HomeMy WebLinkAboutPermit Building 2005-09-23PRIN
Status: Issued
225 Ftfth Street, SPringfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 2G37 69 Inspection Line
Buildin g/Co m bination Permit
PERMIT NO: COM2005-01123ISSUED: 0912312005
APPLIED: 08/1812005E)PIRESz 0312312006VALUE: $ 109,200.00
SITE ADDRESS: 430 S 46TH ST Springfield TYPE OF
ASSESSOR'S PARCEL NO.: 1702324304600
TYPEOF USE:
PROJECT DESCRIPTION: Single Family Residenceo Lot 4, Andrews Acres Subdivision
Single Family Residence
New Residential
Phone Number: 541-746-0194- Owner:
Address:
MIKE BLANKENSHIP
8063 THURSTON ROAD
SPRINGFIELD OR 97478
eP
Contractor Tvpe
General
Electrical
Mechanical
Plumbing
C License
78966
102455
110163
1
17.00
'orced Air Electric
Electric
Electric
Path I
nla
Expiration Date
0u0912006
1010412006
Lu2412005
Lot Size:
Sq Ft lst Floor:
Phone
541-912-4s82
741-2596
541-937-2688
541-688-3385DOUG$\e
# of Uni6:
Primary OccuPancY GrouP:
Secondary OccuPancY* P?imary Construction TYPe
Secondary Construction
# of Bedrooms:
Frontyard Setbaclc
Side l Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not AccePted
Street
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Overlay Dist:
# Street Trees
Paved Drive Rqd:
V" ofLot Coverage:
Sidewalk Type:
DownspoutVDrains
Setback 5r
Curb and Gutter
I
R-3
U
VN
3
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
#r:
5,810
1,000
PARKING
218.00
10.00
10.00
19.10
0.00
Handicapped:
Compact:
Notes: Storm drainage piped to curb face 8/2312005 CAS
lof4
-T
528
Status: Issued
225 Ftfth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541:7 26-37 69 I nspection Line
CITY OF
Building/Co mbination Permit-
PERMIT NO: COM2005-01123ISSUED: 0912312005APPLIED: 08/1812005E)?IRES: 0312312006VALUE: $ 109,200.00
Description
Dwellinss
Garage
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 77o State Surcharge
2 Baths One or Two Family
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Heat Pump
PIan Review Major - Planning
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
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Total Value of Project
Date Paid Receipt Number
1200s00000000001213
1200500000000001386
1200500000000001386
r200s00000000001386
1200s00000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200500000000001386
r200s00000000001386
1200500000000001386
1200500000000001386
r200s00000000001386
1200s0000000000r386
1200s00000000001386
1200500000000001386
1200500000000001386
1200500000000001386
1200s00000000001386
Type of Construction
V Wood Frame
Garage
$ Per Sq Ft
or muhiplier
$96.00
$2s.00
Square Footage
or Bful Amount
1,000.00
s28.00
Value
$96,000.00
$13,200.00
$109,200.00
Date Calculated
08/18/2005
08/18/2005
Amount Paid
$388.80
$10.00
$110.32
s77.22
$2s4.00
$598.15
$80.00
$6.00
$9.00
$12.00
$12.00
$1s0.00
$r06.00
$38.00
$362.33
$476.33
$10.00
$86s.31
$82.03
$115.07
$67.04
$805.70
$182.69
$857.89
$50.00
$18.00
8/18/0s
9t23t05
9t23t05
9t23tos
9t23t0s
9t23tos
9t23los
9t23t05
9t23105
9t23t0s
9t23tos
9t23t05
9t23t05
9t23t05
9t23tos
9t23tos
9t23105
9t23tO'
9t23105
9t23tos
9t23t05
9t23tos
9t23t0s
9t23t05
9t23t05
9t23t05
)aid
Total Amount $5,743.88
2of4
Plan Reviews
\-I
t
Valuation Descrintion I
OF D
Status: Issued
225 Ftfth Street, Springfield, OR
541:7263753 Phone
541-7263676Rax
541 :7 26-37 69 I ns pe ction Line
Buildin g/Co mbinatio n Per mit
PERMIT NO: COM2005-01123ISSUED: 0912312005APPLED: 08/1812005E)PIRES: 0312312006VALUE: $ 109,200.00
Initial Review
Planning Review
Public Works Review
Structural Review
08n9t2005 08/22t200s APP LLH
08t22t2005 09n2t200s APP TAJ
Previous residence was demolished
June 2005, therefore, no
Willamalane SDC. Address will
remain the same - Same owner/
occupant
Plat for Andrewrs Acres has not
been recorded. This dwelling is
allowed as a replacement of the
original house on the original parcel,
Setbacks, coverage, etc. based on
Lot 4 of the new subdivision. No
other building permits for dwellings
will be allowed until plat is recorded,
Storm drainage piped to curb face
8/2312005 CAS
08t22t2005
08t22t200s
08t23t2005
08/30/2005
APP
OK
CAS
RJB
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.
