HomeMy WebLinkAboutPermit Building 2004-4-19
Status
Issued
CITY OF SPRINGFIELD'
Building/Combinati'on Permit
PERMIT NO: COM2004-00370
ISSUED: 04/1912004
APPLIED: 04/02/2004
EXPIRES: 10/19/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4054 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061113000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR- shady creek lot 31
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License
BRUCE WIECHERT CUSTOM HOMES INC 101717
. ,
L & E ELECTRIC INC 105475
COMFORT FLOW 460
STEVE R JOHNSON 65065
Expiration Date
09/1612006
03/30/2005
06/27/2005
03/12/2006
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
3
I BUILDING INFORMATION I oU to
QUWes ~ '\,\\I
# of Stories: e On \a\N ,.e 0 eg,dn U~~t' ize:
.-l.!~.gtlllOf\'sgt.~&ffb'J tne ~iPa 5e's . (1st Floor:
PI.\ l-ry~5\qf~iP.? "nlll9t~d4\~~l\S\ 95';$. 2nd Floor:
~0\~~~,lQf\l1ll}b";\o\ef. "\ otn'(o~Qt' 4~'e ,.l.Sif!FttBasement:
~ot'\R~~'l.xJ(e:' -00 \n c09iEmc<fr{c \e?~ Garage/Carport
,n O!t;li\ratl l(t\tN o'ota Nots'. .~~ot\~\~gtRttbther:
009~,~"a ~~~ ~~~~:~~~_~~~~"A4). Impervious Surfa.. Area:
I DEV~~ME~ JNFO'RM:ATION I
10,424
1,350
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
440
SETBACKS
Yes
17.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
9.00
5.00
92.00
. 0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
2
Street Improvements:
Storm Sewer Available:
Special Instruction:
~'Rlftlf\\reo
II UJ g tii'.
PUBLI .~~ - "'..0 EXPIRE IF THE WORK
. AUTHORIZED UN TH~~~Jr~lf IS ,NOT
Fully Improved COMMENCED OR IS ABANDON j) f6ft .
Yes ANY 180 DAY PERIOD. Downspouts/Drams:
Curbside 5'
Curb and Gutter
Notes:
Pal!e 1 of 4
_~:~~.~f:!~f,;I~IriR>,,,"_:,_,
t
,I
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/02/2004
EXPIRES: 10/1912004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,350.00
440.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$124,740.00
$10,692.00
$135,432.00
04/02/2004
04/0212004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 4/2/04 2200400000000000316
-Mechanical Issuance Fee- $10.00 4/19/04 1200400000000000505
+ 10% Administrative Fee $106.27 4/19/04 1200400000000000505
+ 7% State Surcharge $74.39 4/19/04 1200400000000000505
2 Baths One or Two Family $254.00 4/19/04 1200400000000000505
Addressing Assignment $31.00 4/19/04 1200400000000000505
Building Permit $682.65 4/19/04 1200400000000000505
Curbcut - Overwidth Appl $35.00 4/19/04 1200400000000000505
Curb cut Permit $75.00 4/19/04 1200400000000000505
Dryer Vent $6.00 4/19/04 1200400000000000505
Exhaust Hoods $9.00 4/19/04 1200400000000000505
Furnace - up to 100,000 btu $12.00 4/19/04 1200400000000000505
Gas Fireplace $15.00 4/19/04 1200400000000000505
Gas Outlets 1-4 $4.00 4/19/04 '1200400000000000505
Heat Pump $12.00 4/19/04 1200400000000000505
Plan Review - Planning $71.00 4/19/04 1200400000000000505
PW Mult Disc - 2nd Permit $-30.00 4/19/04 1200400000000000505
Sanitary Sewer - Improvement $361.41 4/19/04 1200400000000000505
Sanitary Sewer - Reimbursement $475.44 4/19/04 1200400000000000505
SDC MWMC Administration $10.00 4/19/04 1200400000000000505
SDC MWMC Improvement $214.23 4/19/04 1200400000000000505
SDC MWMC Reimbursement $314.63 4/19/04 1200400000000000505
SDC Sanitary/Storm Admin $105.50 4/19/04 1200400000000000505
SDC Transpo Admin $53.71 4/19/04 1200400000000000505
SDC Transpo Improvement $727.42 4/19/04 1200400000000000505
SDC Transpo Reimbursement $164.89 4/19/04 1200400000000000505
Sidewalk Permit $75.00 4/19/04 1200400000000000505
Storm Drainage Impervious Area $916.11 4/19/04 1200400000000000505
Temp Power 200 amps or less $50.00 4/19/04 1200400000000000505
Vent Fan $18.00 4/19/04 1200400000000000505
Willamalane Single Family $1,000.00 4/19/04 1200400000000000505
Total Amount Paid $5,953.65
. Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/02/2004
EXPIRES: 10/19/2004
VALUE: $ 135,432.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
Structural Review
04/05/2004
04/05/2004
04/07/2004
04/0512004
I Plan Reviews I
04/0512004 APP
04/1712004 APP
04/1412004 APP
04/1312004 APP
LLH
TAJ
VRJ
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.
L.Jl.eouiredJnsnections I
1 Erosion/Grading Inspection: After all erosion measures are in place.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or.
foundation inspection.
3 Footing: After trenches are excavated.
4 . Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to floor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shea~ Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
10 Ceiling Insulation: Prior to cover.
11 Drywall: Prior to taping. .
12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
13 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Underfloor Plumbing: Prior to insulation or decking.
15 Underfloor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When all plumbing work is complete.
21 Underfloor Mechanical. Prior to insulation or decking and including required testing.
22 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 Gas Service: After line is instalied and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
25 Rough Mechanical: Prior to Cover
26 Final Mechanical: When all mechanical worl<. is complete.
27 Rough Electric: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrical work is complete.
30 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
31 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Pal!e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00370
ISSUED: 04/19/2004
APPLIED: 04/02/2004
EXPIRES: 10/19/2004
. VALUE: $ 135,432.00
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 contrac rs and employees who are in compliance with ORS 701.005 will be used on this project.
I further ee to ensure that al equired inspections are requested at the proper time, tha each address is readable from the
street, t at the pe it rd is I at ..ty_ <>JUI the approved set 0 lans 11 remain on the site at all
times dn ... . ~/9/0 Y
Dati /
v V
Owner or Contractors Signature
Pal!:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726,.375'9 Phone
Wi~
'y of Springfield Official Receipt
_ .;velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
COM2004-00370
Payments:
Type of Payment Paid By
CreditCard
4/19/2004
RECEIPT #:
1200400000000000505
Date: 04/19/2004
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
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-
Sidewalk Permit
Curbcut Permit
Curbcut - 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 - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
BRUCE WIECHERT
djb
000359
009466 In Person
Payment Total:
Page 1 of 1
2:52:39PM
Amount Due
31.00
1,000.00
50.00
682,65
254.00
12.00
18,00
9.00
6.00
4.00
15,00
12.00
10.00
75.00
75.00
35.00
(30.00)
916.11
475.44
361.41
164.89
727.42
314.63
214.23
10.00
105.50
53.71
71.00
74.39
106.27
$5,853.65
Amount Paid
$5,853.65
$5,853.65
Installation, Alteration or Relocation
200 Amps or le~s l
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Am
D.
O,\\'O~e~\!. ~'t~gtiI'lIf,@t rrension Per Panel
. e<J \ 1\'11'1 . a'(\':i Sl..-I.J
~ .. ~i>\'O\. \eO \)'t:?~~tl.itf'~ 9 e? .
