HomeMy WebLinkAboutPermit Building 2004-06-15Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
SITE ADDRESS:937 Sunset Dr
ASSESSOR'S PARCEL NO.:
PROJECT DESCRIPTION:
PERMIT NO: 02-00945-01ISSUED: 0611512004APPLIED: 08/0612002EXPIRES: 1211512004VALUE: $ 144,325.00
Spr TYPE OF WORI(: Single Family Residence
1703341106314
TypE oF uSE: New Residentiat
Lot:14, Subdivision: Ferncrest, Land Use: Single Family Dwelling, Zoning: LDR,
Owner:
Address:
Tom Hudson
1603 Delrose Springfield OR 97477
Phone Number: (541) 606-5406
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
Tom Hudson
Tom Hudson
DEAN M SCHULTZ
CRANE PLUMBING CO.
Expiration Date
02t23t2005
Phone
(s41) 606-s406
(541) 606-s406
54t-767-0626
(s41)744-0300
License
133733
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# ofStories: 2
Height of Structure 26.00
Type of Heat: orced Air Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path I
Sprinkled Building: nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I
R-3
u-1
YN
3
8,277
1,756
680
s.00
Partially Improved
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh ofl,ot Coverage:
Hillside,
Yes
26.00
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Page I of3
-:
\
a
I' U ILI,II\ G rl.\ r'l,r(lvrA r rUNl
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: 02-00945-01ISSUED: 0611512004APPLIED: 08/0612002EXPIRES: 1211512004VALUE: $ 144,325.00
Description Type of Construction
Fee Description
Residential Plan Check
87o Admin Fee - Electrical
87o Administrative Fee - Plumbi
8% Building Administrative Fee
Address Assignment
Building Permit
MWMC Administrative Fee
New Curbcut
Planning Plan Review
Property Annexed 1979 or Befor
Residential - Improvement
Residential - Reimbursement
Residential - Single Family -
Residential Improvement fvIWMC
Residential Sanitary MWMC
S.F. Residence - Willamalane
Sanitary Sewer SDC Improvement
Sanitary Sewer SDC Reimburseme
SDC Administrative Fee
State Surcharge - Electrical
State Surcharge - Plumbing
State Surcharge For Building P
Temporary: 200 Amps or Less
Two Bathrooms
Wiring Footage 1,000 Sq Ft or
Wiring Footage Each Add'l 500
+ l0o Administrative Fee
+ loh State Surcharge
Minimum/Adjustment Electrical
PW Mult Disc - 2nd Permit
Sidewalk Permit
Total Value of Project
Date Paid Receipt Number
10199
10530
r0s30
10530
10530
r0s30
10530
10s30
10530
10530
r0530
10530
10530
10s30
10530
10530
10530
10530
10530
10530
10530
r0s30
10530
10530
r0530
10530
1200400000000000175
1200400000000000175
1200400000000000175
3200400000000000115
32004000000000001 1s
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount Value Date Calculated
Amount Paid
$462.74
$17.04
$20.32
$56.9s
$8.00
$711.90
$10.00
$7s.00
$s5.00
$-107.05
s709.81
$160.87
$818.08
$34.83
$332.86
$1,000.00
$319.01
$419.71
$134.91
$r4.91
$17.78
$49.83
$s0.00
$2s4.00
$106.00
$s7.00
$4.50
$3.1s
$4s.00
$-30.00
$7s.00
8t6t02
9t5t02
9t5102
9tst02
9tst02
9lsl02
9t5t02
9tst02
9tsl02
9t5t02
9t5102
9t5t02
9tst02
9lsl02
9t5t02
915102
9t5t02
9lsl02
9tst02
9t5t02
9t5t02
9tsl02
9t5t02
915102
9t5t02
9t5t02
2t6104
2t6t04
2t6t04
6n5104
6n5104
Rpps Peid
Total Amount Paid $5,887.15
Page 2 of 3
Valuation Descriotion I
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: 02-00945-01ISSUED: 0611512004APPLIED: 08/0612002EXPIRESz 1211512004VALUE: $ 144,325.00
Plan Reviews
Engineering-Res
Initial Review-Res
Planning-Res
Structural-Res
0811212002 Appr VJ Site plan shows foundation/roof eavc
l-inch outside of 5'PUE. ALL
FOTJNDATION FOOTINGS AND
ROOF EAVES MUST BE
OUTSIDE PUBLIC UTILITY
EASEMENTS.
Called applicant 8l8l02to inform
him his house does meet solar
setback standards.
