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Home My WebLink AboutPermit Building 2000-6-26 (2) I i . . I Job# 00-00872-01 I Page 1 of4 TRANS#:01-0002322 DATE:JUN 26 2000 AMT RECD:2 $ 8053.89 CHANGE: CASHIER: 059 ... ~ CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-00872-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 4013 Douglas Dr Spr Assessors Map#: 18020611 Lot: 62 Block: Addition: Owner: Address: Tax Lot #: 08500 Subdivision:Jasper Park Hayden Enterprises Inc 2622 Sw Glacier PI #110 Phone Number: 541-923-6607 City/State/Zip: Redmond, OR 97756 New Value: $77,533 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Contractor Registration # Hayden Enterprises Inc 92208 2622 Sw Glacier PI #110, Redmond,:OR " "".' "', 97756 follo' '.' ' '.. ",' \'nrf Philips Electric Inc '0 (" 1298 Bethel Dr, Eugene, OR ~(,402-2003 , Efficient Heat & Air Cc ' nl,'m,.!;:' Expiration Date 7/29/2003 Phone 541-923-6607 ~ .' ...... J'~' , , 54438 9/19/2001 541-688-6121 , .'j . ...c X, X, X . -"". ~. c " ".'- ....._..1'- ..............~.~. '-.. .r~'1:.\~.:...~ ~r~.~.'..J ' 103570 . 1/1/2001 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 541-895-3758 Office Use Land Use: Single Family Dwelling # Of Buildings: 1 Zoning Code: ",~DB. Occupancy Group: Dwelling Bedrooms: '30 I ICE: Heat Source: Wall Heat Range: ~Ei~cffiO"lMIT SHALL EXPlf~[-F~~g!'}RK 1 008 MU I nUHILl:U UI\IUl:H THIS PERMIT I~ NOT To request an inspection call the 24 hour recording at 72f1.<3'].169'NffAII~nsp.ections requesterl before 7:00 ~.....,~ 'W'!j_ Jl:..'" '::1I~t\tH''''J .. )l\tl-I~L.-"U a,m, will be made the same working day, inspections reQuesteo a er 7:00 a~m. will be mace tlie following working day. AIW 180 DAY PERIOD. Quad Area: # Of Units: Constr. Type: Water Heater: Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing 3RSC 1 (VN) Wood Frame Electric Required Inspections I Buildinll I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. -Prior to floor insulation or decking, -Prior to decking, - Prior to cover. - Before covering sheathing with finish materials, - Prior to cover. ,. Wall Insulation Drywall Hold Downs Installed Final Building Tem'porary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Rough Mechanical Final Mechanical Sidewalk . I Job# 00-00872-01 I Required Inspections Buildinll . -Prior to Cover .Prior to taping. Page 2 of 4 - When all required inspections have been approved and the building is complete. I Electrical I -Approval required prior to SUB energizing pole. - Prior to cover. -Must be approved to obtain permanent power. - When all electrical work is complete. ' I Plumbinll - Prior to insulation or decking, - Prior to cover or placement of concrete, - Prior to cover, - Prior to filling trench, - Prior to filling trench, -Prior to filling trench, - When all plumbing work is complete. Mechanical - Prior to cover, -When all mechanical work is complete. Public Works Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Curbside - 5' D 8 To Curb and Gutter San S~wer Tee (in): 6 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM NO NEW CURBCUT PERMITTED - UTILIZE EXISTING DRIVEWAY Types Of Warning Devices Reqd. . ,. , Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: I Job# 00-00872-01 I Overlay District: # of Street Trees: 2 . 3: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D ,Area (Sq. Feet) I Main: 1008 AccessoryllOO Fee Hourly Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Dryer Vent Mechanical Issuance Flood Plain FEMA: n/a Page 3 of4 Land Use: Single Family Dwelling Pave Driveway? 