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
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01162
ISSUED: 10/10/2005
APPLIED: 08/26/2005
EXPIRES: 04/10/2006
VALUE: $ 186,925.00
SITE ADDRESS: 6437 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702341205100
TYPE OF
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence, Parcel 2
Owner: TOM WIRFS
Address: PO BOX 237
SPRINGFIELD OR 97477
Phone Number: 541-747-8704
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION I
A lIt. .
Contractor fO/~ tv 110 LIcense
TOM WIRFS ENTEIDilB:~ES/~~: Orego 32947
MAG ELECTRICi~IICCitfon "c CidOPfed n ICiV\J:,Jg~34
JET HEATING H~090'4A 952_00enter. 117 by ff8JJ~Ufres Yo
JET MECHANIC~~~U rn~" 1-0010 fh,~se rOt~J~~on Uf~:.~O
nU~v~'i~p.o~-Yi~~ Set fO~h
C I e O~' (I Ofe. v the r. '52-001_
tHfif;I99,'GBon lit/he tele lJ/eszby Lot Size:
Height 0(800-33; fty tvOtf!!~ Sq Ft 1st Floor:
Type of Heat: -~<\lJ.d ~W~"s 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 nla Occupant Load:
Expiration Date
06/29/2008
12/13/2005
05/31/2007
02/10/2006
Phone
541-747-8704
541-461-0387
503-363-2334
503-363-2334
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
U
VN
6,237
852
893
497
3
. I DEVELOPMENT INFORMATION I
".
REQUIRED PARKING
2
Total:
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street
25.00 Overlay Dist:
5.00 NOTlCfitreet Trees
14.00 tHIS'~ ved Drive Rqd:
20.00 AUrH{Jb rM~AitVi:!~_ 21.60
28.00 COIll 111lED IJN.~"'" ...
AIVJ1 ~~ - - I,,~\il'fll
"-16~>;l~, I " NOT '
F II I d I'OIdewalk Typ~
u V mprove .
Yes Downspoutsillrains
o
Storm Sewer Available:
Special Instruction:
Drywell - Provide
Drywell Engineering
Notes: Roof drainage to drywell provide perc tests and calc's, driveway drainage into CB, final plat has not been submitted
yet
1 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: COM2005-01162
ISSUED: 10/10/2005
APPLIED: 08/26/2005
EXPIRES: 04/1012006
VALUE: $ 186,925.00
I Valuation Description I
A.C. - Residen
Dwellinl!s
Garal!e
Type of Construction
AC - Residential
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$4.00
$96.00
$25.00
Square Footage
or Bid Amount
1,745.00
1,745.00
497.00
Value
Date Calculated
Description
Total Value of Project
$6,980.00
$167,520.00
$12,425.00
$186,925.00
08/26/2005
08/26/2005
08/26/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $551.46 8/26/05 1200500000000001250
-Mechanical Issuance Fee- $10.00 10/10/05 1200500000000001490
+ 10% Administrative Fee $146.34 10/10/05 1200500000000001490
+ 7% State Surcharge $102.44 10/10/05 1200500000000001490
3 Baths One & Two Family $306.00 10/10/05 1200500000000001490
Addressing Assignment $31.00 10/10/05 1200500000000001490
Building Permit $848.40 10/10/05 1200500000000001490
Dryer Vent $6.00 10/10/05 1200500000000001490
Exhaust Hoods $9.00 10/1 0/05 1200500000000001490
Fixture $14.00 10/10/05 1200500000000001490
Furnace - up to 100,000 btu $12.00 10/10/05 1200500000000001490
Gas Fireplace $15.00 10/10/05 1200500000000001490
Gas Outlets 1-4 $4.00 10/10/05 1200500000000001490
Heat Pump $12.00 10/10/05 1200500000000001490
Plan Review Major - Planning $150.00 10/10/05 1200500000000001490
Residence Wiring 1000 Sq Ft $106.00 10/1 0/05 1200500000000001490
Residence Wiring Ea Addtl 500 $57.00 10/10/05 1200500000000001490
Sanitary Sewer - Improvement $553.03 10/10/05 1200500000000001490
Sanitary Sewer - Reimbursement $727.03 10/1 0/05 1200500000000001490
