HomeMy WebLinkAboutPermit Building 2004-8-11
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2004-00813
ISSUED: 08/11/2004
APPLIED: 07/02/2004
EXPIRES: 02/11/2005
VALUE: $ 191,748.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3438 Virginia Ave
ASSESSOR'S PARCEL NO.: 1702313401507
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Single Family Residence, Parcel 2
Owner: SEAN & SUSAN DAVIS
Address: 2611 SOUTH CLOVERLEAF SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Plumbing
Contractor
SOONER CONSTRUCTION CORP
STEVE HAUCK
THOMAS ANTHONY RYDER
License
123081
147618
159425
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
R-3
U-l
VNSpr
2
24.00
Wall Heat
Electric
Electric
Path 1
n/a
3
I DEVELOPMENT INFORMATION.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
13.50
10.00
9.00
40.00
14.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
New
Residential
Phone Number: 541-746-4188
Expiration Date
OS/22/2006
04/30/2005
05/12/2006
Phone
541-521-7006
541-221-2665
541-343-0975
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1,361
609
400
REQUIRED PARKING
o
Total:
Handicapped:
Compact:
2
25.00
I PUBLIC IMPROVEMENTS.
Street Improvements: F II T.mnr II Sidewalk Type: . ,
ft.. NTION. OregoYllawro'goires you to CurbSide 5
Storm Sewer AvailtlUl~:'= . d b the)j~egon Utility Downspouts/Drains: To Storm Sewer
Special InstructioJ91.low ~paIi~ggppT~sJoJ!O to e~el~tIl8f~yachment permit included in BP for 3430 Virginia,
NotlficatIOO~'608i~se-rule ;, .OOlu3d A\.IO 09 I AN\.I
Notes: In OAR 952-001-0010 tlirough OAR 952-001- av ~ v
0090 You may obtain copies of the rules by HO~ 03NOONV8V SI HO 038N3V'JlfI!08
caliing the center. (Note: the tel~~ho~e ION SIIIV'JH3d SIHl H30Nn 03ZIHOHlnV
number for the Oregon Utility Notification )lHOM 3Hl :II 3HldX3 llVHS 11l^J~3d SIHl
Center is 1-800-332-2344). .3:JIION
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00813
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 Valuation Descrintion I
Dwellines
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
07/0212004
07/0212004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential . $562.02 6/29/04 1200400000000001005
-Mechanical Issuance Fee- $10.00 8/11/04 1200400000000001210
+ 10% Administrative Fee $16.30 8/11/04 1200400000000001210
+ 10% Administrative Fee $121.57 8/11/04 1200400000000001210
+ 7% State Surcharge $11.41 8/11/04 1200400000000001210
+ 7% State Surcharge $85.10 8/11/04 1200400000000001210
3 Baths One & Two Family $306.00 8/11/04 1200400000000001210
Addressing Assignment $31.00 8/11/04 1200400000000001210
Annexed 1979 or Before $-113.71 8/11/04 1200400000000001210
Building Permit $864.65 8/11/04 1200400000000001210
Dryer Vent $6.00 8/11/04 1200400000000001210
Exhaust Hoods $9.00 8/11/04 1200400000000001210
Minimum/Adjustment Mechanical $12.00 8/11/04 1200400000000001210
Plan Review Major - Planning $103.00 8/11/04 1200400000000001210
Refund - SDC Storm $-273.47 8/11/04 1200400000000001210
Residence Wiring 1000 Sq Ft $106.00 8/11/04 1200400000000001210
Residence Wiring Ea Addtl 500 $57.00 8/11/04 1200400000000001210
Sanitary Sewer - Improvement $447.46 8/11/04 1200400000000001210
Sanitary Sewer - Reimbursement $588.64 8/11/04 1200400000000001210
SDC MWMC Administration $10.00 8/11/04 1200400000000001210
SDC MWMC Improvement $214.23 8/11/04 1200400000000001210
SDC MWMC Reimbursement $314.63 8/11/04 1200400000000001210
SDC Sanitary/Storm Admin $88.07 8/11/04 1200400000000001210
SDC Transpo Admin $52.56 8/11/04 1200400000000001210
SDC Transpo Improvement $727.42 8/11/04 1200400000000001210
SDC Transpo Reimbursement $164.89 8/11/04 1200400000000001210
Storm Drainage Impervious Area $732.44 8/11/04 1200400000000001210
Vent Fan $18.00 8/11/04 1200400000000001210
WiIlamalane Single Family $1,000.00 8/11/04 1200400000000001210
Total Amount Paid $6,272.21
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00813
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 06/29/2004 07/02/2004 APP LLH
Plan nine Review 07/02/2004 07/27/2004 APP TAJ First 18' of panhandle drive needs to
be paved.
Public Works Review 07/02/2004 07/09/2004 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 07/26/2004 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 II
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
COM2004-00815, 3430 Virginia.
Public Works Review 07/09/2004 07/09/2004 WE VRJ Curb cut fee and permit included on
buildign permit com2004-00815.
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 07/15/2004 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.
Erosion/Grading Inspection: After all erosion measures are in place.
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.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00813
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
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
-47of!uh. I'_~ ~//&'~V
Owner ~ontractors Signature Date
Paee 4 of 4
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENtf'I~ORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00813
NAME OR COMPANY: Sean Davis
LOCATION: 3438 Virginia
TAX LOT NUMBER: 17023 I 34 tl 1507
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 . BUILDING SIZE (SF:
o
LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S,F. CHARGE
I 640.00 I $0.290 = I $185,60
RUNOFF ROUTED TO DRYWELLDESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S,F. I x I DISCOUNT RATE I DISCOUNT
.1886.00 $0.290 I I 50% = I $273.4 7 .
ITEM 1 TOTAL - STORM DRAINAGE SDC I $459.07
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x I COST PER DFU
26 I $22:64
B. IMPROVEMENT COST:
NUMBER OF DFU's x I COST PER DFU
26 I $17.21
ITEM 2 TOTAL - CITY SAN IT ARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x I
I 9.57 I I
B, IMPROVEMENT COST:
I ADT TRIP RATE I x NUMBER OF UNITS x
I 9.57, I
ITEM 3 TOTAL - TRANSPORTATION SDC =1
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
I $314.63
B. IMPROVEMENT COST:
INUMBER OF FEU's
I I
x COST PER FEU
$214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRA TIVEFEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = 1
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM. FEE RATE
$2,812.63 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
PREPARED BY
8/5/2004
DATE
$1,036.10
COST PER TRIP
$ I 7..23
x NEW TRIP FACTOR
1.00
COST.PER TRIP
$76.01
$892.31
x /NEW TRIP F ACTOR I
I 1.00
7025
$459.07
$588.64
$447.46
$164.89
,
$727.42
VJ
~
Q
o
u
p:;
~
E-<
VJ
......
t/
~
11070
1091
1092
1093
1094
1054
= $214.23 lOSS
($113.71) 1054
$10.00 1056
$425.15 I
$2,812.63 I
CHARGE
$140.63
88.07 1079
$52,56 1078
TOTAL SDC CHARGES =1 $2,953.26
=
$314.63
~ .~
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG I WATER STATION I ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 3 0 1 3
IURINAL, STALL! WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INST ALLA TION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 26
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$I ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $5.04 (Enter 1 for Yes, 2 for No)
'1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $4.95 (Enter 1 for Yes, 2 for No)
1981 $4.88 BASE YEAR 1979
1982 $4.75
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE 11000 CREDIT RATE
1985 $4,20 $22.56 x $5.04 = , $113.71
1986 $3,88
1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 V ALUE 11000 CREDIT RATE
1989 $2,60 $0.00 x $5,04 = 1 0
1990 $2.14
1991 $1.71
1992 $1.52 TOTAL MWMC CREDIT = $113.71
1993 $1.38
1994 $1.19
1995 $1.03
1996 $0.87
I 1997 $0,68
I 1998 $0.46
I 1999 $0.27
l 2000 $0.09
2001 $0.04
. 225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,....~(y of Springfield Official Receipt
.:velopment Services Department
Public WorkS Department
Job/Journal Number
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-00813
COM2004-008l3
COM2004-00813
COM2004-00813
COM2004-00813
RECEIPT #:
1200400000000001210
Date: 08/11/2004
Description
Addressing Assignment
Willamalane Single Family
Sanitary Sewer - Reimbursement
Sanitary Sewer - 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
Plan Review Major - Planning
SDC Sanitary/Storm Admin
SDC Transpo Admin
Storm Drainage Impervious Area
+ 7% State Surcharge
+ 10% Administrative Fee
+ 7% State Surcharge
+ 10% Administrative Fee
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Payments:
Type of Payment Paid By
Check SEAN LARSON
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dIm 16368 In Person
Payment Total:
8/11/2004
Page I of I
2:14:16PM
Amount Due
31.00
1,000.00
588.64
447.46
164.89
727.42
314.63
214.23
10.00
(113.71)
864.65
306.00
18.00
9.00
6.00
12.00
10.00
(273.47)
103.00
88.07
52.56
732.44
85.10
121.57
11.41
16.30
106.00
57.00
$5,710.19
Amount Paid
$5,710.19
$5,710.19
-o/,SPRII'\fOl"lliU_D
'Ot
. <i' .
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)!$26-368?~,1 1')(
~LECTRICAL PERMIT APPLICATION ~ / / -<;'(.I~ <91'& ~I')/-?
CIty Job Number (('")J41ZOOLl.-QC)8"J3 Date 6/11/6'1 0,/.,': ~
/ &0'
1.
i a...5--1 V\ I A-
I
LEGAL DESCRIPTION
/707 5/"Jl{ 0/)07
JOB DESCRIPTION
SF(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 S1PVE:..
Address frO, ~d~ '11Sfe I
(~G~
City Gu/r q1~lJ \ Phone
"
~8l1 ~ ~~GS
Supervisor License Number
JS115
Expiration Date
10 - I - C)l.f
Constr. Contr, Number I L{7-fo,B
Expiration Date 4 .-10 .-- " $
s;~'rnreo~~~n
St:A-IV 'b~ I ~
Address II => ~ Gdl Yb'~Vl.-C
City P1A..C ~r1/e Phone I )
Owners Name
ib-d
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
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
1
'S $ 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 olts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163.00
$375,00
$ 50,00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50,00
$ 69,00
$100,00
D.
New Alteration or Extension Per Pane)
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
$ 3,00
E.
Pump or irrigation
Sign/Outline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50,00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
/6)
/ ('1 (
/b:JO
I ~O?1
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FonnsIElectrical Permit Application I-03.doc