HomeMy WebLinkAboutPermit Building 2005-2-14
.:-CITY OF ~rK.ll~tJNli.,LD
Building/Combination Permit
PERMIT NO: COM2004-01382
ISSUED: 02/14/2005
APPLIED: 11/09/2004
EXPIRES: 08/14/2005
VALUE: $ 179,073.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769InspectiDn Line
SITE ADDRESS: 1054 Diamond Street
ASSESSOR'S PARCEL NO,: 1703342103100
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Aspen park suh IDt 14
Owner:
Address:
Residential
SCOTT SMITH
669 ISLAND ST
SPRINGFIELD RO 97477
Phone Numher: 541-726-5438
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: I Handicapped:
PavedID~ive~qd: Yes Compact:
% ofL~\\C~ve~age:f SHALL EXPili:8dF THE WUKh
~~I;H~~ZED UNDER THIS ~~~~~\~nNOT .
~. .~~n "M l~ t\Dt"\I'\lUVI....- . -
I PUBLIC IMPJWV.El\iIENTSl 100,
"'NT IUV VI" ,_R .
F II I ed SIdewalk Type:
u y mprov
Yes
I CONTRACTOR INFORMATION I
Contractor Type
General
\ Electrical
Mechanical
Plumbing
Contractor License Expiration Date
KELLY M KING NTION' Oreg(()5401V requires Y'll~ If ;12005
MITCHS ELECTRIC INC A~TE rules ~doPted:4674S,e Oregon 'O.H~'n007
MARSHALLS INC fo, ow tion Center. lS,'19OJ rules are s~~.~, 005
CARTE PLUMBING INc.No~f~C: o~?_nn1-001 ~atg817Jgh OAR 9~H .008 .
I BUI~iiiNG'r\NFeptAnONii~~~h~ t~i;Ph~~e
calling lnt:ll..<1","", [I, IT Notification
# on~\I'.ti\1ll:for the Oregon U , '\1' 44)LDt Size:
Height of s(tuQtatds 1.B00-3~1llr 1>q Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd FIDD~:
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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary CDnstructiDn Type:
# of Bedrooms:
I
R-3
VN
3
I DEVELOPMENT mruN>1ATION ,
FrDntyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
32.00
12,00
5,00
17.00
19,00
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes: Storm Drainage piped to curb face, 11/17/2004 CAS
Paee I Df 4
Phone
541-741-0460
541-747-4483
541-747-7445
541-607-6945
7,419
916
895
483
Curbside 5'
Curh and Gutter
.
. CITY OF ~r1'Ul'uN~L1J
Building/Combination Permit
PERMIT NO: COM2004-01382
ISSUED: 02114/2005
APPLIED: 11/09/2004
EXPIRES: 08/14/2005
VALUE: $ 179,073.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
: DescriptiDn
Dwellines
Garaee
Tvpe Df ConstrudiDn
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$92,40
$24,30
Square FDDtage
or Bid Amount
1,8Il,OO
483,00
Value
Date Calculated
TDtal Value of PrDject
$167,336,40
$Il,736,90
$179,073.30
11109/2004
11/09/2004
~ Fpp<, ~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $536.67 1lI9/04 1200400000000001587
-Mecbanical Issuance Fee- $10.00 2/14/05 1200500000000000185
+ 10% Administrative Fee $139.37 2/14/05 1200500000000000185
+ 70/0 State Surcharge $97.56 2/14/05 1200500000000000185
3 Baths One & Two Family $306.00 2/14/05 1200500000000000185
Addressing Assignment $31.00 2/14/05 1200500000000000185
Building Permit $825,65 2114/05 1200500000000000185
Dryer Vent $6.00 2/14/05 1200500000000000185
Exhaust Hoods $9.00 2/14/05 1200500000000000185
Furnace - up to 100,000 btu $12,00 2/14/05 1200500000000000185
Gas Outlets 1-4 $4.00 2/14/05 1200500000000000185
1 Plan Review Major - Planning $103,00 2/14/05 1200500000000000185
Plan ReviewlResidential Hourly $157,50 2/14/05 1200500000000000185
Residence Wiring 1000 Sq Ft $106.00 2/14/05 1200500000000000185
Residence Wiring Ea Addtl 500 $57.00 2/14/05 1200500000000000185
Sanitary Sewer - Improvement $347,32 2/14/05 1200500000000000185
Sanitary Sewer - Reimbursement $456,76 2/14/05 1200500000000000185
SDC MWMC Administration $10.00 2/14/05 1200500000000000185
SDC MWMC ImprDvement $865.31 2/14/05 1200500000000000185
SDC MWMC Reimbursement $82,03 2/14/05 1200500000000000185
SDC Sanitary/StDrm Admin $104,30 2/14/05 1200500000000000185
SDC TranspD Admin $65.92 2/14/05 1200500000000000185
SDC TranspD ImprDvement $772,49 2/14/05 1200500000000000185
SDC TranspD Reimbursement $175,13 2/14/05 1200500000000000185
StDrm Drainage ImperviDus Area $695,41 2/14/05 1200500000000000185
Temp PDwer 200 amps or less $50.00 2/14/05 1200500000000000185
Vent Fan $18,00 2/14/05 1200500000000000185
Willamalane Single Family $1,000,00 2/14/05 1200500000000000185
Total Amount Paid $7,043.42
I Plan Reviews I
Initial Review
Plan nine Review
Il/I0/2004
Il/I0/2004
Il/l012004
11/29/2004
APP SKG
APP TAJ
Paee 2 of4
.