0 Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1408 Paid On Receipt# Plan Check 06/05/2000 Building 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 Electrical 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 Plumbinll 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 Mechanical 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 Value/Quantity I Fee Amount 2 $80.00 $80.00 77,533 $367,00 $25,69 $11,01 $403.70 1 1 1 $85.00 $15,00 $40.00 $9.80 $4.20 $154.00 1 $.00 $160.00 $11,20 $4.80 $176.00 1 $4.50 $7,50 $.45 $3,00 $10,00 1 . . ~. Job# 00-00872-01 Paid On Receipt# r Mechanical 06/26/2000 2322 Page 4 of 4 Value/Quantity Fee Amount I Fee State Surcharge For Mechanical Permit Total Mechanical New Sidewalk Total Public Works Public Works 06/26/2000 2322 50 Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development System Development 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 06/26/2000 2322 15 2,252 18 1 1 1 1 S.F, Residence. Willamalane Total Wi llama lane SDC Grand Total Plan Check Type Initial Review-Res Engineering-Res Planning-Res Structural-Res Willamalane SDC 06/26/2000 2322 1 Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Completed 06/07/2000 ' 06/14/2000 06/15/2000 06/19/2000 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 701.055 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, Signature Date $1,05 $26.50 $60,00 $60.00 $522.46 $868,86 $491,60 $242,76 $22,05 $10,00 $104,53 $-67,05 $2,195.21 $1,000.00 $1,000.00 $4,095.41 . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-00872-0 I NAME OR COMPANY: HAYDENENT LOCATION: 4013 DOUGLAS DRIVE TAX LOT NUMBER 18-02-06-11-08500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE = DWELLING UNITS: BUILDING SIZE: 1408 LOT SIZE: 6575 1. STORM DRAINAGE IMPERVIOUS SQ. IT, 2252,00 x $0.232 PER SQ, IT, $522.46 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48.27 PER PFU $868.86 I 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $486.73 PER TRIP x $486,73 PER TRIP $491.60 I $0.00 TOTAL TRANSPORTATION SDC $491.60 I 4, SANIT AR Y SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242,76 1 B. IMPROVEMENT COST: NUMBER OF FEU's x $22,05 PER FEU $22,05 I ($67,05)1 $10,001 $207.76 I $2,090.68 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, &4) 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0,05 $104.53 I ~T~ SDC COORDINATOR 06/14/2000 DATE TOTAL SDC CHARGES I $2,195.21 I - ~ PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS .!!:!QI!tFOR REMODELS. CALCULATE O~ Y THE NET ADDITIONAL FIXTURES' FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TUB/CLOTHESW ASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DlSHW ASHERJETC. SHOWER. SINGLE STALL SHOWER. GANG (NUMBER OF HEADS) SINK: BAR. COMMERCIAL. RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 2 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=I 18 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEP ARA TEL YEAR RATE PER $1,000 YEAR RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 or before $4.47 1989 $2,18 1980 $4,38 1990 $ 1.75 1981 $4,32 1991 $ 1.3,5 1982 $4,20 1992 $1.17 1983 $4.03 1993 $ 1.03 1984 $3.88 1994 $0.86 1985 $3.68 1995 $0.71 1986 $3.38 1996 $0.57 1987 $3.03 1997 $0.39 1988 $2.62 1998 $0.18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47 x 15,000 $67,05 IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0,00 CREDIT TOTAL $67,05 .J rha ~o 225 FIFTH STREET ~onin liOWing ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 app'o~~/an(j (j~'olacta INSPECTION REQUEST: 726-3769' as nOt ,:S"6"'ill City Job Number tJO-OO<fr';;'-O( OFFICE: 726-3759 Dat i?oninn q"i'a s;rthaSth a ~ . ae'~~aij"FEE SCHEDULE BELOY 1. LOCATION OF INSTALLA'lt17o&aC1 .2.. rt "sa Ing <(~/3 f)fJr,./~ /)M/..-J Sign.,. w Residential-Single or ) ~ Mult mily per dwelling unit. LEGAL DESCRIPTION Se 'ce Included: /~W6'1I O}/<;oo Items Cost JOB DESCRIPTION fri"< Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Philins Electric. Inc. Address l?qR Rpthp1 "rive Ci ty Eul?enf> Phone(1411 nRR-nl?l Supervisor License Number ?71q~ Expiration Date 10/01/01 Constr Contr. Number 20-17Qc Expiration Date 10/01/00 ~...',"e of S'P~~""i'i"" Natnan J:'m,nps Owners NahIe .,I(Av ,_-11___.. ,,;, c., Address ' ~O( YIa..L$ J:... c:. Ci ty ~11 lei Phone PN~O'loo 0\lNER INSTALLATION The installation is being made on property I own which is not. intended for sale, lease or rent. owners Signature: -------------1'-7--------------------- DATE: lO' ,l.a') , RECEIPT It: ' ~~~ RECEIVED BY: --U 1<:" 1000 sq.fi. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular Dwelling " Service or Feeder ,B. Services or Feeders Installation, Alterations or Relocation: ~ Sum ---L- $ 85.00 6'>, OQ , $ 15.00 15," .$ 40.00 $ 50.00' $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only <it.- 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" D. Branch Circuits above " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation ,Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35 . 00 $ 2.00 not included) $ 40.00 -$ 40.00 $ 20.00 $ 36.00 1"'6. '""- r,.3q' J.i ;;w IS"'. - . . A.~ ' .. ~""'Willamalane '"t, ""!' Park & Recreation District Job. No. m.a)~n~ 0\ ;'. SYSTEM DEVELOPMENT CHARGE WORKSHEET ,NAMEl.(fu.JJ~f\ fg\~~r\~~ ADDRES~G.~.t'.lDi LOCATION OF PROPOSED BUILDING SITE: Street Address: 4\)\ ~ ~S- Dri VQ/ Plat Name: ~\fr m rt.J Tax Lot Number: \<iOSD\o\ \1) ~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I ype definitions are on the back.) PHONE:l44, (O~lQ( P STATE: to- ZIP: Q-,I~ A. BinolA-Fflmilv DAtfl~hAr! \ Single Family home NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ \rYD pU B. SinalA-Fflmilv At1flchAn NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M::mllfflctllrP.rf Hnmfl Pflrl\ NO. OF UNITS X $699 per unit c $ \ rro ,cO WILLAMALANE SDC $ 2. SDC CREDIT (U applicable) SDCi>ayer must fumish proof of rX Willamatane Credit approval. See SOC Credit WotKsheet. $ JU 3. TOTAL WILLAMALANE N SDC ASSESSED (If SDC reduced for Credit) \niJ t ~(\r\ , Development ~e~ Department City of Springfield $-IDOhp:J ~ IS'! ICO Date . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00206 ISSUED: 03/15/2004 APPLIED: 02/20/2004 EXPIRES: 09/15/2004 VALUE: $ 129,046.00 rl . ~, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4019 Dougtas Dr ASSESSOR'S PARCEL NO.: 1802061111100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: SFR - tot 12 Shady creek Owner: BRUCE WIECHERT Address: 3375 PARK HlLLS EUGENE OR 97405 " I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Contractor BRUCE WIECHERT CUSTOM HOMES INC L & E ELECTRIC INC C & D HEATING License 101717 105475 150915 BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 R-3 U-l VN # of Stories: 1 Height of Structure 20.00 Type of Heat: Forced Air Gas Water Type: Gas Range Type: Electric Energy Path: Path 1 3 . SETBACKS I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 15.00 8.00 14.00 0.00 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: New Residential Phone Number: 541-686-9458 Expiration Date 09/16/2006 03/30/2004 04/02/2004 Phone 541-686-9458 541-933-2653 688-1657 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 5,850 1,278 451 2 REQUIRED PARKING Total: 2 Handicapped: Compact: Yes 29.50 ~ Storm Sewer Available: SpeciallnstrucliJ0ilCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: &: b'd 5' ur Sl e D-.. ~ - t"fD "1'" reqUlrec" VOb ,,' G ATTENl . ,!!wnspou_s ra ns: ur anl'y utter follow rules adopted by the ~:e.;: S~~'~'~rt Ilotification Center. Those rUh OAR 952-00 R 952-001-001 0 throug , n OA btain copies of the rules 1 0090. :ou r:a~e~ter. (Note: the telephone n~~~;r i~r the Oregon Utility Notification r~~'M;~ 1_A:'\n_~:'\?-2344l. Fully Improved Yes Notes: Paee 1 of 4 . . CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2004-00206 ISSUED: 03/15/2004 APPLIED: 02/20/2004 EXPIRES: 09/15/2004 VALUE: $ 129,046.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellines Garaee V Wood Frame Garaee $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 1,278.00 451.