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Home My WebLink AboutPermit Building 2005-10-10 CITY OF SPRINGf11ELD Building/Combination Permit PERMIT NO: COM2005-01161 ISSUED: 10/10/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 201,600.00 Status: Issued . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6449 THURSTON RD ASSESSOR'S PARCEL NO.: 1702341205200 TYPE OF Single Family Residence TYPE OF USE: New PROJECT DESCRIPTION: Single family residence, Parcel 3 Owner: TOM WIRFS Address: PO BOX 237 SPRINGFIELD OR 97477 Residential Phone Number: 541-747-8704 Contractor Tvpe General Electrical Mechanical Plumbing I CONTRACTOR INFORMATION I Contractor f~;:;NT10N: oregon~cense Expiration Date TOM WIRFS ENTERNMl1~I~~s adOPted ~~ljeqUires you 6/29/2008 MAG ELECTRIC IN~ OAR 9 n Center. Tho ~.pregon Uti/" /13/2005 JET HEATING INC 0090. Yo~2'001'OO1O th ~. ',(JJles are Set f~~:112007 JET MECHANICAL Lb~Ii,\r' tL.may Obtain /"',,~~:OAR 95?_()n~10/2006 I Be~GlNYg~ID~'t~: rUles by Centt:3r i !::Jon Utility N ' ~hO~e . # of Stones:S 1-800-332_234 otlf/~at/oifJ,ot Size: Height of ill.oo Sq Ft Ist Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path: Path 1 Sq Ft Other: Sprinkled n/a Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: 1 R-3 U VN 3 I DEVELOPMENT INFORMATION I Phone 541-747-8704 541-461-0387 503-363-2334 503-363-2334 7,077 996 905 460 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: 2 Handicapped: Compact: Street Storm Sewer Available: Special Instruction: 32.00 Overlay Dist: 20.00 # Street Trees 5.00 NOT'Cfj)ved Drive Rqd: 24.00 THIS PEAMJt~Af'U~a.. 20.50 18.00 ~~THOR'l.EO :UNOfA_1t41~ ~~~:e :~~ . A",~dSrl~'ED FOR ~'W. S'd IkT Fullv Improved I ewa ype: Yes DownspoutslDrains o Drywell - Provide Drywell Engineering Notes: Provide perc tests and drywell cales, driveway drainage into CB, final plat has not been filed 8/30/2005 CAS 1 of 4 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction A.C. - Residen Dwellinl!: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 Dryer Vent Exhaust Hoods Fixture Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review Major - Planning 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 Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: COM2005-01161 ISSUED: 10/10/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 201,600.00 I Valuation Description I $ Per Sq Ft or multiplier $4.00 $96.00 $25.00 Square Footage or Bid Amount 1,901.00 1,901.00 460.00 Value Date Calculated $7,604.00 $182,496.00 $11,500.00 $201,600.00 08/26/2005 08/26/2005 08/26/2005 Total Value of Project Fees paidJ Amount Paid $583.15 $10.00 $147.12 $102.98 $306.00 $31.00 $9.00 $897.15 $6.00 $9.00 $14.00 $12.00 $15.00 $4.00 $12.00 $150.00 $106.00 $57.00 $514.89 $676.89 $10.00 $865.31 $82.03 $142.28 $64.32 $805.70 $182.69 $994.51 $24.00 $1,000.00 $7,834.02 Date Paid Receipt Number 8/26/05 10/10/05 10/10/05 10/1 0/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/1 0/05 10/10/05 10/1 0/05 10/1 0/05 10/10/05 10/1 0/05 10/1 0/05 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 10/1 0/05 10/1 0/05 10/1 0/05 10/10/05 1200500000000001251 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 1200500000000001488 2 of 4 -~iij 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: COM2005-01161 ISSUED: 10110/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 201,600.00 I Plan Reviews I Initial Review 08/29/2005 08/29/2005 APP LLH Plan nine Review 09/28/2005 09/28/2005 APP TAJ Plan nine Review 08/29/2005 09/16/2005 WE TAJ Public Works Review 08/29/2005 09/30/2005 APP CAS Structural Review 08/2912005 09/08/2005 WE RJB Structural Review 09/19/2005 APP RJB 09/19/2005 Contractor agreed to change roof pitch to 7/12 to meet solar requirements. On hold for solar problems. Left message for Tom Wirfs on 9/16. Roof drainage to drywell provide perc tests and cales, driveway to CB, final plat not filed yet 8/30/2005 CM Drywell 6 X 6 9/30/2005 Called Tom and need beam size at garage x-3. Approved as noted on plans 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. I Reauired Insoections I 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. Final Mechanical: When all mechanical work is complete. 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. Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 3 of 4 _~&;e9J~~&'J~ -"'-'''>I.~~'.-''--" "._.~~= CITY OF SPRING111ELD Building/Combination Permit PERMIT NO: COM2005-01161 ISSUED: 10/10/2005 APPLIED: 08/26/2005 EXPIRES: 04/10/2006 VALUE: $ 201,600.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Building: After all required inspections have been requested and approved and the building is complete. 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. Rough Mechanical: Prior to Cover 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 con~ / /1 ~ V~ I{f} / / (? / P-S I I Owner or Contractors Signature Date 4 of 4 3. , sv~, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541F~~~~ ~e<X ELEc.;l1:<lCAL ~IJ>1IT APPLICATION ,r;\\O"'\~~'0~~~ City Job Number t~'O. \ \ lo \ Date('''',;~\,~:~" (A~ ,,/o-,J , ,'O~\l.\~ Supervisor License Number ~7Cd'~;r':\JTlr", C. /' /~I/~,~'r~' 'v'\!: ?regon aw requires you to Expiration Date / tJ-.tJi..Jr:!!f:~~':~i~,I~~;=~:te1i~1fli~~~~'6tmfyor Relocation J/ /r;) );QiAF.f952-001-00'1 0 ~EA~$>1Cl.l'€@sset forth Constr. Contr. Number ,7 6~(y'\/_,~ L:2uP~I!'(M\ifPQ~~~1~ --,', ..;;l II lay obtain~@JOA'.m~ft0l'@)(f . 1c2-/:3-~~ t,he center. (Note: t I -by " " ~b<;;;1 IUI (fIe OreqoOv ,w. qroeo Volts see B above. Signature of Supervising Electrician Center is 1-flb V;~ -, Pump or irrigation Sign/Outline Lighting OWNER INSTALLATION Limited EnergylResidential ~h:o;ni~:~:: f~~ ~~~~'::o;'::.~P<rty I own ~I~i Limi'7;,;?c:Ii)'I,Y,?JP'!"'cia' Owners Signature: AUTHORllE COMMENC 0 ANY 180 DAY itWo6~rcharge 10% Administrative Fee 1. \_Q ~S LEG\lQl:~Q OD100 . JOB DESCRIP?'rN. f'I _ ~ \ ~-...L ~(\J I \\illt~~ Permits a~ non-transferablUnd expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor ()~/~ c!:tf.e>. Address c215!2 a.4~() 4 S'tZ0 City ~~j .(/ Phone ~kJ3f7 Expiration Date 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 $106.00 \OLQ ,OJ 50.tP , '3 $ 19.00 $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 $ 50.00 $ 69.00 $100.00 . New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 E. $ 50.00 $ 50.00 $ 25.00 $ 45.00 TOTAL " is $45.9.0 + Surcharges \~~ . ll:4 . Ita .3D \Q.O.~\ Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc 'CITY OF SVllNGFIELD SYSTEMS DEVELOPME~'~RKSHEET JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 2218.00 I $0.323 = ' $716.41 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x ,I COST PER S.F. I xl DISCOUNT RATE I 1722,001 $0:323 I I 50% , , ITEM I TOTAL - STORM DRAINAGE SDC '$994.51 I, COM2005-01161 Tom Wirfs 6449 Thurston Rd ' 1702341200700 SINGLE FAMILY RESIDENCE 1 BUlLDING SIZE (SF' 3120 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFD's x " 27 COSTPERDFU ,$25.07 . B. IMPROVEMENT' COST: NUMBER OF DFU's I x 27, $19.07 ITEM 2 TOTAL - CITY SANITARY SEWER SDC '=' . $1,191.78 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE I x 9.57 I B. IMPROVEMENT COST: , ADT TRIP RATE ' x 9.57 NUMBER OF UNITS I x I COST PER TRIP J I I $19,09 I NUMBER OF UNITS I I x I. ' COST PER TRIP I $84.19 = , $988.39 ITEM 3 TOTAL - TRANSPORTA nON SDC LOT SIZE (SF): DISCOUNT $278,10 x I NEW TRIP FACTOR. I 1.00, x )NEWTRIPFACTOR I 1.00 7077 $994.51 ' $676.89 =, , $514.89 $182.69 $805.70 - -. -,. 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: jNUMBER OF FED's x COST PER FEU I 1 $82.03 B. IMPROVEMENT COST: ' ' INUMBER OF FEU's' x I 1. 1 ' ICOST PER FEU 1 $865.31 MWMCCREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $957.34 - -.~~- - .." SUBTOTAL (ADD ITEMS 1, 2; 3, & 4) = , $4;132.02 5. ADMINISTRATIVE FEE: = $82.03 r/) ~ p o u p::: ~ t-< r/) - c:; ~ 11070 1 1091 1092 1093 1094 1054 = $865.31 11055 $0.00 11054 $10.00 ;: 1.056 ' II I , 142.28 11079 I $64.32 , 1078 =, $4,338~62 -- SUBTOTAL x ADM. FEE RATE $4,132.02 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $206.60 Cheryl Slaymaker 8/30/2005 ' PREPARED BY DATE TOTAL SDC CHARGES " DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FlXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FlXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 2 0 3 = 6 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/ MOP SINK 1 0 3 = 3 I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0 I MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 0 I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 0 /TOILET: PRIVATE INSTALLATION 3 0 3 = 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 *EDU (EQuivalent Dwelling Unit) is a discharge eQuivalent to a single family dwelling unit (20 DFUs) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2 BEFORE 1979 $529 (Enter 1 for Yes, 2 for No) 1979 $529 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2 1980 $5.19 (Enter 1 for Yes, 2 for No) 1981 $5.12 BASE YEAR 1979 1982 $4.98 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.63 VALUE! 1000 CREDIT RATE 1985 $4.40 $0.00 x $5.29 = I $0.00 II 1986 $4.07 1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $322 VALUE / 1000 CREDIT RATE 1989 $2.73 $0.00 x $529 0 1990 $225 ;- 1991 $1.80 1992 $1.59 TOTAL MWMC CREDIT = $0.00 1993 $1.45 1994 $1.25 1995 $1.09 1996 $0.92 1997 $0.72 1998 $0.48 1999 $028 2000 $0.09 2001 $0.05 225 Fifth Street . Springfield, Oregon 97'477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200500000000001488 Date: 10/10/2005 3:10:00PM Job/Journal Number Description Amount Due COM2005-01161 Addressing Assignment 31.00 COM2005-01161 WilIama1ane Single Family 1,000.00 COM2005-0 1161 Residence Wiring 1000 Sq Ft 106,00 CbM2005-01161 Residence Wiring Ea Addtl 500 57.00 COM2005-01161 Storm Drainage Impervious Area 994.51 COM2005-01161 Sanitary Sewer - Reimbursement 676.89 CbM2005-01161 Sanitary Sewer - Improvement 514.89 COM2005-01161 SDC Transpo Reimbursement 182.69 COM2005-01161 SDC Transpo Improvement 805.70 COM2005-01161 SDC MWMC Reimbursement 82.03 COM2005-01161 SDC MWMC Improvement 865.31 COM2005-01161 SDC MWMC Administration 10.00 COM2005-01161 SDC Sanitary/Storm Admin 142.28 COM2005-01161 SDC Transpo Admin 64.32 COM2005-01161 Building Permit 897.15 GOM2005-01161 3 Baths One & Two Family 306.00 COM2005-01161 Fixture 14.00 COM2005-01161 Furnace - up to 100,000 btu 12.00 COM2005-01161 Vent Fan 24.00 COM2005-01161 Exhaust Hoods 9.00 CbM2005-01161 Dryer Vent 6.00 CbM2005-01161 Gas Outlets 1-4 4,00 CbM2005-01161 Gas Fireplace 15.00 .1' COM2005-01161 Heat Pump 12.00 COM2005-01161 -Mechanical Issuance Fee- 10.00 COM2005-01161 Plan Review Major - Planning 150.00 COM2005-0 1161 Appliance Not Listed 9.00 COM2005-01161 + 7% State Surcharge 102.98 COM2005-0 1161 + 10% Administrative Fee 147.12 LDP2005-0020 1 LDAP Short Form 300.00 Item Total: $7,550.87 Payments: Check Number Authorization 'I Paid By Received By Batch Number Number Type of Payment How Received Amount Paid Check COZY HOMES INC djb 38642 In Person $7,550.87 Payment Total: $7,550.87 \ , , 10/1 0/2005 1 of 1