HomeMy WebLinkAboutPermit Building 2003-11-18
'.
." CITY OJ<' SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00506
ISSUED: 11/18/2003
APPLIED: 06/17/2003
EXPIRES: 05/18/2004
VALUE: $ 136,360.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6566 Jules PI TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1702341203700 ,_."...nrAqon laW reqUIreS Y~~i\itY
An[[y,p.E'OF'VSE~d b~ewJ Oregon Residential
PROJECT DESCRIPTION: SFR folloW rules aclOP\ ThOS~ rules are se~ I~~\
',1 ",i1ication cent~~,,, ,hmuoh OAR 95 .~ _ \
^R9b~-Uv' -- 'o~OI\\I""~'--
Owner: COZY HOMES In 0" '". obItlionc'Nlimlier: ,~41r~47t8704
Address: PO BOX 237 SPRINGFIELD OR 97477 0090, You may Phorie,NiiiJb\fr:te'541-52'1,.4001
r"lIino the cen~'~:"n Iltilitv NotI\ICar.v..
...,Itnhef lor l1\O -. -.... 00 "31}~2~~4!.t'.
I CONTRACTORINFORMATION.'I"priS ~-8 '-,,> ~
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
TOM WIRFS ENTERPRISES INC
BILLS ELECTRIC
PACIFIC AIR COMFORT INC
JOYCE A FRIDLUND '
License
32947
21351
39237
51835
Expiration Date
06/29/2004
04/28/2004
03/25/2004
12/14/2004
Phone
541-747-8704
541-501-5650
541-672-9510
(541)746-9433
BUILDING INFORMATION I
# of Units: I # of Stories: I Lot Size: 4,560
Primary Occupancy Group: R-3 Height of Structure 19.00 Sq Ft 1st Floor: 1,400
Secondary Occupancy Group: V-I Type of Heat: Forced Air Elect Sq Ft 2nd Floor:
Primary Construction Type VN Water T~~QTICE: Gas S!1 Ft-d~J1ir
Secondary Construction Type: Range Tffi<l;S PERMIT Sltfe!clr~XPIP&jllit~ ~port 400
, # of Bedrooms: 3 Energy Pl!.\!H'HORIZED UNlJ'iifh lHIS S'q:RlIijThl};:NOT
COMMENCED OR IS ABANOOM:~cltBf$urface Area:
SETBACKS I DEVELOPMENif-fjN~6iiM;H{dN'IU' REQUIRED PARKING
Front yard Setback: 18.00 Overlay Dist: Total: 2
Side 1 Setback: 7.00 # Street Trees Rqd: I Handicapped:
Side 2 Setback: 7.00 Paved Drive Rqd: Yes Compact:
Rearyard Setback: 12,00 % of Lot Coverage: 39.00
Solar Setbacks: 12.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
FulIV Improved
No
Sidewalk Type:
DownspoutslDrains:
Curbside 5'
Curb and Gutter
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection 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
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
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 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
.
. CITY V1< ~rKll~tJt<lJ<.;LD
Building/Combination Permit
PERMIT NO: COM2003-00506
ISSUED: 11/18/2003
APPLIED: 06/17/2003
EXPIRES: 05/18/2004
VALUE: $ 136,360.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$90.60
$23,80
Square Footage
or Bid Amouut
1,400,00
400.00
Value
Date Calculated
$126,840.00
$9,520.00
$136,360.00
06/17/2003
06/17/2003
Total Value of Project
Fpp< tlWIJ
Amount Paid
$445.84
$10.00
$113.29
$79.30
$254.00
$8.00
$685.90
$75.00
$6.00
$9.00
$12.00
$4.00
$59.00
$-30.00
$106.00
$38.00
$335.80
$441.80
$10.00
$34.83
$332,86
$81.73
$50.77
$709.81
$160,87
$75.00
$624.07
$18.00
$1,000.00
$5,750.87
Date Paid
Receipt Number
6/17/03
11118/03
11/18/03
11/18/03
11118/03
11118/03
11/18/03
11/18/03
11118/03
11/18/03
11118/03
11118/03
11118/03
11118/03
11118/03
11/18/03
11/18/03
11118/03
11118/03
11118/03
11/18/03
11118/03
11/18/03
11118/03
11/18/03
11/18/03
11/18/03
11118/03
11118/03
1200200000000001575
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
1200200000000002489
Paee 2 of 4
,
.
