HomeMy WebLinkAboutPermit Building 2004-7-21
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
:.....
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00801
ISSUED: 07/21/2004
APPLIED: 07/01/2004
EXPIRES: 01/21/2005
VALUE: $ 126,640.00
SITE ADDRESS: 801 Shady Creek Dr
ASSESSOR'S PARCEL NO.: 1802061113300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Shady creek lot 34 - SFR
Owner: BRUCE WIECHERT
Address: 3375 PARK HILLS EUGENE OR 97405
I CONTRACTOR INFORMATION'
Contractor .M~~~'1 Expiration Date
BRUCE WIECHERT CUSTOM HOM~ ~~\labV\l'7\\ \ot\'{\ 09/16/2006
L & E ELECTRIC INC eQ;ofl \'0: \'(\e ot~~~~\ 00\-- 03/30/2005
COMFORT FLOW ~\o~' Ot ~\eo. '0'1 se tu\e4.6tl.\\ g~~;es '0'1 06/27/2005
STEVE R JOH~~.. .\es ao.~ot. \'(\<:'t()uQ;~.()@a tlJ_ ",n6 03/12/2006
~\-"lI. ! 'r.' ~~-..~ l \L "g.-. - ~e~' 'fI
\0. U 'lNF. ~TI ~"X\ca\\O
~ o~
~o ~\\ 9 d:\a'l 0 ~ 0\\\\\'1 LIe)
1 \fI 0 ~~tot18ff..et. Q;ofl ,]/Z,.?>LIe . 1 Lot Size:
R-3 C090 .~~.~gg'n~ o(~~~~~()-?>?) 20.50 Sq Ft 1st Floor:
U-l C?J. p-e\S1M.~i\iO \ Forced Air Gas Sq Ft 2nd Floor:
VN '(\U ate~lf.~pe: Gas Sq Ft Basement:
Range Type: ,f' Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
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:
Phone Number: 541-686-9458
Phone
541-686-9458
541-933-2653
541-726-0100
541-342-3765
1,278
352
3
I DEVELOPMENT INFORMATION I
~'t-REQUlRED PARKING
~~\J~\)~otal: 2
, ~ ~ ~ f? ~ Handicapped:
~x, ')'$..~ <\) Compact:
~~'\ SI~'S5~&~
~\., '\~ ....~\)
-Y:~ (0- ~\X\'"
I PUBLIC IMPRQrEM~bt~\S ~~
~.~ "0'~ X; \J~" ~v'
F II I d .....\.' "C-. ~ <1...\Y: <.\) o<$RIewalk Type:
u V mprove ,,\"4 ,:<:-"..) ~'\' ~v ~ '
Yes ~ ~"\~~<(,.~~ \)~ Downspouts/Drains:
('\) ,'0
'..J~~
18.00
10.00
13.00
54.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Curbside 5'
Curb and Gutter
Pae:e 1 of 4
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
Garal!:e
Dwellinl!:s
Garal!:e
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00801
ISSUED: 07/21/2004
APPLIED: 07/01/2004
EXPIRES: 01/21/2005
VALUE: $ 126,640.00
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,278.00
352.00
Value
Date Calculated
Total Value of Project
$118,087.20
$8,553.60
$126,640.80
07/01/2004
07/01/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $424.71 7/1/04 1200400000000001013
-Mechanical Issuance Fee- $10.00 7/21/04 2200400000000000950
+ 10% Administrative Fee $117.74 7/21/04 2200400000000000950
+ 7% State Surcharge $82.42 7/21/04 2200400000000000950
2 Baths One or Two Family $254.00 7/21/04 2200400000000000950
Addressing Assignment $31.00 7/21/04 2200400000000000950
Building Permit $653.40 7/21/04 2200400000000000950
Curbcut - Overwidth Appl $35.00 7/21/04 2200400000000000950
Curbcut Permit $75.00 7/21/04 2200400000000000950
Dryer Vent $6.00 7/21/04 2200400000000000950
Exhaust Hoods $9.00 7/21/04 2200400000000000950
Furnace - up to 100,000 btu $12.00 7/21/04 2200400000000000950
Gas Fireplace $15.00 7/21/04 2200400000000000950
Gas Outlets 1-4 $4.00 7/21/04 2200400000000000950
Heat Pump $12.00 7/21/04 2200400000000000950
Plan Review Major - Planning $103.00 7/21/04 2200400000000000950
PW Mult Disc - 2nd Permit $-30.00 7/21/04 2200400000000000950
Residence Wiring 1000 Sq Ft $106.00 7/21/04 2200400000000000950
Residence Wiring Ea Addtl 500 $38.00 7/21/04 2200400000000000950
Sanitary Sewer - Improvement $383.88 7/21/04 2200400000000000950
Sanitary Sewer - Reimbursement $504.84 7/21/04 2200400000000000950
SDC MWMC Administration $10.00 7/21/04 2200400000000000950
SDC MWMC Improvement $214.23 7/21/04 2200400000000000950
SDC MWMC Reimbursement $314.63 7/21/04 2200400000000000950
SDC Sanitary/Storm Admin $107.03 7/21/04 2200400000000000950
SDC Transpo Admin $56.71 7/21/04 2200400000000000950
SDC Transpo Improvement $772.49 7/21/04 2200400000000000950
, SDC Transpo Reimbursement $175.13 7/21/04 2200400000000000950
Sidewalk Permit $75.00 7/21/04 2200400000000000950
Storm Drainage Impervious Area $899.62 7/21/04 2200400000000000950
Temp Power 200 amps or less $50.00 7/21/04 2200400000000000950
Vent Fan $18.00 7/21/04 2200400000000000950
WilIamalane Single Family $1,000.00 7/21/04 2200400000000000950
Total Amount Paid $6,539.83
Pal!:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00801
ISSUED: 07/21/2004
APPLIED: 07/01/2004
EXPIRES: 01/21/2005
VALUE: $ 126,640.00
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
07/02/2004
07/02/2004
07/0212004
I Plan Reviews I
07/02/2004 APP
07/14/2004 APP
07/07/2004 APP
LLH
TAJ
MS
Driveway throat approved for 26
feet only, all paving must clear
utilities.
Structural Review
07/0212004
07/12/2004
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.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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.
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.
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.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00801
ISSUED: 07/21/2004
'APPLIED: 07/01/2004
EXPIRES: 01/21/2005
VALUE: $ 126,640.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspec~ion 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 an employees who e in com' . uK~/ol:005 will be used on this project.
I further agree to ensure t t all reHuir d inspections ed at the proper time, that each address is readable from the
s~reet, thaft th ermit?;. is 10 ted the f n e property, and the apprOV;?;d set 7cPI s will remain on the site at all
times dunn construe n.
~ '21 OC;
Owner o~c'i:-tfSigfGrcl/ (/ ~tc /
Pal!e 4 of 4
, 225 Fifth Street
Springfield, pregon 97477
541-726-~759 Phone
.-'
Job/Journal Number
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-00801
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
, COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-00801
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-00801
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
COM2004-0080 1
Payments:
Type of Payment
CreditCard
7/21/2004
RECEIPT #:
r.ty of Springfield Official Receipt
velopment Services Department
Public Works Department
2200400000000000950
Date: 07/21/2004
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
Curbcut - Overwidth Appl
PW Mult Disc - 2nd 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,
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
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By Received By
BRUCE WIECHERT CUSTOM djb
HOMES
Page 1 of I
Item Total:
Check Number Authorization
Batch Number Number How Received
000448 041749 In Person
Payment Total:
8:10:13AM
Amount Due
31.00
1,000,00
106,00
38,00
50,00
75.00
75,00
35.00
(30,00)
899,62
504,84
383,88
175,13
772.49
314,63
214,23
10,00
107,03
56.71
653.40
254,00
12.00
18.00
9,00
6,00
4.00
15.00
12.00
10,00
82.42
117,74
103,00
$6,115.12
Amount Paid
$6,115.12
$6,115.12
CITY OF SPtdNGFIELD SYSTEMS DEVELOPMEN';f'SbRKSHEET
JOURNAL OR JOB NUMBER: C0M2004-00801
NAME OR COMPANY: Bruce Weichert
LOCATION: 801 Shady Creek
TAX LOT NUMBER: 18020611 Tax Lot 13300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1729 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S,F, x COST PER S,F, CHARGE
2902,00 $0.310 - $899,62
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S,F, x COST PER S,F, ,x I DISCOUNT RATE I I
0,00 $0,310 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$899.62 I
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x:
I 21
B. IMPROVEMENT COST:
NUMBER OF DFU's x
21
COST PER DFU
$24,04
$18,28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x
I 9,57 ,
I NUMBER OF UNITS x
I 1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x _ NUMBER OF UNITS x
I 9,57 I 1
ITEM 3 TOTAL - TRANSPORTATION SDC = I
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 1
ICOST PER FEU
I $314,63
B, IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $214,23
MWMC CREDIT IF APPLICABLE,(SEE REVERSE)
MWMC ADMINlSTRA TIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5, ADMINISTRATIVE FEE:
SUBTOTAL I x I ADM,FEERATE 1=
$3,274,82 . I 5% I
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
8342
r:/)
D.1
Cl
o
u
~
~
r:/)
.......
o
~
DISCOUNT
$0,00
$899.62
1070
$504.84
1091
$383.88
1092
=,
$888.72
COST PER TRIP
$18,30
x INEW TRlP FACTOR
I 1.00
1093
$175.13
COST PER TRIP
$80,72
$947.62
x I NEW TRIP FACTOR
I 1.00
I
11094
$772.49
~--.'..'~" -
~.._...- -
=
$314.63
1054
= $214.23 1055
I
$0.00 11054
$10.00 1056
$538.86
$3,274.82
CHARGE
$163,74
107.03 1079
$56,71 11078
TOTAL SDC CHARGES =1 $3,438.56
-. _..
--
Matt Stouder
7/7/2004
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTIIESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I
I SINK: COMMERCIAL BAR 0 0 2 = 0 I
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1 II
URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
1980 $5,19 (Enter I for Yes, 2 for No)
1981 $5,12 BASE YEAR 1979
1982 $4,98
1983 $4,80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4,63 VALUE/IOOO CREDIT RATE
I 1985 $4 .40 $0,00 x $5,29 =, $0,00
I 1986 $4,07
'I 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3,22 VALUE / 1000 CREDIT RATE
1989 $2,73 $0,00 x $5.29 0
1990 $2,25
1991 $1,80
1992 $1,59 TOTAL MWMC CREDIT = $0,00
1993 $1.45
1994 $1,25
1995 $1,09
1996 $0,92
1997 $0,72
1998 $0.48
1999 $0.28
2000 $0,09
2001 $0,05
225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · F~'Ol.g~~,03689
"J/ (j (j, "o~'
ELECTRICAL PERMIT APPLfCATION 0 ,; , oe.s :C'/q.s -
, '4 D""'" "'-/''1 q1e <0 01 .sUb
City Job Number L- - G -0\./ Date 4,,,, '-. 'lJil)g l'e9u/ ~ilt.
1. LOCATION OF mSTALIATIiW ... 3. COMPLET~O~~~;ll;;:i0j1p,
'6"0 ( Co>t,,,,"~ dc- ""t';;.~~ ".ct;,::l,io&
L~~~E~C:;r:ON !3'56 0 \'e::e:::::::,,-smg'~:i~~lJing.njt.1 b
JOB DESCRIPTION I {;'} C 1000 sq, ft, or less f "'''$.106,00 I G
d .tJ Each additional 500 sq, ft, or '-. V
IVt:-~,J {Lr;S f -TetH ( portion thereof 1- $ 19,00 >?
I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Electrical Contractor L ~ E c ltGt-\\ ( 200 Amps or less
201 Amps to 400 Amps
Address q ~ 5 :3.3 (I () (\.Q 5' Au -() 1< d 40 1 A~ W 600 Amps
C ..-r1'C~ ~Q{'~~:, ~W fe6't~r~~000 Amps
City '0 0 ~ I d Pb'M1~-~' ~ ~~ the ~~tw~1a~sNolts
I touOVf1'Uo-e: er. lhose fU\li~$!..oo~
Not\i\cat\on ~~..o010 \hr~gh 01 tu\es bY ,
Supervisor License Number \Il t}1~ro~ obteln coP~ne=~ Senices or Fee~ers
1,J\r.1~.. ... center. {Note. .t. NotiticatiOn
10 - E)"~~'tt the Oregon U\\\\~Y~l~tion, Alteration or Relocation
1Wt"~ . . \-800-3~2.~ II- I
C~ " 200 Amps or less
lo5l.-ti5
:s - 30 - 0 [.Q
Signature of Supervising Electrician
C (' '\ r-" I New Alteration or Extension Per Panel
C ~ \ J L'l-v J l o-:/:lc;-..... h G i leE. ~ne Circu,it, 1" '
Own=Nmne ~,~<<-' LIJt-,J'L~~~~i~l~ ~~~lJ~Jl~~~
Address '3',3'7) P/11.-lL L+WIWIIENCElY-O~~BsM!lf.\~~Ia8fe~der~ot illcluded)-Each Installation
/' /' A~" 1 BO.>>AY PERIOD.
City ,12..-t."-L--c-:-n!c.:- Phone ~;. S 6 ' 7'() ~ Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
2.
CONTRACTOR INSTALLATION ONLY
. >,.,,;.. ^">;..,,,;;.' ,.,'.,
Expiration Date
Constr, Contr. Number
Expiration Date
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
SP:?1i~iCt:r:: E:LO
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
B. '. Services or Feeders -Installation, Alterations or Relocation:.
$ 63.00
$ 75.00
$125,00
$163,00
$375,00
$ 50,00
201 Amps to 400 Amps
401 Amps to 600 Amps ,
Over 600 Amps or 1000 Volts see "B" above,
D. . Brarich Circuits
$ 50,00
$ 69.00
$100.00
S-G
$ 43,00
$ 3,00
4. SUBTOTAL OFABOVE
/7 Lf
/ 3. 5''0
/9 i.{C
y~'
2,Z6 ~-
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Pennit Application I-03,doc