HomeMy WebLinkAboutPermit Building 2006-5-30
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 11/30/2006
VALUE: $ 356,534.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6099 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343407200
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Mt Gate subd lot 64
Residential
Owner: W AL TER CUSTOM HOMES
Address: 2863 RIVERW ALK LOOP
EUGENE OR 97401
Phone Number: 541-683-6355
Contractor Type
General
Electrical
Mechanical
Plumbing
,/....., '0
qllll 1::'''' . .
l~'" re I \t,\.\t)I
I CQN:r~~\I1!!lR'rNRQM1~CFION~ lonn
f>-'rn:.\'..' adoplev....J {ll\es (;iIO ~\-OO\-
Contractor ,0\\o'Jll {~\e~ente{. 1nose 119nDi~'e~1 eS oIixpiration Date
THOMAS W AIrLER(@trsrO!~}\HJ\)ME'S'I~t~s t6d,i-lP7{ll\ ne 07/1212008
BOB FISHER Efr.E!1}'f.'RIe~~<i'Y obtain ~O~e', t~Q2l7;5e~no \io\1 0112512008
MARSHALLS Il't<990: :Oll e centeL ~ 0 \..Iti\~~I9?Jt\,\ca 12/2312009
RS PLUMBING CONIDR'A!~l\~fo!3 o{e~~~f\?''2!,Q1Si'6)' 01104/2008
f"iuiLUJ.N~I~b~MA TION I
Phone
541-683-6355
541-689- 7973
541-747-7445
541-461-4714
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
- \' ..,
I DEVELOPMENT INFORMATION ~ \~E W' \r\E \N~~~
\).\01 \~'b' ,. e\-\h\" Et,? e Ot~W\\\ k~~tnRED PARKING
t\i ?ERW\\ \ 0 \1 }\-\\0 r 0 ~O\\
Overlay ~lStb, Q\lEO \..n~OE HI~~~euO~E Total: 2
# Street Tfi..~l\R4tl~ CEO OR \S f\ 5 Handicapped:
Paved Dri~q\ftE~ f\'i ?E~\OO'Yes Compact:
% of Lot C'~ma'geD 0 35.00
# of Stories: 2
Height of Structure 39.00
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
'11,939
1,803
1,503
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
616
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
25.00
12.00
11.00
24.00
0.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
Yes
Sidewalk Type:
Downspouts/Drains:
To Storm Sewer
Notes: Storm drainage piped to stub provided 4/25/2006 CAS
Page 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
A.Co - Residen
Dwellin2:s
Gara2:e
AC - Residential
V Wood Frame
Gara2:e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 8% State Surcharge
3 Baths One & Two Family
Addressing Assignment
Appliance Vent
Boiler/Comp Up To 100,000 btu
Building Permit
Curbcut - Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
Fire Fee - Residential
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Gas Outlets 4+
Mountaingate Impervious Area
Plan Review Major - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
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
Storm Sewer Each Addtll 00'
Temp Power 200 amps or less
Vent Fan
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$4.00
$99.00
$26.00
Square Footage
or Bid Amount
3,306.00
3,306.00
616.00
Total Value of Project
~
Amount Paid
$910.59
$10.00
$231.10
$169.19
$306.00
$31.00
$6.00
$12.00
$1,400.90
$40.00
$80.00
$6.00
$9.00
$196.10
$12.00
$30.00
$4.00
$1.00
$1,371. 78
$150.00
$106.00
$114.00
$572.10
$752.10
$10.00
$865.31
$82.03
$169.83
$62.26
$805.70
$182.69
$28.00
$50.00
$30.00
Date Paid
4/17/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
5/30/06
Pa2:e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 11/30/2006
VALUE: $ 356,534.00
Value
Date Calculated
$13,224.00
$327,294.00
$16,016.00
$356,534.00
04/17/2006
04/17/2006
04/17/2006
Receipt Number
1200600000000000484
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
]200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
]200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
1200600000000000722
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 11/30/2006
VALUE: $ 356,534.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
WiJlamalane Single Family
$1,000.00
5/30/06
1200600000000000722
Total Amount Paid
$9,806.68
I Plan Reviews I
Initial Review 04/18/2006 04/20/2006 APP LLH
Planninl! Review 04/20/2006 05/12/2006 APP TAJ
Public Works Review 04/20/2006 04/25/2006 APP CAS Storm drainage piped to stub
provided, landscape blocks ok in
PVE 4/25/2006 CAS
Structural Review 04120/2006 OS/26/2006 APP DLM See documents for Plan review
comments.
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.
~eouire~nsn~ctions I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
Site Inspection: To be made after excavation but prior to setting forms.
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.
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.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
Vnderfloor Plumbing: Prior to insulation or decking.
Pal!e 3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2006-00452
ISSUED: 05/30/2006
APPLIED: 04/17/2006
EXPIRES: 11/30/2006
VALUE: $ 356,534.00
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.
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.
(~~
5'~'00
Owner or Contractors Signature
Date
Page 4 of 4
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIl,APPLICATION
City Job Number (U'p. ttt;)fL., Date
LEGAL DEs;;(~1:t\N ^ rv,
\,D-L.: 34 - (_) t"J.,LU 6' Service Included
JOB PESCRlPT~ E:J\~tJ.., 1000 sq. ft. or less
o .''('\7'\\ 1\ . t\~~ ~ rrl) mO Eac~ additional 500 sq. ft. or
0\,', \l UJU '(ll.) ~ \k.A ~ portIOn thereof
Permits ~on-tra'nsferable an~e if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
2.
3.
A.
\
lo
\llo.ctJ
\\4 pD
$106.00
$ 19.00
$50.00
B.
Electrical Contractor f1 1)); /7'$ Jr...-/' P ke L /1C- 200 mps or less. ' "... ,-;~.,- ~~~i,~ $ 63.00
- .: .~.\....C\ till -.....; :...J)
~ lAmp~t040q~mps,'o;]' ",1'- ~,....._~ $ 75.00-
,Address } <?"ZJ ~ f Y7 {!'; <' h 1/ r 1/ Jlv A Ol:A..i.i1}~S' t~ ~90\. Amps:','llc J~2i~<, i~::'::... $125.00
/k ~. - "':"/L/- 9 0 ~ ", 6O'{X~p' ~:~~:lO.o0::'An\p\~irlty I\!O~III""'U"""'" $163.00
c...:e.</ 0...:>' " I \vl ""..... -..... 2344)~
City ~ .~~ n.p Phone ~ 11 9;... ') , :JI1L'II .uOve01,Q.Q.Q .\\:n1psN~1~32- )_, $375.00
./ Reconnect Only '-D $ 50'.00
Supervisor License Number ~? 9'76-- 5
/ tJ - .J.- 6 ~ \ XtallatlOn, A ~tion or Relocation t:l...
X~ Am '-J
Constr. Contr. Number c:? 0 -/ ;S - :2~. 20 I P 0400 Amps
. . 7- J -ItJ /' 40' 1 Amps to 600 Amps
ExpIratIOn Date (e::" Over 60'0
7erignatur of Supervising EI\;~Cian 'D.
.~.;.; 1_ d New Alteration or Exter'~?e11.J'~~Panel
F,JP' -rAdlP , ,",'. ,qng,~t{(~~ttj(?\\-\~~~ "~\I.\S ~O\
~ " ' c oc't-\\\!\\E.acli AaaltJ0.na!I\~lrcu. ~ or we-thQ ,
\ ~ ~W\ ') I L. . , '.~\l\\=t\F \ 'd' ~,,\cD \ UP
f 0 I , '. "- ", - \ 7 (~jnaceor ee ~nJ:\~ITI11tc.
Owners Name I .J-.I Al HI \_\u,-l..-'__,_ )\'01,
Address WO~ ~\)..QV'~S)~~;"~\~\~~
City f.lY'\e.M- Phone l.o9J ~.lP~ Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
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
~~
t~Vl "SsjJ
\:'"'
c.
$ 50.0'0'
$ 69.00'
$100.0'0
5:){P
$ 43.00
$ 3.00'
$ 50'.0'0'
$ 50'.00'
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
'~;LLj~ ~D/D
'L t-loO
(Lfl ~O()
~~t~~~
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03,doc
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. CHARGE
'4247.00 $0.323 = I $1,371.78
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x COST PER S.P. x I DISCOUNT RATE I
I 0.00 $0.323 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,371.78
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 30
B. IMPROVEMENT COST:
I NUMBER OFDFU's .
. 30
, CITY OF ~_INGFIELD SYSTEMS DEVELOPME&ORKSHEET
C0M2006-00452
Walter Custom Homes
6099 Fernhill Loop
1702343407200 ,
SINGLE FAMILY RESIDENCE
1 BU:LDING SIZE (SF: 2580
LOT SIZE (SF):
11939
if.J
~
Q
o
U
~
~
t-<
if.J
......
o
gz
DISCOUNT
$0,00
$1,371.78
1070
COST PER DFU
$25.07
=,1
$752.10
1091
x
$19.07
$572.10
1092
=f
$1,324.20
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x
I 9.57
NUMBER OF UNITS x I COST PER TRIP
1 I $19.09
x 'INEW TRIP FACTOR
I 1.00 $182~69 1093
x I NEW TRIP FACTOR
I 1.00 $805.70 .'1094
'I
I
= $82.03 1054
ICOST PER FEU
I $82.03
B. IMPROVEMENT COST:
NUMBER OF FEU's. x COST PER FEU
1 $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM.FEERATE
I $4,641.71 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
PREPARED BY
4/25/2006
$865.31 1055
$0.00 1054
$10.00 1056
$957.34, ,
$4,641. 71. ,
CHARGE
$232.09
169.83 1079
$62.26 1078
TOTAL SDC CHARGES =1 $4,873.80
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBAlliTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
!INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FORREFRIG /WATER STATION /ETe. 0 0 1 = 0
/RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
\ SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 2 0 2 = 4
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 I 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
$0,00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
225 Fifth Str~et
SpringfieJd, Oregon 97477
541-726-3759 Phone
C;" of Springfield Official Receipt
L Jopment Services Department
Public Works Department
Job/Journal Number
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
COM2006-00452
Payments:
Type of Payment
CreditCard
Check
cReceint I
RECEIPT #:
1200600000000000722
Date: 05/30/2006
Description
Fire Fee - Residential
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
Curbeut Permit
Curbcut - Additional Driveway
Plan Review Major - Planning
Furnace - up to 100,000 btu
Boiler/Comp Up To 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Outlets 4+
Gas Fireplace
~Mechanical Issuance Fee~
Addressing Assignment
Willamalane Single Family
Storm Sewer Each Addtl 100'
Building Permit
3 Baths One & Two Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
W ALTER CUSTOM HOMES
ALISON HUNTER BELISLE
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
5253
030622 In Person
In Person
Payment Total:
Page I of2
9:48:26AM
Amount Due
196.10
1,371.78
752.10
572.10
182,69
805.70
82.03
865.31
10.00
169.83
62.26
80.00
40.00
150.00
12.00
12.00
30.00
6.00
9.00
6.00
4.00
1.00
30.00
10.00
31.00
1,000.00
28.00
1,400.90
306.00
106.00
114.00
50.00
169.19
231.10
$8,896.09
Amount Paid
$8,000.00
$896.09
$8,896.09
5/30/2006