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HomeMy WebLinkAboutPermit Building 2008-12-3 Status Issued CITY OF ~rKlj'luFIELD Building/Combination Permit PERMIT NO: COM2008-0I687 ISSUED: 12/03/2008 APPLIED: 11/20/2008 EXPIRES: 06/03/2009 VALUE: $ 8,8,725.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4560 GLACIER ST ASSESSOR'S PARCEL NO.: 1802051204100' Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Additional living space Owner: BVRT HANS C & JENNIFER M Address: 4560 GLACIER ST SPRINGFIELD OR 97478 Phone Number: 968-5668 Contractor Type Designer Electrical Mechanical Plumbing Contractor' TIM BELVILLE OWNER OWNER OWNER I CONTRACTOR INFORMATION I License Expiration Date Phone 541-912-5875 ' BUILDING ,INFORMATION I # of Vnits: 1 # of Stories: 1 Lot Size: Primary Occupancy Group: R-3 Height of Structure 18,00 Sq Ft 1st Floor: 765 Secondary Occupancy Group: Type of Heat: Heat Pump Sq Ft 2nd Floor: Primary Construction Type VB Water Type: Electric Sq Ft Basement: Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport # of Bedrooms: Energy Patb: Sq Ft Other: Sprinkled 'Building: ' No Occupant Load: . I ,DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10,00 22,00 42.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Yes 30,90 Total: Handicapped: Compact: 2 Street Improvements: I PUBLIC IMPROVEMENTS I . ..." t:NTION' Ore(1ol1 law requires youto follow rL~i!e!l'J.I!~lWYPc:1 the Oregon Utility , Notificatl(jj" Q,p%er. TJDose rules are set forth in OAR 902~6'8i'-lJ>uul~ llMWgil OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notllicatl.on Center is 1-800-332-2344). Storm Sewer t\~llilil"le: . Speciallnstru.ffibh! IGE. Storm to tie into existing system THIS PERMIT SHALL EXPIRE:IF THEWORIK AUTHORIZED UNDER THIS PERMITISNOir COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: Page 1 of4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Pax 541-726-3769 Inspection Line Description Tvpe of Construction Bid Amount Dwellines Use Bid Amount V Wood Prame Fee Description Plan Review Residential -Mech Iss 2+ Appliances- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Pee Add, Alter, Extend Circ . Add, Alter, Extend Circ Ea Add Building Permit Exhaust Hoods Fire SP Pee - Residential Fireplace (Listed) Fixtu re Purnace - up to 100,000 btu Gas Outlets 1 ~4 Heat Pump Plan Review Minor - Planning Plan Review Residential Sanitary Sewer ~ Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admin Storm Drainage Impervious Area Veut Pan Total Amount Paid Plannine: Review Public Works Review 1lI20/2008 1lI20/2008 CITY OJ{ SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01687 ISSUED: 12/03/2008 APPLIED: 11120/2008 EXPIRES: 06/03/2009 VALUE: $ 88,725.00 I V.~I~~ti?~ De~criDtion I $ Per Sq Ft or multiplier $1.00 $105.00 Square Footage or Bid Amount 8,400.00 765.00 $8,400.00 $80,325.00 $88,725,00 11/21/2008 11/20/2008 Value Date Calculated Total Value of Project L.Fpp< pqjrl I Amount Paid Date Paid Receipt Number $363.58 $42.00 $96,91 $111,70 $52.49 $50,00 $35,00 $594.80 $11.00 $38.25 $18.00 $170.00 $15,00 $6.00 $15.00 $119.00 $23:04 $84,15 $110.66 $26,91 $343.37 $16,00 3200800000000000758 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 ' 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 12008000000000011JO 1200800000000001190 1200800000000001190 1200800000000001190 1200800000000001190 11120/08 12/3/08 12/3/08 12/3/08 12/3/08 1213/08 12/3/08 12/3/08 12/3/08 12/3/08 . 12/3/08 12/3/08 12/3/08 ' . 12/3/08 12/3/08 12/3/08 12/3/08 12/3/08 12/3/08 1213/08 12/3/08 12/3/08 $2,342,86 I Plan Reviews , 1lI20/2008 . 1lI20/2008 APP DDK APP LKW Storm water to tie into existing system , Paee 2 of 4 _~~II!~0~E['!l!;q,. ,r:'-,:","''":'", ,', CITY OF SPRINGFIELD Status Issued " Building/Combination' Permit PERMIT NO: COM2008-01687. ISSUED: 12/03/2008 APPLIED: 11/20/2008 EXPIRES: 06/03/2009 VALUE: $ 88,725.00 225 Fifth Street, Springfield, OR 54]-726:3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line Structural Review 11/2112008 1l/2112008 WE DLM Found discrepancies with lateral bracing and girder truss loads, Alerted engineer and designer, by phone message, that structural issues need resolving. Waiting for contact 1I121/08dlm. Talked to engineer; e-mailed truss dwgs to him; he will review footings for girder trusses and provide designs 1l/21108dlm Structural Review ]2/0112008 12/0212008: APP DLM, Received additional engineering showing size and placemnt of ,required isolated footings ] 1/25/08dlm See documents for Plan review comments.' To Request an inspection call the 24 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. Rpnllir~rlln~,,,~tions I Footing: After trenches are excavated, Foundation:, After forms are erected but prior to concrete placement. Post and Beam: Prior to 110.or 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 ]nsulation: Prior to cover. Ceiling Insulation: Prior. to cover. 