HomeMy WebLinkAboutPermit Building 2003-4-9
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6015 MICA ST
ASSESSOR'S PARCEL NO.: JASPER MEADWS 1 AD
PROJECT DESCRIPTION: SFR - same as 1410 S 59th 02-00302-01
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110 REDMOND OR 97756
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00140
ISSUED: 04/0912003
APPLIED: 03/07/2003
EXPIRES: 10/09/2003
VALUE: $ 99,598.00
TYPE OF WORK: Single Family Residence
TYPE OF USE:
I CONTRACTOR INFORMATION I
Pa!!e 1 of 4
1
17.00
Wall Heat
Electric
Electric
Path 1
New
Residential
Contractor License
HAYDEN ENTERPRISES 92208
CHRISTENSON ELECTRIC INC 458
HOME COMFORT HEATING & AIR 84164
HAYDEN ENTERPRISES 92208
HOME COMFORT HEATING ~AIR 84164
I BU~~~ATIONI
~d\. :\.
# of Buildings: 1 (\\'l).~ edt9~~iA:i'fil' ~
Primary Occupancy Group: O~ 'O,,~ <\)~: ~ure
Secondary Occupancy GrOU~\O~'le~"ose ~ ~\'{\tlI~~O<'~ (\
Primary Construction JJ<# ~e'O~ ~. o~<o~. ~r~~(\~O
Secondary Constructi~ .~~t~ (\0 :'.: .~<' cO ~ i'1?
# of Bedrooms: \O\\a.~~O 2,$)f;j O'O\~ ~O'~ 1'1'
~O~'\J ~ClJ~ ~'b-" ~\e<' ~o<' n..fb?;f(,;
('\~ . 'I'\) i dJ '1<e ;.;r"~
\'~O<b\)'~\<'<)'\\~o<~EtOPMENT INFORMATION I
SETBACKS ell; ~'Oe'( (j0<'~
<(\~
20.00 Overlay Dist:
10.00 # Street Trees Rqd: 3 ~
10.00 Paved Drive Rqd: ~ \\\t.~p~\
33.00 % of Lot Coverage: 'i.~?\~t. ~ ~~.'& ~
0.00 .,f)'1\C~~:~\"'i ~\\~\.\..Q. \\\\~ ~~~t.\) f\)\\
. I PU'-- ~V~:-#~'~
F II I ~ ~~\:\\C" .. \,\:\\~ Sidewalk Type:
u y mprove CO ~ \)~ .
. No ~~i \'0
Phone Number: 541-461-5091
Expiration Date
07/29/2003
05/01/2003
06/25/2003
07/29/2003
06/25/2003
Phone
541-461-5091
541-688-6121
541-345-2838
541-461-5091
541-345-2838
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,984
1,630
400
REQUIRED PARKING
Total:
Handicapped:
Compact:
2
Downspouts/Drains:
Curbside 5'
Curb and Gutter
.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00140
ISSUED: 04/09/2003
APPLIED: 03/07/2003
EXPIRES: 10/09/2003
VALUE: $ 99,598.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
$74.60
$19.60
Square Footaee
1,230.00
400.00
Value
$91,758.00
$7,840.00
$99,598.00
Date Calculated
03/07/2003
03/07/2003
Total Value of Project
~
Fee Description Amount Paid Date Pai Receipt Number
Plan Review Same As $100.00 2/28/03 220200000000000545
-Mechanical Issuance Fee- $10.00 4/9/03 1200200000000000976
+ 10% Administrative Fee $100.87 4/9/03 1200200000000000976
+ 7% State Surcharge $70.61 4/9/03 1200200000000000976
2 Baths One or Two Family $254.00 4/9/03 1200200000000000976
Addressing Assignment $8.00 4/9/03 1200200000000000976
Building Permit $565.65 4/9/03 1200200000000000976
Curbcut Permit $75.00 4/9/03 1200200000000000976
Dryer Vent $6.00 4/9/03 1200200000000000976
Exhaust Hoods $9.00 4/9/03 1200200000000000976
Minimum/Adjustment Mechanical $12.00 4/9/03 1200200000000000976
Plan Review - Planning $59.00 4/9/03 1200200000000000976
PW Mult Disc - 2nd Permit $-30.00 4/9/03 1200200000000000976
Residence Wiring 1000 Sq Ft $106.00 4/9/03 1200200000000000976
Residence Wiring Ea Addtl 500 $38.00 4/9/03 1200200000000000976
Sanitary Sewer - Improvement $352.59 4/9/03 1200200000000000976
Sanitary Sewer - Reimbursement $463.89 4/9/03 1200200000000000976
SDC MWMC Administration $10.00 4/9/03 1200200000000000976
SDC MWMC Improvement $34.83 4/9/03 1200200000000000976
SDC MWMC Reimbursement $332.86 4/9/03 1200200000000000976
SDC Sanitary/Storm Admin $81.23 4/9/03 1200200000000000976
SDC Transpo Admin $50.80 4/9/03 1200200000000000976
SDC Transpo Improvement $709.81 4/9/03 1200200000000000976
SDC Transpo Reimbursement $160.87 4/9/03 1200200000000000976
Sidewalk Permit $75.00 4/9/03 1200200000000000976
Storm Drainage Impervious Area $575.84 4/9/03 1200200000000000976
Vent Fan $18.00 4/9/03 1200200000000000976
Willamalane Single Family $1,000.00 4/9/03 1200200000000000976
Total Amount Paid $5,249.85
I Plan Reviews I
Initial Review
Plannine Review
03/1012003
03/1012003
03/10/2003
03/17/2003
APP LLH
APP AID
See attached minimum setback
letter
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00140
ISSUED: 04/0912003
APPLIED: 03/07/2003
EXPIRES: 10/09/2003
VALUE: $ 99,598.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
Structural Review
03/10/2003
03/1012003
03/24/2003
03/18/2003
APP
APP
DJW
DLM
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 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor Insulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
12 Final Building: After all required inspections have been requested and approved and the building is complete.
13 Vnderfloor Plumbing: Prior to insulation or decking.
14 Vnderfloor Drain: Prior to cover or placement of concrete.
15 Rough Plumbing: Prior to cover and including required testing.
16 Water Line: Prior to filling trench and including required testing.
17 Sanitary Sewer Line: Prior to filling trench and including required testing.
18 Storm Sewer Line: Prior to filling trench.
19 Final Plumbing: When all plumbing work is complete.
20 Vnderfloor Mechanical. Prior to insulation or decking and including required testing.
21 Rough Mechanical: Prior to Cover
22 Final Mechanical: When all mechanical work is complete.
23 Vfor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
24 Rough Electric: Prior to Cover
25 Electric Service: Approval required prior to utility company energizing service.
26 Final Electric: When all electrical work is complete.
27 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
28 Curbcut - Standard: After forms are erected but prior to placement of concrete.
Pa{!e 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: COM2003-00140
ISSUED: 04/09/2003
APPLIED: 03/07/2003
EXPIRES: 10/09/2003
VALUE: $ 99,598.00
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, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
Omcs during CO~4
f. '/ .
Owner or Coi:1.tnfctors Signature
Pa2e 4 of 4
Date
~/~
/
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Line Items:
Job/Journal Number
COM2003-00140
COM2003-00140
COM2003-00140
COM2003-00140
COM2003-00140
COM2003-00140
COM2003-00140
COM2003-00 140
COM2003-00 140
COM2003-00140
COM2003-00140
COM2003-00 140
COM2003-00140
COM2003-00140
COM2003-00 140
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
4/9/2003
12:59:50PM ·
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 1200200000000000976
Date: 04109/2003
Amount Paid
8.00
1,000.00
106.00
38.00
59.00
565.65
254.00
18.00
9.00
6.00
Minimum! Adjustment Mechanical
10.00
-Mechanical Issuance Fee-
Sidewalk Permit
Curb cut Permit
PW Mult Disc - 2nd Permit
12.00
75.00
75.00
(30.00)
Page I of2
cReceipt.rpt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
COM2003-00 140
COM2003-00 140
COM2003-00140
COM2003-00140
COM2003-00140
COM2003-00 140
COM2003-00140
COM2003-00 140
COM2003-00 140
COM2003-00140
COM2003-00 140
COM2003-00140
Payments:
Type of Payment
Check
Paid By
Receipt #: 1200200000000000976
Date: 04/09/2003
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
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number Confirm No
HAYDEN ENT
djb
Page 2 of2
..
4/9/2003
12:59:50PM .
City of Springfield
Development Services Department
Public Works Department
Official Receipt
575.84
463.89
352.59
160.87
709.81
332.86
34.83
10.00
81.23
50.80
70.61
100.87
Line Item Total:
$5,149.85
How Received
Amount Paid
In Person
5,149.85
$5,149.85
Payment Total:
cRcccipt.rpt
225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAX: (541)726-3689 ~ .D~
ELECTRICAInfl}!WIT APP+f!<.ATION . ~ rl
City Job Number ~\ ~"ftU Date \). \
\~(Jt ~ \\\,\(\ fL)
LEGAL DESCRIPTION A.
~~D~D"300 ()(\ mt;:.,t() ,~\.s€r~\)~'fncluded
\ -- - -. ,p "!:>~
JOB DESCRIPTION ":20\ ec;0-s"!:>eo.\)\~~OOO sq. 'les~
(\ . ~ _ f\ 'W~~:~"!:> (\o\~' F~c aitio... .tM"SO... ,000 s ~(.ft. or
.::ll J \ ) \( ~~ ",(\0 ^. oTtio .,..rf~9/
Permits re non ansferable d ex;irlP1t'~'fk ~(\\(\~ ach ~ufact' d Home or
not started within 180 days of issuance ol'.Qif work is e ~u1ar Dwelling Service or
Suspended for 180 days. <2Y:P'C-\\)\ Feeder
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Rec~61ect Only
O~ .
~~,~~ .
\0-~ ~e O~e~ ~e rJfJ 'Ci'l
10/01/04 _ o.o..O~ _...!.~e ~s ~atii.Qft,"1\1teration or Relocation
.\f- 0.0';1 e~~ ~~_/lll~~'- ~~
\O~. ~O~\b ~~oOJ ~~'(\ ~~~\~ $ 50.00
Constr. Contr. Number ~f::J~'"\ #9l _~~. 'V...~'(o ~llJfb90\~~00 Amps $ 69.00
~ '~~~ ^ve\,~'\ .~~CO "0.~1'~hsto600AmPS $100.00
E . . /Ol'I;"~O ...~" n.~' 'V'\\~ ..\O~ :~~ ~o."
xprratlon Date 10 _~ "-'."'~~ ....!l^' .A (')v <I ~ \S ,n' 0 Am 1000 V It "B" b
~"I;. "lJ'J~ 'i>) ~~,. o~...~ ps or 0 s see a ove.
Signature of Supervising Elec~~~~ -.(O~~ ~ e r/J~ O~e~~w~
....;..,~(). ~'0;1. ,"
'- ))' -:.d 'O~ ~e~ ,'6 New Alteration or Extension Per P~
T~rry cnaprmm \__.l 1~~ 0~ One Circuit ~\\~ ~ ~f\}\ $ 43.00
G' ,-- Each Additional Circui!~~tH ~ \":)'
~ A~f\' '),..,! ('WnA (\. Service or Feeder P~1f"~~~~ t".. C;0i~
Owners Name ,}...-\ 1 ,\ \ ( ~\\j ~ \ \1.J.l-.J 't-~ "( ~y
Address 'C 0 ~ \91- ~~-::iy .
City \ ~ ~ Phone I () ~~ -rq() i
. -'\ '0 v -1J
OWNER INSTALLATION
1.
2.
Electrical Contractor ..cbr; ~ t pn~()n F,' Pc. tr; r.
Address
1?qR Rpthpl f)r;vp
City
Phone ~41-hRR-6121
F.110pnp
J
Supervisor License Number
37595
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
\
'L
$106.00 \0\0 (1)
$ 19.00 fJ:,~.(jj
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
. $375.00
$ 50.00
6
$ 3.00
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
l11 .riJ
\O.()<6
\4 .4Q
llQ~ 48
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)!Building Forms/Electrical Permit Application 1-03.doc
CITY OF S~INGFIELD SYSTEMS DEVELOPME~"'ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00140
NAME OR COMPANY: Hayden Enterprises
LOCATION: 6015 Mica St.
TAX LOT NUMBER: ] 8020300TL005 I 0
DEVELOPMENT TYPE:.': . r
NEW DWELLING UNITS BUILDING SIZE (SF) 0
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2042.00 '$0.282 = $575.84
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE DISCOUNT
I 0.00 $0.282 I 50% $0.00
~
~ --,..
I. STORM DRAINAGE
ITEM 1 TOTAL - STORM DRAINAGE SDC
. .
2. SANITARY SEWER - CITY
.'
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
21
B. IMPROVEMENT COST:
NUMBER OF DFU's x
21
COST PER DFU
$22.09
COST PER DFU
$16.79
ITEM 2 TOTAL - CITY SANITARY SEWERSDC . = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIP RATE x
I 9.57
I
LOT SIZE (SF):
CIl
r.LI
Ci
o
U
0:::
r.LI
f-;
u:l
......
o
~
5984
$575.84
$575.84
1070
$463.89
1091
$352.59
1092
$816.48
NUMBER OF UNITS x I
I I
B. IMPROVEMENT COST:
I ADT TRIP RATE x. NUMBERIOF UNITSl x
I 9.57
ITEM 3 TOTAL - TRANSPORT A nON SDC = ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x ICOST PER FEU
I I $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's I x COST PER FEU
'I $34.83
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 ADM. FEE RATE 1=
$2;640.69 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
;.
COST PER TRIP
$]6.81
x NEW TRIP FACTORl
1.00 J
1093
$160.87
COST PER TRIP
$74.17
$870.68
x . NEW TRIP FACTOR.
1.00 =
1094
$709.81
=
$332.86
1054
= $34.83 1055
$0.00 1054
$10.00 1056
$377.69 I
:
$2,640.69 I.
CHARGE
$132.03
8].23 1079
$50.80 1078
TOTAL SDC CHARGES = , $2,772.72 .
3/24/2003
PREPARED BY
DATE
-;- ..,-
t ;;'t .
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 O. 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERClAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
SINK: SINGLE LA V A TOR Y /RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIV ATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 - 0
. TOTAL DRAINAGE FIXTURE UNITS 21
, *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day I
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985 .
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
.1999
2000
CREDIT RATE/$I,OOO
ASSESSED VALUE
$4.92
$4.92
$4.83
. $4.77
$4.64 .
$4.47
$4.30
$4.09
$3.78
$3.41
$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 ELGlBLE 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
o
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 ' CREDIT RATE
$0.00 x $4.92
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $4.92
o
TOTAL MWMC CREDIT
=
$0.00