HomeMy WebLinkAboutPermit Building 2004-8-2
/ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00909
ISSUED: 08/02/2004
APPLIED: 07/2212004
EXPIRES: 02/02/2005
VALUE: $ 135,870.00
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4024 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112400
Springfield TYPE OF WORK: Single Family Residence
I DEVELOPMENT INFORMATION I ~~~~
. ~~_~~ QUIREDPARKING
. 0(\\'& O'W"".~\ ._mt
Overlay Dlst:_"". ~_A \)1 ~.\a$ e.te ^,,~.uvufal: 2
# Stre~~1-R~~09\~ ~",..-~... ~e~'\tdicapped:
pav~])..rU'~~~. \Y\,o\)'9J~i\Y\e. ~~pact:
% of\~\~Y;~ e' ~.t)O,\Q rP9~ ~~ -..It\On
~o\\\\C ~ g~~ O'O\~(\ 000\9'. . . ~0'6t\fI(P" . .
. n~ . ..na'J t.... \'" \. \",\\\'1 ~'\
I PUBLIC I~~'01~~~'i
Fullv Improved r.\).'((\'Oet ce~t \$ 'sidewalk Type: .
Yes DownspoutslDrains:
TYPE OF USE:
PROJECT DESCRIPTION: Shady creek lot 25 - SFR
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
I CONTRACTOR INFORMATION I
o~ .; ..
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor . Lile
BRUCE WIECHERT CUSTOM HOME~I~~}ij ~
L &'E ELECTRIS INC \. t.~~\~t.~~\\l6s~
COMFOB~:~ti.~\'1',.,~\\~~n.'1'\\\~ \'t: ,,\~('\ ~
STEVE ~ 1.J1\Q~NI". "\Ot.h'\..' '''\OO\''~v C'i5065
- ~'\" -1"'('\ \\\' ,,~Q. ~\~
. '~\}\\\Q~ ,~- -. ~ I. FORMATION
CQ~W\ ~ \)~
t.M't \~" # of Stories: 1
R~" Height of Structure 17.00
U-l Type of Heat: Forced Air Gas
VN Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: fI/a'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
10.00
0.00
. Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 4
New
Residential
Phone Number: 541-686-9458
Expiration Date
09/161200'6
03/30/2005
06/27/2005
03/12/2006
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
. Sq Ft Other:
Occupant Load:
12,840
1,360
420
Curbside 5'
Curb and Gutter
Status
Issued
CITY OF SPRINGFIELD ..
Building/Combination Permit
PERMIT NO: COM2004-00909
ISSUED: 08/02/2004
APPLIED: 07/22/2004
EXPIRES: 02/02/2005
VALUE: $ 135,870.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square. Footage
or Bid Amount
1,360.00
420.00
Value .
Date Calculated
Description
Total Value of Project
$125,664.00
$10,206.00
$135,870.00
07/22/2004
07/22/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $443.72 7/22/04 1200400000000001122
-Mechanical Issuance Fee- $10.00 8/2/04 1200400000000001164
+ 10% Administrative Fee $115.07 8/2/04 1200400000000001164
+ 7% State Surcharge $80.55 8/2/04 1200400000000001164
2 Baths One or Two Family $254.00 8/2/04 1200400000000001164
Addressing Assignment $31.00 8/2/04 1200400000000001164
Building Permit $682.65 8/2/04 1200400000000001164
Curbcut - Overwidth Appl $35.00 8/2/04 1200400000000001164
Curbcut Permit $75.00 8/2/04 1200400000000001164
Dryer Vent $6.00 8/2/04 1200400000000001164
Exhaust Hoods $9.00 812/04 1200400000000001164
Furnace - up to 100,000 btu $12.00 8/2/04 1200400000000001164
Gas Fireplace $15.00 8/2/04 1200400000000001164
Gas Outlets 1':4 $4.00 8/2/04 1200400000000001164
Heat Pump $12.00 8/2/04 1200400000000001164
Plan Review Major - Planning $103.00 8/2/04 1200400000000001164
PW Mult Disc - 2nd Permit $-30.00 8/2/04 1200400000000001164
Residence Wiring 1000 Sq Ft $106.00 8/2/04 1200400000000001164
Residence Wiring Ea Ad~tl 500 $38.00 8/2/04 1200400000000001164
Sanitary Sewer - Improvement $365.60 8/2/04 1200400000000001164
Sanitary Sewer - Reimbursement $480.80 8/2/04 1200400000000001164
SDC MWMC Administration $10.00 8/2/04 1200400000000001164
SDC MWMC Improvement $865.31 812/04 1200400000000001164
SDC MWMC Reimbursement $82.03 8/2/04 1200400000000001164
SDC Sanitary/Storm Admin $117.40 8/2/04 1200400000000001164
SDC Transpo Admin $64.32 8/2/04 1200400000000001164
SDC Transpo Improvement $772.49 8/2/04 1200400000000001164
SDC Transpo Reimbursement $175.13 8/2/04 1200400000000001164
Sidewalk Permit $75.00 8/2/04 1200400000000001164
Storm Drainage Impervious Area $883.11 8/2/04 1200400000000001164
Vent Fan $12.00 8/2/04 1200400000000001164
WiIlamalane Single Family $1,000.00 ' 8/2/04 1200400000000001164
Total Amount Paid $6,905.18
Paee 2 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00909
ISSUED: 08/02/2004
APPLIED: 07/22/2004
EXPIRES: 02/02/2005
VALUE: $ 135,870.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine Review
, Public Works Review
Structural Review
07/23/2004
07/28/2004
. 07/2312004
07/23/2004
I Plan Reviews I
07/23/2004 APP
07/28/2004 APP
07/28/2004 APP
07/29/2004 OK
SKG
TAJ
MS
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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.
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
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00909
ISSUED: 08/02/2004
APPLIED: 07/22/2004
EXPIRES: 02/02/2005
VALUE: $ 135,870.00
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 cated he front of the property, and the approved set of plans will remain on the site at all
tlrl1Ds';j" 18/z/0Y
Owner or Contractors Signature Date
It I
..'
Paee 4 of 4
225 Fifth Street
Spr~ngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-00909
COM2004-009Q9
COM2004-00909
COM2004-00909
Payments:
Type of Payment
CreditCard
8/2/2004
r:ty of Springfield Official Receipt
lelopment Services Department
Public Works Department
RECEIPT #:
1200400000000001164
Date: 08/02/2004
9:14:18AM
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft .
Residence Wiring Ea Addtl 500
Sidewalk Permit
Curbcut Permit
Curb cut - Overwidth Appl
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
Plan Review Major - Planning
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-
+ 7% State Surcharge
+ 10% Administrative Fee
Amount Due
31.00
1,000,00
106,00
38,00
75.00
75,00
35,00
(30,00)
883,11
480.80
365,60
175,13
772.49
82,03
865.31
10,00
117.40
64.32
103,00
682,65
254,00
12,00
12,00
9.00
6,00
4,00
15.00
12.00
10.00
80.55
115,07
$6,461.46
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
BRUCE WIECHERT CUSTOM dj1:> 000459 060481 In Person
HOMES . .
Amount Paid
$6,461.46
.' ~
Payme~t .Total:
$6,461.46
,;.
Page I of I
CONTRifcTOR INSTALLATION ONLy.....
2. .......;... c.c.:'..': x' ,L.":,.;,,,:, _ 'f;',.;." .:,..,,' .' ..--'.. ,.. ...'.. .;.
Electrical Contractor L ~ E C G.c...:t--\\ (
Address q ~ B -3 3 ,I C) (\.Q JAu -() 1< d
Pho~~jii. E)(P\Bt~;m~~:s
AUTHOR\ZEO UNDER lH\&~i~1 o~;~ -
WilffiV'Ml~EO OR \5 A6ANPO~EO FO..: .'>' ."'-
Supervisor License Number -.-J A~t 1'SQ{}AY pER\OO. C. Te~porary~er~ic~s~r Fe,~?er;~'
10 - D I - (9\4
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
fl J.ur)- Service or Feeder Pennit $ 3,00
Owners Name rlJUJ W}P.D1 . :TTEI\lT\ON: Oregon law ~qulre~ Y~~i:' , ..
Address~ 3 1-"- ParL M1.J tollow' f.lil~~~=~3t~~!Uded} -Each Installation
City CI/4 t..J'</ . Phone (51ft )b~1.r1 i ~\fICa 1~~f.rc:itrt~t\wOUgh OAR 952-0.. . ~ $ 50,00
-- In OAR 9)d~9~aiW_~S ot the ru\as-bJ $ 50.00'
OWNER INST ALLA TION ' 0090. .YO ~tee~ ~a~\S\ephui.la $ 25.00
calling . a:QfJ g ~Mml~~Otiflcatisn
!he in,stallation is being made on property I own which nu~b~tmt'dli. 1~ ~3~:2~~.,:'..,~'Y';:"': $ 45.00 .
IS not mtended for sale, lease or rent. MmIl1GdlJPnc~rmlt Inspectloii'Fe'e~s'$45.00 + Surcharges
.' .
City Job Number
Date
1. LOCATION OF INSTALLATI(y[ii'.
YvZ.f . C~~~~ .. IS!',
LEGAL DESCRIPTION
/tao2- ~h II 11...4-00
JOB DESCRIPTION
5' t ~~ & J41 r I \JI Res I dk1.L(L.
Permits are non-transfera{le and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
-'l 'i.' . '~',' ~ ". .
"'~'''.T
d.":';
City
Sr~ld
Expiration Date
Expiration Date
ID5l--t,S
:s - 30 - 0 1c2
Constr. Contr, Number
Signature of Supervising Electrician
70L \~Duel~
...........-
Owners Signature:
Inspection Request: 726-3769
3.
',.
"
A.
