HomeMy WebLinkAboutPermit Building 2004-8-2
ISSUED:
APPLIED:
EXPIRES:
VALUE:
:;\\0
,~~ , \. \~\\\\~ ,.
p,'" ~ ""m:.'~\ \
SITE ADDRESS: 817 Shady Creek Dr \0-.sP~~ e~)l'~e\\)~F WORK:
ASSESSOR'S PARCEL NO.: 1802061113400 Of.09P~ '0'1 ~0 ~eS 00'~ ~~7?~ '6~
\o~.~~e6 sef.~ O~ T~~FUSE:
PROJECT DESCRIPTION: Shady c~~ ~ ~. ~~~f.O\)~~ 0\ \~e ft~fJf\. ~
t\ ~ (~ ce t\,\O~ .n\eS \e\ftJV', @,'().fJ
. ..\\0 . ,.,~ -\. ("Iv f (',0" ..",0...\\\9 '
,.... 2>\> - ..\)V \ ~'ao\.' l'\,lO', ,,,"'" -
Owner:' BRUCE WIECHERT ~O\\~\~Q,. g~~ ~'1 O~ ~. ~o \)\~\\'1 ~~"
Address: 3375 PARK HILLS EUG\~0't)R{8J~~ ce~\~f.e~O~ .~'?J'2.''f;
ror\Q,O. n \~ t,Cll 0.00
('~w ..~. \0\ ~...t \; ,
J\~'N~llORINFORMATlON I
Contractor License Expiration Date Phone
BRUCE WIECHERT CUSTOM HOMES INC 101717 09/16/2006 '-Ne~86-9458
L & E ELECTRIC INC 105475 03/30/2~~~t. ~ ~~33-2653
COMFORT FLOW 460 ~~~~\\ ~~1-726-0100
STEVE R JOHNSON __'t.,,_~f?!f(P.~ ~\~ C.\\~~~, t..~t)t\t~ ~ 1-342-3765
BUILDING INFOKM}\i~ '1t-.\) ~~'v \~ ~~~\,
, \~\&- ~'\J~ (\\).
# of Stories: to-'0\ ~t.~C; ?~r'Size:
Height of Structure C'\J~ '\ ~~ Sq Ft 1st Floor:
Type of Heat: Fo~ Air Gas Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
20.00
5.00
10.00
58.00
0.00
~
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00910
08/02/2004
07/22/2004
02/02/2005
$ 154,408.00
Single Family Residence
New
Residential
Phone Number: 541-686-9458
1
R-3
U-l
VN
7,804
1,558
430
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqll:
% of Lot Coverage:
2
Yes
25.40
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Dnlins:
Fully Improved
Yes
Curbside 5'
Curb and Gutter
Pa2e 1 of 4
,_~!t~J'J.'fe,f,;'9~2>' ,
~.
'~
,. ~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Gara2e
Dwellin2s
Gara2e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut - Overwidth Appl
Curbcut Permit
Dryer Vent.
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning ,
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWM~ Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area,
, Vent Fan
WilIamalane Single Family
Total Amount Paid
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,558.00
430.00
Total Value of Project
~
Amount Paid
Date Paid
$483.86
$10.00
$121.24
$84.87
$254.00
$31.00
$744.40
$35.00
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$103.00
$-30.00
$106.00
$38.00
$365.60
$480.80
$10.00
$865.31
$82.03
$120.52
$63.98
$772.49
$175.13
$75.00
$938.68
$12.00
$1,000.00
7/22/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04 .
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
8/2/04
, 8/2/04
8/2/04
$7,075.91
Pa2e 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00910
ISSUED: 08/02/2004
APPLIED: ,07/22/2004
EXPIRES: 02/02/2005
VALUE: $ 154,408.00,
Value
Date Calculated
$143,959.20
$10,449.00
$154,408.20 ,
07/22/2004
07/22/2004
Receipt Number
1200400000000001121
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
1200400000000001165
Status
Issued
CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2004-00910
ISSUED: 08/02/2004
APPLIED: 07/2212004
EXPIRES: 02/02/2005
VALUE: $ 154,408.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plan nine Review
Public Works Review
Structural Review
07/23/2004
07/28/2004
07/23/2004
07/23/2004
I Plan Reviews I
07/23/2004 APP
07/28/2004 APP
07/28/2004 APP
07/29/2004 OK
SKG
TAJ
MS
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Erosion/Grading Inspection: After all erosion measures are in place.
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.
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.
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.
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.
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.
Paee 3 of 4
CITY OF SPRINGFIELD I
Status
Issued
Building/Combination Permit
PERMIT NO: COM2004-00910
ISSUED: 08/02/2004
APPLIED: 07/22/2004
EXPIRES: 02/02/2005
VALUE: , $ 154,408.00
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 re uired inspections are requested at the proper time, that each address is readable from the
street, that tife pe, mit C=jrd i loca d at the front of the property, and the approved set of plans will remain on the site at all
tim,es, ir d inilo, trucrbn, "1' '. I
{' fA I . Bh o'{
\....,/" - ..., 'Ii I I
Owner or Contractors Sign~ure Date
Pal!e 4 of 4
225 Fifth Street
. '
Sprin'gfield, Oregon 97477
541-726-3759 Phone
~y of Springfield Official Receipt
'''~elopment Services Department
Public Works Department
Job/Journal Number
COM2004-00910
COM2004-00910
COM2004-0091O
COM2004-00910
COM2004-00910
COM2004-0091O
COM2004-0091O
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-0091O
COM2004-009J 0
COM2004-0091O
COM2004-0091O
COM2004-0091O
COM2004-0091O
COM2004-00910
COM2004-0091O
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-0091O
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-00910
COM2004-00910
Payments:
Type of Payment
CreditCard
8/2/2004
RECEIPT #:
Date: 08/02/2004
1200400000000001165
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sidewalk Permit
Curbcut Permit
PW Mult Disc - 2nd Permit
Curbcut - Overwidth Appl
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement '
SDC Transpo Improvement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC MWMC Reimbursement
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
+ 7% State Surcharge
+ 10% Administrative Fee
~Mechanical Issuance Fee~
Item Total:
Check Number Authorization
Paid By Received By Batch Number Number How Received
BRUCE WIECHERT CUSTOM djb 000459 095431 In Person
HOMES
Payment Total:
Page 1 of 1
9:17:52AM
Amount Due
31.00
1,000,00
106.00
38.00
75,00
75.00
(30,00)
35,00
938,68
480,80
365.60
175.13
772.49
865.31
10,00
120.52
63,98
82,03
103.00
744.40
254,00
12.00
12.00
9.00
6,00
4,00
15.00
12.00
84.87
121.24
10,00
$6,592.05
Amount Paid
$6,592.05
$6,592.05
CITY OF S~GFIELD SYSTEMS DEVELOPMEN-~~~RKSHEET
COM2004-0091O
Bruce Weichert
81 7 Shady'Creek Drive
18020611 Tax Lot 13400
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF:
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING 'UNITS
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x COST PER S,F, CHARGE
I 3028,00 $0.310 = I $938,68
RUNOFF ROUTED TODRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, x COST PER S,F, x I DISCOUNT RATE I
I 0,00 ' $0.310 I 50% = ,
ITEM 1 TOTAL - STORM DRAINAGE SDC l $938.68
o
LOT SIZE (SF):
DISCOUNT
$0,00
8342
$938.68
[fJ
P-1
Cl
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~
P-1
E-<
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I
1'1070
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 20
B. IMPROVEMENt COST:
I NUMBER OF DFU's x
, 20
COST PER DFU
$24,04
$18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC I
= ,
$846.40
I SUBTOTAL I, x I ADM, FEE RATE
, $3,690,04 , I 5%
TOTAL SANITARY ADMINISTRATION 'FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$184.50
Matt Stouder
7/28/2004
TOTAL SDC CHARGES
PREPARED BY
DATE
I - $480.80
$365.60
=1
120,52
$63,98
$3,874.54
.;--.:--,
fOOl
1092 ,
~ 1079
1078
I
, ,
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TI-!E NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRYTUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = 0
ISHOWER., SINGLE STALL 1 0 2 = 2
I SHOWER., GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFll's) set a! 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RA TE/$ I ,000
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 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
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $5,29
= ,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0,00 x $5.29
o
TOTAL MWMC CREDIT
$0,00
=
~~~~~~~~~E:;~~;;~:. PH;;;:6::3 · FAX: (541)72~3::;~~:'rff:
_. I I( 'lr":J ~
c} ~...0
3. COMPLETE-FEE SC!#!i.}fJLE B
~~~ i:>00 -'
,o~:;)'lr~ ",.'~~<:tJ.. '
A" New Residentfu~~glejJ)t NY, }-prtnilyper dwelling unit.
Service Included ;~? /. 0,<:tJ~
1000 sq, ft, or less ,v, \,~>b'~) $106,00 JOb t O()
Each additional 500 sq, ft, or ' 11
portion thereof ~ $ 19,00 18,00
1. LOCATION OF INSTALLATION .
e 11- S'A-a)' Uu/u b F,
LEGAL DESCRIPTIOt
/(jo~l- 00 ({ "3 too
JOB DESCRIPTION
p"m;:~~~:-.f::.;~l 'n~:::'f:::~
not started within 180 days of issuance or if work is
Suspended for 180 days.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
2.
CONTRACTOR INSTALLATION ONLY
B. Services or Feeders - Installation, Alterations or Relocation:
''',',';,...- '''"
Electrical Contractor L Z. E c G.c.....t-\'\ ( 200 Amps or less
20 I AmcfS to 400 Amps
Address q ~ B j 3 (I 0 (lQ '5 Au- -() 1< d u\~e~~~~~ to 600 Amps
- \ m ~eq \l\:\I'~
c .~g~n ~ o{e~~8\nre~~ 1000 Amps
City '0 ~ ~ I d ~\~':j~r\e<i ~u\es ~~~~~Ql1\mpsNolts
I h U\eS'" r ,"O<;,e o~&jnne%t\9ply
\O\\O'<N~. n centet. "\0 ,-,,{OUg" ,\"e {Ule
N.O\\f\c;a'\~Lm~~O. o?\es 0 \.Qo"olle .
Supervisor License Number" ..g.l:;P gr:(l.'l b\Gl.ln C . \~ \e1N!lll&'t[(9ro' Senlces or Feeders
\n ,,<oU \\\ \ef. \\,\o\e- '\\\~ NO'..'"
oC\90. 1.1\'\\\\ pen oil \..1\1 t..\. . .
Expiration Date 10 - '''C.,k~\f'9~.:r:t.pp. o{e9 33'2.-'2.nArntlatlOn, AlteratIon or RelocatIOn
~ { WI' . '\ '000-
~~be ~{\5' 200 Amps or less
Constr. Contr, Number I D J l--t '9~ 201 Amps to 400 Amps
401 Amps to 600 Amps
$ 63,00
$ 75,00
$125,00
$163,00
$375.00
$ 50,00
$ 50,00
$ 69,00
$100,00
Expiration Date
'S - 30 - (\ Cp
Over 600 Amps or 1000 Volts see "B" above,
D. . Branch Circuit~
Signature of Supervising Electrician
C ( ,\ ,~\ L' New Alteration or Extension Per Panel
Cc..'> L~(,..l j\,;{' CA__, oneCircuitt\'t.\NG?-"
~~diJt)~,~~i~Qi1 or with
Q~\Ct:, St\~\..\.. ~fI'<i,~~~ ~rmit $ 3,00
Owners Name -'-/St'uv..; bJ }~t>~R~'~\\ \J~Dt.?- \I~v DG~t.\) U"
Address ") ~} 1-S- f.a..rlc..- ~'i~~'\\\l~ IJ D G'\\ \$. ~~cenaneous (Service/feeder not included) -Each Installation
./ f . ~ ~l\\\ClCl.
City ,!:J 'Jf' ~~ Phone {~lfC ~ Pump or irrigation $ 50,00
~\ Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
$ 43,00
OVVNERINSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
Inspection Request: 726-3769
TOTAL
J 'f~ ~OO
IOIOL
,} 4,4-0
~ I~B ,Lfb
Owners Signature:
4. SUBTOTAL OF ABOVE
7% State Surcharge
10% Administrative Fee
Shared Drive(T:)/Building Fonns/Electrical Pennit Application I-03,doc