HomeMy WebLinkAboutPermit Building 2004-5-10
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRIN\..d'lJi.LD
Building/Combination Permit
PERMIT NO: COM2004-00468
ISSUED: 05/1012004
APPLIED: 04/27/2004
EXPIRES: 11/1012004
VALUE: $ 135,432.00
SITE ADDRESS: 4028 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112500
Springfield TYPE OF WORK: Single Family Residence
TYPE OF VSE: New
PROJECT DESCRIPTION: SFR - Shady Creek subd lot 26 - same as COM2003-01237 4038 Douglas Dr
Residential
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EVGENE OR 97405
Contractor License
BRVCE .CVSTOM HOMES INC 101717
COMFO . IT SHAll EXPIRE If THi6\tJORK
STEVE R " <;n IIMnl=R lHI!} PERMI1i$lWlOT
~tMEttr'ffitP~J~!ft~
At\Y 180 DAY f~~tori~s: I
R-3 Height of Structure 21.00
V-I Type' of Heat: Forced Air Gas
VN Water Type: Gas
Range Type: Electric
Energy Path: Path I
Contractor Type
General
Mechanical
Plumbing
# of Vnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION'
Expiration Date
09/1612006
06/27/2004
03/12/2006
Phone
541-686-9458
541-726-0100
541-342-3765
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
440
12,610
1,350
I DEVELOPMENT INFORMATION I
__youto
".00 >TtBI11Qlt.-'__
9.00 foliO'll ru\e'll e' are set tolth 2
5.0INOtlfi~i . 0AA952~1.
In OAR 9~'~~otU\eNle9 ~l:~
0.000090. YoU IiIit ft.IQt8: U\8 tBlePhone
~ftlll'lf' ~ ~lo'lfIl"Atklft
1\lll1f\llBLre! ~. ,. A).
tl.. t._
REQUIRED PARKING
Total:
Handicapped:
Compact:
.F....
i2?- -
2
Fully Improved
Yes
Sidewalk Type:
Curbside 5'
Curb and Gutter
1<;
DownspoutslDrains:
Pa2e I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garal!.e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut - Overwidth Appl
Curbeut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Amount Paid
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,350.00
440.00
Total Value of Project
Fpp.~
Amount Paid
$100.00
$10.00
$170.13
$119.09
. $254.00
$31.00
$6.00
$682.65
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$71.00
$-30.00
$361.41
$475.44
$10.00
$214.23
$314.63
$105.50
$53.71
$727.42
$164.89
$75.00
$916.11
$18.00
$1,000.00
$6,018.21
Date Paid
4/27/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/1 0/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
5/10/04
Paee 2 of 4
CITY OF SrKH'ltJt<lJ<..LD'
Building/Combination Permit
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/27/2004
EXPIRES: 11/10/2004
VALUE: $ 135,432.00
Value
Date Calculated
$124,740.00
$10,692.00
$135,432.00
04/27/2004
04/27/2004
Receipt Number
1200400000000000547
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
1200400000000000706
Ul i' OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/27/2004
EXPIRES: 11/10/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
Public Works Review
04/27/2004
0412712004
04/27/2004
I Plan Reviews ,
04/27/2004 OK
05/06/2004 APP
05/05/2004 APP
RJB
TAJ
VRJ
Overwidth driveway approved
5/512004.
Same As Com2003-01237
Structural Review
04/27/2004
05/03/2004 APP
TCM
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.
, Rpllllirprllnsnections I
I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches arc excavated.
3 Foundation: After forms arc erected but prior to concrete placement.
4 Post and Beam: Prior to noor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
II Final Building: After all required inspections have been requested and approved and the building is complete.
12 Undernoor Plumbing: Prior to insulatiou or decking.
13 Undernoor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
15 Water Line: Prior to filling trench and including requircd testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
17 Storm Sewer Line: Prior to filling trench.
18 Final Plumbing: When all plumbing work is complete.
19 Undernoor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
21 Gas Service: After Iiue is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
22 Rough Mechanical: Prior to Cover
23 Final Gas: When all gas work is complete.
24 Final Mechanical: When all mechanical work is complete.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
26 Rough Electric: Prior to Cover
27 Electric Service: Approval required prior to utility company energizing service.
28 Final Electric: When all electrical work is complete.
29 Curbcut - Overwidth: After forms arc erected but prior to placement of concrete.
30 Sidewalk - Curbside: After forms arc erected but prior to placement of concrete.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2004-00468
ISSUED: 05/10/2004
APPLIED: 04/27/2004
EXPIRES: 11/10/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769Inspeetion Line
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 w'thout permission of the Community Services Division, Building Safety.
I further certify that only contractor and em!ll~yees 0 are in compliance . . sed.on this project.
