HomeMy WebLinkAboutPermit Building 2005-11-4
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Status: Issued
; 225 Fifth Street, Springfield, OR
541-726-3753 Phone
, 541-726-3676 Fax
),541-726-3769 Inspection Line
:-l
CITY OF SPRINGf11ELD .
Building/Combination Permit
PERMIT NO: COM2005-01164
ISSUED: 11/04/2005
APPLIED: 08/26/2005
EXPIRES: 05/0412006
VALUE: $ 178,650.00
SITE ADDRESS: 6451 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702341205300
TYPE OF
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence, Parcel 4
Owner:
, Address:
TOM WIRFS
PO BOX 237
SPRINGFIELD OR 97477
Phone Number: 541-747-8704
Contractor Type
General
, Electrical
_ !t Mechanical
.' Plumbing
unT'~Ii'
-- '.-;, -~:;~T t\j1ALL EXPIRE IF THE WUKl\
I CONTRACTOR DlII'~~TIO~OER THIS PERMIT IS NOT
AU t nunl~ED NEB FOR
Contractor COMMliM~pR 1~9on ate Phone
TOM WIRFS ENTERPRISES INC ANY 1 OO~Y PERIOD. 06/29/2008 541-747-8704
MAG ELECTRIC INC 149834 12/13/2005 541-461-0387
JET HEATING INC 3944 05/31/2007 503-363-2334
JET MECHANICAL LLC 158633 02/10/2006 503-363-2334
I BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
3
2 Lot Size:
26.00 Sq Ft 1st Floor:
Forced Air Gas Sq Ft 2nd Floor:
Gas Sq Ft Basement:
Gas Sq Ft Garage/Carport
Path 1 Sq Ft Other:
ATTENTMi\N: Ore9llcUpa1J1t~p.~d.!lS you to
ff"\II",^, 11"1.1"...... """',.J_:--...........J l;-. ~c - ~. I......
_._--r-~~--- "-IJ ..,....., '-"I.....~\JII VLlIILY
I DEVELOPMENT INFORMWrr.I0N1fenter. Those rules are set forth
IrllJAH ~oc-001-001 0 thro~<tVf.~!>2P0t~NG
Overlay Dist: ('lOgO. You ma~' obtain cOpitotal:the rules by 2
# Street Trees c;:Jlli'ig t:~8 ce1tlf. (:\IO;8Ii~ii'diclippeil:le
Paved Drive Rqd: 11:1:, ;",' for t:1<:>:;"pqnn VC'o'mpadk8.tion
% of Lot Coverage: C'::[.1'4;90 r:,~,-<l"t"- C 0.';Li) ,
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
7,918
767
886
1
R-3
U
VN
414
, Front yard Setback:
. Side 1 Setback:
Side 2 Setback:
" ' Rearyard Setback:
Solar Setbacks:
38.00
5.00
14.00
25.00
23.00
IPUBLIC IMPROVEMENTS I
Street
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains Drywell - Provide
DryweU Engineering
Storm Sewer Available:
Special Instruction:
Notes: Provide perc test results for roof drainage driveway drains to CB, final plat has not been filed, tagged for LDAP
8/30/2005
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: COM2005-01164
ISSUED: 11/04/2005
APPLIED: 08/26/2005
EXPIRES: 05/04/2006
VALUE: $ 178,650.00
I Valuation Description I
Description Type of Construction $ Per Sq Ft Square Footage
or multiplier or Bid Amount
A.C. - Residen AC - Residential $4.00 1,683.00
" Dwellinl!s V Wood Frame $96.00 1,683.00
.-
',' Garal!e Garal!e $25.00 414.00
Value Date Calculated
Total Value of Project
$6,732.00
$161,568.00
$10,350.00
$178,650.00
08/26/2005
08/2612005
08/26/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $534.56 8/26/05 1200500000000001248
-Mechanical Issuance Fee- $10.00 11/4/05 1200500000000001686
, + 10% Administrative Fee $136.74 11/4/05 1200500000000001686
+ 7% State Surcharge $95.72 11/4/05 1200500000000001686
3 Baths One & Two Family $306.00 11/4/05 1200500000000001686
Addressing Assignment $31.00 11/4/05 1200500000000001686
Building Permit $822.40 11/4/05 1200500000000001686
Exhaust Hoods $9.00 11/4/05 1200500000000001686
Furnace - up to 100,000 btu $12.00 11/4/05 1200500000000001686
Gas Fireplace $15.00 11/4/05 1200500000000001686
Gas Outlets 1-4 $4.00 11/4/05 1200500000000001686
Heat Pump $12.00 11/4/05 1200500000000001686
Plan Review Major - Planning $150.00 11/4/05 1200500000000001686
Residence Wiring 1000 Sq Ft $106.00 11/4/05 1200500000000001686
Residence Wiring Ea Addtl 500 $57.00 11/4/05 1200500000000001686
Sanitary Sewer - Improvement $533.96 11/4/05 1200500000000001686
Sanitary Sewer - Reimbursement $701.96 11/4/05 1200500000000001686
SDC MWMC Administration $10.00 11/4/05 1200500000000001686
SDC MWMC Improvement $865.31 11/4/05 1200500000000001686
SDC MWMC Reimbursement $82.03 11/4/05 1200500000000001686
SDC Sanitary/Storm Admin $165.49 11/4/05 1200500000000001686
SDC Transpo Admin $62.55 11/4/05 1200500000000001686
SDC Transpo Improvement $805.70 11/4/05 1200500000000001686
SDC Transpo Reimbursement $182.69 11/4/05 1200500000000001686
Storm Drainage Impervious Area $1,379.21 11/4/05 1200500000000001686
Vent Fan $24.00 11/4/05 1200500000000001686
Willamalane Single Family $1,000.00 11/4/05 1200500000000001686
Total Amount $8,114.32
I Plan Reviews I
2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued PERMIT NO: COM2005-01164
225 Fifth Street, Springfield, OR ISSUED: 11/04/2005
541-726-3753 Phone APPLIED: 08/26/2005
541-726-3676 Fax EXPIRES: 05/04/2006
541-726-3769 Inspection Line VALUE: $ 178,650.00
Initial Review 08/29/2005 08/29/2005 WE LLH One set of plans sumbitted were
"mirror" plans. Called and left
message for Tom to submit one new
plans explaining we could not revie"
plans as sumbitted. Structural plans
will be on hold until new plans are
received. I will route set for
Planning and Public Works.
Planninl!: Review 08/29/2005 WE On hold for solar setback problems.
Tom Wirfs will come in 9/19 to talk
to me about it.
Planninl!: Review 09/28/2005 09/28/2005 APP TAJ Contractor agreed to change roof
pitch to 5/12 and hip it to meet solar
requirements.
Public Works Review 08/29/2005 08/30/2005 APP CAS Provide perc tests results and
drywell cales, final plat' has not been
filed, tagged for LDAP 9/30/2005
Drywell 6 X 6
Structural Review 10/04/2005 10/04/2005 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.
I Reouired Insoections .
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.
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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
3 of 4
Status:
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01164
ISSUED: 11/04/2005
APPLIED: 08/26/2005
EXPIRES: 05/04/2006
VALUE: $ 178,650.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Rough Mechanical: Prior to Cover
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.
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 certity 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 wiD be made of any structure without permission of the Community Services Division,
Building Safety. I further certity 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, th~at J.fl.p~card is located at the front of the property, and the appro. ved set of plans wiD remain on the site
at all times du . ~~ction.
// 1/-'/-05'
~/ ' -
Owner or Contractors Signature Date
4 of 4
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX.: (5.1~ ~68'9
, \l~{1I 0 .~
ELECTRICAL -KWM1,1i ~PLICATION, ~\o'l1\f\; ~pes f\ ~
City Job Number \.l}f) · \ l "'T Date -1-1"- 0 0~~. ~\f\~ ,/
1. 3.
jp~tC \
L\1Dr1.~TtLN arm
JOiU{CR'PTl~ ~~
P"mlts ~-tranSf"abl~p;,-e If work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
, .
2.
