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
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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
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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.
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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: 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
"
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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/)
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o
U
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VJ
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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
;(
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10/10/2005
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