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HomeMy WebLinkAboutPermit Building 2001-09-21Job# 01-00815-01 Page 1 of4 Job Number: 01-0081 5-01 Office:726-3759 tnspection Line: 726-3769 Tax Lot #: 04800 Subdivision : Ambleside SPRINGFIELD RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2272 00033rd St Spr AssessorsMap#: 17021934 Lot:29 BIock: Addition: ctTY oF SPR7NGFiELD, OREGO^ Owner: Tom Wirfs Enterprises lnc Address: Po Box 237 Scope Of Work: Single Family Residence Same as 1326 Wimbledon Phone Number: City/State/Zip: New 541-747-8704 Springfield, OR97477 Value: $115,478 Contractor Type ElectricalContr MechanicalContr Plumbing Contr Contractor Bills Electric 3170 West 11th Street, Eugene, OR Deans Heating PO Box 462, Cottage Grove, OR97424 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 Registration # Expiration Date Phone 133733 2t1712000 103570 1t1t2001 541-767-0626 541 -895-3758 To request an inspection call the 24 hour 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 Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding Verify Ground Rod Rough Electrical Electrical Service Final Electrical -To be r"o" rt"#ting forms. -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -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. -Prior to Cover -Prior to taping. -When all required inspections have been approved and the building is complete. Electrical -lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Job# 01-00815-01 Page2 of 4 Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Backflow Device FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas FinalMechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: Required !nspections Plumbin - 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 -After device is installed but before backfilling trench -When allplumbing work is complete. Mechanical -Prior to insulation or decking -Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure te: -When allgas 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 Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Zoning: LDR FloodPtain? [Wetlands? Overlay District: # of Street Trees Land Use: Pave Driveway? Journal numbers 1: Comments: Planner: Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: 2:3: Additional Requirements tr Gtenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA: X-White Job# 01-00815-01 Page 3 of 4 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ (Sq. Feet) Main Accessory: # Of Stories: 2 Height (feet): 25 Current Units: Proposed Units:1 Census Code: New SF - attached Total: Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Hourly Plan Review Total Plan Check 08t01t2001 09t21t2001 631 B 6761 2 2 $80.00 $80.00 $160.00 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 09t21t2001 09t21t2001 09t21t2001 6761 6761 6761 115,478 $469.00 $32.83 $14.07 $s15.90 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 0912112001 09t21t2001 0912112001 09t21t2001 6761 6761 6761 6761 1 2 $85.00 $30.00 $8.05 $3.45 $126.s0 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Backflow Prevention Device Administrative Fee - Plumbing Tota! Plumbing Plumbing 09t21t2001 09t2112001 09t21t2001 0912112001 0912112001 6761 6761 6761 6761 6761 1 $.00 $160.00 $11.e0 $10.00 $s.10 $187.00 Mechanical Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct ApplianceVent (Not Covered in Schedulr Gas Fireplace Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 0912112001 0912112001 0912112001 0912112001 09t21t2001 09121t2001 09t2112001 09t2112001 09t21t2001 0912112001 09t21t2001 6761 6761 6761 6761 6761 6761 6761 6761 6761 6761 6761 1 1 $4.50 $2.00 $.00 $1.01 $6.00 $e.00 $4.50 $4.50 $3.00 $10.00 $2.35 $46.86 1 3 1 1 1 Public Works New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works 0912112001 09t21t2001 09t21t2001 6761 6761 6761 60 1 1 $6s.00 $65.00 $-30.00 $100.00 Job# 01-00815-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 09t21t2001 0912112001 09t21t2001 0912112001 09t21t2001 09121t2001 09t21t2001 0912112001 09t21t2001 09t2112001 6761 6761 6761 6761 6761 6761 6761 6761 6761 6761 33 1 1 1 21 21 12 55 1 1 $588.18 $34.83 $10.00 $127.49 $-20.80 $332.86 $659.76 $155.13 $448.77 $341.04 $2,677.26 S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDG 09t21t2001 6761 1 $1,000.00 $1,000.00 Planninq 09t21t2001 6761 1Planning Plan Review Total Planning $50.00 $s0.00 DeposiUCopies/Mis 0912112001 6761 5 $15.00 $15.