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $118,087.20 $10,959.30 $129,046.50 02/2012004 0212012004 U'PP< P~\lU Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $431.05 2/20/04 1200400000000000230 -Mechanical Issuance Fee- $10.00 3/15/04 1200400000000000323 + 10% Administrative Fee $118.72 3/15/04 1200400000000000323 + 7% State Surcharge $83.1 0 3/15/04 1200400000000000323 2 Baths One or Two Family $254.00 3/15/04 1200400000000000323 Addressing Assignment $31.00 3/15/04 1200400000000000323 Building Permit $663.15 3/15/04 1200400000000000323 Curbcut - Overwidth Appl $35.00 3/15/04 1200400000000000323 Curbcut Permit $75.00 3/15/04 1200400000000000323 Dryer Vent $6.00 3/15/04 1200400000000000323 Exhaust Hoods $9.00 3/15/04 1200400000000000323 Furnace - up to 100,000 btu $12.00 3/15/04 1200400000000000323 Gas Fireplace $15.00 3/15/04 1200400000000000323 Gas Outlets 1-4 $4.00 3/15/04 1200400000000000323 Heat Pump $12.00 3/15/04 1200400000000000323 Plan Review - Planning $71.00 3/15/04 1200400000000000323 PW Mult Disc - 2nd Permit $-30.00 3/15/04 1200400000000000323 Residence Wiring 1000 Sq Ft $106.00 3/15/04 1200400000000000323 Residence Wiring Ea Addtl 500 $38.00 3/15/04 1200400000000000323 Sanitary Sewer - Improvement $309.78 3/15/04 1200400000000000323 Sanitary Sewer - Reimbursement $407.52 3/15/04 1200400000000000323 SDC MWMC Administration $10.00 3/15/04 1200400000000000323 SDC MWMC Improvement $214.23 3/15/04 1200400000000000323 SDC MWMC Reimbursement $3 I 4.63 3/15/04 1200400000000000323 SDC Sanitary/Storm Admin $99.80 3/15/04 1200400000000000323 SDC Transpo Admin $54.08 3/15/04 1200400000000000323 SDC Transpo Improvement $727.42 3/15/04 1200400000000000323 SDC Transpo Reimbursement $164.89 3/15/04 1200400000000000323 Sidewalk Permit $75.00 3/15/04 1200400000000000323 Storm Drainage Impervious Area $929.16 3/15/04 1200400000000000323 Temp Power 200 amps or less $50.00 3/15/04 1200400000000000323 Vent Fan $18.00 3/15/04 1200400000000000323 Willamalane Single Family $1,000.00 3/15/04 1200400000000000323 Total Amount Paid $6,318.53 Paee 2 of 4 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plan nine Review Public Works Review Public Works Review Structural Review . . CITY OF SPRIl'Ijld'lELD Building/Combination Permit PERMIT NO: COM2004-00206 ISSUED: 03/15/2004 APPLIED: 02/20/2004 EXPIRES: 09/1512004 VALUE: $ 129,046.00 I Plan Reviews I 02/20/2004 02/20/2004 APP RJB 02/20/2004 03/03/2004 APP TAJ 02/20/2004 02/2112004 APP VRJ Applicant has submitted for an overwidth driveway 2/21/04, PW's is waiting for approvat from Traffic. 02/24/2004 02/24/2004 APP VRJ Overwidth driveway application approved 2/23/2004 with conditions: "The transition wing will start at the drain inlet." See overwidth application. 02120/2004 03/09/2004 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. IRpm~ 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. I Curbcut - Overwidth: After forms are erected but prior to placement of concrete. 27 Rough Mechanical: Prior to Cover 28 Final Mechanical: When all mechanical work is complete. 29 Rough Etectric: Prior to Cover 30 Electric Service: Approval required prior to utility company energizing service. 31 Final Electric: When all electrical work is complete. 3 Erosion/Grading Inspection: After all erosion measures are in place. 4 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Post and Beam: Prior to Ooor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. II Wall Insutation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is comptete. 16 VnderOoor Plumbing: Prior to insulation or decking. 17 VnderOoor Drain: Prior to cover or placement of concrete. 18 Rough Plumbing: Prior to cover and including required testing. 19 Sanitary Sewer Line: Prior to filling trench and including required testing. 20 Water Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all ptumbing work is complete. Paee 3 of 4 . . CITY 01< l:)1"1uNGFIELD Building/Combination Permit PERMIT NO: COM2004-00206 ISSUED: 03/15/2004 APPLIED: 02/20/2004 EXPIRES: 09/15/2004 VALUE: $ 129,046.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 23 UnderOoor Mechanical. Prior to insulation or decking and including required testing. 