HomeMy WebLinkAboutPermit Building 2004-3-15
'.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
..
SITE ADDRESS: 4031 Douglas Dr
ASSESSOR'S PARCEL NO.: 1802061110900
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00205
ISSUED: 03/15/2004
APPLIED: 02/20/2004
EXPIRES: 09/15/2004
VALUE: $ 142,600.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR -lot 10 Shady creek - same as COM2003-01238 4042 Douglas dr
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Contractor Type
General
Electrical
Mechanical
I CONTRACTOR INFORMATION I
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
L & E ELECTRIC INC 105475
COMFORT FLOW 460
BUILDING INFORMA nON I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
of.,
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
I
R-3
U-l
VN
3
# of Stories: I
Height of Structure 17.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
I. DEVELOPJ\ou,lu INFORMATION I
18.00
13.00
6.00
19.60
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Fully Improved
Storm Sewer A vail'!Ple: Yes
Special InsNQ,lib~t::
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
'~
Residential
Phone Number: 541-686-9458
Expiration Date
09/16/2006
03/30/2004
06/27/2004
Phone
541-686-9458
541-933-2653
541-726-0100
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
5,850
1,426
446
2
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
32.00
Sidewalk Type: C b 'd 5'
ur 51 e
ATTENTION~..9ttnJP-\I"~~i!\~:lres ycCurb and Gutter
follow rules adopted by the Oregon Utility
\IDtificatiDn Center. Those rules are set for'
n OAR 952-001-0010 through OAR 952-0C
0090, You may obtain copies of the rules,
calling the center. (Note: the telephone
number for the Oregon Utility Notification
r"_..'"........;-.1~n."fl~~0.?_?:iL14).
Paee 1 of 4
.
. CITY OF ~rK11'1ut<1J!,L1J
Building/Combination Permit
PERMIT NO: cOM2004-00205
ISSUED: 03/15/2004
APPLIED: 02/20/2004
EXPIRES: 09/15/2004
VALUE: $ 142,600.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
- I Valuation Descrintion ,
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Dwellines V Wood Frame $92,40 1,426,00 $131,762.40 02/20/2004
Garaee Garaee $24,30 446.00 $10,837.80 02/20/2004
Total Value of Project $142,600.20
L.!<,pp< PIiILI
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 2/20/04 1200400000000000230
-Mechanical Issuance Fee-- $10.00 3/15/04 1200400000000000324
+ 10% Administrative Fee $122.94 3/15/04 1200400000000000324
+ 7% State Surcharge $86.06 3/15/04 1200400000000000324
2 Batbs One or Two Family $254.00 3/15/04 1200400000000000324
Addressing Assignment $31.00 3/15/04 1200400000000000324
Building Permit $705.40 3/15/04 1200400000000000324
Curbcut - Overwidth Appl $35.00 3/15/04 1200400000000000324
Curbcut Permit $75.00 3/15/04 1200400000000000324
Dryer Vent $6.00 3/15/04 1200400000000000324
Exhaust Hoods $9.00 3/15/04 1200400000000000324
Furnace - up to 100,000 htu $12.00 3/15/04 1200400000000000324
Gas Fireplace $15.00 3/15/04 1200400000000000324
Gas Outlets 1-4 $4.00 3/15/04 1200400000000000324
Heat Pump $12.00 3/15/04 1200400000000000324
Plan Review - Planning $71.00 3/15/04 1200400000000000324
PW Mult Disc - 2nd Permit $-30.00 3/15/04 1200400000000000324
Residence Wiring 1000 Sq Ft $106.00 3/15/04 1200400000000000324
Residence Wiring Ea AddU 500 $38.00 3/15/04 1200400000000000324
Sanitary Sewer - Improvement $344.20 3/15/04 1200400000000000324
Sanitary Sewer - Reimbursement $452.80 3/15/04 1200400000000000324
SDC MWMC Administration $10.00 3/15/04 1200400000000000324
SDC MWMC Improvement $214.23 3/15/04 1200400000000000324
SDC MWMC Reimbursement $314.63 3/15/04 1200400000000000324
SDC SanitarylStorm Admin $101.41 3/15/04 1200400000000000324
SDC Transpo Admin $53.97 3/15/04 1200400000000000324
SDC Transpo Improvement $727.42 3/15/04 1200400000000000324
SDC Transpo Reimbursement $164.89 3/15/04 1200400000000000324
Sidewalk Permit $75,00 3/15/04 1200400000000000324
Storm Drainage Impervious Area $879.43 3/15/04 1200400000000000324
Temp Power 200 amps or less $50.00 3/15/04 1200400000000000324
Vent Fan $18.00 3/15/04 1200400000000000324
Willamalane Single Family $1,000.00 3/15/04 1200400000000000324
Total Amount Paid $6,068.38
Paee 2 of 4
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2004-00205
ISSUED: 03/15/2004
APPLIED: 02/20/2004
EXPIRES: 09/15/2004
VALUE: $ 142,600.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Initial Review
Plannine Review
Public Works Review
02120/2004
02120/2004
02/20/2004
I Plan Reviews I
02/2012004 APP
03/0312004 APP
02/2112004 APP
RJB
TAJ
VRJ
Applicant has submitted for an
overwidth driveway 2/21/04, PW's is
waiting for approval from Transpo.
