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Home My WebLink AboutPermit Building 2004-12-10 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01429 ISSUED: 12/10/2004 APPLIED: 11/19/2004 EXPIRES: 06/1012005 VALUE: $ 170,742.00 " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 847 55th St ASSESSOR'S PARCEL NO.: 1702331201530 Springfield TYPE OF WORK: Single Family Residence REQUIRED PARKING Total: 2 4 Handicapped: Yes Compact: 35.00 ATTENTION: Oregon law requlres ~ ~ h/A.... ;e;~/:i r~"T+..r4 hJ' thA OrAtion UtilitY I PUBLIC IMPROVEMENTUtification Center. Those rules are set forth in OARiHAAWilP.1Q through OAR 952-001- Fullv Improved 0090. You may o~f.c{in copies of the ~Wde 5' Yes calli~tmf~r~te: the teJeph~Gutter number for the Oregon Utility Notification Center is 1-800-332-2344). No hook-up to City infrasturcture until final acceptance. 11/23/204 CAS TYPE OF USE: PROJECT DESCRIPTION: Single Family Residence, John Way lot 8 Owner: MOUNTAIN VIEW CUSTOM DEVELOPMENT LL Address: 38023 WHEELER RD DEXTER OR 97431 Contractor Type General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor License PATRICK RYAN SLOAN 141638 BEAR MOUNTAIN ELECTRIC LLC 136298 MICHAEL GRIFFIN 150189 EUGENE EXCAVATION & PLUMBING INC 138003 I BUILDINGJ~ATIONI N01\CE.. EXP\RE no \ t1{:" 'Qi # of Units: PERM\\" S\-\PtLl \s pt\i\M~.ii)l\ils~. 1 Primary occupancy1(W~I1'R\IEO ~ER 1\-\ O~;Bf3tpij~ructure 19.50 Secondary OccupanJ)t5 tNCEO OW\s F\'Of\N ~ype of Heat: Forced Air Elect Primary Construction,ti' OF\'i ~€f\\OO. Water Type: Gas Secondary ConstructiA.~'tAA9 Range Type: Gas # of Bedrooms: 3 Energy Path: Path 1 Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 36.00 10.00 8.00 25.00 45.00 Overlay nist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Subdivision Not Accepted Street Improvements: Storm Sewer Available: Special Instruction: Notes: Paee 1 of 4 New Residential Phone Number: 541-521-9058 Expiration Date 03/17/2006 08/06/2005 01123/2005 03/07/2005 Phone 541-744-2266 541-953-6747 541-942-8339 541-988-0868 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 1,709 528 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01429 ISSUED: 12/10/2004 APPLIED: 11/19/2004 EXPIRES: 06110/2005 VALUE: $ 170,742.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s Garal!e Tvpe of Construction V Wood Frame Garal!e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,709.00 528.00 Value Date Calculated Description Total Value of Project $157,911.60 $12,830.40 $170,742.00 11/19/2004 11/19/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $517.66 11/19/04 1200400000000001634 -Mechanical Issuance Fee- $10.00 12/10/04 1200400000000001721 + 10% Administrative Fee $127.44 12/1 0/04 1200400000000001721 + 7% State Surcharge $89.21 12/1 0/04 1200400000000001721 2 Baths One or Two Family $254.00 12/10/04 1200400000000001721 Addressing Assignment $31.00 12/10/04 1200400000000001721 Building Permit $796.40 12/10/04 1200400000000001721 Dryer Vent $6.00 12/10/04 1200400000000001721 Exhaust Hoods $9.00 12/10/04 1200400000000001721 Furnace - up to 100,000 btu $12.00 12/10/04 1200400000000001721 Gas Outlets 1-4 $4.00 12/10/04 1200400000000001721 Heat Pump $12.00 12/10/04 1200400000000001721 Plan Review Major - Planning $103.00 12/10/04 1200400000000001721 Residence Wiring 1000 Sq Ft $106.00 12/10/04 1200400000000001721 Residence Wiring Ea Addtl 500 $57.00 12/10/04 1200400000000001721 Sanitary Sewer - Improvement $402.16 12/10/04 1200400000000001721 Sanitary Sewer - Reimbursement $528.88 12/10/04 1200400000000001721 SDC MWMC Administration $10.00 12/1 0/04 1200400000000001721 SDC MWMC Improvement $865.31 12/10/04 1200400000000001721 SDC MWMC Reimbursement $82.03 12/10/04 1200400000000001721 SDC Sanitary/Storm Admin $113.75 12/10/04 1200400000000001721 SDC Transpo Admin $64.74 12/10/04 1200400000000001721 SDC Transpo Improvement $772.49 12/10/04 1200400000000001721 SDC Transpo Reimbursement $175.13 12/10/04 1200400000000001721 Storm Drainage Impervious Area $733.82 12/10/04 1200400000000001721 Vent Fait $18.00 12/10/04 1200400000000001721 Willamalane Single Family $1,000.00 12/10/04 1200400000000001721 Total Amount Paid $6,901.02 I Plan Reviews' Initial Review PI~nninl! Review 11/2212004 11/22/2004 11/22/2004 12/06/2004 APP LLH APP EMM Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01429 ISSUED: 12/1012004 APPLIED: 11/19/2004 EXPIRES: 06/10/2005 VALUE: $ 170,742.