I. further agree to ensure that a re ired in pecti are re a the proper time, that each address is readable from the
street, th~t the ermit c rd i ocat a th ro property, and the approve]se ~PI s will remain on the site at all
times durin onstru on
6 f/J; f) Y
~ I /
Owner or Contrac ors Signature Date
Paee 4 of 4
225 Fifth'Street
Springfield, 'Oregon 97477
541-726-3759 Phone
SP"'jN"o._. ':....'-ELDi.'~,..,,,.. '........
~- ......"
I ..., ,
___-'; .~~.. J
r"ty of Springfield Official Receipt
_velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
COM2004-00468
Payments:
Type of Payment
CreditCard
5/10/2004
RECEIPT #:
1200400000000000706
Date: 05/10/2004
Description
Addressing Assignment
Willamalane Single Family
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW MuIr 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 - Planning
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
BRUCE WIECHERT CUSTOM djb 000379 036049 In Person
HOMES
Payment Total:
Page I of I
2:50:53PM
Amount Due
31.00
1,000.00
682.65
254.00
12.00
18.00
6.00
9.00
6.00
4.00
15.00
12.00
10.00
119.09
170.13
75.00
75.00
35.00
(30.00)
916.11
475.44
361.41
164.89
72 7.42
314.63
214.23
10.00
105.50
53.71
71.00
$5,918.21
Amount Paid
$5,918.21
$5,918.21
CITY OF l>r-RINGFIELD SYSTEMS DEVELOPME... I WORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00468
NAME OR COMPANY: Custom Homes
LOCATION: 4028 Cherokee
TAX LOT NUMBER: 18020611 t1l2500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1308 LOT SIZE (SF);
I. STORM DRAINAGE
11 [2
10
10
I~
I~
E-<
-, CIl
G
~
12395
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 3159.00 I $0.290 I = I $916.11 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0.290 I I 50% I = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDe I $916.11 ~
$916.11
1070
2. SANITARY SEWER. CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 21 I I $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 21 I $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDe = J
$475.44
1091
$361.41
1092
$836.85
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9.57 I I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I
I 9.57 I I
ITEM 3 TOTAL - TRANSPORT AnON SDe
x I COST PER TRIP x I NEW TRIP FACTORI
I $17.23 I 1.00 $164.89 11093
x I COST PER TRIP x I NEW TRIP F ACTORI
I $76.01 I 1.00 I $727.42 1094
= , $892.31 'I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 x ICOST PER FEU
I I I I $314.63
=
$314.63
11054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 1 I $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMe SANITARY SEWER SO<
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE 1=
I $3,184.13 I I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
5/4/2004
,
1?REPARED BY
,
DATE
'\
/
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT" DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE QNL Y THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
IBATHTUB ,.. 2 0 3 ; 6
DRINKING FOUNTAIN 0 0 1 ; 0
FLOOR DRAIN 0 0 3 ; 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 ; 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 ; 0
I LAUNDRY TUB 0 0 2 ; 0
ICLOTHESW ASHER / MOP SINK 1 0 3 ; 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 ; 0
MOBILE HOME PARK TRAPJI PER TRAILER) 0 0 12 ; 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 ; 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 ; 0
ISHOWER, SINGLE STALL 0 0 2 ; 0
ISH OWER. GANG (NUMBER OF HEADS) 0 0 2 ; 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 ; 3
ISINK: COMMERCIAL BAR _0 0 2 ; 0
ISINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 ; 2
ISINK: SINGLE LA V A TORYIRESIDENTIAL BAR 1 0 1 ; 1
IURINAL. STALL / WALL 0 0 5 ; 0
ITOILET, PUBLIC INST ALLA TION 0 0 6 ; 0
ITOILET. PRIV ATE INSTALLATION 2 0 3 ; 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 ; 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent Dwelling Unit) is a dischar~e equivalent to a single family dwelling unit (20 DFU's) set at 167 ~llons per day
, . .
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
L YEAR CREDIT RA TE/$ I ,000 I
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0
I BEFORE 1979 S5.04 (Enter I for Yes, 2 for No)
I 1979 $5.04 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0
I 1980 $4.95 (Enter I for Yes, 2 for No)
I 1981 $4.88 BASE YEAR 1979
I 1982 $4.75
I 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.41 VALUE /1000 CREDIT RATE
I 1985 $4.20 $0.00 x $5.04 ~ I $0.00
I 1986 $3.88
I 1987 S3.50 CREDIT FOR IMPROVEMENT <IF AFTER ANNEXATION)
I 1988 $3.07 VALUE /1000 CREDIT RATE
I 1989 $2.60 $0.00 x $5.04 ~ , 0
I 1990 $2.14
I 1991 $1.71 I I
I 1992 $1.52 I TOTAL MWMC CREDIT ; $0.00
I 1993 $1.38 - I I
I 1994 $1.l9 I
I 1995 $1.03 I
I 1996 $0.87 I I
I 1997 $0.68 "
I 1998 $0.46 I
i 1999 $0.27 I
I 2000 $0.09 L
I 2001 ~ J