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Home My WebLink AboutPermit Building 2003-9-25 -. . CITY OF ~t'K11"uN1!,LD Building/Combination Permit PERMIT NO: COM2003-00747 ISSUED: 09/25/2003 APPLIED: 08/13/2003 EXPIRES: 03/25/2004 VALUE: $ 159,811.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 7238 Forsythia St ASSESSOR'S PARCEL NO.: 1802022101400 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New IUl;kIligtial . PROJECT DESCRIPTION: SFR Owner: DALE VOLNER Address: 7238 FORSYTHIA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type General Electrical Mechanical Plumbing Contractor JEB & JACKIE WIRFS INC LYNNS ELECTRIC DEAN M SCHULTZ RS PLUMBING CONTRACTING License 97677 102316 133733 103816 Expiration Date 04/12/2004 10/14/2003 02/2312005 01/04/2004 Phone 541-746-3025 , 541-726-7895 541-767-0626 541-461-4714 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN BUILDING INFORMATION' ~RV- #, 'C.: "'\lIRE Ii i\-\ ,ot ~ . ii~hU1iw~tijl~r>-1.1. ;~i'l9\t-/lI16 t'fJ. Floor: ~~:NeaftO ~\li\C@A~r' tNt-OS! 2nd Floor: ~, ~~ 0 OR 15 r>-il ~ ric Sq Ft Basement: R'l,'I!l\lJ\li' ~CEI'.~ \lERIOOElectric Sq Ft Garage/Carport Enji.~~ I1~:O Path 1 Sq Ft Other: Impervious Surface Area: 1,600 624 3 SETBACKS I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 12.00 8.00 REQUIRED PARKING Overlay Dist: Hil!tbll'\ilS '101.1 \9otal: 2 # Street Trees R~!\:>tegon la'll ltl Otttgon U\il~~dicapped: pa~Ntll&l~:clOP\ed '0'1 \h6 IMesat6 6e\~mpact: % ~'tJ<':~~~~ a "",el .inose t~~C[DP<t'\ 952.00 NO\ilice.tiOn ~1-0010\htOI.l\j 01 the {\lIes \ _.0 QS2-O .. .~'n copies .. _.^nhOne 'PUBLIa~(Jv~MIfFiiKott. tN~t~~~~~ Not\ncation ce.\\~ ,t). the Oteg~r..~~'\).. Fully Improved nl.l~'oet1ot lis 1-Scrcr- . Yes cen\8 Downspoutsmrains: Curbside 5' To Storm Sewer 46.00 45.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: An encroachment permit will need to be completed if work is to be done within the easement when connecting to storm sewer dOT service. Paee 1 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 V Wood Frame Garaee Dwellines 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 Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Minimum/Adjustment Mechanical Plan Review - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 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 Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid . I Valuation DescriotionJ $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,600.00 624.00 Total Value of Project Fpp< P"ilLI Amount Paid $494.42 $10.00 $127.27 $89.09 $254.00 $8.00 $-135.78 $760.65 $75.00 $6.00 $9.00 $12.00 $6.00 $59.00 $-30.00 $106.00 $57.00 $361.41 $475.44 $10.00 $34.83 $332.86 $90.80 $48.85 $727.42 $164.89 $75.00 $821.86 $50.00 $12.00 $1,000.00 $6,113.01 Date Paid 8/13/03 9/25/03 9/25/03 9/25/03 9125/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9/25/03 9125/03 9/25/03 9125/03 9/25/03 9/25/03 9/25/03 Paee 2 of 4 . LlJ i' OF 1)t'K11'1ut<lELD Building/Combination Permit PERMIT NO: COM2003-00747 ISSUED: 09/2512003 APPLIED: 08/13/2003 EXPIRES: 03/25/2004 VALUE: $ 159,811.00 Value Date Calculated $144,960.00 $14,851.20 $159,811.20 08/13/2003 08/13/2003 Receipt Number 1200200000000001946 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 1200200000000002215 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00747 ISSUED: . 09/25/2003 APPLIED: 08/13/2003 EXPIRES: 03/25/2004 VALUE: $ 159,811.00 . Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review 08/14/2003 08/19/2003 08/19/2003 I Plan Reviews I 08/19/2003 APP 09/10/2003 APP 08/2712003 APP LLH TAJ MS Structural Review 08/19/2003 DLM 09/03/2003 WE Structural Review 09/08/2003 09/19/2003 APP DLM * Tbe applicant is proposing to take storm drainage from tbe site to the storm manhole located on the nortbeast corner of the property. The applicant will need to fill out an encroachment permit if work is to be done within the easement when connecting to the storm sewer. This permit is included with tbe building permit packet. *The construction plans submitted were incomplete with respect to the master bathroom. The plans do not show any drainage fixture units In the master bathroom. After contacting the contractor, it was determined that the master bedroom will contain one bathtub, one toilet, and one double wash basin. Considerable informatoin is missing from the submitted drawings. Faxed a request for additional information to the contractor. See documents for copy of request. dIm Received revised plans from applicant (4 full size drawings). dim 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. 