HomeMy WebLinkAboutPermit Building 2006-1-5
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Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/02/2005
EXPIRES: 07/05/2006
VALUE: $ 264,422.00
SITE ADDRESS: 6053 Fernhill Lp
ASSESSOR'S PARCEL NO.: 1702343406400
Springfield TYPE OF
-
Single Family Residence
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Single family residence.
:; Owner:
, Address:
ANSLOW & DEGENEAULT INC
1953 GARDEN AVENUE
EUGENE OR 97403
Phone Number: 503-484-0070
Contractor Type
General
Electrical
, Mechanical
Plumbing
A "'''''r:~ ._
toile. :'.1 'UN: ~
I CON1I7BA.cTCm: ,Q., I f~~ " .
m OAR "'VII~t Y th qUIres y:
Contractor 0090 9S2-001_0er. ftm~!l~6 OreiE1f:P~"lRm Date
AN SLOW & DEGENEAUbJ'/iJeu rnay Ob~1.049Jt6,JlJ9hles are seI8/16/2008
GOOD CONNECTIONS nUrn~ng the Cent aml~~p~ OAR 9s);W6i1no06
MARSHALLS INC er fOr the oer. (I'iS'JIl.Ot Of the rU/e~~9h/2009
ABSOLUTE PLUMBING SERVieJl;$)~~C/~~067~Mit~~ ~e/ephon9.:llr1l2007
I BUILDING INFORMATiar,~~~)~/rlcation
Phone
503-484-0070
541-434-6491
541-747-7445
541-345-3055
# of Units: 1 # of Stories: 1 Lot Size: 11,761
Primary Occupancy Group: R-3 Height of 24.00 Sq Ft 1st Floor: 2,382
Secondary Occupancy Type of Heat: Forced Air Gas Sq Ft 2nd Floor:
.~ Vrimary Construction Type VB ,Water Type: Gas Sq Ft Basement:
. . Secondary Construction Range Type: Gas Sq Ft Garage/Carport 715
# of Bedrooms: 3 Energy Path: Path 1 Sq Ft Other:
Sprinkled n/a Occupant Load:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
22.00
7.00
18.00
11.00
0.00
I DEVELOPMENT INFORMATION I
fDIJt~EPist: Hillside
rl1is~ls 3
AI;p~ iltMU EXp, Yes
COf/,f~j UN "TIE IF
ANy 180 nf: !~-'i ~k~~s":,,EFlM~~~FI/(
IPUBLIC IMPRoViMi'~;rsl' IVI:D FOR f
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Subdivision Not Accepted
Street
Fullv Improved
Yes
Sidewalk Type:
DownspoutslDrains
Curbside 5'
To Storm Sewer
Storm Sewer Available:
, Special Instruction:
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to stub'
provided 12/6/2005 CAS
1 of 4
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-01681
ISSUED: 01/05/2006
APPLIED: 12/02/2005
EXPIRES: 07/05/2006
VALUE: $ 264,422.00
I Valuation Description I
Description Type of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Dwellines V Wood Frame $96.00 2,382.00 $228,672.00 12/02/2005
Estimate Estimate $1.00 35,750.00 $35,750.00 12/02/2005
. Total Value of Project $264,422.00
~ .
I
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $716.24 12/2/05 1200500000000001772
-Mechanical Issuance Fee- $10.00 1/5/06 1200600000000000014
+ 10% Administrative Fee $174.19 1/5/06 1200600000000000014
+ 7% State Surcharge $121.93 1/5/06 1200600000000000014
3 Baths One & Two Family $306.00 1/5/06 1200600000000000014
Addressing Assignment $31.00 1/5/06 1200600000000000014
Appliance Vent $6.00 1/5/06 1200600000000000014
Boiler/Comp Up To 100,000 btu $12.00 1/5/06 1200600000000000014
Building Permit $1,101.90 1/5/06 1200600000000000014
Dryer Vent $6.00 1/5/06 1200600000000000014
Exhaust Hoods $9.00 1/5/06 1200600000000000014
Furnace - up to 100,000 btu $12.00 1/5/06 1200600000000000014
Gas Fireplace $15.00 1/5/06 1200600000000000014
Gas Outlets 1-4 $4.00 1/5/06 1200600000000000014
Gas Outlets 4+ $1.00 1/5/06 1200600000000000014 ,
Mountaingate Impervious Area $1,272.14 1/5/06 1200600000000000014
Plan Review Major - Planning $150.00 1/5/06 1200600000000000014
Residence Wiring 1000 Sq Ft $106.00 1/5/06 1200600000000000014
Residence Wiring Ea Addtl 500 $95.00 1/5/06 1200600000000000014
Sanitary Sewer - Improvement $553.03 1/5/06 1200600000000000014
Sanitary Sewer - Reimbursement $727.03 1/5/06 1200600000000000014
SDC MWMC Administration $10.00 1/5/06 1200600000000000014
SDC MWMC Improvement $865.31 1/5/06 1200600000000000014
SDC MWMC Reimbursement $82.03 1/5/06 1200600000000000014
SDC Sanitary/Storm Admin $162.12 1/5/06 1200600000000000014
SDC Transpo Admin $62.78 1/5/06 1200600000000000014
SDC Transpo Improvement $805.70 1/5/06 1200600000000000014
SDC Transpo Reimbursement $182.69 1/5/06 1200600000000000014
Sidewalk Permit $80.00 1/5/06 1200600000000000014
Temp Power 200 amps or less $50.00 1/5/06 1200600000000000014
Vent Fan $18.00 1/5/06 1200600000000000014
Willamalane Single Family $1,000.00 1/5/06 1200600000000000014
Total Amount $8,748.09
2 of 4
CITY OF SPRING~lELD .
Building/Combination Permit
PERMIT NO: COM2005-01681
ISSUED: 01/05/2006
APPLIED: 12/02/2005
EXPIRES: 07/05/2006
VALUE: $ 264,422.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
LDAP Review
12/05/2005
12/02/2005
I Plan Reviews'
12/05/2005 APP
10
SKG
VRJ
~. LDAP Review
Planninl! Review
12/09/2005
12/05/2005
12/09/2005 APP
12/15/2005 APP
VRJ
TAJ
Public Works Review
01/04/2006 APP
CAS
12/0512005
Structural Review
12/05/2005
01/04/2006 APP
DLM
LDAP application submitted and is
under review. Full review LDAP.
$600.00 due at issuance.
LDAP issued 12/9/05.
Place orange construction fencing
around the dripline of trees shown
to be preserved on site plan. Follow
the Tree Protection Guidelines
attached to permit.
Need pervious pavement submittal;
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; Storm drainage piped t(
stub provided 12/6/2005 CAS
Requested corrections to plans, and
missing referenced details.
12/30/2005 dim Received requested
information 1/3/2005 dim See
documents for Plan review
comments
~. To Request an inspection call the 24 hour recording at 726-3769. AIl 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: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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.
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.
3 of 4
Status:
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-01681
ISSUED: 01105/2006
APPLIED: 12/02/2005
EXPIRES: 07/05/2006
VALUE: $ 264,422.00
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 cO,ncrete. 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 wiD remain on the site
. at all ~ ~~.ring c struction.
./~. / ..,-r~ /0./ n'S 0( 'to
crr Co';;(.;;;':;, ;'gna;u;;- - V
Date
4 of 4
-
" ." CITY OF SpttNGFIELD SYSTEMS DEVELOPMENi . JRKSHEET
JOURNAL OR JOB NUMBER: COM2005-0] 68] revised (\ 0 t.J.) _3,h. o,...o~
NAME OR COMPANY: ' Anslow & Degeneault -
LOCATlON: 6053 Femhill Loop
TAX LOT NUMBER: ] 702343406400
DEVELOPMENT TYPE: SlNGLE FAMILY RESIDENCE
NEW DWELLlNG UN]TS ] BUlLDlNG SIZE (SF: 2900 LOT SIZE (SF):
I. STORM DRAlNAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER S.F. CHARGE
I 3938.50 $0.323 = I $1,272.14
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO C]TY STANDARDS
I IMPERV]OUS S.F. x COST PER S.F. x I DISCOUNT RATE I
I 0.00 $0.323 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,272.14
r/)
~
o
u
~
11763 ~
r/)
H
c:J
~
DISCOUNT
$0.00
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 29
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 29 I
$1,272.14 i 1070
I
COST PER DFU
$25.07
$727.03
1091
$19.07
$553.03
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=,
$1,280.06
3. TRANSPORTATlON
A. REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS I x COST PER TRIP x INEWTRIPFACTOR
I 9.57 I ] I $]9.09 I 1.00 $182.69 1093
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
9.57 I ] $84. ] 9 1.00 $805.70 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = , $988.39
4. SANITARY SEWER - MWMC I'
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $82.03 = $82.03 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's I x I COST PER FEU
I I I I $865.3 ] $865.31 I 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 I 1054
I
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = 1 $957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $4,497.93
5. ADMINISTRATlVE FEE:
SUBTOTAL x I ADM. FEE RATE 1= CHARGE
$4,497.93 I 5% $224.90
TOTAL SANITARY ADMlNISTRATlON FEE: 162.] 2 11079
TOTAL TRANSPORTATlON ADMINISTRATION FEE: $62.78
--.---..-.--...... 1078
,., .. , . ... ~
Cheryl Slaymaker 1/3/2006 TOTAL SDC CHARGES =, $4,722.83
PREPARED BY DATE
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
=
2
2
1979
$0.00
o
$0.00
. \eo~
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~\'" ",~e
",'" .~e
ELECTRICAL PERMIT APPLICATION o\e(j\.~\ ~eo..v>\
t"'" ~~" (\0
City Job Number C :> - Ol'~ {Date .~-Joi\(\~ ooe'"
\l:F- (\0
LEGAL DESCRIPTION
Ll-o 1- 1 t{ ! 'I ~ I.f() 0 Service IncJuded
JOB DESCRIPTION on law ~&~at?5't')jffil~~
ATTENTION: Oreg th~lI€P..~~jtto'n\t]\~0'o sq. ft. or
>JiUt I e. r4IHJI,,~ IJ~, rules adopted by f8llig%9~FS@fforth
P r I '.. . r.~ter. Those 52-001-
Permits are non-transferable art4~pir:et~i'Q.Of ~001 0 thro~~Jfaqt'd H~e or
not started within 180 days ofisfl.,@,.;e1l~~ iSbtain copM9dJ:dau~W'e~'lin(VService or
Suspended for 180 days. 0090. You may 0 r. lNotEf~t1q@.rte\ephO~e
regolB.
~P1S 1-800-3
./)pj ny 200 Amps or less
Jr 20] Amps to 400 Amps
Address 4) () u.J q / / /s 51. c...- 40] Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
1. 3.
hDr-1 {;,NlhJ!f 1-0.
.
2.
Electrical Contractor
City
1:: 11 q f> /1 e..-
.
Phone ~3 y, r::. '17/
Expiration Date
30 If / 5
07
J() - /- ~ ~M
/~050rP
7- J- or::,
Supervisor License Number
Constr. Contr. Number
Expiration Date
Sign2Z2;?~ ~
'" Nmn, A'^~ 10"", I ~t,,,,~
Addres /C?S-S G-~~ AI .
Phone f.(~ OO?D
Inspection Request: 726-3769
I
~
14l",DC
9.J:a;
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
.-::J
c.
Installation, Alteration or Relocation
200 Amps or less J
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00 .50'00
$ 69.00
$100.00
Over 600 Amps or 1000 V o]ts see "B" above.
D.
N:ew Alteration or Extension Per ~<<t;t ,~ ~ 01
one'~' \t,f.~ ~""~\..\.. t.Yi~ ,~~\1 ~.~
Eac~ ,li N\\lu~'d . ,,\,\\~ n,,\~t\ t.O" .
Servi \S ~Ya~"'\'~ 3.00.
E.
P r...N..
ump ofimgatlOn $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercia] $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
2S7I{)O
J1s;.
. 2.S:lD
1) 2.1!Jb t-
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc
225 Fifth Street
.' .
SpringiIeld, Oregon 97477
541-726-3759 Phone
-:~:ii, _..,...~." I",.
u... .. .
~_/ ,
C;ty of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1681
COM2005-0 1681
CpM2005-0 1681
COM2005-01681
COM2005-01681
COM2005-01681
COM2005-01681
COM2005-0 1681
COM2005-0 1681
COM2005-0 1681
COM2005-0 1681
CbM2005-0 1681
CbM2005-0 1681
COM2005-01681
COM2005-0 1681
COM2005-0 1681
CbM2005-01681
dbM2005-0 1681
CbM2005-0 1681
COM2005-0 1681
dbM2005-0 1681
COM2005-0 1681
COM2005-0 1681
COM2005-0 1681
COM2005-01681
COM2005-0 1681
COM2005-0 1681
COM2005-0 1681
d,bM2005-0 1681
CbM2005-01681
COM2005-01681
,~ lyments:
T; pe of Payment
C;reditCard
,I
t
.f
'I
;r
;'i
,\
\
1/5/2006
RECEIPT #:
1200600000000000014
Date: 01105/2006
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Plan Review Major - Planning
Building Permit
3 Baths One & Two Family
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-
+ 7% State Surcharge
+ 10% Administrative Fee
Mountaingate Impervious Area
SDC Sanitary/Storm Admin
SDC Transpo Admin
Paid By
GORDON ANSLOW
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 047997 In Person
Payment Total:
1 of 1
11 :45:36AM
Amount Due
31.00
1,000.00
106.00
95.00
50.00
80.00
727.03
553.03
182.69
805.70
82.03
865.31
10.00
150.00.
1,101.90
306.00
12.00
12.00
18.00
6.00
9.00
6.00
4.00
1.00
15.00
10.00
121.93
174.19
1,272.14
162.12
62.78 '
$8,031.85
Amount Paid
$8,031.85
$8,031.85