HomeMy WebLinkAboutPermit Building 2004-01-20F
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: 02-00089-01ISSUED: 0112012004APPLIEDz 0112412002EXPIRES: 09/0512004VALUE: $ 271,485.00
SITE ADDRESS: 1849 00008th St 1851 Spr TYPE OF WORK: Duplex
ASSESSOR'SPARCELNO.: 1703261300503
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: l, Block: 2, Subdivision: Mimosa, Land Use: Duplex or 2-Family Hs, Zoning:
MDR, Duplex
Owner:
Address:
Richard Hiatt
PO Box 173 Springfield OR 97477
PhoneNumber: 541-954-9264
Contractor Type
General
Electrical
Plumbing
Contractor
HIATT CONSTRUCTION LLC
REYNOLDS ELECTRIC
KEVIN MARK COHEN
License
r47084
17252
131326
Expiration Date
02n5t2006
02t08t200s
09t0412004
Phone
541-746-9789
541-343-7297
541-607-9208
CONTRACTOR INFORMATION
BUILDING II
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Soecial Instruction:.
NOTICE:
# ofStories: 2
Height of Structure
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
)
VN
R-3
14.50
8,314
3,277
672
REQUIRED PARKING
e
Fullv Improved
THIS PERMTT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDEB THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY lBO DAY PERIOD.
ity Notification
-2344\- curbside 5'nurnbe
DEVELOPMENT INFORMATION
Notes:
Page I of4
Downspouts/Drains: Curb and Gutter
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: 02-00089-01ISSUED: 0112012004
APPLIED z 0112412002EXPIRES: 09/0512004VALUE: $ 271,485.00
Description
Dwellings
Garage
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,920.00
672.00
Value
$255,492.00
$15,993.60
$271,485.60
Date Calculated
12t09t2003
12t09t2003
Fee Description
Residential Plan Check
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Annexed 1979 or Before
Building Permit
Dryer Vent
Duplex - Willamalane
Exhaust Hoods
Furnace - up to 100,000 btu
Plan Review - Planning
Plan RevieilResidential Hourly
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
+ l0o/o Administrative Fee
+ loh Stile Surcharge
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Amount Paid
Total Value of Project
Date Paid Receipt Number
7880
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
120040000000000007r
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
r200400000000000071
1200400000000000071
1200400000000000071
r200400000000000071
r200400000000000071
1200400000000000071
1200400000000000071
120040000000000007r
1200400000000000071
1200400000000000279
1200400000000000279
1200400000000000279
1200400000000000279
$629.62
$10.00
$176.07
$123.25
$508.00
$16.00
$-63.65
$1,124.65
$12.00
$1,848.00
$18.00
$24.00
$s9.00
$4s.00
$860.s0
$1,132.00
$10.00
s428.46
$629.26
$191.17
$107.28
$1,454.83
$329.78
$1,187.84
$s0.00
$24.00
$28.80
$20.16
$212.00
$76.00
u28t02
u20t04
u20t04
u20t04
u20t04
u20t04
u20t04
u20t04
il20t04
u20t04
u20t04
y20t04
u20t04
y20t04
u20t04
y20t04
U20t04
u20t04
u20t04
u20t04
u20t04
u20t04
u20t04
y20t04
y20t04
u20t04
3tst04
3t5t04
3t5t04
3tst04
Fees Paid
Total Amount Paid sLL,272.02
Ptee2 of 4
Valuation Description I
FIELD
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: 02-00089-01ISSIIED: 0112012004
APPLIEDT 0112412002EXPIRES: 09/0512004VALUE: $ 271,485.00
Plan Reviews
Engineering-Res
Initial Review-Res
Planning-Res
Public Works Review
Structural Review
Structural-Res
12n0t2003
12t09t2003
02t06t2002
0u29t2002
0u3u2002
12n0t2003
12t09t2003
02t08t2002
Appr
Appr
Appr
ST
LLH
EMM
APP
APP
Appr
VRJ
RJB
RJB
Minimum setback for solar to north
property line. See letter and
notation on plans.
