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HomeMy WebLinkAboutPermit Building 2005-10-10 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6463 THURSTON RD ASSESSOR'S PARCEL NO.: 1702341205400 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01163 ISSUED: 10110/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 182,100.00 TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single family residence, ParcelS Owner: TOM WIRFS Address: PO BOX 237 SPRINGFIELD OR 97477 Phone Number: 541-747-8704 I CONTRACTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone General TOM WIRFS ENTERPRISES INC 32947 06/29/2008 541-747-8704 Electrical MAG ELECTRIC INC 149834 12/13/2005 541-461-0387 Mechanical JET HEATING INC 3944 05/31/2007 503-363-2334 Plumbing JET MECHANICAL LLC II -r~___ 158633 02/10/2006 503-363-2334 Overlay Dist: # Street Trees Paved Drive Rqd: NOT/CO .of Lot Coverage: T1419 !., A,~ . FUII~~ Mf/lCEDOR IS AS IS I'ER;::".Type: VR DAY PERIOD ANDONED 1'mfns~uts/Drains , . # of Units: Primary Occupancy Group: Secondary Occupancy P"rimary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 49.00 14.00 10.00 18.00 28.00 Street Storm Sewer Available: Special Instruction: 1 R-3 U VN r BUIUD.iN,G'U~FO~l1IQNIv . IVotification- , qUupted by th;eqUlres you to ir#<9~~1t?J~~sPenter. Those r l,or~gOnItP.1/~~e: O~ej~~t o~-~01-0010 throu lJ.f.ltIJlre S~g~fMt Floor: t~e o'NftatY ObtcftY~cSd j{.tp f}M 9;1tDd Floor: nW~ '19f., ~enter. (Notes ~aS7e ru~ t Basement: Raj~::;:~e Oregon ~'. th<G:nJePhl~Garage/carport Energf~atb1" is 1-800 tJ/tiWfulifica t Other: Sprinkled -332-26~). {Qupant Load: I DEVELOPMENT INFORMATION I 460 8,759 834 872 3 o REQUIRED PARKING Total: 2 Handicapped: Compact: 14.70 Drywell - Provide Drywell Engineering Notes: Roof drainage to drywell provide perc test results and cales, driveway drainage to CB, tagged for LDAP 8/30/2005 CAS 1 of 4 "~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01163 ISSUED: 10/10/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 182,100.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description A.C. - Residen Dwellin2s Gara2e Type of Construction AC - Residential V Wood Frame Gara2e $PerSqFt or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 1,706.00 1,706.00 460.00 Value Date Calculated Total Value of Project $6,824.00 $163,776.00 $11,500.00 $182,100.00 08/26/2005 08/26/2005 08/26/2005 L Fees paidJ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $543.01 8/26/05 1200500000000001249 -Mechanical Issuance Fee- $10.00 10/1 0/05 1200500000000001489 + 10% Administrative Fee $145.94 10/10/05 1200500000000001489 + 7% State Surcharge $102.16 10/10/05 1200500000000001489 3 Baths One & Two Family $306.00 10/10/05 1200500000000001489 Addressing Assignment $31.00 10/10/05 1200500000000001489 Appliance Not Listed $9.00 10/1 0/05 1200500000000001489 Building Permit $835.40 10/1 0/05 1200500000000001489 Dryer Vent $6.00 10/10/05 1200500000000001489 Exhaust Hoods $9.00 10/1 0/05 1200500000000001489 Fixture $14.00 10/10/05 1200500000000001489 Furnace - up to 100,000 btu $12.00 10/1 0/05 1200500000000001489 Gas Fireplace $15.00 10/1 0/05 1200500000000001489 Gas Outlets 1-4 $4.00 10/10/05 1200500000000001489 Heat Pump $12.00 10/10/05 1200500000000001489 Plan Review Major - Planning $150.00 10/1 0/05 1200500000000001489 Residence Wiring 1000 Sq Ft $106.00 10/10/05 1200500000000001489 Residence Wiring Ea Addtl 500 $57.00 10/10/05 1200500000000001489 Sanitary Sewer - Improvement $533.96 10/10/05 1200500000000001489 Sanitary Sewer - Reimbursement $701.96 10/1 0/05 1200500000000001489 SDC MWMC Administration $10.00 10/1 0/05 1200500000000001489 SDC MWMC Improvement $865.31 10/10/05 1200500000000001489 SDC MWMC Reimbursement $82.03 10/1 0/05 1200500000000001489 SDC Sanitary/Storm Admin $165.49 10/10/05 1200500000000001489 SDC Transpo Admin $62.55 10/10/05 1200500000000001489 SDC Transpo Improvement $805.70 10/1 0/05 1200500000000001489 SDC Transpo Reimbursement $182.69 10/1 0/05 1200500000000001489 Storm Drainage Impervious Area $1,379.21 10/10/05 1200500000000001489 Temp Power 200 amps or less $50.00 10/10/05 1200500000000001489 Vent Fan $24.00 10/1 0/05 1200500000000001489 Willamalane Single Family $1,000.00 10/10/05 1200500000000001489 Total Amount $8,230.41 2 of 4 CITY OF SPRINGFIELD Building/Combination Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-01163 ISSUED: 10110/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 182,100.00 Initial Review PlanniDl! Review I Plan Reviews I 08/29/2005 08/29/2005 APP LLH 09/28/2005 09/28/2005 APP TAJ Contractor agreed to change roof pitch to 7/12 and hip it to meet solar requirements. 08/29/2005 09/16/2005 WE TAJ On hold for solar setback problems. Tom wirfs will come in 9/19 to talk to me about it. 08/29/2005 08/30/2005 APP CAS Provide perc test results and cales for drywell, driveway drainage to CB, tagged for LDAP 8/30/2005 CAS 9/30/2005 Drywell 6 X 6 08/29/2005 09/19/2005 APP RJB Planninl! Review Public Works Review Structural Review 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. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Rough Mechanical: Prior to Cover Final Mechanical: When aU 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. 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. 3 of 4 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: COM2005-01163 .ISSUED: 10/10/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 182,100.00 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 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. Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file. 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. By signature, Istate 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,ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wiD 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 ofthe property, and the approved set of plans wiD remain on the site at all times during constr~~,' ' / I ~J?5 /~/I~/PS ~ , , Owner or Contractors Signature ' Date " 4 of 4 3. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 '<>~'O~ 'be:, o..~\ ELECTRICAL. \1LRM~' T..APPLICATION o\ec' 0' ,e City Job Number ,,}(). \\O?l Date ~\~CJ>t00'<> ~ - - o~o ~Q Electrical Contractor ~AJ (jJ~, 'CJ.L/ / 200 Amps or less L 20 I Amps to 400 Amps Address ~ O~ 1M ~ roJ 401 Amps to 600 Amps 601 Amps to 1000 Amps Phone ~f().3R7 Over 1000 AmpsNolts A"--EA Reconnect Only , I -"!TION' fOI/?W 'eJ . N,)trfIC2tio in OAR 95~lJ e_nte~ Those r/J/.J;J,c_<>9on UtiI/ty DnqO YI "'ln~al~998,~~teranOfH)Jl1B~ ~aliin ou 12'l~iol A:tillm~f ~~b~~h OAR 952-001. \ $ 50.00 nf 'mb; th~6-teA~ t~\48PeAffiIf~f the rules bl1 $ 69.00 Cr fO~YiE'A~~~08Amffs telephone $100.00 enter is.a P..'1rl-,,:> mny Notif:icat" Overo 07\1:Hps~~ 0 ts s-e!?IB" above. D. Signature of Supervising Electrician Lyu. d~, 4- ~ "'" ".~ o.m",N"". ~\Ll~ Address W ~_ 1-~i City ~~ 1 M C~ In Phone. 16r1 <rID1 Pump or irrigation $ 50.00 - \ .~ Sign/Outline Lighting $ 50.00 OWNER INSTALLATION "OT Limited Energy/Residential $ 25.00 ",e, L' . dE IC . !he in.stallation is being made on prope~ h Imlte nergy ommerclal $ 45.00 IS not Intended for sale, lease or rent. ~_' . Permit Inspection Fee is $45.00 + Surcharges Own." Sign'Mo' e::ii= 2-l~ [J) . .",,'O&.% State Sure aFBR l4..Q b 10% Administrative Fee 'Ll. ~ . 3.4q.'LL 1. 