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: 1798 Fairhaven
1..:-... ASSESSOR'S PARCEL NO.: 1703273104600
,
. Lu1' OF ~nur~uFIELD
Building/Combination Permit
PERMIT NO: COM2004-00075
ISSUED: 03/15/2004
APPLIED: 01/20/2004
EXPIRES: 09/15/2004
VALUE: $ 146,124.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR -lot 10 Fairhaven
Owner: ST VINCENT DEPAUL SOCIETY OF LANE C
Address: PO BOX 24608 EUGENE OR 97402
Phone Number: 541-687-5820
I CONTRACTOR INFORMATION'
Contractor Type Contractor License Expiration Date Phone
General MElLI CONSTRUCTION CO 63771 02/12/2006 541-485-1417
Electrical G MILLER ENTERPRISES INC 87145 11/10/2004 541-741-2596
Mechanical MElLI 541-485-1417
Plumbing BARON PLUMBING INC 147744 05/14/2005 541,935-1081
Fullv Improved
St&~~,~~~vffrM~eJV~e:on law requires you IvYes
specIAl-InstructIOn: 9 , ,
Tollow rules adopted by the Oregon Utility
NoW~ation Center. Those rules are set for
n OAR 952-001,0010 through OAR 952,OC
0090. You may obtain copies of the rules:
calling the center. (Note: the telephone
number for the Oregon Utility Notification
,........_-'.......:.... 1 ,0r""L,:)'19~')~f1,.1).
'^
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U-I
VN
3
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
15.00
5.00
2.60
0.00
\',.
Street Improvements:
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
2
21.50
Wall Heat
Electric
Electric
Path I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
3,760
800
768
264
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Yes
28.00
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
NOTICE: PIRE IF THE WORK
THIS PERMlri ~~~~~ ~IS PERMIT IS NOT
~~~3~~Z~ED OR IS ABANDONED FOR
ANY 1BO DAY PERIOD.
Page I of 4
Lil i' OF SPRINGFIELD
Building/Combination Permit
.
Status
.
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2004-00075
ISSUED: 03/15/2004
APPLIED: 01120/2004
EXPIRES: 09/15/2004
VALUE: $ 146,124.00
Issued
':\ I Valuation Descrintion I
Description Tvpe of Construction $ Per Sq Ft Square Footage
or multiplier or Bid Amount
Dwellines V Wood Frame $92.40 1,512.00
Caraee Caraee $24.30 264.00
Total Value of Project
F pp< 1.:ailIJ
Fee Description Amount Paid Date Paid
-Mechanical Issuance Fee-- $10.00 3/15/04
+ 10% Administrative Fee $101.74 3/15/04
+ 7% State Surcharge $71.22 3/15/04
2 Baths One or Two Family $254.00 3/15/04
Addressing Assignment $31.00 3/15/04
'!, Annexed 1979 or Before $-100,27 3/15/04
, $718.40 3/15/04
Building Permit
Dryer Vent $6.00 3/15/04
Exhaust Hoods $9.00 3/15/04
Minimum/Adjustment Mechanical $12.00 3/15/04
Plan Review, Planning $71.00 3/15/04
Plan Review Residential $466.96 3/15/04
Sanitary Sewer - Improvement $292.57 3/15/04
Sanitary Sewer - Reimbursement $384,88 3/15/04
SDC MWMC Administration $10.00 3/15/04
SDC MWMC Improvement $214.23 3/15/04
SDC MWMC Reimbursement $314.63 3/15/04
SDC Sanitary/Storm Admin $72.13 3/15/04
SDC Transpo Admip $54.01 3/15/04
SDC Transpo Improvement $727.42 3/15/04
SDC Transpo Reimbursement $164.89 3/15/04
Sidewalk Permit $75.00 3/15/04
, Storm Drainage Impervious Area $514.39 3/15/04
~.. Vent Fan $18.00 3/15/04
Wmamalane Single Family $1,000.00 3/15/04
Total Amount Paid $5,493.20
I Plan Reviews I
Initial Review
01/30/2004
APP LLH
01/30/2004
Paee 2 of4
Value
Date Calculated
$139,708.80
$6,415.20
$146,124.00
01/20/2004
01/20/2004
Receipt Number
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
1200400000000000315
Received plot plan this morning,
Okay to process
.
. U 1 l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00075
ISSUED: 03/15/2004
APPLIED: 01/20/2004
EXPIRES: 09/15/2004
VALUE: $ 146,124.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plannin!! Review
01/30/2004
03/03/2004
APP EMM
No second story windows allowed
facing east. No occupancy allowed
until all conditions of the DU Site
Plan for subdivision have been met
or Site Plan Review Modification
decision has been issued.
Public Works Review
Structural Review
01/30/2004
01/30/2004
02108/2004
APP VRJ
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.
"
II Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Erosion/Grading Inspection: After all erosion measures are in place,
12 Vfer Electrical Ground: Install ground rod at footi~g and call for inspection in conjunction with footing and/or
foundation inspection.
6 Footing: After trenches are excavated.
7 Foundation: After forms are erected but prior to concrete placement.
9 Post and Beam: Prior to 1100r insulation or decking.
5 Floor Insulation: Prior to decking.
10 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
\3 Wall Insulation: Prior to cover.
I Ceiling Insulation: Prior to cover.
2 Drywall: Prior to taping.
4 Firewall: Located 'and constructed according to plans.
14 Hold Downs Installed: Speciallnspeetion performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Underl100r Plumbing: Prior to insulation or decking.
17 Underl100r Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing,
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Rough Mechanical: Prior to Cover
24 Final Mechanical: When all mechanical work is complete.
'"
Pa!!e 3 of 4
.
. Ul i' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00075
ISSUED: 03/15/2004
APPLIED: 01120/2004
EXPIRES: 09/15/2004
VALUE: $ 146,124.00
"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I furtber 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 oCany structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, tbat 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
timeons');.?, "6/ ;(/ () Lj
~or Contra~orsl>,nature Date'; j
Pa2e 4 of 4
. ..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN~ORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00075
NAME OR COMPANY: SI Vincent DePaul
LOCATION: 1798 Fairhaven
TAX LOT NUMBER: 17032731 tl4600
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1568 LOT SIZE (SF):
I. STORM DRAINAGE
3760
C/l
W
Cl
o
U
0::
W
Eo-
-I ~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, CHARGE I
I 1773,75 I $0,290 I = I $514,39
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 $514.39 ~
2, SANITARY SEWER - CITY
S5 I 4.39
1070
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 17 I $22,64
B.IMPROVEMENTCOST:
I NUMBER OF DFU's I x COST PER DFU
I 17 S17,21
ITEM 2 TOTAL, CITY SANITARY SEWER SDC = I
$677.45
3, TRANSPORTATIO~
A, REIMBURSEMENT COST:
I ADT TRIP RATE 'I x I NUMBER OF UNITS I
I 9.57 I I I
B.IMPROVEMENTCOST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9,57 I I I
ITEM 3 TOTAL, TRANSPORTATION SDC
x I COST PER TRIP x INEW TRIP FACTORI
I 517,23 I 1.00 I
x I COST PER TRIP x INEWTRIPFACTORI
I $76,01 1.00 I
= , $892.3 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 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:
$438.59
$2,522,74
ISUBTOTAL I .x I ADM, FEE RATE 1=
I $2.522,74 I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
5126,14
Virginia Jurasevich
2/8/2004
TOTAL SDC CHARGES
PREPARED BY
DATE
$384.88
S292.57
$ 164.89
S727.42
=
$314.63
11091
I
11092
I
.I
I
1093
11094
11054
$214.23 1055
($100.27) 1054
SIO.OO r56
_I
II
72.13 1079
S54,01 1078
$2,648.88
= ,
~ ,
,
=
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES, UNIT EQUIV ALENT ~ DRAINAGE RXTURE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS --.J
I BATHTUB 1 0 3 = 3 ,
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
!INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC 0 0 3 = 0
!iNTERCEPTORS FOR SAND I AUTO WASH I ETC 0 0 6 = 0
ILAUNDRYTUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 I
ICLOTHESWASHER - 3 OR MORE (EAl 0 0 6 = 0 I
IMOBILE HOME PARK TRAP (! PER TRAILER) 0 0 12 = 0 'I
I RECEPTOR FOR REFRIGI WATER STATION I ETC 0 0 1 = 0 I
IRECEPTOR FOR COM, SINK I DISHWASHER I ETC 0 0 3 = 0 ' I
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 LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
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
;rOTAL DRAINAGE FIXTURE UNITS 17
.- "EDU (EQuivalent Dwelling Unit) is a discharge eQuivalent to a single family dwelling unit (20 Dills) set al 167 gallons per day
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TEl5 I ,000 l
ANNEXED A <<-<<-D VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
~ - I
BEFORE 1979 $5,04 (Enter I for Yes, 2 for No)
]979 $5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
]980 $4.95 (Enter I for Yes, 2 for No) I
1981 $4.88 BASE YEAR 1979
1982 $4.75 I
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE 11000 CREDIT RATE
1985 $4.20 519,90 x $5,04 ~ , $100,27
1986 $3,88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 53.07 VALUE 11000 CREDIT RATE
1989 $2,60 $0,00 x $5,04 0
1990 52.14 .
1991 $1.71
]992 $1.52 TOTAL MWMC CREDIT, = 5 I 00,27
]993 $1.38
1994 $1.19
1995 $1.03
1996 $0,87
1997 $0,68
1998 $0.46
1999 $0.27
2000 $0.09
2001 $0.04
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004,00075
COM2004-00075
COM2004-00075
COM2004,00075
COM2004,00075
COM2004-00075
COM2004-00075
COM2004-00075
COM2004,00075
COM2004-00075
COM2004-00075
COM2004-00075
COM2004-00075
COM2004-00075
COM2004-00075
COM2004,00075
COM2004-00075
COM2004,00075
COM2004-00075
COM2004-00075
COM2004,00075
COM2004-00075
COM2004-00075
COM2004-00075
COM2004-00075
Payments:
Type of Payment
Check
8pRlNO.]. ~'-Fl..'.::"__~. .. '..
w.:' ..u,
I
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...,.....,,"'~-.,. ~. .,."--.~. --
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Receipt #: 1200400000000000315
Description
Plan Review Residential
Addressing Assigrunent
WilIamalane Single Family
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
Annexed 1979 or Before
Sidewalk Permit
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ST VINCENT DE PAUL
Received By
dim
Check Number
Batch Number Authorization Number
44174
City of Springfield Officfal Receipt
Development Services Department
Public Works Departmen,t
Date: 03/15/2004 8:59:I6AM'
Amount Paid
466.96
31.00
1,000.00
514.39
384,88
292.57
164,89
727.42
314,63
214,23
10,00
72,13
54.01
(100.27)
75.00
71.00
718.40
254,00
18,00
9,00
6,00
12.00
10-.00
71.22
10 1.74
$5,493.2U
.'
Item Total:
.
How Received
In Person
Payment Total:
Amount Paid
$5,493.20
$5,493.2U