HomeMy WebLinkAboutPermit Building 2003-11-3
.
__ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00958
ISSUED: 'W03/2003
APPLI~~ \0110:"9/24/2003
EXPIliES~"o Il 05/03/2004
VALUE: $ 236,003.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 4691 Holden Ct
ASSESSOR'S PARCEL NO.: 1802051304700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR Same as 4684 Holden Ct (#com2003-00957)
New
Residential
Owner: MARGOLIS FAMILY LTD PARTNERSHIP
Address: PO BOX 5442 EUGENE OR 97405
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
LARRY KENT COOPER
DEANS ELECTRIC
DEAN M SCHULTZ
DENNIS SCOTT EGGERS
License
109780
99579
133733
142776
Expiration Date
11/06/2003
06/20/2004
02/23/2005
05/05/2004
Phone
541-302-5852
541-935-5303
541-767-0626
541-459-0110
12,80
0.00
,,~\O
# of Stories: 1 , I 'otISize:~'1
\'~' U'" "
Height of Structure 22.0Q,o.~ Sq:FClst'FIoor:
Type of Heat: HeaN~b"hlp o~PS'f!J!t'2%d.F.l11~r:
C"" 1l'!\:O ...-:"v' ....n"" "(
Water Type: O,0r{, Electrlc,.,\0Sn,~Basement:
...\" ,\ .... "'. ;-,' v C\~ (\)\-
Range Type: ~\O\" oo~\€E1~Wic ~"Sq,~:~a~itg~{<i:arport
Energy p~t!i:\ ~0'" '3' :<,,0~ "l(5't!tn)\\0S<?F{...Qt6,~r:30\\O~
~ ,tl ~~ ^ 00<;1 rJ;)\ . <;I co~ .Iwperv!9'uSCSurface Area:
. .....\\0 ....0" _C'\'\" Iot:a,'\ . ....\e. .......1"'" ....
I DEVELOPMEN:fiNF@RMA:t110N€t. ~~<;I \);;~~"'-'
<;I V' '1v- '(\0 v U,0 rJ\\o'?i REQUIRED PARKING
\~<:I9l:J',~" \'(\0.0.\"'"
Overlay Dist:c.~\\\~0~ 'O~ <"p' \ Total: 2
# Street Trees..-/!qd: ('.r> 5 Handicapped:
Paved Drive Rqd: Compact:
Yes
41.90 \N()~'(..
_..n\tl.~ W \\\~ Ie. !>IO\
I PUBLIC IMPROVE~NriiI\\oJ\I\ c;,W''t~\..1~1c;, ~t."~~' to?>
'\ \'\Iv . - It.~\lr~\) ..o.~\)O~
Fullv Improved 1\1,\\ \\O?>I ~ 'tl~'\~ ,'yP . Curbside 5'
Yes C.()\oJ\\oJ\t.~\\~f\'"li~slDrains: Curb and Gutler
I\~'i '\ ~\) \)
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
I
R-3
U-l
VN
2,452
582
4
SETBACKS
Frontyard Selback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
11.00
7.10
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of4
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
+ 70/0 State Surcharge
3 Baths One & Two Family
Addressing Assignment
Air Handling Unit Up to 10,000
Annexed 2000
Building Permit
Copies - Ea AddU @ 50 Cnls Ea
Copy 1st @ 75 cents
Curhcut Permit
Dryer Vent
Exhaust Hoods
Heat Pump
Plan Review - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Sanitary Sewer - Improvemenl
Sanitary Sewer - Reimhursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimhursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
.
