HomeMy WebLinkAboutPermit Building 2006-8-29
.CITY OF ~rKll~GFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00784
ISSUED: 08/29/2006
APPLIED: 06/26/2006
EXPIRES: 02128/2007
VALUE: $ 249,644.00
-e
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I ,726,3676 Fax
541,726,3769 Inspection Line
SITE ADDRESS: 4152 Glacier View Dr 4154
ASSESSOR'S PARCEL NO.: 1802052204500
Springfield TYPE OF WORK: Duplex
TYPE OF USE: New
PROJECT DESCRIPTION: Duplex - Glacier View Subd lot 8
Owner: MA TTHEW OLSEN
Address: 5120 E STREET
SPRINGFIELD OR 97477
Phone Number: 541,840-1138
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION Jto
hi I L...l'tl ,.......... ...........~~,. ._-- - -, J
Contractor follow rule!'> adopted by the OEi?:~~}btility Expiration Date
MATTHEW J<i.\RiJiol!~El'Penter. Those ruleitij'oi2H fortli 08/15/2007
SOURCE ELE0F'Ricl(:E:JN'(l1-001 0 through (IJf09i8')2,001' 07/28/2008
JET HEA TINdJfN'Q. You may obtain copies (':i9~.f rules by 05/31/2007
JET MECHANlCAIlJiIlll<\!le center, (Note: th'15s\i33'lOne 02110/2008
- . ...... ~ ._~.~._-~........
Residential
Phone
541,840-1138
54 I -520,6466
503-363,2334
503,363,2334
II.'!""....... .... ..,,-. ':...u.....,. ...........
I BmLDING.INII0RM'AT.lONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
2
R-3
U
VN
,# of Stories: 2
Height of Structure 26.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6
I DEVELOPMENT INFORMATION"
6,000'
1,024
1,380
448
REQUIRED PARKING
4
Frontyard Setback:
Side 1 Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Total:
Handicapped:
Yes Compact:
24.50 ~()?'f,.
."Ol?'t. \t I~~ Ie, ~Ol
I PUBLIC IMPROVEM~Nis'i \-11\1 S\\f\\..~;~\\\S ?~~~D to?
LI\';:i po. I l" I \~\) "II.~\)
F II I d I" ()o'\l'C\Sldewalk irype:
u V mprove :'i\\" 1\ \)1\ IV \"\
Yes f\\)()"\-IIt.~c..tDownSp'~tslDrains:
c.. \~ 'I CO\) ()f\"l r ~
f\~\
25.90
5.00
5.00
32.00
15.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction :
Cu rbside 5'
Curb and Gutter
Notes: No hookup to storm or sanitary sewer system until council acceptance
~
Paee 1 of 4
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 Residential
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 80/0 State Surcharge
2 Baths One nr Two Family
Addressing Assignment
BoilerlComp Up To 100,000 btu
Building Permit
Copies, Ea AddU @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1,4
Plan Review Major, Planning
PW Disc - 2nd Permit (Street)
Sanitary Sewer - Improvement
Sanitary Sewer, Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvemeut
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Attached (duplex)
Total Amount Paid
e
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00784
ISSUED: 08/29/2006
APPLIED: 06/26/2006
EXPIRES: 02/28/2007
VALUE: $ 249,644.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
2,404.00
448.00
Value
Date Calculated
$237,996.00
$11,648.00
$249,644.00
06/26/2006
06/26/2006
Total Value of Project
Fpp<. P~irl I
Amount Paid
$684.55
$10.00
$187.58
$138.65
$508.00
$62.00
$24.00
$1,053.15
$4.00
$0.75
$80.00
$12.00
$18.00
$142.60
$24.00
$8.00
$198.00
$,30.00
$877.22
$1,153.22
$10.00
$1,730.62
$164.06
$194.69
. $138.41
$1,611.40
$365.38
$80.00
$750.01
$50.00
$36.00
$1,848.00
$12,134.29
Date Paid
Receipt Number
6/26/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
8/29/06
1200600000000000959
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
1200600000000001343
Paee 2 of 4
e
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00784
ISSUED: 08/29/2006
APPLIED: 06/26/2006
EXPIRES: 02/28/2007
VALUE: $ 249,644.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726,3676 Fax
541,726,3769 Inspection Line
Initial Review
Plannin!! Review
0612712006
06127/2006
I Plan Reviews ,
06/27/2006 APP
07/19/2006 APP
LLH
TAJ
Survey required because of
minimum side setbacks. Setback
street tree at least 16' for vision
clearance (Condition #8 of
subdivision).