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, Underl100r Plumbing: Prior to insulation or decking, , Rough Plumbing: Prior to cover and including required testing. Underfloor Drai~: Prior'to'cover or placement of concrete. Final Plumbing: When all plumbing work is complete. Undert100r Mechanical. Prior to insulation or decking and including required testing, o Underl100r Gas: After line is installed and required testing and capped if not attached to an appliance, Pa!!e 3 of 4 ( Status Issued CITY OF. SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01687 ISSUED: 12/03/2008 APPLIED: 11/20/2008 EXPIRES: 06/03/2009 VALUE: $ 88,725.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone - 541-726-3676 Fax 541-726-37691nspection Line 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, 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. By signature, 1 state and agree, that I have carefully examined the completed application and do herehy certify that :ill information h'ereon 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 o(the Community Services Division, Building Safety, I further certify that only contractors aud employees who are in compliance with ORS 701.005 will ~e 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all tiA:::truc~~A/ /2-3 -bp Owner or Contractors Signature Date , Paee 4 of 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOURNAL OR JOB NUMBER: COM2008-0 1687 NAME OR COMPANY: Hans Burt , LOCATION: 4560 Glacier TAX LOT NUMBER: 1802051204100 DEVELOPMENT TYPE: Single Family Residence NEW DWELLING UNITS 0 BUILDING SIZE (SF' 765 LOT SIZE (SF): I. STORM DRAINAGE 9583 r- oo ~, Cl o U 0:: ~ I- 00 a ~ 0:: DIRECT RUNOFF TO CITY STORM SYSTEM IIMPE,RVIOUS S.F. x I COST PER S.F. CHARGE I 962.50 1 $0.357 I = 1 $343.37 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S,F, I x 1 DISCOUNT RATE I I ,I 0,00 I I. $0.357 I I 50% ~ I DISCOUNT $0,00 ITEM I TOTAL - STORM DRAINAGE SDC $343.37 $343.37 11070 7 SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I 4 I B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 4 I COST PER DFU $27.67 I, $110.66 11091 COST PER DFU $21.04 , ' $84.15 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $194.81 J. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INlOW TRIP FACTORI 9.57 I I 0 I I 21.06 1 1.00 I $0,00 11093 B. IMPROVEMENT COST: I I ADT TRJP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRIP FACTORI 9,57 I I 0 I I $92.89 I 1.00 I $0,00 11094 ITEM 3 TOTAL - TRANSPORT A nON SDC = , $0,00 I 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I ' x ICOST PER FEU , 0 I $97.90 = $0,00 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I 0 I $1,009,17 = $0.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0,00 1054 MWMC ADMINISTRATIVE FEE ~ , $0,00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC ~I $0.00 I SUBTOTAL (ADD ITEMS 1,2,3,_& 4) ,; , $538.18 I 5, ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I~ CHARGE 1 $538,18 1 5% I $26.91 TOTAL SANITARY ADMINISTRATION FEE: 26.91 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 1078 ., Kaye Wilson 11/20/2008 TOTAL SDC CHARGES = , $565,09 PREPARED BY DATE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 ]999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 _ :1) $S'~2~.~"!'iL~,J!-,h;::11 $5.19, - ::'"$5: 1 ~{~iih ~'::Jj!{ -$4.98'~ " e",i_ ~',',";i! ..::' ,,?,'~ ,,::E.~~~,t:'- ~"~O', i,~t : -;f;.~~i:".";~, $2.73,\' , !!1~2:2q~;:-:1::i,,;'m~:~~t '$1.80: _ " . $1.59:.... ~' 'I!;'!~i!r'!i:'.~~}:~~'~ , ':;:i::I~ $1.99, - ., , $0,92: . c','" $0 72c' 1"r :;;;:. ", . .:.." , $0.48:; ,.i :{~i!;!j';~{$O.28~~, $0.09~ ,,~7tJ:~i" rr$O.05~j' IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enler I for Yes, 2 for No) I BASE: YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 i:REDIT RATE $0.00 x $5.29 ~ I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x $5,29 TOTAL MWMC CREDIT = 2 2 1979 $0.00 o $0.00 Construction' CO'ntractors Board . pennil#: ~;?L1')~ -0 1&>~"7 700 Summer StNE Suite 300 4'-"-:0 /": /.A ""j~ P'O Box 14140 ~ '. Address: ,:::J(C;> ~{./"f'(~ ~ Salem OR 97309-5052 Is,sueG.;'-~/Y7I.J1' ()L, Date:;:) JlJ'</." /_~ ./ Phone: 503-378-4621 '-'"""T' ~ t (4-- Web Address: www.ccb.state.or.us Statement: Information NotiC~ to /;/ope'rty Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires. residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a bu"ilding , permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7); need not submit this statement. This statement will be filed with the permit. , . Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: , .. ,. ... . ~ ~ 1. I own, reside in, or will reside in the completed s,tructure. 2.' I understand that I must become licensed as a construction contractor if.the structure.is sold or offered for sale before or on completion. D 3A. My general contractor is (Nam~) (CCB #) I will instruct my general contractor that all subcontract~rs who work on the structure must be' . licensed with the Construction Contractors Board. OR ~ 3B. I will be my own general contractor. c If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notif'y tJ:le office issuing this building permit of the name of the contractor. , I hereby certify tbat the above information is correct lmd that I bave read and do mlderstand tbe Information Notice to, PropertY Owners about Construction Responsibilities on the reverse side of this form. X ,!L~(;d-/ 1~-3of ,/> (Signatureofpemiit &pplicant) (Date) (White copy to issuing agency permit file, pink copy to applicant.) , Property _ owner.doc 06-01-04 , CITY OF SPRINGFIELD, OREGON s~ ~ (1)~ ,~ -\~A~ ..g~~ 22Hwnl STREET. SPRINGFlI:LI>. OR 97477 . PII:(54I)726-3753 . FAX: (541)726-3689 ZON IN lTlALS DATE SOURCE ELECTRICAL PERMIT APPliCATION ' City Job Number (' ~~ - t'J Lk~ 7' I I, I LOCATION OF INSTALLATION: 4~6o 6'tAc#~ LEGAL DESCRIPTION: /g02~~/2 04/ tYtJ . JOB DESCRIPTION: ~lJlpA;tA( ),V7~ ~4f:~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2, I CONTRACTOR INSTALLATION ONLY I Electrical Contractor Address / City Phone '"~";=U=.N~ Expiration Date Constr. Contr. Number Expiration Date Signature of Supervising Electrician Owners Name .J:}A/./i5 ~ r Address IS-rei) ~~ City ?'A/~ I:"/'bPhone t6.B - ~~g OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~ V o~ature: , /'- s(. NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK Inspecti!i1L~~1ifHlrn(jl.J\?~~R THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. /::1 J fl3/ 0 V Date ( 3. I COMPLETE FEE SCHEDULE BELOW A. I New Residential- Single or Multi-Family per dwelling unit. 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 $121.00 $ 22.00 $57.00 B.I Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 c. I Temporary Services or Feeders I. Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps . 401 Amps 10 600 Amps "Over 600 Amps or 1000 Volts see "B" above. D. I Hr~nch Circuits $ 57.00 $ 79.00 $114.00 New Alteration or.Edeosion.Ejer.J:aneljUI'reS "OU to lIT.TENTION' ure\jvl ,"" ,_. )., One Cinm,it ." ~dopted bv th?,Oreg$C56.ljd:tY~O I!J'O , Each Ad9itiJi, 'Na\,8iituit Rrcwithho's_e ':?,S are set fortn __ Servic.!'lfl'i\WiiefJi~?t,m '001() thr~" ,nM$t?iOJlOO1,.~, 6CJ in OAK \!5<<-uu ,- ~- f t' I 5 by -Y- 'mav'obtain'Goples-o - ne.r,LLe_ E. I MiscQg~~tl1Wf{l;:~~~d~N\lQ~iJllJrud.d)P!fJi\'Cr. Installation I ':;~mlh~; for -the Oregon Otilily3Notificalion Pump or Iti'IgaTiO'tenter is 1-800-332-2 4'$,157.00 Sign/Outline Lighting $ 57.00 Limited Energy/Residential $ 29.00 Limited EnergylCommercial $ 52.00 Minimum Electric Permit Inspe~tion Fee is $52.00 + Surcharges 4, I SUBTOTAL OFABOVE ~~ ,p J t'2 z.,D , ~~~, ;it 7- C; II) 7."J~ 12% State Surcharge 10% Administrative Fee 5% Technology Fee , TOTAL Shared Drive(T:)IBuilding FonnsIElectrical Permit A-pplication 7-Q8.doc City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-01687 COM2008-01687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 COM2008-01687 COM2008-0 1687 COM2008-0 1687 COM2008-0 1687 PaYl!lents: Type of Payment Check cReceint I RECEIPT #: II: II :38AM 1200800000000001190 Date: 12/03/2008 Description . Plan Review Minor - Planning Sanitary Sewer - Reimbursement Sanital)' Sewer - Improvem,ent Plan Review Residential Building Pennit Fixture Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Gas Outlets 1-4 Fireplace (Listed) Heat Pump -Mech Iss 2+ Appliances- , Fire SF Fee - Residential Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add ,Stann Drainage Impervious Area SDC Sanitary/Storm Admin + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Due 119.00 110.66 84.15 23.04 594.80 170.00 15.00 16.00 11.00 6.00 18.00 15.00 42.00 38.25 50.00 35.00 343.37 26.91 52.49 111.70 96.91 $1,979,28 Paid By HANS C.BURT Item Total: , Check Number Authorization Received By Batch Number Number How Received Amount Paid njm In Person Payment Total: $1,979.28 $1,979.28 105 Page I of I 12/3/2008