. CITYOF~rKlNul'U,LD
Building/Combination Permit
PERMIT NO: COM2004-01382
ISSUED: 02/14/2005
APPLIED: 11109/2004
EXPIRES: 08/14/2005
VALUE: $ 179,073.00
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Pnblic Works Review
11/10/2004
11/17/2004
APP CAS Storm Drainage piped tD cnrb face
11/1712004 CAS
WE DLM Need lateral engineered design for
wind/seismic loads and strnctural
design for princ,ple beams as well as
large concrete p,iers that support
more than 9000#. dim Received
attic truss information 12/1/04 dim
Received revised drawings &
engineering 12/21/04 dim
APP DLM
Structural Review
11/10/2004
11/29/2004
Structural Review
02/01/2005
02/09/2005
,
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
I
day. I
~lIirptl ~n~nection~ I
Ufer Electrical Ground: Install ground rDd at fDDting and call for inspectiDn in conjunctiDn with footing and/or
foundation inspection.
Footing: After trenches are excavated,
Electric Service: ApprDval required prior tD utility cDmpany energizing service,
Final Electric: When all electrical work is complete,
Hold Downs Installed: Special InspectiDn perfDrmed prior to placement of concrete. Provide repDrt to City
Building InspectDr, i
FDundation: After forms are erected but prior to concrete placement.
Post and Beam: PriDr to flDDr insulation or decking,
Floor InsulatiDn: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials,
Framing InspectiDn: Prior to cover and after all rDugh in inspections have been apprDved,
Wall Insulation: Prior to CDver,
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping,
Final Building: After all required inspections have been requested and apprDved and the building is complete,
Underfloor Plumbing: Prior to insulation or decking,
Rough Plumbing: Prior to cover and including required testing,
Water Line: PriDr 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.
UnderflDDr Gas: After line is installed and required testing and capped if not attached tD an applhince,
Rough Gas: After line is installed and required testing and capped if nDt attached to an appliance. I
Gas Service: After line is installed and line has been connected to a minimum Df 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,
Temporary Electric: Approval required prior to Utility Company energizing pole,
Rough Electric: Prior to Cover
Pa~e3 of4
.
. CITY OF ~rKlI'lunELD
Building/Combination Permit
PERMIT NO: COM2004-01382
ISSUED: 02/14/2005
APPLIED: 11/09/2004
EXPIRES: 08/14/2005
VALUE: $ 179,073.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed applicaliDn 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 accDrdance with
the Ordinances Df the City Df Springfield and the Laws of the State of Oregon pertaining tD the wDrk described herein, and
that NO OCCUPANCY will be made of any structure withDut permissiDn of the Community Services Division, Building Safety,
I further certify that only cDntractors and emplDyees who are in compliance with ORS 701.005 will be used Dn this project.
I further agree to ensure that all required inspectiDns are requested at the proper time, that each address Is readable from the
street, that the permit c ~ is located at the front of the property, and the approved set of plans will remain on the site at all
~~n, /{/ 2/11/65
I;' Owner......co;rt..actors ignafut ~
Date
Paee 4 of 4
225 Fifth Street
\ .
