HomeMy WebLinkAboutPermit Building 2005-12-14
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Status
Issued
CITY OF SPRINGFIELD"
Building/Combination Permit
PERMIT NO: cOM2005-01555
ISSUED: 12/14/2005
APPLIED: 11102/2005
EXPIRES: 06/14/2006
VALUE: $ 270,800.00
225 Fifth Street, Springfield, OR
" 541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6215 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407800
NOTJ!:E:, .' TYPE OF USE: New
PROJECT DESCRIPTION: Single family residelfRISv.~~~~~ IF THE WORK
:"UTll9RIZiIJ 1_1~lm:c n.u~ PFRMIT IS NOT
Owner: RUHOFF HOMEBUlLDERS INC COMMENCED OR IS ABANDONED FOione Number:
Address: 3993 MIRROR POND WAY ANY 180 DAY PERIOD. Phone Number:
EUGENE OR 97408
Springfield TYPE OF WORK: Single Family Residence
Residential
541-334-6550
541-334-6570
I CONTRACTOR INFORMATION I
Contractor Type
. General
Electrical
Mechanical
'~ Plumbing
Contractor
RUHOFF HOMEBUlLDERS INC
GOOD CONNECTIONS
JUNG ENTERPRISES INC
JAMMAL INC
License
130797
160508
102455
158262
Expiration Date
07/13/2008
07/01/2006
10/04/2006
01/12/2006
Phone
541-334-6550
541-434-6491
541-937-2688
541-484- 7 440
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories: 2 Lot Size:
Height of Structure 30.00 Sq Ft 1st Floor:
Type q1,~~~:T: C ~ :F~~~(ld:~irc:~~;s 1:1~ S"q3F;~~,~Floor:
watei't.tre... .',.,0' ~- -,'" '" .:\q~t , .' SwFt,.aas~inent.
Rang~9:Y1i~:I.l-I~,,, ~ ~;;:.. '. :,~ "~~GasL:' ~ ': Sq:Ft'Gil1rage/Carport
,I.....". ...1: r: lei \-1'- 1.......1. ; I",. ....J j
Ene~gy,'~atJi:" :'~ (' ;'; ",,,.-, "J~~th" h ~Sq F'tOtllet:-
SpriDkIed-BulIdliig':' . ~. ~ ~ ~"" .n/a" , Occupantl,Joad:
I' r 'f'" ""-~i...!, 4,:. ,.\, I.' ',._ I,. --
11,546
1,369
919
1
R-3
U
VN
1,350
I DEVELOPMENT INFORMATION I
II. I.
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
., Rearyard Setback:
Solar Setbacks:
20.00
25.00
33.50
48.00
0.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
1_, _ .,."
Hillside
3
Yes
19.00
Total:
Handicapped:
Compact:
2
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Fully Improved
Yes
Sidewalk Type:
Curbside 5'
To Storm Sewer
Downspouts/Drains:
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; storm drainage piped to stub
provided 11/3/2005 CAS
Pa!!e 1 of 5
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.C. - Residen
DwelIinl!s
Garal!e
AC - Residential
V Wood Frame
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Not Listed
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Mountaingate Impervious Area
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
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
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2005-01555
ISSUED: 12/14/2005
APPLIED: 11102/2005
EXPIRES: 06/14/2006
VALUE: $ 270,800.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
2,288.00
2,288.00
1,680.00
Value
Date Calculated
$9,152.00
$219,648.00
$42,000.00
$270,800.00
11/02/2005
11/02/2005
11/02/2005
Total Value of Project
~
Amount Paid
$728.91
$10.00
$179.74
$125.82
$306.00
$31.00
$18.00
$1,121.40
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$1,342.39
$150.00
$-30.00
$106.00
$114.00
$553.03
$727.03
$10.00
$865.31
$82.03
$165.89
$62.52
$805.70
$182.69
$80.00
$50.00
$24.00
$1,000.00
Date Paid
Receipt Number
11/2/05
12/14/05
12/14/05
12/14/05
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1200500000000001667
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
2200500000000001705
Pal!e 2 of 5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2005-01555
ISSUED: 12/14/2005
APPLIED: 11/02/2005
EXPIRES: 06/14/2006
VALUE: $ 270,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $8,949.46
I Plan Reviews ,
Initial Review 11/03/2005 11/0312005 APP SKG
LDAP Review 11/02/2005 11/02/2005 10 VRJ Full review LDAP. $600.00 due at
issuance. Aaron Solbeck of Ruhoff
Homebuilders submitted LDAP
11/2/05 pm.
