HomeMy WebLinkAboutPermit Building 2003-8-25
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00629
ISSUED: 08/25/2003
APPLIED: 07/16/2003
EXPIRES: 02/2512004
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: 6091 MICA ST
ASSESSOR'S PARCEL NO.: 1802033400129
TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: SFR - same as COM2003-00522 1823 S 61st St
New
Owner: HAYDEN ENTERPRISES
Address: 2622 SW GLACIER PL #110 REDMOND OR 97756
Residential
Phone Number: 541-461-5091
License Expira.tion Date
92208 ,07/29/2007
142410 ,: 04/20/2004
84164 ' 06/25/2007
84164 :~c: \IOU \~~/25/2007
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BUILDING INFORM.o\U0N"OtegO{'\ \ \o~
. \O~'.()lt:l~.!ld 'o'l w~ eS a.te se _00\
~i-e..('81orie~:dO?\e nose tU\ o~~ 9qqot~i~e:
~ eight\,3fS'frpctiir"J ."'t'ougQ7.00ke ~S\q\E'FUst Floor:
~ ~~' ('\::l."- 0 \.\,\ 01 \.\\ . nB
\0 . .~p.elW:\lfea\Jt:\_oQ'\ c~-an~eate\e,S'q0Ft~d Floor:
i\:'\.vo. "\ 0 \{'\ v,- .",0. \ ~~'
~O ~ategll\ype: 0'0\'0. Nd~JectricNO\\$.q'<<I1t asement:
\{'\ ~'\ Mg.tt (!''Y-~:a.~e{'\\et. ~ &~9Wit AA\~q Ft Garage/Carport
O(En~r~(\~athlf\ ne Otego o-,~gfb'4'3 Sq Ft Other:
ca., bet \ot \: \s '\ }oO Impervious Surface Area:
_, In\ .... :;:f'\~et .
. ~-
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Overlay Dist: Total: 2
# Street Trees Rqd: 1 Handicapped:
Paved Drive Rqd: Y Com,p,al:j:
es \L 1\1t. '/..JuRY>.
% ofLO~~ S\1f\ll ~~t. r ~\i \S N01
1\1\~ PE~~~ ,)t\\~WR 1\1\5 ~~~t[V ~()R .
I PUBLIC IMPR(j}.~E~~ OR \5 f\Bf\\~,U . . ..
\..IV' - v pt:R\OO.
AC Mat f\N'l ~ 80 0[>.:1 '-Sioewalk Type:
Yes DownspoutslDrains:
I CONTRACTOR INFORMATION.
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
HAYDEN ENTERPRISES
THE MURPHY HARRIS COMPANY INC
HOM~ COMFORT HEATING & AIR
HOME COMFORT HEATING & AIR
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
3
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
10.00
6.90
34.00
0.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!e 1 of 3
Phone
541-501-4332
541-736-1292
541-345-2838
541-345-2838
6,269
1,230
400
Curbside 5'
Curb and Gutter
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: COM2003-00629
ISSUED: 08/25/2003
APPLIED: 07/16/2003
EXPIRES: 02/25/2004
VALUE: $ 120,958.00
I Valuation Descriotion I
Dwellinl!: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
1,230.00
400.00
Value
Date Calculated
Description
Total Value of Project
$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 1200200000000001788
-Mechanical Issuance Fee- $10.00 8/25/03 1200200000000002018
+ 10% Administrative Fee $107.69 8/25/03 1200200000000002018
+ 7% State Surcharge $75.38 8/25/03 1200200000000002018
2 Baths One or Two Family $254.00 8/25/03 1200200000000002018
Addressing Assignment $8.00 8/25/03 1200200000000002018
Building Permit $633.90 8/25/03 1200200000000002018
Curbcut Permit $75.00 8/25/03 1200200000000002018
Dryer Vent $6.00 8/25/03 1200200000000002018
Exhaust Hoods $9.00 8/25/03 1200200000000002018
Minimum/Adjustment Mechanical $12.00 8/25/03 1200200000000002018
Plan Review - Planning $59.00 8/25/03 1200200000000002018
PW Mult Disc - 2nd Permit $-30.00 8/25/03 1200200000000002018
Residence Wiring 1000 Sq Ft $106.00 8/25/03 1200200000000002018
Residence Wiring Ea Addtl 500 $38.00 8/25/03 1200200000000002018
Sanitary Sewer - Improvement $361.41 8/25/03 1200200000000002018
Sanitary Sewer - Reimbursement $475.44 8/25/03 1200200000000002018
SDC MWMC Administration $10.00 8/25/03 1200200000000002018
SDC MWMC Improvement $34.83 8/25/03 1200200000000002018
SDC MWMC Reimbursement $332.86 8/25/03 1200200000000002018
SDC Sanitary/Storm Admin $87.26 8/25/03 1200200000000002018
SDC Transpo Admin $51.64 8/25/03 1200200000000002018
SDC Transpo Improvement $727.42 8/25/03 1200200000000002018
SDC Transpo Reimbursement $164.89 8/25/03 1200200000000002018
Sidewalk Permit $75.00 8/25/03 1200200000000002018
Storm Drainage Impervious Area $671.06 8/25/03 1200200000000002018
Vent Fan $18.00 8/25/03 1200200000000002018
Willamalane Single Family $1,000.00 8/25/03 1200200000000002018
Total Amount Paid ' $5,473.78
I Plan Reviews'
Initial Review
Planninl!: Review
07/21/2003
07/22/2003
07/22/2003
07/30/2003
APP LLH
APP TAJ
Pal!:e 2 of3
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CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00629
ISSUED: 08/25/2003
APPLIED: 07/16/2003
EXPIRES: 02/25/2004
VALUE: $ 120,958.00
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
08/13/2003
APP
APP
MAS
TCM
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.
L Reouired InsDections I
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 Vfer J!:lectric'al 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 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Vnderfloor Plumbing: Prior to insulation or decking.
15 Underfloor Drain: Prior to cover or placement of concrete.
16 Rough Plumbing: Prior to cover and including required testing.
17 Water Line: Prior to filling trench and including required testing.
18 Sanitary Sewer Line: Prior to filling trench and including required testing.
19 Storm Sewer Line: Prior to filling trench.
20 Final Plumbing: When aU plumbing work is complete. .
21 Undertloor Mechanical. Prior to insulation or decking and including required testing.
22 Rough Mechanical: Prior to Cover
23 Final Mechanical: When all mechanical work is complete.
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.
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 ~he 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
t1m~dU3# ' ?Ad,
Owne~ntractors Signature Date ( I ' .
Pal!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
COM2003-00629
Payments:
Type of Payment
Check
Receipt #: 1200200000000002018
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sidewalk Permit
Curb cut 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
SDC Transpo Admin
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
~Mechanical Issuance Fee~
Minimum! Adjustment Mechanical
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDENENT
Received By
djb
Check Number
Batch Number Authorization Number
r':hr n.f ~~....;.........f;nlr1 {"\.f.f:n;"l Dn.nrt.':_..
'-"""J "'.I. up" .I..I..l.6.1..I.'-'.I.U '-'.1..1..1.'-'.1."1. ..I..",""'''''t;;.I.Pt.
Development Services Department.
Public Works Department.
Date: 08/25/2003
2:12:12PM
.
Amount Paid
Item Total:
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
51.64
87.26
671.06
59.00
633.90
254.00
18.00
9.00
6.00
10.00
12.00
75.38
107.69
$5,373.78
How Received
In Person
Payment Total:
Amount Paid
$5,373.78
$5,373.78
>','1", ,(),:tt"1,~.~'$!"~'f~~~!;:r;l;t~~ \.. ~ . ~ ,-
225 FIFTH STREET . SPRINGFIELD, OR 97477 · PH:(541)726-3753 0 FAX: (5$tf!~@~689
~o 0
ELEt:l1<ICAL~;RMIT APPLICATION -<",e'o ~.~:. . ~
~ ,#~~ #
City Job Number . Date 1,0 ~lo ,,!-O e
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3. 'COllfPLETEFEESC.JPIDf}1Ji'$ELOl1t,.:
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1. ~~o:\TlroJb~~~r
LEGAL DESCRIPTION
t <6I}l1J?J 34- bOOq
JOB DESCRIPTION l(o 3 n
~.U ~\do.n1Q.
Permits ale non-1a\.sferable d expire if work is
not started withi~'rl&O days of issuance or if work is
Suspended for 180 days.
2. !'~~NTt0:cj;q~IfiSTALiATId&,fi~y.
A. New Resideittial-Si~gle or Multi-Family pei'dl"euing:~njt.:'
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
l
t..
$106.00
10la IX>
5~.~
$ 19.00
$50.00
':>'> ,.<,-"'~\.':, --';-"-.. ~ ,-<.'-...~-> :'- 0: c'; _::-:,'~<;~>}:::; >:;;.: .->'):::,~'.,',.::
B. > S~n;ices prl"eedersW-Ins,ta]lation; Alteration~~r R~location<:
\~"Y-, ,'<:_~_:_;:'.;j';:-' _,'/:-~:-:-.: ,.:.~',;:< ":y.:'-:'~ ' ':''';.>:;-_'-:'''~i",.,'..l''~~, -C;' .,
Electrical Contractor The Murphv Harris Compan}WO 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
$ 3.00
~
E.>"1F!iq?:'[~!i!lf~~~!t~f{~~~\\
p~ff\tiiig~,\~S\\~~{:\\\\S ~~t.\) '(~50.00
S~~~'g~~'\) ~'O~~ $ 50.00
L~~d\~{te~*~~~~\)\). $ 2_5.00
Lim~t~erf~~J:cial $ 45.00
Minimum E~t\t\-i~ ~ermit Inspection Fee is $45.00 + Surcharges
4~OO
7% State Surcharge . l D. 03'
" t\ \h~ D ~lO%AdministrativeFee \4-.4:0
~~~ ~lOT~ ll0~~~
\ ~ ~ ~ Shored Dri,,(1W&i1dmg FonmlE1","", .<>mil AppIi~tion '-03.do<
Supervisor License Number
4664S
Expiration Date
10/1/04
Constr. Contr. Number
20-474 C
Expiration Date
10/1/03
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
c. . ,~, .e
o,u\te5'.. U\\\\
I II. A,I "I t~ ~~(\ <~.-\
nsta atIoro\'\.!,.terahceJ~Qc':'J.".el%c.y.troit '.
.' )'(eg ~ \"e e.~e 2,-OQ
\ fjQ~Amp~\geJess a ~u\aS ~ 9S . " $ 50.00
"'\'\E..~ 70:1 ~~ to\40t1%np'~ O~ e tu\a~ _- $ 69.00
I" {uW.... 1'\\a\. 'Ir.\'O"'~ ~ \" 0"'"'
\o\\o-.J'J . 4~V(,AIDPttsA~0(1 Ain~~S 0 a\e\J" .' ",0 $100.00
.,' c'3.\\O Q<Y\ - \(\ colt. . ~\"',e ~ .r.('.'O.\\v.
~o\\\\ ~ s~IJer 600 lWfPs.OI; ,IOQ0.V, Its sfe\\'~B" above.
(\ O~~.;
f"\f)9 ,,,,,0. ' \"Ie . C\()-
v ce.\\N'e't ~teratio,:fpBExtension Per Panel
. ,~e =_ ~~'P.t'~ \
('v"vne ~llJlUl
Each Additional Circuit or with
Service or Feeder Permit
~
I
$ 43.00
4.
CITY OF ShdNGFIELD SYSTEMS DEVELOPMEN ..ORKSHEET
., JOURNAL OR JOB NUMBER: COM2003-00629
NAME OR COMPANY: Hayden ENT
LOCATION: 6091 Mica St
TAX LOT NUMBER: 18020334 Tax Lot 00129
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF) 1235 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I. IMPERVIOUS S.F. .. .. x I COST PER S.F. l CHARGE
I 2314.00 I $0.290 = $671.06
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x, COST PER S.F. I x DISCOUNT RATE I DISCOUNT
0.00 I $0.290 50% = I $0.00
6269
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFUs x
21
$671.06
$671.06
COST PER DFU
$22.64
$475.44
=
$361.41
$836.85
t/.l
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~
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t)
~
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'11070
1091
1092
COST PER TRIP x NEW TRIP FACTOR
$17.23 1.00 = $164.89 1093
COST PER TRIP x NEW TRIP FACTOR
$76.01 1.00 $727.42 1094
$892.31
x ICOST PER FEU
, $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 I x ADM. FEE RATE
$2,777.91 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Matt Stouder
7/23/2003
PREPARED BY
DATE
:.-
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 EQUlV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0' r = 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) 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: COMMERCIAURESIDENTIAL 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 TORY /RESIDENTIAL 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 Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$1,000
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 /1000 CREDIT RATE
1985 $4.09 $0.00 x $0.04 = I $0.00
1986 $3.78
1987 $3.4] CREDIT FOR IMPROVEMENT (IF ArlbK 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 J
2000 $0.04
I