/ " 'E.~\-;' \'-- ~l\O?' "\\;\~~c%~'(ilQ:~bCl~u~~r wIth
Owners Name~UJr L \ 6w'~\~~~~O\~~\5~: \~f~~~~
.I.l'.J... ~ _ .,. ,.- J,~O~ :o\~'
Address LJlf\~ ~.l.JU.-~~.' ~~~-~a'l 0 'leX,
City c,..)..") ~~ 1:\(U Phone' . ~ ~~,~:O. \f~?~~~~ion $ 50.00
- . . - 0.'\" - \0" . "
C ;oe\..r _.r Sign/Outline Lighting $ 50.00
OWNER INSTALLATIONf\'~((\ ~~ . L~m~ted Energy{l\,,~W~f\" $ 25.00
The in.stallatio s be' g made on property I OWf!Jw1&t1.. j S\-\M..~'t~~~ ~li~~S"~\ $ 45.00
IS not mte e or Ie ase or rent. ~ :.5 ?t.l\~~i~\~~i~ ~eUt\lOOection Fee is $45.00 + Surcharges
~ers .J~~~~C(4) SO .00
\}..) '( "\ ~O Of\'{ -"l c:: ~
l\\'i 7% State Surcharge tJ ....)l.I
10% Administrative Fee S ,,00
S9J.~
1.
~5L\ C'1\o rotoo.. ~
LEGAL DESCRIPTION
t~OID\a \.\ \:J::li)
JOB DESCRIPTION
::~n~~n~~~'ki'
not started within 180 days of issuance or if work is
Suspended for 180 days.
2
//
/
City
I
Phline
l
I
.y
I
um~
/f
Supervisor License
/
J
/
Constr. Contr. ~~ber
,
Expiration Date
f
te
v
Inspection Request: 726-3769
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
$106.00
$ 19.00
$50,00
B.
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
$ 50.00
$ 69.00
$100.00
E10[JO
$ 43.00
$ 3.00
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc
'j
Ii
105.50 . ! 1079
$53.71 .1078
i
=, $3,343.34 I
--,,--,,--:_~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN l . ,ORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00370
NAME OR COMPANY: Custom Homes
LOCATION: 4054 Cherokee Drive
TAX LOT NUMBER: 18020611 tl13000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1308 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F, CHARGE
I 3159.00. $0.290 = $916.11
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I DISCOUNT
0.00 $0.290 50% = I $0.00
10424
$916.11
$916.11
$475.44
$361.41
$836.85
COST PER TRIP
$17.23
x NEWTRIPFACTOR
1.00
$164.89
x I NUMBER OF UNITS x
I 1
x INEWTRIPFACTORI
I 1.00
ITEM 3 TOTAL - TRANSPORTATION SDC
= ,
. COST PER TRIP
$76.01
$892.31
$727.42
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 1 I $314.63
=
$314.63
B. IMPROVEMENT COST:
I NUMBER OF FEU's
I 1
x ICOST PER FEU
, $214.23
=
$214.23
$0.00
$10.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD<
= ,
= ,
$538.86
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE l=
I $3,184.13 j 5%
TOTAL SANITARY ADMINISTRATION FEE:
$3,184.13
--
CHARGE
$159.21
TOTAL TRANSPORTATION ADMINISTRATION FEE:.
Virginia Jurasevich
PREPARED BY
4/14/2004
TOTAL SDC CHARGES
DATE
r./1
ILl
Cl
o
U
0:::
ILl
E-<
r./1
>-<
t)
~
1070
1091
1092
1093
1094
1054
1055
1054
1056
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
. "
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
o
o
o
3
o
2
1
o
o
6
o
21
II
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 RA TE/$1 ,000
ASSESSED VALUE
$5.04
$5.04
$4.95
$4.88
$4.75
$4.58
$4.41
$4.20
$3.88
$3.50
$3.07
$2.60
$2.14
$1.71
$1.52
$1.38
$1.19
$1.03
$0.87
$0.68
$0.46
$0.27
$0.09
$0.04
TOTAL MWMC CREDIT
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.04
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
VALUE / 1000 CREDIT RATE
$0.00 x $5.04 = ,
o
o
1979
= ,
$0.00
o
=
$0.00