HomeMy WebLinkAboutPermit Building 2003-9-24
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00717
ISSUED: 09/24/2003
APPLIED: 08/0712003
EXPIRES: 03/24/2004
VALUE: $ 121,411.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6034 MICA ST
ASSESSOR'S PARCEL NO.: 1802033400150
TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR - same as 1823 S 61st St COM2003-00522
New
Residential
Owner: HAYDEN ENTERPRISES INC
Address: 2622 SW GLACIER PL STE 110 REDMOND OR 97756
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THE MURPHY HARRIS COMPANY INC
HOME COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR
License
92208
142410
84164
84164
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
BUILDING INFORMATION I
# of Buildings: 1 # of Stories: 1 Lot Size: 5,599
Primary Occupancy Group: R-3 Height of Structure 18.00 Sq Ft 1st Floor: 1,235
Secondary Occupancy Group: U-l Type of Heat: Wan Heat Sq Ft 2nd Floor:
Primary Construction Type IVHT Water Type: Electric Sq Ft Basement:
Secondary Construction Type: Range Type: Electric Sq Ft Garage/Carport 400
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION.
Yes
29.20
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
19.90
9.00
5.60
31.90
15.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
1
I PUBLIC IMPROVEMENTS I
Street Improvements: -5id1 ~.;r^, laW reqUIres you 10
AC Mat ATTEN nuW~ ~O~ t the Oregon lJtltit~side 5'
Storm Sewer Available: Yes tolloW r~~\!i'%Pdins: les afel~l)glCf;utter
Special Instruction: ICE . . center Those ru 00
NOT : Notification 1-0010 through OAR 952-
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-00 tain copies of the rules \
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may ob Note: the telepho~e
COMMENCED OR IS ABANDONED FOR calling the center. ( Utility Notification
ANY 180 DAY PERIOD. numberforthe.o1re~~;_332_2344).
Center IS -
Pae:e 1 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00717
ISSUED: 09/2412003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 121,411.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
DwelliDl!:s
Garal!:e
Tvpe of Construction
V Wood Frame
Garal!:e
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,235.00
400.00
Value
Date Calculated
Description
Total Value of Project
$111,891.00
$9,520.00
$121,411.00
08/08/2003
08/08/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 8/7/03 1200200000000001922
+ 10% Administrative Fee $113.02 9/24/03 1200200000000002201
+ 7% State Surcharge $79.11 9/24/03 1200200000000002201
2 Baths One or Two Family $254.00 9/24/03 1200200000000002201
Addressing Assignment $8.00 9/24/03 1200200000000002201
Building Permit $637.15 9/24/03 1200200000000002201
Curbcut Permit $75.00 9/24/03 1200200000000002201
Dryer Vent $6.00 9/24/03 1200200000000002201
Exhaust Hoods $9.00 9/24/03 1200200000000002201
Minimum/Adjustment Mechanical $12.00 9/24/03 1200200000000002201
Plan Review - Planning $59.00 9/24/03 1200200000000002201
PW Mult Disc - 2nd Permit $-30.00 9/24/03 1200200000000002201
Residence Wiring 1000 Sq Ft $106.00 9/24/03 1200200000000002201
Residence Wiring Ea Addtl 500 $38.00 9/24/03 1200200000000002201
Sanitary Sewer - Improvement $361.41 9/24/03 1200200000000002201
Sanitary Sewer - Reimbursement $475.44 9/24/03 1200200000000002201
SDC MWMC Administration $10.00 9/24/03 1200200000000002201
SDC MWMC Improvement $34.83 9/24/03 1200200000000002201
SDC MWMC Reimbursement $332.86 9/24/03 1200200000000002201
SDC Sanitary/Storm Admin $87.61 9/24/03 1200200000000002201
SDC Transpo Admin $51.62 9/24/03 1200200000000002201
SDC Transpo Improvement $727.42 9/24/03 1200200000000002201
SDC Transpo Reimbursement $164.89 9/24/03 1200200000000002201
Sidewalk Permit $75.00 9/24/03 1200200000000002201
Storm Drainage Impervious Area $677.73 9/24/03 1200200000000002201
Temp Power 200 amps or less $50.00 9/24/03 1200200000000002201
Vent Fan $18.00 9/24/03 1200200000000002201
WilIamalane Single Family $1,000.00 9/24/03 1200200000000002201
Total Amount Paid $5,533.09
I Plan Reviews I
Initial Review
Planninl!: Review
08/08/2003
08/08/2003
08/08/2003
08/21/2003
APP LLH
APP TAJ
Pal!:e 2 of 4
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CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00717
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 121,411.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
Structural Review
08/08/2003
08/08/2003
08/14/2003
08/19/2003
APP
APP
VRJ
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.
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 Underfloor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Underfloor Mechanical. Prior to insulation or decking and including required testing.
24 Rough Mechanical: Prior to Cover
25 Final Mechanical: When all mechanical work is complete.
26 Temporary Electric: Approval required prior to Utility Company energizing pole.
27 Rough Electric: Prior to Cover
28 Final Electric: When all electrical work is complete.
Pa2e 3 of 4
-~~4iii
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00717
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 121,411.00
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 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 ofthe property, and the approved set of plans will remain on the site at all
umesduJ:;;\"" 1 )2 '( ~ ) .
