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Home My WebLink AboutPermit Building 2006-1-25 Status: Issued ....:.225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726:-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4723 Rocky Rd ASSESSOR'S' PARCEL NO.: 1802051211300 ,"~ CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2005-01656 ISSUED: 01/25/2006 APPLIED: 11/29/2005 EXPIRES: 07/24/2006 VALUE: $ 217,788.00 Springfield TYPE OF Single Fa~i1y Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: NEW SINGLE FAM RESIDENCE Contractor ATTENTION: Oregon law r~'I~~Y~~ou t~xpiration Date MADISON HOMIf~MVt9~~adopted by the 1~~n Utility 07/05/2006 BILLS ELECTRWotificatioQ.TCenter. Those ru1 ~ !~e set forth 04/28/2006 PACIFIC AIR CQ,l\;IfP...R..~I}~M1 _001 0 thr"",~~~~% 01::1") ti~i 03/25/2006 00 BOOillIN, lIilN~:I~lN e rules by ca Ing t e center. ate: the telephone numbdkQf)~tA9@tegon Utility Notificagon ~tlpfs 1-800-332-2344).27.00 Type of Heat: 'orced Air Electric Water Type: Gas Range Type: Electric Energy Path: Path 1 Sprinkled n/a Owner: JEROMY MADISON Address: PO BOX 7582 EUGENE OR 97401 .~. Contractor Type - General Electrical Mechanical # of Units: Primary Occupancy Group: " Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: , Front yard Setback: .'. Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Phone Number: 579-7213 " "~ I CONTRACTOR INFORMATION I Phone 541-579-7213 541-501-5650 541-672-9510 1 R-3, V-I VB Lot Size: Sq Ft lstFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 7,841 1,208 560 540 360" 3 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: 2 Handicapped: Compact: 18.00 Hillside 21.00 10.00 44.00 0.00 Street Storm Sewer Available: , Special Instruction: Sidewalk Type: DownspoutslDrains Curbside 5' Curb and Gutter . Notes: Storm drainage piped to curb face 12/1/05 CAS 1 of 4 Description Type of Construction $ Per Sq Ft Square Footage :\ or multiplier or Bid Amount l.:l 'Dwellinl!s V Wood Frame $96.00 1,768.00 :1 Dwellinl!s V Wood Frame $96.00 360.00 Garal!e Garal!e $25.00 540.00 .~ '; Status: Issued ,t 225 Fifth Street, Springfield, OR ;f< 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , .~~ , ~ " ~ " :-t Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Building Permit Curbcut Permit Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 ,{ Heat Pump f PW Disc - 2nd Permit (Street) :. Sanitary Sewer - Improvement , Sanitary Sewer - Reimbursement :T SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan · Willamalane Single Family Total Amount . .J' t;. '1 '< CITY OF SPRINGFIELD J Building/Combination Permit~ PERMIT NO: COM2005-01656 ISSUED: 01125/2006 APPLIED: 11/29/2005 EXPIRES: 07/25/2006 VALUE: . $ 217,788.00' I Valuation Description I Value Date Calculated Total Value of Project $169,728.00 $34,560.00 $13,500.00 . $217,788.00 11/29/2005 11/29/2005 11/29/2005 ~ Amount Paid Date Paid Receipt Number $616.95 11/29/05 2200500000000001626 $10.00 1/25/06 1200600000000000073 $138.12 1/25/06 1200600000000000073 $96.68 1/25/06 1200600000000000073 $306.00 1/25/06 1200600000000000073 $31.00 1/25/06 1200600000000000073 $949.15 1/25/06 1200600000000000073 $80.00 1/25/06 1200600000000000073 $9.00 1/25/06 1200600000000000073 $12.00 1/25/06 1200600000000000073 $15.00 1/25/06 1200600000000000073 $4.00 1/25/06 1200600000000000073 $12.00 ' 1/25/06 1200600000000000073 $-30.00 1/25/06 1200600000000000073 '!" $438.61 1/25/06 1200600000000000073 $576.61 1/25/06 1200600000000000073 $10.00 1/25/06 1200600000000000073 $865.31 1/25/06 1200600000000000073 , $82.03 1/25/06 1200600000000000073 $127.36 1/25/06 1200600000000000073 $65.71 1/25/06 1200600000000000073 $805.70 1/25/06 1200600000000000073 $182.69 1/25/06 1200600000000000073 $80.00 1/25/06 1200600000000000073 $900.52 1/25/06 1200600000000000073 $50.00 1/25/06 . 1200600000000000073 $24.00 1/25/06 1200600000000000073 $1,000.00 1/25/06 1200600000000000073 $7,458.44 . 