Electrical Contractor J2uJ;.AJLllILiu (D.f:-'
I
Address cf1lS~ O~ b; S&6
City &/JA L Phone ~/,rt7.2 21
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Expiration Date
1/7 C/cf(S
I () --/-r::l}
I~t? 173Y
-----
/c2 ~/ 1-z1-5
~ --
Supervisor License Number
Constr. Contr. Number
Expiration Date
Signature of Supervising Electrician
~A ~t~<-+ ~
Owners Name '1lID\ ~)1Ik ~
Addre ~() ~- "L~rtJ-
City - ... ~ # - Phone '-4-1 '6lCfT
'\
OWNER INSTALLATION
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
~
-5: .CiJ
1000 sq, ft. or less
$106.00
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
c.
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
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
\ \R~t;J>
\ \ .~ \
\ to .~D
\ ~\): Ll
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc
CITY OF~_INGFIELD SYSTEMS DEVELOPMEIf)'WORKSHEET
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
IMPERVIOUS S.F. x COST PER S.F. CHARGE
3442.00 $0.323 = I $1,111.77
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x I DISCOUNT RATE I
1656.00 $0.323 I 50% = I
ITEM 1 TOTAL - ~TORM DRAINAGE SDC 1 $1,379.21
C0M2005-01I64
Tom Wirfs
6451 Thurston Rd
1702341200700
SINGLE FAMILY RESIDENCE
I BUILDING SIZE (SF: 3780
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x
I 28 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 28
COST PER DFU
$25.07
$19.07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=,
$1,235.92
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x
I 9.57 1
COST PER TRIP
$19.09
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP
9.57 I I $84.19
ITEM 3 TOTAL - TRANSPORT A nON SDC = 1 $988.39
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's x
I
ICOST PER FEU
I $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
=1 $957.34 J
= , $4,560.86 ,
CHARGE
$228.04
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
I $4,560.86 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
LOT SIZE (SF):
DISCOUNT
$267.44
x INEWTRlPFACTORI
I LOO I
x INEW TRIP FACTOR
I LOO
7918
$1,379.21
$701.96
= I
$533.96
if)
~
Q
o
u
~
~
if)
>-<
o
~
1070
1091
1092
1093
1094
1054
I 1055
11054
1056
J
1079
11078
Cheryl Slaymaker
8/30/2005
PREPARED BY
DATE
TOTAL SDC CHARGES
$182.69
$805.70
=
$82.03
$865.31
$0.00
$10.00
165.49
$62.55
=, $4,788.90
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOORDRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
I MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = 3
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 28
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at ]67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
]979
]980
]98]
]982
]983
]984
1985
]986
]987
]988
]989
]990
]99]
]992
]993
]994
]995
1996
]997
]998
1999
2000
2001
CREDIT RATE/$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)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
=
2
2
1979
= I
$0.00
o
$0.00
225.Fifth Street. .
Springfield, Oregon 97477
541-726-3759 Phone
6,I~~~;iii,-,.'.'.,"",.,""',;...
WI:"',~ .
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t:ity of Springfield Official Receipt
evelopment Services Department
Public Works Department
Jro/Journal Number
COM2005-0 1164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
CbM2005-0 1164
CbM2005-01164
COM2005-01164
COM2005-01164
COM2005-01164
CDM2005-01164
CbM2005-01164
CbM2005-0 1164
CbM2005-01164
CbM2005-01164
COM2005-01164
COM2005-01164
COM2005-0 1164
COM2005-01164
COM2005-01164
Payments:
'j
Type of Payment
Check
:(
'\
,'(
11/4/2005
RECEIPT #:
1200500000000001686
Date: 11/04/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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 Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COZY HOMES INC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 38901 In Person
Payment Total:
1 of 1
2:39:54PM
Amount Due
31.00
1,000.00
106.00
57.00
1,379.21
701.96
533.96
182.69
805.70
82.03
865.31
10.00
165.49
62.55 .
150.00
822.40
306.00
12.00
24.00
9.00
4.00
15.00
12.00
10.00
95.72
136.74
$7,579.76
Amount Paid
$7,579.76
$7,579.76