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
J
;(
$106,00 /f)fo,oo
$ 19.00 18, CD
$50,00
.:.... ". .7~::- -:;"",' . .- .-.---','Y-"'
B.Services or,Feeders:"'lnstallatio~;Alterations or ~e1ocation:
:'_'. .., ~ -~'.':~ . "'~' 'r.c~'~:""'"": ~~,"" ;,,- _.:.,,-,: '._-~~:",' . - - . -~.,. '.,
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 63,00
$ 75.00
$125,00
$163,00
$375,00
$ 50,00
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps .
Over 600 Amps or, 1000 Volts see "B" above.
D.Branch Circuits'
$ 50,00
$ 69,00
$100.00
$ 43.00
4. SUBTOTAL 'oF ABOVE
Li~ leX>
IIJ,DE6
_ DJ t eft)
ff f ~t/B
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Pennit Application 1-03.doc
oil
~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET .
JOURNAL OR JOB NUMBER: C0M2004-00909
NAME OR COMPANY: Bruce Weichert
LOCATION: 4024 Cherokee Drive
TAX LOT NUMJ:u',K: 18020611 Tax Lot 12400
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF) 0 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
2848.75 $0.310 = $883.11
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONS1RUCTED TO CITY STANDARDS
IMPERVIOUSS.F. x COSTPERS.F. I x DISCOUNTRATE
0.00 $0.310 50%
12840
en
,~
o
o
u
~
~
E-<
, en
G
~
DISCOUNT
$0.00
ITEM 1 TOTAL - STORM DRAINAGE SDe
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
NUMBER OF DFU's x
20
$883.11
$883.11
1070
COST PER DFU
$24.04 --
$480.80
1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
20 $18.28
ITEM 2 TOTAL - eITY SANITARY SEWER SDe
$365.60
1092
= J
$846.40
3. lRANSPORTATION
A REIMBURSEMENT COST:
ADTTRIPRATE I x
9.57
B.. IMPROvEMENT COST:
ADT TRIP RATE x
9.57-
NUMBER OF UNITS' x
1
COST PER TRIP
$18.30
x NEW 1RIP FACTOR
1.00
$175.13
1093
NUMBER OF UNITS x
1
COST PER 1RIP
$80.72
$947.62
x NEW 1RIP F ACTORI
LOO
$772.49
1094
ITEM 3 TOTAL - TRANSPORTATION SDe
= J
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $82.03
B. IMPROVEMENT COST:
NUMBER OF FEU's' x COST PER FEU
1 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMe SANITARY SEWER SDe
=
$82.03
1054
. Matt Stouder
7/2812004
= $865.31 1055
"
$0.00 11054
I '
$10.00 1056
= J $957.34
= J $3,634.47
CHARGE
$181.72
117.40 1079
'I
$64.32 11078
TOTAL SDC CHARGES - , $3,816.-19 II
- .
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$3,634.47 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL lRANSPORTATION ADMINISTRATION FEE:
i
"
. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW rlA 1 URES X UNIT EQUlV ALENT = DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES
FIXTURE TYPE NEW
'BATHTIJB 1
:nRINKING FOUNTAIN 0
FLOOR DRAIN 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0
ThllbKCEPTORS FOR SAND / AUTO WASH / ETC. 0
LAUNDRY TIJB 0
CLOTHESWASHER / MOP SINK 1
CLOTHESWASHER - 3 OR MORE (EA} 0
MOBILE HOME PARK TRAP (1 PER lRAILER) 0
'RECEPTOR FOR REFRIG / WATER STATION i ETC. 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0
'SHOWER, SINGLE STALL 1
SHOWER GANG (NUMBER OF HEADS) 0
SINK: COMMERCIALIRESIDE~ KITCHEN 1
SINK: COMMERCIAL BAR 0
SINK: WASH BASINIDOUBLE LAVATORY 1
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1
URINAL, STALL/WALL 0
TOll.,ET, PUBLIC INSTALLATION 0
TOILET, PRIVATE INSTALLATION 2
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
UNIT
OLD EQUIVALENT
0 3 =
0 1 =
0 3 =
0 3 =
0 6 =
0 2 =
O. 3 =
0 6 =
0 12 =
0 1 =
0 3 =
0 2 =
0 2 =
0 3 =
0 2 =
0 2 =
0 1 =
0 5 =
0 6 =
0 3 =
20
=
DRAINAGE
FIXTURE
UNITS
3
o
o
o
o
o
3
o
o
o
o
2
o
3
o
2
1
o
o
6
o
TOTAL DRAINAGE FIXTURE UNITS 20
.EDD (EquiVali:nt DwelliDg Unit) is a diScharge equiValent to a siDgIe familY dwelliDg unit (t~:,~;Vs j set at 167 gallOns per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
I
CREDIT RATE/$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.
$O~ 72
$0.48
$0.28
$O~ 09
$0.05
II
2
IS LAND' ELGIBLEFOR ANNEXATION CREDIT?
(Enter 1 for Yes; 2. for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
1-
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 FOR LAND (IF APPLICABLE}
VALUE /1000 CREDIT RATE
$0.00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
o
1979
= f
$0.00
o
=
$0,00