HomeMy WebLinkAboutPermit Building 2003-6-5
.,., CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00344
ISSUED: 06/05/2003
APPLIED: 05/06/2003
EXPIRES: 12/05/2003
VALUE: $ 98,553.00
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6563 Jules PI
ASSESSOR'S PARCEL NO.: 1702341201300
TYPE OF WORK: Siugle Family Residence
Yes '0
_'\'I)Ul
% of Lot Coverage: re~Ulr36:00. l\iliW
(\\a\J\l nO\'\v ,
.' \8g0 ore" \ \ort
. ~ .& 'i~.U .\ v-,,' tne _...0 ~e _ .
. I PVBI;I{;iM~~uv,.,;;iENTS'lse {U;O~I"\ 9'O'2.;~; b~
'V" '0(\ v-' "lO\I\rOU9. _H....e rU
F II I ")~I\ica\\ 00"1-00 On,~dewalkTyp.!'"e
u y mprov~u 9'0'2.- '~i(\ c .... \ele",',,,
Y O~I"\ "00'<>. 'he ","1;1.-
~~I ... 'IoU ~a, { ~No,\D?)Vnsp.tl!tslDrams:
0090.. \\1e ce(\\e. 0(\ \}\lII\'1 . .1,.1,).
call1(\g r \\'Ie oreg 0_'3'3'2.-'2.'3
....oer\O 'S "\_BO
{'IU." ce(\\erl
TYPE OF VSE:
PROJECT DESCRIPTION: SFR
Owner: COZY HOMES
Address: PO BOX 237 SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
.'-
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Contractor
TOM WIRFS ENTERPRISES INC
BILLS ELECTRIC
PACIFIC AIR COMFORT INC
COZY HOMES
JOYCE FRIDLVND
License
32947
21351
39237
BUILDING INFORMATION'
# of Buildings: 1 # of Stories: 1
Primary Occupancy Group: R-3 Height o{ Stru,c~uPe" 15.00
Secondary Occupancy Group: V-I TYP'e Of H~:I" '~Qrl:ed Air Elect
c,/-W" .'~ ."1 '"
Primary Construction Type :t\<::'~'. VN \\t>-\,.\. '- ., at~rt.1'Yjie:? Electric
Secondary Construction tWe: tlt.\\'N\\\ S \-lUt.\\ \R~lg~CFxP'e: 1'0 Electric
# of Bedrooms: \\\IS\\O\\\l~) \.I O'i\ \S p,Enerjiy Path: Path 1
[\\.1_\ ,,~,\-lc:,t.\), nl'\l.\Cl\)'
1J~~i "\~Q \)rl 'DEVELOPMENT INFORMATION'
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
10.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
18.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
~
Paeelof3
New
Residential
Phone Number: 541-747-8704
Phoue Number: 541-521-4001
Expiration Date
06/29/2004
04/28/2004
03/25/2004
Phone
541-747-8704
541-501-5650
541-672-9510
541-747-8704
(541)746-9433
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
4,509
1,216
400
1
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
.
. CITY V1< ~rKll~uNJ!,LD
Building/Combination Permit
PERMIT NO: COM2003-00344
ISSUED: 06/05/2003
APPLIED: 05/06/2003
EXPIRES: 12/05/2003
VALUE: $ 98,553.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Val~ation Descrintion I
Description
Dwellin!!s
Gara!!e
Tvpe of Construction
V Wood Frame
Gara!!e
$ Per Sq Ft
$74.60
$19.60
Square Foota!!e
1,216,00
400.00
Value
$90,713.60
$7,840.00
$98,553.60
Date Calculated
05/06/2003
05/06/2003
Total Value of Project
Fp..< P~irll
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $365.14 5/6103 1200200000000001138
-Mechanical Issuance Fee- $10.00 6/5/03 1200200000000001451
+ 10% Administrative Fee $100.48 6/5/03 1200200000000001451
+ 7% State Surcharge $70,33 6/5/03 1200200000000001451
2 Baths One or Two Family $254.00 6/5/03 1200200000000001451
Addressing Assignment $8.00 6/5/03 1200200000000001451
Building Permit $561.75 6/5/03 1200200000000001451
Curbcut Permit $75.00 6/5/03 1200200000000001451
Dryer Vent $6,00 6/5/03 1200200000000001451
Exhaust Hoods $9.00 6/5/03 1200200000000001451
Minimum/Adjustment Mechanical $18.00 6/5/03 1200200000000001451
Plan Review - Planning $59.00 6/5/03 1200200000000001451
PW Mult Disc - 2nd Permit $-30.00 6/5/03 1200200000000001451
Residence Wiring 1000 Sq Ft $106.00 6/5/03 1200200000000001451
Residence Wiring Ea Addtl 500 $38.00 6/5/03 1200200000000001451
Sanitary Sewer - Improvement $335.80 6/5/03 1200200000000001451
Sanitary Sewer - Reimbursement $441.80 6/5/03 1200200000000001451
SDC MWMC Administration $10.00 6/5/03 1200200000000001451
SDC MWMC Improvement $34,83 6/5/03 1200200000000001451
SDC MWMC Reimbursement $332.86 6/5/03 1200200000000001451
SDC Sanitary/Storm Admin $83.45 6/5/03 1200200000000001451
SDC Transpo Admin $50.67 6/5/03 1200200000000001451
SDC Transpo Improvement $709.81 6/5/03 1200200000000001451
SDC Transpo Reimbursement $160.87 6/5/03 1200200000000001451
Sidewalk Permit $75.00 6/5/03 1200200000000001451
Storm Drainage Impervious Area $656.50 6/5/03 1200200000000001451
Vent Fan $12.00 6/5/03 1200200000000001451
Willamalane Single Family $1,000.00 6/5/03 1200200000000001451
Total Amount Paid $5,554.29
I Plan Reviews I
Initial Review
Plannin!! Review
Public Works Review
05/07/2003
05/08/2003
05/16/2003
05/08/2003
05/16/2003
05/19/2003
APP LLH
APP AID
APP VRJ
Pa!!e 2 of3
-'
.
. LII t' OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00344
ISSUED: 06/05/2003
APPLIED: 05/06/2003
EXPIRES: 12/05/2003
VALUE: $ 98,553.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
05/08/2003
OS/28/2003
OK
TCM
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 Reouired Insnections I
I 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 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Walllnsulation: Prior to cover.
II Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underfloor Plumbing: Prior to insulation or decking.
15 Underfloor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Rough Mechanical: Prior to Cover
22 Final Mechanical: When all mechanical work is complete.
23 Rough Electric: Prior to Cover
24 Electric Service: Approval required prior to utility company energizing service.
25 Final Electric: When all 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 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
times during construction.
ct>3
Owner or Contractors Signature
~ /c;-~ 3
(
Date
Pal!e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
.
eOM2003-00344
eOM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
eOM2003-00344
COM2003-00344
COM2003-00344
eOM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
eOM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
COM2003-00344
.
Payments:
Type of Payment
Check
r,
1\
I,
6/5/2003
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Plan Review - Planning
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
SDC Transpo Admin
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
l"aidBy
COZY HOMES INe
Received By
djb
2:26:03PM
Date: 06/05/2003
Amount Paid
Item Total:
8.00
1,000.00
106.00
38,00
59.00
75,00
75.00
(30,00)
656.50
441.80
335,80
160,87
709.81
332,86
34,83
10.00
83,45
50.67
561.75
254.00
12,00
9,00
6.00
18.00
10.00
70.33
100,48
$5,189.15
l:heck Number l:onl1rm No
How Received
In Person
Payment Total:
5,189,15
$5,189,15
Amount Paid
Page 1 ofl
cRcccipt.rpt
.'
n'~ - FIF'rU' STRE' ET.- ~
",";,22) .., ,'"D. " WA )(iC,p,",
~1jSPfuNGFiEr!D OREGbN97A~,7
'INSPE'cii0NJ,~"UE"si!'f7 '''Itfi6i~"
li'lf~r0RF{GEt71g~f3 f53~~~ ~~,\,,~~~4;~~1f1
,~~~rilct. t~';; '~'Z'!! ~,' ~'1 ~fj;fo-\~?:~~ ~~ it"r
'" """~.'~'" "'ijij ^
,", ',' '," ',~ f W' ""',,",4 !V~, ".",' _"<f... ,'"
WI!. 0" ,iI" '6 ." .,' '"
','iI'i~ t,~~",~ "'''~' "
.. 0'" ""'0' ""
',' .... ,,,.. "-'-
,/ <;"
~e eO
LEF.A~RlI:110~ Q."'2'~'"
(Il) L.."'A-tL l'\\,,~
~o,. \b\~O.QJ
Permits are Ilon-transfe b e and eXPit
if work is nc[t;started withm 180 days
of issuance 5Eif work is suspended for
180 days, I"!, " '
2,' CON~TOR INSTALLATION ONLY
li"~\ liiz"
rli\f.'~ ;w.:;, ..L
Electrical -"ifil'Wa ,1/ /~ / /" )
'"''.\',//W,'''
.~:I;jJ"
Address '///t~1}),1 / - IJ
'~~~ 11,ITJ{<lY,
-"~:I/ii~"c!l ~!ffi:ilt'l" r"{)
CityUF2~PJ.?'l~'lJi&iWJlone;:-> ,
10~,Jit,'2i,f;', \\:",l\f'~,."o
''',Cl-1ll~ 9,.i!ll!:Jl\ I),
S~lpervisQf;I::ic~'c e{N{lrnb~er 7%1:
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
Items Cost S..W~ rJJ
-L$106,OO ~;f~w.
t ~~~~," ,,\
~';'~~li, , Ul)
_ $ 19,00 ;8;'.'" .
B.
cmps,oB',...
tlBu above
/fI;.
'-r:r~.;
D. Branch Cil'tuits
:"fk-~j;!'i ~ .
Ne\Y~' Iteration or,Extension Per'-Pane
.;j1 - i+-;,',$~ ,.'w',
k ,~,' "','
~~~ :vr:
OI;l r+~~ '
l!' i7r.!i~
,r , _ _ __ -c'g-'I;~~ <~I
Each'Addll1oiiaLCircuit or with Se
dr Fe:gd~'~".P~?Irtit n"ff1::,' ': ";~:; ~
",:,.,L~,{,>,. \.1"- ..1(\o~ ",,,,.':: ':>
, ^" r;.~ _x ," ,f:\t;;'1'4Y{"'\'" 'i' . ,
~. E. Mis~~Q~~t~~~1c~~~~~1t includ'i~>>;: f~f'
~Q"\C . ~\, '2>~f>-,I..Ea:?\$~al.t.~r~Q\\ .~'~; ..' '.c';;"
r\\'2> ?'t.\\ 1J~~!!lP..arll,~Il\li:''12i ': . ~$50,O."h,
.' \I,r\G\\\l't.'i.)'i.) Q~i~\!!!.'eLjgllti.~I( _ $500Q", : it:
," II: ~~'t.~Ct: ?~ili E!!ergy/Res;, " _ $25.00,----'-
~"( '~,~G ~ '\~\) 'i.)f>,i t;i;;i(e~fln;::gy/C~lin _ $45,00 ~.
",:,. .JI-~ .r, ...\,,' "". '. ..
