HomeMy WebLinkAboutPermit Building 2003-8-27
A CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00630
ISSUED: 08/27/2003
APPLIED: 07/16/2003
EXPIRES: '02/27/2004
VALUE: $ 120,958.00
. \
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
SITE ADDRESS: 6079 MICA ST
ASSESSOR'S PARCEL NO.: 1802033400131
TYPE OF WORK: Single Family Residence
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
.,
I DEVELOPMENT INFORMATION' f<.. ~\)~~~
~ \~ '\~\\ f~ ~ REQUIRED PARKING
Overlay Dist: ~~\~ ~~~~ ~ v.~~ Total: 2
# Street Trees Rqd:~~\.\. '\~~ ~~~ Handicapped:
Paved ~~~~ S~~\)~~ ~~~~ Yes Compact:
% ~\to~v~~\) (J~ '\ ~(J\)' 27.00
\~'\\x\~t.Y~~~\,"l ~~~
I PUBLIC IMP~~~~TS I
~~
AC Mat
Yes
TYPE OF USE:
PROJECT DESCRIPTION: SFR - same as COM2003-00522 1823 S 61st St
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110 REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INF,~TION ,
~~0<i:J ) ~ ~!AQ~
Contractor ~0o..'V 0~0~ ~0~~nse
HAYDEN ENTERPRISES \'l>-~ 0 Q{ t;; 'l>-~0 ~~j.i2~~',
THE MURPHY HARRI~()~'!.ft,Q>-~ 0t~~4~
HOME COMFOR~.#~q,cBi'~~~ 0' ~ ~~~~~~o~
HOME COM~f.\~.. IJ!><A.UNth~~!.~~0~ ,^0 \.0 ~4..t~4
~~; ~~~J ~iitiillD1N,~'I~i6RM~TfNl
o~o ~\o ~\,)- 0'" 0~'" o~.... 2:
~ .~\v ~~ A'.#-1rrc"f 'cs<:S (v'O"S
~~ ~ ~ \' .v't.P 0(1.. . ~\J
YR-~~ ..J. 0 ~eig.lfft Qf s..~ucture
frilD<?l<) ~\~~ ~~p~t~iieat:
vN- v ~'Q0 '{.ater Type:
~'V Range Type:
3 Energy Path:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
17.00
Wall Heat
Electric
Electric
Path 1
SETBACKS
Frontyard Setback:
Side 1 Setback:
, Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.70
9.00
, 6.00
38.70
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
Residential
Phone Number: 541-461-5091
Expiration Date
07/29/2007
04/20/2004
06/25/2007
06/25/2007 .
Phone
541-501-4332
541-736-1292
541-345-2838
541-345-2838
5,987
1,230
400
Sidewalk Type:
Curbside 5'
Curb and Gutter
Downspouts/Drains: '
Notes:
Paee 1 of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
,541-726-3769 Inspection Line
I Valuation Descriotion-'
Description
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,230.00
400.00
Dwellinl!s
Garal!e
Total Value of Project
~
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2003-00630
ISSUED: 08/27/2003
APPLIED: 07/16/2003
EXPIRES: 02/27/2004
VALUE: $ 120,958.00
Value
Date Calculated
$111,438.00
$9,520.00
$120,958.00
07/16/2003
07/16/2003
Fee Description Amount' Paid Date Paid 'Receipt Number
Plan Review Same As $100.00 7/18/03 1200200000000001789
-Mechanical Issuance Fee- $10.00 8/27/03 1200200000000002030
+ 10% Administrative Fee $107.69 8/27/03 1200200000000002030
+ 7% State Surcharge $75.38 8/27/03 1200200000000002030
2 Baths One or Two Family $254.00 8/27/03 1200200000000002030
Addressing Assignment $8.00 8/27/03 1200200000000002030
Building Permit $633.90 8/27/03 1200200000000002030
Curbcut Permit $75.00 8/27/03 1200200000000002030
Dryer Vent $6.00 '. 8/27/03 1200200000000002030
Exhaust Hoods $9.00 8/27/03 1200200000000002030
Minimum/ Adj ustment Mechanical $12.00 8/27/03 1200200000000002030
Plan Review - Planning $59.00 8/27/03 1200200000000002030
PW Mult Disc - 2nd Permit $-30.00 8/27/03 1200200000000002030
Residence Wiring 1000 Sq Ft $106.00 8/27/03 1200200000000002030
Residence Wiring Ea AddtI 500 $38.00 8/27/03 1200200000000002030
Sanitary Sewer - Improvement $361.41 8/27/03 1200200000000002030
Sanitary Sewer - Reimbursement $475.44 8/27/03 1200200000000002030
SDC MWMC Administration $10.00 8/27/03 1200200000000002030
SDC MWMC Improvement $34.83 8/27/03 1200200000000002030
SDC MWMC Reimbursement $332.86 8/27/03 1200200000000002030
SDC Sanitary/Storm Admin $93.39 8/27/03 1200200000000002030
SDC Transpo Admin $51.31 8/27/03 1200200000000002030
SDC Transpo Improvement $727.42 8/27/03 1200200000000002030
SDC Transpo Reimbursement $164.89 8/27/03 1200200000000002030
Sidewalk Permit $75.00 8/27/03 1200200000000002030
Storm Drainage Impervious Area $787.06 8/27/03 1200200000000002030
Vent Fan $18.00 8/27/03 1200200000000002030
Willamalane Single Family $1,000.00 8/27/03 1200200000000002030
Total Amount Paid $5,595.58
I Plan Reviews I
