HomeMy WebLinkAboutPermit Building 2005-6-1
Status
Issued
/ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01515
ISSUED: 06/0112005
APPLIED: 12/10/2004
EXPIRES: 12/0112005
VALUE: $ 176,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
~ 541-726-3769 Inspection Line
} SITE ADDRESS: 494 Cascade Dr
ASSESSOR'S PARCEL NO.: 1802022207500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Easton sub 2nd add lot 43 - SFR
Owner:
Address:
DANNEN FAMILY TRUST
2096 MUSKET ST
EUGENE OR 97408
0-:-:""
Phone Number: 747-7445
Contractor Type
General
Electrical
Mechanical
Plumbing
. l' ,ires ,/oU to
_. ,. f'\Iegon lavo Ie e on UIIIILY
I CONTRAC~~~tneor 9resetiOfth
io\ 0'N I,U otero se fu\e~~R 952-001.
Contractor NotificatIon ~M~tnfO~ol.ftm<tU\~V
OWNER \n OAR 952- obtain cop\e te\ephone
JOSEPH BUNCH ELECTRIC IN<()090. 'IoU mr~~7{i~f. lNote~ ~BWd~_\on
MARSHALLS INC ca\\\nQ th~~&'bfeQon Ut\\"1'2'la4~005
SHAD CHASAN SURRETT number 1~~~n~ 1_800-332.-~147io06
e.;? .
BUILDING INFORMATION'
Phone
541-344-8745
541-747-7445
541-741-3553
# of Units: 1 # of Stories: r' Lot Size: 6,978
Primary Occupancy Group: R-3 Height of Structure 26.00 Sq Ft Ist Floor: 1,031
Secondary Occupancy Group: U Type of Heat: Heat Pump Sq Ft 2nd Floor: 764
Primary Construction Type VN Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Gas Sq Ft Garage/Carport 440
# of Bedrooms: 4 Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
I Side 2 Setback:
Rearyard Setback:
. Solar Setbacks:
18.00
21.00
12.00
21.00
30.00
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 1 Handicapped:
Paved ~rJrfbl}~d:. Yes Come.act:
% OfLO~~fstp~~fv1IT SHALL E~\l~"U: IF THE WOKK
fi\ ITHORIZED UNDER THIS PER~\T_~~ NOT
I PUBLIC IMPlUi>JV~M:EN~OR \~ Aljl-\\\lUUI'H:[J I VI \
AI\lY IOU u~PER\QD.
F II I d Sidewalk Type:
u y mprove
Yes
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes: Storm drainage piped to curb face 12/1712004 CAS
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: COM2004-01515
ISSUED: 06/0112005
APPLIED: 12/10/2004
EXPIRES: 12/0112005
VALUE: $ 176,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,795.00
440.00
Value
Date Calculated
Description
Total Value of Project
$165,858.00
$10,692.00
$176,550.00
12/10/2004
12/10/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $530.34 12/10/04 2200400000000001500
-Mechanical Issuance Fee- $10.00 6/1/05 1200500000000000707
+ 10% Administrative Fee $141.69 6/1/05 1200500000000000707
+ 7% State Surcharge $99.18 6/1/05 1200500000000000707
3 Baths One & Two Family $306.00 6/1/05 1200500000000000707
Addressing Assignment $31.00 6/1/05 1200500000000000707
Building Permit $815.90 6/1/05 1200500000000000707
Curbcut Permit $75.00 6/1/05 1200500000000000707
Dryer Vent $6.00 6/1/05 1200500000000000707
Exhaust Hoods $9.00 6/1/05 1200500000000000707
Furnace - up to 100,000 btu $12.00 6/1/05 1200500000000000707
Gas Fireplace $15.00 6/1/05 1200500000000000707
Gas Outlets 1-4 $4.00 6/1/05 1200500000000000707
Heat Pump $12.00 6/1/05 1200500000000000707
Plan Review Major - Planning $103.00 6/1/05 1200500000000000707
PW Mult Disc - 2nd Permit $-30.00 6/1/05 1200500000000000707
Residence Wiring 1000 Sq Ft $106.00 6/1/05 1200500000000000707
Residence Wiring Ea Addtl 500 $57.00 6/1/05 1200500000000000707
Sanitary Sewer - Improvement $457.00 6/1/05 1200500000000000707
Sanitary Sewer - Reimbursement $601.00 6/1/05 1200500000000000707
SDC MWMC Administration $10.00 6/1/05 1200500000000000707
SDC MWMC Improvement $865.31 6/1/05 1200500000000000707
SDC MWMC Reimbursement $82.03 6/1/05 1200500000000000707
SDC Sanitary/Storm Admin $117.64 6/1/05 1200500000000000707
SDC Transpo Admin $64.30 6/1/05 1200500000000000707
SDC Transpo Improvement $772.49 6/1/05 1200500000000000707
SDC Transpo Reimbursement $175.13 6/1/05 1200500000000000707
Sidewalk Permit $75.00 6/1/05 1200500000000000707
Storm Drainage Impervious Area $675.80 6/1/05 1200500000000000707
Temp Power 200 amps or less $50.00 6/1/05 1200500000000000707
Vent Fan $24.00 6/1/05 1200500000000000707
Willamalane Single Family $1,000.00 6/1/05 1200500000000000707
Total Amount Paid $7,272.81
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-01515
ISSUED: 06/0112005
APPLIED: 12/10/2004
EXPIRES: 12/0112005
VALUE: $ 176,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
PlanniDl! Review
Public Works Review
12/15/2004
12/1512004
12/15/2004
I Plan Reviews I
12/15/2004 APP
12/21/2004 APP
12/1712004 APP
SKG
EMM
CAS
Storm Drainage piped to curb face
12/17/2004 CAS
Have engineering for shear walls,
and all load pads.