REVISED FEES ONLY FOR
SDC's.
reviewed for compliance with
current code
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.
20 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 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.
Rough Plumbing: Prior to cover 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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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 Gas: When all gas work is complete.
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.
I
9
t2
7
t7
l0
23
5
6
I
22
15
24
16
18
4
2t
r3
11
t4
2
3
19
25
26
27
Renrrired Insneefions
Paee 3 of4
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: 02-00089-01ISSUED: 0112012004
APPLIEDz 0112412002EXPIRES: 09/0512004VALUE: $ 271,485.00
By signaturer l 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 Springlield 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.
Owner or Contractors Signature Date
Pase 4 of 4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
,/'City of Springlield Official Receipt
Development Services Department
Public Works Department
#: 1200400000000000279 Date: 0310512004 10:32:53AM
02-00089-01
02-00089-01
02-00089-01
02-00089-01
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7Yo Slate Surcharge
+ l0%o Administrative Fee
212.00
76.00
20.16
28.80
Item Total:$336.96
Received By Batch Number Authorization Number lfow Received Amount Paid
CreditCard REYNOLDS ELECTRIC djb 0003 l6 005855 In Person
Payment Total:
$336.96
$336.96
Type ofPayment Paid By
225FIFTHSTREET 'SPRTNGFIELU , OR 91477 . PE:(541)726-31 s3' a*,ffi,,r$t6689s
E LE CTI.I CAL P ERMIT APP LI CATI O N
as submitted has the following
not require specilic land use
Zoning D(L
-tt-o
$re.oo 7b
$s0.00
$ 63.00
$ 75.00
s125.00
$163.00
$375.00
s 50.00
ts?-A I Date O r()Y
Ciry Job Number t
L
l8Ll7 6+t^s+ l&s(
LEGAL DESCRIPTIONo3z6
JOB DESCRIPTION
(-e D*tut:
Permits are uon-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
,
Electical Coutractor
llU aad t/2 ,
Oate
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
601 Amps to 1000 AmPs
Over 1000 AmPs/Volts
Reconnect OnlY
Each Additional Circuit or with
Service or Feeder Permit
E.
*&I'trne
o
3.
A.
&so3
Address
City
9/
B.
C.
D.
City
Supervisor License Number xs?o- 5
Expiration Date o o
Constr. Coutr. Number /7 2-fL
Expiration Date o a€
Signature of Supervising Electrician
Na-ure ?,'L"*oJ L+,
Address 7o tsc
&Ae-Phone 3*3 -72? 7
&Fl
3
SP N Phone
Installation, Alteration or Relocation
200 Amps or less S 50'00
201 Amps to 400 AmPs $69
$et-
Over 600
New
One Circuit s 43.00
$ 3.00
OWNER INSTALLATION {TION Oregon t
s 50.00
s 50.00
$ 25.00
$ 45.00
[nspection Fee is $45.b0 * Surcharges
A-TTE pted bY
fho
^ r-$0
The installation is being made on properry I $r}6"$vtr'Jft
is not intended for sale, lease or renl
Orvners Signature:
g
ZO tc'
7% State Surcharge
l0% Administrative Fee
TOTAL
{ ?r,
33b-
lnspection Request: 126-37 69
Shared Drive{T:/Building FormVElectrical Psrmit Application 1 43'doc
1 Z $106.00 ZiZ
7 at/. Bed. 4c
Pump or irrigation
7
6
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3.d
Ja
ll
(,
P
a
FO 1/2' P|Pe
$
hc)
o(,
I
$LOT 2
o
F0 s/E'ROD
LOT 5
LOT 6
F0 l
FO 1/2' P\PE
a
Z
tJ-J
O
u
()
I
l
LL
EqooZCt o,\
Ol
tF
E,oz
PIPE
JO.0'
E
KJtFa
IFm
30.0
SOUTH
5,0, SETBACK
C)
7.0' PUBLIC
uTrLITY EASEMENT (/-)I
10 0'
SEIBACK
10 65
FO t/2" PIPE
,t0.O'
E
O STREET
o
LEGEND
SET 2"x2" WOOD HUB WITH TACK
NCRTH
SCALE 1" - 30 FT
I, MICHAEL R. DAHRENS, REGISTERED LAND SURVEYOR IN
THE STATE OF OREGON, DO HEREBY CERTIFY THAT I HAVE
DETERMINED THE BOUNDARIES OF THE SUBJECT PROPERTY
BASED ON THE MONUMENTS SHOWN, AND THAT I HAVE
STAKED THE PROPOSED BUILDING SITE AS SHOWN HEREON
IN RELATION TO THE REQUIRED SETBACI< LINES PER THE
SPRINGFIELD DEVELOPMENT CODE AS SHOWN.
