HomeMy WebLinkAboutPermit Building 2004-2-20
~:'
Status
Issued
II
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1763 Fairhaven
ASSESSOR'S PARCEL NO.: 1703273104400
.
. CITY OF SPRIl~t.NJ'.LD -
Building/Combination Permit
PERMIT NO: cOM2004-00070
ISSUED: 02/20/2004
APPLIED: 0112012004
EXPIRES: 08120/2004
VALUE: $ 152,037.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
~"
PROJECT DESCRIPTION: SFR -lot 8 Fairhaven
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
General
Contractor
MElLI CONSTRUCTION CO
Phone
541-485-1417
REQUIRED PARKING
Overlay Dist: ATTENTION:Oregon law reqtlffaf: you to
# Street Tree~lJtqd!l rules adopted by the OHltn"ic~piiijlli
Paved DriveJRljd':::ation Cemer, V)ose ruleā¬6ri\jlliCt; fort
% of Lot C ~Pf'~ 952-001,.P01~~dblro~gh OAR 952-00'
~o~J You may obtain caples of the rules I
r.:lllinn the center. (Note: the teleohonA
I PUBLIC IMPROVEM~N1'S IJr the Oregon Utility Notification
.-.--:" 1-Rnn-::l~2-2344),
Sidewalk Type: .
Fully Improved CurbSide 5'
Storm Sewer Available: Yes DownspoutslDralns: Curb and Gutter
SpeciallnstruetioNOTIC~ease ensure that neither the footing nor the eaves of the porch extend into the P.U.E, (12.5 feet
THIS Pt~WI!1'5FlM.'\!Jt1)lPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
30:'.~~Jl(::r~e~~ ~~. ~~ ^ ~ ^ Mr:n~I~!.' ~':~
ANY 180 DAY PERIOD. I Valuation Descriotion I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
16.00
15.50
12.50
Rearyard Setback:
Solar Setbacks:
14.50
0.00
Street Improvements:
",
Notes:
Description
Type of Construction
~.
License
63771
Expiration Date
02112/2006
BUILDING INFORMATION I
3
# of Stories:
Height of Structure
Type of Heat: ,
Water Type:
Range Type:
Energy Path:
264
2
23.00
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:
3,864
816
816
I DEVELOPMENT INFORMATION I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Dwellines
Garaee
V Wood Frame
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 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
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtJ 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm 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
Plannin!! Review
01/30/2004
.
Amount Paid
$479.64
$10.00
$118.09
$82.66
$254.00
$31.00
$-100.27
$737.90
$6.00
$9.00
$18.00
$71.00
$106.00
$38.00
$292.57
$384.88
$10.00
$214.23
$314.63
$70.41
$54.15
$727.42
$164,89
$75,00
$482.78
$12.00
$1,000.00
$5,663.98
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00070
ISSUED: 02120/2004
APPLIED: 01/20/2004
EXPIRES: 08/20/2004
VALUE: $ 152,037.00
$92.40
$24.30
$145,622.40
$6,415.20
$152,037.60
01/20/2004
01/20/2004
1,576.00
264.00
Total Value of Project
I?"p< P'WIJ
Date Paid
Receipt Number
1120/04
2120/04
2/20/04
2/20/04
2/20/04
2120104
2120/04
2120/04
2120/04
2120/04
2120/04
2/20/04
2120104
2120/04
2120/04
2120/04
2120/04
2120/04
2120/04
2120/04
2/20/04
2120104
2120/04
2/20/04
2/20/04
2/20/04
, 2/20/04
1200400000000000078
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000Q00227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
1200400000000000227
I Plan Reviews I
01/30/2004
APP LLH
Plot plan submitted this morning.
Okay to process.
No second story windows facing
east. No occupancy unitJ conditions
of DU sUe plan have been met or
security posted. This will include
street trees, fencing, soundwail,
common area improvements as
shown on 97 plan, lighting, etc.
APP EMM
Paee 2 of4
.
. CITY OF SPRIr'lul'IELD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2004-00070
ISSUED: 02/20/2004
APPLIED: 0112012004
EXPIRES: 08/20/2004
VALUE: $ 152,037.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
01/30/2004
02/1 0/2004
APP SB
Footings were formed prior to Bldg
Permit approval. Please ensure no
footing or eave of the porch extends
into P.U.E. (12.5 feet from face of
curb) SWB
See documents for plan review
comments.
Structural Review
01/30/2004
02/13/2004
APP DLM
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 'Rpo.,ir1p.1rlln{',np,..tWII.I
I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
2 Footing: After trenches are excavated.
27 Final Electric: When all electrical work is complete.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
II Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
12 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
13 Underfloor Plumbing: Prior to insulation or decking.
14 Underfloor Drain: Prior to cover or placement of concrete.
15 Rough Plumbing: Prior to cover and including required testing.
16 Water Line: Prior to filling trench and including required testing.
17 Sanitary Sewer Line: Prior to filling trench and including required testing.
18 Storm Sewer Line: Prior to filling trench.
19 Final Plumbing: When all plumbing work is complete.
20 Rough Mechanical: Prior to Cover
21 Final Mechanical: When all mechanical work is complete.
22 Final Building: After all required inspections have been requested and approved and the building is complete.
23 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
24 Underground Electric: Prior to cover
25 Rough Electric: Prior to Cover
26 Electric Service: Approval required prior to utility company energizing service.
Paee30f4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00070
ISSUED: 02/20/2004
APPLIED: 0112012004
EXPIRES: 08/20/2004
VALUE: $ 152,037.00
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 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 ofany 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
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
timesd::a~ Z/2-0/0q
~
Owner or Contractors Signature
Date
Paee 4 of 4
225 Fifth Street!'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
COM2004-00070
Payments:
Type of Payment
CreditCard
'~~~'_'_"!!I'-O'_~' ,., "
Wi; .. ,'" "'," I
;' . I
~,'-"'''''''''. .,'..' .",,,,,.,,' " ,)
Receipt #: 1200400000000000227
Description
Addressing Assignment
Willama1ane 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 SanitarylStorm Admin
SDC Transpo Admin
Annexed 1979 or Before
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Sidewalk Permit
Plan Review - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DENNIS MElLI
Received By
djb
Check Number
Batch Number Authorization Number
000303 020333
,. City of Springfield Official Receip("
Development Services Department.'
Public Works Department ~
>.
Date: 02/20/2004 8:28:36AM
Amount Paid
Hem Total:
31.00
1.000,00
482,78
384,88
292.57
164,89
727.42
314,63
214,23
10,00
70,41
54,15
(100.27)
737,90
254,00
12,00
9,00
6,00
18,00
10,00
75,00
71.00
106.00
38.00
82.66
118,09
$5,184.34
.
.
How Received
In Person
Payment Total:
Amount Paid
$5,184.34
$5,184.34
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAXt~~'iII~K'J5l\lll)ectassubmlttadhasthafollowlng
ELECI'RICAL_rERA!!I: ,;y'PLICATION . app~o~~~na aoas nol ,aqUI.,a s. pacific land usa
City Job Number {'~ -tJa!?7tJ Date Zonln^ Ll)ve.. .
lOi'.";"J:ll;Q~.~>'l'~;f"~":""'~.""'f''''lI''-~f~j,;~';;t;?7Y'f;........,..,..___",.>. l'il>1'1";'.;rj !~'\;o:..'~;:~:':T'..-;~l:\" -,J{~t~:!'""__,,,~ . _ _ _', _ _ ~ - -"a ~_:'"'C?'~~
........'"t"-"\... _ -~
1. ~iM1H~1'!Qr.;,fJ!~;!J:lJ.!..:'Y.;!::.1'fL9!r,{1~1:l:, 3, rP9~IfLE[E,{f&.:*l6MfJ?Jfntit,f.lH;P~~~':fu;t~~):1~:1
/ U1JZfi1q~tfIi(V/9_} .
;;,:'y~tt.f~~~~},1i:'\;,i1~j:5',;t,"';S:';;"~;;~.:;!, ""---;r.,.;~ ~.<.'7:l~~f::/"d:~~'~~','J~.\-'1~\~.~~iX(.~t'
LEG<\L DESCRIPTION A. f'J!.c~Y ~e~lde~~~I.':;;.S}!,g~O!,]~<1.~ltl~_~;;~~l!X, ~,~t~?~';_!!I'..~~lt::l\tJ
J7.o~ 2....7 ":if /J4~
, ,
JOB DESCRIPTION
~F~ WL~ ~6
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days, '
l~h',t,;"" 'i',:':-':" "J;,"" -;'~'~-'}f'":1'\'1
2, ~P1fJIM.g;9.ffJjfST11:.0JlgIYJ~,~.Lr.';j
Elewical Contractor G e ro. rd cE..I c:.c:r-
Address c3 '15.:( ;-Io..i{ ci 6w g.... Rd
City 5;;+ {c::/. . Phone 71/- 25'Q(
Supervisor License Number :5 (,; :; 'i S
Expiration Date /0 "~I - 0 <.f
Constr, Contr, Numbe, go 7 I '1 S
Expiration Date // - /0 - 0 <-I
Signature of Supervising Electrician
"
. ...A a...... ~
- d - ..
Owners Name 3[: ~ .'tJt:;kd
, Address
Service Included,
1000 sq, ft, or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
J.--'"
jeb.