I Valuation Descriotion ,
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,452.00
582.00
Total Value of Project
Fpp<. PIilIJ
Amount Paid
$100.00
$10.00
$162.69
$113.88
$306.00
$8.00
$8.00
$-0.95
$1,010.90
$13.00
$0.75
$75.00
$6.00
$9.00
$12.00
$59.00
$-30.00
$106.00
$95.00
$464.67
$611.28
$10.00
$34.83
$332.86
$123.30
$50.05
$727.42
$164.89
$75.00
$1,122.01
$50.00
$24.00
$1,000.00
$6,854.58
Date Paid
9/24/03
11/3/03
11/3/03
11/3/03
11/3103
11/3/03
11/3103
11/3/03
11/3/03
11/3/03
11/3/03
11/3103
11/3103
11/3/03
11/3/03
11/3/03
11/3/03
11/3/03
11/3/03
11/3/03
11/3/03
11/3/03
11/3/03
11/3103
11/3103
11/3/03
II /3103
11/3/03
11/3103
11/3/03
11/3103
11/3103
11/3/03
Paee 2 of 4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00958
ISSUED: 11103/2003
APPLIED: 09/24/2003
EXPIRES: 05/03/2004
VALUE: $ 236,003.00
Value
Date Calculated
$222,151.20
$13,851.60
$236,002.80
09/24/2003
09/24/2003
Receipt Numher
1200200000000002206
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
1200200000000002411
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
Initial Review
Plannin!! Review
Pnblic Works Review
09/25/2003
09/26/2003
09126/2003
. CITY OF ~rKll'll>-NJ'.,LD
Building/Combination Permit
PERMIT NO: COM2003-00958
ISSUED: 11/03/2003
APPLIED: 09/24/2003
EXPIRES: 05/03/2004
VALUE: $ 236,003.00
I PIan Reviews I
09/2612003 APP
10/14/2003 APP
09/26/2003 APP
LLH
TAJ
MS
10/2/2003 - Talked with Ron Sather,
he said no encroachment permit
necessary for the concrete pad
extending into the PUE. -MS
Structural Review
09/26/2003
10/1012003
9/26/2003 - No portion of the eaves,
foundation, or building is allowed to
be constructed within any easement
on this property. -MS
Waiting for same information as
requesled for 4684 Holden Ct. See
documents for copy of request. dim
Revised drawings & engineering
cales. received. See documents for
plan review comments.
Structural Review
10/2612003
WE DLM
11/03/2003
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.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
~
I Rpollirptl fnsnections I
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrele.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to noor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to laping.
Hold Downs Installed: Special Inspection performed prior 10 placement of concrete. Provide report to City
Building Inspector.
Final Building: After all rcquired inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed bul prior to backfill.
Undernoor Plumbing: Prior to insulation or decking.
Undernoor Drain: Prior to cover or placement of concrete.'
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required tesling.
Storm Sewer Line: Prior to filling trench.
Pa!!e 3 of 4
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00958
ISSUED: 11103/2003
APPLIED: 09/24/2003
EXPIRES: 05/03/2004
VALUE: $ 236,003.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54I-726-37691nspection Line
22 Final Plumbing: When all plumbing work is complete.
23 Underfloor Mechanical. Prior to insulation or decking and including required testing.
24 Rough Mechanical: Prior 10 Cover
25 Final Mechanical: When all mechanical work is complete.
26 Temporary Electric: Approval required prior to Utility Company energizing pole.
27 Rough Electric: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 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 ront of the property, and the approved set of plans will remain on the site at all
times during construction. ' .
~ IlytD'3
Owner or Contractors Signature
Date
Paee 4 of 4
225"Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
COM2003-00958
Payments:
Type of Payment
Check
r
~q""~,:-~LI,'..'-"- '.,,'...
1Iir' ,
..,~ '
"'''.','
.~ . ..- ,~.""
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Receipt #: 1200200000000002411
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
SDC Transpo Admin
Annexed 2000
Building Permit
3 Baths One & Two Family
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Copy 1 st @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Paid By
MARGOLIS F AMIL Y TRUST
Received By
djb
Check Number
Batch Number Authorization Number
City of SpringfieId OfiiCial Receipt
Development Services Departmen,t
Public Works Department
Date: 11/03/2003
2:36:55PM,
Amount Paid'
Item Total:
8.00
1,000.00
106.00
95.00
50.00
75.00
75.00
(30.00)
1,122.01
611.28
464.67
164.89
727.42
332.86
34.83
10.00
123.30
50.05
(0.95)
1,010.90
306.00
8.00
24.00
9.00
6.00
12.00
10.00
113.88
162.69
59.00
0.75
13.00
$6,754.58
.
.
How Received
In Person
Paymenl Total:
Amount Paid
$6,754.58
$6,754.511
.' .
';'"", .""22jFIFTHSTREET': ," ~.~~
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't.;9"'-li' INSPE.l;:nOlf.REQVFt' 72Q~ '
\:",. '. .; OFFICE: ']26-3759)i'i~ ~Ji, I" ,
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'to ~,\ ~~r.Y~';'" ~ .~....';.-~~
. ~ ,~~ ,..~-i": ".r ';t'.o,.: ,:ill"
Ne,,, Residential-Single or'....- """".'.--
Multi-Fa'mily per dwelling unit.
Service Included:
1000 sq.fl. or less
Each additional 500
sq. ft or portion
thereof
, Each Manuf'd Home or
Modular Dwelling
Se"ice or Feeder
"':'",. '" -..~ '-
~~!.l~~:1}~1
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1-',;;;r.' , ':""'.fJ ;~.~~7,t..~:;
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'.~ ~,l:. ',;;~;
~\'~:~~ .
Items Cost Sum""
$106.00 JI?l'
3 . ~~:'~1,~ CX)
'~
$ 19.00 ';, .';', .
\.~~&~;~;
$ jO.OO :~~'f
\
Permits are non-tran rable an . pire
{fwork is not,'started within 180 da)'s'
of issuance 9r.'if work is suspended for
180 days.?;f
. F~~ ~ .
:'le:l::ld::~;:;~ION ~:fR;~
"1""1" < fj""'"
<'I',r;: ," ~;G'"1',
Address .h\f,. D.!!:' 'J..:~g-~
(~;\1t~t.\()')....
City '~~lN~fWt.Phone '1'.,
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E"l'UallonDatew'!i ' ~,
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"~~~~~~':'r.;- ,', If
~Constr,Cohtr'1Numbe: @It
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Expiration Date . - 'I),;,. ~'""
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ig~~~'~rc,of SUI>cl~'isi (J
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TOTAL
, : .'..~
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,
. .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00958
NAME OR COMPANY: Margolis Familv
LOCATION: 4691 Holden Court
TAX LOT NUMBER: 18020513 Tax Lot 04700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF; 0 LOT SIZE (SF): 0
1- STORM DRAINAGF
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
I 3869.00 I $0.290 I = I $1.122.01
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x 1 COST PER S.F. 1 x I DISCOUNT RATE I 1 DISCOUNT
I 0.00 I $0.290 I I 50% = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC 51,122.01 I ,. 51,122.01
2, SANITARY SFWER _ CITY
I
I~
10
o
U
0::
~
E-
'"
a
~
0::
1070
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x 1 COST PER DFU
I 27 I $22.64 5611.28 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 27 517.21 5464.67 11092
I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 51,075.95
~, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP x INEWTRIP FACT01 I
I 9.57 I I I I $17.23 I 1.00 5164.89 ' 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I. COST PER TRIP x INEW TRIP FACTORI
I 9.57 I I 1 I I $76.01 I 1.00 I 5717.42 I 1094
ITEM 3 TOTAL - TRANSPORTA nON SDC = I 5892.31 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 1 I $332.86 = 5332.86 11054
B. IMPROVEMENT COST: I
INUMBER OF FEU's I x ICOST PER FEU
I I I $34.83 = 534.83 11055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) (50.95) I 1054
I
I MWMC ADMINISTRATIVE FEE 510.00 I 1056
= , 5376.74 I
lITEM 4 TOTAL - MWMC SANITARY SEWER SD<
l SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~ , 53,467.01 I
5. ADMINISTRATIVE FEE:
ISUBTOTAL 1 x I ADM. FEE RATE 1= CHARGE
I $3.467.01 I I 5% I $173.35
TOTAL SANITARY ADMINISTRATION FEE: 123.30 I 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.05 J 1078
-
Matt Stouder 9/26/2003 TOTAL SDC CHARGES =, $3,640.36
PREPARED BY DATE
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT - DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUN ALPIT UNITS
BATHTUB 2 0 3 = 6
IDRlNKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER 1 MOP SINK 1 0 3 = 3
ICLOTHESWASHER.3 OR MORE lEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER. GANG ~UMBER OF HEADSl. 0 0 2 = 0
I SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 = 2
IURINAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
.EDU (Equivalent DwellinR Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 AAllons per day.
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATEI$I,OOO
ASSESSED VALUE
$4.92
54.92
54.83
54.77
54.64
54.47
$4.30
54.09
$3.78
$3.41
$2,98
$2.52
$2.06
$1.64
$1.45
$1.31
$1.l3
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enler 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
o
2000
CREDIT FOR LAND (IF APPLICABLE)
VALUE/1000 CREDIT RATE
$23.77 x $0.04
~ I
$0.95
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $0.04
o
TOTAL MWMC CREDIT
$0.95
=