HomeMy WebLinkAboutPermit Building 2003-8-22
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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: COM2003-00698
ISSUED: 08/22/2003
APPLIED: 08/0512003
EXPIRES: 02/22/2004
VALUE: $ 238,270.00
SITE ADDRESS: 870 Mint Meadow Way
ASSESSOR'S PARCEL NO.: 1703234312600
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: FUTURE B INC
Address: PO BOX 7425 EUGENE OR 97401
Contractor License
FUTURE B INC 36499
DEANS ELECTRIC 99579
JUNG ENTERPRISES INC 1024~\.~1\.~
CHAPIN ENTERPRISES INC p.!'9'9~v"'\o~
fti:til~~ 0'" !.)
BUILDING INFO~~~01:i b?;(j "-
~ '\ ~0 0C:J ~ OJ ~0~
# of Stor~~ 'O~ 0 '\~ O~ \~0 ~O'<'~~Size:
HeighQ}f.&ti'~ o-v<f' 0\ 2~p.&. '(j~q Ft 1st Floor:
~~f9J::HI~{: () ~~~~d'~~"~ai~~ Sq Ft 2nd Floor:
,,~~te~~e,\)(.:)~ '1\'<' C; 0\.0' ,~(\.~~~t>?\. Sq Ft Basement:
~ o~a'tge't~pe: 0'O\'f(). ~ ~ ~ v~ ~c::iS Sq Ft Garage/Carport
\O~'1\,~~~g~/-F~jii 0,<,\.0 ~0~.,o ~~ath 1 Sq Ft Other:
~O~ t(-.<('< ..{ O-v ~ 0 C; 00 ,,-,'0\$ Impervious Surface Area:
() . ~ It'\." ' t:-
o
"\ .. A'l. . (.\.""'J If"~ -~..
I DEVl)}J)O~~~rRMATION I
,<,'>~' RE~~ PARKING
Overlay Dist: '\~ ~\) 2
# Street Trees Rqd: 2 ~:~liM.h~ped:
Paved Drive Rqd: . Y~~ ~\:.~~\':ct:
% of Lot Coverage: ~~~'\~ ~~~~
~~. ~ CO ~~~ 'r-<Q
'i~ 8~ ~ \'1 ~ \S ~
I PUBLIC IMP1<.uV J'J\1~~~"\..~x..~ \)~~~\)'"
\'\.~ ..~~\:.~';~~tlk Type'
Fully Improved r ~~~' ~~ .
Yes \) ~~.J.. 'DownspoutslDrains:
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.00
9.00
6.00
61.00
40.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-744-2660
I CONTRACTOR INFORMATION I
Expiration Date
05/18/2004
06/20/2004
10/04/2004
05/06/2004
Phone
541-744-2660
541-935-5303
541-741-0002
541-485-1146
1
R-3
U-l
VN
8,439
1,110
1,034
3
624
322
Curbside 5'
Curb and Gutter
Pal!e 1 of 4
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,466.00
624.00
Tvpe of Construction
Dwellin2s
Gara2e
V Wood Frame
Gara2e
Total Value of Project
~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00698
ISSUED: 08/22/2003
APPLIED: 08/05/2003
EXPIRES: 02/22/2004
VALUE: $ 238,270.00
Value
Date Calculated
$223,419.60
$14,851.20
$238,270.80
08/05/2003
08/05/2003
Fee Description Amount Paid Date Paid Receipt ~umber
Plan Review Residential $661.31 8/5/03 1200200000000001896
-Mechanical Issuance Fee- $10.00 8/22/03 1200200000000001999
+ 10% Administrative Fee $167.04 8/22/03 1200200000000001999
+ 7% State Surcharge $116.93 8/22/03 1200200000000001999
3 Baths One & Two Family $306.00 8/22/03 1200200000000001999
Addressing Assignment $8.00 8/22/03 1200200000000001999
Appliance Vent $6.00 8/22/03 1200200000000001999
Backflow Device $14.00 8/22/03 1200200000000001999
Building Permit $1,017.40 8/22/03 1200200000000001999
Curbcut Permit $75.00 8/22/03 1200200000000001999
Dryer Vent $6.00 8/22/03 1200200000000001999
Exhaust Hoods $9.00 8/22/03 1200200000000001999
Furnace - up to 100,000 btu $12.00 8/22/03 1200200000000001999
Gas Fireplace $15.00 8/22/03 1200200000000001999
Gas Outlets 1-4 $4.00 8/22/03 1200200000000001999
Plan Review - Planning $59.00 8/22/03 1200200000000001999
PW Mult Disc - 2nd Permit $-30.00 8/22/03 1200200000000001999
Residence Wiring 1000 Sq Ft $106.00 8/22/03 1200200000000001999
Residence Wiring Ea Addtl 500 $95.00 8/22/03 1200200000000001999
Sanitary Sewer - Improvement $550.72 8/22/03 1200200000000001999
Sanitary Sewer - Reimbursement $724.48 8/22/03 1200200000000001999
SDC MWMC Administration $10.00 8/22/03 1200200000000001999
SDC MWMC Improvement $34.83 8/22/03 1200200000000001999
SDC MWMC Reimbursement $332.86 8/22/03 1200200000000001999
SDC Sanitary/Storm Admin $112.02 8/22/03 1200200000000001999
SDC Transpo Admin $50.48 8/22/03 1200200000000001999
SDC Transpo Improvement $727.42 8/22/03 1200200000000001999
SDC Transpo Reimbursement $164.89 8/22/03 1200200000000001999
Sidewalk Permit $75.00 8/22/03 1200200000000001999
Storm Drainage Impervious Area $704.70 8/22/03 1200200000000001999
Temp Power 200 amps or less $50.00 8/22/03 1200200000000001999
Vent Fan $30.00 8/22/03 1200200000000001999
Willamalane Single Family $1,000.00 8/22/03 1200200000000002000
Total Amount Paid $7,225.08
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00698
ISSUED: 08/22/2003
APPLIED: 08/05/2003
EXPIRES: 02/22/2004
VALUE: $ 238,270.00
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
08/06/2003
08/06/2003
08/06/2003
08/06/2003
I Plan Reviews I
08/06/2003 APP
08/19/2003 APP
08/11/2003 APP
08/18/2003 APP
LLH
TAJ
VRJ
DLM
See documents for plan review
comments
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 andlor
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 Shower Pan. Prior to covering and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to filling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
24 Underfloor Mechanical. Prior to insulation or decking and including required testing.
25 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
26 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.
27 Rough Mechanical: Prior to Cover
28 Final Gas: When all gas work is complete.
29 Final Mechanical: When all mechanical work is complete.
30 Temporary Electric: Approval required prior to Utility Company energizing pole.
31 Rough Electric: Prior to Cover
32 Electric Service: Approval required prior to utility company energizing service.
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
33 Final Electric: When all electrical work is complete.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00698
ISSUED: 08/22/2003
APPLIED: 08/05/2003
EXPIRES: 02/22/2004
VALUE: $ 238,270.00
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 construction.
\~ ~~-j'~~
o~er or ~actors Signature
Pae:e 4 of 4
CZ; /LZ-- (O~.
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...
Date
225 Fifth Street'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00698
Payments:
Type of Payment
Credi tCard
Receipt #: 1200200000000002000
Description
Willamalane Single Family
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
JERRY BRAUNBERGER
000152 034132
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/22/2003
10:32:58AM
Amount Paid
1,000.00
$1,000.00
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$1,000.00
$1,000.00
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
COM2003-00698
Payments:
Type of Payment
CreditCard
Receipt #: 1200200000000001999
Description
Addressing Assignment
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curbcut 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
3 Baths One & Two Family
Backflow Device
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
Plan Review - Planning
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
JERRY BRAUNBERGER
000152 051371
City of Springfield Official Receipt
Development Services Department "
Public Works Department
Date: 08/22/2003
lO:32:16AM
Amount Paid
Item Total:
8.00
106.00
95.00
50.00
75.00
75.00
(30.00)
704.70
724.48
550.72
164.89
727.42
332.86
34.83
10.00
112.02
50.48
1,017.40
306.00
14.00
12.00
30.00
9.00
6.00
6.00
4.00
15.00
10.00
59.00
116.93
167.04
$5,563.77
How Received
In Person
Payment Total:
Amount Paid
$5,563.77
$5,563.77
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Permits are l{on-fransferable artd expire
if work is not'started within 180 days
of issuance or if work is suspended for
180 days. ,";
:le::::t~a::;~ ;::~ION ~~~R \L
Address ;?~:6t BB'~ 9.. ~ ~~
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City tf~,:\~~~,~i'l'hone Ot<~-
S upervis6r.:.LicenseNui1l3er
Exp~rati(m,Dat~_;:16!,-ir5Y' ~,.iitc6P:}
~<"".
';Co~strContr.,~u~lb~r;~ ~,'~. .' r4
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Date r':::. '1-~'A..;.J, 1)~~1
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'OWNER INSTALLATION,
The installation is being made on,
property Io\vn which isnot intended
" for sale. lease or rent. .
Owners Signature:
Multi-Family per dwelling unit.
Seryicc Included:
Items Cost
y
1000 sq.ft. orless
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$ 50.00
B. Seryices or Feeders
Installation,
Relocation:
. ,..:.
200 amps or less
201 amps to 400 amp(,
401 amps to.600 amps \,
, . \ 60 1 amps t6) OOOaiui?s'
,Over 1000 amps/v.olts
, Recoimect 'Only
>... ,
$ 63.00
$ 75.00
$125.00
, $1,63.00
$375.00
, $50.00
,c. ,Temporary SCr\icesorFeeders
"InstalI:t;~ion, Alteratior: or:R.elocation
/,' i 200 amps or less , ,'"
',?(;'.201amps era, 4-oqamp~:
.".,,: Ov~.r,40Lto600aPlPs ,"
Over 600 amps orl000}'()1ts see
"B" above '
$50.00
$69.00
'$100.00
D. Branch Circuits
New Alteration or Extension Per Panel
One ~ircuit
$43.00 '
.- -., ." . .. , ,:",.
Each Additional Circuit or with Service,
or Feeder Permit $3.00
E. Misccnimcous (Serrice/feeder not incluu'eu)
-Each installation
Pump or irrigation
Sign!Outline Lighting
Limited Energy-IRes
Limited Energy/Comm
$50.00
$50.00
$25.00
$45,00
Minimum Electric Permit Inspection Fee b $45.0n + Surcharges
4. SUBTOTAL OF ABOVE
7% State Surcharge
',:>8% Administrative Fee
~\
TOTAL
VI \1 ~
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CITY OF S~INGFIELD SYSTEMS DEVELOPMErfJ"'ORKSHEET
JOURNAL OR JOB NUMBER: com2003-00698
NAME OR COMPANY: Future B Inc
LOCATION: 870 Mint Meadow Way,"
TAX LOT NUMBER: 17032343 tl12600
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 3090
LOT SIZE (SF):
8439
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1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2430.00 I $0.290 j = I $704.70
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F: x I COST PER S.F, x DISCOUNT RATE DISCOUNT
0,00 I $0.290 50% $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
. NUMBER OF DFU's ~ x I COST PER DFU
32 'l I $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 32
$704.70
$704.70
1070
!!
$724.48
1091
COST PER DFU
$17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x' I NUMBER OF UNITS x
9.57 I 1
B. IMPROVEMENT COST:
ADT TRIP RATE I x I NUMBER OF UNITS x
9.57, I 1
ITEM 3 TOTAL - TRANSPORT A TION SDC = I
4. SANITARY SEWER - MWMC
$1,275.20
$550.72 1092
J
x NEW TRIP FACTOR
1.00 , ! $164.89 1093 ,
n
X NEW TRIP FACTOR
1.00 $727.42 1094
COST PER TRIP
$17.23
COST PER TRIP
$76.01
$892.31
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x COST PER FEU
1 $332.86 = J $332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 1 I $34.83 = $34.83 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I $377.69
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,249.90
5, ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE 1= CHARGE
$3,249.90 I 5% I $162.50
TOTAL SANITARY 'ADMINISTRATION FEE: 112.02 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.48 1078
Virginia Jurasevich 8/11/2003 TOTAL SDC CHARGES =! $3,412.40
PREPARED BY DATE
..."'"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND 1 AUTO WASH 1 ETe. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
CLOTHESW ASHER 1 MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = ,0
RECEPTOR FOR REFRIG I WATER STATION 1 ETe. 0 0 J = 0
IRECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. 0 0 3 = 0
- ISHOWER, SINGLE STALL 2 0 2 = 4
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERC1AL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = 2
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 3 0 1 = 3
IURINAL, STALL 1 WALL 0 0 5 - 0
ITOILET, PUBLIC INSTALLATION 0 0 6 0
ITOILET, PRIVATE INSTALLATION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 32
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day J
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TE/$I ,000
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:
0:
o
1998
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT, RATE
$0.00 x $0.41
= ,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 11000 CREDIT RATE
$0.00 x $0.41 = ,
o
= ,
,
$0.00
TOTAL MWMC CREDIT
.1