HomeMy WebLinkAboutPermit Building 2007-03-02Status 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 -00122ISSUED: 0310212007
APPLIED: 0112412007
EXPIRES: 0910212007VALUE: $ 202,364.00
SITE ADDRESS: 1r49 S 40th Ct
ASSESSOR'S PARCEL NO.: 1802061416700
Springfield
PROJECT DESCRIPTION: Single Family Residence, Lot 5 Golden Eagle
TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PhoneNumber: 541-746-0194Owner:
Address:
MIKE BLANKENSHIP CORP
8063 THURSTONS ROAD
SPRINGFIELD OR 97478
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
MIKE BLANKENSHIP CORP
G MILLER ENTERPRISES INC
JUNG ENTERPRISES INC
DOUGS PLUMBING INC
License
78966
87145
102455
r10163
Expiration Date
01/09/2008
I 1/10/2008
1010412007
Lu2412007
Phone
541-912-4582
541-741-2596
541-937-2688
s41-688-3385
# 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
NOTI
# ofStories: I
Height of Structure: 23.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I
)
6,754
1,882
U
VB
R-3
18.00
11.80
s.00
10.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh ofLot Coverage:
I
Yes
36.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
':
ICE:
s taf fl B p Efr rfl Tr 9m Bprxp?n Pr Pfi ltfu /6fl k t 27 t 07
AUTHORIZED UNDER THIS PERMIT IS NOT
GOMMENCED OR IS ABANDONED FOB
ANY 180 DAY PERIOD
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of4
ruL I
UUN lNti (rt(1vtA I lul\
l, U ILI)IN rJ rN I UKIYIA .LlqNl
552
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 -00122ISSUED: 0310212007
APPLIED: 0112412007
EXPIRES: 0910212007VALUE: $ 202,364.00
Description
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/" Administrative Fee
+ 5%o Technology Fee
+ 87o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Air Handling Unit Up to 10,000
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire SF Fee - Residential
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review Major - Planning
PW Disc - 2nd Permit
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
Sidewalk Permit
Storm Drainage lmpervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid Receipt Number
1200700000000000069
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
r200700000000000231
120070000000000023r
r20070000000000023r
1200700000000000231
1200700000000000231
1200700000000000231
120070000000000023 l
r200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
120070000000000023r
1200700000000000231
r20070000000000023r
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
120070000000000023 l
1200700000000000231
1200700000000000231
1200700000000000231
1200700000000000231
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,820.00
552.00
Value
$187,460.00
$14,904.00
$202,364.00
Date Calculated
0u24t2007
0u2412007
Amount Paid
$585.26
$10.00
$155.81
$88.22
$114.91
$254.00
$31.00
$8.00
$12.00
$900.40
$80.00
$6.00
$9.00
$121.70
$12.00
$4.00
$r98.00
$-30.00
$106.00
$s7.00
$494.76
$650.66
$10.00
$96r.52
$91.61
$141.38
$68.67
$836.32
$189.58
$80.00
$966.s7
$s0.00
$18.00
$2,303.00
u24t07
3t2t07
3t2t07
3t2107
3t2t07
3t2107
3t2t07
3/2t07
3t2t07
3t2107
3t2t07
3t2107
3t2t07
3/2107
3t2t07
3t2t07
3t2t07
3t2107
3t2t07
3t2t07
3t2t07
3t2t07
3t2t07
3/2t07
3t2t07
3t2t07
3t2t07
3t2t07
3/2t07
3t2t07
3t2t07
3t2t07
3t2t07
3t2t07
Fees Pe
Paee 2 of 4
Valuation Descrintion I
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 -00122ISSUED: 0310212007
APPLIEDz 0112412007
EXPIRESz 0910212007VALUE: $ 202,364.00
Total Amount Paid $9,585.37
Plan Reviews
Initial Review
Planning Review
Public Works Review
Public Works Review
Structural Review 0u29t2007 02t2612007
0u2512007
0u29t2007
0u29t2007
0u29t2007
03t0212007
0u2912007
LLH
TAJ
JLP
JLP
RWC
APP
APP
WI
APP
APP
Rcvd l/29l2007---Waiting in order
PW rcvd for rvw.JLP
Storm to drywell. Calcs approved by
Matt S. JLP 2127107
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 day, inspections requested after 7:00 a.m. will be made the following
work day.