2. City ~ Expiration Date J../7~ I tJ- /-tlJ LifJ~3I / - Id~/3--a<) Supervisor License Number Constr. Contr. Number Expiration Date Inspection Request: 726-3769 ~\\ 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 1Dla1P 51.a:> \ -:0 $ 19.00 $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 5D}tJ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc .... . . CITY OF sfl~NGFIELD SYSTEMS DEVELOPME~ JORKSHEET JOURNAL OR JOB NUMBER: COM2005-0]]64 NAME OR COMPANY: Tom Wirfs LOCATION: 645] Thurston Rd TAX LOT NUMBER: ] 70234] 200700 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS ] BUILDING SIZE (SF: 3780 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F. x - COST PER S.F. CHARGE I 3442.00 $0.323 = $1,111.77 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x r COST PER S.F. x DISCOUNT RATE I DISCOUNT I ]656.00 I $0.323 50% = I $267.44 7918 r/) ~ c::l o U ~ ~ E-< VJ >-< d ~ ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY $1,379.21 $1,379.21 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 28 $25.07 $701.96 1091 B. IMPROVEMENT COST: I NUMBER OF DFU's I x I 28 I $]9.07 $533.96 1092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $1,235.92 :i I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x I NEW TRIP FACTOR I 9.57 I 1 $]9.09 I 1.00 $182.69 1093 B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I x COST PER TRIP x NEW TRIP FACTOR I 9.57 I I ] I $84.19 1.00 $805.70 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =1 $988.39 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x ICOST PER FEU I ] I $82.03 = $82.03 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I ] , I $865.3 ] = $865.31 lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $957.34 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $4,560.86 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE 1= CHARGE $4,560.86 I 5% , $228.04 TOTAL SANITARY ADMINISTRATION FEE: ] 65.49 11079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $62.55 11078 Cheryl Slaymaker 8/30/2005 TOTAL SDC CHARGES =, $4,788.90 PREPARED BY DATE ,. . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 2 0 3 = 6 I DRINKING FOUNTAlN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 I CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3 URINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 28 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 ]992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED V ALOE $529 $529 $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 ELGlBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) V ALOE / 1000 CREDIT RATE $0.00 x $5.29 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V ALOE / 1000 CREDIT RATE $0.00 x $529 TOTAL MWMC CREDIT = 2 2 1979 $0.00 o $0.00 '~;!- 1', ~- ~ity of Springfield Official Receipt )evelopment Services Department Public Works Department 225 Fifth Stre~ ' Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: 1200500000000001489 Date: 10/10/2005 3:12:05PM Job/Journal Number Description Amount Due COM2005-01163 Addressing Assignment 31.00 COM2005-0 1163 Willamalane Single Family 1,000.00 COM2005-01163 Residence Wiring 1000 Sq Ft 106.00 COM2005-01163 Residence Wiring Ea Addtl 500 57.00 COM2005-01163 Temp Power 200 amps or less 50.00 COM2005-01163 Storm Drainage Impervious Area 1,379.21 COM2005-01163 Sanitary Sewer - Reimbursement 701.96 COM2005-01163 Sanitary Sewer - Improvement 533.96 COM2005-01163 SDC Transpo Reimbursement 182.69 C'oM2005-01163 SDC Transpo Improvement 805.70 COM2005-01163 SDC MWMC Reimbursement 82.03 COM2005-01163 SDC MWMC Improvement 865.31 COM2005-01163 SDC MWMC Administration 10.00 COM2005-0 1163 SDC Sanitary/Storm Admin 165.49 COM2005-01163 SDC Transpo Admin 62.55 COM2005-01163 Building Permit 835.40 COM2005-01163 3 Baths One & Two Family 306.00 CbM2005-01163 Fixture 14.00 COM2005-01163 Furnace - up to 100,000 btu 12.00 COM2005-01163 Vent Fan 24.00 COM2005-01163 Exhaust Hoods 9.00 COM2005-0 1163 Dryer Vent 6.00 CbM2005-01163 Gas Outlets 1-4 4.00 COM2005-0 1163 Gas Fireplace 15.00 COM2005-01163 Heat Pump 12.00 dJM2005-01163 -Mechanical Issuance Fee- 10.00 CbM2005-01163 Plan Review Major - Planning 150.00 COM2005-01163 Appliance Not Listed 9.00 COM2005-0 1163 + 7% State Surcharge 102.16 COM2005-0 1163 + 10% Administrative Fee 145.94 LDP2005-00200 LDAP Short Form 300.00 Item Total: $7,987.40 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check COZY HOMES INC djb 38642 In Person $7,987.40 Payment Total: $7,987.40 ;( :~; 10/10/2005 1 of 1