SDC MWMC Administration $10.00 10/10/05 1200500000000001490
SDC MWMC Improvement $865.31 10/10/05 1200500000000001490
SDC MWMC Reimbursement $82.03 10/10/05 1200500000000001490
SDC Sanitary/Storm Admin $135.25 10/10/05 1200500000000001490
SDC Transpo Admin $64.95 10/10/05 1200500000000001490
SDC Transpo Improvement $805.70 10/10/05 1200500000000001490
SDC Transpo Reimbursement $182.69 10/10/05 1200500000000001490
Storm Drainage Impervious Area $778.18 10/1 0/05 1200500000000001490
Temp Power 200 amps or less $50.00 10/10/05 1200500000000001490
Vent Fan $24.00 10/10/05 1200500000000001490
Willamalane Single Family $1,000.00 10/10/05 1200500000000001490
Total Amount $7,658.81
2 of 4
Status:
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM200S-01162
ISSUED: 10/10/2005
APPLIED: 08/26/2005
EXPIRES: 04/10/2006
VALUE: $ 186,925.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plan nine Review
08/29/2005
09/28/2005
I Plan Reviews I
08/29/2005 APP
09/28/2005 APP
LLH
TAJ
Public Works Review
08/29/2005
09/30/2005 APP
CAS
Contractor agreed to change roof
pitch to 7/12 and hip it to meet solar
requirements. Solar exemption
based on shade less than 20 sf of
south-facing glazing of house to the
north (it is 35' away).
On hold for solar setback problems.
Left message for Tom Wirfs on 9/16.
Provide perc test results and cales
for drywell, final plat has not been
filed yet 8/3012005 CAS Drywell 6 X
6
Plannine Review
08/29/2005
09/16/2005 WE
TAJ
Structural Review
08/29/2005
09/09/2005
APP RJB
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.
l ReQuired InsDections 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 andlor
foundation inspection.
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.
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
CITYOFSPRINGlflELD.
Building/Combination Permit
PERMIT NO: COM2005-01162
ISSUED: 10/10/2005
APPLIED: 08/26/2005
EXPIRES: 04110/2006
VALUE: $ 186,925.00
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.
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 perm. is located at the front of the property, and the approved set of plans will remain on the site
at all times during c r ion.
V
Owner or Contractors 'Signature
t(;7/~t2 /P5
, I'
Date
4 of 4
II"';'
3.
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 0-'O~
'"
ELECTRICAL P. ~RMIT~'PLICATION . e')'<O-: \'00:
\~\\~ ~~
City Job Number ~ _'~. 11-)~ Date ~\(;\C:iJ ~oe'"
,0 <>
Supervisor License Number .If7~ON: Oregon I~
. " . 'w ~Ules adopted by the O. . .
I/)-- /-1 /}-;atlon Center. ThoseI,PJMM\~~~ ~li~?~tion or Relocation ~ .N\
II'., :1~~5J-001-0010 throJ&R~ am~for~h \ $ 50.00 u.J l.V
Constr. Cantr. Number /'/t;if.;3/fJ may obtain copitfSl~Ifl~~~~~~9.nips $ 69.00
,l-L Illng the center. (Note~~A~ffiP~p?,gt8e~Xtps $100.00
/;t - /~~r th~ Oregon U~~9tfli0:Qj . 1000 Volts see "B" above.
Center IS 1-800-~~ '
Signature of Supervising Electrician 'IY.
V)/IA ""it /f ~.
Owne"Name'" \\YN\.l! %~
Address QO ~ "'Lt;r)
City ~~ i(0Cfft rrlPhone tJrtl1Q1.
\ ~ ~ Sign/Outline Lighting $ 50.00
OWNER INST ALLA TION N OTICE~ Limited ~1Mf_ntial $ 25.00
!he in.stallation is being made on prJJJLC PiRMJlli.1HA\.\a 1X2&~MifI,c;~,ercial . $ 45.00
IS not mtended for sale, lease or rentAUTttORtlED VNDltim it Inspection Fee is $45.00 + Surcharges
co..m OR " a '\11 rf)
ANY tlO VAY _- -" ·
7% State Surcharge (~ .C\ \
~ 10% Administrative Fee it. W
t4C{ .'L\
1.
