HomeMy WebLinkAboutPermit Building 2000-6-26 (2)
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I Job# 00-00872-01 I
Page 1 of4
TRANS#:01-0002322
DATE:JUN 26 2000
AMT RECD:2 $ 8053.89
CHANGE:
CASHIER: 059
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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
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X, X, X
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..............~.~. '-.. .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.
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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
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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
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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
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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 $67,05
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225 FIFTH STREET ~onin liOWing ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 app'o~~/an(j (j~'olacta
INSPECTION REQUEST: 726-3769' as nOt ,:S"6"'ill City Job Number tJO-OO<fr';;'-O(
OFFICE: 726-3759 Dat i?oninn q"i'a s;rthaSth
a ~ . ae'~~aij"FEE SCHEDULE BELOY
1. LOCATION OF INSTALLA'lt17o&aC1 .2.. rt "sa Ing
<(~/3 f)fJr,./~ /)M/..-J Sign.,. w Residential-Single or
) ~ Mult mily per dwelling unit.
LEGAL DESCRIPTION Se 'ce Included:
/~W6'1I O}/<;oo Items Cost
JOB DESCRIPTION
fri"<
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Philins Electric. Inc.
Address l?qR Rpthp1 "rive
Ci ty Eul?enf>
Phone(1411 nRR-nl?l
Supervisor License Number ?71q~
Expiration Date 10/01/01
Constr Contr. Number 20-17Qc
Expiration Date 10/01/00
~...',"e of S'P~~""i'i""
Natnan J:'m,nps
Owners NahIe .,I(Av ,_-11___..
,,;, c.,
Address ' ~O( YIa..L$ 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"'. -
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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
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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