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Home My WebLink AboutPermit Building 2005-3-10 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00104 ISSUED: 03/10/2005 APPLIED: 01126/2005 EXPIRES: 09/10/2005 VALUE: $ 178,654.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3577 Oregon Ave ASSESSOR'S PARCEL NO.: 1702314302101 Springfield ,TYPE OF WORK: Single Family Residence TYPE OF USE: ,New Residential PROJECT DESCRIPTION: Single Family Residence Owner: MARGOLIS FAMIL YLIMITED PARTNERSHIP Address: 3045 WINTERCREEK DR EUGENE OR 97405 Contractor Type General Electrical Mechanical Plumbing CO~TRACJO 0 ro f. ' ,~--..., ' do ted by the Oregon llity Contractor follow rule!; a P 1b,i~f4J~t fort8xpiration Date ~ ',-';~i~nt.iDn Center, Those ru LARRY KENT ~e>0rRE~2_001_001 0 through~(o52-001. 11/06/2005 DEANS ELEC'J1me:A btain copies~~m rules by 06120/2008 DEAN M SCHUi),tf~, ,You :a~e~ter. (Note: ttM~e~ho~e 02/23/2007 DENNIS SCOTT ~RS .,. .j...~ A_on"n , 'tilitV~icatlon 05/0512006 Ilr'jjTh'';~~I~t). . Phone 541-302-5852 541-935-5303 541-767-0626 541-459-0110 :; # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: 17.75 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: n/a Occupant Load: . 9,760 1,724 1 R-3 U VN 526, Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 27.90 6.00 11.60 14.75 6.00 I DEVELOPME~T INFORMATION. . 1\1 V 8 IV'-. XPIRE IF THE WOR~QUIRED PARKING TI,H~ RF.PMIT SHALL E .. . O~e~\,(I?11}6 IINDER THIS PERMIT IS NOTotal:. 2 #St~ee~~!frs f8(JClR IS ABANDONF~ FOR Handlcapp. ed: , pa{Ve~Dn"'~Rf:(lf: . 'Yes Compact: %A~ot~l(nltW~g~ERIOD. 23.00 . I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Storm drainage piped to curb face 1/2712005 CAS Pa2e 1 of3 , Status Issued CITY OF SPRINGFIELD Building/Combinatio,n Permit PERMIT NO: COM2005-00104 ISSUED: 03/10/2005 APPLIED: 01126/2005 EXPIRES: 09/10/2005 VALUE: . $ 178,654.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation De~criDtion I DwelIines Garaee Tvpe of Construction V Wood Frame Garaee $ Per Sq Ft or multiplier $96.00 $25~00 Square Footage or Bid Amount 1,724.00 526.00 Value Date Calculated Description Total Value of Project $165,504.00 $13,150.00 $178,654.00 01/26/2005 01/26/2005 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $534.56 1/24/05 1200500000000000104 -Mechanical Issuance Fee- $10.00 3/10/05 2200500000000000275 .+ 10% Administrative Fee $128.44 3/10/05 2200500000000000275 .+ 7% State Surcharge $89.91 3/10/05 2200500000000000275 2 Baths One or Two Family $254.00 3/10/05 2200500000000000275 Addressing A.ssignment $31.00 3/10/05 2200500000000000275 Building Permit $822.40 3/10/05 2200500000000000275 Dryer Vent $6.00 3/10/05 2200500000000000275 Exhaust Hoods $9.00 3/10/05 2200500000000000275 Furnace - up to 100,000 btu $12.00 3/10/05 2200500000000000275 Plan Review Major - Planning $103.00 3/10/05 2200500000000000275 Residence Wiring 1000 Sq Ft $106.00 3/10/05 2200500000000000275 Residence Wiring Ea Addtl 500 $57.00 3/10/05 2200500000000000275 Sanitary Sewer -Improvement $438.72 3/10/05 2200500000000000275 Sanitary Sewer - Reimbursement $576.96 3/10/05 2200500000000000275 SDC MWMC Administration $10.00 3/10/05 2200500000000000275 SDC MWMC Improvement $865.31 3/10/05 ~ 2200500000000000275 SDC MWMC Reimbursement $82.03 3/10/05 2io0500000000000275 SDC Sanitary/Storm Admin $133.01 3/10/05 2200500000000000275 SDC Transpo Admin $62.72 3/10/05 2200500000000000275 SDC Transpo Improvement $772.49 3/10/05 2200500000000000275 . SDC Transpo Reimbursement $175.13 3/10/05 2200500000000000275 Storm Drainage Impervious Area $993.86 3/1 0/05 2200500000000000275 Vent Fan. $18.00 3/10/05 2200500000000000275 Willamalane Single Family $1,000.00 3/10/05 2200500000000000275 Total Amount Paid $7,291.54 I Plan Reviews' ." Initial Review Plan nine Review Public Works Review 01/26/2005 01/26/2005 01/26/2005 01/26/2005 02/15/2005 01/27/2005 APP SKG APP EMM ,App . CAS Storm drainage piped to curb face 1/27/2005 CAS Paee 2 of3 . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00104 ISSUED: 03/10/2005 APPLIED: 01126/2005 EXPIRES: 09/10/2005 VALUE: " $ 178,654.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural Review, 01/26/2005 02/17/2005 OK RJB Not completed per Larry. He was ok to let sit while he was on vacation. Structural Review 03/07/2005 03/07/2005 OK 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 Reouired Insoections . Erosion/Grading Inspection: After all erosion measures are in place. Vfer 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. Drywall: Prior to taping. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. . Final Building: After all required inspections have been requested and approved and the building is complete. Vnderfloor Plumbing: Prior to insulation or decking. Vnderfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and including required testing. Sanitary Sewer Line: Prior to filling trench and including required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When aHplumbing work is complete. Vnderfloor Mechanical. ,Prior to insulation or decking and including required testing. FinalMechanical: When all mechanical work Is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 OCCVP ANCYwill 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. , h~~' J~d~" /' "p - Owner or Contractors Signatute .' Itr,h / &l~ 2 005 Date Pal!:e 3 of 3 ~-- ~ 225 Fifth 'Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department Job/Journal Number COM2005-00104 COM2005-00 104 COM2005-00104 COM2005-00 104 COM2005~00 104 COM2005-00 1 04 COM2005-00 1'04 Z C.OM2005-00104 COM2005-00 1 04 COM2005-00104 COM2005-00 104 COM2005-00 1 04 COM2005-00104 COM2005-00104 COM2005-00104 COM2005~00 1 04 COM2005-00104 COM2005-00104 COM20()5-00 1 04 COM2005-00104 COM2005-00 1 04 COM2005-00 1 04 COM2005-00104 'l:,COM2005-00 1 04 i,1. LpP2005"00043 Payments: ~ype of Payment Check RECEIPT #: 2200500000000000275 1:20:02PM Description Addressing Assignment ' Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addt1500 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 - upto 100,000 btu Vent Fan Exhaust Hoods Dryer Vent ~Mechariical Issuance Fee- + 7% 'State Surcharge + 10% Administrative Fee LDAP Short'Form Paid By Received By MARGOLIS F AMIL Y LIMITED vrj .~' ;,),' 1~' ;~, ~. . ~; i~ , . 3/10/2005 ',j- , ( Page 1 of 1 Date: 0311012005 Item Total: Check Number Authorization Batch Number Number How Received Amount Due 31.00 1,000.00 106,00 57.00 993.86 576.96 438.72 175.13 772.49 82.03 865.31 10.00 133.Q1 62.72 103.00 822.40 254.00 .12.00 18.00 9.00 6.00 10,00 89.91 128.44 300.00 - $7,056.98 Amount Paid 6648 In Person Payment Total: ' $7,056.98 $7,056.98 .I ; " 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 I IMPERVIOUS S,F, x I COST PER S.F. CHARGE I 3206,00 I $0.310 = $993.86 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F.' x COST PER S,F. x I DISCOUNT RATE I l 0,00 $0.310 I 50% , ITEM 1 TOTAL - STORM DRAINAGE SDC '$993.86 I ~ 2, SANITARY SEWER - CITY A REIMBURSEMENT COST: NUMBER OF DFU's x 24 B. IMPROVEMENT COST: NUMBER OF DFU's x 24 CI~ OF S~'NGFIELD SYSTEMS DEVELOPMEN ORKSHEET COM2005-00 1 04 Barbara Cooper 3577 Oregon St 1702314302101 SINGLE F AMIL Y RESIDENCE 1 BUILDING SIZE (SF: 2312 LOT SIZE (SF): 9760 r/) ~ Cl o u ~ ~ f--< r/) ...... d ~ DISCOUNT $0,00 $993.86 1070 , COST PER DFU $24.04 $576.96 1091 $18,28 $438.72 1092 = , ITEM 2 TOTAL - CITY SANITARY SEWER SDC $1,015.68 3, TRANSPORTATION , A REIMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS I x COST PER TRIP x NEW TRIP FACTOR I 9.57 I 1 I $18.30 1.00 $175.13 1093 B. IMPROVEMENT COST: I I ADT TRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP x NEW TRIP FACTOR :! I 9.57 I I 1 $80,72 1.00 $772.49 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $947.62 4, SANITARY SEWER - MWMC A REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU I $82.03 = $82.03 I 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $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 SUBTOTAL (ADD ITEMS 1,2,3,,& 4) =, $3,914.50 5, ADMINISTRATIVE FEE: SUBTOTAL x ADM, FEE RATE CHARGE $3,914,50 5% $195,73 TOTAL SANITARY ADMINISTRATION FEE: 133,01 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $62,72 11078 Cheryl Slaymaker 1/27/2005 TOTAL SDC CHARGES $4,110.23 II PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY TUB 1 0 2 = 2 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 2 0 2 = 4 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1 URINAL, STALL / WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $5.29 (Enter 1 for Yes, 2 for No) 1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 2 1980 $5,19 (Enter 1 for Yes, 2 for No) 1981 $5,12 BASE YEAR 1979 1982 $4.98 1983 $4,80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4,63 VALUE/1000 CREDIT RATE 1985 $4.40 $0,00 x $5.29 = I $0,00 1986 $4,07 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $3.22 VALUE / 1000 CREDIT RATE 1989 $2.73 $0,00 x $5.29 = J 0 1990 $2.25 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1,45 1994 $1,25 1995 $1,09 ]996 $0,92 1997 $0,72 1998 $0.48 1999 $0.28 2000 $0,09 2001 $0.05 SP'FIINGFlZLD c", ~,,-:.. ,....;;, ..' .:.~ , A~ ' 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)72()';;'~8 ELECTRICAL PERMIT APPLICATION '., ~ (\\ ~f\ ~ City Job Number (,VCO f 0 Lf Date ~-1to il'., ~ 0 \ . ~ - ~O,-o'1--~) , 1. ,~?![{(2~~"~~tq~i 3. rL~l!!J!t-fdifi{.;~~l~iiiiililiiif!'" ....~.. -S )" "r J- f) It:..c..OtA k . . . ~-o~~ ~;~J.;l:i.'t<\:;.i:....c;"..-z:;;'~,,:':'!r:~ "t inme',jjr-IMulti ;t;';;ii'-...gi.": :,:~;e,.\ll4;"'" ,;:"";;"'~IJ. , ~'.I. A> .!'~ 0(:. V<:, (\)~ <... ~ ,~ I ~ .!'61 ' 0 ., o~ ~'l'~106,lfd' j ~,~O ~.o<:, /~ ..,. "5 ,~~,..,.o ~ eo $ ~~.,~ .5-fj 7 ';:;'0 <l' 61y ~ ~ 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 ~,C fJ t: . ~1 A~l()rt~ 60g i'-a~tequlres yr'" t"L- $125.00 . ~\:TEl%~P..tJril.IlS t~q80g~Oregon Utilitv $163.00 Phone ~ 3 S - 5'30?' "Oti,I,?W ~(Jt~,.ro'o&~R ;r(8~~ules are set forth $375.00 NOdllcatlrlc!o'nlfcR:\Eo b{ through OAR 9~2-001.. $ 50.00 in OAR 952-001- 0 . 'In \A r' 0090)./ , . ' . tl;&.? Supervisor License Number ,) 'lS . \ ':> ,~.' .. ;' (. calling' UtTty Notification Expiration Date 1 0 0 i ')...00 / numbtoilJBfil~p(r5a9~tion~2;Relo.cation . " ~enter IS -l)UlJ-;;s;;')~- \)'t"tl_ 200 ]\mps or ess 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 A s or 1000 Volts see "B" above. D. LEGAL DESCRIPTION l'do 2 ~ I 'f'! OZ.ID~ JOB DESCRIPTION ~ ~,('l~. ~Pf J&' IesJ~,ij.L__ Permits ar:non-transfer6Ie and expire if work is not started within 180 days ofissuance or if work is Suspended for 180 days. . 2. Electrical Contractor Address V. 0 \ G ())( City Z. v'-j P/~ e/ Constr. Contr. Number q 9 r: -1C>) ?:- 20 - ?..OO7? Expiration Date Sign~OfL:Ih- -L OwnersName f}I~~u~cn~ FA-(IV\. Address Po d> 0/ S It 4 "- City ~(, 0I'1e- Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 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 $50.00 B. $ 50.00 $ 69.00 $100.00 ? ~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit if( Of "".{';. $ 43.00 $ 3.00 ,~~~i!#fl~~] E~ ~\1HOR\IED ED I=m~ P . br jKA~~~ettD OR IS I\BI\NOON $ 'S0:00 Si Uti\~e~lgbtingpERIOO $ 50.00 b.!\1V 1 t\U lJl-\ ~ . Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges /6) I (~{ ( /670 ! 90 7!- 4. ~iii~~;~~~~~ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building FormslElecnical Pennit Application I-03,doc