0810712002
08/08/2002
Appr LH
Appr AI)
0811512002 Appr TM
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same \ilorking day, inspections requested after 7:00 a.m. will be made the following work
day.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
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.
t$,a<- eu C-r s-o+
Owner or Contractors Signature Date
Pase 3 of3
E
Keourre(I InsDectrons I
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
,relopment Services Department
Public Works Department
RECEIPT#: 3200400000000000115 Date: 0611512004 1:20:30PM
Job/Journal Number
02-0094s-01
02-00945-01
Description
Sidewalk Permit
PW Mult Disc - 2nd Permit
Amount Due
75.00
(30.00)
Item Total:$4s.00
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check FOX CONSTRUCTION vrj 10183 In Person
Payment Total:
$4s.00
-$4-s"o-d'
6lts12004 Page I of I
atanotat0
.N'
w
SPRTN(tFIELD
Job# 02-00945-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of4
Job Number: 02-00945-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 06314
Subdivision : Ferncrest
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 937 Sunset Dr Spr
AssessorsMap#: 17033411
Lot:14 Block: Addition:
ctTY oF SPRTNGFTELD, OREGON
Owner: Tom Hudson
Address: 1603 Delrose
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
New
541 -606-5406
Springfield, OR97477
Value: $144,325
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
1 RNW
1
(VN) Wood Frame
Electric
Zoning Code:
Bedrooms:
Range:
Contractor
Tom Hudson
1603 Delrose, Springfield, OR 97477
Tom Hudson
1603 Delrose, Springfield, OR 97477
Tom Hudson
1603 Delrose, Springfield, OR 97477
Tom Hudson
1603 Delrose, Springfield, OR 97477
Office
Land Use:
Registration # Expiration Date
\t
\$
Phone
541 -606-5406
541 -606-5406
541-606-5406
541-606-5406
# Of Buildings: 1
OccupancyGroup: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1756
3
To request an inspection call the 24 hour recording at726-3769. 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
Buildinq
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling lnsulation
Masonry
Framing
Wall lnsulation
-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.
-Steel location, bond beams grouting or verticals in accordance with UBC 2415.
-Prior to cover.
-Prior to Cover
>(\-"
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
FinalPlumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
CC-Standard
Street lmprovement:
Curb Cut?f
San Sewer Depth (Ft):
Storm Sewer Available?
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Partially lmproved
lmprovement Agr.?
5-3
00/00/0000 00:00:00
Sidewalk Type:
AdditionalROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
6
00/00/0000 00:00:00
Job# 02-00945-01 Page2 of 4
Required lnspections
Building
-Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
-Approval required prior to SUB energizing pole
-Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork is complete.
Plumbing
-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.
-When all plumbing work is complete.
Mechanical
-Prior to insulation or decking.
-Prior to cover.
-When all mechanicalwork is complete
Public Works
-After forms are erected but prior to placement of concrete
8
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? ! Wetlands? f]
Journa! numbers
1:
Comments:Needs LDAP
Planner:
Urban Growth Boundary?-
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Overlay District: Hillside Development
# of Street Trees: 2
Additional Requirements :
Glenwood Area? [ Required Attachments:
Source Locn:
Material:
Land Use: Single Family Dwelling
Pave Driveway? 7
Flood Plain FEMA:
2:3:
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? -
Area (Sq.
Main: 1756 Accessory680
Job# 02-00945-01
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total2436
Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
08t06t2002 10199Residential Plan Check
Tota! Plan Check
144,325 $462.74
$462.74
Buildinq
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
09t05t2002
09t05t2002
09105t2002
1 0530
1 0530
1 0530
144,325 $711.90
$49.83
$56.95
$818.68
Electrica!
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Tota! Electrical
09t05t2002
09t05t2002
09t05t2002
09t05t2002
09t05t2402
09t05t2002
1 0530
1 0530
1 0530
1 0530
10530
10530
1
3
1
$.00
$106 00
$57.00
$50.00
$14.91
$17.04
$244.95
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
09t05t2002
09t05t2002
09t05t2002
09t05t2002
'10530
1 0530
1 0530
1 0530
1
$.00
$254.00
$17.78
$20.32
$292.10
Public Works
09t05t2002 10530 1New Curbcut
Total Public Works
$75.00
$7s.00
System Development
Residential- Single Family - Storm
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Propefi Annexed 1979 or Before
Property Annexed 1984
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
09t05t2002
09t05t2002
09t05t2002
09105t2002
09t05t2002
09t05t2002
09t05t2002
09t05t2002
09t05t2002
09t0512002
09t0512002
10530
10530
10530
1 0530
1 0530
10530
10530
10530
10530
10530
10530
$818.08
$34.83
$10.00
$134.91
$-107.05
$.00
$332.86
$709.81
$160.87
$419.71
$319.01
$2,833.03
2 ,901
1
1
22
1
1
1
9
9
1
1
Job# 02-00945-01
Fee Paid On Receipt# Value/Quantity Fee Amount
Willamalane SDC
S.F. Residence - Willamalane
TotalWillamalane SDC
09t05t2002 10530 $1,000.00
$1,000.00
Planning
09t05t2002 10530 1Planning Plan Review
Total Planning
$55.00
$55.00
Address Assignment
Total Permits Wo Srchg
Permits w/o
09t05t2002 10530 1 $8.00
$8.00
$5,789.50
Date Gompleted
08t07t2002
08t12t2002 Site plan shows foundation/roof eave f -inch
outside of 5'PUE. ALL FOUNDATION
FOOTINGS AND ROOF EAVES MUST BE
OUTSIDE PUBLIC UTILITY EASEMENTS.
Planning-Res Ashley Deforest 0810812002 Called applicant 8l\l02 to inform him his house
does meet solar setback standards.
Structural-Res Tom Max 0811512002
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 it located at the front of the property, and the
a plans will rema all during construction
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Signature
Checked By
Lisa Hopper
Virginia Jurasevich
Comment
7/7a26J
Page 4 ol 4
1
225 FIFTH STREET
SPzuNGFiELD, OREGON 97
-ovar
Over amps
D. Bt'itnclt
ce/feedcr not inclurled)
-Each installation
Pump or irrigation
Sign/Outline Ligltting
Limited Energl'/Res
Limited Energry'Comm
llinimunr Electric Permit Inspcction
J. SUBTOTALOFABOVE
77o State Surchrtrge
8%, Administrative Fce
f to D
d)
of
18
Perniits are explre
if u'ork is not started lYithin 180 dal's
issuance or ifu'ork is suspended for
0 da.vs. .'.
INSTALLATION ONLY
Address
uperlising Electrician
OWNER INSTALLATION
The instailation is being ntade on
propea-)"
for sale,
Orrne rs Signitture:
$ 3.00
s50.00
s50.00
s+5.00
TOTAL
Fec is S-15.00 * Strrc
200 anrps or less
201 amps to 400
,101 anrps
1 antps
or Extension Per
4AAES
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEWDWELLING UNITS:I BUILDING SIZE: 0 SF LOT SIZE: 8277 SF
Tom Hudson
937 Sunset Drive
17033411 tl 6314
SINGLE FAMILY RESIDENCE
JOURNAL OR JOB NLIMBER: O2-00945-Ol
IMPERVIOUS S.F.COST PER S.F DISCOUNT RATE
00 82 507o
COST PER S.F
$0.282 $818.08
TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
2901.00
RUNOFF
x
x x
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
18.08ITEM l TOTAL. STORM DRAINAGE SDC
NUMBER OF DFU's COST PER DFU
l9 I 19.01
NUMBER OF DFU's
l9
COST PER DFU
$22.09 $4 r 9.71
B. IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
72ITEM 2 TOTAL. CITY SANITARY SEWER SDC
ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
9.51 .8114.17 1.00
ADT TRIP RATE
9.57
NUMBER OF UNITS
I
COST PER TRIP
$r6.8r $ 160.87
NEW TRIP FACTOR
1.00
B. IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM 3 TOTAL. TRANSPORTATION SDC
101
64
10.00
NUMBER OF FEU's
I
COST PER FEU
$332.86 $332.86
NUMBER OF FEU's
I
COST PER FEU
$34.83 $34.83
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
ITEM 4 TOTAL - MWMC SANITARY SEWERSDC
t2SUBTOTAL (ADD rTEMS 1,2,3, & 4)
SUBTOTAL
s2,698.12
ADM. FEE RATE
5%$ I 34.91
86.s2TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
5. ADMIMSTRATIVEFEE:
x
$2,833.03Steve Templin 8t12t2002 TOTAL SDC CHARGES
SDC COORDINATOR DATE
IMil
CITY OF SPRINGFIELU SYSTEMS DEVELOPMENT CHA -'E WORKSHEET
U)
rI]noU
&
E]F(r)
r!&
109
1070
to92
t094
1055
1056
to19
1078
$270.64
t tu
NUMBER OF NEW FD(TURES X UNIT EQUIVALENT = DRAINAGE FXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITSFIXTURE TYPE ( +mew - #oLD ) x UNIT
EOUIVALENT
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
I 0 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
3 J
DRINKING FOUNTAIN 0 0
0
I 0
FLOOR DRAIN 0 J 0
INTERCEPTORS FOR GREASE / OIL ISOLIDS / ETC 0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH I ETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASTIER / MOP SINK I 0 -)J
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 t2 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 0 I 0
0 0 -)0
SHOWER, SINGLE STALL I 0 2 2
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 -)-)
SINK: COMMERCIAL BAR 0 0 2 0
SINK: DOMESTIC BAR 0 0 I 0
WASH BASIN 0 0 2 0
LAVATORY 2 0 I 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 -l 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'sX
( 0 - 0 )x 20 =
TOTAL DRAINAGE FXTURE UNITS =
0
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
t9
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
.05
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$107.05
$0.00
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
1980 $4.83 1991 $ 1.64
1981 M.77 1992 $l.45
t982 $4.64 1993 $ 1.31
1983 $4.47 1994 $1.13
$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
1 989 $2.52 2000 $0.04
TOTAL MWMC CREDIT =
x
0.000 x $4.92
VALUE / IOOO
21.758
CREDIT RATE
$4.92
1984