HomeMy WebLinkAboutPermit Building 2005-4-22
Status
Issued
225 Fifth Street, Springfield, OR
541-726--3753 Phone
541-726-3676 Fax
541-726-3769InspectiDn Line
SITE ADDRESS: 1042 Diamond Street
ASSESSOR'S PARCEL NO,: 1703342103200
.
~
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/2212005
APPLIED: 03/25/2005
EXPIRES: 10/22/2005
VALUE: $ 217,975.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
Ii PROJECT DESCRIPTION: Single family residence, Aspen Park lot 15
I CONTRACTOR INFORMATION I
I~U 11111;.
Contractor THIS PEFhiceiise\LL IExpWaHon-Dat~RfPhone
DONALD WAYNE SEABLOM AUTHORI!.<!.6,973NDER THI~06ii3hiio8\S NOT541942-7464
, BUILDING INFfiRMATioNl UK I~ AtJANUUNtU ~Uti
'"'' I UU u,." PERIOD,
# of Stories: I Lot Size:
Height of Structure 23,00 Sq Ft 1st FloDr:
Type of Heat: Heat Pump Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path I Sq Ft Other:
Sprinkled Building: nla Occupant Load:
AT'T~"I"rI'.U I. _ _ .
;, Owner:
J
Address:
JOE SCHAFFELD
2185 NORWOOD ST
EUGENE OR 97401
Contractor Type
General
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18,00
5.00
5,00
10.00
31.00
Street Improvements:
Storm Sewer A vailahle:
Special Instruction:
Phone Numher: 541-683-5654
I
R-3
7,501
2,125
VN
559
3
I
. -. '-" _.-:::J-..,_..'''''...,...''.........,'-'u~v
I DEVELOPMENT I.1;.11c.\~MA'FIf)N-,llted by the Orepon Utilitv
Notllicatlon Center. Those rules a~J'.RV'~1> PARKING
Overlay DiJI!OAR 952-D01-001 0 through OA:FOtal:,001 ~ 2
# Street Tr.QQ~'qdYou may obtain ccpies of tlHandicapped:
Paved Drive Rq1Jling the center. (lYe~e: the teGompact:
% of Lot Co~liil~r for the Ore;!6100Jtility Notiiication
Center is 1~800~332~2344),
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
DownspoutslDrains:
Fully Improved
Yes
Curbside 5'
Curb and Gutter
Notes: StDrm drainage piped to curb face 3/29/2005 CAS
Description
Type of Construction
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 PhDne
541-726-3676 Fax
, 541-726-3769 Inspection Line
)
Dwellines
Garaee
V WODd Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Air Handling Vnlt Vp to 10,000
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust HDDds
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Sanitary Sewer - ImprDvement
Sanitary Sewer - Reimbursement
SDC MWMC AdministratiDn
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
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
TDtal Amount Paid
Initial Review
Plan nine Review
Public Works Review
Structural Review
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 10/22/2005
VALUE: $ 217,975.00
$96.00
$25,00
2,125,00
559,00
Total Value of Project
$204,000,00
$13,975,00
$217,975,00
03/25/2005
03/25/2005
Fpp<, p"W
Amount Paid
Receipt Number
Date Paid
$616.95
$10,00
$131.01
$91.71
$254,00
$31.00
$8,00
$6,00
$949,15
$80,00
$6.00
$9,00
$4.00
$12.00
$103,00
$-30.00
$457.00
$601.00
$10,00
$865.31
$82.03
$147,99
$61.42
$772,49
$175,13
$80,00
$1,225,16
$50.00
$12,00
$1,000,00
3/25/05
4122/05
4/22105
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
4/22/05
2200500000000000344
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
1200500000000000499
$7,821.35
I Plan Reviews I
03/28/2005
03/28/2005
03/28/2005
03/28/2005
04/14/2005
03/29/2005
APP 'LLH
APP EMM
APP CAS
Survey letter Included,
Storm drainage piped to curb face
3/29/2005 CAS
Applicant to submit revisions and
engineering 4nJ05 dim.
03/28/2005
04/07/2005
WE DLM
Paee 2 of4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 10/22/2005
VALUE: $ 217,975.00
Status
Issued
225 Firth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
04/13/2005
, 04/20/2005
APP DLM
Applicant submitted revised plans
and engineering 4/13/05 dim
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.
L..Rennire1Jn~nections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed..
Sidewalk - Curbside: After forms are erected but prior tD placement of concrete,
Curbcut - Standard: After forms are erected but prlDr to placement of concrete,
Ufer Electrical Ground: Install ground rod at footing and call for inspectlDn in conjunction with footing and/or
foundation Inspection,
FDDtlng: After trenches are excavated,
FDundation: After forms are erected but priDr to concrete placement.
PDst and Beam: PrlDr to floDr Insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: BefDre covering sheathing with finish materials,
Framing Inspection: PriDr to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover,
Ceiling Insulation: Prior tD cover,
Drywall: Prior to taping,
Hold DDwns 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: PrlDr to insulatlDn or decking,
UnderflDor Drain: Prior to cover or placement of concrete,
Rough Plumbing: PrlDr tD 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: PrlDr 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 tD Insulation or decking and Including required testing,
Underfloor Gas: After line Is installed and required testing and capped If not attached to an appliance,
Paee 3 of 4
,
.
.-. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00337
ISSUED: 04/22/2005
APPLIED: 03/25/2005
EXPIRES: 10/22/2005
VALUE: $ 217,975.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726--3769 Inspection Line
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 cDnnected to a minimum Df one appliance Including required
testing, Presure test done at this point,
RDUgh Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete,
Temporary Electric: Approval required prior to Utility Company energizing pole.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
infDrmation hereDn is true and correct, and I further certify that any and all work performed shall be dDne in accordance with
the Ordinances Df 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 permissiDn of the Community Services Division, Building Safety,
I further certify that only cDntractDrs and emplDyees who are In compliance with ORS 701,005 will be used Dn this project.
I further agree tD 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:.::.;~,d~/
tJ- -~-O~
Date
Paee 4 of 4
-
--
, ~ITY OF SAGFIELD SYSTEMS DEVELOPMEN
RKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE;
NEW DWELLING UNITS
COM2005-00337
Joe Shaffeld
1042 Diamond SI
1703342103200
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF: 3151.4
LOT SIZE (SF):
7501
tIl
t.I.l
Cl
o
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~
~
tIl
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~
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
lIMPER VIOUS S.F, x I COST PER S.F, CHARGE I
I 3952,14 1 $0.310 I = I $1.225,16
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. I x 1 COST PER S.F, I x I DISCOUNT RATE I I
I 0.00 1 I $0.310 I I 50% = I
DISCOUNT
$0,00
ITEM I TOTAL - STORM DRAINAGE SDC
$1,225.16
$1,225.16 I 1070
2, SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU I
I 25 $24,04 $601.00 . I 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 25 $18,28 $457,00 1.1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,058,00
I
), TRANSPORT'\TION I,.,
A, REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x !NEWTRIPFACTORI
9.57 1 I I $18.30 I 1.00 I $175.13
B. IMPROVEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x I NEW TRIP F ACTORI
I 9.57 I I I $80,72 1.00 I $772.49 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947,62
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I I I
ICOSTPER FEU
$82.03
=
$82,03
1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
, I I $865,31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWER SDC = I
= $865.31 1055
$0,00 1054
$10.00 11056
J
_I
I
147,99 11079
$61.42 11078
=, $4,397,53
$957.34
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I
5, ADMINISTRATIVE FEE:,
I SUBTOTAL x I ADM. FEE RATE 1=
I $4,188,12 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$4,188.12
CHARGE
$209.41 '
Cheryl Slaymaker
3/29/2005
TOTAL SDC CHARGES
PREPARED BY
DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUrv ALENT - DRAINAGE FIXTIJRE UNITS
!NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 0 0 3 = 0
SHOWER. SINGLE STALL 1 0 2 = 2
SHOWER. GANG (NUMBER OF HEADS) 0 0' 2 = 0
ISINK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 2S I
.EDU (Equivalent Dwelling Unit) is B disc~ eQuivalent to a sincle familv dwelling unit (20 DFU's) set at 167 JW.llons per day II
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
:l
I
I
YEAR
ANNEXED
CREDIT RATE/$I,OOO III
ASSESSED V~
$5,29
$5,29
$5,19
$5,12
$4,9B
$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
$O.4B
$O,2B
$0,09
$0.05
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
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 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
TOTAL MWMC CREDIT
=
$0.00
,I
225 Fifth Street . '
, . '
Springfield, Oregon 97477
'541-726-3759 Phone
Job/Journal Number
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
, C0M200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
CbM200S-00337
COM200S-00337
COM200S-00337
COM200S-00337
CPM200S-00337
COM200S-00337
.
RECEIPT #:
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC TranspD 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
Air Handling Unit Up to 10,000
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10%Administrative Fee
Pilyments:
Type of Payment Paid By
CreditCard JOE C. SCHAFFELD
I.
:1
4/22/200S
_~'"~F.l''''' ,
1Ifi'..-.-,.._".."'- . --......, ',,'
i " ',.",.., !
';'''~'. I
, .'~'-'
-, --
liti.ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200500000000000499
Date: 04/22/2005
Item Total:
<.:'heck Number Authorization
Received By Batch Number Number How Recelved
ddk 19192S In Person
Payment Total:
Page 1 of!
lO:51:18AM
Amount Due
31.00
1,000.00
SO.OO
80.00
80,00
(30.00)
1,22S,\6
601.00
4S7,OO
17S,I3
772.49 .
82.03
86S.31
10.00
147.99
61.42
103,00
949,15
2S4,OO
8.00
12,00
6,00
9.00
6,00
4.00
12,00
10,00
91.71
131.01
$7,2U4.4U
Amount Paid
$7,204.40
$7,2U4.4U
.
.
CLTY OF SPRfNGFLELD, OREGON
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPliCATION
City Job Number WM1.DOI7- DOJ:i!2i Date I.ohl/0&:'
1. rE@~'Fr.@NI~FJlNS!.,4lr:r:"':iz:i@N"'"
\ OM_ DIAM.o/Jt>
17m~ft2rON O?;W()
JOB DESCRIPTION
IUWJ ~
Permits are non-transferable and expire If wDrk is
not started within 180 days of Issuance or If work is
Suspended for 180 days,
2 .t:oNii!iM:eroRJiNsTA'Tir!4':fIeN/@NE.-O/,o\
. I ~~..I." ., ,.,~. 10..... I"a. ,,, I. .
Electrical Contractor
Address
BURRELL BROS, ELECTRIC
r.c, E':~ A07
Walterville, OR 97489
541-741ih&lit24
City
Supervisor License Number __!:!_J._LJ <-
Expiration Date ID -07
Constr. Contr. Number 70 - Lill 7L
Expiration Date IO-()G,
Si~k;P~si~~l )
0~N_'~~~
Address 1-1~ ~ovwm& C;t.
City ~ Phone _ (d)?7-'?1t64
OWNER INSTALLATION
The installation is heing made on 'property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3. ~~Oll~;k...."I~j~Gi.f.~.",:'.,dB~El?~
Service Included
1000 sq, ft. or less
Each additional 500 sq, ft. or
portion thereDf $ 19.00
EachlM'in1Ifact:a Home or .
Modu,I~~IB,\,e~!~g',~M.ic~'<i!L EXP~R ~ ~~ ,~~_E$~~~ K
FeedeliuTHORIZED UNDER Th'0 r~""''' ," l~uT
B .Js' "iISH! U, III, "~I~L<,j,d' 'n. IIIN'II'!llII'tl~I' Iii.' "I"I~ 111./l~l.W~lt' IIAllt;IWufli '~IR' 'I. I~ III I.
. 1'1 ~~JCesl~~"~,~~. ers,iiI ~s ~ I aWlI~n~n e_r~jtJo~~ ~,r.. ,e,ocatto,?:
AI~Y IOU UI-Il n:t11UU,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$106.00
$ 63.00
$ 75.00
$125.00
$163,00
$375.00
$ 50,00
c,II~~ry~mi~F.."'d~
Installation, Alteration or Relocation
200 Amps oriess / $ 50.00 50. 00
201 Amps tD 400 Amps $ 69.00
401 Amp'jl,l\'1i~,~I: Oregon law reoul$~oo,OOJ to
Over 600fl\\\ijW~tJloo@';l.sitStS',g lJtj,tll5b(;f.egon Utility
D IbB'=":Vi.'W:,....~.~r:!nl.~en{er..!",n:-l.,~t1 U.:.1 'd'" QIII;If"'c:.', 1I.,1I'11.I,t
. raflCD1\!..JFCu~_ J IU. lillI' l~ '~!!1
, In O}.\I.:t'fio,,-vv ,-u(, 'u "
New A1\16~%Vrli~'\!PJl,&~rlClll!l!s of the rules by
One Circuibal~i ~the cent,er. (!,In'..' II.... \t~nA
Each Addmon ITflW.tWewbl'egon Utility ~0}ifi6ation
ServIce offllJd ~nn\l ,0
\,;emer is l-Buu-.),u -,,3 4 .
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minlmnm Electric Permit Inspection Fee Is $45,00 + Surcharges
4.
~~,.":,:'
-. ~ . .
9).00
.~SD
C;-.OO
.t;'9J. r:;()
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc