HomeMy WebLinkAboutPermit Building 2004-4-2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/0212004
VALUE: $ 135,962.40
SITE ADDRESS: 4033 Cherokee Dr
ASSESSOR'S PARCEL NO.: 1802061112000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR, Lot 21 Shady Creek
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
Phone Number: 541-686-9458
I CONTRACTOR INFORMATION'
Contractor Type
General
Mechanical
Plumbing
Contractor
BRUCE WIECHERT CUSTOM HOMES INC
COMFORT FLOW
STEVE R JOHNSON
Phone
541-686-9458
541-726-0100
541-342-3765
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
10.00
13.00
14.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
License
101717
460
65065
Expiration Date
09/16/2006
06/27/2004
03/12/2006
BUILDING INFORMATION'
1
R-3
# of Stories: 1 Lot Size:
Height of Structure 21.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
-rTENTIOI'!.I')YeC10ii \:1W rell\D\\ietVWtl~ SQrface Area:
JY.., I ,-" ,.,-. ". ,. r'\..';i?1.... Iltilit}'
I DEVELOpMi~NlfVfNF~~ljpiV-~;s~ ;~;'~are S6\u.itl;
....UlIlIR~;2.001-001 0 \h,rough OAR 9BMlfi]rkED PARKING
ove~r3-~~ty U rnay obtmln caple,S of the rwllf: t 2
# StrPe~~fFs. JJ'~~e center; (Note:~'\e teleP!lgJ'j\ftcapped:
Paved ~Wm~~aror the Oregon ~~~ty Notlf~aA\plkt:
% of Lot Cover~~tP.ris 1-800'3~2344).
5,850
1,361
VN
420
3
I PUBLIC IMPROVEMENTS I
NonCE: Sidewalk Type: , Curbside 5'
THIS PERMIT SH Downspouts/Drains: Curb and Gutter
AUTHORIZED UN3~~ ;~PIRE IF THE WORK
COMMENCED OR IS ABAJ~ PERMIT IS NOT
ANY 180 DAY PERIOD. DONED FOR
Fully Improved
Yes
Notes:
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 135,962.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ,
DwelliDl~s
Garag:e
Tvpe of Construction
V Wood Frame
Garag:e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,361.00
420.00
Value
Date Calculated
Description
Total Value of Project
$125,756.40
$10,206.00
$135,962.40
03/18/2004
03/18/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 3/18/04 1200400000000000340
-Mechanical Issuance Fee- $10.00 4/2/04 3200400000000000027
+ 10% Administrative Fee $106.27 4/2/04 3200400000000000027
+ 7% State Surcharge $74.39 4/2/04 3200400000000000027
2 Baths One or Two Family $254.00 4/2/04 3200400000000000027
Addressing Assignment $31.00 4/2/04 3200400000000000027
Building Permit $682.65 4/2/04 3200400000000000027
Curbcut - Overwidth Appl $35.00 4/2/04 3200400000000000027
Curbcut Permit $75.00 4/2/04 3200400000000000027
Dryer Vent $6.00 4/2/04 3200400000000000027
Exhaust Hoods $9.00 4/2/04 3200400000000000027
Furnace - up to 100,000 btu $12.00 4/2/04 3200400000000000027
Gas Fireplace $15.00 4/2/04 3200400000000000027
Gas Outlets 1-4 $4.00 4/2/04 3200400000000000027
Heat Pump $12.00 4/2/04 3200400000000000027
Plan Review - Planning $71.00 4/2/04 3200400000000000027
PW MuIt Disc - 2nd Permit $-30.00 4/2/04 3200400000000000027
Sanitary Sewer - Improvement $309.78 4/2/04 3200400000000000027
Sanitary Sewer - Reimbursement $407.52 4/2/04 3200400000000000027
SDC MWMC Administration $10.00 4/2/04 3200400000000000027
SDC MWMC Improvement $214.23 4/2/04 3200400000000000027
SDC MWMC Reimbursement $314.63 4/2/04 3200400000000000027
SDC Sanitary/Storm Admin $99.80 4/2/04 3200400000000000027
SDC Transpo Admin $54.08 4/2/04 3200400000000000027
SDC Transpo Improvement $727.42 4/2/04 3200400000000000027
SDC Transpo Reimbursement $164.89 4/2/04 3200400000000000027
Sidewalk Permit $75.00 4/2/04 3200400000000000027
Storm Drainage Impervious Area $929.16 4/2/04 3200400000000000027
Temp Power 200 amps or less $50.00 4/2/04 3200400000000000027
Vent Fan $18.00 4/2/04 3200400000000000027
Willamalane Single Family $1,000.00 4/2/04 3200400000000000027
Total Amount Paid $5,841.82
Pag:e 2 of 4
.~u;:::
...
