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HomeMy WebLinkAboutPermit Building 2004-3-8 , _~MAI!'I~I!I~"Q' , , " I Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4023 Donglas Dr ASSESSOR'S PARCEL NO.: 1802061111000 j . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00204 ISSUED: 03/08/2004 APPLIED: 02/20/2004 EXPIRES: 10/08/2004 VALUE: $ 154,408.00 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: SFR -lot 11 shady creek - same as COM2003-01195 4046 Donglas dr Residenlial Owncr: ,BRUCE WIECHERT Addrcss: 3375 PARK HILLS EUGENE OR 97405 Phone Number: 541-686-9458 ~ . law reqUires you to I CONTRACTOR INFORMA'fIl!lN'I' tOreg~nb the Oregon Utility TOIIOW ',L1I"" ad~~:e,,"h~e ro lies are set fort' Contractor ~otifuicense CenExpiration qateARP.honeo' BRUCE WIECHERT CUSTOM HOMES Il'!OJlO1,717,2-001-00:q9Jt1~~:t~ ~f th24k6iH458 L & E ELECTRIC INC )091.051175J may obt'03/~l!ago1ne telbs.1~;\'~~2653 COMFORT FLOW c460iDg the cente'06127/2004 No\st'1-7:26,l!100 STEVE R JOHNSON n~5.065}r for the orOiJfyidQW~"AA.~1~42-3765 I BIJILDING INFORMATION I Contractor Type General Electrical Mechanical Plumbing # of Unils: Primary Occupancy Group: Secondary Occupancy Group: Primary Conslruclion Type Secondary Conslruction Type: # of Bedrooms: SETBACKS Front yard Selback: Side I Setback: Side 2 Setback: Rear)'ard Selback: Sola r Selbacks: 18.00 6.00 14.00 18.00 0.00 Slrcel Improvements: Storm Sewer Available: Speciallnslruction: 1 R-3 U-l VN # of Stories: 1 Height of Structure 17.00 Type of Heal: Forced Air Gas Waler Type: Gas Range Type: Electric Energy Palh: Palh 1 3 Lot Size: Sq Ft hI Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 5,850 1,558 430 I DEVELOPMENT IN'i;ORM;"TJO~ ilALL EXPIRE IF THE WORK . A'UTH'O'RiiED UNDER THIS PE~~rARKING Overlay Dist: "f1MMENCED OR IS ABANDO~!!GI~OR 2 # Street ~rees ~Q,~' 0 DAv PERIOB. HandIcapped: Paved DrIve Rqil~ Y 18 ,I Y Compact: es % of Lot Coverage: 33.90 I. PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Fully Improved Yes Notes: Curbside 5' Curb and Gutter Paee 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Description Tvpe of Construction Dwellines ' Carallc V Wood Frame Garaee Fee Description Plall Review Same As -MedlOnicallssuance Fee- + J OlX. Administrative Fee + 7tYt, State Surcharge 2 Baths One or Two Family Addl'essillg Assignment Building Permit Curbcut - Overwidth Appl Curbcut Permit Exhallsllloods FUl'llace - up to 100,000 btu Gas Fireplace Gas autlels 1-4 Heat Pump Plall Review - Planning PW Mult Disc - 2nd Permit Residellee Wiring 1000 Sq Ft Residellce Wiring Ea AddtJ 500 Sallilary Sewer -Improvement Sallilar)' Sewer - Reimbursement SDC ~IWI\IC Administration SDC ~IW~IC Improvement SDC ~IW~IC Reimbursement SDC Sallitllry/Storm Admin SDC Trallspo Admin SDC Trallspo Improvement SDC Trallspo Reimbursement Sidewalk Permit Storm Dr:1inage Impervious Area Vellt Fall Willamalalle Single Family Total Amount Paid j I Valuation Descrintion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,558.00 430.00 Total Value of Project Fpp< PiWIJ Amount Paid $100.00 $10.00 $121.24 $84.87 $254.00 $31.00 $744.40 $35.00 $75.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $106.00 $38.00 $344.20 $452.80 $10.00 $214.23 $314.63 $102.21 $53.92 $727.42 $164.89 $75.00 $894.36 $18.00 $1,000.00 $6,064.17 Date Paid 2/20/04 3/8104 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 3/8/04 Paee 2 of 4 . CITY V.. ~rKll"GFIELD ' Building/Combination Permit PERMIT NO: COM2004-00204 ISSUED: 03/08/2004 APPLIED: 02/20/2004 EXPIRES: 10/08/2004 VALUE: $ 154,408.00 Value Date Calculated $143,959.20 $10,449.00 $154,408.20 02/20/2004 02/20/2004 Receipt Number 1200400000000000230 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 1200400000000000284 Statns Issued 225 Finh Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plalllline. Review Pulllie Works Review Publil' "'orks Review Structural Review . . \...11 ~ VI' ~rKll"uI'l~LD Building/Combination Permit PERMIT NO: COM2004-00204' ISSUED: 03/08/2004 APPLIED: 02/20/2004 EXPIRES: 10/08/2004 VALUE: $ 154,408.00 I Plan Reviews , 02/20/2004 02/20/2004 APP RJB 02/20/2004 03/03/2004 APP TAJ 02/20/2004 02/21/2004 APP VRJ Applicant has submitted for an overwidth driveway 2/21/04, PW's is waiting for approval from Traffic. 02/24/2004 02/24/2004 APP VRJ Overwidth driveway application approved 2/23/2004 with conditions: "The transition wing will start at the drain inlet." See overwldth application. 02/20/2004 09/02/2004 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. ~ RpnllirlPti Tn~nlp.lr~ 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete; I Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 3 Erosion/Grading Inspection: After all erosion measures are In place. 4 urer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing andlor foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to noor insulation or decking. S Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. II Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Ilulll Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Undernoor Plumbing: Prior to insulation or decking. I G Undernoor Drain: Prior to cover or placement of concrete. 17 Ilough Plumbing: Prior to cover and including required testing. I S Water Line: Prior to filling trench and including required testing. 19 Sa n itary Sewer Line: Prior to filling trench and including required testing. 20 Storm Scwer Line: Prior to filling trench. 21 Final Plumbing: When all plumbing work is complete. 22 U ndernoor Gas: After line is Installed and required testing and capped if not attached to an appliance. 2.1 Undernoor Mechanical. Prior to Insulation or decking and including required testing. 24 Ilough Gas: After line is installed and required testing and capped if not attached to an appliance. 25 Gns Service: After line is installed and line has been connected to a minimum of ODe appliance including required ll'stillg. Presure test done at this point. 26 Rough l\'lechanical: Prior to Cover Paee30f4 r . . CITY OF ~rKlj~\jl'lJ<.,L1J Building/Combination Permit PERMIT NO: COM2004-00204 ISSUED: 03/08/2004 APPLIED: 02/20/2004 EXPIRES: 10/08/2004 VALUE: $ 154,408.00 Status Issued 225 Finh Street, Springfield, OR 541-726-3753 Phone 541-726-3(,76 Fax 541-726-37") Inspection Line 27 Fill, Gas: When all gas work is complete. 28 Filial Mechanical: Wben all mecbanical work is complete. 2tJ l~OI'l1h Electric: Prior to Cover JU I:1l" oic Service: Approval required prior to utility company energizing service. 3 ( Filla( Elcetric: Wben all electrical work is complete. By sigllalll"", I state and agree, tbat I bave carefully examined tbe completed application and do bereby certify tbat all infurlllalio', hereon is true and correct, and I furtber certify tbat any and all work performed sball be done in accordance witb the Onlilla :ces of the City of Springfield and the Laws oftbe State of Oregon pertaining to tbe work described berein, and that 1\0 O. 'CUPANCY will be made of any structure witbout permission of the Community ServIces Division, Building Safety. J furlhl'r r lify that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on this project. I furthlT a' ree to ellsure tbat all required inspections are requested at tbe proper time, tbat eacb address Is readable from tbe strll'l, lirat 'lre permit card is located at tbe front oftbe property, and tbe approved set of plans will remain on tbe site at all thill'S dl1l'il. ~ construction. -~/~~ 3-8-cY/ ~'Ill'I' or (~actor{Signature Date o Pal!e 4 of 4 - -, -. ~ ~~. . - - , <' ': ' CITY OF SPR~G.FJELD, O~GON";__:i' ,:",(' ),~::; ~~lif~t~"t;"'W~'.