;:.,~,tj~_:~WJ~0{::j.~Et&:,~>>,>'!;'~ i'linimu'niWElect;:itPe'rmit:iri'spcction Fee is 545.00 + S?ll:chaJ~gcs
;:~~;, . , 1~B~~fIIt:f ~;
TOTAL ".. ,.,f' \.\oR,~
CITY OF IINGFIELD SYSTEMS DEVELOPMEaORKSHEET
JOURNALOR JOB NUMBER: Com2003-00344
NAME OR COMPANY: COZy Homes ('0,
LOCATION: 6563 Jules Place ,,'"
TAX LOT NUMBER: 17023412 tI 1300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF 1696 LOT SIZE (SF):
I. STORM DRAINAGE
4509
]
CIl
"-l
CI
18
I~
j"-l
,E-<
CIl
-
o
~
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x, COST PER S,F, 1 I CHARGE
'2328,00 I $0.282 = $656.50 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
, IMPERVIOUS S,F, I x, COST PER S,F, 1 x I DISCOUNT RATE' I DISCOUNT
, I, 0,00 I $0,282 50% I = $0,00
;: ITEM I TOTAL - STORM DRAINAGE SDC '$656.50
2, SANITARY SEWER - CITY
5656.50
1070
A, REIMBURSEMENT COST:
I NUMBER OF DFU's I x , COST PER DFU
:! I 20 , $22,09 5441.80 I 1091
B. IMPROVEMENT COST: I
I NUMBE~OOF DFU's I x COST PER DFU
$16,79 $335,80 11092
ITEM 2 TOTAL - CITY SAN IT ARY SEWER SDC = I 5777.60 J
3, TRANSPORTATION ~
A, REIMBURSEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x , COST PER TRIP x 'NEW TRIP FACTORI
I 9.57 I I , , $16,81 , 1.00 5 I 60.87 11093
I
B. IMPROVEMENT COST:
, ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEW TRIP FACTOR I
, 9.57 I I I , $74,17 I 1.00 $709.81 I 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I 5870.68
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I x I COST PER FEU
, I I $332,86 = 5332,86 I 1054
B. IMPROVEMENT COST:
'NUMBER OF FEU's 1 x ICOST PER FEU
, I I $34,83 = 534.83 1055
II MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 1054
I! MWMC ADMINISTRATIVE FEE $10,00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , 5377.69
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , 52,682.47
5, ADMINISTRATIVE FFF'
ISUBTOTAL I x I ADM, FEE RATE 1= I CHARGE
, $2.682.47 I 5% $134,12
TOTAL SANITARY ADMINISTRATION FEE: 83.45 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $50,67 1078
Virginia Jurasevich 5/19/2003 TOTAL SDC CHARGES =, $2,816.59
PREPARED BY DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EOUIVALENT
I BATHTUB 2 0 3 =
IDRINKING FOUNTAIN 0 0 1 =
IFLOOR DRAIN 0 0 3 =
,iNTERCEPTORS FOR GREASE lOlL 1 SOLIDS 1 ETC 0 0 3 =
IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC 0 0 6 =
ILAUNDRY TUB 0 0 2 =
ICLOTHESW ASHER 1 MOP SINK 1 0 3 =
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 =
IMOBILE HOME PARK TRAP,! I PER TRAILER) 0 0 12 =
IRECEPTOR FOR REFRIGI WATER STATION 1 ETC 0 0 1 =
IRECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC 0 0 3 =
ISHOWER. SINGLE STALL 0 0 2 =
ISHOWER. GANG (NUMBER OF HEADS!. 0 0 2 =
ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 =
ISINK: COMMERCIAL BAR 0 0 2 =
ISINK: WASH BASINIDOUBLE LA V ATORY 0 0 2 =
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 =
IURINAL. STALL 1 WALL 0 0 5 =
ITOILET, PUBLIC INSTALLATION 0 0 6 =
ITOILET, PRIVATE INSTALLATION 2 0 3 =
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
~u (Equivalent Dwelling Unit) is a disc~r~ eQuivalenllO a sinl!:le family dwelling unit (20 DRYs) set at 1671!,allons per day
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
o
o
o
3
o
o
2
o
o
6
o
20
I
I
I
I
I
I
I
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT RA TE/$ I ,000 I
ASSESSED V AWE
$4,92
$4,92
$4.83
$4.77
$4,64
$4.47
$4.30
$4,09 I
$3,78 I
$3,41 I
$2,98 I
$2,52
$2,06
$1.64
$1.45
$UI
SI.13
$0,97
$0,82
$0,63
$0,41
$0,22
$0,04
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
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enler I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
SO,OO x $4,92
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0,00 x $4.92
TOTAL MWMC CREDIT
=
o
o
1979
= I
SO,OO
o
$0,00
J