HomeMy WebLinkAboutPermit Building 2003-10-20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
,:. CITY OF SPRll~(jJ11ELD .
Building/Combination Permit
PERMIT NO: COM2003-00970
ISSUED: 10/20/2003
APPLIED: 09/25/2003
EXPIRES: 04/20/2004
VALUE: $ 216,813.00
SITE ADDRESS: 851 Mint Meadow Way
ASSESSOR'S PARCEL NO.: 1703234313700
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
I CONTRACTOR INFORMATION I
,0
Contractor o~ .~~ 1icense
FUTURE B INC 0C:J ~ ~~ ~'o)~499
DEANS ELECTRIC #' P.JO~ ro0 !l,.~~'W '
JUNG ENTERPRISES INC ,0 0....0 ~0 Cb~ ~1..~
CHAPIN ENTERPRISES ~Nt ~0 .,~0o" ()f/::.'f"0 ~8J.@~,0~
I ~ 10'" ~~~ "Aq,i~l
v ~~~~.:.~~ i.\
~. o~....-~.~ o~ .~ ~ ~.
1 ,p "'~ ~f~r~ ~0' ~ ~f'j 1 Lot Size:
R-~./:'- ~0C:J (j0'Reig'1~ti;t ~~~e,<1: 19.50 Sq Ft 1st Floor:
~ ~ ....~o<::- ~~Y.R~O~He~O ~~~orced Air Gas Sq Ft 2nd Floor:
~~. ~tlf Cb"j \ ~1~'f~:~~ Gas Sq Ft Basement:
~ o~~ ~ .J....O~~~~~ Gas Sq Ft GaragelCarport
~ O~~. .~n~~)h: Path 1 Sq Ft Other:
(' ~~ ~ "'(!} r~' Impervious\Surface Area:
<::$ v ~v v ~'~,
J ,("\ .(.
~ ~ ~\..S'
I DEV'ELOPM_ENT INFORMATION I ~ ~~.
~~~~IREDPARKING
Overlay Dist: ~ q,4f ~tal: 2
# Street Trees Rqd: ~~ ~~~Handicapped:
Paved Drive Rqd: ~ ~ ~ Compact:
% of Lot Coverage: . ~ ~~.!lj)~.
~.~~ ~ ~~ ~'5
.~~ 1v, .')<();<"\ "lv.
I!UBLIC IMPROVE~~$>~~~~ '
F II I d ~ ~~ ~ewalk Type:
u y mprove G ~
Yes ~ Downspouts/Drains:
<,\
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:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-744-2660
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
2,226
636
18.00
13.00
7.00
28.10
0.00
Curbside 5'
Curb and Gutter
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00970
ISSUED: 10/20/2003
APPLIED: 09/25/2003
EXPIRES: 04/20/2004
VALUE: $ 216,813.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
2,226.00
636.00
Value
Date Calculated
Description
Total Value of Project
$201,675.60
$15,136.80
$216,812.40
09/25/2003
09/25/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $614.84 9/25/03 1200200000000002211
+ 10% Administrative Fee $151.49 10/20/03 1200200000000002341
+ 7% State Surcharge $106.04 10/20/03 1200200000000002341
2 Baths One or Two Family $254.00 10/20/03 1200200000000002341
Addressing Assignment $8.00 10/20/03 1200200000000002341
Appliance Vent $6.00 10/20/03 1200200000000002341
Boiler/Comp 3-15 HP $22.00 10/20/03 1200200000000002341
Building Permit $945.90 10/20/03 1200200000000002341
Curbcut Permit $75.00 10/20/03 1200200000000002341
Dryer Vent $6.00 10/20/03 1200200000000002341
Exhaust Hoods $9.00 10/20/03 1200200000000002341
Furnace - up to 100,000 btu $12.00 10/20/03 1200200000000002341
Gas Outlets 1-4 $4.00 10/20/03 1200200000000002341
Plan Review - Planning $59.00 10/20/03 1200200000000002341
PW Mult Disc - 2nd Permit $-30.00 10/20/03 1200200000000002341
Residence Wiring 1000 Sq Ft $106.00 10/20/03 1200200000000002341
Residence Wiring Ea Addtl 500 $76.00 10/20/03 1200200000000002341
Sanitary Sewer - Improvement $430.25 10/20/03 1200200000000002341
Sanitary Sewer - Reimbursement $566.00 10/20/03 1200200000000002341
SDC MWMC Administration $10.00 10/20/03 1200200000000002341
SDC MWMC Improvement $34.83 10/20/03 1200200000000002341
SDC MWMC Reimbursement $332.86 10/20/03 1200200000000002341
SDC SanitarylStorm Admin $121.62 10/20/03 1200200000000002341
SDC Transpo Admin $50.13 10/20/03 1200200000000002341
SDC Transpo Improvement $727.42 10/20/03 1200200000000002341
SDC Transpo Reimbursement $164.89 10/20/03 1200200000000002341
Sidewalk Permit $75.00 10/20/03 1200200000000002341
Storm Drainage Impervious Area $1,168.70 10/20/03 1200200000000002341
Temp Power 200 amps or less $50.00 10/20/03 1200200000000002341
Vent Fan $24.00 10/20/03 1200200000000002341
Willamalane Single Family $1,000.00 10/20/03 1200200000000002342
Wood Stove $30.00 10/20/03 1200200000000002341
Total Amount Paid $7,210.97
Pa2e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00970
ISSUED: 10/20/2003
APPLIED: 09/25/2003
EXPIRES: 04/20/2004
VALUE: $ 216,813.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannine: Review
Public Works Review
Structural Review
09/26/2003
09/26/2003
09/2612003
09/26/2003
I Plan Reviews'
09/26/2003 APP
10/15/2003 APP
09/29/2003 APP
10/15/2003 APP
LLH
TAJ
MS
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 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 Final Building: After all required inspections have been requested and approved and the building is complete.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
23 Underfloor Mechanical. Prior to insulation or decking and including required testing.
24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
25 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.
26 Rough Mechanical: Prior to Cover
27 Final Gas: When all gas work is complete.
28 Final Mechanical: When all mechanical work is complete.
29 Wood Stove: After Installation.
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.
33 Final Electric: When all electrical work is complete.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00970
ISSUED: 10/20/2003
APPLIED: 09/25/2003
EXPIRES: 04/20/2004
VALUE: $ 216,813.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
34 Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
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/:;?0 fo 3
Date t
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
COM2003-00970
Payments:
Type of Payment
Credi tCard
Receipt #: 1200200000000002341
Description
Addressing Assignment
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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 SanitarylStorm Admin
SDC Transpo Admin
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Appliance Vent
Dryer Vent
Gas Outlets 1-4
Wood Stove
Plan Review - Planning
Boiler/Comp 3-15 HP
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
FUTURE B INC
000198 010320
City of Spriogfield Official Receipt
Development Services Department,
Public Works Department'
Date: 10/2012003
8:56:21AM
Amount Paid
Item Total:
8.00
106.00
76.00
50.00
75.00
75.00
(30.00)
1,168.70
566.00
430.25
164.89
727.42
332.86
34.83
10.00
121.62
50.13
945.90
254.00
12.00
24.00
9.00
6.00
6.00
4.00
30.00
59.00
22.00
106.04
151.49
$5,596.13
How Received
In Person
Payment Total:
Amount Paid
$5,596.13
$5,596.13
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00970
Payments:
Type of Payment
CreditCard
Receipt #: 1200200000000002342
Description
Willamalane Single Family
Received By
djb
Check Number
Batch Number Authorization Number
Paid By
FUTURE B INC
000198 018852
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/20/2003
8:56:59AM
Amount Paid
Item Total:
1,000.00
$1,000.00
How Received
In Person
Payment Total:
Amount Paid
$1,000.00
$1,000.00
~,\.\."J e\J' <7"'>' ~:f/
.. :;,0', .' <;,<:} Y"
. !:;;,,:;;\.}(;~<\,t: /,/ /" f<;
.cr ", ~..~ ' /,;;" /#
"',,77 - FIFTH STREET ("~I"0,"'<,,, /~" ,c7 EL',
~.'.. __J _ ~F_.:.:;-,..;;~.- \{;,::\\' ..;- :,,7 /, :::.>~;;,f'
" SPRINGFIELD, OREGON 9~4.'J{<f'oc'!i,',~~: ' ti> > :;:)~,?(. A"'"
',:)NSPECTION'REQl!ES~; ''f!:fY;.'j~69L:;'' ;'1'<; ~",/' ')C:ity J ob ~~~ber
":" OFFI~;,::'ii,2~~3 75 9;X'. 'N~);\~'t~.:~i'~~~~.'.~'"~>)l;S.;~: ,.' 90~~E~E FE~,
LOCATION.OFINSTALLATIOK(:>tc...,' ,}: ,"'" "L.'<: ,'"
~;,.,>-; "L':;;;Z{',.;~(\\~,~~'<.t\~<:' ,.~:';::, ~>:>. '~i._<- -:<""~:~ 'fL'",;: :2:,...1 ." A~ ';'N e'~~": Res i d en ti tll~S ingte
Multi-Family per dwelling unit.
L~:G~(:P~SC~P9N Service Included:
., /' 'p \L' ";:
l
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Mal1ufd Home or
Modular Dwelling
Service or Feeder
Items Cost SUlJ,l",
$106.00
$ 19.00
$ 50.00
J~QB p~~CRIPTW~
\, ,"'-.
Permits are non-transfClrable and e~ire
if work is nolstarted \~ithin 180 days
of issuance brif work is suspended for
180 days. '{;
2. CON~~TOR ~STALLA!ION ;r~+
Electrical' ~ontractoi~ Pf). \N 5 l' eG\ R \L.
Address ."to" gb'~ 9-.S'~C;-
r: '., "; ;"'11t.1.D'1.. . '
City 7 ...{"yV,t:lN0,,'Phone c\<:l(-
. 1
-
B. Services or Feeders
Installation,
Relocation:
'- y,~".:- , (' ,', .:' - "
ExpiratioIlDate ,'-fO. '--
.:.....: .
$63.60
$ ]5.QO
$125.00
~$163.00
$375.00
, $50.00
$50.00
$69.00
, $100.00
}'",
D. Branch Ci~~~\~i~s,
New:,AW~ration or .E:,tension Per Panel
On~ Cirtlllt
$43.00
7\
'..' ,)
Each Additional Circuit or with Service
or Feeder Permit $ 3.00
OWNER INSTA:LLATION
,: The installation is being made on': ,
property I O\vn which isnot intended
': for sale, lease or rent.
Owners Signature:
E., Misccllancous (ScniceJfcedcr not incluu'ed)
-Each installation
Punlpor irrigation
SiguJOutline Lighting
Limited EnergylRes
Limited Energy/Comm
$50.00
$50.00
$25.00
$-J.5.00
Minimum Electric Permit InsJlcction Fee is S-J.5.0n + Surchargcs
4. SUBTOTALOFABOVE
7% State Surcharge
8% Administrativc Fce
/. ,/
/': ;/
TOTAL
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENlWORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00970
NAME OR COMPANY: Future B INC
LOCATION: 851 Mint Meadow Way
TAX LOT NUMBER: 17032343 Tax Lot 13700
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF:
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
4030.00 I $0.290 = $1,168.70
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
. IMPERVIOUS S.F. l x I COST PER S.F. . x DISCOUNT RATE I I DISCOUNT
0.00 I I $0.290 50% = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC $1,168.70
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's' x COST PER DFU
I 25 $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 25
COST PER DFU
$17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
, I ADT TRIP RATE x NUMBER OF UNITS
I 9.57 1
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS
9.57 1 '
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
1 $332.86
,B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER sm
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE
$3,434.95 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
o
r.n
~
Q
o
u
~
~
r-<
r.n
......
CI
~
LOT SIZE (SF):
8477
$1,168.70
11070
$566.00
1091
$430.25
1092
$996.25
x I COST PER TRIP x NEW TRIP F ACTORI
I $17.23 1.00
x I COST PER TRIP x NEW TRIP FACTOR
I $76.01 1.00
= I $892.31
$164.89
1093
$727.42
1094
=
$332.86
1054
= I $34.83 1055
I $0.00 1054
I $10.00 1056
= I $377.69
= I $3,434.95
CHARGE
$171.75
121.62 1079
$50.13 1078
TOTAL SDC CHARGES =1 $3,606.70
--
9/29/2003
Virginia Jurasevich
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
IDRlNKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V ATOR Y 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 25
"EDU (Equivalerit Dwelling ~nit! is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
,1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATE/$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
o
o
1998
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $0.41
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $0.41
o
, '
TOTAL MWMC CREDIT
$0.00
=