HomeMy WebLinkAboutPermit Building 2005-02-01Building/C ombination Permit
Status Issued
225 Fillh Street, Springfield, OR
511-126-3753 Phone
511-726-3676Fax
511 -7 76-37 69 Inspection Line
PERMIT NO: COM2005-00053ISSUED: 0210112005APPLIEDz 0lll4/2005EXPIRES: 08/0112005VALUE: $ 128,075.00
Sl'l'll .\DDRESS: 1022 3rd PL SPRINGFIETYPE OF WORK: Single Family Residence
r\SS!' SOR'S PARCEL NO.: 1703352105402
TYPE OF USE: New Residential
PRO,ISCT DESCRIPTION: Single Family Residence il attached garage
Oryncr':
Arld rcss:
Conlractor Type
Ce nc::rl
Eltct rical
N I cclr rrnical
Pltrrrr!,!ng
# oI I'rr its:
Prirrr:, r'y Occupancy Group:
g1'1o' ,irrry Occupancy Group:
I'r'irr: :y Construction Type
Sccon !:rry Construction Type:
# t,l'. lrooms:
FrorrIvrrrd Setback:
Sitit. lctback:
Si l., , ctback:
Ilr''r,.' rd Setback:
Sll:rr'. etbacks:
Strcct Improvements:
Storrn Sewer Available:
SJrt.e i" I [nstruction:
G&RBUILDINGCONCEPTS
1135 CAL YOUNG RI)
EUGENE OR 97401
Contractor
OWNER
JOHNSEN ELECTRIC INC
OWNER
TOMS PLUMBING SERVICE INC
PhoneNumber: 541-606-1755
License Expiration Date Phone
38497 541461-0291
541-607-8879
95?;
1
R-3
u-1
VN
30.00
12.00
5.60
32.00
5.00
Partially Improved
Yes
#of s01
$aY
Range
Energy Oentet
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
FIoor:
Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
6,534
1,288
373
3 Path 1
nla
Yes
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
N ORK
26.20
1
CONTRA(
DEVELOPMENT INFORMATION
Not cs
Pase 1 of4
ffi
bI
ALL
1H\S r0R
Curbside 5'
Curb and Gutter
ANY 180
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2005-00053ISSUED: 0210112005
APPLIEDz 0111412005EXPIRES: 08/0112005VALUE: $ 128,075.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,288.00
373.00
Value
$119,011.20
$9,063.90
$128,075.10
Date Calculated
0ut4t2005
0u14t2005
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Encroachment Permit
Exhaust Hoods
Minimum/Adj ustment Mechanical
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid Receipt Number
12005000000000000063
1200s00000000000132
1200s00000000000132
1200500000000000132
1200500000000000132
1200500000000000132
1200s00000000000132
1200500000000000132
1200500000000000132
1200s00000000000132
1200s00000000000132
1200500000000000132
1200500000000000r32
1200500000000000132
1200500000000000132
1200s00000000000132
1200500000000000r32
1200500000000000132
1200500000000000132
1200500000000000r32
1200s00000000000132
1200500000000000132
1200s00000000000132
1200s00000000000132
1200500000000000132
$428.94
$10.00
$2s4.00
$31.00
$659.90
$6.00
$120.00
$9.00
$18.00
$103.00
$106.00
$38.00
$402.16
$s28.88
$10.00
$865.31
$82.03
$113.53
$64.77
$772.49
$175.13
$729.90
$50.00
$12.00
$1,ooo.o0
1/15/05
21u05
2ntos
2nt0s
2nt05
2nt05
2nt05
2nt05
2nlos
2nt05
2nt05
21u05
2nt0s
2tu0s
2fit05
2nt0s
21u05
2nt05
2nt0s
zfit05
2nt05
2nt05
2nt0s
2n105
2fit0s
$6,590.04
Fees Pa
Plan Reviews
Initial Review
Plannins Review
01/31/2005
0u3u2005
01/31/2005
02t0U2005
APP
APP
SKG
TAJ Access via 12' joint access easement
as required by partition Journal #
1997-03-0s5.
0r/31/2005 APP
Paee 2 of4
Public Works Review 0t/31/200s CAS
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2005-00053ISSUED: 0210112005APPLIEDz 0111412005EXPIRES: 08/0112005VALUE: $ 128,075.00
Structural Review 0u3u2005 0r/31/2005 APP DLM See documents for PIan Review
comments.
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.
Encroachment: After item(s) have been removed to inspect condition of public right of way.
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 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 aU rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling 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.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Rpnrrirpd fnsnecfions
Page 3 of4
J
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00053ISSUED: 0210112005
APPLIEDz 0lll4/2005EXPIRES: 08/0112005VALUE: $ 128,075.00
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 construction.
vl'Tl,tn,o tl/Lary 2l-odffi(
Date
Paee 4 of4
r}'l
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
eity of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT #: 1200500000000000132 Date: 0210112005 1:56:13PM
Job/Journal Number
coM2005-00053
coM200s-00053
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-000s3
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-000s3
coM2005-000s3
coM2005-00053
coM2005-000s3
coM2005-00053
ccM2005-000s3
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-00053
coM2005-00053
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Encroachment 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
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Plan Review Major - Planning
Amount Due
31.00
1,000.00
106.00
38.00
50.00
120.00
729.90
528.88
402.16
175.t3
772.49
82.03
865.31
10.00
I13.53
64.77
659.90
254.00
12.00
9.00
6.00
18.00
10.00
103.00
Item Total:$6,161.10
Payments:
Type ofPayment Paid By
CheckNumber
Received By Batch Number
Authorization
Number How Received Amount Paid
Check WALT DREWS djb 1116 In Person
Payment Total:
$6,161.10
-S6ffiTd'
2/t/2005 Page I of I
225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX:
E LECTRI CAL P E RM IT AP P LI CATI ON
City Job Number COruzo':'i'roC 53 Dare
1. LOCAT'ION OF INSTETT-ET'ION 3. COMPLETE
,o,
A. Nov Residential - Single or a
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
ers
Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
Neu'Alteration or Extension Per Panel
Oeze
%
/OZL sEL PC
LEGAL DESCRIPTIONt7o33SZt OsL/cL
JOb DESCRIPTION
Srn/6/€ 1:/u.rrcy tc:tt rs€rvc{
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
106 /o6
L s r 9.00 38
$50.00
2. O0NTRACTOR TNSTALTATTON ONLY B. Services or Feeders - Installation, Alterations or Relocation:
ElectricalContractor BEACON ELECTRIC 200 Amps or less $ 63.00
$ 75.00
Address 2585 ROOSEVELT BLVD 401 Amps to 600 s 125.00
601 Amps to $ r 63.00
City EUGENE Phone 541-461-0291 $37s.00
s 50.00
Supervisor License Number
ExpirationDate 10/ O
34855
1 l07
$ 50.00
$ 69.00
$ 100.00
5c)
Constr. Contr. Number 38497
Expiration Date 01 /10/200 6
of Electrician
Name G P istd It
One Circuit $ 43.00
Each Additional Circuit or rvith
l'Iiscellaneous (Sen'ice/feeder not hrcluded) -[achE.(Installatiorr
Ciry Phone
OWNER INSTALLATION
The installation is being made on property I own whiclt
is not intended for sale, lease or rent.
