HomeMy WebLinkAboutPermit Building 2006-11-30
Status
Issued
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01142
ISSUED: 11/30/2006
APPLIED: 09/01/2006
EXPIRES: 05/30/2007
VALUE: $ 469,040.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2211 Clear Vue Ln
ASSESSOR'S PARCEL NO.: 1703271204700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Clear Vue Estates subd lot 1
Residential
Owner: BAILEY HULBERG F AMIL Y
Address: 89363 FIR BUTTE RD #5
EUGENE OR 97402
Phone Number: 541-688-8676
I CONTRACTOR INFORMATION m
Contractor Type
Contractor
License
Expiration Date Phone
BUILDING INFORMATION I
# of Units:
I., Primary Occupancy Group:
1..1 Secondary Occupancy Group:
... Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
RiCl~CE: ~~~~t:~~~~~rx~ \f lHE ~9~f
I1H I S PER Mtype'1lt WeaTH I S p~~ ~ waI
vl).U1HORIZM}liHHFY8e: OONEO fo~as
NiI~~ABAN Gas
tCOMME ~ ~~. Path 1
ANY '\ BO in~ed Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load: '
8,784
2,700
1,720
530
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.65
10.00
10.66
22.33
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
4
Yes
41.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
-
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fully Improved -' -
Yes
Side'Yalk Type:
. ,
Curbside 5'
Curb and Gutter
Downspouts/Drains:
Notes: Rcvd rvsd driveway layout. Chnged SDC's10/4/06JLPStorm drainage to curb & gutter.Impervious area could
change if overwidth is not approved. Return to PW until approved by trafffic10/03/06.JLP
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 5
Status
Issued
2ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01142
ISSUED: 11/30/2006
APPLIED: 09/01/2006
EXPIRES: 05/30/2007
VALUE: $ 469,040.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
A.C. - Residen
DweIlin2S
Gara2e
AC - Residential
V Wood Frame
Gara2e
$4.00
$99.00
$26.00
4,420.00
4,420.00
530.00
$17,680.00
$437,580.00
$13,780.00
$469,040.00
09/01/2006
09/01/2006
09/01/2006
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $1,149.30 9/1/06 1200600000000001369
-Mechanical Issuance Fee- $10.00 11/30/06 2200600000000001632
+ 10% Administrative Fee $266.77 11/30/06 2200600000000001632
+ 5% Technology Fee $137.41 11/30/06 2200600000000001632
+ 8% State Surcharge $193.61 11/30/06 2200600000000001632
3 Baths One & Two Family $306.00 11/30/06 2200600000000001632
Addressing Assignment $31.00 11/30/06 2200600000000001632
Building Permit $1,768.15 11/30/06 2200600000000001632
Curbcut Permit $80.00 11/30/06 2200600000000001632
Dryer Vent $12.00 11/30/06 2200600000000001632
Exhaust Hoods $9.00 11/30/06 2200600000000001632
Fire SF Fee - Residential $247.50 11/30/06 2200600000000001632
Fixture $182.00 11/30/06 2200600000000001632
Furnace - up to 100,000 btu $24.00 11/30/06 2200600000000001632
Gas Fireplace $15.00 11/30/06 2200600000000001632
Heat Pump $12.00 11/30/06 2200600000000001632
Plan Review Major - Planning $198.00 11/30/06 2200600000000001632
PW Disc - 2nd Permit $-30.00 11/30/06 2200600000000001632
Sanitary Sewer - Improvement $989.53 11/30/06 2200600000000001632
Sanitary Sewer - Reimbursement $1,301.33 11/30/06 2200600000000001632
SDC MWMC Administration $10.00 11/30/06 2200600000000001632
SDC MWMC Improvement $961.52 11/30/06 2200600000000001632
SDC MWMC Reimbursement $91.61 11/30/06 2200600000000001632
SDC Sanitary/Storm Admin $223.51 11/30/06 2200600000000001632
SDC Transpo Admin $62.98 11/30/06 2200600000000001632
SDC Transpo Improvement $836.32 11/30/06 2200600000000001632
SDC Transpo Reimbursement $189.58 11/30/06 2200600000000001632
Sidewalk Permit $80.00 11/30/06 2200600000000001632
Storm Drainage Impervious Area $1,349.85 11/30/06 2200600000000001632
Temp Power 200 amps or less $50.00 11/30/06 2200600000000001632
Vent Fan $42.00 11/30/06 2200600000000001632
Willamalane Single Family $1,000.00 11/30/06 2200600000000001632
Total Amount Paid $11,799.97
I Plan Reviews'
Initial Review
09/05/2006
09/11/2006
APP LLH
Submittal day prior to holiday. I
was out the week of 5-8, plans were
not routed until today (9/11/06)
Pa2e 2 of5
:ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01142
ISSUED: 11/30/2006
APPLIED: 09/01/2006
EXPIRES: 05/30/2007
VALUE: $ 469,040.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review 09/27/2006 09/27/2006 APP LLH Revised Site Plan - Forwarded to
Planning
Plannin2 Review 09/11/2006 10/06/2006 APP TAJ 4 street trees required - 2 on each
street.
