HomeMy WebLinkAboutPermit Building 2006-10-10
2ITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 04/1012007
VALUE: $ 273,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6287 Fernhill Lp
ASSESSOR'S PARCEL NO,: 1702343402200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence - Mt Gate lot 11
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
ANSLOW & DEGENEAULT INC
GOOD CONNECTIONS
MARSHALLS INC
ABSOLUTE PLUMBING SERVICES INC
ATT5NTION:Oregon la~lNiftfi~u t<541-484-0070
follow rul. adopted by the Oregon Utility
Notification Center. Those rules are set fortI"
(I. 0A~ liJ;'.031.JJ IV liIlVU~;' ~~n "~'.VV i
I CONTRACTOW~F(!)R~\Ilf<mJlfin copies of the rules b~
Cl1l11rtg UltJ WrHe . (Note: the telephone
number f~i~ft~regoEii1iHtJitNfttilOO~onPh one
C,we9is 1-800-33f6~;o8 \541-484-0070
160508 07/01/2008 541-434-6491
25790 12/23/2009 541-747-7445
67664 07/11/2007 541-345-3055
Owner:
Address:
ANSLOW & DEGENEAUL T INC
1953 GARDEN AVENUE
EUGENE OR 97403
BUILDING INFORMATION I
3
# of Stories: 2
Height of Structure 28.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
10,454
1,454
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
1,060
576
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22,00
8,00
21.00
11.00
0,00
I DEVELOPMENT INtiiMbA.'TION I
THIS PERMIT SHALL EXPIRE IFIt~Wl3WR PARKING
Overlay DistAUTHORIZED UNmJRiiJtHS PERIm'P*S NOT 2
# Street ~re~tI1lWMENCED OR IS~EPANDONlffitmrrpped:
Paved Dnve Rqd:1.80 DAY PERIO es L"'ompact:
% of Lot CoWHge, ~ ,50
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Partially Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: Storm drainage to onsite storm system or curb & gutter. No final occupancy until subdivision accepted by city
council.
Pa2e 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
AC - Residential
V Wood Frame
Garal!:e
A,C, - Residen
Dwellinl!:s
Garal!:e
2ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 04/10/2007
VALUE: $ 273,918.00
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4,00
$99,00
$26,00
Square Footage
or Bid Amount
2,514,00
2,514,00
576,00
Value
Date Calculated
$10,056,00
$248,886,00
$14,976,00
$273,918,00
08/0712006
08/07/2006
08/07/2006
Total Value of Project
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $735,25 8/7/06 1200600000000001210
~Mechanical Issuance Fee~ $10,00 10/10/06 1200600000000001507
+ 10% Administrative Fee $172.37 10/10/06 1200600000000001507
+ 5% Technology Fee $92,86 10/10/06 1200600000000001507
+ 8% State Surcharge $125.53 10/10/06 1200600000000001507
3 Baths One & Two Family $306.00 10/10/06 1200600000000001507
Addressing Assignment $31.00 10/1 0/06 1200600000000001507
Building Permit $1,131.15 10/10/06 1200600000000001507
Curbcut - Additional Driveway $40,00 10/10/06 1200600000000001507
Dryer Vent $6,00 10/10/06 1200600000000001507
Exhaust Hoods $9,00 10/10/06 1200600000000001507
Fire SF Fee - Residential $154,50 10/10/06 1200600000000001507
Furnace - up to 100,000 btu $12,00 10/10/06 1200600000000001507
Gas Fireplace $15,00 10/10/06 1200600000000001507
Gas Outlets 1-4 $4,00 10/10/06 1200600000000001507
Heat Pump $12,00 10/10/06 1200600000000001507
Mountaingate Impervious Area $967,58 10/10/06 1200600000000001507
Plan Review Major - Planning $198,00 10/10/06 1200600000000001507
PW Disc - 2nd Permit $-30.00 10/10/06 1200600000000001507
Sanitary Sewer - Improvement $534,34 10/10/06 1200600000000001507
Sanitary Sewer - Reimbursement $702,72 10/10/06 1200600000000001507
SDC MWMC Administration $10,00 10/10/06 1200600000000001507
SDC MWMC Improvement $961.52 10/10/06 1200600000000001507
SDC MWMC Reimbursement $91.61 10/10/06 1200600000000001507
SDC Sanitary/Storm Admin $146,51 10/10/06 1200600000000001507
SDC Transpo Admin $68,17 10/1 0/06 1200600000000001507
SDC Transpo Improvement $836,32 10/10/06 1200600000000001507
SDC Transpo Reimbursement $189,58 10/10/06 1200600000000001507
Sidewalk Permit $80,00 10/10/06 1200600000000001507
Temp Power 200 amps or less $50.00 10/10/06 1200600000000001507
Vent Fan $24,00 10/10/06 1200600000000001507
Willamalane Single Family $1,000,00 10/10/06 1200600000000001507
Total Amount Paid $8,687,01
Pal!:e 2 of 4
2ITY OF SPRINGFl~LD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 04110/2007
VALUE: $ 273,918.00
Status
Issued
Initial Review
Planninl! Review
08/10/2006
08/10/2006
I Plan Reviews'
08/10/2006 APP
0912012006 APP
SKG
TAJ
Public Works Review
08/1012006
08/1412006 APP
JLP
Structural Review
08/10/2006
09/12/2006
APP RJB
The clump of maples shown on the
plot plan are required to be
preserved as street trees, To protect
these trees, follow the street tree
protection guidelines attached to the
street tree handout, 5 new street
trees are also required: 2 on
MountainGate and 3 on Fernhill,
north of the driveway, Plant native
trees from the Hillside list in the
street tree handout. Preserve other
trees on site as required by the
LDAP,
Storm drainage to on site storm
system or curb & gutter, No
hook-up to city infrastructure & No
final occupancy until accepted by
springfield city council,
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.
~eouiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed,
Sidewalk - Curbside: After forms are erected but prior to placement of concrete,
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer 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.
Pal!e 3 of 4
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-01003
ISSUED: 10/10/2006
APPLIED: 08/07/2006
EXPIRES: 04/10/2007
VALUE: $ 273,918.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
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
Final Gas: When all gas work is complete.
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,
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,
~/1A _ _
Owner tr Contractors Signature
IO!O/O~
,
Date
Pal!:e 4 of 4
SPAINt
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number L.OM2a:;JC, - 0;001. Date
1. 3.
- ......_--..
t;L~?- f!'erYl h lit ~~/J
LEGAL DESCRIPTION:
f'1o 2.. 1lf 1l/ 02200
JOB DESCRIPTION:
~"&>hl/'V' 11/'11.."
. f /
Permits are non-transferable' and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2,
Electrical Contractor
'~qress
City \\. Phon/
~ //
Supervisor Li~t:lse Num'ber
Expiration DateX
constr.,c~ Number ~,
/
E~ation Date ~
/s;gnaM' of Sup,.-vi,;ng EI"trida\
/
./
/
Owners Name AI\." 1~w $ b(.J t-&.~wi+-
I
11S~ ~r/lvt k
Phone SLIt -4B'I-(;r::i'7o
Address
City ,ffU5t';\L--
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.
-I
Service Included
1000 sq. ft. or less $106.00
Ef<<)1I~m~1500 sq. ft. or
pm~t~TfMIT SHALL EXPIrlE IF THE wbW~O
~7WmetB'~l'itJrn THIS PERMIT IS NOT
;~~MtW~EO ;)oFtfs ABANI}QN:~ ~gH$50.00
P
B. e ati
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
c.
Installation, Alteration or Relocation
200 Amps or less I $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps .~. rue.; litO";; vu$J1QO.OO
cAll~b1IW~~~~~W 1C1~v@;~~:Uti\itY
D. ./.~". .// . r tf
N,i ~
'~flts5l!iQ)Odr-Mt'eQJi'aL~~tpa~~ ules b\
I~i~ may obtain cOpIes 0 e r <i: ~OO'
~~f&fu~8W~td1ro~NMe: .t! It:: lel~h"O .
S~~Wl1:feffM,~0;i9gon Utllltv NotlflCt-1!j~ij
E.ll~Mis
SO,OO
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
SOt 00
i.fJoo
(': 00
'2 I <;",0
$'(; {, ~O
4, ,
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application 8-06.doc
CITY OF S~i~GFIELD SYSTEMS DEVELOPMEN~t~RKSHEET
C0M2006-01003
Anslow & DegeneauJt Inc,
6287 Femhill Lp.
o
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF:' 1382
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
I IMPERVIOUS S.F. x . COST PER S.F., I I CHARGE I
I 2883,00 $0.336= I . $967.58
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. xl DISCOUNT RATE I
I 0.00 $0.336 I 50% = I
ITEM I TOTAL - STO~ DRAINAGE SDC '$967.58
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = ,
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADTTRIPRATE x
9.57
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 27
B. IMPROVEMENT COST:
I NUMBER OF DFU's'
27
B. IMPROVEMENT COST:
ADT TRIP RATE x
9.57
r-
COST PER DFU
$26.03
x
$19.79
$1,237.06
I NUMBER OF UNITS x
I 1 '
LOT SIZE (SF):
DISCOUNT
$0.00
COST PER TRIP
$19.81
x 'NEW TRIP FACTOR'
1.00
I NUMBER OF UNITS x
I 1
, COST PER TRIP
, $87.39
x NEW TRIP FACTOR
1.00
10460
$967.58
$702,72
$534.34
$189.58
$836.32
V1
~
~
o
u
p:::
~
r-<
V1
......
o
gz
1070
1091
1092
r
:
I
I
1093,
1094
..."
'.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUN ALENT UNITS
IBATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
I SINK: SINGLE LAVATORY /RESIDENTIAL BAR 2 0 1 = 2
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$O~O x $529
o
=
$0.00
TOTAL MWMC CREDIT
225 Fiftn Street
Sp.ringfield, Oregon 97477
541-726-3759 Phone
Cit-- 'If Springfield Official Receipt
D .opment Services Department
Public Works Department
Job/Journal Number
COM2006-0 I 003
COM2006-0 I 003
COM2006-01003
COM2006-01003
COM2006-01003
COM2006-0 I 003
COM2006-0 1003
COM2006-01003
COM2006-01003
COM2006-0 I 003
COM2006-01003
COM2006-0 1 003
COM2006-0 I 003
COM2006-0 1 003
COM2006-0 I 003
COM2006-0 I 003
COM2006-0 I 003
COM2006-0 I 003
COM2006-0 I 003
COM2006-0 I 003
COM2006-0 1 003
COM2006-0 1 003
COM2006-0 1 003
COM2006-0 I 003
COM2006-0 I 003
COM2006-01003
COM2006-01003
COM2006-0 1 003
COM2006-0 1 003
COM2006-0 I 003
COM2006-0 1003
Payments:
Type of Payment
CreditCard
cReceintJ
RECEIPT #:
1200600000000001507
Date: 10/10/2006
Description
Addressing Assignment
WiJlamalane Single Family
Temp Power 200 amps or less
Fire SF Fee - Residential
Sidewalk Permit
Curbcut - Additional Driveway
PW Disc - 2nd Permit
Mountaingate 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
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
~Mechanical Issuance Fee~
+ 8% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
+ 5% Technology Fee
Item Total:
Paid By
LEWIS A DEGENEAUT
Check Number Authorization
Received By Batch Number Number How Received
ddk 051546 In Person
Payment Total:
Page I of I
10:55:43AM
Amount Due
31.00
1,000.00
50.00
154.50
80.00
40.00
(30.00)
967.58
702.72
534.34
189.58
836.32
91.61
961.52
10.00
146.51
68.17
1,131.15
306.00
12.00
24.00
9.00
6.00
4.00
15,00
12.00
10.00
125.53
172.37
198.00
92.86
$7,951. 76
Amount Paid
$7,951.76
$7,951.76
10/1 0/2006