HomeMy WebLinkAboutPermit Building 2007-06-11Status 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: COM2007 -007 4lISSUED: 0611112007APPLIEDz 0512312007
EXPIRESz l2llll2007VALUE: S 213,156.00
SITE ADDRESS: 633 34th St
ASSESSOR'S PARCEL NO.: FORE 34TH P 02
PROJECT DESCRIPTION: Single family residence
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-998-1933Owner:
Address:
Contractor Type
General
SCOTT MCINTYRE
29074HATTON LN
JUNCTION CITY OR 97448
Contractor
DUANE CASEY SMITH
License
125596
Expiration Date
0612212008
Phone
541-729-8t14
CONTRACTOR INFORMATI(
PUBLIC
# of Units: 1
Primary Occupancy Group: R-3
Secondary Occupancy Group: U
Primary Construction Type
Secondary Construction
# of Bedrooms:
u )
22.00
Heat Pump
Electric
Electric
Path I
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
9,000
1,406
306
498
\)'l
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
0\s(
\e
$ Per Sq Ft
or multiplier
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
"h of Lot Coverage:
6.60
11.70
23.00
21.90
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
\t IHE$l ORK
Curbside 5'
Curb and Gutter
Fully lmproved
Yes
AulH
c0\J\'
NNY
OR
$lE
1B
Notes: Storm H2O to curb & gutter. JLP APP
Square Footage
or Bid AmountDescription Type of Construction
Pase 1 of4
Value Date Calculated
\a'$l
b'l
\ZE
\1 .tH\S
t0R
Yaluatiallesertpdau i
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
CITY rf'
Building/Combination Permit
PERMIT NO: COM2007 -007 4lISSUED: 0611112007APPLIED: 0512312007EXPIRES: l2llll2007VALUE: $ 213,156.00
A.C. - Residen
Dwellinss
Dwellines
Garage
$4.00
$103.00
$89.00
$27.00
1,712.00
1,406.00
538.00
504.00
$6,848.00
$144,818.00
$47,882.00
$13,608.00
$213,156.00
05t23t2007
05t23t2007
05t23t2007
05t23t2007
AC - Residential
V Wood Frame
V Wood Bonus Rm
Garage
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Heat Pump
Plan Review Major - Planning
Plan Review Residential
Plan Review/Residential Hourly
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
Sanitary Sewer Each Addtl 100'
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
Storm Sewer Each Addtl 100'
Temp Power 200 amps or less
Vent Fan
Water Line - Each Addtl 100'
Willamalane Single Family
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
6nu07
6fiU07
6nU07
6nU07
6nU07
6fiu07
6ny07
6nU07
6nu07
6nu07
6nu07
6nt/07
6nU07
6nU07
6nu07
6nu07
6nu07
6nU07
6nu07
6/1u07
6/1u07
6nU07
6nU07
6nU07
6nu07
6nU07
6nU07
6nu07
6nu07
6nu07
6nt/07
Receipt Number
1200700000000000736
1200700000000000736
1200700000000000736
1 200700000000000736
r200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1 200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
r200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
r200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
1200700000000000736
$r0.00
$145.76
s77.26
$107.77
$2s4.00
$31.00
$936.1s
$6.00
$9.00
$110.50
$12.00
$12.00
$198.00
$608.50
$90.00
$455.18
$s98.61
$14.00
$10.00
$961.52
$91.61
$143.75
$68.44
$836.32
$189.s8
$1,100.99
$28.00
$s0.00
$12.00
$r4.00
$2,303.00
$9,484,94
Fees Paid
Plan Reviews
Initial Review
Plannine Review
0st23t2007
05t23t2007
05t23t2007
05t23t2007
APP
APP
LLH
TAJ
Paee2 of 4
"Express Permit".
F
Status 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: COM2007 -007 4lISSUED: 0611112007APPLIED: 0512312007
EXPTRES| 12ny2007VALUE: $ 213,156.00
Public Works Review
Structural Review
05t23t2007
05t23t2007
05t23t2007
0st23t2007
JLP
DLM
APP
APP
Storm H2O to curb & gutter. JLP
APP
No engineering was submitted.
Contractor to provide engineering
for girder truss supports, patio
beam and support for rear wall of
bonus room 5 123 12007 dlm.