2 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGfilELD Building/Combination Permit PERMIT NO: COM2005-01656 ISSUED: 01125/2006 APPLIED: 11/29/2005 EXPIRES: 07/25/2006 VALUE: $ 217,788.00 Initial Review LDAP Review 12/01/2005 01/09/2006 I Plan Reviews I 12/01/2005 APP 01/09/2006 10 SKG VRJ Full review LDAP, $600.00 due at issuance. LDAP submitted by builder on 1/9/2006 and is in review. LDAP to be issued concurrently with Building Permit. $600.00 is due at issuance. LDAP is ready and at the front counter. No Tree Felling Permit is required as long remove only 5 trees. LDAP Review 01/18/2006 01/18/2006 APP VRJ Plannine Review 12/01/2005 01/20/2006 APP TAJ Choose street trees from the list on Exhibit B for treees inside the Hillside district attached to the street tree handout. Public Works Review 12/01/2005 12/01/2005 APP CAS Keep construction activity outside the tree conservation zone in the south end of the lot. Storm drainage piped to curb face 12/1/2005 CAS Structural Review 12/01/2005 12/22/2005 OK RJB To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wlll be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired InsDections ~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 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. 3 of 4 --~~E'J~qf5!I;~;: oc, '",", ~_ it -, CITY OF SPRINGlf1ELD . Building/Combination Permit; PERMIT NO: COM2005-01656 ISSUED: 01/25/2006 APPLIED: 11/29/2005 EXPIRES: 07/25/2006 VALUE: $ 217,788.00 ; Status: Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. Undertloor Plumbing: Prior to insulation or decking. 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 all plumbing work is complete. Undertloor Mechanical. Prior to insulation or decking and including required testing. , Undertloor 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 Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing' service. Final Electric: When all electrical work is complete. w 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 wiD 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 wiD remain on the site '. at all ti~dliri~g const~ /~ _-~ 1--2~-Q0 '-'" - - Owner or Contractors Signature Date' ;f 4 of 4 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 2788.00 1 $0.323 = 1 $900,52 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 0.00 I $0.323 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC '$900.52 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 23 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 23 CITY OF Sl~NGFIELD SYSTEMS DEVELOPME~l'ORKSHEET COM2005-0 1656 Jermony Madison 4753 Rocky Rd 1802051211300 SINGLE FAMILY RESIDENCE I BUILDING SIZE (SF: 2832 lei) I:.L1 Q o U ~ I:.L1 IE-< eI) ...... c::> ~ LOT SIZE (SF): 7883 DISCOUNT $0,00 $900.52 11070 COST PER DFU $25,07 $576.61 1091 $19.07 $438.61 1092 = , ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I 9.57 1 B. IMPROVEMENT COST: 1 ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP I 9.57 I 1 I $84.19 ITEM 3 TOTAL - TRANSPORTATION SDC = 1 $988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU 1 $82.03 B, IMPROVEMENT COST: -NUMBER OF FEU's I x 1 I $1,015.22 COST PER TRIP $19.09 x !NEWTRIPFACTOR I 1.00 1093 $182.69 x INEW TRIP FACTOR I 1.00 $805.70 1094 r = $82.03 1054 ICOST PER FEU I $865.31 = $865.31 I 1055 $0.00 1054 $10.00 1056 = I $957.34 =1 $3,861.47 ---. 1= CHARGE I $193,07 127.36 1079 $65.71 11078 TOTAL SDC CHARGES =, $4,054.54 -, ----. --.. .a._.,~_ 00- MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE $3,861.47 1 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: Cheryl Slaymaker 12/1/2005 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 1 0 3 = 3 IDRlNKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 0 I MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3 IURlNAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I TOILET, PRlVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 23 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE] 979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 ]992 1993 1994 1995 1996 1997 1998 1999 2000 200] CREDIT RATE/$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 = IS LAND ELGlBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 =1 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 _".. ~.', ~,~~ ,... ,~" h_~ !.. 