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Home My WebLink AboutPermit Building 2004-7-16 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 07/16/2004 APPLIED: 06/28/2004 EXPIRES: 01/16/2005 VALUE: $ 157,291.00 ~~~:;F;.'.diii"'....' "-1,.'. "at"""'" ; ( .. I. ~ ,~_.~"'"~._-<.__. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5029 Forsythia Dr ASSESSOR'S PARCEL NO.: 1802042202500 Springfield TYPE OF WORK: Single Family Residence Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: SqFt Basement: Sq Ft Garage/Carport Path 1 Sq Ft Other: . n/a Occupanru,oad: . - -'1'MA;,au I DEVELOPM~1~~;O~egonUbuty ~"oW ru as auu "thOse rules are &~IRED PARKING OverlNoD'iailtion ~~~~10 thro~gh OAf\e9~~tdy 2 # Stre\1l ~ ~ obta\n COp\esP ~ I:icapped: Paved ~)\'~ may ltJot~e tel~P lWJact: % of Lot ~~ center. \I~~ Notiti number tor the O~~0-332.-2344). . ~""r\t~r \s . I PUBLIC IMPROVEMENTS I TYPE OF USE: PROJECT DESCRIPTION: Amb Lis lot 6 - SFR Owner: Address: GARY KONOLD 3169 WOLF MEADO~s..lre~NE OR 97408 E \f 1HE WORK ,..U ",..- t'\JfI' \ f,^P\R - \r'l H~1 1\1\5 ~tt\I'4" ~ to ' r 1}\\S, p\:li\IJII r ~_H ;"U1\10R\ to tEION IMMEN Contrac '\800;"'1 PER\OO. GARY K LD FARMERS ELECTRIC PACIFIC AIR COMFORT INC RS PLUMBING CONTRACTING Contractor Type General Electrical Mechanical Plumbing License 52796 89886 39237 103816 BUILDING INFORMATION I 'V # 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 R-3 U-1 VN 1 19.00 Electric Electric Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.30 11.90 5.30 45.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: New Residential Phone Number: 342-3762 Expiration Date 03/07/2005 03/24/2005 03/25/2006 01/04/2006 Phone 541-342-4819 541-998-6772 541-672-9510 541-461-4714 7,440 1,575 484 Fully Improved Yes Sidewalk Type: Downspouts/Drains: Curbside 5' Curb and Gutter Notes: Pa2e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 07/16/2004 APPLIED: 06/28/2004 EXPIRES: 01116/2005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellin2s Gara2e Tvpe of Construction V Wood Frame Gara2e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,575.00 484.00 Value Date Calculated Description Total Value of Project $145,530.00 $11,761.20 $157,291.20 06/28/2004 06/28/2004 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $490.20 6/28/04 1200400000000000995 -Mechanical Issuance Fee- $10.00 7/16/04 1200400000000001098 + 10% Administrative Fee $111.52 7/16/04 1200400000000001098 + 7% State Surcharge $78.06 7/16/04 1200400000000001098 2 Baths One or Two Family $254.00 7/16/04 1200400000000001098 Addressing Assignment $31.00 7/16/04 1200400000000001098 Annexed 1979 or Before $-79.29 7/16/04 1200400000000001098 Building Permit $754.15 7/16/04 1200400000000001098 Curbcut Permit $75.00 7/16/04 1200400000000001098 Dryer Vent $6.00 7/16/04 1200400000000001098 Exhaust Hoods $9.00 7/16/04 1200400000000001098 Furnace - up to 100,000 btu $12.00 7/16/04 1200400000000001098 Heat Pump $12.00 7/16/04 1200400000000001098 Plan Review Major - Planning $103.00 7/16/04 1200400000000001098 PW Mult Disc - 2nd Permit $-30.00 7/16/04 1200400000000001098 Sanitary Sewer - Improvement $344.20 7/16/04 1200400000000001098 Sanitary Sewer - Reimbursement $452.80 7/16/04 1200400000000001098 SDC MWMC Administration $10.00 7/16/04 1200400000000001098 SDC MWMC Improvement $214.23 7/16/04 1200400000000001098 SDC MWMC Reimbursement $314.63 7/16/04 1200400000000001098 SDC Sanitary/Storm Admin $96.18 7/16/04 1200400000000001098 SDC Transpo Admin $52.76 7/16/04 1200400000000001098 SDC Transpo Improvement $727.42 7/16/04 1200400000000001098 SDC Transpo Reimbursement $164.89 7/16/04 1200400000000001098 Sidewalk Permit $75.00 7/16/04 1200400000000001098 Storm Drainage Impervious Area $829.84 7/16/04 1200400000000001098 Temp Power 200 amps or less $50.00 7/16/04 1200400000000001098 Vent Fan $18.00 7/16/04 1200400000000001098 Willamalane Single Family $1,000.00 7/16/04 1200400000000001098 Total Amount Paid $6,186.59 Pa2e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 07/16/2004 APPLIED: 06/2812004 EXPIRES: 01116/2005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin2 Review Public Works Review Structural Review 06/30/2004 06/30/2004 06/3012004 06/30/2004 I Plan Reviews I 06/30/2004 OK 07/15/2004 APP 07/02/2004 APP 07/07/2004 OK RJB TAJ MS 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. Sidewalk - Curbside: After forms are erected but prior to placement of concrete. Curbcut - Standard: After forms are erected but prior to placement of concrete. Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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. 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. Rough Electric: Prior to Cover Pa2e 3 of 4 CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2004-00790 ISSUED: 07/16/2004 APPLIED: 06/28/2004 EXPIRES: 01/16/2005 VALUE: $ 157,291.00 225 Fifth Street, Springfield, O~ 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. tl K~ Owner or co:Jors Signature ""1.- l (0- C) '\- Date Pa2e 4 of 4 , 225 Fifth Street Springfield, Oregon 97477 941-726-3759 Phone ruy of Springfield Official Receipt ;velopment Services Department Publ!c,Works Department Job/Journal Number COM2004-00790 COM2004-00790 . COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 COM2004-00790 RECEIPT #: 1200400000000001098 Date: 07/16/20,04 Description Addressing Assignment Willamala!1e Single Family Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Mult Disc - 2nd Permit. Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Ttanspo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMCJll}provement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Tninspo Admin Annexed 1979 or Before Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Heat Pump -Mechanical Issuance Fee- Plan Review Major - Planning. + 7% State Surcharge , + 10% Administrative Fee " t Payments: Type of Payment Paid By CreditCard GARY KONOLD Item Total: CheckNumber Authorization Received By Batch Number Number How Receiv.ed djb '000443 169980 In Person Paymellt Total: 7/16/2004 Page I of I 3:19:13PM . Amount Due 31.00 1,000,00 50.00 75,00 75,00 (30,00) . 829.84 452,80 344.20 164,89 727.42 314,63 214.23 10.00 96.18 52.76 (79,29) 754.15 254.00 12,00 18.00 9.00 6.00 12.00 10,00 103.00 78.06 111.52 $5,696.39 Amount Paid $5,696.39 $5,696.39 3. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA~h~.)'i1iC-~~fpJecta ELECTRIC~I AP1iT.rnL)IC TION rOVal. , as not r City Job Number . Date .... Zonmg - "~te B. o.x. \r \c \~\J _ 200 <\.~~lD\Xle~x.\\~\\\ J ~\),,\C't.I. ~\\ ~'o\~~S\~~o A~~ ~CJ\\ \\ \\S ?t.~\'Lt.\) ~\\A:\!~%~~\?A>mps r>-.\S\\$J~ ~Ct.~oG)~8'R~~' 1000 Amps C(\~~t: $~~r~\}bo AmpsNolts ~"{ '\ <o\) Reconnect Only C. 1. ~rESCRIPTION, \f~X ~,~ . p"m1~On~'fmble ,and exP.;" Ifw1 Is not started within 180 days of issuance or if work is Suspended for 180 days. 2. City Phone 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 portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50.00 $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50.00 \ ~\),oo $ 50,00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges rxf\ 00 ~~5Q ~ .(1) F) b.~ 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc , .... " 3. TRANSPORTATION A REIMBURSEMENT COST: I ADT TRIP RATE ' x NUMBER OF UNITS x j 9.57 1 B. IMPROVEMENT COST: I ADT TRIP RATE x I NUMBER OF ,UNITS I x I i 9.57 . I 1 I ITEM 3 TOTAL - TRANSPORTATION SDC = I 4. SANITARY SEWER-'MWMC , , A REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU , 1. $314.63 B. IMPROVEMENT COST: NUMBER OF FEU's 1 . x ICOST PER FEU I $214.23 MwMC CREDIT IF APPqCABLE (SEE REVERSE) . MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL -.MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE : $2,978,72 I. 5% TOTAL SANITARY ADMINISTRATION FEE: i TOTAL TRANSPORTATION ADMINISTRATION FEE: rfJ ~ Q o U 7406 I ~ rfJ >-< o ~ $829.84 1070 $452.80 1091 $344.20 1092 $797.00 COST PER TRIP $17,23 x NEW TRIP FACTOR 1.00 . $164.89 1093 , COST PER TRIP $76.01 $892.31 x I NEW TRIP FACTOR I 1.00 $727.42 11094 ,I I I = $314.63 1054 . ~ 1 = ,I $214.23 lOSS I ($79,29) . 1054 , $10.00 1056 $459.57 $2,978.72 CHARGE $148,94 96.'18 1079 $52.76 11078 I TOTAL SDC CHARGES' =1 $3,127.66 I I . Matt Stouder I 7/2/2004 PREPARED BY , DATE . ' DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY TIm NET ADDmONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS IBATHTUB 1 0 3 = 3 IDRINKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER/MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (l PER TRAILER) 0 0 12 = 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCWJRESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAV ATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDD'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$I,OOO ASSESSED V ALOE $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 $L71 $U2 $138 $1.19 $103 $0,87 $0.68 $0.46 $0.27 $0,09 $0,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $15.73 x $5.04 = , $79.29 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V ALOE / 1000 CREDIT RATE $0.00 x $5.04 o TOTAL MWMC CREDIT $79.29 =