1 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footIng and/or 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 finisb materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. Paee30f4 . . CITY OF SrKIl'lut<mLD Building/Combination Permit PERMIT NO: COM2003-00747 ISSUED: 09/25/2003 APPLIED: 08/13/2003 EXPIRES: 03/25/2004 VALUE: $ 159,811.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Underfloor Drain: Prior to cover or placement of concrete. 17 Rougb 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 Rough Mechanical: Prior to Cover 24 Final Mecblinical: Wben all mecbanical work is complete. 25 Temporary Electric: Approval required prior to Utility Company energizing pole. 26 Rough Electric: Prior to Cover 27 Electric Service: Approval required prior to utility company energizing service. 28 Final Electric: When all electrical work is complete. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 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 berein, and that NO OCCUPANCY will be made of any structure without permission oftbe 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 ~:;;:;uc~ . f;)S-03 . Owner or Contractors si6lure Date Pa~e4 of4 , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 COM2003-00747 Payments: Type of Payment Check 1Iiil-.;-~. 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Receipt #: 1200200000000002215 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Mult 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 Sanitary/Storm Admin Annexed 1979 or Before SDC Transpo Admin Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Plan Review - Planning + 7% State Surcharge + 10% Administrative Fee Paid By PACIFIC HOMES Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department' Public Works Department Date: 09/25/2003 2:35:58PM ~ Amount Paid' : Item Total: 8.00 1,000.00 106.00 57.00 50.00 75.00 75.00 (30.00) 821.86 475.44 361.41 164.89 727.42 332.86 34.83 10.00 90.80 (135.78) 48.85 760.65 254.00 12.00 12.00 9.00 6.00 6.00 10.00 59.00 89.09 127.27 $5,618.59 . . How Received In Person Payment Total: Amount Paid $5,618.59 $5,618.59 . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: C0M2003.00747 NAME OR COMPANY: Dale Volner LOCATION: 7238 Fors~ia SI TAX LOT NUMBER: 18020221 Tax Lot 01400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S,F, I I CHARGE 2834.00 I $0,290 = $821.86 I 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 50% I = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$821.86 2. SANITARY SEWER - CITY A REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 21 I I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 21 I $17,21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3. TRAN:"It'uKIATION A REIMBURSEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I I 9,57 I I I I I B. IMPROVEMENT COST: I ADTTRIPRATE I x I NUMBER OF UNITS I x I I 9.57 I I I I ITEM 3 TOTAL - TRANSPORTATION SDC = I 4. SANITARY SEWER - MWMc; A REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I $332.86 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I . I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL-MWMC SANITARY SEWERSD( = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ I = 5 ADMINISTRATIV\,: FEE: I SUBTOTAL I x I ADM. FEE RATE 1= I $2,792,93 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: I Matt Stouder 8/27/2003 ~~PMillDBY DA~ o Ir- Ig] 10 18 c.: w f- -00 a w .c.: $821.86 1070 $475.44 I 1091 $361.41 I I 1092 $836.85 COST PER TRIP $17.23 x INEWTRIPFACTORI I 1.00 11093 I J $164.89 COST PER TRIP $76.oI $892.31 x INEW TRIP FACTORI I 1.00 1094 $727.42 = $332.86 11054 I I lOSS ,11054 1056 I I -I I 11079 11078 , . . , . . ~ .... DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS II (NOTE: FOR REMODELS, CALCULATE ONt Y THE NET AuUlI IvnAL FIXTIJRES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS - -.--- II IBATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / Ere. 0 0 3 = 0 I SHOWER, SINGLE STALL 0 0 2 = 0 I SHOWER, GANG (l'!UMBER OF HEADS~ 0 0 2 = 0 ISINK: COMMERClAL/RESIDENTlAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I URINAL. STALL / WALL 0 0 5 = 0 ITOILET.PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBEROFEDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 21 -EDU (Equivalent Dwellina Unit) is a discharll:e eQuivalent to a sinp;le familv dwellinll: unit (20 OFU's) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE II YEAR CREDIT RATE/$I,OOO ~AND ELGIBLE FOR ANNEXATION CREDIT? II ANNEXED ASSESSED VALUE BEFORE 1979 $4,92 (Enter I for Yes, 2 for No) 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $4.83 (Enter I for Yes, 2 for No) 1981 $4.77 BASE YEAR 1979 1982 $4.64 1983 $4.47 CREDIT FOR LAND OF APPLICABLE) 1984 $4,30 VALUE /1000 CREDIT RATE 1985 $4,09 $27.60 x $4.92 = , $135.78 I 1986 $3,78 I 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2,98 VALUE / 1000 CREDIT RATE I I 1989 $2.52 I $0.00 x $4.92 0 I 1990 $2.06 I I 1991 $1.64 I I 1992 $1.45 I TOTAL MWMC CREDIT = $135.78 I 1993 $1.31 I 1994 $1.13 I I 1995 $0.97 I I 1996 $0.82 I I 1997 $0.63 I 1998 $0.41 I 1- 1999 $0.22 I 2000 $0.04 .1 as\"l:l' 61)~g 6\\0 \e'" \\\0 -\,c. "'O~"" ~~ < ,eOl 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX:ef,5ll1t~~'t89 ELECTRICALrf!:....Rl}fP' PPLICATION ~~o"\~~~e\ ",,"'9 City Job Number ~. t01.4.-1 Date,?>99 1.0 . .;o,,\\),e 1. I :LOCATlON(JFIN$1'ALLA170N. i. '. 'I 3. fCOMPLETEJo'EE.sWff.~)JELOW LE:~ ~RI:~'Sl~ . A. IN.wResi.d~ntial C.l'i'~::.iO':'J\1Ultj'Fan;i1)' per:~wclling unit. \~Ow..7\ ()\4ro . JOB D~SCRIPTY; . '2.2J.:~ ~a:on_transferable ~p~~f:T:mP not started within 180 days. of issuance or if work is Suspended for 180 days. : ". ' 0'," . ern OF S"',_dNGFIELD, OREGdN . (), _,' . _ .._ \~ I . . 2. l CON1:RAcTOR mSTAi017oNONf~:1 Electrical Contractor Address LINN;' tLtGI Hie PO BOX A 725-7695 FALL CR~ n~ aZA"n City , Phone Supervisor License Number c-2l5-7 - S Expiration Date / ~ ~ Constr. Contr. Number /023/ cO / a~-:s Expiration Date Signature of Supervising Electrician .el~ OwnersN' e ~tf\efL Add~ess ~ ~\I41\\(L City ~N\\'{)t1Phone ~.?[)1,S ~. \ C~-i; ~ jebl.l:)Ir~) 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 Service Included 'I JD\o.O:> 5~D 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof \ o $ 19.00 $106.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B.I Services qr;Feeders ~ Ij;st~i1atiOli, ;\Itera.tiiills or Re!?cation:: .1 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Rff'[~'\I>\rilN&$E'.u~.!~'<iJ!"t!re'<l~W~l" .Y"," t~ '.. follow rUll!l1l GlUOPIClU uy .I '" at"".;... I::tlIit, Notif~nli't(;{,>;J)\H~r;rti1?~ it~n.M{tn seHort in O~!jb9~g1io01 0 through OAfl \152-00 5000 009n .y~W;a~ 8.~'tain copies of tl':e bIas \ . "Z1 no 4U Al1jDS t th t"I-....--~$ 69.00 c , e ce e. \1'10 e: e _ <-....c..... nu~ ~f8H~f3 ~~n Utility Notific3tio~IOO.00 Over P\llI~~or 4Wl!l-'l\~~~4'~j: above. D. l::'Bi~~~t.h;tit,tAits::_--:~;,,'>'~;-~:~5:--. !~;::,~;-,,; , ~. ".,r.. 'f1)~ 'r:~" ". "'-.., New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 E. ['..l,\j!Nlp.ntot~ (Sei-v!~elie~<I~~'1U),t.i~c1l1dedkE.~~4 ji;stallntlp,i I THlS.Pf:i'MIT SHALL EXPIRE IF TH~ WQ~K p~mp~ffimt~t~?!'r.DUNDER m.:; r[:-::.~I' ~itJ'~1 T SIgn! utliue,Llglitmg OR IS ABA..~n"~D B UIVIIVILlllvtO I 'H,.J VU.. r LimitodEnergylResidentiallOD $ .00 1-11'0- I uv WIl n:n . Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges . 4. Ffvjjtg:rAI(9F:;uJOvE.}'. ? .\~ ~ 14.C\( '2..\ .~U I)ACl .'1.\ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FonnslElectrical Permit Application 1..Q3.doc