HomeMy WebLinkAboutPermit Building 2005-01-04F
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-01512ISSUED: 01/04/2005
APPLIEDz 1211012004EXPIRES: 0710412005VALUE: $ 125,220.00
SITE ADDRESS: 1931 YOLANDA AVE SPRINGFIE TYPE OF WORK: Singte Family Residence
ASSESSOR'SPARCELNO.: 1703244301003
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Casey Meadows sub lot 3 - SFR, same as COM2004-013641947 Yolanda
Owner: CRESCENT HOMES
Address: 2210 COMSTOCK AVENUE EUGENE OR 97408
Phone Number: 541-344-2010
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
CRESCENT HOMES INC
STEVE HAUCK
MICHAEL GRIFF'IN
CHAPIN ENTERPRISES INC
License Expiration Date132267 ru28t2006
r47618
150189
04/30t2005
0u23t2005
Phone
541-344-2010
541-221-2665
541-942-8339
541-485-1146
reO
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%o ofLot Coverage:
o regon u
Gas
Path 1
nla
I
Yes
34.30
Sidewalk Type:
Downspouts/Drains:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I
R-3
U
VN
3
n 4,792
1,261
400
20.00
5.00
5.00
32.90
0.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
Partiallv Improved
yes
Notes: Storm drainage piped to curb face 1211612004 CAS
Page I of4
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Type
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Ft lst Floor:
2nd Floor:
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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: COM2004-01512ISSUED: 01/04/2005
APPLIEDz 1211012004
EXPIRESz 07104/2005VALUE: $ 125,220.00
Description
Dwellings
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,250.00
400.00
Value
$115,500.00
$9,720.00
s125,220.00
Date Calculated
12n0t2004
12n0t2004
Fee Description
Plan Review Same As
Encroachment Permit
-Mechanical Issuance Fee-
+ l0o Administrative Fee
+ 7oh State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
PIan Review Major - planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC IUWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
Total Amount paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
2200400000000001499
2200400000000001s42
1200500000000000008
r200500000000000008
1200s00000000000008
r200s00000000000008
1200s00000000000008
1200500000000000008
1200500000000000008
r200s0000000000000s
1200500000000000008
1200500000000000008
1200s00000000000008
1200s0000000000000s
1200500000000000008
r200500000000000008
1200500000000000008
1200500000000000008
1200500000000000008
1200500000000000008
1200500000000000008
r200s00000000000008
1200500000000000008
1200s00000000000008
1200s00000000000008
1200500000000000008
1200s00000000000008
1200500000000000008
1200500000000000008
$100.00
$120.00
$10.00
$111.82
$78.27
$2s4.00
$3r.00
$650.rs
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$r03.00
$r06.00
$38.00
$36s.60
$480.80
$10.00
$865.31
$82.03
$107.69
$6s.48
$772.49
$r75.13
$712.07
$12.00
$1,000.00
t2n0t04
12t23t04
U4t05
U4t05
U4/05
U4t05
u4t05
u4t05
u4t0s
u4t05
U4t0s
u4t05
u4t05
y4/05
u4t05
U4t0s
U4t0s
U4t05
u4t05
u4t05
u4t05
y4t05
u4t05
l/4t0s
U4t05
u4/05
u4t05
U4t05
u4t05
$6,308.84
Paee 2 of4
1
B ees Paid I
Building/Combination Permit
Status Issued
225Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01512ISSUED: 0110412005APPLIEDz 1211012004
EXPIRESz 071041200sVALUE: $ 125,220.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
12n4t2004
12n4t2004
12n4t2004
12t22t2004
APP
APP
SKG
TAJ
12n4t2004 12n6t2004 APP CAS
12n4t2004 0u03t2005 APP DJB
Needs survey because of minimum
side setbacks.
Storm drainage piped to curb face
12n6t2004 c&s
same as COM2004-01364
To Request an inspection call the24 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.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to coyer and including required testing.
Water Line: Prior to lilling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Renuired fnsneefions
Pase 3 of4
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fa'x
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01512ISSUED: 0110412005APPLIED: 1211012004
EXPIRESz 0710412005VALUE: $ 125,220.00
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
/-'/-o{
Owner or Contractors Signature Date
Pase 4 of 4
-
CITY OF SPxTNGFIELD SYSTEMS DEVELOPMEN-I JRKSHEET
JOLIRNAL OR JOB NUMBER: COM2004-01512
NAME OR COMPANY Crescent Homes
LOCATION l93l Yolanda St
TAX LOTNUMBER:1703244301003
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORMDRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
BUILDING SIZE
CTIARGE
$7',tz.O7
s712.07
1651 LOT SrZE (SF)
DISCOLINT
$0.00
4839
IMPERVIOUS S.F. x
2297.00
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY
IMPERVIOUS S.F
0.00
ITEM 1 TOTAL- STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
COST PER S.F
$0.3 l0
COST PER S.F
$0.3 r 0
COST PER DFU
s24.04
$ 18.28
NUMBER OF UNITS
I
NTA4BER OF TINITS
I
ADM. FEE RATE
5o/o
x
x
x
x
x
x
x
x
x
ITEM 2 TOTAL - CITY SAI{ITARY SEWER SDC $846.40
3. TRANSPORTATION
A. REIMBI.-IRSEMENT COST:
NUMBEROF DFU's
20
B. IMPROVEMENT COST:
NUMBER OF DFU's
20
ADT TRIP RATE
9.57
SUBTOTAL
$3"463.43
xx
x
COST PER TRIP
$r 8.30
COST PER TRIP
$80.72
s947.62
NEWTRIP FACTOR
1.00
NEWTRIP FACTOR
t.00
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NUMBEROF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - MVYMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
$9s734
CIIARGE
$1 73.1 7
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMIMSTRATION FEE:
CherylSlaymaker 12t1612004
DISCOUNTRATE
50o/o
COST PER FEU
$82.03
$480.80
$175.