Structural Review
12/15/2004
01/1012005 APP
RJB
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.
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.
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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.
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.
Pal!:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD".
Building/Combination Permit
PERMIT NO: COM2004-01515
ISSUED: 06/0112005
APPLIED: 12/10/2004
EXPIRES: 12/0112005
VALUE: $ 176,550.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: 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 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.
~ 4YA#'
r ~ -
0" /0 I/o-S-
f I
Owner or Contractors Signature
Date
Pal!e 4 of 4
..
\
Job. No. ()-f- 0/-(; \j
SYSTEM DEVELOPMENT CHARGE
WORKSHEET .
NAME: DL\!1u/'\ . [(1(/(11\; k r~,-u(,~
( .
Ao6RESS: )0 i-1& JvI/.,I;/<~J-Sl, .6)(c.,"~
, j
PHONE: 1 Ll~ 0/2'], .
STATE: OIC ZIP: Q7-lJo6
. .LOCATION OF PROPOSED BUiLOING SITE:
. Street Address: lVN L<_((f1ole/ Dr.(
Plat Name: .
Tax Lot Number: / !do202.ZZ 07\DO
i~ 'OEVELOPMENT TYPE (Ched<appropciale dwel1ing(s). SDC calculations and dweWng 1
YjJe definitions are on the back.)
A .8.inQIA-Familv OAtached
. v' Single Family home
NO. OF UNITS
Manufactured home not in a parz< .
. X $1,000 per unit =$. /) e.x-' =
8. Sinale-Familv Attached
'l
NO. OF UNITS
.X$924 per unit -.. $
C. Multi-Family Apartment
NO. OF UNITS
. X .$692 per unit - $
D. f08nuf<:Jdl (red Home Pa.ri\
NO. OF UNITS
. X $699 per unit . == $
WILLAMALANE SOC
$ '\ DoD
2. SDC CREDIT (if applicable) Soc-payer must fumlsh.proof of
Vfltlama{ane CreDit approvaL See SOC Credit Worksheet.
3~ TOTAL WILLAMALANE NET SDC ASSESSED
(If.SOC reduced for Credit)
/... 4'
~~A~ ,/
Development Services Department.
City of Springfield
bl
Date
$
$ j.DDD
\
/ I O~
225.1'li' Hi STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number 1A -- Df~7 ~. , bate, 1:1/'
L(q 4- C:.:tS ~L
LEGAL DESCRIPTION A.
16 02 0 I2-L [) -1-~ cC) ,. Service Included
JOB DESCRIPTION 1000 sq. ft. or less 1
r ,('? f) Eac~ additional 500 sq. ft. or .r.:>.
;> L'jt,-, 1-c{J"Vl.~.drl(J"1o', ~fQregon'awrequ\reSY5:'uto $19.00
. Permits are non-transf~able and expire if work is fd1MW~~a.pt@s\~the Oregon Utllll:'f h
.r- not started within 180 days of issuance or if work is ddRe~~~s~S'lUles are set fort
Suspended for 180 days. , ~ 6j\cft~52-001-001? thro~gh OAR 95~~~~ '$50.00
2. itP
._1_ . ("J"'r .....mhA for he Oregon UtilIty 01
Electrical Contractor)i'?(tJa "f)al1{, \ ~t(. .trlC 200~~Cgh eftiS 1_800-332-2344).
I' 201 Amps to 'i~0 Amps
Address 1525w l/ a Y\O\ Dr 401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIV 0115
Reconnect Only
1.
City
EV\~Qnt
\
Phone 2fLt{- - ~ 7 'fs
Supervisor License Number tf 7 3Lf- -S
Expiration Date ; D I 01 I 0 7
," , I
Constr. Contr. Number 2-0 - % ~ U'l'5b?G I
Expiration Date r 0 / O~ / ~ /07
/
Si
,..- 1'- L
~;..., I .rLv-~T
, .
