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Home My WebLink AboutPermit Building 2004-8-11 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00815 ISSUED: 08/11/2004 APPLIED: 07/02/2004 EXPIRES: 02/11/2005 VALUE: $ 191,748.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3430 Virginia Ave . ASSESSOR'S PARCEL NO.: 1702313401506 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Single Family Residence, Parcel 3 Owner: SUSAN JACKSON Address: 3653 BYRON EUGENE OR 97401 Phone Number: 541-520-5909 Contractor Type General Electrical Plumbing I CONTRACTOR IN FORMA TION I . \N\)~~ Contractor : ~ ~\\'t. ~()ticense SOONER CONSTRUC~~rt~~\\ \~ ~ 123081 STE~~C~ ~. ~~~.y. \\\\~ V O~t.ti ~~. 147618 ", T~ . ~~\I~J~i\Q~~\lt"!hitR..~\) 159425 \ \ . ~ t'\W1....- ru.' t:.-FP ~~\\\v x.~Ct. . 'H NG INFORMATION C()~~i)f\) \)~ ~~ R-3 U-1 VN Expiration Date OS/22/2006 04/30/2005 05/12/2006 Phone 541-521-7006 541-221-2665 541-343-0975 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 # of Stories: Height of Structure ~.., Type of Heat: Water Type: Range Type: Energy Path:. ';' Sprinkled Building: 1,361 609 2 Lot Size: 24.00 Sq Ft 1st Floor: Wall Heat . Sq Ft 2nd Floor: Electric Sq Ft Basement: Electric Sq Ft Garage/Carport , Path f-',. Sq Ft Other: n/a \0 Occupant Load: I""" I DEVELOPMENTINFO~~n\)\\\~~ 0' e J:P Se\\O i\ REQUIRED PARKING ~...Ote~ 6~~ ~eSeSe 9P?,.l)O · ~\Di~9\6 *I'(\0S8 ~ ~ oflS\ ....,\95 '(tf ~\)~~~t\'..r~~'1d~ \'(\tQ\)~ cjV\8 ~~e \o\~~~~'\O -.a\e5 \8\e~~n ~~~9~~~\(\;~e'. ~e ~~~ \t\ O~ "{O~ ~'t !\\et. \3 n U\'\WJ ~.. :[:.O'(\:...."-t .~Q fie S"QQO ~?~ I PUBLI~U,'~'fJ, ~\ . ""J,?ullv Improved Sidewalk Type: Curbside 5' Yes Downspouts/Drains: Drywell- Provide Applicant plans to go to a drywell. Encroachment permit is required of any ntB.. j",...-JbE~B{oring sanitary sewer connection. Encroachment permit fee and blank application included in permit. ,i' 400 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 10.00 6.00 8.00 56.00 11.00 Total: Handicapped: Compact: 2 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pae~ 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00815 ISSUED: 08/1112004 APPLIED: 07/02/2004 EXPIRES: 02/11/2005 VALUE: $ 191,748.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellinl!:s Garaee Tvpe of Construction V Wood Frame Garaee $ Per Sq Ft or multiplier $92.40 $24.30 . Square Footage or Bid Amount 1,970.00 400.00 Value Date Calculated Description Total Value of Project $182,028.00 $9,720.00 $191,748.00 07/02/2004 07/02/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $562.02 6/29/04 1200400000000001004 -Mechanical Issuance Fee- $10.00 8/11/04 2200400000000001038 + 10% Administrative Fee $16.30 8/11/04 2200400000000001038 + 10% Administrative Fee $121.57 8/11/04 2200400000000001038 + 7% State Surcharge $11.41 8/11/04 2200400000000001038 + 7% State Surcharge $85.10 8/11/04 2200400000000001038 3 Baths One & Two Family $306.00 8/11/04 2200400000000001038 Addressing Assignment $31.00 8/11/04 2200400000000001038 Annexed 1979 or Before $-116.44 8/11/04 2200400000000001038 Building Permit $864.65 8/11/04 2200400000000001038 Curbcut Permit $75.00 8/11/04 2200400000000001038 Dryer Vent $6.00 8/11/04 2200400000000001038 Encroachment Permit $120.00 8/11/04 2200400000000001038 Exhaust Hoods $9.00 8/11/04 2200400000000001038 Minimum! Adjustment Mechanical $12.00 8/11/04 2200400000000001038 Plan Review Major - Planning $103.00 8/11/04 2200400000000001038 Refund - SDC Storm $-273.47 8/11/04 2200400000000001038 Residence Wiring 1000 Sq Ft $106.00 8/11/04 2200400000000001038 Residence Wiring Ea Addtl 500 $57.00 8/11/04 2200400000000001038 Sanitary Sewer - Improvement $447.46 8/11/04 2200400000000001038 Sanitary Sewer - Reimbursement $588.64 8/11/04 2200400000000001038 SDC MWMC Administration $10.00 8/11/04 2200400000000001038 SDC MWMC Improvement $214.23 8/11/04 2200400000000001038 SDC MWMC Reimbursement $314.63 8/11/04 2200400000000001038 SDC Sanitary/Storm Admin $90.18 8/11/04 2200400000000001038 SDC Transpo Admin $52.37 8/11/04 2200400000000001038 SDC Transpo Improvement $727.42 8/11/04 2200400000000001038 SDC Transpo Reimbursement $164.89 8/11/04 2200400000000001038 Storm Drainage Impervious Area $773.72 8/11/04 2200400000000001038 Vent Fan $18.00 8/11/04 2200400000000001038 Willamalane Single Family $1,000.00 8/11/04 2200400000000001038 Total Amount Paid $6,507.68 Paee 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2004-00815 ISSUED: 08/11/2004 APPLIED: 07/02/2004 EXPIRES: 02/11/2005 VALUE: $ 191,748.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Plan Reviews I Initial Review 06/30/2004 07/02/2004 APP LLH Plannine Review 07/02/2004 07/26/2004 APP TAJ Pave 1st 18' of panhandle drive. Public Works Review 07/02/2004 07/08/2004 WE VRJ Contacted JackFowler of GrassRoots 7/8/2004 regarding sanitary and storm sewer connections. Faxed copy of LU Decision 95-09-170. LU Decison stipulated sanitary and storm connections in Virginia Street, those connections require approval via an encroachment permit. Waiting for Jack to get back to me regarding those connections. Public Works Review 07/20/2004 WE VRJ Walt of Grassroots contacted PW regarding sanitary and storm sewer. Plans to sub mitt perk test for drywell. Subgrade Evaluation faxed 7-15-04. Public Works Review 07/26/2004 07/26/2004 APP VRJ LU decision reviewed by Mel Oberst and Ken V ogeney applicant can go to drywell as long as it is sized with a 0.2 infiltration rate and sized accordingly. Encroachment permit is required of any new taps or wye for sanitary sewer connection. Encroachment permit fee and blank application included in permit. Public Works Review 07/09/2004 07/09/2004 WE VRJ Left message for Jack Fowler to contact PW's regarding driveway pavement. SDC's have been calculated for full driveway pavement 7/9/2004. PW has calculated building fees, waiting for missing information from GrassRoots. Structural Review 07/02/2004 07/14/2004 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. Curbcut - Standard: After forms are erected but prior to placement of concrete. Erosion/Grading Inspection: After all erosion measures are in place. Ofer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. Paee 3 of 4 CI 11' OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2004-00815 ISSUED: 08/11/2004 APPLIED: 07/02/2004 EXPIRES: 02/11/2005 VALUE: $ 191,748.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. 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. 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 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. ~~ /AJ~ 01r or Contractors Signature Y-r-o -6'--( Date Paee 4 of 4 .225 Fifth Street Springfield, OregoB 97.477 541-726-3759 Phone ~..I"!.,.~.'!~IpIllJ.~lL_...D"'iii' ... ,.,.~" \..' 11I;:1' ' I ....."'''..I.~:'' .~ "",,.~~~ ~.i,J ,.......y of Springfield Official Receipt ~elopment Services Department Public Works Department Job/Journal Number COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 COM2004-00815 Payments: Type of Payment Check Cash 8/ll/2004 RECEIPT #: 2200400000000001038 Date: 08/11/2004 Description Addressing Assignment Willama1ane Single Family Curbcut Permit Sanitary Sewer - Reimbursement Sanitary Sew~r - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration Annexed 1979 or Before Building Permit 3 Baths One & Two Family Vent Fan Exhaust Hoods. Dryer Vent Minimum! Adjustment MechanIcal -Mechanical Issuance Fee- Refund - SDC Storm Encroachment Permit Plan Review Major - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin SDC Transpo Admin + 7% State Surcharge + 10% Administrative Fee + 7% State Surcharge + 10% Administrative Fee Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Paid By THE JOY OF BOOKKEEPING THE JOY OF BOOKKEEPING Item Total: Check Number Authorization . Received By Batch Number Number How Received djb djb 16214 In Person In Person Payment Total: Page I of2 2:34:25PM Amount Due 31.00 1,000.00 75.00 588,64 447.46 164.89 727.42 314.63 214.23 10.00 (1l6.44) 864.65 306.00 18.00 9.00 6.00 12.00 10.00 (273.47) 120.00 103.00 773.72 90.18 52.37 85.10 121.57 11.41 16.30 106.00 57.00 $5,945.66 Amount Paid $5,945.60 $0.06 $5,945.66 RECEIPT t. 2200400000000001038 ate: 08/11/2004 2:34:25PM Job/Journal Number Description Amount Due COM2004-00815 Addressing Assignment 31.00 COM2004-00815 Willamalane Single Family 1,000.00 COM2004-00815 Curbcut Permit 75.00 COM2004-00815 Sanitary Sewer - Reimbursement 588.64 COM2004-00815 Sanitary Sewer - Improvement 447.46 COM2004-00815 SDC Transpo Reimbursement 164.89 . COM2004-00815 SDC Transpo Improvement 727.42 COM2004-00815 SDC MWMC Reimbursement 314.63 COM2004-00815 SDC MWMC Improvement 214.23 COM2004-00815 SDC MWMC Administration 10.00 COM2004-00815 Annexed 1979 or Before (116.44) COM2004-00815 Building Permit 864.65 COM2004-00815 3 Baths One & Two Family 306.00 COM2004-00815 Vent Fan 18.00 COM2004-00815 Exhaust Hoods 9.00 COM2004-00815 Dryer Vent 6.00 COM2004-00815 Minimuri1! Adjustment Mechanical 12.00 COM2004-00815 -Mechanical Issuance Fee- 10,00 COM2004-00815 Refund - SDC Storm (273.47) COM2004-00815 Encroachment Permit 120.00 COM2004~00815 Plan Review Major - Planning 103.00 COM2004-00815 StOrnl Drainage Impervious Area 773.72 COM2004-00815 ,SDC Sanitary/Storm Admin 90.18 , COM2004-00815 SDC Transpo Admin 52.37 COM2004-00815 + 7% State Surcharge 85.10 COM2004-00815 + 10% Administrative Fee 121.57 COM2004-00815 + 7% State Surcharge 11.41 COM2004-00815 + 10% Administrative Fee 16.30 COM2004-00815 Residence Wiring 1000 SqFt 106.00 COM2004-00815 Residence Wiring Ea Addtl 500 57.00 Item Total: $5,945.66 Payments: Check Number Authorization Type of Payment Paid By Received By Batch Number Number How Received Amount Paid Check THE JOY OF BOOKKEEPING djb 16214 In Person $5,945.60 Cash THE JOY OF BOOKKEEPING djb In Person $0.06 Payment Total: $5,945.66 8/11/2004 Page 2 of2 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT vtJORKSHEET JOURNAL OR JOB NUMBER: Com2004-00815 NAME OR COMPANY: Susan Jackson LOCATION: 3430 Virginia TAX LOT NUMBER: 17023134 tl 1506 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF: 0 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I 782.00 I . $0.290 = I $226,78 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 DISCOUNT I 1886.00 I I $0.290 I 50% I $273.47 ITEM 1 TOTAL - STORM DRAINAGE SDC $500.25' 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x COST PER DFU I 26 $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 26 7756 VJ ~ Q o U p:; ~ IE-< VJ ...... d ~ $500.25 1070 I $588.64 /1091 ,I 11092 " COSTPER DFU $ I 7.2 I $447.46 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1,036.10 COST PER TRIP $17.23 x NEW TRIP FACTOR 1.00 $164.89 1093 COST PER TRIP $76.01 $892.31 Ix I NEW TRIP F ACTOR I 1.00 I $727.42 1094 I Virgipia Jurasevich PREPARED BY 8/5/2004 = $314.63 11054 = , $214.23 1055 I ($116.44) 1054 , $10.00 . 11056 = I $422.42 = I $2,851.08 CHARGE $ 142.55 90,18 1079 $52.37 11078 TOTAL SDC CHARGES $2,993.63 x ICOSTPERFEU I $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< SUBTOTAL (ADD ITEMS 1, 2,3, & 4) 5. ADMINISTRATIVE FEE: I SUBTOTAL x I ADM. FEE RATE , $2,85 1.08 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES UNIT FIXTURE TYPE NEW OLD EQUIVALENT I BATHTUB ' ' 2 0 3 = IDRINKING FOUNTAIN 0 0 1 IFLOOR DRAIN 0 0 3 = IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = I LAUNDRY TUB 0 0 2 = ICLOTHESWASHER/MOP SINK 1 0 3 = ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 IRECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = ISHOWER~ SINGLE STALL 1 0 2 = SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = SINK: COMMERCIAL BAR 0 0 2 = SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = I SINK: SINGLE LAVATORY/RESIDENTIAL BAR 3 0 1 = IURINAL, STALL/WALL 0 0 5 = ITOILET, PUBLIC INSTALLATION 0 0 6 = ITOILET, PRIVATE INSTALLATION 3 0 3 = MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = TOTAL DRAINAGE FIXTURE UNITS ( , *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at '167 gallons per day . ,~ DRAINAGE FIXTURE UNITS 6 o o o o o 3 o o o o 2 o 3 o o 3 o o 9 o 26- MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 199\ 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED VALUE $5.04 $5.04 $4.95 $4,88 $4.75 $4.58 $4.41 $4.20 $3.88 $3.50 $3.07 $2.60 $2.14 $1.71 $1.52 $1.38 $\.19 $1.03 $0.87 $0.68 $0.46 $0.27 $0.09 $0.04 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 $23.10 x $5.04 o 1979 = I $II6.44 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0.00' x $5.04 = I TOTAL MWMC CREDIT o = $116.44 3. ~ , ~~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (~41)726';31(89 %& ELECTRICAL PERMIT APPLICATION ~ / "/ <')1& <'Ot)Ii, City Job Number CQw7 uYO t.{ - 00 <1SJ ~ Date. c;?'j 11/a '-1 qlI)OI"t~ a- ~ &~ "<? 200 Amps or less . , . 201 Amps to 400 Amps 11S4? I .. n taw re~621lraD1V~~~O Amps ATTEtJ110tt Oregd by \he 6Jm~mI\s4~,1W~ Amps p~k>",,~a~9P~elhoseru~~0Its . , Notifieat\o~:~~010 thr~gft the fU\~~bY \n ~>>?~ bta\n eop\e Supervisor License Number -Od9b{~ may 0 - lNotb: . Uing the eel,lgl. Utility No , , }o ~ I - 0 ~ber 10r the_Of,~~*~.n, Alteration or Relocation _ center lit 200 Amps or less Constr. Contr. Number /4fio;S;:, 201 Amps to 400 Amps 4. 401 Amps to 600 Amps Expiration Date ,- Jo .- 0 .s Signature of supervi~ing Ele 'cian ,;' d CVt-- - - Each Additional Circuit or with Owners Name Svt 5A-N' JAci::sct1Q.TICE: Service or Feeder Permit Address :56 S-3 V y ro:>'" ~~~~~ /=->. A r... .L-dfff ( . f"\ 1P~ ABAND City c v~yc Phone COMME~~ ~ i ~on $ 50.00 ANY 1809ilbYc u~ ~ghting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 1. (fl-'7;~1 A- I LEGAL DESCRIPTION 1702. 3/J'Lf DI )Ob JOB DESCRIPTION 5>F(L 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 S7bUf. Address f... (), r!:>d It. f11Jvc~ City bvf Qi1-'(U i Expiration Date 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 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder J ~ $ 19.00 $106.00 $50.00 B. $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 D. New Alteration or Extension Per Panel One Circuit $ 43.00 $ 3.00 4. /63 / / 4{ / b Ii:> J 907/ 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc