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Home My WebLink AboutPermit Building 2002-10-02Building/C ombination Permit Contractor Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone S4l-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: 02-01115-01ISSUED: 1010212002APPLIED: 0911612002 EXPIRES: 0410212003VALUE: $ 130,930.00 TYPE OF WORK Single Family Residence TYPE OF USE: New Phone Number: (541) 747-8704 oy the SITE ADDRESS: 2293 00035th St ASSESSOR'SPARCELNO.: 1702194305200 PROJECT DESCRJPTION: Lot: 109, Subdivision: Ambleside,othddition: 1st, Land Use: Single Family Dwelling, LDR, Owner: Address: Tom Wirfs Enterprises Inc Po Box 237 Springfield OR 97477 tlru rt va.. Contractor Type Contractor General Plumbing Mechanical Electrical # of Buildings: 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: Tom Wirfs Enterprises Inc Tom Wirfs Enterprises Inc Home Comfort Heating & Air Conditio Home Comfort Heating & Air Conditio Bills Electric I R-3 u-1 VN tn; Phone (s4t) 747-8704 (s4t) 747-8704 (s41) 34s-2838 (s41) 34s-2838 (s41) 687-18sl ?by I 21.00 Elect Gas Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 5,663 1,650 400 3 12.00 Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Notes: Description Type of Construction $ Per Sq Ft Square Footage Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: "/o of Lot Coverage: 4 Yes 42.00 Sidewalk Type: Downspouts/Drains: Surface Area: REQTIIRED PARISNG Total: Handicapped: Compact: Curbside 5' PUBLIC IMPROVEMENTS Valuation Description Page 1 of4 Value Date Calculated (), btcj lre CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54'1,-726-3676 Fex 541-7 26-37 69 Inspection Line Dwellings Garage V Wood Frame Garage Fee Description Multiple Permit Discount - 2nd Property Annexed 1997 State Surcharge - Mechanical State Surcharge - Electrical 8% Administrative Fee - Mechan 8% Admin Fee - Electrical One to Four Outlets Dryer Vent Address Assignment Hood and Exhaust Mechanical Issuance MWMC Administrative Fee Less than 100,000 BTU + 77o State Surcharge + 8% Administrative Fee State Surcharge - Plumbing Vent Fan to One Duct 87o Administrative Fee - Plumbi Residential Improvement MWMC State Surcharge For Building P Temp Power 200 amps or less Temporary: 200 Amps or Less 87o Building Administrative Fee Planning Plan Review Residence Wiring Ea Addtl500 New Curbcut New Sidewalk Residence Wiring 1000 Sq Ft SDC Administrative Fee Residential - Reimbursement Two Bathrooms Residential Sanitary MWMC Sanitary Sewer SDC Improvement Sanitary Sewer SDC Reimburseme Building Permit Residential - Improvement Residential - Single Family - S.F. Residence - Willamalane $74.60 1,650.00 $19.60 400.00 Total Value of Project PERMIT NO: 02-01115-01ISSUED: 1010212002APPLIED: 0911612002EXPIRES: 0410212003VALUE: $ 130,930.00 $123,090.00 $7,840.00 $130,930.00 10t07t2002 10t07t2002 Amount Paid Date Paid Receipt Number 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 Received By -$30.00 -$18.25 $3.43 $3.s0 $3.92 $4.00 $4.00 $6.00 $8.00 $9.00 $r0.00 $10.00 $12.00 $14.91 $17.04 $17.78 $18.00 $20.32 $34.83 $46.65 $50.00 $50.00 $s3.31 $ss.00 $s7.00 $7s.00 s7s.77 $106.00 $148.93 $160.87 $254.00 $332.86 $335.80 $441.80 $666.40 $709.81 $970.93 $1,000.00 10t02t2002 10t0212002 10t02t2002 10t02t2002 10t02t2002 10t0212002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t0212002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 dib dib diu dib dib dib dib dib dib dib dib dib dib dib dib dib dib dib dib dib dib diu dib dib dib dib dib dib dib dib dib dib dib dib dib diu dib diu Fees Paid Total Amount Paid $5,738.61 Page 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line Residential Plan Check Total Fees Paid Prior to l0l2l02 Engineering-Res Initial Review-Res Planning-Res Structural-Res PERMIT NO: 02-01115-01ISSUED: 1010212002 APPLTED| 09fi6t2002EXPIRES: 0410212003VALUE: $ 130,930.00 Fees Paid Prior to 101212002 $433.16 0911612002 $433.r6 0912312002 Appr VJ 10630 24 FOOT DRIVEWAY THROAT MAX., NO OVERWTDTH APPLIED BOR9I23IO2. 