LDAP Review 11/08/2005 11/08/2005 APP VRJ $600.00 due at issuance. Full review
LDAP is at the front counter and
ready to issue.
Plannin2 Review 11/03/2005 12/01/2005 APP TAJ Follow the tree plan attached to the
building permit. Place construction
fencing around the private
vegetation easement and any trees in
the construction area that are to be
preserved. Follow the "Tree
Protection During Construction"
Guidelines attached to the tree plan.
No construction activity is allowed ill
the private vegetation easement
area.
Public Works Review 11/03/2005 11/03/2005 APP CAS No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t<
stub provided 11/3/2005 CAS
Structural Review 11/03/2005 11/23/2005 APP 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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pa2e 3 of5
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01555
ISSUED: 12/14/2005
APPLIED: 1110212005
EXPIRES: 06/14/2006
VALUE: $ 270,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Underfloor Plumbing: Prior to insulation or decking.
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Pae;e 4 of5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2005-01555
ISSUED: 12/14/2005
APPLIED: 11102/2005
EXPIRES: 06/14/2006
VALUE: $ 270,800.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
~9-7!~ /~j;~IoJ
Owner or contral~~ Signature Date
Pae:e 5 of5
3.
'/).s
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)7'h.:>.q:-~8~0\ ~e
\\'\9''::.0s '
ELECTRICAL PERMIT APPLICATION ~\"\e\O\\o:{\o 00
City Job Number (16. \CS~ Date 1-0{\\{\~~-a.\' \{\~
-a.~~~ 1-0{\
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
{) L ^ ('('" \\ __A J......:\ '" _ ~ Service or Feeder Pennit
OwnersName _~ ~
Address ~~ \~ \Ji.rrOf ~ro"\ lJ ~E.
City t(~ Phone r..~ .lcfOS::)
1.
\.l~~ ..\ CO ~'t\jJL.,
LEGAL DESCRIPTION
\~ C5\'2:J::i)
JOB DESCRIPTION 2>C\ ue,
~~~~U~J~+\.D.mQ
Permits a~ non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
...:2 J 0
VJ6/J,t; 5;f. ir~
City
6 (,u:; P /J P_
"
Phone L.,l3 If, 6'1 7' /
Supervisor License Number 30 '1/ S
Expiration Date
, c.1<.&
/0 - I -~ 07
/ ~ 0 5"0 cP
7-/'0&
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
~/~~
OWNER INST ALLA 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
A.
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
t $106.00 \D\o P'
U, $ 19.00 \ \.-\ po
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less I
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D.
$ 50.00
$ 69.00
$100.00
'5:).00
$ 43.00
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
~D p:>
lBAo
'L f) po
~\S.qo
TOTAL
Shared Drive(T:)/Building' Forms/Electrical Permit Application I-D3.doc
. ' CITY OF S~'NGFIELD SYSTEMS DEVELOPMEN~7~RKSHEET
JOURNAL OR JOB NUMBER: COM2005-01555
NAME OR COMPANY: Ruhoff
LOCATION: 6215 Femhill Loop
TAX LOT NUMBER: 1702343407800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 4562 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 4156.00 $0.323 = I $1.342.39
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE
I 0.00 $0.323 I 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,342.39
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 29 I
B. IMPROVEMENT COST:
NUMBER OF DFU's x
29
11546
VJ
~
Cl
o
u
~
~
E-<
,I VJ
......
o
~
DISCOUNT
$0.00
$1,342.39
11070
COST PER DFU
$25.07
$727.03
1091
$19.07
$553.03
1092
=,
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE x
I 9.57
$1,280.06
I NUMBER OF UNITS x
I 1
COST PER TRIP
$19.09
x NEW TRIP FACTOR
1.00
$182.69
1093
I NUMBER OF UNITS x
I 1
x I NEW TRIP FACTORI
I 1.00 I
1094
ITEM 3 TOTAL - TRANSPORTATION SDC
= I
COST PER TRIP
$84.19
$988.39
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x
I 1 I
$805.70
I COST PER FEU
I $82.03
$82.03
1054
=
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 1 I $865.31 = $865.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
I
MWMC ADMlNISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $4,568.18
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE CHARGE
I $4,568.18 I 5% $228.41
TOTAL SANITARY ADMINISTRATION FEE: 165.89 1079
TOTAL TRANSPORTATION ADMlNISTRATION FEE: $62.52 11078
\
Cheryl Slaymaker 11/312005 TOTAL SDC CHARGES =1 $4,796.59
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
I LAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 II
RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2 I
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 i-
I SINK: COMMERCIAL BAR 0 0 2 = 0 i:
SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL I WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 29
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE 11000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE I 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
,
;0;-
iZ5 Fifth Street
S[.ringfield, Oreg.Qfi,974'77
,I'
5,ltl-726-3759 Phone
~:~
....lty of Springfield Official Receipt
....Jevelopment Services Department
Public Works Department
RECEIPT #: 2200500000000001705 Date: 12/14/2005 2:51:52PM
Job/Journal Number Description Amount Due
COM2005-01555 Addressing Assignment 31.00
COM2005-0 1555 Willamalane Single Family 1,000.00
COM2005-01555 Residence Wiring 1000 Sq Ft 106.00
COM2005-0 1555 Residence Wiring Ea Addtl 500 114.00
COM2005-0 1555 Temp Power 200 amps or less 50.00
COM2005-0 1555 Sidewalk Pennit 80.00
COM2005-0 1555 Curb cut Pennit 80.00
COM2005-0 1555 PW Disc - 2nd Pennit (Street) (30.00)
COM2005-0 1555 Mountaingate Impervious Area 1,342.39
GOM2005-0 1555 Sanitary Sewer - Reimbursement 727.03
C"OM2005-01555 Sanitary Sewer - Improvement 553.03
CbM2005-01555 SDC Transpo Reimbursement 182.69
C'6M2005-0 1555 SDC Transpo Improvement 805.70
COM2005-0 1555 SDC MWMC Reimbursement 82.03
COM2005-01555 SDC MWMC Improvement 865.31
COM2005-0 1555 SDC MWMC Administration 10.00
COM2005-0 1555 SDC Sanitary/Stonn Admin 165.89
COM2005-0155S SDC Transpo Admin 62.52
COM2005-0 1555 Building Pennit 1 , 121040
COM2005-0 1555 3 Baths One & Two Family 306.00
CbM2005-01555 Furnace - up to 100,000 btu 12.00
CbM2005-01555 Vent Fan 24.00
COM2005-0 1555 Exhaust Hoods 9.00
COM2005-0 1555 Dryer Vent 6.00
COM2005-01555 Gas Outlets 1-4 4.00
oj Gas Fireplace 15.00
COM2005-0 1555
CbM2005-0 1555 Heat Pump 12.00
dbM2005-0 1555 Appliance Not Listed 18.00
':.~~
Ct;)M2005-01555 ~Mechanical Issuance Fee~ 10.00
CbM2005-01555 Plan Review Major - Planning 150.00
COM2005-0 1555 + 7% State Surcharge 125.82
COM2005-0 1555 + 10% Administrative Fee 179.74
Item Total: $8,220.55
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check RUHOFF HOMEBUlLDERS ddk 6874 In Person $260.55
INC
cileditCard AARON J SOLBECK ddk 02896B In Person $7,960.00
..
Payment Total: $8,220.55
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12/14/2005
Page I of2