Spl"itlgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01382
COM2004-01382
COM2004-01382
COM2004-01382
COM2004-01382
COM2004-01382
COM2004-01382
icoM2004-0 1382
COM2004-0 1382
CpM2004-0 1382
COM2004-0 1382
COM2004-0 1382
COM2004-01382
COM2004-01382
COM2004-0 1382
COM2004-0 1382
COM2004-01382
COM2004-0 1382
COM2004-01382
COM2004-0 1382
COM2004.01382
COM2004-01382
COM2004-01382
lCOM2004-01382
"
'CbM2004-01382
COM2004-0 1382
COM2004-01382
I
Payments:
Type of Payment
Check
)
"'I
2/14/2005
.
"'~R'"Q''''''''' '
Wirr-:;.'-'^,'-' --,-, ·
':iII6i:
"'--~--"~)\- '.'
RECEIPT #:
Cirr of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000185
Date: 02/14/2005
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
StDnn 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/Stonn Admin
SDC TranspD Admin
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust HODds
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Plan Review MajDr - Planning
Plan Review/Residential Hourly
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By Received By
FRONTIER INVESTMENT CO djb
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
38743 In Person
Payment TDtal:
8:03:30AM
Amount Due
31.00
1,000.00
50.00
695.41
456,76
347.32
175,13
772.49
82,03
865,31
10.00
104.30
65.92
825,65
306,00
12.00
18.00
9.00
6.00
4.00
10.00
103.00
157.50
106.00
57.00
97,56
139,37
$6,5U6,75
Amount Paid
$6,506.75
$6,5U6.75
~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . F,q: (541)726-3689
~o &/,:
ELECTRl~~T. 'PLI€ATION ' ~ "~04'o",'
, ~""o:9,~ :1'""
City Job Number . ~ ~ Date :' ~~/ "", ~.o,
......~J'_ . O'O<'9_C9&,.. .
I. ~OCi!TI~(lEliNST;irriT~ 3, llreoMi>t~!~.iLi(iHE_EI:'6ili~~
..' '~~ '- WiroR{Y\L; ~ .""~~:::~~.._~;,..__n,"',,.,.,.~~
\ - Ii~'''''''''"'''''''''''''~ """ .' i:':.l;("._~~'lIiIiII
LEGAL DESCRIPTION c\. j,;.~,!j,~~!~enl!~"l't:I. , ' ;'i%),~1I,er~~!!!I~gLilnit\""'lJ
ao:? 51- 2/ oJ'/o.o Service Included ~ '~"';::o...;, ,
JOBDESC"JPTIft. ~~u\ -r: 1000sq.ft.Drless tL. $r06.~0 \(),Q~
~~~O,J-\"~[)-\" UJffift::o~~:~~1500sq.ft.or X )19,~0 5~OO
Permits ar.'aon-transferable and ~re Irw~rk Is ' ~ach Manufact'd HDme or "'" '
not started ~Itbin 180 days of Issuance or if work Is Modular Dwelling Service or $50 00
SuspeDded for 180 days, Feeder .
~"-"cr.=- -l:'1>."'~~_~ D~';~""~'".:".:m<i""~''''''''''''~~::'I~!':,~
2. eO~G'1:oJ:l~~~'. ~ . ,": OrErgc:t!j\~.t~~~~~'illtiID1f;~llA~.\€l.~~~~lle~~
, I.' .- ..!nIlOW;[!lleS adoptBd by the ureg
Electrical CDntractor .lh..i:1ktt <., ~-, ~~{'lt. _ "enter. ~!Qr:JilSSS set forth $ 63.00
. f~uOAR ~52.~01-001e<\~~. $ 75.00
Address ?lio 1l-tAd'h", ~~. \,~ay obtaiYll:>>\PilScll&ObfAril\lSlS by $125.00
~~ S-41~~lMg1{he center,6<l~sUlI31~R~Q8 $163.00
City . f' .Jl Phone ~ ft..~h"rfor the or~bllili!tbtt!~~OD $375,00
. . CentBr Is 1~~~ $ 50,00
Supervisor License Number 4 771 ~
c. ~l:~utPm:im~s~i~~~~~~d~~~_
Expiration Date / c' 0 /- 07
cCg 14b("~-
Constr. CDntr. Number FC 71:l-lJ /"'1(
CU;. '/-II'.otr
Expiration Date €C '"l- 0 f -oj.,
Installation; Alteration or ReiDcation
200 Amps or less \
20 I Amps tD 400 Amps
40 I Amps tD 600 Amps
Over 600 Amps or 1000 VDlts see "B':'~QPve,
"",'~='" '-"'~_.M'",",,1;IHl\'l~""'~"k ' lL;,il
Oi\et~IB'1I!.!cl!tG"CU~~H)l~I~'W~""'" .' '" fl;Ji'Jl
" "",'<;\-\1',[1: " nr.Q!\~1 \ i;,'t
,\'lIS t>lNew,'AIterlitio'\J.cn;\l\#enslon Pe'f~anel
p..1.l,\'Icont'Oi}JJlfI~~S t>.\3i',t,mONEO n $ 43,00
. , NE~~~l\lidlti~hW(~i(cuit or with
, fO'1]Mr\F'ePcll!I'l'ernut $ 3.00
~,J
$ ~O.OO
$ 69.00
$100,00
,s~a:~g~~ec~Qan~,
/t V v .