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.
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 cover.
Dryrvall: 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.
Underfloor Plumbing: Prior to insulation or decking.
3oI 4
!m-
Keoureo tnsDecuons I
Status: Issued
225 Ftfth Street, Springfield, OR
541:726-3753 Phone
541-726-3676Fax
541 :7 26-37 69 I ns pe ction Line
Buildin g/Co mbination Permit
PERMIT NO: COM2005-01123ISSUED: 0912312005APPLIED: 08/181200sE)GIRESz 0312312006VALUE: $ 109,200.00
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 lilling trench.
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.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
By signaturer l 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 shdl be done in accordance
with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCI PAIICY 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 sempliance 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
at all times during
permit c located at the front of the property, and the approved set of plans will remain on the site
z1
Owner or Contractors Signature Date
4of4
:j$*b9
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)72G3753 o FAX: (541 68EL
'"tri"ff^if T,fff,ffi'*s#
3
JOB
r
Permits non-transferable expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
)
Electrical Contractor
Address 3 ? S't /nu 8,(^
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
A.
$06.00 W=ujgr2-s 19.00
$s0.00
B.
City ( t d pnone )e/ ^zsfglli&
SupervisorLicenseNumber 3 65'l S
Expiration Date /o ^ /- o'l
Consff. Cont. Number 8 zr'{ 5
Expiration Date /l^ t 6- 66
Signature of Supervising Electrician
Owners Name
Address
201 Arnps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 AmpsA/olts 5375.00
Reconnect Only $ 50.00
tftt+ L,w' ''- '- 1 ii!:1}il 1 !-- "a'C. .' f[,mpgr,44g Q6rvi,ceq,di Feeders
Installation, Alteration or Relocation - \
2oo Amps or tess 1 s so.oo ruP
G.t-o-d €kcT-200 Amps or less +.1 $ 63.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Over 600 Amps or 1000 Volts see "8" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Servrce or Feeder Permit
E. Miscellaneous (Service/feedfitot included) -Each lnstallation
$ 43.00
$ 3.00
s 50.00
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
pnon.T[O.Olftt Pumporirrigation
Lighting
7% State Surcharge
l0% Administrative Fee
TOTAL
t
t-_---__+-
arges
00
Inspection Request: 726-37 69
Shared Drive(T:)/Building FormVElectrical Permit Application l-03.doc
Qatu ,t'
FEE SCIIEDULE BELOW
Multi-Family per unit.LEGAL DESCRIPTION
l\0L?fl43 O{ronD
in
0090.
C
ONLY
cttw
$ER[$46
CITY OF SF^TNGFIELD SYSTEMS DEVELOPMEN'. ORKSHEET
JOLIRNAL OR JOB NUMBER: COM2005-01 123
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER:
DEVELOPMENT TYPE:
NEWDWELLING I.]MTS
Mike
1702324304600
SINGLE FAMILY RESIDENCE
I. STORM DRAINAGE
DIRECT RTINOF'F TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F
$0.323
BUILDTNG SZE (SF. 1672 LOT SIZE (SF):
CHARGE
$857.89
qag r'#o S 46th Street
5746
RLINOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS
2656.00
IMPERVIOUS S.F
0.00
NUMBER OF DFU's
t9
B. IMPROVEMENT COST:
NUMBEROF DFU's
19
ADT TRIP RATE
9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
SUBTOTAL
s3,642.28
COST PER S.F
$0.323
COST PER DFU
$25.07
$ r 9.07
NUMBER OF TINITS
I
NUMBER OF LINITS
I
ADM. FEE RATE
5%
DTSCOT]NT RATE
50Yo
$857.E9
DISCOLINT
$0.00
x
x
x
x
x
x
x
x
x
ITEM I TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER- CITY
A REIMBURSEMENT COST:
ITEM 2 TOTAL - CITY SAMTARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$838.66
COST PER TRIP
$ t 9.09
COST PER TRIP
$84. l 9
$988.39
NEWTRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
xx
xx
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBT]RSEMENT COST:
NLIMBER OF FEU's
I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMCADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SLIBTOTAL (ADD ITEMS 1,2,3, & 4\
5. ADMINISTRATIVE FEE:
s957.34
$3,642.28
CHARGE
$182.r r
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CherylSlaymaker 81231200s
COST PER FEU
$82.03
M76.33
$362.33
70
$82.03
$86s.31
l1
.04
I 070
1092
I 093
t 094
1 054
I 055
1054
I 056
a
tr.Ioo(J
&
ElFa
oq.l
COST PER FEU
s865.31
PREPARED BY DATE
TOTAL SDC CHARGES
l09l
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FD(TURES X UNTT EQUIVALENT = DRAINAGE FXTURE UMTS '?r1r
FOR CALCULATE ONLY THE NET ADDITIONAL
NO. OF FIXTURES
LNIT
FIXTURE TYPE
MISCELLANEOUS DFU TYPE
TOTAL DRAINAGE FXTURE I]NITS
+EDU lsa
BEFORE 1979
OLD ALENT
mit set at '167
IS LAND ELGIBLE FOR ANNEXATION CREDIP
(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 (IF APPLICABLE)
NEW
DRAINAGE
FIXTURE
UNITS
0
2
1979
NUMBER OF EDU'S
toa
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I 980
r98l
21979
1982
I 983
1984
x1985
I 986
1987
r 988
't993
1994
1996
't997
1998
$5.29
$5.1e
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
VALUE/ IOOO
$0.00
CREDIT RATE
$5.29
1990
1989
l99l
1992
I 995
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
$0.28
$0.0e
$0.05
1999
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
3103BATHTUB
0001DRINKING FOUNTAIN
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAI.INDRY TUB 0 0 2 0
CLOTI{ESWASHER / MOP SINK 1 0 3 3
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARK TRAP (I PER TRA]LER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 1 0 2 2
sHowE& GANG (NUMBER OF ITEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITC}IEN 1 0 3 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 2 0 1 2
URINAL, STALL/WALL 0 0 5 0
TOILET, PLIBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 2 0 3 6
YEAR
ANNEXED
CREDIT RATE/$I,OOO
ASSESSED VALUE
$0.00
2000
EI
2001
20
225 Fifth Street
Spnngfield, Ore gon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
lvelopment Services Department
Public Works Department
RECEIPT#: 1200500000000001386 Date: 0912312005 e:23:14AM
Job/Journal Number
coM2005-01123
coM2005-01123
coM2005-01123
coM2005-01123
coM2005-01123
coM2005-01123
coM2005-01123' cDM200s -oll23
coM2005-01123
coM2005-01123
c1M2005-01123
ccM2005-01123
iouzoos-ot tz:
coM200s-01123
coM200s-01123
coM2005-01123
coM2005-01123
coM2005-01123
coM2005-01123
coM2005-01123
iouzoos-or rzr
coM200s-01123
coM2005-01123
coM2005-01123
c'JM200s-01 123
Description
Curbcut 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
Fumace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
-Mechanical Issuance Fee-
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 7% State Surcharge
+ l0% Administrative Fee
Plan Review Major - Planning
Amount Due
80.00
857.89
476.33
362.33
t82.69
805.70
82.03
865.31
10.00
I15.07
67.04
598. I 5
254.00
12.00
18.00
9.00
6.00
12.00
10.00
106.00
38.00
50.00
77.22
I10.32
150.00
Item Total:$5,355.08
ChecFNumEi
Batch Number
Aufrilzation
Number How Receivedof Payment Paid By
MIKE BLANKENSHIP CORP djb
Received By
9699 In Person
Payment Total:
Amount Paid
$5,355.08
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