HomeMy WebLinkAboutPermit Building 2004-8-20
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00932
ISSUED: 08/20/2004
APPLIED: 07/27/2004
EXPIRES: 02/20/2005
VALUE: $ 341,784.00
225 Fifth Street, Springfield, OR
541-72(,-3753 Phone
541-72(,-367(, Fax
541-72(,-3769 Inspection Line
SITE ADDRESS: 3120 Hayden Bridge Rd
ASSESSOR'S PARCEL NO.: 1702190000700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single Family Residence, Parcel 3 Journal Number SUB2003-00054 (tentative),
S UB2004-00014 (plat)
Owner: DALE KAST
Address: 2S60 MARTINIQUE AVENUE EUGENE OR 97408
Phone Number:' 541-485-2655
Contractor Type
General
Elel'f rica I
Mechanical
Plumbing
I CONTRACTOR INFORMATION ~
l\CE' ~f 1HE ORK
Contractor ~~~~. M\1 SHP\ll EXP\R ,. tiS N(}Ixpiration Date
DJS INVESTME~~ l\l.~O UNDER lH\S FOR 10/09/2004"
BOB FISHER E~ me~ OR \5 M~P\N 01125/2006
MARSHALLS INWMM~ €b Pt.R\OD. 25790 12/23/2005
EUGENE EXCA ~d~~~bMBING INC 138003 03/07/2005
I BUILDING INFORMATION I
Phone
541-485-2655
541-689-7973
541-747-7445
541-988-0868
# of Units:
Primary Occupancy Group:
Secondar~" Occupancy Group:
Primar~' Construction Type
Secondary Construction Type:
# of Bedrooms:
4
# of Stories: 2
Height of Structure 31.50
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:
18,953
1,513
1,903
1
R-3
U-1
VN
1,076
Strcet Improvements:
Storm Sewer Available:
Special Instruction:
I DEVELOPMENT INFORMATION'
laW~u\-'1JRED PARKlNG
overlaYE'~ oN~~by.tbeO\,eg ~I~
# Street' "esadOY-ihosefd\eSare !ij&a..9ped:
Paved D~ on centef. thtOUgh oAR ~~V
% OfLOli~()~~1952..oo~..()O'\~ COP\esoltne"ru e
'n YoU maY otMJ n . the te\ePhO~
n09O; '-." '\IQ ar.""'tAt tNote~\~~lJ 1 ~~.ffi,.at\On
I PUBLIC IMPKUV~r~J~'\l'\eorego~~l).o~344)'
,.-'- 1 ....t~ lA "..eO~ '
AC Mat Cia..-. "Siaewalk Type:
Yes Downspouts/Drains:
Storm Sewer to drywell
,Drywell - Provide
Drywell Engineering
Front~'a I'd Setback:
Side 1 Setback:
Side 2 Setback:
Rear~'anl Setback:
Solar Setbacks:
Notes:
Pa2e 1 of 4
---$.~ . "
Status
Issued
225 Fifth Street, Springfield, OR
541-72(l-]75] Phone
541-72(l-J676 Fax
541-726-]769 Inspection Line
Descrintion
Tvoe of Construction
Dwcllin!!s
V Wood Frame
Garae:e
Garaee
Fcc Descrintion
Plan Re,'iew Residential
~l\lcchanical Issuance Fee-
+ lWij, Administrative Fee
+ 7% State Surcharge
3 Baths Onc & Two Family
Addressing Assignment
Appliance Vent
BuildinlJ Permit
,.,
Copies - Ea Addtl @ 50 Cnts Ea
Cop~' 6th @ 75 cents
Dr~'cr Vent
Exhaust Hoods
Fn rn acc - up to 100,000 btu
Cas Fireplace
Cas Onllets 1-4
Pia n Reyiew I\'r ajor - Planning
Residencl' Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
SDC Sanitary/Storm Admin
SDC Transpo Admin
snc Transpo Improvement
SDC Transpo Reimbursement
Storm Drainage Impcrvious Arca
Tcmp Powcr 200 amps or less
Vent Fan
WilhllllaJanc Single Family
Total Amount Paid
Initial Reyiew
07/27/2004
I Valuation Descriotion I
$ Pcr Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
3,416.00
1,076.00
Total Value of Project
~
Amount Paid
Date Paid
$878.90
$10.00
$202.92
$142.04
$306.00
$31.00
$6.00
$1,352.15
$14.00
$0.75
$6.00
$9.00
$12.00
$15.00
$4.00
$103.00
$106.00
$133.00
$58.84
$47.38
$772.49
$175.13
$1,176.76
$50.00
$30.00
$1,000.00
7/26/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
8/20/04
$6,642.36
I Plan Reviews I
07/27/2004
APP LLH
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2004-00932
ISSUED: 08/20/2004
APPLIED: 07/27/2004
EXPIRES: 02/20/2005
VALUE: $ 341,784.00
Value
Date Calculated
$315,638.40
$26,146.80
$341,785.20
07/27/2004
07/27/2004
Receipt Number
1200400000000001141
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
1200400000000001245
..",.,
____ ~i.-
r
CITY OF SPRINGFIELD
, .
Building/Combination Permit
Status
[ssued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3h76 Fax
541- 726-3 769 Inspection Line
PERMIT NO: cOM2004-00932
ISSUED: 08/20/2004
APPLIED: 07/27/2004
EXPIRES: 02/20/2005
VALUE: $ 341,784.00
Plannint! Reyiew
07/27/2004
APP EMM
Puhlic Works Review
08/04/2004
08/04/2004
APP MS
Structural Reyiew
07/27/2004
APP DLM
08/11/2004
No Floodplain Development Review
required per Kay Bork, planner wh(J
worked on partition. FEMA map
only lists' corners of lot in
Floodplain. Development will not
take place in these areas. Waiting to
talk to Tara Jones regarding height
measurement.
8/4/2004 - Storm drainage to go to
drywell as per telephone
conversation w/applicant on
8/4/2004. Applicant will mark
drywell sizing and location on the
plans at building permit pickup. -
MS
See documents for plan review
comments
To RCfJlIcst an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
wi!! hc made the same working day, inspections requested after 7:00 a.m. will be made the following work
da~'.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenchcs are excavated.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
F:lcd ric Service: Approval required prior to utility company energizing service;
Final Elcctdc: When all electrical work is complete.
Line to Septic Tank: Prior to filling trench and required testing.
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.
Dr~'wafl: Prior to taping.
1I0ld 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.
Underlloor Plumbing: Prior to insulation or decking.
lJnderlloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Pa2e 3 of 4
---~..- .""
'....,j
-=-
Status
Issued
225 rift h Street, Springfield, OR
541-7211-3753 Phone
541-7211~31176 Fnx
541-726-37119 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2004-00932
ISSUED: 08/20/2004
APPLIED: 07/27/2004
EXPIRES: 02/20/2005
VALUE: $ 341,784.00
t'nr!erlloor Mechanical. Prior to insulation or decking and including required testing.
{i nelerfloor Cas: 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 Ser\'iee: After line is installed and line has been connected to a minimum of one appliance including required
lesting. Presure test done at this point.
Rough 1\ I echanicnl: Prior to Cover
rinal Cas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
By signatllre, 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 :\0 OCClJ r ANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further c(Ttif~' that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furtht'!' agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
streel, thaI the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
ti""(! 5't':=-,~____~ t(j _ :2 0 _ d Y
Owner or Contractors Signature
Page 4 of 4
Date
225-Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Numher
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM 2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
CO M 2 004-009 3 2
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
COM2004-00932
Payments:
Type of Payment
Check
8/20/2004
RECEIPT #:
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or I~ss
Copy 6th @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Storm Drainage Impervious Area
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC Sanitary/Storm Admin
SDC Transpo Admin
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu .
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
~J'viechanical Issuance Fee~
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By
DJS INVESTMENTS LLC
'~ty of Springfield Official Receipt
-"eveIopment Services Department
Public Works Department
.-I
1200400000000001245
Date: 08/20/2004
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
3943
In Person
Payment Total:
. t. .. ......~ I t el'
.. '
. t. ~ ~.. -:>
t".')-,, .
Page 1 of 1
11:43:40AM
Amount Due
31.00
1,000.00
106.00
133.00
50.00
0.75
14.00
1,176.76
175.13
772.49
58.84
47.38
1,352.15
306.00
12.00
30.00
6.00
9.00
6.00
4.00
15.00
10.00
142.04
202.92 '
103.00
$5,763.46
Amount Paid
,.
$5,763.46
$5,763.46
I .' ; ~
CITY OF ~~INGFIELD SYSTEMS DEVELOPME~~ORKSHEET
JOURNAL OR JOB NUMBER: C0M2004-00932
NAME OR COMPANY: Dale Kast
LOCATION: '3120 Hayden Bridge Road
TAX LOT NUMBER: 17021900 Tax Lot 00700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
2409.00 I $0.310 = I $746.79
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F: x' I COST PER S.F. x I DISCOUNT RATE I DISCOUNT
2774.00 I $0.310 I 50% = I $429.97
ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,176.76
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 25
COST PER DFU
$24.04
B. IMPROVEMENT COST:
NUMBER OF DFU's I x I -
25 I I $18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRJP RATE x
I 9.57
B. IMPROVEMENT COST:
ADT TRJP RATE
9.57
. NUMBER OF UNITS' x I
I I
I NUMBER OF UNITS x I
I 1 I
=,
x
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $82.03
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
=,
$0.00
o
$1,176.76
$0.00
$0.00
$175.13
$772.49
=
$0.00
r:/)
~
~
o
u
~
~
E--<
r:/)
>-<
c:;
gz
1070
1091
1092
1093
1094
I 1054
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE
I $2,12438 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
COST PER TRIP
$18.30
x 'NEW TRIP FACTOR'
1.00
58.84
$47.38
Matt Stouder
8/4/2004
1079
! 1078
PREPARED BY
DATE
COST PER TRIP
$80.72
$947.62
x INEWTRJPFACTOR'
I 1.00
TOTAL SDC CHARGES
= I $2,230.60
>-
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNlTS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH 1 ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRlG 1 WATER STATION 1 ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 2 0 2 = 4
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1
IURINAL, STALL! WALL ,0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 25
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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
o
1979
CREDIT FOR LAND (IF APPLICABLE)
. VALUE 1 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
TOTAL MWMC CREDIT
$0.00
=
B.
b~'l) ~-5Jr-/~~-~~tSH~I~~\i\M\I IS NOi
. ~U1HOR\Zt.O UNO ~~p\t~WDQ)~~~
/(;. /14_CJtm~$OR ps to 600 Amps
/ ~~~ -~O_ QP\'i PE,\};OI Amps to 1000 Amps
Phone /; S' 9'- I) '173 Over 1000 Amps/Volts
:'e / _,' '/\./ - ~/:' c, f' Reconnect Only
1.
L ~m \ \r1ffi
LE~L~0~XXm\OC)lcn )
JOB D.ESCRIPTION- 4,4P\,z:
~~~~o~~~~ ~X~:;f::I~
not started within 180 days I~suance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address / rOt;
City ;:]7 L/-t:.' // f.
/
Supervisor License Number
,19' t7--" .S'
/ - ,;J ('"'; ('J //'
9~' ,.-'J/) --
Expiration Date
,/c;
Constr. Contr. Number
Expiration Date // - G~-).5
Signature of Supervising Electrician
~LPP 1-~
~ .
Owners Name ~ ~(\ ~
Address lJ.. ~() \\\~ f\ \r\ \ ) e..
Gty h'f\~r.e.; 'Phone ~.~
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
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
pOliion thereof
, Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
\ Olo.ex)
\ ?J~CP
\
fJ
$ 19.00
./
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
$ 50.00
5DrP
$ 3.00
Pump or irrigation
Sign/Outline Lighting
Limited EnergyIResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
Q0Qpo
'L[J.YLt'l,
~ }J) .0...0
~~9J. ~~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-03.doc