'i1JjTIIJ!' I 225 FIFTH STREET. SPRINGFIELD, OR ' . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATI01V City lob Number COM2005-0 1656 Date ~~ ~.'7 :n~l!/ SOURCE ~ Wf<.\ 1. LOCATION OF INSTALLATION 3. CO.MPLETE FEE SCHEDULE BELOl-V 4723 Rocky Road LEGAL DESCRlPTION 18020512 11300 JOB DESCRIPTION A. New Residential- Single or Multi-Family per dwelling unit. Service Included Temporary Power Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 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 $ 19.00 $50.00 2. CONTRACTOR INSTALL4TION ONLY B. Se!'vices or Feeders - Installation, Altemtions or Relocation: Electrical Contractor 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only Supervisor License Number/' ATTENTION: Oregon law r<9~utN~)Ya~d~ Services or Fceders / follow rules adopted by the Oregon Utility Expiration Date / Notitication Center. Those rul~His1MMffJJPJ~:tteration or Relocation / in OAR 952-001-001 U throU9hia8-~M~fo9q~ss 1 Constr. Contr. Number 0090. You may obtain copies 96frtmRs1~ ~a'0 Amps / calling the center. (Note:,t,h~\e..eE Pt~e600 Amps' E 't' r;: t number for the Oregon Utlllty'1\l0\iTi8atlon xplra lOn va e ,r,;n,,pn'flOO A I 000 V I "B" b / Center IS l-tsuu-332-co9""tf' mps or 0 ts see a ove, Signatuti of Supervising Electrician D. Branch Circuits Address / / $ 63,00 $ 75.00 $125.00 $163,00 $375,00 $ 50,00 City Phone / $ 50,00 $ 69.00 $100.00 50,00 Owners Name Madison Home Builders New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43,00 $ 3,00 Address PO Box 7582 E. MisceIIaucous (~eFvice/fecder not included) '-.Each Installation City Eugene Phone 541-579- 7213 Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 OWNER INST ALLA nON NOTICE~ Limited Ene~~1 $ 25.00 The in,stallation is being made on propenyt1tfSVP~taT SHALLem~~tiilt1<<tf!al $ 45,00 IS not Intended for sale, lease or rent. AUTHOR\ZEO Uhm~fJnlW$&~IfW\\t Inspection Fee is $45.00 + Surcharges COMMENCED OR'S ABAR O~~~,s signatu::--:: ANY 180 DAY PEftlODJ:1RTOTAL OF ABOVE /~~~--=-- 7% State Surcharge - 10% Administrative Fee 50, 3.50 5,00 Inspection Request: 726-3769 TOTAL 58.50 Shared Drive(T: )lBuilding FormslElectrical Permit Application I-06,doc 225 Fifth Street Springfield, Oregon 97477 5414.126..:3759 Phone ' "'ity of Springfield Official Receipt evelopment Services Department Public Works Department Job/Journal Number CbM2005-0 1656 COM2005-01656 COM2005-01656 , COM2005-01656 \' COM2005-0 1656 COM2005-01656 COM2005-0 1656 COM2005-01656 COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 COM2005:0 1656 GOM2005-0 1656 c.OM2005-01656 COM2005-0 1656 COM2005-0 1656 COM2005-0 1656 C6M2005-0 1656 CbM2005-01656 CbM2005-01656 CeM2005-0 1656 CbM2005-0 1656 COM2005-01656 COM2005-0 1656 Payments: Type of Payment Check 14 ') t.., 'f ,;[ 1 ',{;:;, , , 't.... :f ii " :,; 1/25/2006 RECEIPT #: 1200600000000000073 Date: 01/25/2006 Description Willamalane Single Family Addressing Assignment Sidewalk Pennit Curbcut Pennit PW Disc - 2nd Pennit (Street) Stonn 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/Stonn Admin SDC Transpo Admin Building Pennit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- ' Temp Power 200 amps or less + 10% Administrative Fee + 7% State Surcharge ' Paid By Received By MADISON HOME BUILDERS djb I of I Item Total: Check Number Authorization Batch Number Number How Received 7086 In Person Payment Total: 8:47:09AM Amount Due 1,000.00 . 31.00 ~ ; 80.00 .~ I 80.00 (30.00) 900.52 576.61 438.61 182.69 805.70 82.03 865.31 10.00 127.36 65.71 949.15 306.00 12.00 24.00 ~ ; ", : 9.00 r, 4.00 15.00 12.00 10.00 50.00 138.12 96.68 $6,841.49 Amount Paid $6,841.49 $6,841.49 :1 ~ ,