Site Inspection: To be made after excavation but prior to setting forms.
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.
Roofing: Prior to installing any roof covering.
Drywall: Prior to taping.
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.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Reouired Insnections
Paee 3 of4
02t27t2007 0212712007
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 -00122ISSUED: 0310212007
APPLIEDz 0112412007
EXPIRESz 0910212007VALUE: $ 202,364.00
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.
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.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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 Safefy
I further certify that only and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that required inspections are requested at the proper time, that each address is readable from the
street, that the permit located at the front of the property, and the approved set of plans will remain on the site at all
times during
Owner Signature Date
Page 4 of4
Date
3. COMPLE'TE FEE SCHEDULE BELOW
A. New Residential - Single or }Iulti-Family per dwelling unit'
,fl
3-c)'6
\ $106.00 \(1b-rD
6 $reoo 51PD
a''' rn4
22S FIFTH STREET o SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689 {h
ELECTRICAL ,TION
City Job Number lqJ>
I .TION OI;
\\S
not started within 180 days of issuance or if work is
Suspended for 180 daYs.
2. g0.NTRACTOR TNSTALIATTON ONLY
Electrical contracror M
Address .3?54 ,4"q d"* B- RJ
,F f d pmn" )Y/ ^2{'/1
LECAL DESCRIPTION
JOB
Permits and if work is
City
Supervisor License Number 3 (S'/ S
Expiration Date /a -/'o 7
\r
Constr. Contr
Expiration
Signature of
Service Included
1000 sq. ft. or less
additional 500 sq. ft. or
thereof
200 Amps or less
201 Amps to 400 AmPs
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsA/olts
Reconnect Only
8% State Surcharge
l0% Administrative Fee
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B. Sen'iccs or Feeders - Installation. Alterations or Relocation:
C. I'emporarl Scrl'iccs or Feedcrs
- Jnstallation. Alteration or Relocation
$195;^",r, o,,".. \
\SNBbr Ampsto4ooAmps
s 63.00
$ 7s.00
$12s.00
s r 63.00
$375.00
$ 50.00
$ s0.00
s 69.00
$ r00.00
5D.OD
C
OWNER INSTALLATION
The insollation is being made on property I own which
is not intended for sale, lease or rent'
Owners Signature:
fOB +or Amps to 6oo Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Br:rnch ( ircuitt
'J outo
New iY
.rJ bY the set .00
o AR Loo
-001 lnstallation
You e(.
s 50.00
$ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTALOF'ENOVI'@
SD&R
1s0 0t.
Owners Name
Address
l3ilaOEta
a
Te*Ar.%Inspection Request: 726-3769
Shared Drive(T:)/Building
,J
ACI[^rlr
$ 50,00
I D.LoS
.,,*vr r."ft lF€Ih:! Xff qq
CITY OF SP,-,,lGFlELD SYSTEMS DEVELOPMENI )RKSHEET
1802061416700
I. STORM DRAINAGE
DIRECT RT]NOFF TO CITY STORM SYSTEM
ll s 40th Golden Lot #5
FAMILY RESIDENCE
JOURNAL OR JOB NI.]MBER:
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLINGUMTS
IMPERVIOUS S.F
919.00
RLINOFF
COlvI2007-00122
. BLIILDING SIZE (sF, 3702 LOT SZE (SF):
CHARGE
$308.43
67il
TO DRY\IELLDESIGNED AND CONSTRUCTED TO CIry STANDARDS
COST PER S.F
$0.336
COSTPER S.F.
$0.336
COST PER DFU
$26.03
$19.79
NLIN4BER OF UN]TS
I
NI]MBER OF LNITS
I
ADM. FEE RATE
5o/o
DISCOUNTRATE
s0%
$966.57
DISCOUNT
$658.14
x
x
x
x
x
x
x
ITEM I TOTAL - STORM DRAINAGE SDC
COST:A
x
ITEM 2 TOTAL - CITY SANTTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
B. IMPROVEMENT COST:
NUMBER OF DFU's
25
ADT TRIP RATE
9.57
SIJBTOTAL
$4.201.03
xx
xx
COST PER TRIP
$19.81
COST PER TRIP
$87.39
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBI-'RSEMENT COST:
NUMBER OF FEU's
I
B.IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT tr APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
5. ADMIMSTRATME FEE:
$1,063.13
$420r.03
CHARGE
$210.05
TOTAL SANITARY ADMIMSTRATION FEE:
TOTAL ATION ADMINISTRATION FEE:
Jeff Prociw 212712007
IMPERVIOUS S.F
3922.00
NUMBER OF DFU's
25
$96657
$650.66
s494.76
$189.s8
$E36.32
$961.s2
$0.00
141.38
$4,411.08
I 070
t09l
1092
1093
1094
1054
I 055
1 054
I 056
t079
I 078
rnr!
t-.1o(-)
&
rrlFa
EI&
145.43
COST PER FEU
$91.61
COST PER FEU
$961.52
PREPARED BY DATE
TOTAL SDC CIIARGES
x
x
025.90
DRAINAGE FD(TT]RE T]NIT CALCT]LATION TABLE
NUMBER OF NEW FXTURES x UNIT EQIJIVALENT : DRAINAGE F:XTURE T,NITS
FOR .TE ONLY THE NET ADDMONAL
NO. OF FXTURES
LNIT
FDffURE TYPE NEW OLD
MISCELLANEOUS DFU TYPE NI-IMBER OF EDU'S
TOTAL DRAINAGE FD(TURE INTTS
lsa toa unit set at I 67
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FD(TTIRE
0
2
2
1979
.EDU
BEF'ORE 1979 $5.29
$5.29
$s.19
$5.12
$4.98
$+.ao
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
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 (tF APPLICABLE)
1979
1980
l98l
1982
1983
1984
1985
1986
1988
r989
1990
1995
1996
1997
1998
1999
2001
VALUE/ IOOO
$0.00
CREDITRATE
s5.29x
CREDTT FOR TMPROVEMENT (tr AITER ANNEXATTON)
VALT]E / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT1992
1993
1991
t994
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
BATT{TUB 1 0 3 3
DRINKING FOUNTAIN 0 0 1 0
FLOORDRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LATINDRY Tf]B 0 0 2 0
CLOTI{ESWASHER / MOP SINK 1 0 3 3
CLoTT{ESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.1 0 3 3
SHOWE& SINGLE STALL 1 0 2 2
sxQwE& GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAURESIDENTIAL KITCHEN I 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOLIBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY,RESIDENTIAL BAR 2 0 1 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PI.IBLIC INSTALLATI ON 0 0 b 0
IOILEI PRTVATE INSTALLATION 3 0 3 I
25
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALTIE
00
$0.00
2000
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
C;rw of Springfield Official Receipt
r elopment Services Department
Public Works Department
RECEIPT #: 1200700000000000231 Date: 0310212007 2:47:43PM
Job/Journal Number
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00t22
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00t22
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
coM2007-00122
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Sidewalk Permit
Curbcut Permit
PW 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 Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
+ 5% Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
31.00
2,303.00
106.00
57.00
50.00
121.70
900.40
254.00
12.00
12.00
8.00
r 8.00
9.00
6.00
4.00
10.00
80.00
80.00
(30.00)
966.57
650.66
494.76
189.58
836.32
9l .61
961.s2
10.00
141.38
68.67
198.00
88.22
I14.91
155.81
Item Total:$9,000.11
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check MIKE BLANKENSHIP llh 10792 In Person
Payment Total:
$9,000.1 I
-Se,^ooo-lT
cReceintl Pase I of 1 31212007
ffi]ta