Owners Signature:
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
4. SUBTOTALOFABOW I 7/
lYo State Surcharge
l0% Administrative Fee
TOTAL
l<54
I ?L/o
P:Uagr{d Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
-$
-!-_$
_$_s
50.00
50.00
25.00
45.00
ZZGEInspection Request: 726-37 69
Shared Drive(T:)/Building Fonns/Elcctrical Pennit Application I -03.doc
L oot
201 Arnps to 400
JOURNAL OR JOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAX I-OTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RTNOFF TO CITY STORM SYSTEM
CITY OF SPKINGFIELD SYSTEMS DEVELOPMENT ET
G&R
lO22 3rd
1703352105402
FAMILY RESIDENCE
BUTLDTNG SrZE (SFl 1792 LOT SIZE (SF):6330
IMPERVIOUS S.F. x
2354.50
RLINOFF ROUTED TO DR
IMPERVIOUS S.F
0.00
x
COST PER S.F
s0.3 r 0
COST PER S.F
$0.3 l0
CHARGE
$729.90
DISCOUNTRATE
5UYo
DISCOTINT
$0.00
YWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x
x
x
x
x
ITEM I TOTAL - STORM DRAINAGE SDC $729.90
2. SANITARY SEWER - CITY
A. REIMBT]RSEMENT COST:
NUMBER OF DFU's
22
B.IMPROVEMENT
x
$ 18.28
ITEM 2 TOTAL. CITY SAI\IITARY SEWER SDC $931.04
3. TRANSPORTATION
A. REIMBURSEMENT COST:
COST PERDFU
$24.04
NTIMBER OF UNITS
I
NUMBER OF UNITS
I
ADM. FEE RATE
5y;o
COST PER TRIP
$r 8.30
COST PER TRIP
s80.72
$947.62
NEW TRIP FACTOR
r.00
NEWTRIP FACTOR
1.00
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.5'7
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBTIRSEMENT COST:
NUMBER OF FEU's
I
x
xx
xx
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
IVIWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SAI\ITARY SEWER SDC
SUBTOTAL (ADD ITEMS I,2,3, & 4)
5. ADMINISTRATIVE FEE:
s957.34
$3,s6s.90
C}IARGE
$r 78.30
SUBTOTAL
$3,565.90
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TION ADMINISTRATION FEE:
CherylSlaymaker 1t3112005
NUMBER OF DFU's
22
$528.88
$17s.13
$82.03
$0.00
ll
744.20
I 070
l09r
1092
I 093
1094
I 054
I 055
I 056
1079
I 078
a
tr.]n
O
rrlFa
El
3@-
I@
COST PER FEU
$82.03
COST PER FEU
$86s.3 r
PREPARED BY DATE
TOTAL SDC CHARGES
DRAINAGE FIXTURE UNIT
IS LAND ELGIBLE FOR ANNEXATION 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)
CALCULATION TABLE
NUMBER OF NEW FXTURES x UNTT EQUTVALENT = DRAINAGE FD(TURE LINTTS
FOR REMODELS, CAICUTATE ONLY T}IE NETADDITIONAL
NO. OF FIXTTIRES
UNIT
FXTURETYPE NEW OLD
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTTIRE I.]NITS
isa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
2
1979
*EDU
BEFORE 1979
1979
I 980
1981
1982
1983
I 984
1985
1 986
1987
1988
I 989
1990
l99l
't992
1993
1994
't995
1996
1997
1998
1999
$5.29
$5.1 e
$5.12
$4.98
$4.80
$4.63
$4.+o
$4,07
$3.67
$3.22
$2.73
$2.25
$1,80
2
VALUE/ IOOO
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AI'TER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.45
$1.25
$1.09
$0.92
$o.72
$0.48
$0.28
$0.09
$0.05
BATHTTIB 2 0 3 6
DRINKING FOTINTAIN 0 0 1 0
FLOOR DRA]N 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LATINDRY TUB 0 0 2 0
CLOTHESWASIJER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 1 0 2 2
SHOWE& GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL/ WALL 0 0 5 0
TOILET, PTIBLIC INSTALLATI ON 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
00
2000
2001
JcN-g r -2699 r 5 3 8A Pm ROH. DERR I CK
Shcly,
J,C,r 1CI
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Randd J. Drrtct, F"E.
Jru, tl.&
OrlnOnffhe.Ir.rr$ClYera ltnt
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