HomeMy WebLinkAboutPermit Building 2005-01-21Building/Combination Permit
Statils Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-01581ISSUED: 0112112005APPLIEDz 1212712004
EXPIRESz 0712112005VALUE: $ 197,276.00
SITE ADDRESS: 756 S 48th St Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: 1802051102400
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Rock Road subd lot 21 - single family residence
PhoneNumber: 541-895-5214Owner:
Address:
CASCADE DOOR WINDOW & CONSTRUCTION
PO BOX 226s4
EUGENE OR 97402
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
CASCADE DOOR WINDOW & CONSTRUCT-138736
BEAR MOUNTAIN ELECTRIC LLC 136298
CRYSTAL CLEAN AIR INC 96878
RS PLUMBING CONTRACTING 103816
Expiration Date
0s/01/2006
08/06/2005
02n7t2005
0u0412006
Phone
541-89s-s214
s4t-953-6747
541484.2286
5414614714
CONTRACTOR INFORMATION
N: Ore
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
ICE:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
7,405
1,932
772
Curbside 5'
Curb and Gutter
I
R-3
U
VN
3
ATT
toil
Notiti
in
20.00
5.00
s.00
19.00
4.00
2
Yes
35.60
RK
0
Fully Improved
Yes Downspouts/Drains:
NCED OR IS
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City. Proposed building into
easement called owner who plans to narrow building out of ROW noted on plansl2l29l2004 CAS
DEVELOPMENT INFORMATION
Paee I of4
L
you to
by the
0
rules
Size:
Ft lst Floor:
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: COM2004-01581ISSUED: 0112112005
APPLIEDT 1212712004
EXPIRESz 0712112005VALUE: $ 197,276.00
Description
Dwellings
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
PW Mult 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 Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Value of Project
Date Paid
Tvpe of Construction
V Wood Frame
Garage
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,932.00
772.00
Value
$178,516.80
$18,759.60
$197,276.40
Date Calculated
12t27t2004
12t27t2004
Amount Paid Receipt Number
1200400000000001791
1200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
r200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
1200500000000000098
1200s00000000000098
1200500000000000098
1200s00000000000098
1200s00000000000098
1200s00000000000098
1200s00000000000098
1200500000000000098
1200s00000000000098
r200500000000000098
1200s00000000000098
1200500000000000098
1200500000000000098
r200500000000000098
1200s00000000000098
1200500000000000098
1200s00000000000098
1200500000000000098
1200s00000000000098
$s74.70
$10.00
$144.62
$10r.23
$254.00
$31.00
$884.1s
$75.00
$6.00
$9.00
$12.00
$1s.00
$4.00
$12.00
$103.00
$-30.00
$r06.00
$76.00
$457.00
$601.00
$10.00
$8653r
$82.03
$136.72
$62.38
$772.49
$17s.13
$75.00
$1,018.97
$50.00
$18.00
$1,000.00
12t27t04
u2u05
u2u05
u2y05
uzu05
y2u05
u2u05
u2u0s
u2u05
yzu05
u2u05
u2u05
u2y05
u2u05
u2u05
u2u05
u2u05
u2u05
u2u0s
y2u05
U2u05
U2U05
u2u0s
u2u05
u2U05
u2U05
u2u05
u2u05
u2u05
uzu05
u2u05
uzu05
Total Amount Paid $7,711.73
Paee? of 4
EEEI
ffafuation Oescriptil
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: COM2004-01581ISSUED: 0112112005APPLIEDz 1212712004
EXPIREST 0712112005VALUE: $ 197,276.00
Plan Reviews
Initial Review
Planning Review
Public Works Review
Structural Review
12t28t2004
12t2812004
12t28t2004
0u17t2005
APP
APP
SKG
TAJ
12t2812004 r2t29t2004 APP CAS
12t28t2004 0u12t2005 OK RJB
Needs survey because of minimum
side setbacks. Street trees must be
chosen from the list in Exhibit A,
outside the hillside area, attached to
street tree handout.
No hook-up to infrastucture until
Public Improvements accepted by
the City. Proposed building into
easement called owner who will
narrow building out of ROW
t2t29t2004cA's
Don to review footing and site.
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.
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: After all erosion measures are in place.
Rough Mechanical: Prior to Cover
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.
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 coyer.