RENEWAL: 1 2-Jl -2005
mr-E-0 15 50
I
60
STAKING SURVEY FOR:
RICHARD HIATT
OWNER: H IATT CO N STR U CTIO N
ADDRESS: 1849 & 1851 8TH STREET
SPRINGFIELD, OREGON 97477
JOB NO. 04-5999 DATE: 1-22-04
.S.SVWgne-€nglineers
gURVEYOR7 t PI-ANNERg
2350 Oakmontway, Suite 105 . Eugene, Oregon 97401 . (541)485-8383
F:\JOBS\5900'S\s999\EP\STAKING MAP\5999 STAKED.DwG
r 4.00'
-o
q
@GI
17 0'
ts)6t
$e
wEsT. 56.00'
PROPOSED
BUILDING
BhRq
14.5'
18.0'
LOT I
llI
J
I
r
I
t*-
I
I
I
ll
r-l.
18.0'
SETBACK
14,5'SOLAR
SETBACK
REGISTERED
PROFESSIONAL
LAND SURVEYOR
OREGON
JULY 1 1. 2000
MICHAEL R. DAHRENS
60052
@
o
_t
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
ITY
Building/Combination Permit
PERMIT NO: 02-00089-01ISSUED: 0112012004APPLIEDz 0112412002EXPIRESt 0712012004VALUE: $ 271,485.00
SITE ADDRESS: 1849 00008th St 1851 Spr TYPE OF WORK: Duplex
ASSESSOR'S PARCEL NO.: 1703261300503
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Lot: 1, Block: 2, Subdivision: Mimosa, Land Use: Duplex or 2-Family Hs, Zoning:
MD& Duplex
Owner: Richard Hiatt
Address: PO Box 173 Springfield OR 97477
PhoneNumber: 541-954-9264
Contractor Type
General
Contractor
HIATT CONSTRUCTION LLC
License
147084
Expiration Date
02n5t2006
Phone
541-746-9789
CONTRACTOR INFORMATI(
m
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# ofStories: 2
Height of Structure
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path: Path I
iulcs t
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
1
R-3
VN
8,314
3,277
Fully Improved
5
Yes
33.00
Sidewalk Type:
Downspouts/Drains:
HE WORK
T IS NOT
REQUIRED PARKING
Total:
Handicapped:
Compact:
N OTICE:REIFT
PERMI
Curbside 5'
Curb and Gutter
HIS PERMIT HALL EXPI
Notes:
HORIZED DER THIS
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Type of Construction
S
Pase 1 of3
Value Date Calculated
to
672
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: 02-00089-01ISSUED: 0112012004APPLIED: 0112412002
EXPIRESz 0712012004VALUE: $ 271,485.00
Dwellings
Garage
Fee Description
Residential PIan Check
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 1oh State Surcharge
2 Baths One or Two Family
Addressing Assignment
Annexed 1979 or Before
Building Permit
Dryer Vent
Duplex - Willamalane
Exhaust Hoods
Furnace - up to 100,000 btu
Plan Review - Planning
Plan Review/Residential Hourly
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
Yent Fan
Total Amount Paid
Total Value of Project
Date Paid Receipt Number
7880
1200400000000000071
1200400000000000071
r200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
1200400000000000071
r200400000000000071
r200400000000000071
1200400000000000071
V Wood Frame
Garage
$90.60
$23.80
2,820.00
672.00
$255,492.00
$15,993.60
$271,485.60
12t09t2003
12t09t2003
Amount Paid
s629.62
$r0.00
$176.07
$123.25
$s08.00
$16.00
$-63.6s
$1,124.65
$12.00
$1,848.00
$18.00
$24.00