09n7/2002 09n9t2002 09t25t2002 Appr LH Appr AD Appr TM Plan Reviews Required Inspections 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. I Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Foundation: After forms are erected but prior to concrete placement. 4 Post and Beam: Prior to floor insulation or decking. 5 Floor Insulation: Prior to decking. 6 Shear Wall Nailing: Before covering sheathing with finish materials. 7 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 8 Wall Insulation: Prior to cover. 9 Ceiling Insulation: Prior to cover. 10 Drywall: Prior to taping. ll Rough Plumbing: Prior to cover and including required testing. 12 Water Line: Prior to filling trench and including required testing. 13 Sanitary Sewer Line: Prior to filling trench and including required testing. 14 Storm Sewer Line: Prior to filling trench. 15 Final Plumbing: When all plumbing work is complete. 16 Underfloor Mechanical. Prior to insulation or decking and including required testing. 17 Rough Mechanical: Prior to Cover 18 Final Mechanical: When all mechanical work is complete. l9 Temporary Electric: Approval required prior to Utility Company energizing pole. 20 Rough Electric: Prior to Cover 2l Final Electric: When all electrical work is complete. 22 Sidewalk - Setback: After forms are erected but prior to placement of concrete. 23 Curbcut - Overwidth: After forms are erected but prior to placement of concrete. Page 3 of4 CITY OF SPRINGFIELD Buitding/C ombination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa'x 541 -7 26-37 69 Inspection Line PERMIT NO: 02-01115-01ISSUED: 1010212002APPLIED: 0911612002EXPIRES: 0410212003VALUE: $ 130,930.00 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. Owner or Contractors Signature Date Page 4 of 4 CITY OF SPRINGFIELD Buildin g/C ombin atio n Permit PERMIT NO: 02-01115-01ISSUED: 1010212002 APPLIEDz 0911612002E)PIRES: 0410212003VALUE: $ 130,930.00 Status: Issued 225 Fifth Streef SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line SITE ADDRESS: 2293 00035th St ASSESSOR'SPARCELNO.: 1702194305200 TYPE OF WORK Single Family Residence TYPE OF USE: New Lot: 109, Subdivision: Ambleside, Addition: 1st, Land Use: Single Family Dwelling, Zoning: LDR, PROJECT DESCRIPTION: Owner: Tom Wirfs Enterprises Inc Address: Po Box 237 Springfield OR 97477 Phone Number: (541) 747-8704 Contractor Tom Wirfs Enterprises Inc Tom Wirfs Enterprises Inc Home Comfort Heating & Air Conditio Home Comfort Heating & Air Conditio Bills Electric I Lot Size: 21.00 Sq Ft lst Floor: iorced Air Electric Sq Ft 2nd Floor: Gas Sq Ft Basement: Electric Sq F't Garage/Carport Path I Sq Ffpther: .. {\\EWmious Surface Contractor Information BUILDING INIi-ORMA'I ON Contractor Type 1 R-3 u-l VN 400 3 License Expiration Date Phone (s4t) 747-870, (s4t) 747-870, (s41) 34s-283t (s4r) 34s-283r (s41) 687-18sr General Plumbing Mechanical Electrical # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: 5,663 1,650 # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Sohr Setbacks:12.00 SETBACKS Curbside 5'Fully Improved ic ^Notes: Street Storm Sewer Available: Special Instruction: Valuation Description Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated l of 3 \ne 4 Yes \D r'- REQUIRED PARKING Total: Status: Issued 225 Fifth Street, SpringfieH, OR 541:726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line CITY OF SPRINGFIELD Buildin g/C ombination Permit PERMIT NO: 02-01115-01ISSUED: 1010212002 APPLIEDz 0911612002E)GIRESz 0410212003VALIIE: $ 130,930.00 Fees Paid Fee Description Multiple Permit Discount - 2nd Property Annexed 1997 State Surcharge - Mechanical State Surcharse - Electrical 87. Administrative Fee - Mechan 8% Admin Fee - Electrical One to Four Outlets Dryer Vent Address Assignment Hood and Exhaust Mechanical Issuance MWMC Administrative Fee Less than 100,000 BTU + 77o State Surcharge + 87o Administrative Fee State Surcharge - Plumbing Vent Fan to One Duct 87o Administrative Fee - Plumbi Residential Improvement MWMC State Surcharge For Building P Temp Power 200 amps or less TemDorary: 200 Amps or Less 8% Buildine Administrative Fee Planning Plan Review Residence Wiring Ea Addtl 500 New Curbcut New Sidewalk Residence Wiring 1000 Sq Ft SDC Administrative Fee Residential - Reimbursement Two Bathrooms Residential Sanitary MWMC Sanitary Sewer SDC Improvement Sanitary Sewer SDC Reimburseme Buildine Permit Residential - Improvement Residential - Single Family - S.F. Residence - Willamalane Amount Paid Date Receipt Number 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 2200200000000000002 Received By dib dib dib dib dib dib dib dib djb dib dib dib dib djb dib dib dib dib dib dib dib djb dib dib dib dib dib dib dib dib dib dib dib dib dib dib dib dib -$30.00 -$18.25 $3.43 $3.s0 $3.92 $4.00 $4.00 $6.00 $8.00 $9.00 $10.00 $10.00 $12.00 $14.91 $17.04 $17.78 $18.00 $20.32 $34.83 $46.65 $s0.00 $50.00 $s3.31 $s5.00 $57.00 $75.00 s75.77 $106.00 $148.93 $160.87 $254.00 $332.86 $335.80 $441.80 $666.40 $709.81 $970.93 $1,000.00 10t02t2002 t010212002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t0212002 10t02t2002 10t02t2002 r0t0212002 10t02t2002 10t02t2002 10t02t2002 t0t02t2002 10t02t2002 t010212002 t0t02t2002 10t02t2002 tot02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 10t02t2002 t010212002 10t0212002 10t02t2002 10t02t2002 10t02t2002 r0t02t2002 10t02t2002 2of3 Status: Issued 225 Fifth Street, Springfield, OR 541:126-3753 Phone 54l-726-3676 Fax 541:726-37 69 Inspection Line CITY OF SPRINGFIELD Buildin g/C ombination Permit PERMIT NO: 02-01115-01ISSUED: 1010212002 APPLIEDz 0911,612002E)PIRESz 0410212003VALIIE: $ 130,930.00 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. will be made the following work day. By signature, I state and agree, that I have carefully examined the completed application and do hereby certiff 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 hereino and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, BuiHing Safety. I further certiff that only contractors and emphyees who are in compliance with ORS 701.0ffi will be used on this project. I further agree to ensure that all uired inspections are requested at the proper time, that each address is readable from the street, that the at all times during at the front of the property, and the approved p will remain on the site Owner or Contractors Signature Date Required Inspections 3 of 3 NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING LINITS I BUILDING SIZE: 0 SF LOT SIZE: 57ll SF Tom Wirfs Enterprises Inc. 2293 35th Street 17021943 rl 5200 SINGLE FAMILY RESIDENCE JOURNAL OR JOB NLIMBER: 02-01I 15-01 COST PER S.F DISCOUNT RATEIMPERVIOUS S.F. 5O%o.282 IMPERVIOUS S.F 3443.N COST PER S.F. $0.282 $970.93 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY S x x x TANDARDS I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ITEM l TOTAL - STORM DRAINAGE SDC t6.19 $335.8020 NUMBER OF DFU's 20 COST PER DFU $22.09 $441.80 B.IMPROVEMENT COST: x x 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: .60ITEM 2 TOTAL. CITY SANITARY SEWER SDC COST PER TRIP NEW TRIP FACTORADT TRIP RATE NLIMBER OF UNITS 8l9.57 $74.t7 1.00 ADT TRIP RATE 9.57 NUMBER OF UNITS I COST PER TRIP $ 16.8 t $ 160.87 NEW TRIP FACTOR 1.00 B.IMPROVEMENT COST: x x x xxx 3. TRANSPORTATION A. REIMBURSEMENT COST: ITEM 3 TOTAL. TRANSPORTATION SDC $r0.00 NUMBER OF FEU's I COST PER FEU $332.86 $332.86 NUMBER OF FEU's I COST PER FEU $34.83 $34.83 ($ 18.2s) SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE $349.44 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: $3s9.44ITEM 4 TOTAL. MWMC SANITARY SEWER SDC 978.6ssuBTorAL (ADD ITEMS 1,2, 3, & 4) SUBTOTAL $2,978.65 ADM. FEE RATE 57o $148.93 99.42TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5. ADMINISTRATIVE FEE: x $3,127.58Steve Templin TOTAL SDC CHARGES SDC COORDINATOR DATE 9/23t2002 rmr ,E WORKSHEETCITY OF SPRINGFIEL* SYSTEMS DEVELOPMENT a E]noU E]Fa o E]& 1070 109 1 1092 1093 1094 1055 1056 to19 1078 DRAINAGE FIXTURE UNIT CALCULATION TABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE .t_rll u. NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FXTURES) NO. OF FIXTURES DRAINAGE FIXTURE UNITS( *xew - #oLD ) x UNIT FIXTURE TYPE BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( I 0 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x J J DRINKING FOUNTAIN 0 0 I 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS / ETC.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 3 -1 CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER)0 0 l2 0 RECEPTOR FOR REFRIG / WATER STATION IETC. RECEPTOR FOR COM 0 0 I 0 0 0 J 0 SHOWER, SINGLE STALL I 0 2 2 SHOWER, GANG (NUMBER OF HEADS )0 0 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 3 -1 SINK: COMMERCIAL BAR 0 0 2 0 SINK; DOMESTIC BAR 0 0 I 0 WASH BASIN 0 0 2 0 LAVATORY J 0 I 3 URINAL,STALL/WALL 0 0 5 0 TOILET PUBLIC INSTALLATION 0 0 6 0 TOILET PRIVATE INSTALLATION 2 0 3 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's*(0-0 )x 20 0 TOTAL DRAINAGE FXTURE UNITS =*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 20 $18.2s IF IMPROVEMENTS OCCURRED AFIER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $ r 8.25 $0.00 YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE I979 OR BEFORE $4.92 1990 $2.06 1980 $4.83 1991 $ r.64 l98l $4.77 1992 $1.45 t982 $4,64 1993 $1.31 l 983 $4.47 1994 $1.r3 l 984 $4.30 199-s $0.97 1985 $4.09 1996 $0.82 1986 $3.78 1997 $0.63 I 987 $3.41 1998 $0.41 1988 $2.98 1999 $0.22 I 989 $2.52 2000 $0.04 $0.63 TOTAL MWMC CREDIT = 0.000 x VALUE / 1OOO CREDIT RATE 28.972 x $0.63 $9" 225 FIFTH STX.EET SPzuNGFIELD, ORE F' - ^TR]CAL PEfu\IiT APPLICATION Citl Joll Numbcr COMPLETE FEE SC}MDULE BELOW A. Neu' Rc.sidentilt-Single or Multi-Fnmily per drvelling unit. Sen'ice Included: Items Cost Sur.n INSPECTiON RE OFFICE: 726-3759 L 0 Pernrits iI rvork explre days l0C0 sq.ft. or less Eacir additional 500 sq. ft cr portion Ihereof Each lvlanufd Home or Ivlodular Du'elling Service or Feeder l-sro6 oo l0ib 3 $reoo n0 is not within 180 of issutrnce or if u'ork is suspended for 180 days. Otrrcrs Nanre Phon o NER STALLATION T[e rnstal]ation is being rttade on propefi I ovrn rvhich is not intended for sale, lease or rent. $ 50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Fecdcrs In.stitllution, Alter Electrical L Relocrrtion: Add Citit IIo!,stnet'l I te ups Da of E.rpiratIott 20 ,il0 OU amps 000 less 400 600 0 to t0 t0 a amps arllps anlps flnlps 000 0 less 400 600 OI t0 to atnps amps tsCircrri "B nclt'it 00 00 s $ Phone Reconnect cessrt' Alter' OIamps 0 I Over Over 1 0 0 0 1 6 bot'e BD.r Ci N*r Alteration cr Extensior, Per Panel One Circuit $43.00 Each Aclditional Circriit or rvitit Service or Feeder Pern:it $ 3.00 E. IWi.sccllnneous (Serlicc/feedcr not incltrdcd) -Eaclr installation Pump or irrigation $50.00 Sign/Outline Liglrting 550.00 _-_ Linriteci Errergl'lRes $25-00 _- Lirnited Energv/Contnl - $15.00 -.Nliniruum Electric Permit Inspcc {. SUBTOTALOTABOVE 79lu Strte Surchnrge 8% Administrative Fcc Orvurrs Signntut'e TOTAI, tion Icc is SJ5.00 + S'-rpen'isor License Nuutber Constr Contr.