~"l ;1'. . 2. "<'Q' -. .' ~ B. . . ~"r.,;' ~. -:;eo' ..... ~-' ". .; \ ~ "' ~'J' ., -'WI; E1~caICon~tor' L('E-E'lp~~;E~:MIT SHaJ'l!' ';;ltrHE WO~K. , Iv \ I tB~ P$. Address '1:J.~J.~ J()fU5 A-crlJ ptlalORIZEO UNI i l.o;m 'rb ~p? NOT COMMENCED OR~8t R,q~Mn City So C-Id Phone q33 A~~AY PE~IOOOAmpslVolts I R______. Only InsIaUatlon, Alteration or Relocation 200 Amps or less Conslr. Conlr. Number I 0 54 r.S 201 Amps to 400 Amps . ATTENTJON4dr~ltO>Ifioo~ you 10 Expiration Date 3 - ~ Q - 0 If fn~l~w rules aBwJ'&6\PxJ,~ Q%ll8'VMtil~ ''8" above. . . . .' . . Notlfrcatlon (fr.'mBP . ' "" .~"iltrm'l Slu'''~v71J lecbiy) I' '. ~o~~.Ry~~2':>;:_19{)~,~'tJ)panel ~ ~~~:t~ _1/ ~ -t ~.JjAc2A/J cllllingthec@Atafi~te:thetelephone S43.OO ~ .' numberfort~~I!#ill!J!lI~ftOlith>n OwnenName()"vl.€. WiecJ/l.e.vt (\b~~Q~i'J(f-~~. S 3.00 Address3~ ..., 5,- . E.~' . , iili. . '\Jd~-,tg.r.- / \'C"-~Il. H-, \,~ ~~~;;~!-_ = Q.~ . L~~~~~ City Ev~el'lf, Phone ~gh-9Lf.(~ Pump or irrigation S50.OO Sign/Outline Lighting S 50.00 Limited Energy!Residential $ 25 .00 Limited Energy/Commen:ial S 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4.1~1.;~'I',~. /Llt! 7% State Surcharge . /0 0 Z 10% Administrative Fee /4"10 /6~~ ELECTRICAL PERMrl' APPLICA770N City Job N;,,;,ber C011 ZClO'f -{)OW Y Date ~~~t~t;SJ LEGAL DESCRIPTION I 'bOl.-Oblt //()CJO JOB DESCRIPTION 'sFR- Permits are non-transferable and expire If work Is not started within 180 days of Issuanee or If work is Suspended for 180 days. Supervisor License Number 'I; 7Lf-5 Expiration Date IO-Oj ~Olf OWNER INSTALLATION The installation is being made on property J own which is not intended for sale, lease or rent Owners Signa lUre: Inspection Request: 726-3769 A. ~iii' " ~j "'-'.~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manumct'd Home or Modular Dwelling Service or Feeder $106.00 job 3,25 I L $ 19.00 $50,00 - rI!"~"- ,~~.~' , - <.'''t.' ,:~,..!.' ~",..,,-,.;, ~1L:J,.~ ~"'. ... ."'~ =,...,:...~"":I.;......... S 63.00 S 75.00 SI25,OO S163.00 S375.OO S 50.00 ~Q',~" ,>i'" '.:.tSl -"1"'.ll.'ii!1 ""1;~;;~~""ti,'.~c ',-f;:-~-, c.. ..'~"' '~.~~~$ri-~~l:~~~~ S 50.00 $ 69.00 Sloo.OO TOTAL Sbmd Driv<(T:)/Iluilding FormslElectrical Permit A""ticaticm ]-ll.l.doc CITY OF SPIGFIELD SYSTEMS DEVELOPMEN+tlRKSHEET JOURNAL OR JOB NUMBER: COM2004-00204 NAME OR COMPANY: Bruce Weichert Custom Homes LOCATION: 4023 Doull!as Drive TAX LOT NUMBER: 180206 I 1 Tax Lot 11000 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I I 3084,00 1 $0,290 I = I $894.36 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 $0.00 ITEM I TOTAL - STORM DRAINAGE SDC '$894,36 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 20 I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 20 $17,21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3, TRANSPORTATION $797.00 A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9,57 I I I I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I I 9,57 I I I ITEM 3 TOTAL - TRANSPORTATION SDC = I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $314,63 B. IMPROVEMENT COST: INUMBER OF FEU's , x ICOST PER FEU I I I $214,23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I 5, ADMINISTRATIVE FEE: ISUBTOTAL I x I ADM, FEE RATE I~ I $3.122.53 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: COST PER TRIP $17,23 x I NEW TRJP F ACTORI 1.00 COST PER TRIP $76,01 $892.31 x INEWTRIP FACTORI 1.00 5850 $894.36 Iii 1[2 10 10 U Ie<: I~ ,,," r.n 6 ~ I 1070 I $452.80 11091 I $344.20 I 1092 $164.89 $727.42 $538.86 $3,122.53 CHARGE $156,13 = $314.63 = $214.23 $0.00 $10,00 102,21 $53,92 2/20/2004 TOTAL SDC CHARGES $3,278.66 Virginia Jurasevich PREPARED BY DATE J ----, 11093 1094 I 1054 I 1055 1054 1056 1079 1078 '--' .J . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW AXTURES x UNIT EQUIVALENT"" DRAINAGE AXTURE UNITS (NOTE' FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL RXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IsA THTUB 1 0 3 = 3 I DRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE J OIL J SOLIDS J ETC 0 0 3 = 0 I INTERCEPTORS FOR SAND J AUTO WASH / ETC 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA), 0 0 6 = 0 IMOBILE HOME PARK TRAP,l1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0 I RECEPTOR FOR COM, SINK / DISHWASHER / ETC 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER. GANG (NUMBER OF HEADS!.. 0 0 2 = 0 ISINK, COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 I iSINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = 1 I I URINAL. STALL / WALL 0 0 5 = 0 I ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 il MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 I .EDU (Equivalent Dwellin,g Unit) is a dischar,ge equivalent to a sincle family dwellin,g unit (20 OWs) set at 167 gallons per day ~, MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RA TE/$ I ,000 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5,04 (Enter I for Yes, 2 for No) 1979 $5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 1980 $4.95 (Enter I for Yes, 2 for No) 1981 $4.88 BASE YEAR 1979 1982 $4.75 I 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.41 VALUE /1000 CREDIT RATE 1985 $4.20 $0,00 x $5,04 ~ , $0,00 1 1986 $3,88 I 1987 $3,50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3,07 VALUE /1000 CREDIT RATE 1989 $2,60 $0,00 x $5,04 0 I 1990 $2,14 I 1991 SI.71 1992 $1.52 TOTAL MWMC CREDIT = $0,00 I I 1993 $1.38 I 1994 St.l9 I 1995 $1.03 I 1996 $0,87 I 1997 $0.68 I 1998 $0,46 I I 1999 50.27 I I: 2000 $0,09 ,I 2001 $0,04 II 225 Fifth Street -& Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 C0M2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 C0M2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 C0M2004-00204 COM2004-00204 COM2004-00204 COM2004-00204 C0M2004-00204 C0M2004-00204 Payments: Type of Payment CreditCard ~~-,........~;" -..' IL-h.e '0 ~-~ -. Receipt #: 1200400000000000284 Description SwtituySewer-Rerrnburnemem Sanituy Sewer - !my. v' ....ent SDC Transpo Rerrnburnement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanituy/Storm Admin SDC Transpo Admin 2 Baths One or Two Family Vent Fan Exhaust Hoods Gas Outlets 1-4 Gas Fireplace Heat Purnp -Mechanical Issuance Fee- Furnace - up to 100,000 btu Plan Review - Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Building Permit Addressing Assignment Willamalane Single Family Sidewalk Permit Curbcut Permit Curbcut - Overwidth Appl PW Mult Disc - 2nd Permit Storm Drainage Impervious Area Received By ddk Check Number Batch Number Authorization Number Paid By BRUCE WEICHERT 000317 011603 " City of Springfield Official Receipt ,J Development Services Department Public \Vorks Department Date: 03/08/2004 IO:42:04AM Amount Paid Item Total: 452,80 344.20 164,89 727.42 314.63 214,23 10,00 102,21 53.92 254.00 18,00 9,00 4.00 15,00 12.00 10,00 12,00 71.00 106,00 38.00 84,87 121.24 744.40 31.00 1,000.00 75.00 75.00 35.00 (30.00) 894.36 $5,964.17 . .) How Received In Person Payment Total: Amount Paid $5,964.17 $5,964.17