$s9.00
$45.00
$860.s0
$1,132.00
$10.00
$428.46
s629.26
$191.17
$107.28
$1,454.83
$329.78
$1,187.84
$s0.00
$24.00
U28t02
u20t04
u20t04
u20t04
u20t04
u20t04
U20104
U20t04
u20t04
u20t04
u20t04
u20t04
U20t04
1t20t04
u20t04
u20t04
u20t04
lt20t04
u20t04
u20t04
1,t20t04
U20104
u20t04
u20t04
u20t04
U20t04
$10,935.06
Fees Paid
Plan Reviews
Ensineerins-Res
Initial Review-Res
Planning-Res
Public Works Review
Structural Review
Structural-Res
12n012003
1210912003
02t06t2002
0u2912002
0u3U2002
1211012003
12t09t2003
02/08t2002
Apor
ADpr
Appr
ST
LLH
EMM
APP
APP
Appr
Paee 2 of3
YRJ
RJB
RJB
Minimum setback for solar to north
property line. See letter and
notation on plans.
REVISED FEES ONLY FOR
SDC's.
reviewed for compliance with
current code
T t5-
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: 02-00089-01ISSUED: 0112012004APPLIED: 0112412002
EXPIRESz 0712012004VALUE: $ 271,485.00
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. wiII be made the following work
day.
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 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.
Rough Plumbing: Prior to cover 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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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 Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
I
2
3
4
5
6
7
8
9
10
ll
t2
13
t4
15
t6
t7
18
t9
20
2t
22
23
24
Reouired Insnections
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.
I .\o- )0, {
Owner or Contractors Signature
Page 3 of3
Date
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services I)epartment
Public Works Department
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-0 l
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-01
02-00089-0 l
02-00089-01
02-00089-01
02-00089-01
Building Permit
Addressing Assignment
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
Temp Power 200 amps or less
Plan Review - Planning
2 Baths One or Two Family
+ 7Yo State Surcharge
+ lDoh Administrative Fee
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
Annexed 1979 or Before
Duplex - Willamalane
1,124.65
16.00
24.00
24.00
18.00
12.00
10.00
50.00
59.00
508.00
123.25
176.07
1,187.84
1,132.00
860.s0
329.78
1,454.83
629.26
428.46
10.00
t9t.t7
107.28
(63.6s)
1,848.00 i
Item Total:$10,305.44
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check HIATT CONSTRLLC djb In Person
Payment Total:
$10,305.44
$10-F0574
{Fasl**ffie
denti
Multi-Family per drvelling unit.
Service Included:
Items Cost
ffit!r{,T
-transferable and expire
within 180 days
work is suspended for
Supervising
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaclt lvlanufd Home or
Modular Drvelling
Service or Feeder
Feeders
ilBr a
$i06.00
$ 19.00
$ 50.00
or rvith
not inclu
ction Fee is 545.00 +
-----r
Permits are
if rvork is
of issuance
180 days.
