HomeMy WebLinkAboutPermit Building 2003-07-17Building/Combination Permit
Status Issued PERMIT NO: COM2003-00516
22s Fifth Street, springfield, oR ISSUED: 0711712003
s4t_726_3js3 phone AppLIEDz 0611712003
s4t-726-3676*ax EXPIRESI 0111712004
s4t-726-3i69 InSEli6[JT-l6U\l:Oregon law requlres you to VALUE: $ 221,746'00
fellew rutes ace Fise hy the Oregcn Utllity
SITE A ') DRmbAR g5?0016dO0gltfirouoh OAR g524$ringfield TYPE OF WORK: Single Family Residence
ASSES: oR'UUUtp?B,l{ft.v 66qaH€Sffug of rhe rutes b.
pRoJECr rr*mtgxoCg,iq$61:Jytillf i";;i::i;, rYPE oF usE: New Residentiar
Owner: TOWN & COUNTRYHOMES INC
Address: 35920 ELLINGTON DR SPRINGFIELD OR 97478
PhoneNumber: 541-988-0335
Contr:.,.:tor Type
Genernl
Electricl l
Plumbi,',1
Contractor
TOWN & COUNTRY HOMES INC
MAG ELECTRIC INC
TIIOMAS ANTHONY RYDER
License
76683
149834
1s2323
Expiration Date
0812412003
12n3t2005
0712612004
Phone
541-988-0335
541-461-0387
(s41)343-097s
)RMATION
# ofBrrrr !ings:
Primar' OccupancyGroup:
Seconrl "r' Occupancy Group:
Prim:., . lonstruction Type
Seconr , y Construction Type:
# of R, ooms:
lrl0TlCE:
Tfssr$ffi+ff
rrontGlii b6rsb'ddb0
Side I Crrhdcl{-:NCED
Side 2(i;[tap$g gAy
Rearf i Sctback:
Solar . 'racks:
Street I rrr rr rovements:
Stornr S ,r'er Available:
Spcci: rlruction:
# of Stories: 2
Height of Structure 30.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path I
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Ft Other:
Surface Area:
I
R-3
u-1
VN
3
8,575
1,976
264
15.00
30.00
Fullv Improved
No
Yo ofLot Coverage:
I
Yes
32.00
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Curbside 5'
Curb and Gutter
PUBLIC IMPROVEMENTS
Notcs:
Page 1 of4
ffir
790
Dist:
Trees Rqd:
ilIi{(
1
[-
-
Dcsct'i "'irtn
I)rr r '!s
(l:' '- :
,-tELO
Building/Combination Permit
Stal r": Issued
225 l:i '' Strcct, Springfield, OR
541-71 -.'753 Phone
541-i -' -t676Fax
5ll-: '769 Inspection Line
PERMIT NO: COM2003-00516ISSUED: 0711712003
APPLTED.. 06n7t2003EXPIRES: 0111712004VALUE: $ 221,746,00
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,240.00
790.00
6n7t03
7n7t03
7117103
7n7103
7n7t03
7n7t03
7n7103
7n7t03
7lt1l03
7tr1t03
7n7t03
7n7103
7fi7103
7n7t03
7n7t03
7n7t03
7fi7t03
7n7t03
7n7t03
7n7t03
7tr1t03
7n7t03
7n7t03
7lt7l03
7n7t03
7n7t03
7n7t03
7fi7t03
7n7t03
7n7t03
7n7t03
7n7t03
Value
$202,944.00
$18,802.00
$221,746.00
Date Calculated
06n712003
06n7t2003
Amount Paid
Total Value of Project
Date PaidO.. 1;,,.,.rintion
I'lrrrr'svResidential
-N tr', 'cal Issuance Fee-
+ lr ' ,irninistrative Fee
+ i rc Surcharge
2ll,' ')nc or Two Family
;\rl,' 'rg Assignment
Artrr ' ' 1997
Builtl, I I'ermit
Curl,," ' Pcrmit
l)r'.' "'rl
l-r.' Iuods
frrr" - rrp to 100,000 btu
C:r' llt cc
C:r. 'ts l-4
I'l ," ','rv-Planning
l)\.r' I)isc - 2nd Permit
Ilc:,' " \\'iring 1000 Sq Ft
lle sr ' : \\'iring Ea Addtl500
Sirr'!, Sover - Improvement
S:rri'' :lc\l'er - Reimbursement
Sl)1 ' ]lC Administration
S:;( \ IC Improvement
S l. : iC Reimbursement
Sl) l:rrr'/Storm Admin
Sll ,tpo Admin
SI :spo Improvement
SI)' r,;poReimbursement
Sirl l'crmit
Str" rirurge Impervious Area-l't,r , r'r' 200 amps or less
Yr''
\''; rrc Single Family
Receipt Number
1200200000000001571
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
2200200000000001267
$625.40
$10.00
$151.22
$105.85
$254.00
$8.00
$-20.41
$962.15
$7s.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$59.00
$-30.00
$106.00
$76.00
$402.96
$s30.16
$10.00
$34.83
$332.86
$90.71
$49.87
$709.81
$r60.87
$7s.00
$650.57
$50.00
$18.00
$1,000.00
tr'ees Pe
l'olal Amount Paid $6,543.85
Paee2 of 4
Valuation Descriotion I
! ,.' ' i('lv
I
:
1
-,
(
tl
9
.l ,l
t'
tl
l'
!,
1-
t'
I
ls
llt
')l
:,
tl
'.
F PRIN
Building/Combination Permit
l " ,, lssued
2). ' ' '' ('treet, Springfield, OR
541 .3 Phone
5-l I- 76 Fax
5ll '9lnspectionLine
PERMIT NO: COM2003-00516ISSUED: 0711712003
APPLIEDz 0611712003
EXPIRESz 0111712004VALUE: $ 221,746.00
Plan Reviews
06/18/2003 06/18/2003 APP LLH Contractors Plumbing is Suspended
- Bond has lapsed. Do not issue
permit with Contractors Plumbing
listed as doing plumbing work unlesr
CCB has reinstated license or unless
plumbing contractor has been
changed for this project
J)l:rrr":.r,' 1lcyiew
Prr , ,r'ks Review
l r'' I Review
06/18/2003
06fi8t2003
06n8t2003
07t02t2003
06n9t2003
07t08t2003
TAJ
DJW
TCM
APP
APP
APP
',.'st an inspection call the 24 hour recording at726-3769. All inspection requested before 7:00 a.m.
''rrde the same working day, inspections requested after 7:00 a.m. will be made the following work
: ' t,,rvalk - Curbside: After forms are erected but prior to placement of concrete.
rcut - Standard: After forms are erected but prior to placement of concrete.
:' lllectrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
rlation inspection.
ing: After trenches are excavated.
'rtlation: After forms are erected but prior to concrete placement.
: :rnd Beam: Prior to floor insulation or decking.
r Insulation: Prior to decking.
. rr WalI Nailing: Before covering sheathing with finish materials.' ' ruing Inspection: Prior to cover and after all rough in inspections have been approved.
I Insulation: Prior to cover.
ng Insulation: Prior to cover.
rvrrll: Prior to taping.
I lluilding: After all required inspections have been requested and approved and the building is complete.
'rl1oor Plumbing: Prior to insulation or decking.
r.rl'loor Drain: Prior to cover or placement of concrete.
th Plumbing: Prior to cover and including required testing.
t'r Line: Prior to filling trench and including required testing.
r :r ry Server Line: Prior to filling trench and including required testing.
I :n Server Line: Prior to filling trench.
I I'lumbing: When all plumbing work is complete.
,'r'lloor Mechanical. Prior to insulation or decking and including required testing.
',,h Cas: After line is installed and required testing and capped if not attached to an appliance.
t,rvice: After line is installed and line has been connected to a minimum of one appliance including required
',1. Presure test done at this point.
'h )Iechanical: Prior to Cover
' Cas: When all gas work is complete.
]lcchanical: When all mechanical work is complete.
r)orary Electric: Approval required prior to Utility Company energizing pole.
lh Elcctric: Priorto Cover
Paee 3 of4
Reorrired fnsnecfions
da"
:
:
1
1
a
,?o
Building/Combination Permit
. 'rttr
215 Fi:
5l l-711
5-1 t-72i
: I t-71
Issued
' 'r't'ctr Springfield, OR
-.1 l)hone
5 Fax
') Inspection Line
PERMIT NO: COM2003-00516ISSUED: 0711712003
APPLIEDz 0611712003
EXPIRESz 0111712004VALUE: $ 221,746.00
'c Scrvice: Approval required prior to utility company energizing service.
.lcctric: When all electrical work is complete.
,,. I state and agree, that I have carefully examined the completed application and do hereby certify that all
r I'crcon is true and correct, and I further certify that any and all work performed shall be done in accordance with
, ,,s of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
UPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
rly that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
'e to ensure that all required inspections are requested at the proper time, that each address is readable from the
,r pcrmit card is located at the front of the property, and the approved set of plans will remain on the site at all
struction.
I ractors Date
Page 4 of4
lr
.t'l
rt'
i)
)
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services l)epartment
Public Works l)epartment
I .: 3 I :36: l5l'M
r\tttuttrtl l'a
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00s16
coM2003-00516
coM2003-00516
coM2003-00sr6
coM2003-00516
coM2003-00s16
coM2003-00516
coM2003-00s16
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00s16
coM2003-00516
coM2003-00s16
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
coM2003-00516
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
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 SanitaryiStorm Admin
SDC Transpo Admin
Annexed 1997
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Gas Fireplace
-Mechanical Issuance Fee-
+ 7%o State Surcharge
+ lUYo Administrative Fee
8.00
1,000.00
106.00
76.00
50.00
75.00
75.00
(30.00)
650.57
530. l6
402.96
160.87
709.81
332.86
34.83
10.00
90.71
49.87
(20.41)
59.00
962.15
254.00
12.00
18.00
9.00
6.00
4.00
15.00
10.00
105.85
15t.22
Item Total:$5,91E.45
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number Authorization Number How Received Amount Paid
CreditCard GORDON RGAGEMAN 000l2njm 000122 139781
$5,918."5
In Person
Payment Total:
$5,918.45
$vLrta(; - .r =, - 1, J. t .+ ; '+94-
ELECL=r.IAL PERMIT APPLICATION
? -tta
s 50.00
,:-... t 63.00 _.3 75.00 _
_s125.00 _
: XI63.OO '
_ t375-0O_
_s 50-00 _
s43.(n
s 3.00
225 FIFTH STREET
SPRINGFIELD. OREOON
INSPECTION' OFFICE: 726-3 ..s+
,lor, x",nr,* 0.0f[1 @.00S / (raCity
3; COIViPLBTE FEE SCHEDI.'LE BELOIV
A. New Rssidential-Singlc or
Illutti-Fanily per dwelling unit-
Scrvice Intlutlcd:
Items Cosl Sum
."$
2. CONTRACTORTNSTALL-ATIONONLY B. ServiccsorFccdcrs
qg)
Pernrits arc a.pire
iFwork is nol $rncd rvithin lEO days
ofissuance or ifrvork is suspendcd fm
180 da1's.
Elecrrical
Licem*
Erpirdim
ConstrContr
1000 sq.fl. or hss
Eaehaddftional 500
sq. fi or portion
thareof
Each Nlnrrufd Horuc or
Modular Dnelling
Servicc or Fccder
200 anps or les
201 aups to it{D ampe
401 anps to 600 ampe
601 arrWs tri'lt[0 arnp.
.Oncr l00Oarn@vols'BcconrnctOnty
I ,,*.no &cP
4 ,reooIbP
{r r I Inst$thtioq Alteretions or
at{trk 1fiBdocadon:
Expiration
p
BO
ggnter.
[ *.* ru.oo
$69.$ _
s}oo.oo--.:r_of m,"r#{]0'l
t-er-tfie
I). Bnn&Ctutdts
Nw Alrffion or Er:terion Pcr Ead
OniCLituit-
Efoh Adfitimt Circuir or nith Servicc
no: includd).
350-0o
35().00
s25.00
s{5.m
Inspcction Fce is S.1.i.00 +
OVE
Surchnrge
l7o Administratirc Fet
l1l-+
Csrrterisi
lo
TOTAL
DAY
orFcldcrPemfit
CITY OF SPTIINGFIELD SYSTEMS DEVELOPMET\. JT,ORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00516
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
Town & Country Homes
2781 36th Court
l 702r 943TL05800
BUTLDTNG SrZE (SF) 0 LOT SIZE (SF):8712
aIIooU
&slFa
r!il
r070
l09l
1092
1093
t094
1054
l#
1079
1078
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEMI rMPERvroffi xl--3d'ffi-COST PER S.F.
$0.282
CHARCE
$650.57
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F
0.00
x COST PER S.F
$0.282
x DISCOUNT RATE
5l%o
DISCOUNT
$0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC ;650.57
2. SANITARY SEWER. CITY
A. REIMBURSEMENTCOST:
NUMBER OF DFU's
24
x COST PER DFU
$22.09 = I $s30.16
B. IMPROVEMENT COST:
NUMBER OF DFU's
24
x COST PER DFU
$ 16.79 = T g4ozp6
ITEM 2 TOTAL. CITY SAMTARY SEWER SDC i933.12
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.57
x NUMBER OF UNITS
I
x COST PER TRIP
$r6.8r
x NEW TRIP FACTOR
1.00 = I $160.87
B.COST:
x NUMBER OF UNITS
I
x COST PER TRIP
$74.17
x NEW TRIP FACTOR
1.00 = I $709.81
ITEM 3 TOTAL. TRANSPORTATION SDC $870.68
ADT TRIP RATE
9.57
4. SANITARY SEWER. MWMC
A. REIMBURSEMENTCOST:
NUMBER OF FEU's
1
x
= I $332.86
B.IMPROVEMENT
x
= I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC =
= I ($20.41)
= I $10.00
COST PER FEU
$332.86
NUMBER OF FEU'S
I
COST PER FEU
$34.83
;357.28
SI.]BTOTAL (ADD ITEMS I,2,3,&4\8il.65
5. ADMINISTRATIVE FEE:
SUBTOTAL
$2,81r.65
x ADM. FEE RATE
5Vo
CHARGE
$ r 40.58
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:l-Tar5i--
D. Wright 6/19/2003
PREPARED BY DATE
TOTAL SDC CHARGES = | $z,gsz.z3
1
l-$e56F-
DRAINAGE FIXTURE UNIT CALCULATION TABLEttu
NUMBER OFNEW FIXTURES x UNTT EQUIVALENT = DRAINAGE FXTURE UNITS
(NOTE: FOR REMODELS, CArcUI-ATE ONLY THE NET ADDITIONAL FIXTURES)
DRAINAGE
FIXTURE
UNITS
NO. OF FIXTURES
FIXTUREryPE NEW OLD
UNIT
EOUIVALENT
2 0 3 b
FOUNTAIN 0 0 1 0
0 0 3 0
FOR GREASE / OIL / SOLIDS 0 0 3 0
FOR SAND / AUTO WASH / ETC.0 0 6 0
TUB 1 U 2 2
CLOTHESWASHER / MOP SINK 1 0 3 3
- 3 OR MORE 0 0 b 0
MOBILE HOME PARK TRAP PER 0 0 12 0
REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
0 0 2 0
GANG OF 0 0 2 0
SINK:KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
LAVATORYSINK:2 0 2 4
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 0 'l 0
STALL / WALLURIN 0 0 5 0
PUBLIC INSTALLATION 0 0 6 0
TION 2 0 3 6
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
20 0
TOTAL DRAINAGE FD(TURE UNITS
*EDU lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATB$I,OOO
ASSESSED VALUE
BEFORE 1979 $4.92
t919 $4.92
1980 $4.83
l98l $4.77
t982 $4.64
1983 $4.47
1984 $4.30
I 985 M.09
1986 $3.78
1987 $3.41
I 988 $2.98
I 989 $2.52
l 990 $2.06
t99t $ r.64
t992 $1.45
1993 $1.31
t994 $1.13
1995 $0.97
t996 $0.82
t997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENTELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
TOTALMWMC CREDIT
I
x
0
CREDIT FOB IiAND (IF APPLICABLE)
1997
VALUE/ IOOO
$32.40
CREDIT RATE
$0.63
VALUE / IOOO CREDIT RATE
$0.00 x $0.63
IPE
BATHTUB
FLOOR DRAIN
SHOWER, SINCLE STALL
l-$rdZf-
l-o--