Drywall: Prior to taping.
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.
Paee 3 of4
Reouired Insnections
Status Issued
225 Fifth Stree! SPringfield' OR
541-72G3753 Phone
541-72G36768a'x
541:1 2G31 69 InsPection Line
PERMIT NO:
6SUED:
APPLIED:
EXPIRES:
VALUE:
Building/C ombination Permit
coM2004-01581
0u2112005
1212712004
0112112005
$ 197,276.00
required
do herebY certifY that all
By signature'I state and agree'that I have carefullY examined the comPleted
shall be done in accordance with
information hereon is true and correc! and I further certifY that anY and all
the Ordinances of the CitY of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
thatNO OCCT PAI\ICY wiU be made of anY structure without permission of the CommunitY Services Division, Building SafetY'
and emPloYees who are in compliance with ORS 701.005 will be used on this Proiect'
I further certifY that onlY contractors time, that each address is readable from the
I further agree to ensure that all required inspections are requested at the ProPer
set of Plans will remain on the site at all
street,that the permit card is located at the fiont ofthe ProPerty'and the aPProved
times during construction.
2 0f
Date
Owner or Contractors
application and
work Performed
/
Pase 4 of 4
ORJOB NUMBER:
NAMEORCOMPANY:
LOCATION:
TAXLOTNUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
A.
OF DFU's
-a COST:
ADT rnrp nerg
-9.s7B.COST:
ADT TRIP RATE
9.57
SUBTOTAL
$3,981.93
CITY OF SPr<rNG FIELD
1581
Cascade Door & Window
756 S 48th
1 80205 1
.--cory
s0.310
AND
DEVELO PMENl
TO CITY
LOT Slu,E (SF):
.-DISCoUNT
-moo
7280
SIZE
xx
ITEM 1 .TOTAL - STORM DRAINAGE SDC
COST:--e0Strsnoru
-i[l,+B.
x
x
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
A.COST:
-stt.zq
-
NI.IN4BER OF UNITS
NUMBER OF UNITS
I
ADM. FEE RATE
5o/o
COST PERTRIP
--srslq-
-ss-rz$947
x
x
x x
x
NffiffiPI4CTOR
-1.00ile--wrrur:ecron
-
l.oo
ITEM 3 TOTAL - TRANSPORTATION SDC
COST:
x
COST:
x
A
B.
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4\
.34
CHARGE
$199.10
x
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION
CherylSlaymaker t2/29/2004
50Vo
DFU'sOFNUMBER
$1
136.72
8
$4,181.03
ar!noO
rI]Fa
o
rq&
1091
1094
1070
1092
I 093
I 054
079
l05s
1054
1056
COST PER S.F
.310
NI-IMBER OF FEU's
1
cosr prn rzu
$82.03
FEU'sNLMBERUI
I
eosr psR rpu
-58653t
PREPARED BY DATE
TOTAL SDC CHARGES
I
-6s-rPsnrRlPx
rGE
FIXTURE UNIT
MJMBEROFNEW
FOR
TYPE
MISCELLANEOUS DFU YPE NLMBER OF EDU'S
TOTAL DRATNAGE FTXTTIRE UNITS
isa toa
MWMC CREDIT CALCULATION TABLE:
BEFORE I 979
1979
I 980
FXTURES x LNTT EQLITVAIENT =DRAINAGE FXTURE
CALCULATE ONLY THE NET ADDITIONAL
NO. OF f'IXTIIRES
T]NIT
NEW OLD
at 167
TABLE
TINITS
20
FIXruRE
0
1979
t98
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
BASED ON COUNTY ASSESSED VALUE
CREDIT FOR LAND (IF
VALUE/r 000 CREDTT RATEx $5.29$0.00
$0.00 x $5.29
TOTALMWMC CREDIT
1982
I 983
1984
r 985
1986
1987
1988
I 989
1990
1991
1992
1993
1994
t99s
1996
1997
1998
1999
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)VALTIE / IOOO CREDIT RATE
2001
0
THTUB
3
3
1
2
3
3
o
0
2
0
0
0
0
0
0
0
0
DRA]N 0
1
0
1
0
0WASH
FOR GREASE oI SOLIDS ETC.FOR SAND AUTO ETC.
/MOP SINK
3 OR MORE
Y TUB
3
0
0
0
0
2
3
0
0
1
0
0
6
2
't2
1
3
OF
PARKHOME TRAP I PER
WATER STAFORREFRIG
FOR COM.S]NK
SINGLE STALI,
/ETC.
/ETC.
0
0
0
0
0
0
0
0
l2
3
-
2-______l
2
1
1
0WASHVATOR
LAVATORY
SINK:LA YSINK:
BAR
KITCHENSINK:BAR
WALLSTALL
1
0
0
6
It
5
6-E.
t-
t-TION 0
2
0-
0
-
0
VALUE
2000
1
I
YEAR ------
ANNEXED
cneoTr naTsT$ffi
225 Fifth Street
Springlield, Oregon 97 477
541-726'3159 Phone
Job/Journal Number
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01s81
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
coM2004-01581
ioNazoo+-otsst
coM2004-01581
coM2004-01581
coM2004-0ls8l
coM2004-01581
coM2004-01581
coM2004-01581
^rty of Springlield Official Receipt
tveloPment Services DePartment
Public Works DePartment
RECEIPT #:
DescriPtion
Addressing Assignment
Willamalane Single FamilY
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 Sanitary/Storm Admin
SDC TransPo Admin
Building Permit
2 Baths One or Two FamilY
Furnace - uP to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas FirePlace
Heat PumP
-Mechanical Issuance Fee-
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
TemP Power 200 amPs or less
+ 7oh State Surcharge
+ l}Yo Administrative Fee
1200500000000000098 Date: 0112112005
Item Total:
1:57:57PM
Amount Due
3l,00
1,000.00
75.00
75.00
(30.00)
1,018.97
601.00
457.00
175.13
7'.|2.49
82.03
86s.31
10.00
136.72
62.38
884.15
254.00
12.00
18.00
9.00
6.00
4.00
15.00
12.00
10.00
103.00
106.00
76.00
50.00
101.23
144.62
$7,137.03
Check Number Authorization
Payments:
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check JERRY HOLVEY djb 3332 In Person
Payment Total:
$7, 137.03reo-f
t/2U2005 Page I of I
8FBII{OFTALD
SPRTNGFIELD,FIFTH
Number
STREET
r)726-3753
DatetCA
/
APPLI'PERNIITELECTKICAL
e{*i*
12
TION
JobCity
3
1.
b
unit.
A. Nert
LEGAL DESCRIPTION
c D tt OZ {oo
JOB DESCRIPTION
dt-S {
Service Included
1000 sq. ft. or less
Each additional 500 sq' ft' or
v f-r(- Portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
B. Services or Feeders
06
s50.00
s 63.00
$ 7s.00
$125.00
s163.00
s375.00
$ 50.00
Permits are non-transferable and exPire if work is
' not started within 180 daYs
SusPended for 180 daYs'
of issuance or if work is
- Installation, Alterations or Relocation:
.,
Electrical
Address
Supervisor License Number
Expiration Date
Constr. Contr. Number
Date
of
Owners Name
Address ?
lno
(srnJ-- >,,-L/,^lo,'
200 AmPs or less
201 AmPs to 400 AmPs
401 AmPs to 600 AmPs
601 AmPs to I
7 Over 1000
E.
s 50.00
s 69.00
to 600 Amps
New Alteration or Extension Per
One Circuit
Each Additional Circuit or with
Service or Feeder Perrnit
PhoneCity 7//-
;o
o Over 600 Amps or 1000 Volts see "B" above'
D. Branch Circuits
Panel
,*-., w tuh'hhiHrffi{ \\ \\\J'
Installationoioz
Phone x 9f - {Zt Pump or irrigation
Sigrr/Outline Lighting
Limited EnergY/Residential
4. SLTBTOTAL OF ABOW
7o/o State Surcharge
l0% Administrative Fee
TOTAL
l
L{$ 50.00
s 50.00
$ 2s.00
City
OWNER INSTALLATION
The installation is being made on properfy I own which
is not intended for sale, lease or rent'
Owners Signature:
Limited Energy/Commercial $ 45'00
Minimum Electric Permit Inspection Fee is $45.00 i Surcharges
Z3Z
/ 6tq
Z)ZU
z7t gInspection Request: 726-3769
Shared Drive(T:/Building Forms/Electrical Permit Application l -03.doc
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