Address
A/\J
D. Branch
4. SUB
7o/o S
lo%
TOTAL ES.3)
CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN'I ,{ORKSHEET
JOURNAL OR JOB NUMBER: 02-00089-01 -Fee Revision
NAME OR COMPANY Hiatt
LOCATION 1849 & 1851 8th Street
TAX LOTNUMBER:17032613 tl 503
DEVELOPMENTTYPE: DUPLEX
NEW DWELLING LTNITS 2 BUILDING SIZE LOT SrZE (SF):
DIRECT RUNOFF TO CIry STORM SYSTEMI IMPERVIous s-r. x
| 4oe6.oo
IMPERVIOUS S.F
0.00
NLMBER OF DFU's
50
B. IMPROVEMENT COST:
NUMBER OF DFU's
50
COST PER S.F
$0.290
COST PER S.F
$0.290
COST PER DFU
s22.64
COST PER DFU
s17.21
NUMBER OF LTNITS
2
NUMBER OF UNITS
2
ADM. FEE RATE
5%
CHARGE
$1,187.84
DISCOLTNT RATE
50%
$1,187.84
DISCOUNT
$0.00
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
A. REIMBURSEMENT COST:
ITEM 2 TOTAL. CITY SA}{ITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENTCOST:
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SUBTOTAL
$5,969.02
xxCOST PER TRIP
s17.23
COST PER TRIP
$76.0 r
NEWTRIP FACTOR
1.00
NEWTRIP FACTOR
1.00
xx
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU'S
2
B. IMPROVEMENT COST:
NUMBER OF FEU's
2
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( =
SUBTOTAL (ADD ITEMS I,2,3,&4)
x CHARGE
s298.45
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich 12^0t2003
992.50
.84
$
$860.50
$329.78
s629.26
$1
.28
$6,267.47
I 070
l09l
t092
1 093
1094
1055
1 056
1079
1078
aHaoO
&HFa
or!&
II@
I@
,784.61
COST PER FEU
s3 r4.63
COST PER FEU
s214.23
004.07
$5,969.t
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES X UNIT EQUIVAIENT = DRAINAGE FIXTURE UMTS
FOR CArcUI.ATE ONLY TTIE NET ADDITIONAL
NO. OF FIXTURES
TJNIT
FIXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTUR-E UNITS
isa toa unit set at 167
F},IWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
*EDU
0 3 124BATHTUB
000IDRINKING FOUNTAIN
3 000FLOOR DRAIN
0 3 00INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
0 0 b 0INTERCEPTORS FOR SAND / AUTO WASH / ETC.
0002LAI.INDRY TUB
3 620CLOTHESWASHER / MOP SINK
0 b 00CLoTHESWASHER - 3 OR MORE (EA)
00012MOBTLE HOME PARK TRAP (l PER T84I!ER)
1 000RECEPTOR FOR REFRIG / WATER ST ATION / ETC.
0 0 3 0RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0002SHOWER, SINGLE STALL
2 000SHOWER, GANG (NUMBER OF HEADS)
2 0 3 6SINK: COMMERCIAL/RESIDENTIAL KITCH EN
0002SINK: COMMERCIAL BAR
2 000SINK: WASH BASIN/DOUBLE LAVATORY
8 0 1 8SINK: SINGLE LAVATORY/RESIDENTIAL BAR
0005URINAL, STALL/WALL
0 6 00TOILET, PUBLIC INSTALLATION
18603TOILET, PRIVATE INSTALLATION
YEAR
ANNEXED
CREDIT RATE/$ I ,OOO
ASSESSED VALUE 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
I
0
1979
cREDrr FOR LAND (rl4EIUq44EL
VALUE/ IOOO CREDITRATE
512.63 x $5.04
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/ IOOO CREDITRATE
$0.00 x $5.04
TOTAL MWMC CREDIT I s63.65
BEFORE I979 $5.04
1979 $5.04
1980 $4.95
l98l $4.88
1982 $4.75
1983 $4.58
1984 $4.41
1985 $4.20
1986 $3.88
1987 $3.s0
1988 $3.07
1989 $2.60
1990 $2. l4
l99l $1.71
1992 $1.52
t993 $ 1.38
1994 $1.19
1995 $1.03
1996 $0.87
1997 $0.68
1998 $0.46
1999 $0.27
2000 $0.09
2001 $0.04
l-sei7_
:l 0
t^{dA
SPtInlGFT€LE'
D EV E LCI F M E N? SEE b{C€s fi EP,4 trTfu'.ES T
July 30,2002
Richard W. Hiatt
PO Box 173
Springfield, Oregon 97477
Dear Mr.Hiatt:
If you have any questions, please feel free to phone me at (541)726-3794.
Sincerely,
Lisa Hopper
Building S afety Supervisor
225 FIFTH STREET
SPRINGFIELD, OR 97477
(511) 726-s753
FAX (541) 726-3689
On July 29,2002 you requested an extension of your plan review for the proposed
construction of a duplex to be located at 1849 and 1851 8th Street, Springfield, Oregon.
This letter is written to inform you that your request have been reviewed and approved
and will expire 180 days from the date of your request (January 29,2003)'
HIATT CONSTRUCTION L.L.C.
C/O JUDY'S BOOKKEEPING & TAX SERVICE
645 MAIN STREET
SPRINGFIELD OR 97 477 -47 64
0712912002
CITY OF SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD OR 97477
Lisa Hopper,
RE: Permit Extension
Sincerely,
11'--.l*--|;H-
Richard W Hiatt
Member
HIATT CONSTRUCTION L.L.C.
Please extend my plan review permit for another six months. Subject property on corner
of Q Street and# Street. The job Wtfr\q grqt?^{
Your prompt attention is greatly appreciated.
City Of Springfield
Development Services
Community Services Division
Building Safety Job# 02-00089-01
Page 1 of 3
Location Of Proposed Site: 1849 00008th St 1851 Spr
AssessorsMap#: 17032613
Lot: 1 Block:z Addition:
Tax Lot#: 00503
Subdivision:Mimosa
Owner: Richard Hiatt
Address: PO Box 173
Scope Of Work: Duplex
Duplex
Phone Number:
City/State/Zip:
New
541-746-9789
Springfield, OR97477
Value: $223,543
Contractor Type
GeneralContr
Gontractor
Richard Hiatt
PO Box 173, Springfield, OR 97477
Registration #
147084
Expiration Date
3t2t2003
Phone
541-746-9789
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
01t28t2002 7880Residential Plan Check
Total Plan Gheck
223,543 $629.62
$629.62
Building
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
223,543 $968.65
$67.81
$77.49
$1,113.95
Electrica!
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
1
$.00
$50.00
$3.50
$4.00
$57.s0
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
2
$.00
$508.00
$35.56
$40.64
$s84.20
Mechanical
Hood and Exhaust
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
2 $18.00
$.00
$6.24
$24.00
$24.00
$12.00
$10.00
$5.46
$99.70
2
4
2
System Development
Residential- Duplex - Storm 4,096 $1,1 18.21
City Of Springfield
Development Services
Community Services Division
Building Safety Job# 02-00089-01
Page 2 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
System Development
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Residential Sanitary MWMC
Residential - lmprovement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
2
1
$69.66
$10.00
$265.77
$-58.56
$665.72
$1,319.52
$310.26
$1,068.50
$812.00
$5,581.08
12
2
2
2
50
50
Willamalane SDC
Duplex - Willamalane
TotalWillamalane SDC
1 $1,848.00
$1,848.00
Planning
Planning Plan Review
Total Planning
$50.00
$50.00
Permits Wo
Address Assignment
Total Permits w/o Srchg
1 $8.00
$8.00
Grand Total $9,972.05
Required lnspections
Scheduled
Date
!nspection lnspector
Date
Result
Comments
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Masonry
Shear Wall Nailing
Ceiling lnsulation
Framing
Wall Insulation
Drywall
Firewall
Bolts installed in
concrete
Hold Downs lnstalled
Vapor Barrier/lnsulation
Final Building
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
1
Srcho
City Of Springfield
Development Services
Community Services Division
Building Safety Job# 02-00089-01
Page 3 of 3
Required lnspections
Scheduled
Date
lnspection lnspector
Date
Result
Gomments
Temporary Power
Verify Ground Rod
Rough Electrical
Etectrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
FinalPlumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Electrical
Plumbinq
Mechanical
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Pending
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Lisa Hopper
Steve Templin
Liz Miller
Date Completed
01t29t2002
02t06t2002
01t31t2002
Comment
Minimum setback for solar to north property
line. See letter and notation on plans.
Structural-Res Bob Barnhart 02t08t2002
End Of