HomeMy WebLinkAboutPermit Building 2002-09-04SPRINGFIELD
Job# 02-00784-01
RESIDENTIAL PER]I'IIT
City Of Springfield
Commu nity Services Division
Building Safety
Page 1 of
Job Number: 02-00784-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 05300
Subdivision : Ambleside
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3549 Osprey Dr Spr
AssessorsMap#: 17021943
Lot: 110 Block: Addition: 1st
ctrY oF SPRINGFTELD, OREGOTU
Owner: Tom Wirfs Enterprises lnc
Address: Po Box 237
Scope Of Work: Single Family Residence
SFR
Contractor
Tom Wirfs Enterprises lnc
Po Box 237, Springfield, OR 97477
Bills Electric
3170 West 11th Street, Eugene, OR
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
Phone Number:
City/State/Zip:
New
84164
84164
541-747-8704
Springfield, OR97477
Value: $
\t \$
Date
4t28t2004
6t25t2003
6t25t2003
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Phone
541-747-8704
541 -687-1 851
541 -345-2838
541-345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
I
(VN) Wood Frame
Gas
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1931
To request an inspection callthe 24hour recording a1726-3769. All inspections 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
working day.
Required lnspections
Building
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Geiling lnsulation
Shear Wall Nailing
Framing
-To be made after excavation but prior to setting forms.
-lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
-Prior to decking.
-Prior to cover.
-Before covering sheathing with finish materials.
- Prior to cover.
Wall lnsulation
Drywall
Bolts installed in
concrete
Hold Downs lnstalled
Vapor Barrier/lnsulation
FinalBuilding
Temporary Power
Rough Electrica!
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
SW-Curbside
CC-Standard
Street lmprovement:
Curb Cut?f
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Specia! lnstructions:
Other Utilities:
Project Supervisor:
Fully lmproved
lmprovement Agr.?
6-4
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
8
To Curb and Gutter
6
00i00/0000 00:00:00
Job# 02-00784-01 Page 2 of 5
Required lnspections
Building
-Prior to Cover
-Prior to taping.
-To be done by a State Certified Special lnspector. Provide inspection test reports to City Buildinl
-To be made after insulation and required vapor barriers are in place, but prior to any wall coverir
-When all required inspections have been approved and the building is complete.
Electrical
Plumbing
Mechanical
- Prior to insulation or decking.
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all gas work is complete.
-When all mechanicalwork is complete.
Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
00/00i0000 00:00:00
Types Of Warning Devices Reqd.
-Approval required prior to SUB energizing pole.
-Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork is complete.
- Prior to insulation or decking.
-Prior to cover or placement of concrete.
-Prior to cover.
-Prior to filling trench.
-Prior to filling trench.
-Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill.
-When all plumbing work is complete.
Zoning:LDR
Job# 02-00784-01
Overlay District:
# of Street Trees:
Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? aa
Panel 1 153 ol 2975
FloodPtain? [ Wetlands? f-]
Journal numbers
1:2002-07-189 2:
Comments:LDAP
Planner:
Urban Growth Boundary?! Glenwood Area? !
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: ZoneX White
2
3
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Gonstruction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? !
Area (Sq
Main: 1931 Accessory546
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 28
Current Units: Proposed Units:1
Census Code: New SF - detached
Total2477
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
07t01t2002 9791 154,753 $483.86
$483.86
B
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
09t0412002
0910412002
0910412002
10510
10510
10510
154,753 $744.40
$52.11
$59.55
$856.06
Electrical
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
09t0412002
09t0412002
09t04t2002
09t04t2002
10510
'10510
10510
10510
1
$.00
$50.00
$3.s0
$4.00
$s7.50
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Plumbing
09t04t2002
09t04t2002
09t04t2002
09t04t2002
10510
10510
10510
10510
$.00
$306.00
$21.42
$24.48
$351.90
Mechanical
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
DryerVent
09t04t2002
09t04t2002
09104t2002
09t04t2002
09t04t2002
09t04t2002
09t04t2002
09t04t2002
10510
10510
10510
10510
105'10
10510
10510
10510
1
4
1
1
$9.00
$4.00
$.00
$5.1 2
$12.00
$24.00
$e.00
$6 00
1
1
1
Job# 02-00784-01 Page 4 of 5
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
09t04t2002
09t04t2002
10510
10510
$10.00
$4.48
$83.60
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
09t04t2002
09144t2002
09t04t2002
10510
10510
10510
36
1
1
$75.00
$75.00
$-30.00
$120.00
Residential - Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
I System Development
09t0412002 10510
09t04t2002 10510
09t04t2002 10510
09t04t2002 10510
09104t2002 10510
09t04t2002 10510
09t04t2002 10510
09t04t2002 10510
0910412002 10510
1 $560.55
$34.83
$10.00
$1 37.1 0
$332.86
$709.81
$160.87
$530.16
$402.96
$2,879.14
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
09104t2002 10510 $1,000.00
$1,000.00
Planning
09t04t2002 10510Planning Plan Review
TotalPlanning
$55.00
$s5.00
Permits Wo
09104t2002 10510 1Address Assignment
Total Permits w/o Srchg
$8.00
$8.00
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Lisa Hopper
Denny Wright
Liz Miller
Date Completed
0710212002
0711512002
07t11t2002
$5,895.06
Comment
Stil out of signed electrical permit applications
from Bills electrical. I have included a
temporary power permit only. Cannot include
electrical permit untilwe have signed
applications from Bill.
