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Home My WebLink AboutPermit Building 2004-6-7 Status Issued , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00589 ISSUED: 06/07/2004 APPLIED: 05/18/2004 EXPIRES: 12/07/2004 VALUE: $ 237,420.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 820 Mint Meadow Way ASSESSOR'S PARCEL NO.: 1703234312200 Springfield TYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: River Glen lot 154 - SFR TYPE OF USE: Owner: FUTURE B INC Address: PO BOX 7425 EUGENE OR 97408 Contractor Type General I Electrical Mechanical Plumbing .1 CONTRACTOR INFORMATION' . Contractor FUTURE B INC DEANS ELECTRIC ROLFS CUSTOM PLUMBING I BUILDING INFORMATION' License 36499 99579 # of Units: 1 # of Stories: 2 Primary Occupancy Group: R-3 Height of Struct1!\"f.. ~OR'c\ 23.00 Secondary Occupancy Group: ~\t~:. .T~PI~Et\r 1t\~~~-rir Gas Primary Construction Type NO ,\{'ERM\\ S\1fW'st g>~RM\1 \ Gas Secondary Construction Type: ,\1\5 aR\2E.O U~\ii.~~ . ~E.\) fOR Gas # of Bedrooms: ~U\\1:f ~CEO o~\6n\~: Path 1 cOtllME. ^~ pE\Jl~ed Building: n/a l~'! '\ ~n Ot'\ t\ I DEVELOPMENT INFORMATION' 39.00 Overlay Dist: 7.50 # Street Trees Rqd: 7.30 Paved Drive Rqd: 33.70 % of Lot Coverage: :!.~c~~\n~~r~gont~~~~?~~ follOW ru\es adoptea . - MPeM~NiENTS ...., t'f cation certter.t 0 Street Improvementso:"o , , R 952 o~nn1g. thr~gh . ~t by Sidewalk Type:..-, . In QA - HY or~~s of the ru as ,/ CurbSide 5' Storm Sewer Availab~b90. 'fou m~Y obtain C-Ye~UleJetePhOne Downspouts/Drains: Curb and Gutter Special Instruction: C~\\'\"~emica:j1lilQ8. m\~~"P.~bCUtt_PJlves or any other portion of the structure into easement . Mfl~tSlerQ'ht1>mre.gon tll\y . Notes: nu Center is 1-800-332-2344).. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ~ . Paee 1 of 4 New Residential Expiration Date 05/18/2008 06/20/2004 Phone 541-744-2660 541-935-5303 741-0002 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 2,089 329 576 1 Yes 23.60 REQUIRED PARKING Total: 2 Handicapped: Compact: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction V Wood Frame Garaee Dwellin2:s Garal!e Fee Description Plan Review Residential -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge 3 Baths One & Two Family Addressing Assignment Annexed 1998 Appliance Vent Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Temp Power 200 amps or less Vent Fan Willamalane Single Family I Valuation Descriotion I $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,418.00 576.00 Total Value of Project ~ Amount Paid $659.20 $10.00 $164.02 $114.81 $306.00 $31.00 $-19.17 $6.00 $1,014.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $71.00 $-30.00 $106.00 $76.00 $499.09 $656.56 $10.00 $214.23 $314.63 $141.95 $51.54 $727.42 $164.89 $75.00 $1,302.10 $50.00 $24.00 $1,000.00 Date Paid 5/18/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 6/7/04 Pal!e 2 of 4 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00589 ISSUED: 06/07/2004 APPLIED: 05/18/2004 EXPIRES: 12/07/2004 VALUE: $ 237,420.00 Value Date Calculated $223,423.20 $13,996.80 $237,420.00 05/18/2004 05/18/2004 Receipt Number 1200400000000000753 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 2200400000000000719 '-WiEq..'f'}T7~~,.~.,...t'.iI)'1""":;"."""'~" ~'.," ~- ~':*".~ .>1't~. _.[. ...."....",.,......... .'_...",._....O'<,"'IJV"j:<<' 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: COM2004-00589 ISSUED: 06/07/2004 APPLIED: 05/18/2004 EXPIRES: 12/07/2004 VALUE: $ 237,420.00 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 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: 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 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Underfloor Drain: Prior to cover or placement of concrete. 15 Rough Plumbing: Prior to cover and including required testing. 16 Underfloor Plumbing: Prior to insulation or decking. 17 Rough Plumbing: Prior to cover and including required testing. 18 WaterLine: 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 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 26 Final Gas: When all gas work is complete. 27 Final Mechanical: When all mechanical work is complete. Paee 3 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00589 ISSUED: 06/07/2004 APPLIED: 05/18/2004 EXPIRES: 12/07/2004 VALUE: $ 237,420.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 28 Temporary Electric: Approval required prior to Utility Company energizing pole. 29 Rough Electric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. 32 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. 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. ~~( o"(~ or co~ Signature f'<. __,________ r- Date ( hd/,; If- I ! I Paee 4 of 4 225 Fifth Street Sprhlgfie!d, Oregon 97477 541-726-3759 Phone r:+v of Springfield Official Receipt /elopment Services Department Public Works Department Job/Journal Number COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589' COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 COM2004-00589 Payments: Type of Payment CreditCard 6/7 /2004 RECEIPT #: 2200400000000000719 Date: 06/07/2004 Description Addressing Assignment Willamalane Single Family 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 Annexed 1998 Plan Review - Planning Building Permit 3 Baths One & Two Family Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Heat Pump -Mechanical Issuance Fee- Gas Fireplace Temp Power 200 amps or less Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 + 7% State Surcharge + 10% Administrative Fee Paid By FUTURE B HOMES Item Total: Check Number Authorization Received By Batch Number Number How Received DJB 000403 046249 In Person Payment Total: Page I of 1 2:53:24PM Amount Due 31.00 1,000.00 75.00 75.00 (30.00) 1,302.10 656.56 499.09 164.89 727.42 314.63 214.23 10.00 141.95 51.54 (19.17) 71.00 1,014.15 306.00 12.00 24.00 6.00 9,00 6,00 4.00 12.00 10.00 15,00 50.00 106.00 76.00 114.81 164.02 $7,214.22 Amount Paid . $7,214.22 $7,214.22 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 ELECTRICAI1f~lfW!'!: L}PKkLCfiJiION City Job Number \1)\\UUJ4, ~'1 Date ,,,,.,,"'_,m ". .. "7" ~'.. ,-._~,.", ....';_~.."..w._.. ,. .... ", ._:"..~ "',~"c::'_':",:p~_ .- "~y'~:r7' 1. LOC4.T'IONgJ;?INS'!'AELAT10N..'; 8W ~'ilif:;~u\\\QilltfW'" . L\103~~N\'LUO JOB D'pSCRIPTION .. 2.c\q1;. P~:o:-~~b1~~,;:~ not started with~~~f~~yS of issuance or if work is Suspended for 180 days. . ~ O~i . ,~-r r". ,. ~~::" ,:;v;;:' 2.~S~fr:?~tgr!?~~~1fEtti4%c~7:' Electrical Contractor 1).er:\. \J\I ( 2- f C~\~ \ e , ../ . Address f. D. ~O';~ 0- ~ g ~ f ~~~D~ - City l..-Cj t:VV e., Phone q):; - SSO~ Supervisor License Number S q \ ~ S Expiration Date I () 'D 1 - '100Li Constr. Contr. Number ~ q S' 1 ~ Expiration Date C. ~ ?-.O - ?. 0 oL-) Si~ of S15'~ Elootrioi"" own",:m, ~tk.~ Address ~~ -\A'L5 City ~~. Phon, -m.1.ldJl) OWNER INSTALLA nON 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. 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 \Cjo fXJ ~~ \ 4- $ 19.00 $50,00 B. or Relocation: linT'''!:'. 200 All1J(~'Ot1~~sE: $ 63.00 201 AmR~'l~4e~l~~ !S~P.~l ~.~:~I.RF. .1;~n~JA~Jf~X 401 ~5~~!~~g'~! UI~OLR I tli~ P~H~~FfBOj~Uf 601 AmRRl~'1qe~~s?~ IS l\3l\l~OO;1dHfG~O Over 160tl' AmgfNMty PtHJOD. $375.00 Reconnect Only $ 50.00 C. Installation, Alteration or Relocation SO~ 200 Amps or less \ $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 D.o,i~~~ii:~OO:~*~~t N ew Alt~r.'atlp'n o,r Rxt:eSfflm l1n~ae~!es are set forth I'.1CLillcaucm-vv... .. 001 One Circ~lt" ~ R 01:;?_"01 -~01 () throuah OA.R~~- . .. Each Addllit~/1 '1 if~~)~ ';~ain .copies of the rules oy Service oW~e i;:iPewifcon+or IN --,to' ~i1e ~1~'~Hon~ Cc. ling 1:[18 v...... \, U ... v" . ........ '" ....<i~6'f6r QregoniJ'tHity' NotificatIon E._c~~j~?~:L~~~~~ff~'ll1 ~.~B&t~~4JtI.Each Installation Pump or irrigation Sign/Outline Lighting Limited Energy/Residentia1 Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ?J1) _.00 \ (0,'2-4 Il. '6 . 'lJ) '2.t') \ .44 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN1frORKSHEET JOURNAL OR JOB NUMBER: Com2004-00589 NAME OR COMPANY: Future B Homes LOCATION: 820 Mint Meadows .:';'. TAX L.CH NUMBER: 17032343 tl 12200 . DEVELO~MENT TYPE: . SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F, x COST PER S.F. CHARGE' 4490.00 $0.290 = , $1,302.10 . RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I .., DISCOUNT 0.00 ' $0.290 . , 50% . = , $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,302.10 I 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU'sl x COST PER DFU , 291' $22.64 B. IMPROVEMENT COST: , NUMBER OF DFU's I x . COST PER DFU I 29 $17.21 . ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE I x 'NUMBER OF UNITS x 9.57 I I 1 B. IMPROVEMENT COST: ADT TRIP RATE x NUMBER' OF UNITS 9.57 1 ITEM 3 TOTAL - TRANSPORT A nON SDC x , . I = I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU I 1 $314.63 B. IMPROVEMENT COST: 'NUMBER OF FEU's . x COST PER FEU 'I $214.23 MWMC CREDIT\IF APPLI~ABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I SUBTOTAL (ADD ITEMS 1,2,3; & 4) = I 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM, FEE RATE $3,869.75 ,. 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: $1,155.65 COST PER TRIP $17.23 , x 'NEW TRIP FACTOR , I . 1.00 11279 C/) w o o u ~ w r-< C/) - Cl ~ ~ I, COST PER TRIp. I x NEW TRIP F ACTOR I $76.01 . 1.00 $892.31 $519.69 $3,869.75 ' CHARGE $193.49 $1,302.10 1070 $656.56' r 1091 $499.09 1092 $164.89 1093 $727.42 1094 " = I $314.63 1054 = I $214.23 1055 I ($19.17) 1054 ". $10.00 1056 , 141.95 11079 I $51.54 1078 '= , $4,063.24 Virginia Jurasevich PREPARED BY 6/2/2004 'DATE. . TOTAL SDC CHARGES ~'fU , , \ r DRAINAGE FIXTURE UNIT (DFU)-CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS' (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW' OLD EQUIVALENT . UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN O. 0 3 = 0 INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0, 0 3 = 0 IINTERCEPTORS FOR SAND I AUtO WASH I ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER I MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) '0 0 12 = 0 RECEPTOR FOR REFRIG I WATER STATION I EIC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0 SHOWER, SINGLE STALL '" 2 0 2 = 4 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2 URINAL, STALL! WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S . C\.J.~" J. 20 = 0 .TOT AL DRAINAGE FIXTURE UNITS 29' . - *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dweliing unit (20 DFU'i) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 . 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$I ,000 ASSESSED VALUE $5.04 $5.04 $4.95 $4.88 $4.75 $4.58 $4.41 $4.20 $3.88 $3.50 $3.07 $2.60 $2.14 $1.71 $1.52 $1.38 $1.19 $1.03 $0.87 $0.68 $0.46 $0.2 7 $0.09 $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 o 1998 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE $41.68 x $0.46 = I $19.17 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE i 1000 CREDIT RATE $0.00 x $0.46 = I o TOTAL MWMC CREDIT = $19.17 1,