Contractor submitted the requested
add'l engineering. Waiting for
reyised girder truss designs for
submitted revisions 6/5/07dlm.
Received revised truss designs w/
add'l engineering revisions
617l07dlm. Requested detail from
engr. for truss tie-down at 40"
footing 617l07dlm. Approved as
noted on plans.
To Request an inspection call the24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working dayo inspections requested after 7:00 a.m. will 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 Buitding: 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.
Renuired Insnections
Paee 3 of4
:
CITY
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: COM2007 -00741ISSUED: 0611112007
APPLIEDz 0512312007
EXPIRESz 1211112007VALUE: S 213,156.00
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to Cify
Building Inspector.
Underfloor Drain: Prior to cover or placement of concrete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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 Communify 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
2)
Owner or Contractors Signature Date
2
Pase 4 of 4
I
Construction Contractors Board Permit
700 Summer St IYE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
WebAddress: !Ery:gfu1!g]4
Address:
4. CawtZ*--) J- oo 7l f
33 3v+L )I
Issued by:>s Date o
&
\
b-
Statement: lnformation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign thefollowing statement before a building
permit can be issued. 71is statement is requiredfor residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under
ORS 701.010(7), need not submit this statement. This statement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
l. I own, reside in, or will reside in the completed structure.
2. I understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
3A. My general contractor is C <;,11.sr7 6
(Name)(ccB #)
I will instruct my general contractor that all subcontractors who work on the strucfure must be
licensed with the Construction Contactors Board.
OR
tr 38. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners Construction Responsibilities on the reverse side of this form.
12
LJ 6 n
(Signature of permit
(White copy to issuing agency permitfile, pink copy to applicant.)
Properfy_owner.doc 06-0 I -04
ate)
"&w*6xam as & *nr swNx Gexxernl contrae*mr?
JOT]RNAL ORJOBNUMBER:
NAMEORCOMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING IINITS
1. STORM DRAINAGE
DIRECT RTINOFF TO CITY STORM SYSTEM
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'r - /ORKSH EET
coM2007-00741
Scott
633 N 34th
0
SINGLE FAMILY RESIDENCE
BUILDING SIZE LOT SZE (SF):8691
3280.50
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY
IMPERVIOUS S.F
IMPERVIOUS S.F
0.00
NLIMBER OF DFU's
23
B. IMPROVEMENT COST:
NIJMBEROF DFU's
23
ADTTRIP RATE
9.57
COST PER S.F
$0.336
COST PER S.F
$0.336
DISCOUNTRATE
50y,
x
x
x
x
x
x
x
x
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CIry
A. REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,053.79
3. TRANSPORTATION
A. REIMBI.IRSEMENT COST:
COST PER DFU
$26.03
$ 19.79
NI.JMBER OF I.INITS
I
NUMBER OF UNITS
I
ADM. FEE RATE
sYo
COST PER TRIP
$19.81
COST PER TRIP
$87.39
$1
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
x
B.IMPROVEMENT COST:
ADT TRIP RATE
9.57
ITEM 3 TOTAL - TRAI\SPORTATION SDC
4. SANITARY SEWER - MWMC
A.REIMBURSEMENT COST:
NUMBER OF FEU's
1
B. IMPROVEMENT COST:
NUMBEROF FEU's
1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
x
$4,243.81
CHARGE
$212.19
x
TOTAL SANITARY ADMINISTRATION FEE:
TOTALTRANSPORTA TION ADMINISTRATION FEE:
st23t2007
CHARGE
00.99
DISCOTINT
$0.00
Jgnlrn-
$598.61
$455.18
$9r.61
$961.s2
$10.00
143.75
$4,456.00
1070
l09l
1092
1 093
I 094
I 054
105 5
1 056
1079
a
F]o
(J
&
E]Fa
E]&
078
COST PER FEU
$91.61
COST PER FEU
$961.52
$1,063.1:
SLIBTOTAL
.81
PREPARED BY DATE
TOTAL SDC CHARGES
x
Jeff Prociw
FIXTI.-IRE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FXTURE T]NITS
*EDU lsa
BEFORE 1979
1979
1980
t98l
1982
1983
19W
1985
1986
1987
1988
1989
I 990
l99l
1997
1993
1994