Phone
=~~Y~'''i.''l'.t~-~'*~~~ilt.'f!:!f:~~'"'t~
E. ,M~~~lIa,~~~.~~(~~~~et!~~~~.tt~!l~~.!ID~r~~,..~!1~~!!J:~!t~~
-Q...{(J ~ Pump or irrigation $ 50.00 '
Sign/Outline Lighting $ 50,00
Limited EnergylResid';;tial $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee Is $45,00 + Surcbarges
4. WSUBTln:. "'::ff.7(j_o'~ 1\ ~ 00
~~1":~rlU-~~~~"'.1~~~~ N\ .
7% State Surcharge - \~ .~ l
10% Administrative Fee -8\ .~~
, TOTAL A/\C\.
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Shared Drive(T:)lBuiJding FormslElectrical Permit ~ppliclltion 1-o3.doc
. ,
CITY OF SiNG FIELD SYSTEMS DEVELOPMEN&RKSHEET
JOURNAL OR JOB NUMBER: COM2004-01382
NAME OR COMPANY: Scott Smith
LOCATION: 1054 Diamond St
TAX LOT NUMBER: Aspen Park Lot 14
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF: 1549,75 LOT SIZE (SF):
I. STORM DRAINAGE
7121
'"
tJ.l
o
,0
U
i>::
i::
'"
G
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S,F. CHARGE I
I 2243.25 I $0,310 I = I $695.41
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
I 0,00 I $0.310 I I 50% ~ I
ITEM 1 TOTAL - STORM DRAINAGE SDC $695.41 ~
2, SANITARY SEWER - CITY
DISCOUNT
$0.00
S695,41
1070
II
A. REIMBURSEMENT COST:
I NUMBE~~F DFU's I x
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
19 I $18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$24,04
$456.76 I 1091
$347.32 1092
= I
SS04.08
], TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x ! NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9,57 I I I I $18.30 I 1.00 1 SI75.13 11093
B. IMPROVEMENT COST: I
I ADTTRJPRATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI
I 9.57 I I I 1 I ,$80,72 I 1.00 I S772.49 11094
ITEM 3 TOTAL- TRANSPORTATION SDC =, S947.62 J
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I $82.03 = SS2.03 11054
B. IMPROVEMENT COST: I
INUMBER fF FEU's I x ICOST PER FEU
I $865.31 = SS65.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO 1054
MWMC ADMINISTRATIVE FEE S10.00 1056
,ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I S957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I $3,404.45
5 ADMINISTRATIVE FEF~
ISUBTOTAL x I ADM, FEE RATE I~ I CHARGE
I $3,404.45 5% I I, $170.22
TOTAL SANITARY ADMINISTRATION FEE: 104.30 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $65,92 11078
c
Cheryl Slaymaker 11/17/2004 TOTAL SDC CHARGES =, $3,574,67
PREPARED BY DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
.EDU (Equivalent Dwellin~ Unit) is a dischar~ eauivalent to a sincle family dwellimt unit (20 DFU's) set at 167 RR110ns ref day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
r-- YEAR
L 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/SI,OO<Jj
ASSESSED V AWE
- $5.29
$5.29
$5,19
$5,12
$4,9B
$4,BO
$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 '
=
IS LAND ELGIBLE 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
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
SO,OO x S5,29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0,00 x $5.29 = I
, TOTAL MWMC CREDIT
. . ,"
DRAINAGE
FIXTURE
UNITS
3
o
o
o
o
o
3
o
o
o
o
o
o
3
o
2
2
o
o
6
o
19
I
:1
1979
= ,
so.oo
o
so.oo