3~
$106,00
2- ' $ 19,00
$50,00
t;;~~~'::~~-i;'.,~." :.:-t:'.~4-' _ ."', .;.:\:;:i ~----c_.;~~(~:~~~~.,,--.:_,:..,.---:-rt
B. e~~!G7JWj::'I~ed~rs .~In~~!iI~.!!~}?n'~1l1!r~h_~ns'.!l[jl~Jg~~~.:,( !
200 -Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63,00
$ 75,00
$125.00
$163,00
$375,00
$ 50.00
c. ~~~p.o!,4hjS~-r~.i~es,~r.ife~((~rf:. ~:;'".. ~':' }&...~":::~~
. ~\O
Installation, Alteration or ReIBo;;itib'llO\)\\\\\'l
)/'l1001 ,,01' \^<"
200 Amps or less I' \~ Ole.., _ c.e\ 'b50,00
201 Amp's,tll@@~'l\"e \}\eS e.;Q"''l:~ 6,9.00
4~t~},9~%Q,QeI?A"'p~.ose ~~" Ol"~", 1\}\fS'\\>O,OO
"'hve:t. 6b'oe1rnprt~Sn&, ~~f""si~.ll1.;~\;o'V't'O~\OI\
\O"'~~~\\Q\1"'" <\" .u;X~~ov"-\'I\e-'Y",,'~\C''''' - ,
D'o~\~~llCh'.9'b;~i!t..'O\9-\ ,t'O\0': .-...., ~O~\ ':".::~, ,,: ,'5" oi" ,. ", "1
" ~~'j -..,~~- l~'\" -'\\\\"--'b,'\
~~~(enltmn w.lE\ftensi6l1'~~r,'r.ah1~ '
q " \'1\'" 0\<'" l\ '0\,- - '
o;!e ';'~,u/iI ,al \'1\0, ~ _Ill\ .. $ 43,00
EachCAd"iti15nal Cirt'Uif or with
,",'1'- r:r
Se~e or Feeder Permit
$ 3,00
E. i Xfi,ke!h~~f~~s '(~~H~~eJfeed~r.?~i}J!ci~.d~~{;:Ei{~h"!.~~I.,ilt:i:ti~!1 l
City Phone ~~ 7 "-,#)92.l) Pump or irrigation $ 50,00
. Sign/Outline Lighting $ 50,00
OWNER INST ALLA nON , " ~()%'hnited EnergylResidential $ 25,00 '
The installation is being made on property I own ~~ ,\y..f{. ,~"'~ited Energy/Commercial ' $ 45,00
is not intended for sale, lease or rent \. fC}.f?~ f?f{.~~~~m Electric Permit Inspection Fee is $45,00 + Surcliarg~s
Owners 'Signature: r.-<\tfc:. .\\'\. ~-:~;'(.~ ~~~~'i)'i)~~ 4, LSUBT6fu.OFAB. ()vE'~_:~~',~\:~.!,.sL l'A J
\\\.l ~~ '\ll.~\"~'i) ~\"R.'~ "v\'>' Ii'.. ,:j- 'cc,::;':':.;'>"""".' ".' , "'. ' ,;I .:::r-~
. \y..\_,~~~1)rt.'i) ~_~Q.\'i)'i). 7% State Surcharge .'. / O.~.,
\>-\),\ ~~- ~~.. , .J..,.
Rl\l\~ ~ 'i)~ 10% Administrative Fee I T' 0
Inspection Request: 72~~i9 \'f; TOTAL !~f-._4fj
Shared Drive(T:)lBuilding Forms/Electrical Pennit ApplicDtion I-03.doc
CITY OF SINGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: COM2004-00070
NAME OR COMPANY: ST. VINCENT DEPAUL
LOCATION: 1763 FAIRHAVEN
TAX LOT NUMBER: 1703 27 31 04400
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF 1840 LOT SIZE (SF):
L STORM DRAINAGE
3485
I~
'0
I~
I~
i-
lJ'J
a
;;2
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S,F, x I COST PER S.F, I I CHARGE I
I 1664,75 $0,290 = I $482,78
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 1 50"10 $0,00
ITEM I TOTAL - STORM DRAINAGE SDC '$482,78 ~
$482.78
I
111070
I
2 SANITARY SEWER - r.ITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 17 I I $22,64 $384,88 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU 11092
I 17 I $17.21 5292.57
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $677,45
3,TRANSPORTATIOJ::!
A REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTORI
I 9,57 1 I 1 1 $ I 7.23 1 1.00 = $164.89 1093
B. IMPROVEMENT COST: I
I ADTTRIPRATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRIPFACTORI
9,57 I 1 1 1 $76,01 I 1.00 1 $727.42 11094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $892.31 I
4, SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $314,63 = $314,63 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
1 1 I $214,23 = , 5214,23 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) , (5100.27) 11054
MWMC ADMINISTRATIVE FEE = , 510.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SOl =, $438.59
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) =, 52,491.13
5, ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM, FEE RATE I~ CHARGE
,
I $2,491.13 I I 5% $124.56
TOTAL SANITARY ADMINISTRATION FEE: 70.41 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $54.15 111078
Sterle is'<Wte4 2/1 012004 TOTAL SDC CHARGES =1 $2,615.69
PREPARED BY DATE ~L-
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