Needs to pick up LDAP, currently processing
Setback verification letter included.
Structural-Res Bob Barnhart 07t10t2002
988
1
1
1
1
1
24
24
1
1
Job# 02-00784-01 Page 5 of 5
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 701.055 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{ahs will remain on the site at all times during construction
L)oZ-'
Signature Date
LEGAL
BD
Permits are n-transferable and expire
if rvork is within 180 days
of issuance
180 days.
lvork is suspended for
TALLATION
Date
Supervising
Multi-Family per drvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
titereof
Each Manufd Home or
Modular Drvelling
Service or Feeder
401 amps
I amps
Over
$106.00
$ t 9.00
s 50.00
E
D. Branch
Nlinimum
TOTAL 51.so
200 amps or
201 amps to
Fee is 5-15.00 +
or rvith
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:1 BUILDING SIZE: 2417 SF LOT SIZE: 5663 SF
TomWirfs
3549 Osprey Dr
17-02-19-34 Tax Lot # 05300
SINGLE FAMILY RESIDENCE
JOURNAL OR JOB NUMBER: 02-00784-01
IMPERVIOUS S.F.COST PER S.F.DISCOUNT RATE
0.00 $0.282
IMPERVIOUS S.F
1987.75
COST PER S.F
$0.282 $s60.55
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
ITEM 1 TOTAL. STORM DRAINAGE SDC
24 $t6.79 $402.96
NUMBER OF DFU's
24
COST PER DFU
$22.09 $530. r6
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMBNTCOST:
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
ADT TRIP RATE NTIMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
9.57 I t9 1.00 10.00
ADT TRIP RATE
9.57
NUMBER OF UNITS
1
COST PER TRIP
$16.81 $160.87
NEW TRIP FACTOR
1.00
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$870.87ITEM 3 TOTAL. TRANSPORTATION SDC
$10.00
NUMBER OF FEU's
I
COST PER FEU
$332.86 $332.86
NUMBER C)F FEU's
I
COST PER FEU
$34.83 $34.83
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE F'EE
$367.69
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
.69ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
742.23SUBToTAL (ADD rTEMS 1,2,3, &4)
SUBTOTAL ADM. FEE RATE
57a $137.11$2,742.23
5. ADMINISTRATIVE FEE:
x
$2,879.34TOTAL SDC CHARGESSteve Templin 7t15t2002
SDC COORDINATOR DATE
1070
l09l
t092
1055
10s6
t073
V)
E]noU
&
E]
t-{(r)
o
rqil
1
I
DII'U
NUMBER OF NEW FD(TURES X UNIT EQUTVALENT = DRAINAGE FD(TURE UNITS
(NOTE: FOR REMODEIS, CALCULATE ONLY THE NET ADDTTIONAL FXTURES)
NO. OFFIXTURES DRAINAGE
FIXTURE
UNITSFXTURETYPE(#NEW - #OLD )'
UNIT
EQUIVALENT
BATHTUB ( I - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 1 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( I - 0 )x( 0 - 0 )x( 1 - 0 )x( 0 - 0 )x( 0 - 0 )x( 0 - 0 )x( 4 - 0 )x( 0 - 0 )x( 0 - 0 )x( 3 - 0 )x
J J
DRINKING FOUNTAIN 1 0
FLOOR DRAIN J 0
INTERCEPTORS FOR GREASE I OTL ISOLIDS IETC.3 0
INTERCEPTORS FOR SAND / AUTO WASH /ETC,6 0
LAUNDRY TUB 2 0
CLOTT{ESWASHER / MOP SINK J 3
CLoTHESWASHER - 3 OR MORE (EA)6 0
MOBILE HOME PARK TRAP (I PER TRAILER)t2 0
RECEPTOR FOR REFRIG/WATER STATION /ETC.
RECEPTOR FOR COM. SINK / DISIIWASHER / ETC.
I 0
J 0
SHOWER, SINGLE STALL 2 2
sHowER, GANG (NUMBER OF rmADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 3 3
SINK: COMMERCIAL BAR 2 0
SINK: DOMESTIC BAR I 0
WASH BASIN 2 0
LAVATORY I 4
URINAL, STALL/WALL 5 0
TOILET PUBLIC INSTALLATION 6 0
TOILET PRIVATE INSTALLATION 3 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 - 0 )x 20 0
TOTAL DRAINAGE FIXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) ser ar 167 gallons per day
24
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALIIE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$o.oo
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
1980 $4.83 t99t $1.64
1981 $4.77 1992 $1.4s
1982 $4.64 1993 $1.31
1983 $4.47 t994 $1.13
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
TOTAL MWMC CREDIT =
0.000 x $0.00
VALUE/ 1OOO CREDIT RATE
0.000 x $0.00