. CITY OF SPKll'iuNJ<.LD ~
Building/Combination Permit
PERMIT NO: COM2003-00506
ISSUED: 11/18/2003
APPLIED: 06/17/2003
EXPIRES: 05/18/2004
VALUE: . $ 136,360.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin!! Review
Public Works Review
Structural Review
06/18/2003
06/18/2003
06/18/2003
06/18/2003
I Plan Reviews I
06/18/2003 APP
06/26/2003 APP
06/19/2003 APP
07/08/2003 APP
LLH
AJD
DJW
RJB
To. Request an inspectian call the 24 haur recarding at 726-3769. All inspectian requested before 7:00 a.m.
will be made the same warking day, inspectians requested after 7:00 a.m. will be made the fallawing wark
day.
Il?p~
1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 Vfer 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 finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover,
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Underfloor Plumbing: Prior to insulation or decking,
17 Underfloor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing,
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Temporary Electric: Approval required prior to Utility Company energizing pole:
29 Rough Electric: Prior to Cover
30 Electric Service: Approval required prior to utility company energizing service.
31 Final Electric: When all electrical work is complete.
Pa!!e30f4
.
.
. CITY OF SPRI1~uNELD
Building/Combination Permit
PERMIT NO: COM2003-00506
ISSUED: 11/18/2003
APPLIED: 06/17/2003
EXPIRES: 05/18/2004
VALUE: $ 136,360.00
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 carefuUy 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 he 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. ~ /1 / / IT / () :;
Owner or Contractors Signature
Date
Pa!!e 4 of 4
~25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
.
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506.
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
COM2003-00506
.
'Payments:
Type of Payment
Check
.
o
1lIi~'~~-,-rr'IIU)..., '~',.'..
j,' j
,
;"~A!,;' i
WlIJIJt. :
"... " .<<. .~: ..-.,.'
Receipt #: 1200200000000002489
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sidewalk Pennit
Curbcut Permit
PW Mult Disc - 2nd Pennit
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
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Paid By
COZY HOMES
Received By
DDK
Check Number
Batch Number Authorization Number
City of Springfield"(>fficial Receipt
Development Services Department
Public Works Department
Date: 11/18/2003 11:36:39AM
Amount Paid
Item Total:
8.00
1,000,00
106.00
38,00
75,00
75.00
(30.00)
624,07
441.80
335,80
160.87
709,81
332.86
34,83
10.00
81.73
50.77
59,00
685.90
254,00
12.00
18.00
9.00
6.00
4,00
10,00
113,29
79.30
$5,305.03
How Received
In Person
Payment Total:
Amount Paid
$5,305,03
$5,305.03
. ..
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: Com2003-00513
NAME OR COMPANY: Tom Wirfs
LOCATION: 6566 Jules Place
TAX LOT NUMBER: 17023412113700
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF; 0 LOT SIZE (SF):
L STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S,F, ,I COST PER S,F. I I CHARGE
l 2213,00 1 $0,282 = $624.Q7 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S,F. I ,I COST PER S,F, I' I DISCOUNT RATE 1 1 DISCOUNT
1 0,00 I I $0,282 50% 1 = 1 $0,00
ITEM I TOTAL - STORM DRAINAGE SDC '$624.07
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I ,I COST PER DFU
I 20 I $22,09
B. IMPROVEMENT COST:
I NUMBER OF DFU's I' COST PER DFU
I 20 $16,79
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
~
ICIl
~
10
10
u
'1 ~
I~
,,",
CIl
~
"
~
4560
$624.07
I 1070
$441.80
I
1091
$777.60
$335.80 11092
I
, ..
$160.87 I 1093
$709,81 1094
J
1 TRANSPORTATION
A, REIMBURSEMENT COST:
I ADTTRIPRATE I ' I NUMBER OF UNITS I ' I
I 9.57 I I I
B.IMPROVEMENTCOST:
I ADT TRIP RATE I ' I NUMBER OF UNITS I ' I
9,57 I I
ITEM 3 TOTAL - TRANSPORT A nON SDC = ,
4, SANITARY SEWER" MWMC
A, REIMBURSEMENT COST:
INUMBER OF FEU's I , ICOST PER FEU
I I I 1 $332.86
B.IMPROVEMENTCOST:
INUMBER OF FEU's I.,
I I I
ICOST PER FEU
I $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = ,
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = ,
5, ADMINISTRATIVE FEE:
ISUBTOTAL 1 ' I ADM, FEE RATE 1=
1 $2,650,04 I 1 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
COST PER TRlP
$16,81
, 1 NEW TRIP F ACTORI
1 1.00
COST PER TRIP
$74.17
$870,68
, INEW TRIP FACTORI
1 1.00
=
$332.86
1054
= $34,83 1055
$0.00 1054
$10,00 I 1056
$377.69 I
$2,650.04
CHARGE
$132,50
81.73 1079
$50,77 11078
TOTAL SDC CHARGES = I $2,782.54 I
I
6/18/2003
Virginia Jurasevich
PREPARED BY
DATE
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW RXTURES x UNIT ~QUIV ALENT - DRAINAGE RXTURE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0
IiNTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
I CLOTH ESWASHER - 3 OR MORE (EAl 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FORREFRIG/ WATER STATION / ETC 0 0 1 = 0
IRECEPTOR FOR COM, SINK / DISHWASHER / ETC 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISH OWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAURESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V ATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL. STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA TION 2 0 3 = 6
.' MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20 I,
.EDU (Equivalent Dwel1in~ Unit) is a dischar~ equivalent to a sinl?le family dwellinj:!; unit (20 DRYs) sel at 1671t31lons per day
I
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATE/$I,OOO
ASSESSED V AWE
$4.92
$4,92
$4,83
$4.77
$4,64
$4.47
$4.30
$4,09
$3,78
$3.41
$2,98
$2,52
$2,06
$1.64
$1.45
$1.31
$1.13
$0,97
$0,82
$0,63
$0.41
$0,22
$0,04
IS LAND ELGlBLE FOR ANNEXATION CREDIT! 0
(Enter I for Yes. 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT! 0
(Enter I for Yes, 2 for No)
BASE YEAR 1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0,00 x $4,92 = I $0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $4,92 = , 0 "
TOTAL MWMC CREDIT = $0,00
I,
.'.
. .
~-".., ""1!i225 EIFTU S"''''''ET '" .
fii ~PfuN8~~J&ORE~bJ~;~'7
!'i~~
~~~,
1"
Items Cost s\iij\$~
Oiitii;;.'!IG
.:....L $106,00 \~~
f&
n ~%~\
.t- $ 19,00 \,-, pv
j':~~~\
':'>"~~""'~,'
,;~"i;;f!.:i/"AI
;>~:,.~~:
~n "'" "l 1000 sq,ft. or less
I. 'f::J...)../ Each additional 500
sq, ft or portion
Permits are Iron-transferable and expire thereof
if work is ncft?started within 180 days Each Manufd Home or
of issuance ~1iif work is suspended 'for Modular Dwelling
180 days, ~ Service or Eeeder
2,' CONnlTOR I~~TALLATION ONLY B. Services or Feeders
'~) /ft.! r/J 1-' Installation, Alteraf
Electrical&l\',~~ac~,'\P ~'" Relocation:
p:~~ \'9;~ I . t!:>- ~ ,iIt...
Address ,f.'l1fh'f!O i:;l;.&' / / I' ~i;~ 200 amps or le~ ",,'
C ", :r,;t<~\ I~~~ ,~, iC7i4~~~"~~,." 201 amps to 40:0;'!imps
cityr.A).!ifiif-Y>1!f!.~,"f~hone 5 {)T,7;",i'c{5j~;., ijt"";;" 401 amps to,6oi\1fill~t.,.
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