Owner o.:cJntractors Signature Date \
Pae:e 4 of 4
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225 FIFTH STREET. SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689
ELECTRICAL P.JjRMI! APPLICATION
City Job Number Q:"J. D D l \ 1 Date
3. CO~MPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION
\.QD?) 4 '\'(\l~.fL) ~
L1G~L (1SCRI~yor 00,\ ~0
I. ffi J .n?; ..n ...-"",
JOB D~SCRiPTION. t \ 0$
~r\vtlJ,Q)~ ClffulLt \2 W +-1 n fl\ j
Permits ar~ non-tr~~ferable an~xpire if work is
not started within Ilro davs of issuance or if work is
A. New Residential- Single or Multi-Family per dwelling unit.
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
tUotD
3C6 .cO
t
i
$106.00
"
L,..
$ 19.00
$50.00
Suspended for 180 days.
CONTRACTOR INSTALLATION ONLY
B. Services or Feeders - Installation, Alterations or Relocation:
2.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Electrical Contractor The Murphy Harris companyOOAmpsorless
201 Amps to 400 Amps
Address 149 9th street 401 Amps to 600 Amps
601 Amps to 1000 Amps
City Springfield Phone 736-1292 Over 1000 Amps/Volts
Reconnect Only
L\61L[ S
Inl,{DL(
C. Temporary Sen-ices or Feeders
Supervisor License Number
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or I 000 Volts see "B" above.
D. Branch Circuits
Expiration Date
~D.(f)
$ 50.00
$ 69.00
$100.00
20-474 C
Constr. Contr. Number
L()!' JoLt
Expiration Date
SignareJt;~superv!is{~~ E{leCtriCian
'~. 't:,^ ,'.~ -
",0 ''''. "-
ownernNa~~dM ~D
Address VlJ \(i)tJ ~~
f:\ . r~"'.iA
~~Phone \?)!n.IUo1.--
OWNER INSTALLATION
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. Miscellaneous (Service/feeder not included) -Each Installation
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergytResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
\
~:(" 4. SUBTOTAL OF ABOVE
ctl'\ '\\,
\'~~/\ !}!~:;;J \J~' 7% State Surcharge
, J< V , r \\. ,', 10% Administrative Fee
\, " T\, 1 V
~.;;., ~,K\l
''\'''' "
\ "')
h ~"><V'
\,,;\ \ "
~r!
City
The installation is being made on property I own which
is not intended for sale, lease or rent.
\L\4.dJ
\ 3 .5<6
\q.+o
f2?' 1.0 4<6
Owners Signature:
Inspection Request: 72&-3769
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application l-03.doc
.-1 .';"~- -; ;.... t. ~ ;~ ,w<:'<-
CITY OF SPRINGFIELD SYSTEIVjS DEVELOPMEN I WORKSHEET
JOURNAL OR JOB NUMBER: Com2003-0071 7
NAME OR COMPANY: Hayden Enterprises
LOCATION: 6034 Mica Street . ~',".,,',~c' .,"
TAX LOT NUMBER: 18020334 tl150
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1635
LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x 1 COST PER S.F. CHARGE
2337.00 1 $0.290 j = 1 $677.73
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 DISCOUNT
1 0.00 1 $0.290 1 50% j $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $677.73
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x COST PER DFU
21 $22.64
B. IMPROVEMENT COST:
NUMBER OF DFU's
21
x I COST PER DFU
I $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x
9.57 I 1
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
$836.85
COST PER TRIP
$17.23
x I NUMBER OF UNITS
I 1
x I,<.",=COST,PER TRI'p
I $76.01
= , $892.31
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's . x ICOST PER FEU
I 1 j $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's
1
x ICOST PER FEU
j $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
1 SUBTOTAL x I ADM. FEE RATE
I $2,784.58 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
$377.69
$2,784.58
CHARGE
$139.23
x INEWTRIPFACTOR
I 1.00
x INEW TRIP FACTOR
1 1.00
5599
$677.73
$475.44
$361.41
$164.89
$727.42
=
$332.86
r.rJ
~
Q
o
U
~
r-<
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......
o
~
1070
I
I
1091
1092
.1093
1094
1054
$34.83 11055
I
$0.00 11054
$10.00 11056
I
I
Virginia Jurasevich
8/14/2003
PREPARED BY
DATE
TOTAL SDC CHARGES
,. 87.61 Ili)79
I $51.62 1078
= [n $2,923.81 I
I
,. .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRlNK1NG FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 3
CLOTHESW ASHER - 3 OR MORE (EA) O. 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 .- 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTlAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent DwelIing Unit) is a discharge equivalent to a single family dwelIing unit (20 DFU's) set at 167 galIons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE \979
\979
1980
198\
1982
1983
1984
1985
1986
\987
\988
\989
\990
\99\
1992
\993
\994
\995
1996
\997
\998
1999
2000
CREDIT RATE/$I,OOO
ASSESSED VALUE
$4.92
$4.92
$4.83
$4.77
$4,64
$4.47
$4.30
$4,09
$3.78
$3.4\
$2,98
$2,52
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
o
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92 '
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92 = ,
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
COM2003-00717
Payments:
Type of Payment
Check
Receipt #: 1200200000000002201
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
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
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Received By
dIm
Check Number
Batch Number Authorization Number
Paid By
HAYDEN ENTERPRISES
5314
City of Springfield Official Receipt
Development Services Departme~t
Public Works Department
Date: 09/24/2003
9:11:05AM
Amount Paid
8.00
1,000.00
106.00
38.00
50.00
75.00
75.00
(30.00)
677.73
475.44
361.41
164.89
727.42
332.86
34.83
10.00
87.61
51.62
637.15
254.00
18.00
9.00
6.00
12.00
79.11
113.02
59.00
$5,433.09
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$5,433.09
$5,433.09