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 135,962.40
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews I
Initial Review 03/1912004 03/23/2004 APP LLH Delay in initial review due to school
week of 3/15 through 3/19
Plannin2 Review 03/23/2004 03/31/2004 APP TAJ
Public Works Review 03/23/2004 03/30/2004 APP VRJ 30 ft max approved for overwidth
driveway.
Structural Review 03/23/2004 03/29/2004 APP 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.
~eouire<Unsnections 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.
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 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
31 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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 Shear 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 installed 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 work is complete.
Pa2e 3 of 4
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00297
ISSUED: 04/02/2004
APPLIED: 03/18/2004
EXPIRES: 10/02/2004
VALUE: $ 135,962.40
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 e 1 ployees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all equired' spec 'ons are requested at the proper time, that each address is readable from the
street, that the permit ca is 1072ated at t e fr t f the pro ert d setVt.lf pi os win r~m '6 on the site at all
times during co rucf . .
(. 4J/J~ O<t
Owner ~ntrac~rs Signature v Date / /
Page 4 of 4
r;, 225 Fifth Street
Springfield, Oregon 9747.7
541-726-3759 Phone
City of Springfield Official Recei{
Development Services Departmell
Public Works Departmell
3200400000000000027 Date: 04/02/2004 2:50:09P~
Job/Journal Number Description Amount Du
COM2004-00297 Addressing Assignment 31.00
COM2004-00297 Willamalane Single Family 1,000.00
COM2004-00297 Temp Power 200 amps or less 50.00
COM2004-00297 Building Permit 682.65
COM2004-00297 2 Baths One or Two Family 254.00
COM2004-00297 Furnace - up to 100,000 btu 12,00
COM2004-00297 Vent Fan 18,00
COM2004-00297 Exhaust Hoods 9.00
COM2004-00297 Dryer Vent 6.00
COM2004-00297 Gas Outlets 1-4 4.00
COM2004-00297 Gas Fireplace 15.00
COM2004-00297 Heat Pump 12,00
COM2004-00297 ~Mechanical Issuance Fee- 10.00
COM2004-00297 Sidewalk Permit 75.00
COM2004-00297 Curbcut Permit 75.00
COM2004-00297 Curb cut - Overwidth Appl 35.00
COM2004-00297 PW Mult Disc - 2nd Permit (30.00
COM2004-00297 Storm Drainage Impervious Area 929.16
COM2004-00297 Sanitary Sewer - Reimbursement 407.52
COM2004-00297 Sanitary Sewer - Improvement 309,78
COM2004-00297 SDC Transpo Reimbursement 164.89
COM2004-00297 SDC Transpo Improvement 727.42
COM2004-00297 SDC MWMC Reimbursement 314.63
COM2004-00297 SDC MWMC Improvement 214,23
COM2004-00297 SDC MWMC Administration 10,00
COM2004-00297 SDC Sanitary/Storm Admin 99.80
COM2004-00297 SDC Transpo Admin 54,08
COM2004-00297 Plan Review - Planning 71.00
COM2004-00297 + 7% State Surcharge 74.39
COM2004-00297 + 10% Administrative Fee 106.27
Item Total: $5,741.82
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Pai,
CreditCard BRUCE WIECHERT CUSTOM djb 000343 037699 In Person $5,741.82
Payment Total: $5,741.82
4/2/2004
Page 1 of 1
Lf 03 's
LOCATION OF INSTALLATION
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. FAX: (541)72~~~'" ~o
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COMPLETE-FEE SCHE!l~ ~~~Hl
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225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL PERMIT APPLICATION
City Job Number CC>i-'1 200 ~ -cx->Z 97 Date
1.
LEGAL DESCRIPTION
{<g-oZ-obf (
JOB DESCRIPTION
A. New Residential- Single or Multi-Family per dwelling unit.
\ZOO()
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
I c-VCA P
PD'r/c-(L
$ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50.00
2.
CONTRACTOR INSTALLATION ONLY
B. Services or Feeders - Installation, Alterations or Relocation:
i,\:"\';:-;
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps t~) t 000 Amps
Over, lOO~'M~s'N olts
, .~~~~t\~&,\()',
\",.;;, (. 'A\0 r ,)
'\ . s'" 9''>'"'' \
,(;t, (~~~~y~~~~ces or Feeders
, " ,. 'fj'0 ..' ,\ \e ()\\e
'" r ,.,)' (\n. \"
~n:stattJ!~Qj~~~.tftin or Relocation
. fi{f' 61-1' 's /
,.2.: . \~ ,,,tS~ I
.J9:1l\AlPsIt0 400 Amps
.~'-, '...f' .' t). "
~ ?:Wq Amps to 600 Amps
.I.
