HomeMy WebLinkAboutPermit Building 2005-4-21 (2)
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3313 Falcon Dr
ASSESSOR'S PARCEL NO.: 1702193406000
. CITY OF SPK11~ljt<IELD
Building/Combination Permit
PERMIT NO: COM2005-00378
ISSUED: 04/21/2005
APPLIED: 04/01/2005
EXPIRES: 10/21/2005
VALUE: $ 244,198.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Ambleside 1st lot 94 - Single Family Residence
i
Owner:
Address:
RIVER VALLEY BUILDERS INC
PO BOX 2041
~ORV ALLIS OR 97339
fnr!:~.'~~: ..Oreg~ raw requires YOU to
. - - -,,-..._.. IJJ UItJ uregon Ufju.,ity
. ~J{tW~.J"c.' -
~JrnR'INFORlWAlTmJll esetforlb
j ! ! I ~YJ ~w \Ill uJg"rrJ;!; 952-001_
Contractor 0090,. You may obtain CCllicemflthe ~tion Date
RIVER VALLEY BUn .ffilfCf:~center. (Ncitell~ telephoneO'l/I5/2007
G & E ELECTRIC IN~m er for the Oregonttlllllv Notjficatforll91I5/2007
MIDWAY MECHANICAL INEonter Ia 1-8OO-3&ttH44). 01/3012007
MIDWAY PLUMBING INC 4687 07/25/2008
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occnpancy Group:
,j Secondary Occupancy Group:
Primary Construction Type
. Secondary Construction Type:
:! # of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
20.30
6.20
8.00
26.10
0.00
Residential
Phone
541-367-1618
541-967-7045
541-928-2423
541-928-7927
BUILDING INFORMATION I
I
R-3
U
VN
# of Stories: 2
Height of Structure 29.75
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path I
Sprinkled Bnilding: n/a
478
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,360
1,086
1,331
I DEYELOPMEN-UNFORMAliI9lW- .HE WORK
A'UTH'ORIZED UNDER THIS PERMIT IS NOT
cor.Hy,'i:~;I,~fqJstiR IS ABANDONED FOR
ANY# Street r",ees,Rgd:, I
1 Mil. Uf'..1 t"crHUU
Pafeu urive Rqa: ' Yes
% of Lot Coverage: 29.10
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Street Improvements:
.i Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I
Fully Improved
Yes
Sidewalk Type:
DownspoutsIDrains:
Curbside 5' .
To Storm Sewer
,Notes: Storm drainage to stub provided 4/5/2005 CAS
Paee I of4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
Garaee
Dwellines
Garaee
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 70/0 State Surcharge
3 Baths One & Two Family
Addressing Assignment
Building Permit
Curbcut - Additional Driveway
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
PW Disc - 2nd Permit (Street)
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
.
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
2,413.00
502.00
Total Value of Project
Fpp< P'\iIiU
Amount Paid
$673.99
$10.00
$147.49
$103.24
$306.00
$31.00
$1,036.90
$40.00
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$103.00
$-30.00
$548.40
$721.20
$10.00
$865.3 I
$82.03
$131.61
$62.85
$772.49
$175.13
$80.00
$714.69
$50.00
$24.00
$1,000.00
$7,797.33
Date Paid
4/1/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
4/21/05
Paee 2 of4
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00378
ISSUED: 04/21/2005
APPLIED: 04/01/2005
EXPIRES: 10/21/2005
VALUE: $ 244,198.00
Value
Date Calculated
$231,648.00
$12,550.00
$244,198.00
04/01/2005
04/01/2005
Receipt Number
1200500000000000407
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
1200500000000000483
.
.
CITY OF SPRINGFIELD.
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-00378
ISSUED: 04/21/2005
APPLIED: 04/01/2005
EXPIRES: 10/21/2005
VALUE: $ 244,198.00
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
04/04/2005
04/04/2005
04/04/2005
I Plan Reviews I
04/04/2005 APP
04/20/2005 APP
04/05/2005 APP
SKG
TAJ
CAS
Storm drainage piped to stub
provided 4/5/2005 CAS
Structural Review
04/04/2005
04/20/2005
OK
RJB
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be mad" the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rpnnirptllnsneetions I
Erosion/Grading Inspection: Prior to gronnd disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjnnction 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 tbe building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backf"I1I.
Vnderfloor Plumbing: Prior to insulation or decking.
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.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Paee30f4
.
.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00378
ISSUED: 04/21/2005
APPLIED: 04/01/2005
EXPIRES: 10/21/2005
VALUE: $ 244,198.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54t-726-3769 Inspection Line
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
UnderOoor Mechanical. Prior to insulation or decking and including required testing.