Division.
30' driveway throat approved
2/23/04.
Public Works Review
02123/2004
02123/2004 APP
VRJ
Structural Review
02/20/2004
03/11/2004
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.
I Rennired Tnsnections I
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.
27 Final Mechanical: When all mechanical work is complete.
28 Rough Electric: Prior to Cover
29 Electric Service: Approval required prior to utility company energizing service.
30 Final Electric: When all electrical work is complete,
3 ErosionlGrading Inspection: After all erosion measures are in place.
4 Ufer 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 floor insulation or decking,
8 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.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
IS UnderOoor Plumbing: Prior to insulation or decking.
16 Underfloor Drain: Prior to cover or placement of concrete.
17 Rough Plumbing: Prior to cover and including required testing,
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench,
21 Final Plumbing: When all plumbing work is complete,
22 Underfloor Mechanical. Prior to insulation or decking and including required testing.
23 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Paee 3 of 4
.
. CITY V!' ~rK1r~ul'lELD
Building/Combination Permit
PERMIT NO: cOM2004-00205
ISSUED: 03/15/2004
APPLIED: 02/20/2004
EXPIRES: 09/15/2004
VALUE: $ 142,600.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
25 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.
26 Rough Mechanical: 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 tructure ithout permission of the Community Services Division, Building Safety.
I further certify that only contractors and ployees ho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all require spectio are requested at the proper time, that each address is readable from the
:"";'.'rl1:~ Z""" · ,~"' ,., ,~""",...~. .,,~(: ~.:;.m ~""""~..o." '"
Owner:; Con~Mtors Signa;ure ~ Date
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
COM2004-00205
Payments:
Type of Payment
CreditCard
"
9
,?
Receipt #: 1200400000000000324
Description
Building Permit
Addressing Assignment
WillamaIane Single Family
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth AppI
PW MuIt 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 SanitarylStorm Admin
SDC Transpo Admin
Plan Review - Planning
2 Baths One or 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-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
Check Number
Batch Number Authorization Number
Paid By
BRUCE W WIECHERT
000324 053762
City of Springfield Omfial Receipt
Development Services Department
Public Works Department
Date: 03/1512004 2:17:09PM
Amount Paid
Item Total:
705,40
31.00
1,000,00
75.00
75.00
35,00
(30,00)
879,43
452,80
344.20
164.89
727,42
314,63
214.23
10,00
101.41
53.97
71.00
254.00
12.00
18,00
9,00
6,00
4.00
15.00
12.00
10.00
106.00
38.00
50.00
86.06
122,94
$5,968.38
.
.
How Received
In Person
Payment Total:
Amount Paid
$5,968.38
$5,968.38
v
'-.
CITY OF S!NGFIELD SYSTEMS DEVELOPMENloRKSHEET
. JOURNAL OR JOB NUMBER: Com2004-00205
NAME OR COMPANY: Custom Homes
cOCA TION: 4031 Douglas Drive
TAX LOT NUMBER: 18020611 tl 10900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1872 LOT SIZE (SF):
L STORM DRAINAGE
5850
en
r.LI
o
o
u
..:
r.LI
IE-<
18
19a
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I I CHARGE I
I 3032,50 I $0,290 = I $879.43
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 I $0.290 I 50% ~ I $0,00
ITEM 1 TOTAL - STORM DRAINAGE SDC $879,43 ~
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 20 I $22.64
R IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 20 $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
$879.J 1070
$452,80
1091
$344.20
1092
$797.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9.57 I I I I
R IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I
I 9.57 I I I I
ITEM 3 TOTAL - TRANSPORTATION SDC = I
COST PER TRIP
$17.23
x I NEW TRIP F ACTORI
1.00
$164.89
I
I
1
1093
COST PER TRIP
$76.01
$892.31
x I NEW TRIP F ACTOR I
1.00
$727.42
11094
--
4. SANITARY :'''It'"W~K - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $314.63
R IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ ,
5. ADMINISTRATIVE FEE:
ISUBTOTAL I x I ADM. FEE RATE I~
I $3,107.60 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
=
$314.63
1054
= $214.23 1055
$0,00 I 1054
$10.00 11056
$S38.86
$3,107.60 -=1
CHARGE
$155.38
101.41 1079
$53.97 1078
TOTAL SDC CHARGES = $3,262.98
Virginia Jurasevich
PREPARED BY
2/20/2004
DATE
.
.
,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW AXTURES x UNIT EQUIVALENT - ORAINAGE AXTURE UNITS
(NOTE, FOR REMOOELS, CALCULATE ONLV THE NET ADDITIONAL RXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
I BATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
UNTERCEPTORS FOR GREASE lOlL 1 SOLIDS / ETC 0 0 3 = 0
IiNTERCEPTORS FOR SAND / AUTO WASH 1 ETC 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
I'MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER, GANG (NUMBER OF HEADS). 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LA VATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
.EDU (Equivalent Dwelling Unit) is a djschar~ equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO I' II
ANNEXED ASSESSED V AWE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
BEFORE 1979 55.04 I (Enter I for Yes, 2 for No) I
1979 55.04 I IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.95 I (Enter I for Yes, 2 for No) I
1981 $4.88 I BASE YEAR 1979
1982 $4.75 I I
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 V AWE / 1000 CREDIT RATE
1985 $4.20 $0.00 x $5.04 ~ , $0,00
19S6 S3.88
19S7 5350 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
19S5 S3.D7 VALUE / 1000 CREDIT RATE I
1989 S2.6O $0.00 x $5,04 0 I
1990 $2.14 !I
1991 $1.71
1992 51.52 TOTAL MWMC CREDIT = $0.00
1993 $1.38
1994 $1.19
1995 SI.03
1996 SO.S7
1997 $0.68
1998 SO.46
1999 $0.27
2000 SO.09 I
2001 SO.04 II
,ol"
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225 FtFTH STREET. SPRINGFIELD, OR 97477 . PB:(S4I)726-37~ . FAX: (S4I)726-~~~ '"
ELECTRJCAL PERMIT APPUCA770N j 'O\0~~:' <0~ .
City Job Number et:#f'ZtJl) <.( -ooe O~ Dale' J /1):. 0 'T,<:-~ ~~,o0'"
, ~~ 0
~"'''"'~--.'''- _..~~. ,- ~.
"....~"'i.\i...;. r,.;;"'; ;,.........." -... .... .~V '"" ~"""""r" . '" -. .' ,
1. . .' '. . ' . .. ",\. .::<i~ . 3. .., .' '1,
~~~\~s. :i,.~' -m,"_
/602 06(1
.:- ',' CIry QP ~PIJG.FIELD, OREGON.. '." () :~::.
E..r:.~..:on Date r 0 - () f _ 0 lj. Installallon, Alteration or Reloeation
IV 0 r, 200 Amps orlcss' I $ 50.00
Consb'. Conti'. Number 1054 'li5i" :.,Cf.. 201 Amps to 400 Amps $ 69.00
3 AUTf; , t:R4tIT 401 Amps to 600 Amps $100.00
ExpimtionDale - 3 Q -OH:}'~III,.,oRI)::J /H-4LL9)(cI:600AmpsorlOOOV0l1llsee"B"aboVe.
Sipatunl OEW:' EI_iJ' -4Ny ! 8 ENCEO 0 NOE~'7 .,,': . . " '" '"
C:;Q 'I ,/At.. 0 O..qYPE;/S-4hr1~~~#~ /~sionPerPanel
~ ~, v<-<::/({I41 00, One~~F. SIVOr $43.00
~ Each Additio;{Jfjcircuit or with
n. , n W' _ I." .L ( , L.o ll-. Service Or Feeder Permit
OwnenName ,..., rV<-<:;,. \ ec;.y~VT . \)=- ITlJY"'~
AddrcssSS.).c P",...ll. l+,\I~ - E._~~_
Phone ~9('-9"iS'11
/D 70 c)
JOB DESCRIPTION
. . Sf- (Lerto N\ f)
P.rmIts are non-transferable and eJ[p~=-
not started within 180 days of Issuance or if work Is
Suspended for 180 days.
~"t.":M;~a~ir~~~
2.'~~}j '~':_i
Elec~caI~on~ctor Lic'E/pr);'L"
JOf1n Acre) ed
Address '1:JS5.~
City 'So ~ld
Phone '133 -JSWJ
Supervisor License Number
'f/7l(-5
City Evr.I'.1I1'.
-.i
OWNER INSTALLATION
!he ~i1IUI~.\l~""".tullJ~rIt
III nOlJWi\alIR1J'lf~ad~~ Oregon Utility'
~otiUcation genter. Those rules are set forth
In~)\'#Il'Il~001-001O through OAR 952-001
0090. You may obtain copies of the rules b~
(,jdlii.IY lilt; l.Otilllt:U. ~1'4UU:~. lilt; It;li~tJtlOne
number for the Oregon Utility Notification
Inspection R~13/7i1{;13669l-332-2344).
Service Included
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
$106.00
IUb
3g
I
z.
$19.00
Each Manufilct'd Home or
Modular Dwelling Service or
Feeder
~
$50.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
oVer 1000 AmpsIVolts
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
-
E.~~'J'..-.. ...'"'}t;::' ~~'"q-,!'j:.tl-:'!t'-'<~~-",",:-
C. . .. . ". .. ,=.".""... _ CJ,j_
~ . ~... . '-, "'-"'-"'~'''''.f:.!~..' ,.,. "..~.h"St
so
.-
.7'. f,"'~
,. m:
$ 3.00
Pump or inigation $ 50.00
Sign/Outline Lighting $ 50,00
L,imited EnergylResidential $ 2S.oo
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
~5l!!~,-"
4. ~~'i14A!d,l! "
~~4~--'.
7% Stale Surcharge .
10% Administrative Fee
/ '!if
1'35$
17YO
iZZh '1 g
I
Sbar<d Drive(T:)lBuilding FonnsIEIectrical Pemlit Alll'ticatiOD j-03.doe
TOTAL