,AJ a <.. ~ ./,1- .s.+-
. .
Phone ~lt C - QZ]
e ofSUperviSingZleC 'cian
2?t/tt' ,_"./
Owners Name ':iJMtV~,y
Address 20 ? b
City ~&t7V'(::~
OWNER IN'STALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
$106.00 /DG,oo
)t,W
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 60Q Anip~ or 1000 Volts see "B" above.
D.
New,Alteration1)rk~teil.slJn.~er.:P~nei "
,_ ~.,~ 'I...' '-- ',.) ; ,-
One Circuit ,- $ 43.00
Each rAddiclonaJ. Cmult 'oHvitli.
Service or Feeder Permit
Saoo
$ 50.00
$ 69.00
$100.00
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
2tSJ>O
1t-f,LtI
")f.~O
I t41, 2-1
TOTAL
,_ ...,.....__~,..J!__ e__../r1..-.....:......t D_;f .6.",",;,.11;"n l_n1 ti~
~
CITY OF SP".NGFIELD SYSTEMS DEVELOPMEN~~RKSHEET
JOURNAL OR JOB NUMBER: COM2004-0] 5] 5
NAME OR COMPANY: Dannen
LOCAT]ON: 494 Cascade Dr
TAX LOT NUMBER: ] 802022207500
DEVELOPMENT TYPE:
NEW DWELLING UNITS
BUILDING SIZE (SF'
2235
LOT SIZE (SF):
8994
r/)
p:.)
Cl
o
U
0:::
p:.)
E-<
r/)
......
o
~
]..STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I .IMPERVIOUS S.F. x COST PER S.F. CHARGE
- 1 2]80.00 $0.310 = 1$675.80 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x 1 COST PER S.F. I x DISCOUNT RATE
0.00 I' 1 $0.3]0 I . 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I x
25 1
B. IMPROVEMENT COST:
- NUMBER OF DFU's
25
COST PER DFU
$24.04
x
$]8.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE x
1 9.57
B. IMPROVEMENT COST:
1 ADT TRIP RATE x
1 9.57
NUMBER OF UNITS x I
] I
1 NUMBER OF UNITS x
1 ]
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
. 4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I ]
B. IMPROVEMENT COST:
INUMBER OF FEU's I x
1 ] I
ICOST PER FEU
I $82.03
ICOST PER FEU
1 $865.3]
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) , = ,
5. ADMINISTRATNE FEE:
1 SUBTOTAL x ADM.FEERATE 1=
I $3,638.76 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
]2/] 7/2004
DATE
. $675.80
$1,058.00
COST PER TRIP
$] 8.30
COST PER TRIP
$80.72
$947.62
I x
DISCOUNT
$0.00
NEW TRIP FACTOR
1.00
x INEWTRIPFACTOR
1 1.00
$675.80
$601.00
$457.00
$175.13
$772.49
=
$82.03
1070
109]
1092
,I
1093
11094
I
1054
-., .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIffi NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 1 0 3 = 3
DRlNKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FORREFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. O. 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 25
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFll's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RA TE/$ I ,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 I for Yes, 2 for No)
IS IMPROVEMENT ELGffiLE 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 Fifth Street
SpringfieI~Oregon 97477
541-726-3759 Phone
~ity of Springfield Official Receipt
evelopment Services Department
Public Works Department
Jqb/Journal Number
COM2004-0 1515
COM2004-01515
COM2004-01515
COM2004-0 1515
COM2004-0 1515
COM2004-01515
COM2004-0 1515
COM2004-0 1515
COM2004-01515
COM2004-01515
COM2004-0 1515
COM2004-01515
COM2004-01515
GOM2004-01515
COM2004-0 1515
COM2004-01515
COM2004-01515
CbM2004-01515
d)M2004-01515
COM2004-01515
COM2004-0 1515
COM2004-0 1515
COM2004-0 1515
COM2004-01515
COM2004-0 1515
COM2004-0 1515
CbM2004-0 1515
COM2004-0 1515
COM2004-0 1515
COM2004-0 1515
CoM2004-0 1515
Payments:
T:tpe of Payment
CreditCard
~I
6/1/2005
RECEIPT #:
1200500000000000707
Date: 06/0112005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd 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
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MARSHALL DANNEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 062283 In Person
Payment Total:
Page 1 of 1
lO:14:59AM
Amount Due
31.00
1,000.00
106.00
57.00
50.00
75.00
75.00
(30.00)
675.80
601.00
457.00
175.13
772.49
82.03
865.31
10.00
117.64
64.30
103.00
815.90
306.00
12.00
24.00
9.00
6.00
4.00
15.00
12.00
10.00
99.18
141.69
$6,742.47
Amount Paid
$6,742.47
$6,742.47