HomeMy WebLinkAboutPermit Building 2002-8-6
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225 Fifth Street
Springfield, OR 97477
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I Job# 02-00783-01 I
Page 1 ,of 5
TRANB#; 01--0010203
DATE;AUG 06 2002
{4r1T RECD:2 $ 5757 a18
CHANGE;
CASHIER; 032
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00783-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3601 Osprey Dr Spr
Assessors Map#: 17021943
Lot: 116 Block: Addition: 1 st
Owner:
Address:
Tax Lot #: 05900
Subdivision: ambleside
Tom Wirfs Enterprises Inc
Po Box 237
Phone Number: 541-747-8704
City/State/Zip: Springfield, OR 97477
New . Value: $162,908
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr ,
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Tom Wi'rfs Enterprises Inc
Po Box 237, Springfield, OR 97477
Bills Electric
3170 West 11 th Street, Eugene, OR
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
Home Comfort Heating & Air Conditio
PO Box 24205, Eugene, OR 97402
R '. .~.-t",'~ ':T.#r\1\'E"'~"'~'t"" ''''D' "t"'r'lUlres \p'~lill tn
egl,s,...a 101Tl1i.J1' .~q!)II;a 'Ion<' a e'l J one
329aftllow rules c6l28't2.tfo~Y the OreP5~ ~~~,9!~704
Notification Center. I hose rules are set 101 tll
in OAR 952-001-0010 through OAR 952-001-
210~90. You ma~/€Wg.G,E}topies of t54)1r~,ffi8ilJ.1:a51
calling the center. (Note: the tel~~ho~e
841621umber for t6125120'@~n Utility N5U\I~fJ5~~838
Center is 1-800-332-2344).
84164
6/25/2003
541-345-2838
3RNC
1
(VN) Wood Frame
Gas
Office Use
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1972
To request an inspection call the 24 hour recording at 726-3769, All inspections 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
working day.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Shear Wall Nailing
Framing
Wall Insulation
Required Inspections
I Building I
- To be made after excavation but prior to setting forms.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
-After trenches are excavated. Nfl
- After forms are erected but prior to 'C'6f1lrYf~jlacement.
-Prior to floor insulation or decking. THIS PERMIT SHAll EXPIRE IF THE WORK
-Prior to decking, AUTHORIZED UNDER THIS PERM T
- B~fore covering sheathing with fini{t{)frtFf~ftrPa~ED OR IS ABANOONEti F IS NOT
- Pr~or to cover. ANY 180 DAY PERJOO OR
- Prior to Cover ·
Drywall
Bolts installed in
concrete
Hold Downs Installed
Vapor Barrier/Insulation
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
I Job# 02-00783-01 I
Required Inspections
Building
Page 2 of 5
- Prior to taping.
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildin!
- To be (Tlade after insulation and required vapor barriers are in place, but prior to any wall coverir
- When all required inspections have been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
- Prior to cover.
- Must be approved to obtain permanent power.
-When all electrical work is complete,
I Plumbing
- Prior to insulation or d~cking. ,
- Prior to cover or placement of concrete.
- Prior to cover.
-Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill.
6'
- When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance, Pressure tes
~ When all gas work is complete.
-When all mechanical work is complete.
I Public Works I
- After forms are erected but prior to placement of concrete
- After forms are erected but prior to placement of concrete
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 5 3
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/000000:00:00 '
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers .
1: 2002-07-0190 2:
Comments:LDAP
I Job# 02-00783-01 I
Overlay District:
# of Street Trees: 3
3:
Planner:
Urban Growth Boundary? D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 1972 AccessoryB06
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Additional Requirements:
Required Attachments:
Source locn:
Material:
Page 3 of 5
land Use: Single Family Dwelling
Pave Driveway? 0
Flood Plain FEMA: Panel 1153 of 2975
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 25
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2778
Paid On Receipt#
. Plan Check
07/01/2002 9793
Building
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
Electrical
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
Plumbing
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
Mechanical
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
08/06/2002101203
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
Value/Quantity
Fee Amount
162,908
$500.76
$500.76
162,908
$770.40
$53.93
$61 ,63
$885.96
$,00
$50.00
$3.50
$4.00
$57.50
1
$.00
$306.00
$21.42
$24.48
$351.90
1
1
$9.00
$4,00
$,00
$5.12
$12.00
$24,00
$9,00
$6,00
1
4
1
1
Job# 02-00783-01 1
Paid On Receipt#
Mechanical
08/06/2002 101203
08/06/2002 101203
, .
Fee
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee'
Property Annexed 1997
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Engineering-Res
Planning-Res
Liz Miller
Planning-Res
Liz Miller
Structural-Res
Bob Barnhart
Page 4 of 5
Value/Quantity Fee Amount
$10.00
$4.48
$83.60
Public Works
08/06/2002 101203
08/06/2002 101203
08/06/2002 101203
85
1
1
$75.00
$75,00
$-30.00
$120.00
System Development
08/06/2002
08/06/2002
08/06/2002
08/06/2002
08/06/2002
08/06/2002
08/06/2002
08/06/2002
08/06/2002
08/06/2002
101203
101203
101203
101203
101203.
101203
101203
101203
101203
101203
2,568
1
1
$724.25
$34.83
$10,00
$152.15
$-18,19
$332.86
$709,81
$160.87
$618,52
$470,12
$3,195.22
29
1
1
1
28
28
Willamalane SDC
08/06/2002 101203
$1,000,00
$1,000.00
Planning
08/06/2002 101203
1
$55,00
$55.00
Permits w/o Srchg
08/06/2002 101203
Date Completed
07/02/2002
08/01/2002
08/02/2002
07/31/2002
08/02/2002
1
$8.00
$8.00
$6,257.94
Comment
Forwarded to Liz, Plan cannot be processed
as submitted, Driveway to close to intersecting
curb.
24 ft driveway throat only. Applicant has not
applied for overwidth.
Faxed information on driveway distance from
curb return. Does not meet code.
Spoke with Tom Wirfs on 7/30/02. Changed
driveway opening to begin 30' from intersection
curb return, Needs to pick up LDAP
. .
I Job# 02-00783-01 I Page 5 of 5
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 701.055 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 read ble from the street, that the permit card is located at the front of the property, and the
approved ~e. f lans will remain on the site at all times during construction, I ' /
Q () ff/ it" i {)z/
/ Signature . I Date J t-
, ,
B. Services or Feeders
, )nstallation,
~L ,:.:,..: '-,'" "Relocation'
~ "
;... ""'/ "'~'o"'lt'~\!;fO"'lI'.,~QrdRO;:.J~',~,
01 /'_~~'f'.j.~6\\. V'""-,<-.J n?'-SAI":..
,~~~~~\ y :"'~:~;:t.:,::": ~~6 n.\~GS ~2~'0;~~p'~~~orless ",
2r'<<ca.:~1 -"'{".. 1 ~\b'"'D .(.;gw.~\l Df201'"'aillp,s,to 400 amps'
1(',,"\C~2""Jd'l ~,\il I. ,," ~" 't' ~H\'''L.. <, ., n
City hOrlt'lh v .'.- ::".:,:' l",m;>,",':':': o. 40<.1' a l'RS to,600 amps ". <
, ,~;L'1i;~, Y .:~SC. )'0:': ,; .."':17'" i\",;};':_:,;~\,~"~"e@:lrcmlprt~ 1000 amps
SupervisrrLic~~~ : b~r C31mn)i \'~~,~;;~I(m\t"~@s,(;f\q:O'Q6'af\lPs/vqlts "A
; (.h;,' <''I " . ."' ,:}<,.,L.;. ~,<;i,'Reconhect Oniy ~s
:~;:::~mbe"X. 'c"~:i;:~~~l~!~:!!~::f.;l~ion'
:' '<~":"::,,:<'<,: <.Y;,- "A \ "B" above ""'<':<<';:;:;:';};.:~~.;{'J;~"
. _' . ~ J /"-~,^ ", ." ,:..
....-
",' Er:,:E~~ KlC1\.L.'PEwYrrT ABPLICATTON,)' ,<' '
~\Z.:;~';:l t:~;\j<~~; ,.r ,.:' (:,~: ;.{ii:~~: ~/ . ,,': < :::Ji;i;SO\,;:2C J
;ft{CifyJob Nrimber~!:~'C)~:':;"t(.'-:;<nw;
3,;j;GO~L~rE FE';::;;'.,:> ~'a(5:~\:i~~;;;'_:
~:!'::~n ~r:::,i r.::'?',,~ ,::" ~JL:.r::g:
'A~"<Ne,)>Residentiiil~Singie or>::' .
Multi-Family per dwelling unit.~t/,;;;J
Service Included:
~:, ,
Items Cost S;vm.;};
}:_I~ ~.: ,:I'
JOB DESCRIPTION r.('\
-\,04 ~JlJt \U\ ~~
Permits are lion-transferable and expire
if work is ndhtarted within ISO days
of issuanceoi!;if work is suspended for
180 days,; .'
2,\N~~i.OR iSTALLATION 0
Electn l' Contractor ":",
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106,00
$ 19,00
$ 50,00
. ': ~':~~: ~
Address
,:, .<~<:~t~:: ~ '~'~""
'$ 63.00'
~2.5"00
$125.00'
$163.00
", $375,00 ...,~.
$,50JjO
_,"J
;,.f,'-_:,;,:i-:.-> . .
CC$50:00"'SJ.00
'~$6?, 00 ,:
,'$joo,oo
D. Branch Circuits :;'';
,.~~-vi~e'di.~ame : Ne\::~~t~r5tion or.~~tension Pertpahel.".
"' _ _, ~ If <'.''":. . . ;:"
",!i5~d,~'~,:, sc', on,'g,~onit~ ,~) . .., "
..: i1~"'~t~~~1~t~~i~~~~~1 ~~ ~ A'4@~~~~ti~~:i~ c'rf~i:O' willi s;iVt ';~oo'
"~T~le in~tallation is ,lJeing made on ;, <<iJ~i1o ij~~~ervice/feeder not include~I),: " ,
" ..,. ,property I o~vn ~vl~ich}s not i.fC!~~~Ot]N\1~\1 i;j 0 l~i~lJation" ,.:' " .' . '.'
,',,' """" for sale, ',leasy or ~ent.: .(O'N '~i ci <s~Hl ~'3(jN~ (Q]~ 11' fgation ,> ',", ",$50.00
, ." "<"'~"':" :,:,\. 't\t\ ~~lcl){3111\fH~! 0' WI &~Light}ng $.50,00
Owners Signature:' .~:~~O , ',.' 1"1 " ~ l~~rgylRes.. / $25.00
, ~ ";">,',>""",,<" 'J}';<!'~;,;,:~;i:',:<'I"iinit~%, ~rei~/coByri" $45,00
gno" \'-1.'rJ:,f'\lJ' I
~/ ~J ;..,!.':u;;'n~:;'IVt:J. .
. -If:~r' .iU~jn;,' ,'i,.
~.:I~ ~V1-fl:J
n-I ;; I CIG. ',' f.i,
,J. Ll:l6~ *'
'"?002/Jj{1' ,q
\-' . ~:(';'~i,~' ":.:;:...
86[.\) !.vU....l-t)
~ /~r'~v/:; "..; ":'
I;':' ;'J,",;'
. <."
l\'iinimu~~JtI~cp:'ict~r'init.inspection Fee is 545.00 + S~rcllarges
4. sUBtbT1L~6;;~~ovE f10.dJ
7% Stat~Sur~harge , - .~ 00
8% AdministrativeFe~ 3 .s()
5'] . SO
,::-,<..',
TOTAL
. --
CITY OF SPRINGFIE.L~ SYSTEMS DEVELOPMENT CHM:l~E WORKSHEET
JOURNAL OR JOB NUMBER: 02-00783.01
NAME OR COMPANY: Tom Wirfs Enterprises Inc.
LOCATION: 3601 Osprey Drive
TAX LOT NUMBER: 17021943 tl5900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2778 SF LOT SIZE:
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F, COST PER S.F.
x
2568.25 $0,282
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS s.F.1 x COST PER S.F. lx, DISCOUNT RATE I
0.00 $0.282 50%
, ITEM 1 TOTAL - STORM DRAINAGE SDC'
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I COST PER DFU
x
28 , , $22,09
B. IMPROVEMENT COST:
NUMBER OF DFU's I x COST PER DFU
28 $16.79
I ITEM 2 TOTAL - CITY SANITARY SEWER ~~C
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE I x NUMBER OF UNITS x COST PER TRIP I x NEW TRIP FACTOR
9,57 1 $16.81 1.00 =1
B. IMPROVEMENT COST:
ADT TRIP RATE NUMBER OF UNITS.
x x
9.57 1
I ITEM 3 TOTAL - TRANSPORTATION SDC
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's - COST PER FEU
x
1 $332.86
B, IMPROVEMENT COST:
NUMBER OF FEU's COST PER FEU
x
1 $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOT~ (ADD ITEMS 1,2,3, & 4)
5, ADMINISTRATIVE FEE:
SUBTOTAL ADM. FEE RATE
x
$3,043.07
5803
=,
$724.25
SF
CI)
~
Cl
o
u
~
~
~
CI)
~
c:J
~
~
=1
=1
$0.00
$724.25
11070
=1 $618,52 1091
=1 $470.12 I j.1092
=1 $1,088.64 I 1.
'I
COST PER TRIP · . NEW TRIP FACTOR I
x
$74,17 1.00 =1
=r
$160.87
$709.81
$870.68
1093
l 1094
l
=1 $332,86
=1 $34,83
=, ($18.19)
=1 $349.50 1055
=1 $10.00 1056
=1 $359.50
=1 $3,043.07
=,
TOTAL SANITARY ADMINISTRATION FEE: I
TOTAL TRANSPORTATION ADMINISTRATION FEE:. 1
5%
Steve Templin
SDC COORDINATOR
8/2/2002
DATE
$152.15
102,79
$49.36
TOTAL SDC CHARGES = $3,195.22
I !
, 1079
L 1078
.. " ,~.
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
( # NEW - UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BATHTUB ( 3 0 ) x 3 = 9
DRINKING FOUNTAIN ( 0 0 ) x 1 = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 )x, 2 = 0
CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIALIRESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x" 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 4 0 ) x 1 = 4
URINAL, STALL / WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 3 0 ) x 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 28
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4,92 1990 $2,06
1980 $4,83 1991 $1.64
1981 $4,77 1992 $1.45
1982 $4,64 1993 $ \.31
1983 $4.47 1994 $1.13
1984 $4,30 1995 $0,97
1985 $4.09 1996 $0,82
1986 $3,78 1997 $0,63
1987 $3.41 1998 $0.41
1988 $2,98 1999 $0.22
1989 $2,52 2000 $0.04
VALUE / 1000 CREDIT RATE
28.872 x $0.63 =1
0,000 x $0.63 =1
TOTAL MWMC CREDIT =1
$18.19
$0,00
$18.19