24 UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliance. 25 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 26 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. 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 e loyees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all requir spections are requested at the proper time, that each address is readable from the ::"'l~~ m.. ,,""" ." 'R" .m, 'R"",...d ili, ,,~~.~.m ~..... ili..'" " '" Ow~ Date Paee 4 of 4 ,0" ~'D '$'0 1>" ~~ ,fb.~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-3689 .;ro~'t~'" ELECl'RICALPERMIT APPliCATION ~~ ~,o<,,~ City Job Number COI'l<\'Z.O04-ool..0'=vate ~ '/.J7tJ~ 0",~tI>00 I ~'b<:' ~~~: -- ".~,,,. ."",~, "'g't..r"~"~ ,"'" ...:~~~... '. . -_0.'-<;""~''''''''<$i 1. Il'.flU ,OC(1Q .' meo1'l/c '..."",{ 3.' !Ln'i~~' . ,.;r,;';;'V"'-"; lii>L,' ":k-.' .... "" ","" ~t:J . "",,,,J$iii '". "",-",<",-- ,,"PC,,""". ' , - ' ''''',' "" ''''":''l'''~ 1"~ .-.llij LE~;ES~TION QV~\ ~S A.i&~:i~_~_~~ i bOL obr ( ) 1100 Service Included ,,0) I b JOB DESCRIPTION .{.' , , 1000 sq. ft. orless $106.00 10 ~ I if) tvlQ Each additional 500 sq. ft. or Z (7 <::::, t-fL Cl( "( A 1\ portion thereof $ 19.00 :3 0 Permits are non-tran:rable and expire ffw rk is Each Manufact'd Home or not started within 180 days of issuance or if work Is Modular Dwelling Service or $50.00 Suspended for 180 days. Feeder . . ~~~~i_~~";~;:i.~ B ~~~~:.'~~~~~d~fi"I<.~\J ' ~. ~~~ '. ,~~'t';~~~ ..' -,:, !!k~,',ti:t;T~-iE~~~~~~~~;4~.!i! Electrical Contractor LiE E/Pr)nc. Address r,)gJ.~ Jor].t,.l AueJ ed . pry OF SPOGFIELD, OREGON, C) .' City Sf' (!.I d Phone '13.3 -J,5'1i3 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Q;,er 1000 Amps/Volts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number '11/1(-5 ~::~~C'''Th - ~\t'n~_~ .-,~. ': C.em '." ' ceam~'" , ' ~" ''''' '. ~.'" . ~.:' . -".....N'J~ Expiration Date 10-01 "OLf Installation, Alteration or Relocation I 200 Amps or less $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Volls see "a" above, , fF.iiW'll\.""'Gim~~,~~A:~~~\t'.~'! D.~~\...~~~~~ 5'0 Constr. Contr. Number I () 54 l S Expiration Date '3 - i L) - 0 If New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with n W.. I.A Service or Feeder Pennit OwnCT1lName\"">r\J~ \eOY~1It CvS~ lfo-,<..<~ Address3~)~- PIA...-Il. l-h;\I.s,'/II'" ".' , E'_~1E!I1lbT" -"'-'~Yl.llllaw qUlresyouto City E V4P1\ e. Ph9liO~~f.[L1'Msr~Pted by ttlS1@p~tml0limy $ 50.00 .J in vlIT'l,,;ill,on \;enter. Those SilloiAYl\!PsdtillblW!l ' $ 50.00 OWNER INSTALLATION 00~~~9S2-001-001 0 thro~~gy(Jgfidential $ 25.00 . 'au may obtain copi"~ ~f u- . The installation is being made on ~Mun.. 'C'!!i~h" (N J:.UDlleQ IlDett!9LCblJunerclal $ 45.00 . . ded ~ I I ~'<"'" nero otli!: the Ie hOlJ ' IS not mten lor sa e, ease or reIJ1{Jmber for the OregMlWl\m ee 'ic~If.!l-mit Inspection Fee is $45.00 + Surcharges ^-."- S' Center is 1-800 3 ~ ".J .0.."",." 'I VWllet'll Ignature: ... " : ,. "., . ~~"""m-'Jl'" Sign@~;;2t/L;~ $ 43.00 $' 3.00 I 'llf n~t , <:;40 72b, 9~ NnTlr.I=' THIS PERMIT SHALL EXPIRE IF THE WORK Inspection RWJ~r,rlji'i3769JOER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 7% State Surcharge ' 10% Administmtive Fee TOTAL Shared Drive(T:)IBuiJding FormsIEIoctrica1 Permit APt>lication 1-Il3,doc CITY OF SP!GFIELD SYSTEMS DEVELOPMENT_RKSHEET JOURNAL OR JOB NUMBER: C012004-00206 NAME OR COMPANY: Bruce Wiechert LOCATION: 4019 Douglas TAX LOT NUMBER: 180206111111100 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF; 1729 LOT SIZE (SF): I. STORM DRAINAGE -r; ._.i\f>9 0 o u ~ 5842 ~ l6 gj DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, ,I COST PER S,F, I I CHARGE I 3204,00 I $0,290 = I $929,16 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F, I ,I COST PER S,F, I' I DISCOUNT RATE I r DISCOUNT I 0,00 I I $0,290 I 50% I ~ I $0,00 ITEM I TOTAL - STORM DRAINAGE SDC $929.16 I 2, SANITARY SEWER - CITY $929.16 1070 I I A. REIMBURSEMENT COST: I NUMBER OF DFU's I ,I COST PER DFU I 18 I I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I, COST PER DFU I 18 I $17,21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I , I NUMBER OF UNITS I I 957 I I I B. IMPROVEMENT COST: I ADT TRIP RATE I , I NUMBER OF UNITS I I 9,57 I I I ITEM 3 TOTAL - TRANSPORT A TION SDC $407.52 1091 $309.78 1092 $717.30 , I COST PER TRIP , INEW TRIP FACTORI I $17,23 I 1.00 , I COST PER TRIP , INEW TRIP FACTORI I $76,01 I 1.00 ~ , $892.31 $164.89 1093 11094 $727.42 4, SANITARY SEWER - MWMC A, REIMBURSEMENT COST: INUMBER OF FEU's I , ICOST PER FEU I I I I $314,63 B. IMPROVEMENT COST: INUMBER OF FEU's I , I I I $314.63 1054 = ICOST PER FEU I $214,23 $214.23 $0.00 $10.00 1055 = MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , SUBTOTAL (ADD ITEMS I, 2,3, & 4) ~ , 1054 1056 $538.86 $3,077,63 5, ADMINISTRATIVE FEE: ISUBTOTAL I ' I ADM, FEE RATE I~ I $3,077.63 I 5% TOTAL SAN IT AR Y ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: CHARGE $153,88 99,80 1079 $54,08 11078 $3,231.51 I J_ Virginia Jurasevich PREPARED BY 2/21/2004 TOTAL SDC CHARGES DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES :< UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL RXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS I BATHTUB 1 0 3 = 3 IDRlNKING FOUNTAIN 0 0 1 = 0 I FLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL! SOLIDS / ETC, 0 0 3 = 0 I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 ICLOTHESW ASHER - 3 OR MORE (EAl 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0 iRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 iSHOWER. SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = I 0 SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = I 3 SINK: COMMERCIAL BAR 0 0 2 = I 0 SINK: WASH BASINIDOUBLE LAVATORY 1 0 2 = I 2 ISINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = I 1 I URINAL, STALL! WALL 0 0 5 = I 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = I 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = I 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 18 .EDU (Equivalent DwellinJZ Unit) is a discharp:e equivalent to a sinl?:le family dwellinJZ unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE II I I YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RA TE/$I ,000 ASSESSED VALUE $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 $1.71 $1.52 $1.38 $1.19 $1.03 $0,87 $0.68 $0,46 $0,27 $0.09 $0,04 ~D ELGIBLE FOR ANNEXATION CREDIT? I '0 L~" (Enter I for Yes, 2 for No) I IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? I (Enter I for Yes, 2 for No) I BASE YEAR I o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE/1000 .CREDlTRATE $0,00 x $5,04 ~ , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) V AWE /1000 CREDIT RATE $0,00 x $5,04 o TOTAL MWMC CREDIT SO,OO = IL 225 F[fth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 COM2004-00206 Payments: Type of Payment CreditCard <I' ",~'''';'!C''.'"~'~'!'_".'''''. Wit', ' , ' , -'1'"., J --, . '~ rI Receipt #: 1200400000000000323 Description Building Permit Addressing Assignment Willamalane Single Family Sidewalk Permit Curbcut Permit PW Mull Disc - 2nd Permit Curbcut - Overwidth Appl Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin SDC MWMC Improvement Plan Review - Planning 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Purnp -Mecbanical Issuance F ee- Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Received By dim Check Number Batch Number Authorization Number Paid By BRUCE W WIECHERT 000324 012228 City of Springfield Omaal Receipt Development Services Department Public Works Department Date: 03/15/2004 2:01:42PM Amount Paid 663,15 31.00 1,000,00 75,00 75,00 (30,00) 35,00 929,16 407,52 309,78 164,89 727.42 314,63 10,00 99.80 54.08 214.23 71.00 254.00 12.00 18.00 9.00 6.00 4.00 15.00 12.00 10.00 106.00 38.00 50.00 83,10 118,72 $5,887.48 . ":' " . ~ 1 -J . Item Total: How Received In Person Payment Totat: Amount Paid $5,887.48 $5,887.48