Initial Review
Planninl! Review
07/21/2003
07/22/2003
07/22/2003
07/30/2003
APP LLH
APP TAJ
Pal!e 2 of 4
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00630
ISSUED: 08/27/2003
APPLIED: 07/16/2003
EXPIRES: 02/27/2004
VALUE: $ 120,958.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
Structural Review
07/22/2003
07/22/2003
07/23/2003
08/11/2003
APP
APP
MAS
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 wo.rking day, inspections requested after 7:00 a.m. will be made the following work
day.
1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 , Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Underfloor Plumbing: Prior to insulation or decking.
17 Rough Plumbing: Prior to cover and including required testing.
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
21 Final Plumbing: When all plumbing work is complete.
22 Underfloor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Mechanical: Prior to Cover
24 Final Mechanical: When all mechanical work is complete.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
26 Rough Electric: Prior to Cover
27 Electric Service: Approval required prior to utility company energizing service.
28 Final Electric: When all electrical work is complete.
Paee 3 of 4
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: COM2003-00630
ISSUED: 08/27/2003
APPLIED: 07/16/2003
EXPIRES: 02/27/2004
VALUE: $ 120,958.00
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 required inspections are requested at the proper time, that each address is readable from the
street, tIiat 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.
0//7
Owner o~ctors Signature
/
Pal!e 4 of 4
Date
<6 /~:>
(
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
COM2003-00630
Payments:
Type of Payment
Check
Receipt #: 1200200000000002030
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
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review - Planning
Building Permit
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
2 Baths One or Two Family
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENT
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt -
Development Services Department
Public Works Department
Date: 08/27/2003 9:48:20AM .
Amount Paid
8.00
1,000.00
106.00
38.00
75,00
75,00
(30.00)
475.44
361.41
164.89
727.42
332.86
34.83
10,00
787.06
93.39
51.31
59,00
633.90
18,00
9,00
6,00
12.00
10.00
254.00
75.38
107.69
$5,495.58
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$5,495.58
$5,495.58
CITY OF brAINGFIELDSYSTEMS DEVELOPMEfff'WORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00630
NAME OR COMPANY: Hayden Enterprises
LOCATION: 6079 Mica St ...,
TAX LOT NUMBER: ]8020334 Tax Lot 00129
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF) 1235 LOT SIZE (SF):
I. STORM DRAINAGE;
DIRECT RUNOFF TO CITY STORM SYSTEM
, - IMPERVIOUS S.F, x.. COST PER S.F. CHARGE
2714.00 $0.290 = $787.06
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x COST PER S.F. x I DISCOUNT RATE I DISCOUNT
'0.00 $0.290' 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC '$787.06'
5987
$787.06
I/.l
~
o
o
I~
I/.l
......
o
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I
ll070
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
o
o
o
3
o
2
1
o
o
6
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's).~t at 167 gallons per day
.Q~
MWMC CREDIT CALCULA TION TABLE: BASEO ON COUNTY ASSESSED VALUE
~~~
o
21
YEAR CREDIT RATE/$I,OOO "
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0
BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No)
1979 $4,92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4,83 (Enter 1 for Yes, 2 for No)
1981 $4.77 BASE YEAR 2002
1982 $4.64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE/I000 CREDIT RATE
1985 $4,09 $0.00 x $0.04 = , $0.00 II
1986 $3.78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2,98 VALUE / 1000 CREDIT RATE
1989 ' $2.52 $0.00 x $0.04 0
1990 $2.06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT = $0.00
1993 $1.31
1994 $1.13
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04
, .... t":O
~'S '~~ " ..
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-36~\0:~:rr~{ ..0:
ELECTRIC~'E T 'PLICATION ,\O~,"t 000
.rf'.J _:Jfl .....0' ~"
City Job Number l'...LAV-l-/ Date -<.,,,,0 ",,,o:",,~' 0(:..'''0:,
10 ~o 1.) ~0
, .. ",: ~~ . ~-:>
3. COMPLETE FEE SCHEDULE L.gfV
, ' , ?r,e 1,.00
Q ',:>\'
. '. : $;;' \: ',' ,- ~. ':' :'. -, 'i: .
A. New Residen!ial- Single or l'vt'ulti-Fani:ily pel" d'~ellingunit. . .
';". -:__;.(~: '.'~';';;~;':~-~7":~';~~tf~~Jt':t.m:~~1',~;,~':~,~m"J-~~~e~'.'~,' /i~'~ ~,\:f-!f~~:-"r.~_.f~~~~~~~~~~;f;~;! '.
( aO'}Cf
LOCATION OF INSTALLATION
mLCf})~
1.
LEGAL DESCRIPTION
I R m.m ~4
JOB DESCRIPTION
rY:;l31
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling SeIVice or
Feeder
I
t
$ 19.00
liP3/)
~ n~ - anSf:ra and e'plr.;f wnrk ;,
not started wit' 180 days of issuance or if work is
Suspended for 180 days.
$106.00
IOw.od
88 "ci>
$50.00
2.
"""~.-:'>'-'" ~'i:' '. ". . .:_ _,j':_ ,'.
,CONTRACTOR INSTALLATION ONLY-.
..t.~ . , Jo,. . ~.;,<, ". .' ' .
, . :;::_._':;:,~~':<~<~'_~ - ,0' " _::\'": " _,,:, ;
B. Ser,;ices9i" Fie~e.rs- Installatio~, AIterationsor,Relocation:
Electrical Contractor The Murphv Harris CompanyOO Amps or less
201 Amps to 400 Amps
Address 149 9th street 401 Amps to 600 Amps
601 Amps to 1000 Amps
City Sprinqfield Phone 736-1292 Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75,00
$125.00
$163,00
$375.00
$ 50.00
Expiration Date
\
Constr. Contr, Number
Expiration Date
/
$ 50,00
$ 69.00
$100.00
Owners Name
$ 43.00
$ 3.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
)'~c:?IjF.-t'>:-,T~~:'_:pt;:.r~w:r~;:-,~- 18'X;fi1\v:%1:1'~~~~1F{~;j~r;:frJ?f~~:i~fF~(e ?;';-:
E. ..,.... . ce/feedeI' n()tiri~ii1dedj:=Eac~'. ."sJau~gil}~>,
'++''''.:._,,: ".- _"-_',__c,_.,_ ,,:, ' , . .::',<1-. :,'.' '_":.' ~ _ ,u.." _"_"'_'_ _ j<: ,:,,/,,:,::,'-:_'___"";~" .," ..,. _ ":, ~-.-""'-':..--.". -, ..,:__::'_,.....:.:, -,
. ",_, ~~._c;'"""._ .,,,,," ,".. ~._'.=....E.\f~1t\t~'N-e, . <,~~.r,'~k,",."
Pump o~iriig~ti?~;\r\\ S\-\M..'- t~P~ l"'[f\~WQ.(t6 NOr
SignlOutlP1eLigc-~tWg~o lI\'lDtR \Rt~ :ON~~~
Limited EUergy/R~~fd {1bR \S M3f\\~U, $ 25.00
(1\'j.\,llt.N\Jee CO\OU -
Limited Energy~gweCf\qi41~~' $ 45,00
Minimum Electh~~ermit Inspection Fee is $45.00 + Surcharges
Inspection Request: 726-3769
4. 44~
7% State Surcharge \ () .~
10% Administrative Fee i. ~ ..t\- D
~ ~b<~~TOT:~Dri~'YB"i~mg~PmciIApp~~
Owners Signature: