'0~Oa you to Feeder follow rules adopt8d ny tile Oregon Utility B. 200 Amps or ~;J. You may obtain copiE:$'63!d01e rules by 201 Amps to 40@WJ.hJfs: the center. (l\!ote:~175.00lephone 401 Amps to 60(H~"4psr for the uregon ut$iiz5:botitlcatlon, 601 Amps to 1 000 Amp~enter is l-tlUU-;jj~l6j11). Over 1000 AmpsNolts $375.00 Reconnect Only $ 50.00 C. $ 50.00 $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited EnergylCommercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 9 )4io State Surcharge 10% Administrative Fee ~:~ ,4.4Q lto~.~1L TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc CITY OF S~NGFIELD SYSTEMS DEVELOPME~l~ORKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: . LOCATION: TAXLOT NUMBER: DEVELOPMENTYYFE: NEW DWELLING UNITS' 1, STORM DRAINAGE; DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 2461.00 I $0.323 = I $794.90 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. I x ..COST PER S.F. x I DISCOUNT RATE I 0,00 I $0.323 I 50% = I ITEM 1 TOTAL - STORM DRAINAGE SDC '$794.90 C0M2006-00580 Mike Blankenshop 4577 Camellia 1702324309400 SINGLE FAMiLY RESIDENCE 1 BUILDING SIZE (SF: 1820 LOT SIZE (SF): 4610 C/) ~ Q o u ~ ~ E-< - C/) ...... o ~ DISCOUNT $0.00 $794.90 1070 2. SANlT AR Y SEWF-R - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's x I 18 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 18 COST PER DFU , $25,07 $451.26 1091 $19.07 $343.26 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $794.52 3, TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP I x NEW TRIP FACTOR I 9.57 1 I $19.09 I 1.00 ., $182.69 1093 B. IMPROVEMENT COST: ADTTRIP RATE x NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR 9.57 1 I $84.19 I 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $988.39 4, SANITARY SEWER - MWMC I A REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I I 1 I $82.03 = $82.03 I 1054 B. IMPROVEMENT COST:' INUMBER OF FEU's I x ' leOST PER FEU 1. I I $865.31 = , $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) , $0.00 1054 MWMC ADMINISTRATIVE FEE , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $3,535.15 5, ADMlNlSTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE 1= CHARGE I $3,535.15 5% , $176.76 TOTAL SANITARY ADMINISTRATION FEE: 108:99 1079 TOTAL TRANSPORTATION ADMINlSTRATION FEE: $67,77 1078 Cheryl Slaymaker 5/20/2006 TOTAL SDC CHARGES =1 $3,711.91 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 2 0 3 = 6 I DRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS 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 0 0 3 = 0 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 0 0 2 = 0 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 0 0 2 = 0 I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 3 0 1 = 3 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 18 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling 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/$1,000 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 / 1000 CREDIT RATE $0.00 x $5.29 =, $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00 x $5.29 o = $0.00 TOTAL MWMC CREDIT 225 Fi(th Street Springfleid" Oregon 97477 541-726-3759 Phone C" . of Springfield Official Receipt l e10pment Services Department Public Works Department Job/Journal Number COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 COM2006-00580 Payments: Type of Payment Check cReceintl RECEIPT #: 1200600000000000843 Date: 06/12/2006 Description Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Curb cut Permit 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 Plan Review Major - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent ~Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 8% State Surcharge + 10% Administrative Fee Paid By MIKE BLANKENSHIP CORP Item Total: Check Number Authorization Received By Batch Number Number How Received 10196 In Person Payment Total: nJm Page 1 of 1 8:18:38AM Amount Due 31.00 1,000.00 81. 90 80.00 794.90 451.26 343.26 182.69 805.70 82.03 865.31 10.00 108.99 67.77 198.00 659.90 254.00 12.00 12.00 18.00 9.00 6.00 10.00 106.00 38.00 89.19 119.68 $6,436.58 Amount Paid $6,436.58 $6,436.58 6/12/2006