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Home My WebLink AboutPermit Building 2005-6-16 Status Issued , 225 Fifth Street, Springfleld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2005-00600 ISSUED: 06/16/2005 APPLIED: 05/20/2005 EXPIRES: 12/16/2005 VALUE: $ 142,288.00 SITE ADDRESS: 517 Ethan Ct Springfield TYPE OF WORK: Single Family Residence ASSESSOR'S PARCEL NO.: BREANNE COMMONS STTENTION. 0 I . " . TYPE of'(fs'E!lreq.j;rw' to PROJECT DESCRIPTION: Single Family Residence"i~119'B{~~IlRe8gt.lb'1iiWsloy, the Oregon Utility Notrficatron Genter. Those rules are set forth :_ ,",An ,......... ~_, __._ 0090. Y~~-;;;y' o~bt~in '~~~i~~ 'of~~rM~i,~~1ber: 541-747-8495 calling the center. (Note: the telephone number for the Oreqon Utilitv Notific:'l'inn . Genter IS 1-800-332-2344). I CONTRACTOR INFORMATION I Owner: Address: DENNIS R MINIUM 8745 THURSTON RD SPRINGFIELD OR 97478 . Contractor Type General Electrical Mechanical Plumbing Residential Contractor DENNIS R MINIUM STEVE HAUCK MICHAEL GRIFFIN CHAPIN ENTERPRISES INC Phone 541-747-8495 541-221-2665 541-942-8339 541-485-1146 ,~ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: 1 R-3 U VN 18.00 5.00 10.00 10.00 0.00 License 62682 147618 150189 81994 Expiration Date 12/1112005 0413012007 0112312007 0510612008 3 BUILDING INFORMATION I (VuTlCI::, # of Stories:' r;:, I Lot Size: . J I-j'~ Drt"1., ~ HeIght of Structure IT SHAI,19.25 Sq Ft 1st Floor: ""TJ'n - r-:'(JJIRE" Type of.Heat:;RIZEForced Air .Gas Sq Ftt2nd,Floor: "''"), to ..., u/lH)tH . U1S P _ -. ~ HUNK WaterlType:1ENCED OR Il' /?,as ES!hf,t;~l!,5~m~t: Range'-Tjipe;ao DAY PE EI~ctricVDD,~8i~\~,~ragetCarport Energy Path: RJOP.ath I Sq Ft Other: Sprinkled Building: nla Occupant Load: 400 5,268 1,378 I DEVELOPM';'IH mFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Yes 32.50 I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Dralns: Fully Improved Yes Curbside 5' Curb and Gutter Notes: No hook-up to City Infrastucture until Pubic Improvements accepted by the City; Storm drainage piped to curb face 5124/2005 CAS Paee 1 of4 -1IIr~JtllQF,I~ . "'- .. " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Dwellines Garaee Tvpe of Construction V Wood Frame Garaee Fee Description Plan Review Same As -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcbarge 2 Baths One or Two Family Addressing Assignment Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outiets 1-4 Heat Pump Plan Review Major - Planning PW Disc. 2nd Permit (Street) Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 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 Temp Power 200 amps or less Vent Fan WilIamalane Single Family Total Amount Paid . . CITY OF ~nUl"l,,"N.t.LD . Building/Combination Permit PERMIT NO: cOM2005-00600 ISSUED: 06/16/2005 APPLIED: 05/20/2005 EXPIRES: 1211612005 VALUE: $ 142,288.00 I Valuation Descril)tion I , , $ Per Sq Ft or multiplier $96.00 $25.00 Square Footage or Bid Amount 1,378.00 400.00 Value Date Calculated $132,288.00 $10,000.00 $142,288.00 05/20/2005 0512012005 Total Value of Project J(r", PJidJ Amount Paid $100.00 $10.00 $122.94 $86.06 $254.00 $31.00 $705.40 $80.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $103.00 $-30.00 $106.00 $38.00 $347.32 $456.76 $10.00 $865.31 $82.03 $109.17 $65.30 $772.49 $175.13 $80.00 $780.27 . $50.00 $18.00 $1,000.00 ' $6,476.18 Date Paid 5120/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16105 6/16/05 6/16105 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 6/16105 6/16/05 6/16/05 6/16105 6/16/05 6/16/05 6/16/05 6/16/05 6/16105 6/16/05 6/16/05 6/16/05 6/16/05 6/16/05 Receipt Number 2200500000000000625 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 2200500000000000782 Paee 2 of4 -G:l~ ~~ .: . . CITY 0.. ~rKlr~lj1'l~L1J . Building/Combination Permit PERMIT NO: cOM2005-00600 ISSUED: 06/1612005 APPLIED: 05/20/2005 EXPIRES: 1211612005 VALUE: $ 142,288.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review 05/23/2005 0512312005 05/2312005 I Plan Reviews , 05/23/2005 APP 06/07/2005 APP 05124/2005 APP SKG TAJ CAS No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped tc . curb face 512412005 CAS Same as 810 55th St Structural Review 0512312005 05/26/2005 APP SKG , To Request an inspection caD the 24 hour recording at 726-3769. Ail 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 RPnllil;rtl In.nprt~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Water Line: Prior to filling trench and including required testing. Rough Electric: Prior to Cover Final Gas: When all gas work Is complete. Underfloor Mechanical. Prior to insulation or decking and including required testing. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuctlon with footing and/or foundation Inspection. Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. , Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear WaU Nailing: Before covering sheathing with finish materials. Framing Inspection: Prior to cover and after all rough In Inspections have been approved. Wall Insulation: Prior to cover. Ceiling Insulation: Prior to cover. Paee30f4 . . '--11 l' OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: cOM2005-00600 ISSUED: 06/1612005 APPLIED: 05/2012005 EXPIRES: 12116/2005 VALUE: $ 142,288.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Sanitary Sewer Line: Prior to filling trench and Including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When ail plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work Is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. Drywall: Prior to taping. Electric Service: Approval required prior to utility company energizing service. Final Electric: When aU electrical work is complete. 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 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 aU required inspections are requested at the proper time, that each address Is readable from the ...... ""9"7' "n< " <0",,, .. ", ,,,.. ,''', ,.."",.", ", .,,~.. W.' ,'.m wm ~." .. ", ". .. ." tlmecngconst uc:~ .~ Owner or Contractors Signature Date Paee 4 of 4 CITY OF S&GFIELD SYSTEMS DEVELOPMEN.ORKSHEET JOURNAL OR JOB NUMBER: COM2005-00600 NAME OR COMPANY: Dennis MuniuID LOCATION: 517 Ethan Ct TAX LOT NUMBER: Breanne Commons Lot 9 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF: 1975 LOT SIZE (SF): L STORM DRAINAGI; DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2517.00 $0.310 I = I $780.27 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 I 0.00 I I $0.310 I I 50% ~ I DISCOUNT $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITX A REIMBURSEMENT COST: I NUMBER OF DFU's I x I 19 I $780.27 COST PER DFU $24.04 B. IMPROVEMENT COST: I NUMBER OF DFU's I x 19 I $18.28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $804.08 = $865.31 1055 $0.00 11054 $10.00 11056 .I --I I I 109.17 11079 I $65.30 .1078 - = $3,663.78 I . ...n._.___.._.__ II - --.-"-'" ...... 3. TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE I x I 9.57 I I NUMBER OF UNITS I x i I I COST PER TRIP $18.30 x INEWTRlPFACTORI I 1.00 I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I 9.57 I I I I I $80.72 ITEM 3 TOTAL-TRANSPORTATION SDC = , $947.62 4 SANITARY SEW~.R - MWMJ:; x INEW TRIP FACTORI I 1.00 I A. REIMBURSEMENT COST: !NUMBER OF FEU's I x I I I ICOST PER FEU I $82.03 B. IMPROVEMENT COST: INUMBER OF FEU's I x I I I ICOST PER FEU I $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 = , $3,489.31 1= CHARGE I $174.47 SUBTOTAL (ADD ITEMS 1,2.3. & 4) ~. ADMlNISTRA T1VE FEE: I SUBTOTAL x I ADM. FEE RATE I $3.489.3 I I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5445 $780.27 $456.76 $347.32 $175.13 $772.49 = $82.03 1 I~ o o u ~ .~ .Vl .16 ~ I I 1070 1091 1092 II 1093 1094 1054 Cheryl Slaymaker 5/24/2005 TOTAL SDC CHARGES PREPARED BY DATE . . DRAiN"AGE FIXTURE UNIT (DFU) ,CALCULA TION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT'" DRAINAGE FIXTIJRE UNITS (NOTE, FOR REMODELS. CALCULATE ONLY mE NET ADDmONAL FIXTURES) ,.. . NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EQUIVALENT --_.- BATHTUB 2 0 3 = DRINKING FOUNTAIN 0 0 1 = FLOOR DRAIN 0 0 3 = IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = LAUNDRY TUB 0 0 2 = CLOTIlESW ASHER / MOP SINK 1 0 3 = CLOTHESWASHER - 3 OR MOREfEA) 0 0 6 = MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = RECEPTOR FOR REFRlG / WATER STATION / ETe. 0 0 1 = RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = SHOWER. SINGLE STALL 0 0 2 = ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = ISINK: COMMERCiAuRESIDENTIAL KITCHEN 1 0 3 = ISINK: COMMERCIAL BAR 0 0 2 = ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = IURINAL, STALL / WALL 0 0 5 = ITOILET, PUBLIC INSTALLATION 0 0 6 = ITOILET, PRIVATE INSTALLATION 2 0 3 = -MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS *EDU (Eauivalenl Dwelling Unit) is 8 discharge equivalent to a single family dwelling unit (20 OFU's) set at 167 Wlilons per day DRAINAGE FIXTURE UNITS 6 -I 0 I 0 I 0 I 0 I 0 I 3 0 0 0 0 0 0 3 0 0 1 0 0 6 0 19 I J MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE r YEAR CREDIT RATE/$I,OOO r ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 I BEFORE 1979 $5.29 (Enter I for Yes. 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 I 1980 $5.19 (Enter I for Yes, 2 for No) I 1981 $5.12 BASE YEAR 1979 I 1982 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) I 1984 $4.63 V ALliE /1000 CREDIT RATE I 1985 $4.40 $0.00 x $5.29 ~ , $0.00 I 1986 $4.07 I 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I 1988 $3.22 VALUE / 1000 CREDIT RATE I 1989 $2.73 $0.00 x $5.29 0 I 1990 $2.25 I 1991 $1.80 I 1992 $1.59 TOTAL MWMC CREDIT = $0.00 I 1993 $1.45 I 1994 $1.25 I 1995 $1.09 i 1996 $0.92 i 1997 $0.72 I 1998" $0.48 I 1999 $0.28 I: 2000 $0.09 2001 $0.05 , / ~ CITY OF SPRINGFIELD, OREGON City Job Number 1. LOCA110N OF INSTAUATION 57?-- If 14"" cr LEGAL DESCRIPTION g 1'c...,"AL. u-,,,,,,,,,"~ S..h ~ M JOB DESCRIPTION SJ^4(. fi./I-f JI"" tZ.sJd,~ r Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is . Suspended for 180 da)'s. CONl"RAC'I"OR INSTALIA TION ONLY 2. Electrical Contractor SIevE ~ Address r.O, &i ?ry,/ City F-Uf+ Phone :;l?/-1Ibc.1 Supervisor License Number gsHS Expiration Date I f..-- \ - a1 Constr. Contr. Number 11./1-";'0 Expiration Date LJ - 3.0- () :;r Signature of Supervising Electrician <7-) City OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 3, Service Included 1000 sq. ft. or l~nENTION. / $106.00 JOb, ao Each addition'll:~,Q,o.~q. ft. or . OregOn I~, reOlJir portion ther'N&tifi t:Ulei: adopted h,~ 19:0&OU fiJl3,co . '" caton Center Th . egon U!IIlty Each Manufact:tllHo!J1S;'Q.'JO 1-. ose rules are set f Modular Dw'l;lIi1fg Se'ijice or 0010 through r...'sJ<on"72 Orth F d 'v '"ay obt~:- _ . '). U'''''-' ..fIn, ee er callin th <.., ~vl-""'>; of th . . n " ;:.g e center. (Nor~' th e rules by B. . S.er\"iees orIF~d~;'larliistUl!~~e"tl,flJ1r,rt~~~/6'rJRel<1€"tion: Center is 1-800-33 ty Notlflcalion 200 Amps or less 2-2i-M)00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375.00 Reconnect Only _ $ 50.00 0:11 -, ~.-___'~..!-- - . c. ' Temporar," Se6ices(0'tF\eedersp'R- 'F THE W - "-I~~.~,::~~'I.l-""I.t..""L^.t t, ... OHK " I 11L-Po,ZED UNnFR THIS PERMIT IS .. Installation,'Alterat.;on,%Relocation NO r ~""'''L''''C(J VI1 I::' AtJANC'flNEr1 mo 200 Arf'p~'.?r(l$sJ' DAY PERIOD r $ 50,00 SO,CO 201 Amps to 400 Amps . $ 69.00 40 I Amps to 600 Amps $100.00 Over 6~0, Amps or 1000Volts see "B" above. .' . D. I Branch Circuits New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. : Miscellaneous (Service/feeder not included) -Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ' SUBTOTAL OF ABOVE 11'-1,fX) , 't.<"~ \ a \..1.0 "7Y~..Cfe, 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FonnslElectrical Pcnnit Application I-03.doc 225 Fifth Street .' . Sprfngfield, Oregon 97477 541-726-3759 Phone . "!'~.- ~ .ity of Springfield Official Receipt Wevelopment Services Department Public Works Department Job/Journal Number COM2005-00600 COM2005-00600 COM2005-00600 CpM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 CbM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 COM2005-00600 Payments: Type of Payment Check ., 6/16/2005 RECEIPT #: 2200500000000000782 Date: 06/1612005 Description Addressing Assignment WilIamalane Single Family Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) 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 Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less 2 Baths One or Two Family -Mechanical Issuance Fee- Dryer Vent Exhaust Hoods Gas Fireplace Furnace - up to 100,000 btu Gas Outlets 1-4 Heat Pump Vent Fan Building Permit + 7% State Surcharge + 10% Administrative Fee Plan Review Major - Planning Paid By DENNIS MINIUM CONST Item Total: Check Number Authorization Received By Bateb Number Number How Received njm 3947 In Person Payment Total: Paj1,e I of i 2:32:45PM Amount Due 31.00 i ,000.00 80.00 80.00 (30.00) 780.27 456,76 347.32 175.13 772.49 82.03 865.31 10.00 109.17 65.30 106,00 38.00 50.00 254.00 10.00 6.00 9.00 15.00 12.00 4.00 12.00 18.00 705.40 86,06 122.94 103.00 $6,376.18 Amount Paid $6,376.18 $6,376.18