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Checked By Bob Barnhart Steve Templin Liz Miller Sam Gollah Don Moore Date Completed 08t02t2001 0811712001 09t1212001 $4,878.52 Comment Left message for Tom Wirfs on 8/23 regarding submittal of LDAPs Planning-Res Structural-Res 0812812001 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 plgt vill remain on the site at all times during construction./atL2 Signature 2r 0/ Large copy - Photocopy Fee Total DeposiUCopies/Mis CTTY OF SPA,,VGF'ET, D, OREGO'V D EV E LO P M ENT S E R V I C E81DE HfrfrTddENilot req ui re s pecif ic tand use approval Zoning Date SPRTNIGFTELD 1000 sq.ft- or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Eone or Modular Dvelling Service or Feeder 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 -D/ EI.EgIT.ICAL PERIIT APPLICATION City Job Number '00975 COMPI.ETE FEE SCEEDTII,E BBTOV New Residential-Single or Mu1ti-FamilY Per dvelling unit' Service Included: 1. LOCATION OT I.EGAI JOB DESCRIPTIONSF 2. Cot{TRACf,0R ONLY ' Elec trical Contractor F. ( Expl ration Date Constr Contr. Number 1 q s't'1 Expiration Date (-el*D -02 Supenrisiag Blectrician 225 FIPTE STREET Authorrzecl Stsnature SPRTNGFTELD, OREGoN 97 477 INSPECTION REOUESTz 726-3769 OFFICE: 726-3759 3 A Permits are non-transferable and expire ii ,ort is not started vithin 180 days ;; i;;;"""" o. if vork is susPended for 180 days. Services or Feeders Installation, Alterations or Relocation: I tens -l/- Iess 400 anps 600 amps 1000 anps Cost s 8s.00 $ 1s.00 $ 40.00 Sum alF-4' 3a B ,f,Address o,Bry 2-s rs Ci ty ao'irn,rnone 13 5- 5303 Supervisor License Nunber 3g1q 200 amps or 201 anps to 401 amps to $ s0.00 $ 60.00 s100.00 $130.00 $300.00 $ 40.00 601 anps 0ver 1000 Reconnect to anps 0nIy rB a566 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional Circuit or vith Service oi reeder Permit - $ 2'00 E. Miscellaneous (Service/feeder not included) 200 amps or less $ zoi "ri" to 400 anPs - q 0ver 401 to 600 amPS S Over 600 amPs or 1000 volts s -Each installation Punp or irrigation Sign/Outline Lighting- Linited EnergY/Res - Limited EnergY/Couo c. 5. STIBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL Tenoorary Services or Feeders instalfaiion, Alteration or Relocation 40.00 55.00 80.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 ll Ovners Nane Address Ci ty 'none V#- g7oy'-P OVNER INSTALI.ATION The installation is being made on piop"tty I ovn which is not intended ior sa1e, lease or rent' Orvners Signature: DATE: RECEIVED ,tz€$e- tI "Y CITY OF SPRINGFIEL. -JYSTEMS DEVELOPMENT CHA'. ,E WORKSHEET 5*/kkd4;4-8lt7l0l NAME OR COMPANY: LOCATION: TAXLOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS:I BUILDING SIZE: O SF LOT SIZE: O SF 22'7233RD STREET t7-02-19-34-02900 SINGLE FAMILY RESIDENCE WIRFS JOURNAL OR JOB NLIMBER: 0l-00815-01 IMPERVIOUS S.F.COST PER S.F DISCOUNT RATE 0.00 $0.273 s0%$0.00 IMPERVIOUS S.F 2t54.50 COST PER S.F $0.273 $s88. l 8 RUNOFF ROI.]-TED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x x x I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM $s88.r8ITEM 1 TOTAL - STORM DRAINAGE SDC NUMBER OF DFT.I'S COST PERDFU $34 r.042t16.24 NUMBER OF DFU's 2t COST PERDFU $21.37 77 B.IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: $789.8rITEM 2 TOTAL . CITY SANITARY SEWER SDC COST PER TRIP NEW TRIP FACTOR $68.94 1.00 $659.76 ADT TRIP RATE 9.57 NUMBER OF UMTS I COST PERTRIP $ 16.21 $ls5.l3 ADT TzuP RATE 9.57 NUMBER OF UNITS I NEW TRIP FACTOR 1.00 B. IMPROVEMENT COST: x x x x x x 3. TRANSPORTATION A. REIMBURSEMENTCOST: ITEM3 TOTAL - TRANSPORTATION SDC NUMBER OF FEU's I COST PER FEU s332.86 $332.86 NUMBER OF FEU's I COST PERFEU $34.83 $34.83 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMIMSTRATIVE FEE s346.89 $ 10.00 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: ITEM 4 TOTAL - IVTWMC SANITARY SEWER SDC $2 77SUBTOTAL (ADD ITEMS 1,2,3, & 4) SUBTOTAL ADM. FEE RATE st27.49775% 5. ADMIMSTRATIVE FEE: x $2,677.26 a IJ]ooO &HFac E]& 1070 l09l 1056 1073 I I I I,lTltl:tll SDC COORDINATOR DATE TOTAL SDC CHARGES NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE FIXTURE UNITSFIXTURE TYPE (#NEW - #OLD )x UMT EQUIVALENT BATHTLIB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 0 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) x x x x x x x x x x x x x x x x x x x x x J 6 DRINKING FOUNTAIN 0 0 I 0 FLOORDRAIN 0 0 J 0 INTERCEPTORS FOR GREASE I OIL /SOLIDS IETC.0 0 J 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK I 0 J 3 CLoTHESWASHER- 3 ORMORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTORFOR REFRIG / WATER STATION/ ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 6 0 0 0 t2 0 0 0 I 0 0 0 J 0 SHOWER, SINGLE STALL 0 0 2 0 SHOWER, GANG OTUMBER OF HEADS)0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 J J SINK: COMMERCIAL BAR 0 0 2 0 SINK: DOMESTIC BAR 0 0 I 0 WASH BASIN 0 0 2 0 LAVATORY J 0 I J UR[NAL, STALL / WALL 0 0 5 0 TOILET PUBLIC INSTALLATION 0 0 6 0 TOILET PRIVATE INSTALLATION 2 0 J 6 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) set at 167 gallons per day 2t ?+ DRAINAGE I .TURE UNIT CALCULATI( TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $20.80 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCLILATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AT'TER ANNEXATION) $20.80 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 I 990 $2.06 r 980 s4.83 l99l $ 1.64 198 I s4.77 1992 $ r.4s 1982 $4.64 I 993 $1.31 I 983 $4.47 1994 s l.l3 1984 s4.30 l 995 $0.97 I 985 $4.09 t996 $0.82 I 986 s3.78 1997 $0.63 l 987 $3.41 I 998 s0.41 I 988 $2.98 1999 $0.22 I 989 92.s2 2000 s0.04 TOTAL MWMC CREDIT : 0.000 x $0.63 VALUE / 1OOO CREDIT RATE 33.009 x $0.63 DTU \_/ S'?EIFTGFA€LD DEV{LOP M ENT SEfr Y,CES D EPAfrTM ETIT 225 FlFTii STREET SPRII\|GFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 October 25,2002 Tom Wirfs Cozy Homes PO Box 237 Springfield, OR97477 Subject: Wetland Conservation and Drainageway Easement at Ambleside Meadows Dear Mr. Wirfs, 1. Individual homeowners may plant species associated with riparian areas as approved by the Oregon Division of State Lands (See attached list). 2. Existing non-native vegetation may be removed by hand provided it is replaced with approved riparian vegetation. For example, Blackberries and English Ivy may be replaced with Salmonberry or Snowberry. 3. A tree determined to be dangerous by a certified arborist may be removed. The placement of temporary or permanent strucfures and storage sheds, fencing, lawn furniture, vehicles, yard clippings in the easement area is prohibited. The City of Springfield appreciates your cooperation in protecting and preserving this valuable resource. I hope this information has been helpful and if you have any questions or concerns please contact Ashley DeForest in Planning at736-1003. Sincerely, AshleyDeF Planner Development Services Division City of Springfield This letter is being sent to inform you of the Wetland Conservation and Drainageway Easement located on your properly. This easement was created by the Ambleside Meadows Subdivision to protect and preserve the wetland ecosystem known as the Irving Slough abutting your property to the west. The restrictions placed on this easement are outlined in the Declaration of Protective Covenants, Conditions and Restrictions for Ambleside Meadows Subdivision (See attached documents). These restrictions are in place to protect and preserve the integrity of the wetland ecosystem and may be imposed through private or public enforcement. In general the following activities are permitted in the area of the easement: Information ToBuildOn Engineering . Consufting. 