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
Electrical Contractor
Address
City
Supervisor License Number
Phone
/
-'\' ,~. ,r
, r't.~..:
\ II.' r -:--.'1.' \0" ",. . r
;.."\\<<'~J~~" .'~,' .~'
$ 50.00
$ 69.00
$100.00
s-o
Expiration Date
Constr. Contr. Numbet'
Expiration Date/
Signature of ~cipervising Electrician
i
New Alteration or Extension Per Panel
,I
One Circuit $ 43.00
Each Additional ~jr~i~,' \\vith .,
Own", N,me (;r.A<L' t/.~~-L.dv 1-. . S~S";~\i>.{~~~~ll \ $ ,.00
Address 3"3) S- ~~Q..\c... ~:~1I,~:~' \~:;\ S~~\~~~~~~~t~cW~e/feeder not included) -Each Installation
_\ \"<~,,;-r0 \j\',V 'C ~r0('\\..j
c-L,( G- Phone :,_;'\'\;(?':~~Sj) \j1l~~ rQ~ i~igat.ion. $ 50.00
" ,'; 1 '::..\....'~ ,J u uthne Llghtmg $ 50.00
,\\,\\,,'Itl - DiJ.~' \
OWNER INST ALLA TION \.;, \~~ "\ S',) , Limited Energy/Residential $ 25.00
The installation is being made on property I own~which Limited Energy/Commercial $ 45.00
t57ZZ2
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City
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
7% State Surcharge
10% Administrative Fee
~D
- J <:.;
5'
..:; 00
Inspection Request: 726-3769
TOTAL
-0\.(.)
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Shared Drive(T:)/Building Fonns/Electncal Pennit Application I-03.doc
. '
CITY.oF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00297
NAME OR COMPANY: Bruce Wiechert
LOCATION: 4033 Douglas
TAX LOT NUMBER: 18020611 tll2000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE'
NEW DWELLING UNITS I BUILI:?ING SIZE (SF: 1729 LOT SIZE (SF):.
I. STORM DRAINAGE
DIRECT RUNOFF :TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. I I CHARGE
3204.00 $0.290 = 1 $929.16
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CI1:Y STANDARDS
IMPERVIOUS S.F. x COST PER S.F. , xl DISCOUNT RATE I DISCOUNT
. 0.00 $0.290 I 50% I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC .J $929.16
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x COST PER DFU
'18 $22.64
B. IMPROVEMENT COST:
, NUMBER OF DFU's I x COST PER DFU
I 18 " $17.2]
ITEM2 TOTAL - CITY ~ANI'rARY SEWER SDC =,
3. TRANSPORTATION
A. REIMBURSEMENT COST: ,
I ADT TRIP RATE 'I' x I NUMBER OF UNITS x
, 9.57 ' ,I I
B. IMPROVEMENT COST: ,
I ADT TRIP RATE x NUMBER OF.UNITS x I
I ' ,9.57 I I
. ITEM 3 TOTAL - TRANSPORTATION.SDC = I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST: .
'NUMBER OF FEU's I x 'COST PERFEU
I , ' $314.63,
B. IMPROVEMENT COST:
INUMBER OF FEU's I x. 'COST PER FEU
, I "$214.23
, MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMCADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SAN IT ARY SEWER SD<
SUBTOTAL (ADD ITEMS 1; 2, 3, &4) .
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ; ADM, FEE RATE
$3,077.63 ,I ,. 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
= ,
- I
-'
$717.30
I
5850
$929.16
$407.52
$309.78
$164.89
$727.42
$314.63
= , $214.23 11055
=c' J $0.00 1054
= 'I $10.00 1056
99.80 11079
I $54.08 11078
~ I $3,23\.51 i
,3/30/2004
Virginia Jurasevich
PREPARED BY
DATE
COST PER TRIP
$17.23
x NEW TRIP FACTOR
'1.00
COST PER TRIP
$76.01'
$892.31
x I NEW TRIP FACTOR
I 1.00
, I
$538.86
I
I
$3,077.63
CHARGE
. $153.88
TOTAL SDC CHARGES
C/)'
fl.1.
Cl
o
I ~',
fl.1.
E-<
C/)
-
t;l
gB,
1070
1091
1092
I
1093
1094
- 1054
, .
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU'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 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
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 11000 CREDIT RATE
$0.00 x $5.04
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $5.04
TOTAL MWMC CREDIT
=
o
o
1979
$0.00
o
$0.00