1995
1996
1997
1998
1999
DRAINAGE FD(TURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x LINIT EQI.NVALENT: DRAINAGE FXTURE UNTTS
FOR REMODELS, CArcULATE ONLY THE }.IET ADDITIONAL
NO. OF FIXTURES
LTNIT
NEW OLD ALENT
NUMBER OF EDU'S
toa mi1 set at I 67
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 OF APPLICABLE)
DRAINAGE
FlxTURE
0
2
2
1979
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$5.29
$5.1 9
$5.1 2
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
s2.73
$2"25
$1.80
VALUE / 1000
$0.00
CREDITRATE
$5.29x
CREDIT FOR IMPROVEMENT (TF ATTER ANNEXATION)
VALUE i IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.5e
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATI{TUB 2 0 3 b
DRINKING FOUNTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
TNTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASIj / ETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTI{ESWASHER / MOP SINK 1 0 3 3
CLoTI{ESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWE& SINGLE STALL 0 0 2 0
SHOWE& GANG CNTIMBEROF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRryATE INSTALI-ATION 2 0 3 6
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
0
2000
IUTI
2001
20
SPrfINGFTELD ZON
INITIA
DATE
SOURCE
-th,225 FTFTH STREET r SPRINGFIELD, OR 97477 o PH;(541)72G3753 . FAX: (541)726-3689
ELECTRICAL
City Job Number Date -l .)
1.3. COMPLDTE FEE SCHEDLLE BELO\II
A. Nerv Residential - Single or N'Iulti-Familv pcr dwelling unit'
JOB DESCzuPTION
Permits are
not started within 180 daYs
Suspended for 180 daYs.
Contractor
City
Supervisor License
Expiration Date
Constr.Number
Date
of Supervising Electrician
\\
or Relocation
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
ep
\(\400 Amps
s s0.00
s 69.00
to 600 Amps $ 100.00
Over 600 Amps or 1000 Volts see "B" above'
D. Branch Circuits
Owners
Address
E. Nliscellaneous (Service/feeder not included) -Each Installatiort
$ 43.00
$ 3.00
$ 50.00Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited EnergY/Commercial
City
ALLATION
The installation is being made on property I own which
is jale, lease or rent.
Phone a
)$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspectio n Fee is $45.00 t Surcharges
4. SLBTOTAL OF EAOW
8% State Surcharge
t0% Administrative Fee
5% TechnologY Fee
0
S
a
lnspection Request: 726-37 69 TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit 846.doc
and
Service Included
1000 sq. ft. or less
Each additional 500
portion a-
ts\r
or $50.00
\s
- Installation, Alterations or Relocation:
NN{
Amps or less s 63.00
s 75.00
$ 12s.00
$163.00
$375.00
201 Amps to 400'
401 Amps to
$ 106.00
$ 19.00
IS
ONLY
-(o$
\o [,t0
rv
-l
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C"-, of Springfield Official Receipt
L , elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000736 Date: 0611112007 2:16:00PM
Job/Journal Number
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-0074t
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
cou2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
coM2007-00741
Description
Plan Review Major - Planning
Plan Review Residential
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
Sanitary Sewer Each Addtl 100'
Water Line - Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
-Mechanical Issuance Fee-
Temp Power 200 amps or less
Fire SF Fee - Residential
Storm Sewer Each Addtl 100'
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
Plan Review/Residential Hourly
+ 5olo Technology Fee
+ 8% State Surcharge
+ ljYo Administrative Fee
Amount Due
198.00
608.50
936. I 5
31.00
2,303.00
254.00
14.00
14.00
12.00
12.00
9.00
6.00
12.00
10.00
50.00
r 10.50
28.00
1,100.99
598.61
455.1 8
189.s8
836.32
91.61
961.52
r 0.00
t43.75
68.44
90.00
77.26
107.77
14s.76
Item Total $9,484.94
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorrzatron
Number How Received Amount Paid
CreditCard
CreditCard
CHRITINA JESSIE
SCOTT MCINTYRE
djb
djb
0153 lA In Person
792627 In Person
Payment Total
$4,000.00
$5,484.94
-$e-784-:Tf
cReceint I Page I of2 611U2007
:r'(rllrop*s