Public Works Review 09/11/2006 10/02/2006 WE JLP Waiting for overwidth application &
approval from traffic engineer.JLP
Public Works Review 10/04/2006 10/02/2006 APP JLP Storm H20 to curb & gutter.JLP
Structural Review 09/11/2006 09/28/2006 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.
l..Reouire~nsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
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.
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
High Strength Bolting: To be done during construction by a State Certified Special Inspector. Provide inspection
results to City Building Inspector.
Special Inspection: High Strength Bolting Inspection: To be done during construction by a State Certified Special
Inspector with approval from the City of Springfield. Copies of inspection results shall be provided to the City of
Springfield.
Special Inspection: Reinforcing Steel Mill Certificate Inspection: To be done during construction by a State
Certified Special Inspector with approval from the City of Springfield. Copies of inspection results shall be
provided to the City of Springfield.
Pa2e 3 of 5
~ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01142
ISSUED: 11/30/2006
APPLIED: 09/01/2006
EXPIRES: 05/30/2007
VALUE: $ 469,040.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Special Inspection: Masonry - Placement Inspection of Units and Reinforcement Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield.
Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield.
Structural Masonry: To be done during construction by a State Certified Special Inspector. Provide results to
City Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underslab Plumbing: Prior to fiIling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to fiIling trench and including required testing.
Sanitary Sewer Line: Prior to fiIling trench and including required testing.
Storm Sewer Line: Prior to fiIling trench.
Final Plumbing: When all plumbing work is complete.
Underslab Gas: After line is installed and required testing and capped if not attached to an appliance.
Underslab Mechanical. Prior to insulation or decking and including required testing.
UnderfIoor 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 Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Underslab Electric: Prior to cover
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Pa2e 4 of5
Status
Issued
':ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-01142
ISSUED: 11/30/2006
APPLIED: 09/01/2006
EXPIRES: 05/30/2007
VALUE: $ 469,040.00
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.
t~~ D~-
Owner or Contractors Signature (j
) l-tJ ~'-L'J h
Date
Pa2e 5 of 5
. ,
CITY OF SPfrNGFIELb SYSTEMS DEVELOPMEN~);t\)RKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
4022.00 $0.336 = $1,349.85
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT
I 0.00 I $0.336 I 50% = I $0.00
ITEM I TOTAL - STORM DRAINAGE SDC I $1,349.85
2. SANITARY SEWER - cny
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 50
B. IMPROVEMENT COST:
NUMBER OF DFU's x
50
COM2006-01142
Bailey Hulberg Family Trust
2211 Clear Vue Lane
o ..
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF:
COST PER DFU
$26.03
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$19.79
~I ) ,,() .
f-.-... ~ V I .s ~t.(
" I
/11/ (/ / /)[
I '-' , / VIO
I
3376 LOT SIZE (SF):
8784
$1,349.85
$1,301.33
$989.53
= I
$2,290.85
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x
9.57 1
B. IMPROVEMENT COST:
ADTTRIP RATE
9.57
x
I NUMBER OF UNITS I x I
I I I I
=,
4. SANITARY SEWER - MWMC
ITEM 3 TOTAL - TRANSPORTATION SDC
COST PER TRIP
$19.81
x I NEW TRIP FACTOR
I 1.00
$189.58
COST PER TRIP I x NEW TRIP FACTOR
$87.39 I 1.00
$1,025.90 ,
$836.32
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x
1
B. IMPROVEMENT COST:
INUMBER 7F FEU's
COST PER FEU
$91.61
x
COST PER FEU
$96 I .52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =,
=
$91.61
= $961.52 1055
$0.00 1054
$10.00 1056
$1,063.13
$5,729.73
. ..
CHARGE
$286.49
223.51 1079
..~. - $62.98 1078
--- -
TOTAL SDC CHARGES =1 $6,016.22
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
$5,729.73 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Jeff Prociw
PREPARED BY
10/4/2006
DATE
if!
~
Cl
o
u
~
~
r-<
if!
......
t:I
gz
1070
1091
1092
1093
1094
1054
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 2 0 2 = 4
ICLOTHESWASHER/MOP SINK 2 0 3 = 6
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG / WATER STATION /ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
SHOWER, SINGLE STALL 3 0 2 = 6
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 5 0 1 = 5
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 6 0 3 = 18
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 50
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's)_~;t ~t 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE 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
=1
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
Date
ZON L 1>2-
INITIALS N M
DATE \ \ - :3 0 .- 0 c;o
SOURCEY\fLfS{Y2- \ ~~
\ \ -3[): ~()O~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PC~ItAPJi'Ll:.cATION
City Job Number l!A Q , \ \~ V
1. . LOCATION OE INSTALlATION:
?J1J\'~ ~\li.JC"'-
I
, ..-.J
LEGAL DESCRIPTION:
JOB DESCRIPTION:
. \~? ~)Qx' lSkt0
Permits are non-transferable and expire :f\ork is
not started within 180 days of issuance 0 ~ork is
spended for 180 days.
CONTRACTOR
City
/
/
/hon,
lSer
Expiration Date
Owners Name ~\..\e 1 ,C ~ 'a>.;fC\.
Address. 9..~\rA 6f:.v 'B\.ilif ~~
C;ty f{)(~/ Phon, \0%''6.'6\01(0
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
<{~~~~~, R~~
I..~ -". - -- . t}
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
$106.00
$ 1'9.00
$50.00
B
NOTIC .
THIS P~MliIpt;b\-Acbk EXPIRE IF THE ~~RK $ 63.00
AUTHffiqlZ1:Ifjp~~@MV\~ PERMI.I I::' pjut $ 75.00
. COM M1.Cf!J ~sCqi\6R9 AfilAtJ 0 0 NED FO Ii $125.00
'ANY 18!ij rtMP~eR~B<m--mps $163.00
.' Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
c.
Installation, Alteration or Relocation \
,200 Amps or less
201 Amps t0400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
~D.rD
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. f{J,CQ
8% State Surcharge . -~.W
10% Administrative Fee r...cO
5% Technology Fee 71.- '.-:;U -
TOTAL 6.1 ~
Shared Drive(T:)/Building FormslElectrical Permit Application 8-06.doc
225 Fifth Street
~ :' I
Sprmgfield, Oregon 97477
541-726-3759 Phone
Cit-. <)f Springfield Official Receipt
D, .opment Services Department
Public Works Department
Job/Journal Number
LDP2006-00209
LDP2006-00209
COM2006-01l42
COM2006-01l42
COM2006-0ll42
COM2006-01142
COM2006-0l142
COM2006-0 1142
COM2006-0ll42
COM2006-0 1142
COM2006-01l42
COM2006-01l42
COM2006-0 1142
COM2006-01142
COM2006-01l42
COM2006-01l42
COM2006-0 1142
COM2006-0ll42
COM2006-01142
COM2006-0 1142
COM2006-01l42
COM2006-01l42
COM2006-01142
COM2006-01142
COM2006-01l42
COM2006-0ll42
COM2006-01142
COM2006-01142
COM2006-01l42
COM2006-01l42
COM2006-01142
COM2006-0 1142
COM2006-01142
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200600000000001632
Date: 11/30/2006
Description
LDAP Short Form
+ 5% Technology Fee
Addressing Assignment
WiJIamalane Single Family
Temp Power 200 amps or less
Fire SF Fee - Residential
Building Permit
3 Baths One & Two Family
Fixture
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
GaS Fireplace
Heat Pump
~Mechanicallssuance Fee-
Sidewalk Permit
Curbcut Permit
PW 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
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee'
Paid By
BAILEY HULBERG HOUSE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
BRC 1012 In Person
Payment Total:
Page I of I
10:21:29AM
Amount Due
300.00
15.00
31.00
1,000.00
50.00
247.50
1,768.15
306.00
182.00
24.00
42.00
9.00
12.00
15.00
12.00
10.00
80.00
80.00
(30.00)
1,349.85
1,301.33
989.53
189.58
836.32
91.61
961.52
10.00
223.51
62.98
198.00
137.41
193.61
266.77
$10,965.67
Amount Paid
$10,965.67
$10,965.67
11/30/2006