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Home My WebLink AboutPermit Building 2006-6-20 (2) ~ AD, 1IIl.~..IP_I.'~:, -~m'iYi",,,,"t,,:,:,,~l,,, I,' " . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00579 ISSUED: 06/20/2006 APPLIED: 05/17/2006 EXPIRES: 12/20/2006 VALUE: $ 128,160.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' SITE ADDRESS: ' 4584 Daisy St ASSESSOR'S PARCEL NO.: 1702324309500 TYPE OF WORK: Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence - Andrews Acres lot 2 Residential Owner: Address: MIKE BLANKENSHIP CORP 8063 THURSTONS ROAD SPRINGFIELD OR 97478 Phone Number: 541-746-0194 Contractor Type General Electrical Mechanical Plumbing 0\1 \0 ~l .\~eS ~ . \%\\\\" \a\f'J \U-. <~aO\\ - 'O~" I CONTRAC1'OR~l~QRN1.tlJ<a~e~.()(),\" \t.~ \ \V' '3.0o?\"'~ nose ${.- OJ:>.: 5 ~ s '0'1 Contractor '~'\ \ ~ ~u\eS e\,,\e~' '\ \n~o\lS1~eJ\s..~e ~\1 ~wiration Date MIKE BLANKENsmp.~<(Q.RP\ ~()\-()()'\ ~ co.g89 6e \e\e?~o ~\0\61/09/2008 G MILLER ENTERip.RI~~~IWle '3.~ o'o\'3.\\" ~dl.~i~ ~o\\\\ca: 11/10/2006 JUNG ENTERPRISES l~ "{ou ((\ ce\,,\e~. 9o\lM'4~ ',?)l\l$. 10/04/2006 DOUGS PLUMBING iNG.~\\\\"9 \~e t \ne O~~ o.()()I'Of63 11/24/2007 - '-;.U\ { "\''''''.. ~ I ~u.;~'fNG(t~F6RMATION I Phone 541-912-4582 541-741-2596 541-937-2688 541-688-3385 3 # of Stories: -- 1 Lot Size: Height of Structure 19.00 Sq Ft 1st Floor: Type of Heat: orced Air Electric Sq Ft 2nd Floor: Water Type: Electric Sq Ft Basement: Range Type: Electric Sq Ft, Garage/Carport Energy Path: _ ",Path 1 0' Sq'Ft Other: Sprinkled Building: n/a' Occupant..L~a4JO~\C.. . W . . ~\ni'~ It\ ;,0,\ DEVELOPMENT I . \~L\.. t.{\'\\S ~~~~\\:~~ " QR\lt.O U O~R ~~~~OQ,tQOiUlRED PARKING Overlay: Dist: ~U1r\ t.~Ct.O OR \S n Total: .2 # Street Trees I()fd~W1 aQ O~'{ tlt.R\Or" Handicapped: . Paved Drive Rq~~'l 'u Yes Compact: % of Lot Coverage: " 33.30 4,677 1,278 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U VN 360 I. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 5.00 5.00 28.00 20.00 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Setback 5' Curb and Gutter Notes: No hook-up to City infrastructure until Public Improvements accepted by the City; storm drainage piped to curb face 5/20/2006 CAS Pa2e 1 of 4 J . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00579 ISSUED: 06/20/2006 APPLIED: 05/17/2006 EXPIRES: 12/20/2006 VALUE: $ 128,160.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I V Wood Frame Gara2e $ Per Sq Ft or multiplier $99.00 $26.00 Square Footage or Bid Amount 1,200.00 360.00 Value Date Calculated Description Dwellin2s Gara2e Tvpe of Construction Total Value of Project $118,800.00 $9,360.00 $128,160.00 05/17/2006 05/17/2006 ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $5.00 5/17/06 1200600000000000662 + 8% State Surcharge $4.00 5/17/06 1200600000000000662 Plan Review Residential $428.94 5/17/06 1200600000000000662 Temp ~ower 200 amps or less $50.00 5/17/06 1200600000000000662 -Mechanical Issuance Fee- $10.00 6/20/06 1200600000000000916 + 10% Administrative Fee $119.68 6/20/06 1200600000000000916 + 8% State Surcharge $89.19 6/20/06 1200600000000000916 2 Baths One or Two Family $254.00 6/20/06 1200600000000000916 Addressing Assignment $31.00 6/20/06 1200600000000000916 Boiler/Comp Up To 100,000 btu $12.00 6/20/06 1200600000000000916 Building Permit $659.90 6/20/06 1200600000000000916 Curbcut Permit $80.00 6/20/06 1200600000000000916 Dryer Vent $6.00 6/20/06 1200600000000000916 Exhaust Hoods $9.00 6/20/06 1200600000000000916 Fire SF Fee - Residential $81.90 6/20/06 1200600000000000916 Furnace - up to 100,000 btu $12.00 6/20/06 1200600000000000916 Plan Review Major - Planning $198.00 6/20/06 1200600000000000916 Residence Wiring 1000 Sq Ft $106.00 6/20/06 1200600000000000916 Residence Wiring Ea Addtl 500 $38.00 6/20/06 1200600000000000916 Sanitary Sewer - Improvement $457.68 6/20/06 1200600000000000916 Sanitary Sewer - Reimbursement $601.68 6/20/06 1200600000000000916 SDC MWMC Administration $10.00 6/20/06 1200600000000000916 SDC MWMC Improvement $865.31 6/20/06 1200600000000000916 SDC MWMC Reimbursement $82.03 6/20/06 1200600000000000916 SDC Sanitary/Storm Admin $123.67 6/20/06 1200600000000000916 SDC Transpo Admin $66.09 6/20/06 1200600000000000916 SDC Transpo Improvement $805.70 6/20/06 1200600000000000916 SDC Transpo Reimbursement $182.69 6/20/06 1200600000000000916 Storm Drainage Impervious Area $790.06 6/20/06 1200600000000000916 Vent Fan $18.00 6/20/06 1200600000000000916 Willamalane Single Family $1,000.00 6/20/06 1200600000000000916 Total Amount Paid $7,197.52 . Pa2e 2 of4 ~~~8~.!I'-!~~; ~\ . I.. ' .' . l, . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00579 ISSUED: 06/20/2006 APPLIED: 05/17/2006 EXPIRES: 12/20/2006 VALUE: $ 128,160.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin2 Review I Plan Reviews I 05/18/2006 05/19/2006 APP LLH 05/19/2006 OS/25/2006 APP TAJ Survey required because of minimum side setbacks. 05/19/2006 OS/20/2006 APP CAS No hook-up to City infrastructure until Public Improvements accepted by the City; storm drainage piped to curb face 5/20/2006 CAS 05/19/2006 06/06/2006 OK RWC Public Works Review Structural Review 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. Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Curbcut - Standard: After forms are erected but prior to placement of concrete. 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. Roofing: Prior to installing any roof covering. 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. Underground Plumbing: Prior to filling the trench and including required testing. Underfloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Shower Pan. Prior to covering and including required testing. Water Line: Prior to filling trench and including required testing. Pa2e 3 of 4 GSIIIlINlGlmll:liDi, -;~It"~~"';(J'f"'\""'t",:=~l . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00579 ISSUED: 06/20/2006 APPLIED: 05/17/2006 EXPIRES: 12/20/2006 VALUE: $ 128,160.00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Temporary Electric: Approval required prior to Utility Company energizing pole. Final Electric: When all electrical work is complete. Low Voltage: Prior to cover. 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 ofany 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 recwired inspections are requested at the proper time, that each address is readable from the street, that the permit card is locat;t at the front of the property, and the approved set of plans will remain on the site at all Omes during 'O~:;;;J I "-- /ft I u I fa Owner or Contractors Signature Date' r Paee 4 of 4 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)72~3689 ELEt.;l1dCALPERMITp~LICATION /L.