HomeMy WebLinkAboutPermit Building 2003-10-15
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
-,
SITE ADDRESS: 1172 Delrose Dr
ASSESSOR'S PARCEL NO.: 1703234409700
PROJECT DESCRIPTION: SFR
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Residential
Owner: SCOTT KENNETH L & KARLA C
Address: 2742 LOCUST ST SPRINGFIELD OR 97477
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION ,
Contractor
PETERSON DESIGN DEVELOPMENT
ROSE CORPORATION
MARSHALLS INC
STEVEN DOUGLAS JACKSON
Phone
541-344-6638
541-686-0905
541-747-7445
541-683-7535
. I PUBLIC IMPROVEMENTS' WORK
NO,,"t. lEY8tlaf.Jf._~E i
Fullv Improved 1\-\\S PE~M\1 S\-\M': 1~\S PEIWWrs NO
Yes nRIIEO Ul.mER D~'r~~I\~fo_ns:
All storm drainage to go to wm"\li~~\1U'~Q~~'~b'i(er
COM 80 Ot>.'< PERIOO. .
t>.N'< 1
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback: 20.00
Side I Setback: 14.00
Side 2 Setback: 8.00
~ Rearyard Setback: 47.00
Solar Setbacks: 33.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
License
74534
54431
25790
131109
Expiration Date
06/13/2005
09/30/2004
12123/2003
08/24/2004
, BUILDING INFORMATION I
I
R-3
U-I
VN
2
# of Stories: 2 Lot Size:
Height of Structure 25.00 Sq Ft 1st Floor:
Type of Heat: Forced Air Gas Sq Ft 2jtdlEloor:
Water Type: n 1~.~s:eq\JS<f~t~B~~~'m.ent:
Range Type: iIO...'-Orego " Gase OISq'1Fl Garage/Carport
-~!\\ ,,,. d:...1'Ju' ..~....~".
EnergylP.ath: aoop\e Pat~lr\lleS<rFt Other:O'
... r\lleS \\105 ., . Q 4:>"--
10110". cen\er. 0\l9\1 ,.mpervlo~&~urface Area:
..+_-",('\0 _........nt"f _&~np.tU
I DEVELOPMENi~INF(:rRMA'iJoN,.~-;OP~~~\1~ \ele~~~~i~n
0090. '(0'-' ."- . enter. \,~O\I..l'\iIlW l'lo\\IREQUIRED PARKING
'>\ng \\1e c oregon "44).
Overlay Dist: \\"Ie > "32.-2." Total: 2
_,,~rlor . ~_800'" .
# Street l'J1rees'Rqd:,,,.,,,r Ie; I Handicapped:
Paved Drive Rq& Compact:
Yes
24.70
12,212
2,144
488
876
% of Lot Coverage:
Curbside 5'
Curb and Gutter
Page I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
TVDe of Construction
Dwellings
Dwellinl!s
Garae:e
V Wood Frame
V Wood Bonus Rm
Garaee
,
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 100/0 Administrative Fee
+ 7% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Annexed 1998
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review - Planning
Plan Review Residential
PW Mult Disc - 2nd Permit
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvemeut
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
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
I Valuation Oescrintion J
$ Per Sq Ft
or multiplier
$90.60
$76.00
$23.80
Square Footage
or Bid Amount
2,144.00
488.00
876.00
Value
Date Calculated
$194,246.40
$37,088.00
$20,848.80
$252,183.20
09/1512003
09/1712003
09/15/2003
Total Value of Project
Fpp<. P"irl I.
Amount Paid
$612.72
$10.00
$172.09
$120.46
$306.00
$8.00
$-22.56
$1,062.90
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$59.00
$78.17
$-30.00
$106.00
$1l4.00
$413.04
$543.36
$10.00
$34.83
$332.86
$130.63
$49.50
$727.42
$164.89
$75.00
$1,398.67
$50.00
$24.00
$1,000.00
Date Paid
Receipt Number
9/15/03
10/15/03
1011 5/03
10115/03
10/15/03
10115/03
10115/03
10115/03
10115/03
10115/03
10115/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10/15/03
10115/03
10115/03
10115/03
10115/03
1200200000000002121
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
.2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
2200200000000001660
Pal!e 2 of 4
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. CITY OF SPRINGl'l)i,LJ)
Building/Combination Permit
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan ReviewlResidential Hourly
$67.50
IlI18/03
1200200000000002483
Total Amount Paid
$7,751.48
I Plan Reviews I
Initial Review
Plan nine Review
09/16/2003
09/17/2003
09/17/2003
09123/2003
APP
APP
LLH
TAJ
A LOMA was approved for
Orchard View dated 6/1/2001 which
gave a new flood zone of X
Un shaded for this lot. taj
9/29/03 - Contacted contractor- he
decided to stick to original plan and
take storm drainage to weep holes
and then to street. -MS
Public Works Review
09117/2003
09/18/2003
APP
MS
9/17/03 - Contacted contractor and
told him that storm drainage must
go weep holes and curb and gutter
instead of directly into the street.
He agreed this would be ok and I
marked this on the plans. Applicant
also agreed to reduce tbe size of
driveway throat to 24 feet so a
overwidth permit would not be
needed. -MS
Structural Review
09/17/2003
10/0212003
APP TCM
9/17/03 - No part ofany building,
foundation, or overhand shall be
permitted within any easements
associated with this property. -MS
L-DAP permit required prior to
excavation and building permit
issuance.
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 li' .n,,;.o.J Tnonoptlnno ~
Ir,r~
I Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Standard: After forms are erected but prior to placement of concrete.
3 Site Inspection: To be made after excavation but prior to setting forms.
4 Erosion/Grading Inspection: After all erosion measures are in place.
5 Footing: After trencbes are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation: Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finisb materials.
Paee 3 of 4
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. CITY OF SPRI~uNJ!,LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00894
ISSUED: 10/15/2003
APPLIED: 09/15/2003
EXPIRES: 04/15/2004
VALUE: $ 252,183.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
II Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Underfloor Plumbing: Prior to insulation or decking.
16 UnderOoor Drain: Prior to cover or placement of concrete.
17 Rough Plumbing: Prior to cover and including required testing.
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
21 Final Plumbing: When all plumbing work is complete.
22 UnderOoor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 Gas Service: After line is installed and line bas been connected to a minimum of one appliance including required
testing. Presure test done at this point.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Temporary Electric: Approval required prior to Utility Company energizing pole.
29 Rough Electric: Prior to Cover
30 Electric Service: Approval required prior to utility company energizing service.
31 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 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 construction.. 7
112~ ~.~
L
Owner or Contractors Signature
11-/'1--03
Date
Paee 4 of 4
225 Fifth Street -'
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00894
Payments:
Type of Payment
Check
~;~ fii
Wirr. ,
.'''Iii''- i
.. ' ,
;.l.t
. 'I'_:;r' .-,'
Receipt #: 1200200000000002483
Description
Plan ReviewlResidential Hourly
Paid By
PETERSON DESIGN
Rooeivcd By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/18/2003 8:32:50AM
Amount Paid
Item Total:
67.50
$67.50
How Received
In Person
Payment Total:
Amount Paid
$67.50
$67.50
.
.
130.63J1I079
$49.50 1078
----,
$3'782.6~
. '. -\'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN~bRKSHEET
JOURNAL OR JOB NUMBER: COM2003-00894
NAME OR COMPANY: Scott Kenneth
LOCATION: Iln Delrose Drive
TAX LOT NUMBER: 17032344 Tax Lot 09700
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF):
L STORM DRAINAGE
12212
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 4823.00 I $0.290 I = I $1.398.67 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE I I DISCOUNT
I 0.00 I $0.290 I 50% I ~ I $0.00
I ~~ I TOTAL - STORM DRAINAGE SDC '$1,398.67
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 24 I $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 24 $17.21
lTEM2TOTAL-CITYSANITARYSEWERSDC =,
$1,398.67
$543.36
$413.04
$956.40
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I x I NUMBER OF UNITS I
I 9.57 I I I
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I
I 9.57 I I I
ITEM 3 TOTAL - TRANSPORTATION SDC
x INEWTRIP FACTORI
I 1.00
x I COST PER TRIP
I $17.23
x I COST PER TRIP
I $76.01
= , $892.31
$164.89
x INEWTRIP FACTORI
I 1.00
$727.42
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I $332.86
B. IMPROVEMENT COST:
INUMBER 01 F FEU's I x ICOST PER FEU
I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWER SD< = ,
LSUBTOT AL (ADD ITEMS I, 2, 3, & 4) ~ ,
1-5. ADMINISTRAllVE FEE:
I ISUBTOTAL I x I ADM. FEE RATE 1=
I $3.602.51 I I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
I Matt Stouder 9/17/2003
PREPARED BY DATE
=
$332.86
=
$34.83
($22.56)
$10.00
$355.13
$3,602.51
CHARGE
$180.13
TOTAL SDC CHARGES
= ,
I
'1 r/J
l~
'0::
~
E-<
r/J
a
~
I 1070
,1091
II
11092
I
1093
,[1094
. 1054
11055
111054
1056
It ... . .
DRAINA~E FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS II
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EOUIV ALENT UNITS
- 3
BATHTUB 1 0 3 =
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER I MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE lEA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0
IRECEPTOR FOR COM. SINK I DISHWASHER I ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 1 0 2 = 2
ISHOWER. GANG (l>!YMBER OF HEADS). 0 0 2 = 0
ISINK: COMMERCWJRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLELAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
IURlNAL. STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA TION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAl'NAGE FIXTURE UNITS 24
-EnU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFtrs) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
[ YEAR CREDIT RATE/SI,OOO --,
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
I BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No)
I 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
I t980 $4.83 (Enter I for Yes, 2 for No)
1981 $4.77 BASE YEAR 1998
1982 $4.64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 V ALliE I tOOO CREDIT RATE
1985 $4.09 S55.03 X SO.41 = , S22.56
t986 $3.78
1987 $3.4t CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
t988 $2.98 VALUE I tOOO CREDIT RATE
t989 $2.52 $0.00 x $0.41 0
1990 S2.06
1991 SI.64
1992 SI.45 TOTAL MWMC CREDIT = S22.56
1993 SUI
1994 SI.I3
1995 SO.97
1996 SO.82
1997 SO.63
1998 SO.41
1999 SO.22
2000 SO.04
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, .225 FJITH STREET . tO~~ EL~1UCAL PERMIT APPLICAtION
. SPRINGFIELD, OREGON 97471 ..'O'O~o.';" . . n...;.:.. ' - , , ,
INSP~CTlON REQUEST: 72,~8'J ';" " City.Joh Numhcr \l)ll\1jY)3-lr1Il't.
OFFICE: 726-3759', 'if><I#-'O ..;' ,," ",'> ',' ,:'" ."'_,;'" .,' d'
, ,.' ",<,'Q~,,'l) .':: :" ',' .3:, COMPLETE FEE SCHEDULE BELOW
\\2{1T_.IQl:i OOf.~t...,T<%L,~\~NI.iI. 'A'.'." , .', ,
ll__~!! ~ ~\.) . ,. Ne,,: Residential-Single 6r '.-
<" / ",:>,0' Multi-Farnil)' per dwelling unit.
LEGAL DESCRIPTION 'oq:^'''>o~ Scn'icc Included:
/) ^ A " 'rY""'\
\"1 0:' :1).. t ' ..:1u ~ Items
''b~
I~OM\~
;<
,.
J
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
Cost SllIll
i$10600 lQ!QP?
Permits arc non-tran rable and expire
if work is not started within 180 days
of issuance or if work is suspended for
] 80 days,
---.lQ. $ ]9.00 ~~
$ 50,00
.' , 'Sigmitilrc of SUJlcn'ising Electrician
. '::,,' "
.' '~I'1]2d.e'~ _
. . 'V"". V'A ~ f.... G D. Branch Circuits , ,
. 'Ow;lers N~m~X1"\ +'",nJuo.:... ~"\~ Ncw Alteration or Extension Per Panel
Address 3~~~~ Q&., One Circt;it
City ~\'\l'i~~Phone~\o~~~f: Each Additional Circuit or with Service
\ " AU ' 't!RM/T SH or Feeder Permit $ 3.00
OWNER INSTALLATION C THOR/ZED ALL EXP/RE -
The installation is being made on OMMENCEDJ!Nraf!J:lell!W@!Jll.slScT-f/fCW(jffknot includcd)
property I own which is not mtendedANy 180 DA OR /S Ad'it1f.'t'.'..~~Bqfltjo1S N
for sale. lease or rent ' Y PER/DO PW!ft'iWUNEiff#WJ.. Or _ $50.00
'S.gnlOutlllle L.~fi!ing $50.00
Owners Signature: Limited Energy/Res $25.00
Limited Energy/Comm $45,00
2. CONTRACTOR INST ALLA TION ONI.. Y B. Scn'icc.' or Feeders
, n ^ ATTEfJ~'ION:OlilOOIl,\ti\lil(fAllIlrlitiljDSlO~O
EleclricaI'Con(rac(or~_ l :()(~I~O~6I:t1\1dhe Oregon Utility'
CJ.' ,~ I _ I Notification Center. Those rules are set'forth,
AddressO"q'l u,' \)u...\I LUi~9~2-001-00~(!)WIID't.~AR952-001."
C L tr\. OOliQ,.r9lC.J'l1ay oIYlail'l'OOp!e'l,DBffi'm rules b~
Cit)' LU, "t. Phone't"JlO -~!;fUle~nW~NPiie?~~'Wt'l hon!,
Supervisor License Nlnnber \ su>~~berforth~<6!~ ~~~~?ih~ \ Ication
,,', , '. CentenS:l- -" 'I .
, b I 0'" ,,'Rec ec n .
Expiratio~ Date', l '~'""',', '-1', ," .
, ,. - '- "~." " J., ~" 'C. ,TCm}lOrary Services or Feeders '"
~OIis(r C~ntr. Nl;l~ber .:5 L\L.\}s L' ' Inslanation, A~t.c!,ation or ~~Iocation, "'.' cIJ
Expiration DateC\~ 3D ,"64~',: 2oo"hlps'ori~ss '.:\ : $'50:00 W.
, ,,' , ~)Oi am~s to 400 anips "'.' '-, ---=--:'$69.00 _
,',OVer401to 600ailips ," - , . $100:00:":":,:,,,:,,
Over 600' amps or 1000 volts see.. "', \ "
"B" (lbove -". .;
~$.63.00
~'$,75.00_
-.: $ 125.00
, $163.00
$375,00
$ 50.00'
"
).'
$43.00
i\'linimllnl Electric Permit Inspection Fce is S.:f5.00 + Surcharges
,~;
~t~lp
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fcc
TOTAL