7esffn9 September 19, 2000 Mr, Tom Wirfs Cozy Homes 125 South 2nd Street Springfield, Oregon 97 477 Subject:$*$.ii${f,0 a( Pad Completion Letter Ambleside Meadows - Lot # 29 Springfield, Oregon PSI Report No. 722-1 5026 Dear Mr. Wirfs: Professional Service lndustries, lnc. (PSl) is pleased to submit this letter for the completed house pad subgrade evaluation at the above referenced lot. The foundation subgrade soils within the house pad area were visually classified as native lean clay with sand. The subgrade was proofrolled with a fully loaded dual-axle dumptruck that weighed approximately 45,000 pounds. No deflection or rutting were observed under wheel loading. This result is indicative of a well-consolidated soil structure. Subsequent to proofrolling, the contractor placed approximately 6 inches of Yo inch minus crushed aggregate granular fill over the house pad area to achieve final grade and compacted the material. Compaction testing was performed on the finished grade of the crushed aggregate, granular fill in various locations within the house pad excavation. The test results ranged from 96 to 99 percent of the theoretical maximum dry density as determined by ASTM D1 557. Foundations exposed to weather should be embedded at least 12 inches below the adjacent exterior grade. During foundation construction, water should not be allowed to collect in foundation excavations, on floor slab areas, or on prepared subgrades of the construction area either during or after construction. Undercut or excavated areas should be sloped toward one corner to facilitate removal of any collected rainwater, groundwater, or surface runoff. Positive site drainage should be provided to reduce infiltration of surface water around the perimeter of the house and beneath the floor slabs. The permanent grades should be significantly sloped away from the house building areas and surface drainage should be collected and discharged such that water is not permitted to infiltrate the backfill and floor slab areas of the residence. Additionally, in order to comply with City of Springfield requirements for construction within the Ambleside Meadows Subdivision, a continuous perimeter foundation drain system should be installed at the time of the foundation construction. The foundation drain system should be placed at the bottom of footing elevation and should incorporate no less than Yo inch of fall per foot of run. Professional Service lndustries, lnc.. 10404 Shelley St.. Springfield, OR97477. Phone 541n46-9649. Fax5411746-7163 PSI Report No, 722-15026 Ambleside Meadows - Lalfz( Page 2 September 19, 2001 All crawl spaces should be provided with a low-point crawl space drain connected to the storm sewer or approved disposal system (outlet). All areas of the crawl space should be graded to drain to the low-point drain. All crawl space areas should be covered with a visqueen moisture banier. The low-point drain should be lower than the elevation of the visqueen moisture banier. Based upon our observations, the house pad subgrade has been construcied in general accordance with industry standards for lightly loaded (1,500 pounds per squere foot or less) foundation loads typical for this type of construction. lf you have any queslions regarding this report, please feelfree to contact Michael Dewey at 74&9649. Respectfully Submitted, PROFESSIONAL SERVIGE INDUSTRIES, INC. Michael Dewey,Troy Hull, PE Senior Geotechnical EngineerStaff Geologist 6/30