Public Works Review
Structural Review
06/27/2006
06/27/2006
07/05/2006
07/18/2006
APP
APP
MS
RWC
waiting for planning
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.
Ue()lIirerlln~,np~tiniLI
Curbcut, Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to tloor 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.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Undertloor Plumbing: Prior to insulation or decking.
Undertloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Paee 3 of 4
e
. CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00784
ISSUED: 08/29/2006
APPLIED: 06/26/2006
EXPIRES: 02/28/2007
VALUE: $ 249,644.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541,726,3676 Fax
541-726,3769 Inspection Line
Sanitary Sewer Line: Prior to filling trench and including required testing.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped ifnot attached to an appliance.
Rough Gas: After line is installed and required testing and capped ifnot attached to an appliance.
Gas Service: After line is installed and line has be~n connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: Wh'en all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing andlor
foundation inspection.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
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 he 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 <".21-6~
,
Owner or Contractors Signature
Date
Paee 4 of4
i^~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 ~ .'"
ELECTRICAL P~IT AfI:LICATION )
City Job Number \A.O . i.~ Date 15., 2 q J "7 ~C
I . I
1. I LOCATIONOFINS1'ALLATION I
4 \~f).....r~\~~ r"l\~
LEGrq;retl rY\~
JOB DESCRIPTION
~ ~r ~\~
Permits are n~D-transferable and expire if workY's Each Manufact'd Home or
not started within 180 days of issuance orif work is Modular Dwelling Service or
Su~ended for 180 days. Feeder
2. ~ ONTRAC'J'OR INSTALLATION gNLY I ,B. r.,~e!.r}~~~,or(f.~eiJerS ~qlis,i\l\lation, Alterations or Relocation:
/ ATT~TION. O.v "tho Oregoll u"''',
Electrica ontractor ,~II"w rules adzoo"in\i,s,or'less_s are set forth $ 63.00
N'ot'\f'\cation Cen201 ^,J;~s"'~ ~OO ;\m~ps952.()01' $ 75.00
1 "mu \..,v~".. - b
in nl>.R 952,00 401 Amps,to 600'Ariips ru\3S 'I $125,00
nhtall\ \".01..1..;......-
0090, You ma'l601E:AmP.~t!.qJOOO?~ii!ps')h0[1e $163,00
calling the CD~ei'IO'oO-A'rrip"sNoitStlfl~ation $375.00
; thu urv~....l. .
number ,or R'econnectOnly~,2344), $ 50,00
Center \S \-OVu .....-
c. I Temporary Services or Feeders
Address
City
Expiration Date
re of Supervising Electrician
Owners Name ~~ D\~
Address ---1!:ufLo ~'f S\fpet:'.>
City ~,,)(\f\~~1f,\lPhone flNJ'\\~"
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
~/iO
Inspection Request: 726-3769
\
3. I COMPLEI'E FEE SCHEDULE BELOW
A. I New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft, or less
Each additional 500 sq. ft. or
portion thereof
$106,00
$ 19.00
$50,00
Installation, Alteration or Relocation
200 Amps or less \
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volls see "B" above,
D. I Branch Circuits
esD, to
$ 50.00
$ 69.00
.
$100.09.
New Alteration or Extension Per Panel \'II<.
One Circuit p,t: Ir i\-ll:. 'NO .$ 43,00 i
"\O'EacIiAdditional~ircGit'b'iwlth 0~1i I':> \~0 \
\~ S~;:;nce;o(F~li'er 'P~it\lS I'tf\ _ ,,,0 $ 3,00
i\-ll':> ~~~:J\:~ \\Ni)~~' ~~r\'\r\()l'\l:u ,-
iE),IMiseellaneOil~\Service/feetler not include"d) -Each Installation I
CUI,,;;i:::""t>,; \,\:1"1\)': :
n" 'p,(\.\1, . .$
f>-"ump or IrngaMn 50.00
SignlOutline Lighting $ 50,00
Limited EnergyIResidentia1 $ 25,00
" limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspectiou Fee is $45.00 + Surcharges
4.1 SUBTOTAL OF ABOVE
Im.~
",\:.a/
'?\Jfj;
~.
8% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(f:)/Building FormslElectrical Permit Application I-06.doc
CITY OF _INGFIELD SYSTEMS DEVELOPMEaORKSHEET
JOURNAL OR JOB NUMBER: COM2006,00784
NAME OR COMPANY: Olsen
LOCATION: 4152/4154 Glacier View
TAX LOT NUMBER: 18020522 TL 04500
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 2 BUILDING SIZE (SF; 0 LOT SIZE (SF):
6000
=
1
1f2
10
18
I~
I~
en
a
~
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F, x I COST PER S,F. CHARGE
I 2322,00 I $0,323 I = I $750:01 ,.
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 $0.323 I I 50% = I
ITEM 1 TOTAL, STORM DRAINAGE SDC I $750.01 I
2. SANITARY SEWER, CITY
DISCOUNT
$0.00
$750.0 I
I 1070
-==I
A. REIMBURSEMENT COST: I
I NUMBER OF DFU's I x COST PER DFU
46 I $25,07 $1,153.22 11091
B. IMPROVEMENT COST: I
I NUMBER OF DFU's I x
I 46 I $19,07 $877.22 1092
ITEM 2 TOTAL, CITY SANITARY SEWER SDC = I $2,030.44 I
,1, TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI
I 9,57 I I 2 I I $19,09 I 1.00 I $365.38 11093
B. IMPROVEMENT COST: I
I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRJP FACTORI
I 9,57 I I 2 I I $84,19 I 1.00 I $1,611.40 11094
ITEM 3 TOTAL, TRANSPORTATION SDC = , $1,976.78 -!
4 SANITARY SEWER, MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 2 I I $82,03 - $164.06 11054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU 11055
I 2 I $865.31 = $1,730.62
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054
MWMC ADMINISTRATIVE FEE $]0.00 ,1056
ITEM 4 TOTAL, MWMC SANITARY SEWER SDC = , $],904.68
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $6,661.91
-
5, ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE I~ CHARGE
$6.661.91 I 5% I $333.10
TOTAL SANITARY ADMINISTRATION FEE: 194.69 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $138.41 1078
Matt Stouder 7/5/2006 TOTAL SDC CHARGES =, $6,995.01
PREPARED BY DATE
.
-
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY TIlE NET ADDITIONAL FIXTIJRES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 4 0 3 = 12
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 2 0 3 = 6
"!CLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0
IMOBlLE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 2 0 3 = 6
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS), 0 0 2 = 0
ISINK: COMMERCIAURESIDENTIAL KITCHEN 2 0 3 = 6
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 4 0 1 = 4
URINAL. STALL I WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
. TOTAL DRAINAGE FIXTURE UNITS 46 II
. ..-EDU (Equivalent Dwelling Unit) is a discharge equivalent to D single family dwelling unit (20 DFlrs) set at 167 gallons per day I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5,29
$5,29
$5,19
$5,12
$4,98
$4,80
$4,63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1,80
$1,59
$1,45
$1,25
$1,09
$0,92
$0,72
$0.48 .
$0,28
$0,09
$0,05
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
2001
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enler I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE I 1000 CREDIT RATE
$0,00 x $5,29
~ ,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0.00 x $5,29 = ,
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth- Street
sp;ingf.eld; Oregon 97477
541-726-3759 Phone
_ jj;"'1r1,llI-!?,~..' :
MiL'-A!:
~..., .
,b . ~ .
-....-.--..-.,,-. '
~f Springfield Official Receipt
.opment Services Department
Public Works Department
Job/Journal Number
COM2006,00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006-00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006-00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006-00784
COM2006,00784
COM2006-00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006-00784
COM2006,00784
COM2006,00784
COM2006,00784
COM2006-00784
COM2006,00784
COM2006,00784
COM2006,00784
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
1200600000000001343
Date: 08/29/2006
Description
Addressing Assignment
Copy 6th @ 75 cents
Copies, Ea Addtl @ 50 Cnts Ea
Willamalane Attached (duplex)
Fire SF Fee, Residential
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
Building Permit
2 Baths One or Two Family
Furnace, up to 100,000 btu
BoilerlComp Up To 100,000 btu
Vent Fan
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Plan Review Major - Planning
Exhaust Hoods
Temp Power 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MATTHEW OLSEN CONSTR
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
djb
6509
In Person
Payment Total:
Page I of I
II :29:0SAM
Amount Due.
62,00
0,75
4,00
1,848,00
142,60
80,00
80,00
(30,00)
750,01
1,153,22
877,22
365,38
1,611.40
164.06
1,730,62
10,00
194,69
138.41
1.053,15
508,00
24,00
24,00
36,00
12,00
8,00
10,00
198.00
18,00
50,00
138,65
187.58
$11,449.74
Amount Paid
$11,449,74
$11,449.74
8/29/2006