HomeMy WebLinkAboutPermit Building 2003-9-24
: CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00720
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 233,621.00
_~~~Jr:l9EI~~~I'~!.~~~l~t1;
i ' . . .
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6090 MICA ST
ASSESSOR'S PARCEL NO.: 1802033400147
TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: SFR - same as 1871 S 61st St COM2003-00527 (actually, this is the same as 6021
Pumice Place COM2003-00726)
Owner: HAYDEN ENTERPRISES INC
Address: 2622 SW GLACIER PL STE 110 REDMOND OR 97756
I CONTRACTOR INFORMATION I
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
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
.R-3
U-l
VN
# of Stories: 2
Height of Structure 27.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
3
SETBACKS
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
10.00
13.00
47.20
35.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
7,003
1,008
1,017
520
417
5
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
20.00
r~~~DUJROVEMENTS'
1I.l:T\ON:oregon taw 0 aon Ullmy .. ,
Street Improv'Ptle,l1br"t . do te..t. ml the ra + 6 rt( NOT\ro1dewalk Type: . He ,mn1jtl1'd 5'
utes a p JjIlHllV'flliPf&le re 89,...0 lit.. I , f.:XP\P~ If 1. c ~Uli~S1. e.
Stor~ Sewer iQ~~lb{fbn center; Those ru 6~ 952..0<)" THIS Pl?~wnipSul)W,:ams.;,-. ,. :r,\&\~r~jl1?mutter
SpeclalInst~~\\C?a 52~001~001othrO~gh fthe rU\8S..t AUTHORIZED UNDth If"... " .~.,. \) fOR
in OAR ~u may obtain COpies 0 te\ephone OMMENCED OR IS Adl-\NUUIK
Notes: 0090ail~g. ,the center. (Notue:t.~~ey NQtif1eation ~NY 1BO DAY PERIOD.
C . th Oregon .
nu<<lber for e. '1 800-332-2344).
center \s ~
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00720
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 233,621.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,442.00
520.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$221,245.20
$12,376.00
$233,621.20
08/29/2003
08/29/2003
~
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 1200200000000002197
+ 10% Administrative Fee $154.62 9/24/03 1200200000000002197
+ 7% State Surcharge $108.23 9/24/03 1200200000000002197
3 Baths One & Two Family $306.00 9/24/03 1200200000000002197
Addressing Assignment $8.00 9/24/03 1200200000000002197
Appliance Vent $6.00 9/24/03 1200200000000002197
Building Permit $1,001.15 9/24/03 1200200000000002197
Curbcut Permit $75.00 9/24/03 1200200000000002197
Dryer Vent $6.00 9/24/03 1200200000000002197
Exhaust Hoods $9.00 9/24/03 1200200000000002197
Furnace - up to 100,000 btu $12.00 9/24/03 1200200000000002197
Gas Fireplace $15.00 9/24/03 1200200000000002197
Gas Outlets 1-4 $4.00 9/24/03 1200200000000002197
Plan Review - Planning $59.00 9/24/03 1200200000000002197
PW Mult Disc - 2nd Permit $-30.00 9/24/03 1200200000000002197
Residence Wiring 1000 Sq Ft $106.00 9/24/03 1200200000000002197
Residence Wiring Ea Addtl 500 $57.00 9/24/03 1200200000000002197
Sanitary Sewer - Improvement $464.67 9/24/03 1200200000000002197
Sanitary Sewer - Reimbursement $611.28 9/24/03 1200200000000002197
SDC MWMC Administration $10.00 9/24/03 1200200000000002197
SDC MWMC Improvement $34.83 9/24/03 1200200000000002197
SDC MWMC Reimbursement $332.86 9/24/03 1200200000000002197
SDC Sanitary/Storm Admin $96.23 9/24/03 1200200000000002197
SDC Transpo Admin $51.17 9/24/03 1200200000000002197
SDC Transpo Improvement $727.42 9/24/03 1200200000000002197
SDC Transpo Reimbursement $164.89 9/24/03 1200200000000002197
Sidewalk Permit $75.00 9/24/03 1200200000000002197
Storm Drainage Impervious Area $602.04 9/24/03 1200200000000002197
Vent Fan $24.00 9/24/03 1200200000000002197
Willamalane Single Family $1,000.00 9/24/03 1200200000000002197
Total Amount Paid $6,201.39
Pal!e 2 of 4
_~LD~
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00720
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 233,621.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
08/08/2003
08/08/2003
I Plan Reviews I
08/08/2003 APP
08/26/2003 APP
LLH
TAJ
The 61st Street side setback changed
to 10' to conform with street side
yard setback. Plot plan changed to
reflect that. OK per conversation
with Jeff Harrison on 8/25/03. tj
Public Works Review
Structural Review
08/08/2003
08/08/2003
08/13/2003
08/29/2003
APP
WE
MS
DLM
Plans submitted do not agree with
the site plan. Called applicant & leff
msg.asking for correct drawings.
Revised plans received 9/8/2003 dim
Structural Review
Structural Review
09/08/2003
09/18/2003
09/18/2003
APP
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 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 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 Vnderfloor Plumbing: Prior to insulation or decking.
16 Vnderfloor 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 Vnderfloor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
25 Rough Mechanical: Prior to Cover
Pal!e 3 of 4
'~SP~ING. ..'.aDii.'.'.....'.!
1IrL'. ..
,- --< - ~- >. " ;
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00720
ISSUED: 09/24/2003
APPLIED: 08/07/2003
EXPIRES: 03/24/2004
VALUE: $ 233,621.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Rough Electric: Prior to Cover
29 Electric Service: Approval required prior to utility company energizing service.
30 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 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 construction.
0/lg---
Owner~J~'6~tractors Signature
lh-0~
I
Date
Pae:e 4 of 4
x ,. COST PER DFU
I $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
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
x I NUMBER OF UNITS x
I 1
,
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's ' x COST PER FEU
I 1 $332.86
B. IMPROVEMENT COST:
INUMBER OF FEU's
I 1
x ICOST PER FEU
I $34.83 .
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4. TOTAL - MWMC SANITARY SEWER SD<
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL . x I ADM. FEE RATE
$2,947.99 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
PREPARED BY
8/13/2003
DATE
$1,075.95
7003
00
~
Cl
o
u
~
.~
E-<
00
G
~
$602.04
1070
I
$611.28
1091
$464.67
1092
COST PER TRIP I x NEW TRIP FACTOR
$17.23 1.00 $164.89 1093
I
COST PER TRIP I x INEW TRIP FACTORl
$76.01 I 1.00 I $727.42 1094
$892.31 I
=
$332.86 .
1054
= $34.83 1055
$0.00 11054
$10.00 1056
= , $377.69
= , $2,947.99
CHARGE
$147.40
I 96.23 11079
I $51.17 1078
TOTAL SDC CHARGES =1 $3,095.39 i
I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREpIT RATE/$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 ELGIBLE 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
. CREDIT FOR LAND (IF APPLICABLE)
. VALUE / 1000 CREDIT RATE
$0.00 x $0.04
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $0.04
TOTAL MWMC CREDIT
=
. . .
o
o
2002
$0.00
o
$0.00
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LEGAL DESCRIPJ!<jN"
\ WjlO?)~
JOB DESCRIPTION
.->' .:./-:-.-, '. ~" _ 'J ,~,'r'~, ,':,~ft.';':(>-'.: ~~...' ,) ~-~. ..,';~'~;;~';::'':;,C~.:, ,';....;'~<:}.!.;;:2,};;~i-;::'-'~yr.:1-~~-~.i::-A<
A. Nc~y~esldentlal- SlDgleor:Mu1ti-FarriiI.Y:perd\velImiiiiriiiY;(~;~
. ',' ..:- ' ; "" . . . ',- .,' . ". ' .... " ~':";.: .~,... :'.::'~;i..''1;;;~l~",'':..>~l;f:.l:l.JS''''';:;'
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
$106.00
lO(o{lJ
51. ex?
.3
$ 19.00
$50.00
;q'~':;.:';-.-">-<-::' ::"'~t'~'~:!,.':.~.."\~:1/;'" :.'j;:. :;;,:'-::'H'jY~!'R"::""" ';-:/~b, . '. ": -. >. '. "':.',
~\.c;oN7:Rfi..CTOR tNST4LI)ATI()N.;ONLY,T
2. iW"{~:l:'t.-;,;:'" \~:lt.~,>~~;-.i'::~___-"-,':i.;$i;:,.{::,.,,,': .; " ':rj;'::j~~:a.:c~\~>,'-.:_;~,,:,} . .'. :~-;' ,,<i.'.-1 -,': /tH.>:".:,
,,':: ;:~,:~,<'::~E.fili .~_. :-;~\?::.:< \;V.~: :~: '".'::':, ~j~i{~ _~::~:. j~';i-BW/;?~': :_:'. :;:,'://(.> .',-:: ::~l:i8!;~:~~(. :;::::;~~:l;?b~:Y.:'-~
B.; Ser\'ice~pr_I;'ee,~ers+,Inst*nation;)\Ite~atiorisor::Reloca' .
""y:.~~;'i~Jf;::_t~,~~_:}.',,\.,tb;:6S/-;, ;~:.:: ~" ',- .:::\':' , -,' :,:-,:JJ,~4iGt:&.'a:'::-,;:'t.\-: - ,!,.} ~r, ""'. ,:-r..'t::l;~~::i)~;: ::?..:..~:;.l{...~t~;~t:~;.~t a.
Electrical Contractor The Murohv Harris CornpanyOO Amps orIess
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
City Sprinqfield Pho~ 1~m.b@regonlaw(WJlJl~~kNolts
follow rules adopted by thl~AlQ~ity
Notification Center. Those rules are set for
Supervisor License Number . 1l@~52-001"()01 0 thr~ 'C,
0090. You may oDtain copl
Expiration Date 1 0/1 / 0 ~alling thfl center. (Note~hH'~~~~ration or Relocation
\\. .. number for the. or~go~ U~H_~~it'~fr~rn
Constr.Contr.Number 20-474 G Center IS 1 800 33tbfXilipLo 400 Amps
tit IJ 'II' / 401 Amps to 600 Amps
. Expiration Date 1 0 / 1 ./04 1/i,'J.n "",'ft'. ,
. .- . .,. /.fUl;~. Pt;- Over 600 Amps orlOOO Volts see "BOO above.
Signature ofS~rvising EI~)PfianCOtl1. Ii0f1Il'tll8ft ,D. ,
._. ~.. .m '/ 11Vy, ~tlvCtg (jIvD~ll F,tJtew ~te~ation or Exteus. ion Per Panel
U. t"}......, ~ . '0 {)~ J - OR ( Ii lit/. ~~CUlt. .
.. ~d\o~ ..' J'E-9/~48-%~~F~~;rwith
OwnersN e _ . . '. ~~ ~
Address. E.
City ~-'J\Ct ~~.ecI. .. Phone 'l"?!oJ( (~. Pump or irrigation $ 50.00
~ \' ..\~ Sign/Outline Lighting $ 50.00
OWNER INSTALLATION Limited EnergylResidential ., $ 25.00
The installation is being made on property I own which Limited Energy/Commercial $ 45.00
. :::::.: sal~ lease or rent \A ~cum Electric PermitInspedion Fee b $45.00 + S1t6~~
C\l\ ~ ~ ?v't 7% State Surcharge.. .'. ' . .~= 1 \.*.~. .
\Y-~ A:~AJ' 10''''A~Fee . ."~flJ.~'
l\\1~ . TOTAL . ' . t9tt.'<"4il4,'"
J-l ~ Shared Driv~:VBuilding :u"~caricar p~AW~'i~;.1~;~f~!~.
Address
149 9th street
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
f
'~~;
..
:-~ ..;#
)':'''',
$ 43.00
$ 3.00
Inspection Request: .726-3769
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
COM2003-00720
Payments:
Type of Payment
Check
Receipt #: 1200200000000002197
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
SDC Sanitary/Storm Admin
SDC Transpo Admin
Storm Drainage Impervious Area
Plan Review - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
HAYDEN ENTERPRISES
Received By
dIm
Check Number
Batch Number Authorization Number
5318
City of Springfield Official Receipt
Development Services Department ~
Public Works Department
Date: 09/24/2003
8:38:55AM
Amount Paid
8.00
1,000.00
106.00
57.00
75.00
75.00
(30.00)
611.28
464.67
164.89
727.42
332.86
34.83
10.00
96.23
51.17
602.04
59.00
1,001.15
306.00
12.00
24.00
9.00
6.00
6.00
4.00
15.00
10.00
108.23
154.62
$6,101.39
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$6,101.39
$6,101.39