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Public Works Review 11/22/2004 11/23/2004 APP CAS No hook-up to City infrastructure until acceptance of Sub. 11/23/2004 CAS Structural Review 11/22/2004 12/02/2004 OK RJB To Request an inspection call the 24 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: After all erosion measures are in place. 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. 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. 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. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. Paee 3 of 4 . . ~~~,!~~~~I~~F ~,.,'""'" ~ ._ . .:\' lIj, ~. Status Issued CITY OF SPRINGFIELD J Building/Combination Permit PERMIT NO: COM2004-01429 ISSUED: 12/10/2004 APPLIED: 11/19/2004 EXPIRES: 06/10/2005 VALUE: $ 170,742.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. ~~ Owner or Contractors Signa _. /)cc /C?,Z~V '" Date Pae:e 4 of 4 CITY OF SP'tNGFIELD SYSTEMS DEVELOPMEN1"'~l)!)RKSHEET JOURNAL OR JOB NUMBER: C0M2004-0] 429 NAME OR COMPANY: . Mt View Development LOCATION: 847 55th .St TAX LOT NUMBER: ]70233]20]530 DE;VELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF: 1975 LOT SIZE (SF): ], STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S,F. 'x COST PER S,F, CHARGE 2367,17 $0.310 = I $733.82 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x COST PER S,F, I x I DISCOUNT RATE I I 0.00 I $0.310 I' I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC ' I $733.82 I 6372 r:/) i.Ll ~ o u ~ i.Ll E-< r:/) I-< Co? ~ DISCOUNT $0.00 $733.82 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's. x I 22 COST PER DFU $24.04 $528.88 1091. B. IMPROVEMENT COST: I NUMBER OF DFU's x I . 22 $18,28 ITEM 2 TOTAL - CITY SANITARY SEWER SDC $402.16 1092 I = , $931.04 . 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I x I 9.57 I B. IMPROVEMENT COST: ADT TRIP RATE 9.57 NUMBER OF UNITS' x I COST PER TRlP ] I $18.30 x NEW. TRIP F ACTORI 1.00 I $175.13 11093 x NUMBER ,OF UNITS x ] COST PER TRIP' . ,. x INEWTRlP FACTOR $80.72 I 1.00 $947.62 $772.49 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU 1 $82.03 = $82.03 11054 $865.31 lOSS I $0.00 11054 $10.00 11056 $957.34 I $3,569.82 I CHARGE $] 78.49 ] 13.75 I 1079 $64.74 11078 ...". TOTAL SDC CHARGES =1 $3,748.31 II B. IMPROVEMENT COST: INUMBER OF FEU's I x COST PER FEU I 1 $865.31 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL- MWMC SANITARY SEWER SDC =, SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM, FEE RATE $3,569.82 5% TOTAL SANITARY ADMINISTRAT]ON FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker ' 11/23/2004 PREPARED BY DATE .. ,. . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 \LAUNDRY TUB 1 0 2 = 2 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC, 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: W ASI-I BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 ,TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 22 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day -'..-- MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.29 $5.29 $5,19 $5,12 $4.98 $4.80 $4.63 $4.40 $4.07 $3,67 $3.22 $2.73 $2.25 $1.80 $1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0,09 $0.05 2 IS LAND ELGffiLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGffiLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR 2 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5,29 = , $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0,00 x $5.29 o = $0,00 TOTAL MWMC CREDIT 22~ Ftfth Street Spi"n'gfi~ld, Oregon 97477 541-7i6-3759 Phone Job/Journal Number COM2004-0 1429 COM2004-01429 . COM2004-01429 COM2004-01429 COM2004-0 1429 COM2004-01429 COM2004-01429 COM2004-0 1429 COM2004-0 1429 COM2004-01429 COM2004-0 1 429 , COM2004-01429 COM2004-0 1 429 COM2004-01429 COM2004-01429 COM2004-01429 COM2004-01429 COM2004-01429 COM2004-01429 COM2004-01429 COM2004-0 1429 COM2004-0 1429 COM2004-01429 COM2004-01429 COM2004-0 1 429 COM2004-0 1 429 Payments: Type of Payment Check 12/10/2004 RECEIPT#: Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 St,orm 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 Heat Pump -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Plan Review Major - Planning Paid By MTN VIEW CUSTOM DEV rity of Springfield Official Receipt velopment Services Department Public Works Department 1200400000000001721 Date: 12/10/2004 9:05:26AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 31.00 1,000.00 106.00 57,00 733,82 528,88 402.16 175.13 772.49 82.03 865.31 10.00 113.75 64.74 796.40 254,00 12.00 18.00 9,00 6,00 4.00 12.00 10.00 89,21 127.44 103.00 $6,383.36 Amount Paid djb 1005 In Person Payment Total: $6,383,36 $6,383.36 Page 1 of 1 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · F~: (541)7'26~~, ELECTRICAL ~~~rt3?i'LICATION '1"00 <9~~"-0 6l1S' ::<:'I'Q'IS' '/~cSl ;9 "'..., U'" City Job Number. Date 0' C' '" 6lQ, <:SQ,. - _ _ . V.I.;. -.....1": .~ '<:>Q (5) (5)0' 3. COMPLETE Ji'EE sdtE EL~.~~U' (;> "'~' 0 <:' /. (5) \ Q'", -o~ 0' v. Otz., A. New Residential- Single or lti- i r dliklIij,.g unit. " a \ (c , ~ ~ " $ 19,00 1. LOCATION OF INSTALLATION , PAf) ~S~ ~~P('t- - - - - LEGAL DESCRIPTION j'f\ \f\.(j)~~ V\CQ?{) J~LM~~~J~( tu Qn[)LWI Permits are ~n-transferable and eAire if work is ,,' not started within 180 days of issua~ or if work is Suspended for 180 days. 2. CONTRACTOR T?.STALLATI?N Ol'(LY Electrical CO'?!"ctor Adt.. ~/' jt~/-8~(!_ 41/~ ?- ,/It., v' Address /1/;) l:r~y'l/l :/1 - ,- I' ';- City Ilfrt'(;,~ /~ /1' Phone 0'?-(7t./7 /l/;:- i4/~?tf()'- Supervisor License Number ftt(i):) "I' ' Expiration Date / v.....6 1-0 7 Constr. Contr. Number /{/17>1 ExpiratiQ Date {f-{ OS"'- SF~u~;~a;r:1EL~ Service Included 'f2k~ ~~OlJ 1000 sq, ft. or less Each additional 500 sq. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Am]s or less $ 63,00 r.1'oIG"~P;t~100,~mos \:VIJI'P": 1\: -rue \1\:~~:~5.00 1, .on '-, ~..\ 1._c:.::;JiT'1 .1\' ,,,,_ 11 ,.._.,.J 4tj.t:;~S:t~~OO'1mp.'.& '~',:,'\~ 0:-:'-' 'I'~ 1~-,\~t5,OO tJ.l"\,!'l,.: "n li~I'd11'''\i I L..I,,,', l~,. tW 1 ~~1~~9-qOXJP..p~ : ,; J r ' I': i~ I~ ::: "c4, $163.00 ~.~~ltOOO." ~.'. Wol'; ~"-,j'''' V ..-- . $375.00 ~d&~0tii~~tr;\~L;. $ 50,00 c. Temporary Senices or Feeders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100,00 Oyer 600 Amps or 1000 Volts see "B" above. D. Branch Circuits Sign e~f ~e 's ng Eltlctrician ;Jt / '\ New Alteration or Extension Per Panel MIA . (/. ). ./ On' C"EY'tENTION: Oregon law reqUlres~WtRt L,. , '" ~ Each 1\frqtBW~Lfu~ca.ijgpWithbY me urt:yvn rttt . \ \ J... \ ~ I ,\ i fV\ ~/\, I Servic~ 9ff1lea~~rfrnW&er. Those rules arE$~l>1P _ Owners Name M" . ~ It: V ~c.. l~ 952-001-0010 thrOugh OAR 952-001 Address ~'L...~ ')f\J ) n^' E. MiJ&ft.-&e~s (~~~,i~Mf\"Ilov~o.mat.~fY~~RYnstallation \\t\~ l' ~ 009U. au 'J t (Note' the telephone City ~_ . t ~ Phone D~ .q O~ Pump or &fl~k~J~a~ ~:; ~~~gon Utility No$iijg~n sign/outfiHffl~m1ter is 1_80O-332.-234~.50.00 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 Limited EnergylResidential Limited Energy/Commercial $ 25,00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. SUBTOTAL OF ABOVE \ lo~ pO \ t .L\ \ \~~:W 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc