HomeMy WebLinkAboutPermit Building 2004-08-09Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
54l-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00911ISSUED: 0810912004APPLIED: 0712212004
EXPIRESz 0210912005VALUE: $ 217,852.00
SITE ADDRESS: 2280 37th St
ASSESSOR'S PARCEL NO.: 1702194306400
PROJECT DESCRIPTION: Ambleside meadows lot 121 - SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
\o PhoneNumber: 541-686-9458
Contractor Type
General
Electrical
Mechanical
Plumbing
BRUCE
L&
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
License
t0t7t7
105475
460
65065
# ofStories: 2
Height of Structure 26.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path I
Sprinkled Building: nla
Expiration Date
09fi6t2006
03/30/200s
06t2712005
03fi2t2006s
Phone
541-686-94s8
s41-933-2653
541-726-0100
s41-342-3765
u-l
VN
12.00
6.00
12.00
34.00
6.00
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,458
784
484
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
)\$
)
Type:Fullv Improved
Yes
Curbside 5'
To Storm Sewer
Storm drainage shall be directed to rear of lot to the private storm stub provided. - MS
rTir{raitltTlcl
Notes:
Pase 1 of4
------r;-
trFl
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00911ISSUED: 0810912004APPLIED: 0712212004
EXPIRESz 0210912005VALUE: $ 217,852.00
Description
Dwellinss
Garage
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
2,242.00
440.00
Value
$207,160.80
$10,692.00
$217,852.80
Date Calculated
07122t2004
07122t2004
Total Value of Project
Date PaidAmount Paid
$6r6.9s
$10.00
$158.12
$110.68
$306.00
$31.00
$-163.83
$6.00
$12.00
$949.15
$6.00
$0.75
$3s.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$103.00
$-30.00
$106.00
$76.00
$365.60
$480.80
$r0.00
$86s.31
$82.03
$110.53
$61.58
$772.49
$175.13
$7s.00
$854.67
$s0.00
Receipt Number
1200400000000001 120
120040000000000r 193
1200400000000001193
1200400000000001193
r200400000000001193
1200400000000001193
r200400000000001193
1200400000000001193
r200400000000001 193
1200400000000001 193
r200400000000001 193
120040000000000r r93
120040000000000r 193
1200400000000001 r93
1200400000000001 193
1200400000000001193
120040000000000r 193
1200400000000001 193
1200400000000001 193
1200400000000001193
1200400000000001193
1200400000000001 193
1200400000000001 193
1200400000000001193
1200400000000001 193
1200400000000001193
1200400000000001r93
1200400000000001193
1200400000000001193
1200400000000001 193
1200400000000001 193
1200400000000001 193
1200400000000001 193
1200400000000001 193
1200400000000001193
7t22t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9to4
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9to4
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
8t9t04
tr'ees Paid
Paee2 of 4
rFl
Valuation Descrintion I
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10Yo Administrative Fee
+ 7%o State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1979 or Before
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 6th @ 75 cents
Curbcut - Overwidth Appl
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Plan Review Major - Planning
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
PERMIT NO: COM2004-00911ISSUED: 0810912004APPLIED: 0712212004
EXPIRESz 021091200sVALUE: $ 217,852.00
Vent Fan
Willamalane Single Family
Total Amount Paid
$30.00
$1,000.00
$7,386.96
819t04
8t9t04
1200400000000001193
1200400000000001193
Plan Reviews
Initial Review
Planning Review
Planning Review
Public Works Review
Structural Review
07t23t2004
07129t2004
07t23t2004 APP SKG
TAJ
08t0212004 08t02t2004 APP TAJ
07t23t2004 07t29t2004 APP MS
07t2312004 08/03/2004 APP DLM
On Hold for solar setback. Left
message for Derrick Westover on
7129. tara
Derrick Westover revised plans to
address solar setback: the roofis
clipped 1r extra on the north side.
712912004 - Storm drainage to be
directed to rear oflot to private
storm sewer stub as per phone
conversation with Bruce Weichert
on712912004. - MS
See documents for plan review
comments.
WE
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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.
Paee 3 of4
I
l(eourred lnsnectrons I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00911ISSUED: 0810912004
APPLIEDz 0712212004EXPIRES: 0210912005VALUE: $ 217,852.00
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
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.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
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 70f .005 will be used on this project.
I further agree to ensure that all inspections are at the proper time, that each address is readable from the
street, that the card at the front of and the approved set of plans will remain on the site at all
times I ori1
Owner or Contractors Signature
Page 4 of4
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
c-ty of Springfield Official Receipt
velopment Services Department
Public Works Department
RECEIPT#: 1200400000000001193 Date: 0810912004 8:1e:56AM
Job/Journal Number
coM2004-0091r
coM2004-0091I
coM2004-0091I
coM2004-0091I
coM2004-0091l
,.coM2004-00911
coM2004-0091I
coM2004-0091l
coM2004-0091I
coM2004-0091I
coM2004-0091I
coM2004-0091l
coM2004-0091l
coM2004-0091I
coM2004-00911
coM2004-0091I
coM2004-0091I
coM2004-00911
coM2004-0091I
coM2004-00911
coM2004-0091l
coM2004-0091I
;COM2004-00911
coM2004-0091l
coM2004-0091l
coM2004-0091I
coM2004-0091I
coM2004-0091l
coM2004-0091I
coM2004-0091I
coM2004-0091I
coM2004-0091l
coM2004-0091r
coM2004-0091I
coM2004-0091I
coM2004-0091l
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
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 Adminishation
SDC Sanitary/Storm Admin
SDC Transpo Admin
Annexed 1979 or Before
Plan Review Major - Planning
Building Permit
Copy 6th @75 cents
3 Baths One & Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets l-4
Gas Fireplace
-Mechanical Issuance Fee-
+ lYo State Surcharge
+ l0% Administrative Fee
Copies - Ea Addtl @ 50 Cnts Ea
Amount Due
31.00
1,000.00
106.00
76.00
50.00
75.00
75.00
3s.00
(30.00)
854.67
480.80
365.60
175.13
772.49
82.03
865.31
10.00
I10.53
6r.58
(163.83)
103.00
949.15
0.75
306.00
12.00
12.00
30.00
6.00
9.00
6.00
4.00
15.00
10.00
l10.68
158. l2
6.00
Item Total:$6,770.01
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard BRUCE WIECHERT CUSTOM
HOMES
djb 000467 043498 In Person $6,770.01
8/9/2004 Page I of I
Payment Total:$6,770.01
rya
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN1 .TORKSHEET
JOURNAL OR JOB NUMBER: COM2004-00911
NAME ORCOMPAI.IY Bruce Weichert
LOCATION 2280 37th Street
TAX LOTNUMBER:17021943 Tax Lot 06400
DEVELOPMENT TYPE:SINGLE FAMILY
NEW DWELLING I'NITS
I. STORM DRAINAGE
DIRECT RLTNOFF TO CITY STORM SYSTEM
COST PER S.F
$0.310
BUTLDTNG SrZE (SF) 0 LOT SrZE (SF)
CHARGE
$854.67
6099
IMPERVIOUS S.F. x
2757.00
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
IMPERVIOUS S.F
0.00
ITEM 1 TOTAL- STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REI MBTIRSEMENT COST:
x
x
x
x
x
x
COST PER S.F
$0.3 r0
COST PER DFU
$24.04
$ 18.28
NTIMBER OF TINITS
I
NT]MBER OF UNITS
I
ADM. FEE RATE
5Yo
DISCOT]NT RATE
50%;o
$854.67
DISCOLINT
$0.00
x
B.
NUMBER OF DFU's
20
COST:
ADT TRIP RATE
9.s7
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
SUBTOTAL
$3,442.20
x
ITEM 2 TOTAL- CITY SANITARY SEWER SDC
3. TRANSPORTATION
A REIMBI]RSEMENT COST:
$846.40
COST PER TRIP
sr 8.30
COST PER TRIP
$80.72
s947.62
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENTCOST:
MJMBER 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
5. ADMINISTRATIVE FEE:
s793.51
CHARGE
$r72.ll
TOTAL SANITARY ADMINISTRATION FEE:
TRANSPORTATION ADM INISTRATION FEE
Matt Stouder 7t29t2004
NUMBER OF DFU's
20
$8s4.67
s772.49
I
$10.00
$3,614.31
I 070
t09t
1092
1093
1094
1055
1054
1056
079
078
a
rrl
H
U
E]Fa
rrl&
I
COST PER FEU
$82.03
COST PER FEU
$865.3 r
442-20
PREPARED BY DATE
TOTAL SDC CHARGES
x
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
DRAINAGE FDilURE UNIT CALCULATION TABLE
NUMBER OF NEW FDOURES x UNIT EQUIVALENT: DRAINAGE FXTURE UMTS
FOR CArcULATE ONLY THENET ADDMONAL
NO. OF FIXTURES
IS LAND ELGIBLE FORANNEXATION 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 GF APPLICABLE)
UNIT
FXTURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FD(TURE UNITS
lsa toa unit at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FlxT[]RE
0
1979
+EDU
BEFORE 1979
1979
1980
l98l
1982
1984
1985
'1986
1987
1988
1989
1990
l99 t
1992
1993
1994
1996
1997
1998
1999
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
94.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALTIE / IOOO
$30.97
CREDIT RATE
$5.29
0
1983
x
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
1995
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATHTT]B 1 0 3 3
DRINKING FOUNTAIN 0 0 I 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAI.]NDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 1 0 3 3
CLOTHESWASHER. 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWE& SINGLE STALL 1 0 2 2
sHowER, GANG (NI-rN4BER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTTAL KITCHEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 3
I.]RINAL, STALL/WALL 0 0 5 0
TOILET. PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
20
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
2000
I@
2001
I
225 FIFTI{ STREET . SPRINGFIELD, OR97477 o
E LE CTRI CAL P ERMIT AP P LI CATIONUi
PII:(54r)726-3753 o FAX:(s4t)726-3
iu>
$r06.00 106,x
$le.oo -Zhe
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft' or
portion thereof
Each Manufact'd
1000 Amps
Over 1000 AmPsA/olts
Reconnect OnlY
E.
Minimum Electric Permit Inspection
City Job Number -oo1ll Date
1 3.
LEGALDESCRIPNON A.
I &oL iqLt 1
JOB DESCRIPTION
9t fl-;S],
Permits are non-tra and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
1
Electrical Contractor EE
Address 633
Ciry S Phone
c(33-^518
Supervisor License Number 4t: Lt-5 C.
Expiration Date O O
Constr. Contr. Number
Expiration Date -30-
Signature of Supervising Electrician D.
Installation, Alteration or Relocation F
200 Amps or less | $ 50'00 \ O' @
$50.00
$ 63.00
$ 75.00
$125.00
s 163.00
$375.00
$ s0.00
Lt
il
o
Owners Name
Address
City pnone (S1 t\ ueo -11 {o
O\\?.{ER INSTALLATION
The instaliation is being made on property I cwn which
is not intended for sale, lease or rent'
Owners Signature:
201 Amps to 400 AmPs $ 69.00
401 Amps to 600 AmPs $100'00
Over 600 AmPs or I 000 Volts see "B" above
New Alteration or Extension Per
One Circuit $ 43.00
$ 3.00Each Additional CAcuit I
Service or Feeder
\t $ s0.00
$ s0.00
s 25.00
_s
Fee is $45.00
45.00
* Surcharges
j L,,go
7o/o State Surcharge
l0% Administrative Fee
TOTAL
,
Inspection Request: 726'37 69
4.
Shared Drive(T:/Building Forms/Electrical Permit Application I {3'doc
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L
I D5H -1 5
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