$0.00
107.69
1070
I 091
1092
1093
1094
I 054
I 055
I 054
1056
079
078
a
E]ooO
&slFa(,
rr.l&
COST PER FEU
$865.31
i3,463.43
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQUTVALENT = DRAINAGE FD(TUREUNITS
FOR CALCULATE ONLY TT{E NET ADD]TIONAL
NO. OF FIXTURES
T'NIT
FXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FTXTURE UNITS
is toa mit set at I 67
MwMc CREDIT CALCULATION TABLE: BASED oN couNTY AssEssED VALUE
DRAINAGE
FIXTURE
0
2003
*EDU
BEFORE 1979
$3.22
$2.73
$2.2s
$1.80
1979
1980
198 I
1982
I 983
1984
x1985
1986
1987
1988
t99l
1993
I 995
1996
199'l
1998
1999
$5.29
$5.19
$5.12
$4.98
$l.ao
$4.63
$4.40
$4.07
$3.67
IS LAND ELGIBLE FORANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO
$0.00
CREDITRATE
s0.00
1989
1990
1992
1994
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $0,00
TOTAL MWMC CREDIT1
1
$
$
$
$
.59
.45
.25
.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTT]B 2 0 3 6
DRINKING FOLINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LATINDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWE& GANG INUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTTAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOI,IBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL / WALL 0 0 5 0
TOILET, PTIBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
20
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALI.IE
2000
EI
IU
2001
20
I
I
225 "th Street
Sprin, eld, Oregon97477
54i-726-3759 Phone
6sty of Springfield Official Receipt
- zelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000008 Date: 01/04/2005 11:38:50AM
Job/Journal Number
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-015r2
coM2004-01512
coM2004-01512
coM2004-01512
coM2004-01512
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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 Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Dryer Vent
Gas Outlets l-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
Exhaust Hoods
+ 7% State Surcharge
+ l0% Administrative Fee
Amount Due
31.00
1,000.00
106.00
38.00
712.07
480.80
365.60
175.t3
772.49
82.03
865.31
10.00
107.69
65.48
103.00
650. l 5
2s4.00
12.00
12.00
6.00
4.00
15.00
12.00
10.00
9.00
78.27
I I 1.82
Item Total:$6,088.84
Payments:
Type of Payment Paid By
checkNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MARC GRASSAUER djb 080580 In Person
Payment Total:
$6,088.84
-$6-p-585r
U4l200s Page I of I
arttretEr.D
CITY OF SPRINGFIELD, OREGON
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX:
E LE CTRI CAL PE RMIT APP LICATI ON
City Job Number 2-Date
l.3.
gv\_
Owners Name "t ,q€
Address ZZt D Crr.^s l--.,-(..- *
crtv €1)(>€N{ pnon"
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Pump or irrigation
Si grrlOutline Lighting
Limited Energy/Residential
Limited Energy/Commercial
7%o State Surcharge
l0% Administrative Fee
TOTAL
SPRI$OFIgLI,
$1
$ 19.00 -36,*
$50.00
$ 43.00
$ 3.00
$ s0.00
$ s0.00
$ 2s.00
$ 4s.00
1
I
LEGAL DESCRIPTION
l?o'12't,13 ot*>3
A.
JOB DESCRIPTION
Sl*L {"^l i, fc,9lz-,e--,.//
Permits are non-transfefable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
)
Electrical Contractor Sft)e l"lflucr<
Address P,o, Bon aBbt
Phone )^t - A^QS
Supervisor License Number 3++s C
Expiration Da.r- 1O 'l; O1
constr. contr. Number N+Utg
Expiration Date t/-3o - OS
Signature of Supervising Electrician
B.
$ 63.00
$ 75.00
$125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsAr'olts _______ .$375.00 _
Reconnect Only $ 50.00
... 7 ot;lato coP'eS of the rules bY
InstillanPJ L'tI?6?IitF{ st#t}tr {irop n o n e
u 399,SpeO pt r\Sq] r e g o n Uti I i ty lrl o'!t! calio 0 50.00
20r Aqp6p6!ps.ap6ps-332-234!). $6e.00
401 Amps to 600 Amps $100.00
Over 600 or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
City
E.
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
,OO
I 0,06
l4,qoq tip +aInspection Request: 72G3769
4.
Shared Drive(T:)/Building FormVElectrical Permit Application I -03.doc
Y
OF
orNew Residential -
I
-
INSTALI-ATION ONLY Services or Feeders Installation,
I
Branch Circuits
I