HomeMy WebLinkAboutPermit Building 2006-07-19Status Issued
225 Fifth Street, Springfield' OR
541-726-3753 Phone
541-726-3676 Fax
541 -726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00667ISSUED: 0711912006APPLIED: 06/0112006
EXPIRES: 01/1912007VALUE: $ 169,976.00
SITE ADDRESS: 625 S 34th St
ASSESSOR'S PARCEL NO.: KIM TENTATIVE PLAT
PROJECT DESCRIPTION: Single family residence - kims subd lot 4
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-736-0688
License Expiration Date Phone
Owner:
Address:
JEREMY & ALISHIA ENGEN
C/O 5305 E STREET
SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Plumbing
Contractor
OWNER
SOURCE ELECTRICAL INC
TOMS PLUMBING SERVICE INC
160918
159425
07t28/2006
05n2t2008
541-520-6466
541-607-8879
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
717
764
840
430
7I
R-3
U
VN
,
28.00
Wall Heat
Electric
Electric
Path I
nla
PL\\
gt-
\S NB
oh REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Drywell - Provide
Drywell Engineering
Fronfyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
t$1
33.00
9.00
10.00
29.00
25.00
0
Yes
15.40
Graver Sidewalk rYPe:
No Downspouts/Drains:
PUBLIC IMPROVEMENTS
Notes: Storm to drywell.
Pase I of4
a
CUN I KAL I UK INTUK.VIA T IUI\
1\\t\t
P\
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00667ISSUED: 0711912006APPLIED: 06/0112006
EXPIRESz 0111912007VALUE: $ 169,976.00
Description
Dwellinss
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$99.00
$26.00
Square Footage
or Bid Amount
1,604.00
430.00
Value
$158,796.00
$11,180.00
$169,976.00
Date Calculated
06t0u2006
06t0u2006
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 87o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Minimum/Adj ustment Mechanical
Plan 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 MWMC 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
$7,128.88
Total Value of Project
Date Paid
6nt06
7fi9t06
7figt06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7tr9t06
7n9t06
7n9t06
7n9t06
7n9/06
7n9/06
7tr9t06
7n9106
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7n9t06
7/19t06
7n9t06
7n9/06
$515.55
$10.00
$140.89
$r04.s7
$306.00
$31.00
$793.1s
$6.00
$9.00
$101.70
$6.00
$r98.00
$106.00
$57.00
$s14.89
$676.89
$10.00
$86s.31
$82.03
$109.42
s67.72
$80s.70
$r82.69
$405.37
$24.00
$l,0o0.oo
Receipt Number
3200600000000000285
220060000000000r01 1
2200600000000001 01 1
22006000000000010r r
2200600000000001011
220060000000000r011
220060000000000101 1
2200600000000001011
2200600000000001011
2200600000000001011
220060000000000r011
2200600000000001011
220060000000000101 1
220060000000000101 I
2200600000000001 01 I
2200600000000001 01 I
2200600000000001 01 I
2200600000000001 01 I
22006000000000010r1
2200600000000001 01 I
2200600000000001 01 I
220060000000000r 01 I
220060000000000101 I
220060000000000r01 I
220060000000000101 l
220060000000000101 l
Fees Paid
PIan Reviews
Initial Review
Planning Review
Planning Review
06t0u2006
07nU2006
06t0U2006
06t0u2006
07mt2006
06t09t2006
APP
APP
WE
LLH
TAJ
TAJ On hold until plat is recorded and 5
paper copies delivered to Planning.
Paee 2 of 4
I
Valuation Descrintion I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00667ISSUED: 0711912006APPLIED: 06/0112006
EXPIRES: 01/1912007VALUE: $ 169,976.00
Public Works Review
Public Works Review
Structural Review
06t0u2006 07n4t2006 APP JLP Approved, Drywell calcs rcvd. JLP
7114106 No information available to
review (final plat?) 6/4/06 CAS
Waiting for drywell calcs. Do not
release until rcvd.JLP 6110 106
07n0t2006
06t0u2006
07n0t2006
06n4t2006
WE
OK
JLP
RJB
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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 coYer.
Ceiling Insulation: Prior to cover.
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.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
red Insnecfions
Paee 3 of4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00667ISSUED: 0711912006APPLIED: 06/0112006
EXPIRESz 0111912007VALUE: $ 169,976.00
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.
a-lq- ob
Owner or Signature Date
Pase 4 of 4
225 FIFTH STREET . SPRINGFIELD, OF.g7477 o PH:(541)726-3753 o FAX: (541)726'3689
ELECTRICAL TION ''1,-\q-Zn*
City Job Number Date
3. COMPLE'L:E T'EE SCHEDLiLE BELOI+'
pt')
1
a
LEGAL
JOB DESCRIPTIgN
Permits are and work is
" not started within 180 days of issuance or if work is
Suspended for 180 daYs.
A. New Residentiat - Singte or Nlulti-Faurily per drvelling unit'
Electrical Contractor (
Address 3qG5 Sta\v"K St..
Phone lz5 -bLlbb
Expiration Date a - l-o to
Signature of Supervising Electrician
)
Et e clrr'It',.. 200 Amps or less
Service Included
1000 sq. ft. or less
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
201 Amps to 400 AmPs
401 Amps to 600 AmPs
601 Amps to 1000 AmPs
Over 1000 Amps/Volts
Reconnect Only
201 Amps to 400 Amps
401 Amps to 600 Amps
Each additional500 sq. ft. or bportion thereof
\uo oI
$ 106.00
s 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$ 163.00
$375.00
$ s0.00
$ 69.00
$100.00
$ 43.00
$ 3.00
B. Services or Feetlers - Installation, Alterations or Relocation:
7
Supervisor License Number 3ZT5 S C. TemporarY Services or Feetlers
Expiration Date ln -t- 0+Installation, Alteration or Relocation
200 Amps or less $ 50'00
Constr. Contr. Number 0 q/ tr
D.
olts see "B" above
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
Owners Name
City Phone lo,
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Pump or irrigation
Sign/Outline Lighting
7o/o State Surcharge
l0% Administrative Fee
TOTAL
$ s0.00
$ 50.00
E.
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 * Surcharges
oLl
7o
l?3',(
Inspection Request: 726-3769
Shared Drive(T:)/Building Forms/Electrical Permit Application l -03'doc
E
\
C A NTRACT A R IN STAL LAIO]V ONLY
city fuafyut
Installation
/(3
JOURNAL ORJOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLING LINITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
CITY OF SFnTNGFIELD SYSTEMS DEVELOPMEN ,ORKSHEET
coM2006-00667
GrassRoots
625 34th Street
Kim's Subdivision Lo#4
SINGLE FAMILY RESIDENCE
BUILDING SZE 1270 LOT S\ZE (SF)3457
RT]NOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
I nPERVIous s-E. x
I ozo.oo
COSTPER S.F
$0.323
COST PER S.F
$0.323
COST PER DFU
s2s.07
$19.07
NUMBER OF T]MTS
I
NTIMBER OF UMTS
I
ADM. FEE RATE
5o/o
CIIARGE
$200.26
DISCOUNTRATE
5Oo/"
$405.37
IMPERVIOUS S.F
1270.00
B. IMPROVEMENT COST:
NUMBER OF DFU's
27
ADTTRIPRATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SI.IBTOTAL
$3,542.88
x
x
x
x
x
x
x
x DISCOUNT
$205.1 1
ITEM 1 TOTAL - STOR]VI DRAINAGE SDC
2. SANITARY SEWER- CITY
A.
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$1,191.78
COSTPERTRIP
$19.09
COST PER TRIP
$84. l9
$988.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
NI.]MBER OF FEU'S
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATTVE FEE:
$957.34
$3,542.88
CTIARGE
$177.14
TOTAL SANITARY ADMIMSTRATION FEE
TRANSPORTATION ADMINI STRATION
CherylSlaymaker 7/1412006
NUMBER OF DFU's
27
$40s.37
$5r4.89
$182.69
$80s.70
$82.03
$0.00
$r0.00
72
720.02
1070
1091
1092
1093
1094
1054
1055
I 054
l 056
1079
1078
aHoo(J
&r!3a
oH&
COST PER FEU
s82.03
COST PER FEU
$865.31
PREPARED BY DATE
TOTAL SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OFNEWFD(TURES x UNIT EQUryALENT: DRAINAGE FXTUREI-INTTS
FOR CALCULATE ONLY TIIE NET ADDITIONAL
NO. OF FIXTTIRES
UNIT
FXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFUTYPE NfA,IBER OF EDU'S
TOTAL DRAINAGE FD(TTJRE T]NITS
rsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
BEFORE 1979
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FORANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
20
DRAINAGE
FIxruRE
0
2
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1996
1997
1998
1999
2001
2
12 1979
CREDITFORLAND flF APPLICABLE)
VALUE / 1OOO
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALI.IE / 1OOO CREDIT RATE
$0.00 x $5.29
TOTALMWMC CREDIT1992
1994
1995
1993
BATHTUB 2 0 3 b
DRINKING FOUNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL/ SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND /AUTO WASH/ETC.0 0 6 0
0 0 2 0LAUNDRY TUB
CLOTTIESWASIIER / MOP SINK 1 0 3 3
0cLoTmswASmR- 3 oRMORE (EA)0 0 b
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
0RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1
RECEPTOR FOR COM. SINK / DISHWASMR / ETC.1 0 3 3
SHOWER" SINGLE STALL 0 0 2 0
0 0 2 0SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL/RESIDENTIAL KITCFIEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
0 0 2 0SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 3
0T]RINAL, STALL/WALL 0 0 5
0 0 6 0TOILET, PT]BLIC INSTALLATION
TOILET. PRTVATE INSTALLATION 3 0 3 9
27
YEAR
ANNEXED
CREDIT RATE/$1,OOO
ASSESSED VALUE
0
2000
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0,05
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C", of Springfield Official Receipt
- relopment Services Department
Public Works Department
RECEIPT#: 2200600000000001011 Date: 0711912006 2:40226PM
Job/Journal Number
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
coM2006-00667
Description
Addressing Assignment
Willamalane S ingle Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Building Permit
3 Baths One & Two Family
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
Vent Fan
M in imum/Adj ustment Mechan ical
+ 8% State Surcharge
+ llYo Administrative Fee
Plan Review Major - Planning
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
Amount Due
31.00
1,000.00
106.00
57.00
l0l .70
793.t5
306.00
9.00
6.00
r 0.00
24.00
6.00
104.57
140.89
198.00
405.37
676.89
514.89
182.69
805.70
82.03
865.3 I
10.00
109.42
67.72
Item Total:$6,613.33
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
Check GRASSROOTS THINKING djb I 508 In Person $6,613.33
PaymentTotal: ..@
cReceint I Page I of I 711912006
*Fr$rafiF|*r.$