HomeMy WebLinkAboutPermit Building 2003-9-24
. CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00731
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
SITE ADDRESS: 6010 MICA ST
ASSESSOR'S PARCEL NO.: 1802033400136
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'
# of Buildings: 1 # of Stories: 1 Lot Size: 5,914
Primary Occupancy Group: R-3 Height of Structure 18.00 Sq Ft 1st Floor: 1,235
Secondary Occupancy Group: U-l Type of Heat: Wall Heat Sq Ft 2nd Floor:
Primary Construction Type VN 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 I
Yes
27.60
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
10.90
9.00
31.90
7.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
5
I PUBLIC IMPROVEMENTS I
Street Improvements: ~Ji%~Btl1.V
Storm Se}@f~1iiQ~:Or~g~ob~ the oregOldJtility,
Special Im_iAdes adQp eThose rules are set tor
Notmcation center. hrough OAR 952-00
Notes:. OAR 952-001-0010 t ,'es of the rules \
10 btain cop
0090. You may 0 Note:. the te\e.~ho~e
caning the center. ( Uti\ity NotIficatIon
nufflber for the, 01re8g~~_332-2344).
center IS -
Curbside 5'
Downspouts/Drains: Curb and Gutter
NOTICE: EXPIRE tF THE WORK
1HIS PERMIl ~~~~~ 1HIS PERMIl IS N01
AU1HORIZEEDO OR IS ABANDONED FOR
COMMENC
ANY 160 DAY PERIOD.
Sidewalk Type:
Pal!e 1 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00731
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
I Valuation Descriotion I
Dwellin2:s
Gara2:e
V Wood Frame
Gara2:e
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,235.00
400.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$111,891.00
$9,520.00
$121,411.00
08/11/2003
08/11/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 8/7/03 1200200000000001922
-Mechanical Issuance Fee- $10.00 9/24/03 1200200000000002198
+ 10% Administrative Fee $113.02 9/24/03 1200200000000002198
+ 7% State Surcharge $79.11 9/24/03 1200200000000002198
2 Baths One or Two Family $254.00 9/24/03 1200200000000002198
Addressing Assignment $8.00 9/24/03 1200200000000002198
Building Permit $637.15 9/24/03 1200200000000002198
Curbcut Permit $75.00 9/24/03 1200200000000002198
Dryer Vent $6.00 9/24/03 1200200000000002198
Exhaust Hoods $9.00 9/24/03 1200200000000002198
Minimum/Adjustment Mechanical $12.00 9/24/03 1200200000000002198
Plan Review - Planning $59.00 9/24/03 1200200000000002198
PW Mult Disc - 2nd Permit $-30.00 9/24/03 1200200000000002198
Residence Wiring 1000 Sq Ft $106.00 9/24/03 1200200000000002198
Residence Wiring Ea Addtl 500 $38.00 9/24/03 1200200000000002198
Sanitary Sewer - Improvement $361.41 9/24/03 1200200000000002198
Sanitary Sewer - Reimbursement $475.44 9/24/03 1200200000000002198
SDC MWMC Administration $10.00 9/24/03 1200200000000002198
SDC MWMC Improvement $34.83 9/24/03 1200200000000002198
SDC MWMC Reimbursement $332.86 9/24/03 1200200000000002198
SDC Sanitary/Storm Admin $87.61 9/24/03 1200200000000002198
SDC Transpo Admin $51.62 9/24/03 1200200000000002198
SDC Transpo Improvement $727.42 9/24/03 1200200000000002198
SDC Transpo Reimbursement $164.89 9/24/03 1200200000000002198
Sidewalk Permit $75.00 9/24/03 1200200000000002198
Storm Drainage Impervious Area $677.73 9/24/03 1200200000000002198
Temp Power 200 amps or less $50.00 9/24/03 1200200000000002198
Vent Fan $18.00 9/24/03 1200200000000002198
Willamalane Single Family $1,000.00 9/24/03 1200200000000002198
Total Amount Paid $5,543.09
Pa2:e 2 of 4
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00731
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
Initial Review
Planninl! Review
Public Works Review
Structural Review
08/08/2003
08/11/2003
08/11/2003
08/11/2003
I Plan Reviews'
08/1112003 APP
08/21/2003 APP
08/14/2003 APP
08/20/2003 APP
LLH
TAJ
VRJ
DLM
Same as 1823 S. 61st Street
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 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Underfloor Plumbing: Prior to insulation or decking.
16 Underfloor Drain: Prior to cover or placement of concrete.
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.
Pal!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: COM2003-00731
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 121,411.00
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
times during constr tion.
Owner or Con"tnictors Signature
Pa2e 4 of 4
Date
qf~3
Ji
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN~;~ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00731
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
2337.00 I $0.290 = $677.73
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I. IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE I DISCOUNT
I 0.00 '$0.290 50% = I $0.00
Hayden Enterprises
60 I 0 Mica Street
18020334 tI 136
SINGLE F AMIL Y RESIDENCE
I BUILDING SIZE (SF~ 1635
LOT SIZE (SF):
5914
r/1
i:I.:l
~
o
u
p:::
i:I.:l
t-<
r/1
......
tI
~
ITEM 1 TOTAL - STORM DRAINAGE SDC $677.73 $677.73 1070
2. SANITARY SEWER - CITY "
"
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x COST PER DFU
I 21 $22.64 . $475.44 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's x. COST PER DFU
I 21 $17.21 , $361.41 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $836.85
3. TRANSPORTATION llO:'
A. REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x I NEW TRIP F ACTOR I
I 9.57 I I $17.23 I 1.00 I $164.89
B. IMPROVEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS x .;. ,'. COST PER,TRIP x NEW TRIP FACTOR
, 9.57 I I $76.01 1.00 $727.42 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $892.31
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x ICOST PER FEU
I I $332.86 = $332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I I I $34.83 = $34.83 lOSS
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ,- $0.00 1054
J
MWMC ADMINISTRATIVE FEE $10.00 I 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER sm = , $377.69
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , $2,784.58
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE 1= CHARGE
I $2,784,58 5% I $139.23
TOTAL SANITARY ADMINISTRATION FEE: 87.61 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $51.62 111078
Virginia Jurasevich 8/14/2003 TOTAL SDC CHARGES = I $2,923.81
PREPARED BY DATE
.~
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 0
BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No)
1979 $4.92 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0
1980 $4.83 (Enter 1 for Yes, 2 for No)
1981 $4.77 BASE YEAR 1979
1982 $4.64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE / 1000 CREDIT RATE
$0.00 $4.92 = I .. $0.00
1985 $4.09 x
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 $4.92 = fH. 0
1990 $2.06
1991 $1. 64
1992 $1.45 TOTAL MWMC CREDIT = L $0.00
1993 $1.31
1994 $1.13
I 1995 $0.97
I 1996 $0.82
I 1997 $0.63
I 1998 $0.41
I 1999 $0.22
I 2000 $0.04
." . :;"Jl'o''':' '; t.. > '~"li:f-- . ....~~.f'
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6 ~ ~ - ,
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726j\~~~\:'Q c\ .
ELECTRICAL PERMIT APPLICATION. ,6\,<F~' ~~',eo.\}\
:i~J:::~~:~~13\ Dale ~~~;{:;~!i;~'\
\ cD\O \\\u'~ ~.Q!L~ ,/ /:~c,"~\U,~ /
. \lG. . " ..) -. . . _. _ . .. ;,.,,"; ',",., '........ "',-r-.: "
LEGAL DESCRIPTION A. New Residential - S.icngfe or Multi-Fam:ily per d\velIh1';:~nit]'
\ ~ f5l-D33!\. ex::) \7)b Service Included ;.v' .. . . ,'"'. ..
\ $106.00 l[,)lo.~
1,. $ 19.00 '3~,
JOB DESCRIPTION t \p ~
~~~i7w5:~
not started withi\'J 180 days of issuance or if work is
Suspended for 180 days.
2.
...,',"---' .... ' . ,P- "', .
CONTRACTOR INSTALLATION ONLY
.~<----";_:' "..~..... - . .:..
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
":,' .' ".. ,',-' . .' .....-<: "<~ .~ ~':,~::-,''':
B. Services or Feeders - Installation, Alterations or.ReloCation:
,Y; . ..;.<' " - -- -..' -. .. . "....-.._-'...~
. .
Electrical Contractor The Murphv Harris CompanyOO Amps or less
20 I Amps to 400 Amps
Address 149 9th street 401 Amps to 600 Amps
60 I 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
Supervisor License Number 4 0 9 4 S
Expiration Date
10/1/04
\
\
Constr. ContI'. Number 20 - 474 C
Expiration Date 1 0 / 1 / 0 4
Sign .a ture ofSu. Plfrvising. .. trician .
~'-:fr-..\'
. .
'-,----...:. \ .,
----.-- -
Own=Name ~cio(\ l ~
Address \1 0 ~~ ~B9 . .
Ci~~~ ~iliphone-~3\o'\\lo7-
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent
Own= Signature: ~-t\ \D ct
~~~ ~.1P'
Inspection Request: 726-3769
~'::;-~~I}[~~:i!'{?n?~7<~%7h,~:;(J;<<F,.ift';"~{f':
c.,; Temporary SehiceS or Feed
~':"J,.~ ;;,~-_;,_...,",'~"'it~",,~~_~:.;;h...~7c_";"~,'..u.:~~J.v'~'~"'~ ;:"~"".."
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
1~"-m:"';".il~~~:",*~n:.7:A""
D. ~13ra'iicR,ciiCui
~~~$.'-G::6<<~~'.~~
~dJ
\ $ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
qne Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E. tMi~~ll';ili~fr;~~(~a~f1im~~ala~~1', .
~J"a~;i~EL~)~4:~:~J..:<:,~~~1,-,:<~~~?,>-~,>:;,.,,",,\-~;,r~~\~"''-~\~t.:~~C''ik~1l<'_~';'~-~
Pump or inigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/ResidentiaI $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. 1tUBTOt~k~~ \11. ' A ,to
~,n(j. .;' "".~., V\~
\ ?1.f5'%
'\C'\" A.Q. I
~~sa~
:':\~ .}...~..1,,~ ,,:~_,:-i(:\2.'~'''~;,:':_;::
Shared Drive(T:)lBuilding Forms/E1ectrica1 Permit Appticalion .1..Q3 ..'" 4'f
7% State Surcharge
10%' Administrative Fee
TOTAL
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
COM2003-00731
Payments:
Type of Payment
Check
.".f
Receipt #: 1200200000000002198
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sidewalk Permit
Curb cut 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
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review - Planning
Paid By
HAYDEN ENTERPRISES
Received By
dIm
Check Number
Batch Number Authorization Number
5314
City of Springfield Official Receipt
Development Services Department .
Public Works Department
Date: 09/24/2003 8:49:17AM . \
Amount Paid
8.00
1,000.00
50.00
106.00
38.00
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
10.00
79.11
113.02
59.00
$5,443.09
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$5,443.09
$5,443.09