\j~~ \lJ\.~ i{\
LEGAL DES.s;,RIK1;I5(N ""^ -r "^
\~f\'l.:~~L. On Lv lU)
JOB~ESCR!PT~. \ \tJ~L-
p?~~;.-tra.~f~\p;<e ifW~k ~~
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor ct&A) LI2tfty ~ ~
Address c:2l5b2 ~ AlA (\.1t.0
City ;; .Ja/ /frIJ _
-(/
Phone ~/4 38'1
Expiration Date
Expiration Date
Owners Signature:
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
\(10 !D
~'1.CO
\
: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 oIts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
Pump or irrigation
$ 50.00
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Permit Application I-D3.doc
CITY OF S"jI~GFIELD SYSTEMS DEVELOPMEN~!~JibRKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
1550.00 $0.323= I $500.65 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I
1718.48 $0.323' 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$778.18
C0M2005-0 1162
Tom Wirfs
6437 Thurston Rd
1702341200700
SINGLE F AMIL Y RESIDENCE
1 BUILDING SIZE (SF:
2517
LOT SIZE (SF):
6237
VJ
p:.:j
~
o
u
~
p:.:j
t-<
VJ
......
o
~
DISCOUNT
$277.53
$778.18
11070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 29 ' .
$25.07 $727.03 109]
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
, 29 $19.07 $553.03 ]092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $1,280.06
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS x I COST PER TRIP x INEW TRIP FACTOR
I 9.57 I I 1 I $19.09 I 1.00 $182.69 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP x INEWTRlPFACTOR
I 9.57 , I I I , $84.19 I 1.00 $805.70 ]094
ITEM 3 TOTAL - TRANSPORTATION SDC =, $988.39
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's. x ICOST PER FEU
1 I $82.03 = $82.03 11054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x COST PER FEU
I 1 $865.31 = $865.31 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 ]056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =, $4,003.97 I
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1= CHARGE
I $4,003.97 I 5% I $200.20
TOTAL SANITARY ADMINISTRATION FEE: 135.25 ;:
11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $64.95 jl078
I
Cheryl Slaymaker 8/30/2005 TOTAL SDC CHARGES =, $4,204.17
PREPARED BY DATE
-
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAlN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
\CLOTIIESWASHER/MOP SINK 1 0 3 = 3
/CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (1 PER TRA n ER.) 0 0 12 = 0
I RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASHBASINIDOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL I WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 0
TOTAL DRAINAGE FIXTURE UNITS 29
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
V ALOE 11000 CREDIT RATE
$0.00 x $5.29
= !
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
V ALOE 11000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
2
2
1979
$0.00
o
$0.00
225 Fifth Street ·
Springfield, Oregon 97477
541-726-3759 Phone
n;n:o~. .....
LM..... ..."'.'~'..". ...~ !
.... <<# .
rity of Springfield Official Receipt
,velopment Services Department
Public Works Department
Job/Journal Number
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-0 1162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-0 1162
COM2005-01162
COM2005-01162
COM2005-01162
C'OM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
COM2005-01162
C:9M2005-01162
CDM2005-01162
COM2005-01162
LDP2005-00202
Payments:
Type of Payment
Check
.\
10/1 0/2005
RECEIPT #:
1200500000000001490
Date: 10/10/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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
3 Baths One & Two Family
Fixture
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
LDAP Short Form
Paid By
COZY HOMES INC
Received By
djb
1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
38642 In Person
Payment Total:
3:14:58PM
Amount Due
31.00
1,000.00
106.00
57.00
50.00
778.18
727.03
553.03
182.69
805.70
82.03
865.31
10.00
135.25
64.95
848.40
306.00
14.00
12.00
24.00
9.00
6.00
4.00
15.00
12.00
10.00
102.44
146.34
150.00
300.00
$7,407.35
Amount Paid
$7,407.35
$7,407.35