-.-rj' ~ City Job Number lli. u\ H Date \..t1~ dlJO . . l I... '.'. .., ...' ", . ". ..,.':..., j'..'.. "f 1. ':LOCAT.ION.OFINSTALLAt/ON.':, ,; > 3. . .'".. <.c....".;.. ..... '. -", \,;.: ." ,'~ - .'- _' .... "- ,,-. _>~ ,'" ., . _" .. ~~ ~:I.. LEGAL DESCRIPTION ' (J \'\01...?rL.~~ c::P\~ J&~Rll'f!ON~~~~ PermIts a~an'ferable and expire Ifwnrk I, not started within 180 days of issuance or if work is Suspended for 180 days. ' I€Qjrftlt.fET::bE~fXfilJj'iJq;)jEf:g",;': ... ';~,r.e '.' ':." !1 A. ~{~fi~~~ia~~!!~l::::';~i~~I~;~i~~~m~f!l~i1Y'p~l4~ei.'iItg ~Jl.it '.1 . Service Included tfi> 1000 sq. ft. or less \ $106.00 \\)\0. Each additional 500 sq. ft. or t1 _ 7 r/ portion thereof V $ 19,00 .;:> lS Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 2 1,/~d.mAAtfl'l)ifiNsT;.)t~i.itit.:i;;ON:@Ni./Y:~: B. .~~s~ri:ii~~':6;iF~;d~r~ ~';I'ii~t~ilati~~; A.It'er~ti~n's or Relocation: ',"~j . ~(I':.,/j',..:.t:t';>>l,;~'ii":;;,"'>.",:t(~~::\"'.~.'",,t..t;,~,:i"'L~V,""',;>~ ..st;*^~ "~~'#( ;. ,,~..u.>' ~ ,"'\ ,t., :"'- ",~' sit)ti"t~' -;,:;' ::', ',. .; .,' .,' r. d {'\ , laW reqlMe \J 'I't1 Electrical Contractor ~e'r'~.... c- t~cT ",ro"~'. C200J\1t!ps %\;s~regon t\ \ h $ 63,00 ~201t~m~~to 400-Amp'S1 set tort: . $ 75.00 .., a <"",/ I .J / _ -'. 0 n..1 ' C', lnOSe ,u,c~ . n 2.-001 Address r'\ 1c:J'f /TC^t.JUPJ.,J I.:)r KC1';.J'.-,vcJ40}f.AmpstosOgQ,4lnPs95 bIt $125.00 ; . .,. . "'0:\0 lllrU 'thp rules J d. . ~ ,,' J~'2-00 601 ~mpsJo~:N2Q.OrAmps "'e $163.00 City ';'-421. Phone '7(.jI-:iS'l~ YoU rna:b~g.t~Ho~~Wp.SLiV<ot~le.~hO~{on ~ $375.00 ---r vVV-'ling tl"t8 (Recifn'rie~H?p1J'lility Not\i\ca I $ 50.00 ca, r tor the ore~ 2-2.344). I ? / Cd S h\:lmbe. '\I~~~~'\1'Ub~'1~~'~I;~;'i\i'.~r"'''''''<'''' ',.:.~,)...," r" ", Supervisor License Number dO oJ '7 Q~l ,~I:ewp9.rl!ry":~~fYICes)I1!,_~e~~t:,rs . ,: J .' Expiration Date jD -J -() 7 87/~S //-ID-6( Installation, Alteration or Relocation 200 Amps or less -r- $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1 000 Volts see "B" above.: . """ .,..::, J s{~1/~ Constr. Contr. Number Expiration Date Signature of Supervising Electrician I:':;"";' ,..",,;' .'.,....'j."r'''. '" ,,,'..:" '. '''.....;..,... ".k~,. ..", r '. 'Y, ". ,.' ,'" ,<", ":'.~' '>,....... .. . t,' , D .<en""'';':)j''''''h-'~ #';t-.' ,'>1,1.'. '<:j. k ':::"",~".t":,i;,i~~ ',', \"\'~ ..>f.-r..~ ,'.- .....,. " I' . %i.ur~D~ .\~lrcult.S:,,,t~,'>(t(~,~,.l ',V,.. ::tA'{ ~~>\..;:.., "':. : :'. . -, ,."..' ~.,....'..".".:,...".,' .~',;t'-r,", ...,....:..,.....,.,,,'.' 't'.",....:.:.... '.,:" .. ::" --'.1,..' '''/ ,\.... '1 ..". \ Ii" " "";1 .~ ',".":;" ~t ..' ',~ , ,l" ,'" . \ , New Alteration or Extension Per Panel ; ./1 ~ ~ ' One Circuit $.43.00 ~. CJ - ~~ _ tJ . ' · E.a..'.h.Ad. d.'.....n""....! cir.c..".it.'.....r..w.. ith. If ill. E v.I., ul'." ~ Owners Name tt\ W. ~-UN 0 f\~. ~O~~.or Fee~~~tt.t:~\'~t.f~W"\ \C ~~\3.00 \. Address ~a . . ~ \t_~<\!l_~IlI11l:\.t,~"t;l~"~';h:ln;tall.iio~.1 City ~~ . Phone \~\Ct+ ~~~''''I''C.",\Ot1. $ 50.00 ~~~a&'iJI't1ghting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: '~V~,$::,':'>.~:"~~;<hf':;"Jt:: ,~. .~~ ~;,"'; ::1 ,\::/.:",i~\,". '.>~: l,. 4. ':'Sr:JBTOTAL'OFNBOVE" . ',' '..~, :;~~.fi\:rt\t-i,,:;,~;. ;,.'~r;.:~-~:~1;,:;:"'" '">~' ;'~:>!?"I4i:~:';~~~,~\':, ;_:: I, ~.,~ "<~,,~~"'~.,;;"~~\: '~'. ..! . ., .,.--", , . /C{c{ I/.SZ 1'1 fd) /6 '7 _ '1Z 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL . Shared Drive(T:)/Building FormslElectrical Pennit Application I-03,doc . CITY OF S.NGFIELD SYSTEMS DEVELOPMENeORKSHEET I, JOURNAL OR JOB NUMBER: COM2006-00579 NAME OR COMPANY: Mike Blankenship r/) ~ LOCATION: 4584 Daisy 0 TAX LOT NUMBER: 1702324309500 0 U DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE ~ NEW DWELLING UNITS I BUILDING SIZE (SF' 1820 LOT SIZE (SF): 4677 ~ I. STORM DRAINAGE t/) ...... 0 DIRECT RUNOFF TO CITY STORM SYSTEM gz I IMPERVIOUS S,F. x COST PER S.F. CHARGE I 2446.00 $0.323 =1 $790.06 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE DISCOUNT I 0.00 $0.323 50% = $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC , $790.06 I 1 $790.06 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x COST PER DFU 24 $25.07 = $601.68 1091 B. IMPROVEMENT COST: NUMBER OF DFU's x 24 $19.07 - 1 $457.68 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,059.36 I 3. TRANSPORTATION A. RElMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x NEW TRlP FACTOR I 9.57 I I I $19.09 1.00 - 1 $182.69 1093 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP x NEW TRlP FACTOR I 9.57 I I I $84.19 1.00 = $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU I $82.03 = , $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x ICOST PER FEU I I I $865.31 = , $865.31 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) = , $0.00 1054 MWMC ADMINISTRATIVE FEE = , $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $957.34 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $3,795.15 I 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE = CHARGE , $3,795.15 5% $189.76 TOTAL SANITARY ADMINISTRATION FEE: , 123.67 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I $66.09 1078 Cheryl Slaymaker 5/20/2006 TOTAL SDC CHARGES =, $3,984.91 PREPARED BY DATE ,..,.. ,,-...~- MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 \984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 \998 1999 2000 200\ CREDIT RATE/$I,OOO ASSESSED VALUE IS LAND ELGffiLE 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 ' CREDIT FOR LAND (IF APPLICABLE) VALUE /1000 CREDIT RATE $0.00 x $5.29 ' = I CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE $0.00 . x $5.29 - , TOTAL MWMC CREDIT , = 2 2 1979 $0.00 o $0.00 225 Fifth Street . . . SpriQgtield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 COM2006-00579 Payments: Type of Payment Check cReceiotl . . of Springfield Official Receipt elopment Services Department Public Works Department RECEIPT #: 1200600000000000916 Date: 06/20/2006 I :36:24PM Description Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Curbcut 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 Boiler/Comp Up To 100,000 btu Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 8% State Surcharge + 10% Administrative Fee Amount Due 31.00 1,000.00 81.90 80.00 790.06 601.68 457.68 182.69 805.70 82.03 865.31 10.00 123.67 66.09 198.00 659.90 254.00 12.00 12.00 18.00 9.00 6.00 10.00 106.00 38.00 89.19 119.68 $6,709.58 Paid By MIKE BLANKENSHIP CORP Item Total: Check Number Authorization Received By Batch Number Number How Received djb 10243 In Person Payment Total: $6,709.58 $6,709.58 Amount Paid Page 1 of I 6/20/2006