HomeMy WebLinkAboutPermit Correspondence 2004-3-15
I
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00073
ISSUED: 03/15/2004
APPLIED: 01/20/2004
EXPIRES: 09/15/2004
VALUE: $ 146,658.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'. SITE ADDRESS: 1780 Fairhaven
ASSESSOR'S PARCEL NO.: 1703273104800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR -lot 12 Fairhaven
Type "X" bldg. plan
Owner: ST VINCENT DEPAUL SOCIETY OF LANE C
Address: PO BOX 24608 EUGENE OR 97402
Phone Number: 541-687-5820
I CONTRACTOR INFORMATION I
Contractor Type Contractor License Expiration Date Phone
General MElLI CONSTRUCTION CO 63771 0211212006 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
''\\.
BUILDING INFORMATION I
3
# 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:
3,771
800
768
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U-I
VN
264
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
14.00
2.00
0.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Yes
28.00
REQUIRED PARKING
Total:
Handicapped:
Compact:
';;.
I PUBLIC IMPROVEMENTS I
Street Improvements: Fill "d'U to
la~ 11)~I!'Prov~ "
Storm Se'A~r-~~1l!w>!e:l:Ore9on the oregoYes)tlhty
Speciallnstruction:es adopted by ules are set tor
tallOW','" enter. 'ThoSe r 952-00
Notes: ~otiticRat91~~_~01_001 0 thrO~gh oit~e rules I
n OA bt in caples 0
0090, YoU may 0 ~ Note: the telephone
calling the cente ' (on Utility NotificatIOn
number tor the.o~e~I'\I'\_","?_?:'lI1I1\,
,..............-1-."...'"': . ~
Sidewalk Type:
Curbside 5'
NOT\t~nspoutslDrains: Curb and Gutter
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 160 DAY PERIOD.
Pa!!e I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
.'
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fcc
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Annexed 1979 or Before
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Plan Review - Planning
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
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
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
01/30/2004
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00073
ISSUED: 03/15/2004
APPLIED: 01120/2004
EXPIRES: 09/15/2004
VALUE: $ 146,658.00
I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
$92,40
$24.30
Square Footage
or Bid Amount
1,512.00
286.00
Value
Date Calculated
Total Value of Project
$139,708.80
$6,949.80
$146,658.60
01/20/2004
01/20/2004
Fpp< pqiiJ
Amount Paid
Date Paid
Receipt Number
$466.96
$10.00
$101.74
$71.22
$254.00
$31.00
$-100.27
$718.40
$6.00
$9.00
$12.00
$71.00
$292.57
$384.88
$10.00
$214.23
$314.63
$75.44
$53.74
$727.42
$164.89
$75.00
$575.29
$18.00
$1,000.00
1/20/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
3/15/04
1200400000000000078
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
1200400000000000317
$5,557.14
I Plan Reviews I
01/30/2004
APP LLH
Received plot plan this morning.
Okay to process.
Paee 2 of 4
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Planninl! Review
01/30/2004
03/03/2004
Public Works Review
Structural Review
01/30/2004
01/30/2004
02108/2004
03/09/2004
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00073
ISSUED: 03/15/2004
APPLIED: 01120/2004
EXPIRES: 09/15/2004
VALUE: $ 146,658.00
APP EMM
APP
APP
No second story windows permitted
facing west. No occupancy allowed
until conditions of the DU Site Plan
have been completed or Site Plan
Modification decision is approved
and issued.
VRJ
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 Rponi~Pl"tinn{', I
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to noor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
II Drywall: Prior to taping.
12 Firewall: Located and constructed according to plans.
13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Undernoor 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 Rough Mechanical: Prior to Cover
23 Final Mechanical: When all mechanical work is complete.
Paee 3 of 4
.
.
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2004-00073
ISSUED: 03/15/2004
APPLIED: 0112012004
EXPIRES: 09/1512004
VALUE: $ 146,658.00
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 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 ofthe 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 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, that each address is readable from the
~~.r~'?'" 'ro.. .,,,, ,ro"..,. ,., ". ,..ro~j;;' will ..m.'. ,. ". .,,,.. ,"
_ , _'K{,)/ ___ /I
ner or Contractors Sigp<<'ure Date
Paee 4 of 4
CITY OF !INGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: Com2004-00073
St Vincent DePaul
1780 Fairhaven
17032731 II 4800
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF' 1568
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, ,I COST PER S,F, CHARGE I
I 1983,75 I $0,290 I = I $575,29
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, I ,I COST PER S,F, I, I DISCOUNT RATE I I DISCOUNT
I 0,00 I $0,290 I I 50% = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC $575,29 ~
LOT SIZE (SF):
2, SANITARY SEWER - CITY
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I ,I COST PER DFU
I 17 I $22,64
B. IMPROVEMENT COST:
I NUMBER OF DFU's I' COST PER DFU
I 17 $17,21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
3, TRANSPORTATION
A, REIMBURSEMENT COST:
I ADTTRIPRATE I ' I NUMBER OF UNITS I ,
I 9.57 I I I
B. IMPROVEMENT COST:
I ADTTRIPRATE I ' I NUMBER OF UNITS I , I
I 9.57 I I I I
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
4, SANITARY SEWER - MWMC
$677,45
COST PER TRIP
$17,23
, I NEW TRIP F ACTORI
I 1.00
COST PER TRIP
$76,01
$892.31
, INEW TRIP FACTOR I
I 1.00 I
A. REIMBURSEMENT COST:
INUMBER OF FEU's 1 ' ICOST PER FEU
I I I $314,63
B. IMPROVEMENT COST:
INUMBER OF FEU's I ' ICOST PER FEU
I I I' $214,23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER So( = ,
SUBTOTAL (ADD ITEMS I, 2, 3. & 4) = ,
5, AD1v1IN1STRATIVE FEE:
ISUBTOTAL I' ADM, FEE RATE I~
I $2,583,64 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
2/8/2004
PREPARED BY
DATE
=
3771
en
tlJ
Cl
o
U
0::
~
en
o
~
$575,29
1070
$384,88 1091
$292.57 I 1092
j
$164,89 I 1093
II
I
$727,42 11094
_I
.
-
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBEROF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
I BATHTUB 1 0 3 3
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE lOlL! SOLIDS I ETe 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETe 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG I WATER STATION i ETe 0 0 1 = 0
IRECEPTOR FOR COM, SINK I DISHWASHER I ETe 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
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 0 0 2 = 0
ISINK: SINGLE LA VATORY/RESIDENTIAL BAR 2 0 1 = 2
I URINAL, STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIV A TE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 17
.EDU (Equivalent D~ellin~ Unit) is a dischar~e equivalent to a sin~le family dweiling, unit (20 DRJ's) set at 167 ~l1ons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
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 RA TE/S I ,000 '1
ASSESSED VALUE
$5.04
$5,04
$4,95
S4,88
$4.75
$4,58
$4.4]
$4.20
$3,88
S3.50
$3.07
S2,60
$2.14
$1.71
SL52
$1.38
$Ll9
$1.03
SO,8?
$0,68
$0.46
$0.27
$0.09
$0.04
'I
I
is LAND ELGIBLE FOR ANNEXATiON CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
o
1979
CREDIT FOR LAND (IF APPLICABLE)
V ALUE I 1000 CREDIT RATE
$ I 9,90 x $5,04
~ ,
$100,27
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0,00 x $5:04
o
TOTAL MWMC CREDIT
=
$100,27
225 Fifth Street to'
Springfield, Oregon 97477
541-726-3759 Phone
w'.'
.
f
k,
t'
,,~
~
r
Job/Journal Number
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
COM2004-00073
.yments:
Type of Payment
Check
Wir~,~~~=",..,,~-:..
~'~-~.-
. "
, ,
.-...,,....,.--....-.-..-.
,
City of Springfield Official Receipt'
Development Services Department
Public Works Department
Receipt #: 1200400000000000317
Description
Addressing Assignment
Willamalane Single Family
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SpC MWMC Administration
SDC Sanitary/Storm Admin
SDC Traospo 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
Check Number
Batch Number
Paid By Received By
ST VINCENT DE PAUL SOCIETY dIm
44174
Date: 03/15/2004
9:10:35AM
Amount Paid
Item Total:
31.00
1,000.00
575,29
384,88
292.57
164,89
727.42
314,63
214.23
10,00
75.44
53,74
(100,27)
75,00
71.00
718.40
254.00
18.00
9.00
6,00
12.00
10,00
71.22
101.74
$5,090.18
Authorization Number
How Received
In Person
Payment Total:
Amount Paid
$5,090,18
$5,090.18