UnderOoor Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
.','
Electric Service: Approval required prio~ to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
. the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made ofany 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 he used on this project.
I further agree to ensure tha equired inspections are requested at the proper time, that each address is readable from the
street, that the rmit car~s I ated t the front of the property, and the approved set of plans will remain on the site at all
ti nstructio . '.'
" 4:-:1I-Q-5
Owner or Contractors Signature
Date
Paee40f4
225.Fifth Street
Springfield, eregon 97477
541-726-3759 Phone
.
""~.RIN~IELD ,
1Iii" -~'-~. ~~,',~ 1.1,
". ,
r"".'-r-., '~
", ,
_, ._ .,.' ,A,' ',.
...ity of Springfield Official Receipt
.evelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
CbM2005-00378
COM2005-00378
COM2005-00378
CbM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
COM2005-00378
Payments:
Type of Payment
CreditCard
:,
,
f
4/25/2005
:1
RECEIPT #:
1200500000000000483
Date: 04/21/2005
Description
Addressing Assignmenl
Willamalane Single Family
Temp Power 200 amps or less
Curbcut - Additional Driveway
Curbcut Permit
PW Disc - 2nd Permit (Street)
Sidewalk Permit
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
RJVER V ALLEY BUILDERS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 161419 In Person
Payment Total:
Page I of I
IO:56:50AM
Amount Due
31.00
1,000.00
50.00
40.00
80.00
(30.00)
80,00
714,69
721.20
548.40
175.13
772.49
82,03
865,31
10.00
131.61
62.85
103.00
1,036.90
306.00
12.00
24.00
9,00
6,00
4.00
15,00
12,00
10,00
103.24
147.49
$7,IZ3.34
Amount Paid
$7,123,34
$7,123.34 .
CITY OF _INGFIELD SYSTEMS DEVELOPMEAoRKSHEET
JOURNAL OR JOB NUMBER: COM2005-00378
NAME OR COMPANY: River Valley Builders
LOCATION: 3313 Falcon
TAX LOT NUMBER: 1702193406000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1677.6 LOT SIZE (SF):
1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F, 1 I CHARGE j
I 2305.46 I $0.310 I = $714.69
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. I x I COST PER S.F, I x I DISCOUNT RATE I I
I 0.00 I $0.310 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC $714.69
5360
I
I'"
"-l
10
10
I~
l"-l
,E-
'"
t3
~
DISCOUNT
$0,00
$714.69
11070
2. SANITARY SEWER - CITY
A REIMBURSEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 30 $24,04 $721.20 11091
B. IMPROVEMENT COST: , I
I NUMBER OF DFU's I x
I 30 $18,28 $548.40 11092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I $1.269.60 !I
3, TRANSPORTATION I
A REIMBURSEMENT COST:
J ADT TRlP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRJP FACTORI
I 9.57 I I I I $18.30 I 1.00 $175.13 I t093
B. IMPROVEMENT COST:
I ADTTRlPRATE I x I NUMBER OF UNITS I x I COST PER TRJP x INEW TRJP FACTORI
I 9,57 I I I I $80,72 I 1.00 $772.49 1094
ITEM 3 TOTAL - TRANSPORT A nON SDC = , $947.62
4 SANITARY SEWER - MWMr.
A. REIMBURSEMENT COST:
INUMBER ~F FEU's I x ICOST PER FEU
I I $82.03 = $82.03 1054
B. IMPROVEMENT COST:
INUMBER ~F FEU's I x ICOST PER FEU
, 11055
I I $865.31 = $865.31
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = , $957.34 I
SUBTOTAL (ADD ITEMS I, 2, 3, & 4) = , $3,889.25 I
,2. ADMINISTRATIVE FEE'
I SUBTOTAL x I ADM, FEE RATE 1= CHARGE
I $3.889.25 I 5% I $194.46
TOTAL SANITARY ADMINISTRATION FEE: 131.61 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $62.85 11078
-,
Cheryl Slaymaker 4/5/2005 TOTAL SDC CHARGES = $4,083.71
PREPARED BY DATE
.
.
DRAINAGE "!AI URE UNIT(DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIlE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 2 0 3 = 6
WRlNKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EAt 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER ST AnON / ETe. 0 0 1 = 0
IRECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS). 0 0 2 = 0
SINK: COMMERClAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASINIDOUBLE LAVATORY 2 0 2 = 4
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 1 0 1 = 1
URINAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
lTOILET, PRIVATE INST ALLA TION 3 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 30
.EDU (Equivalent Dwel1in~ Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 167 gallons per day
"
1
1
1
1
I
.1
I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXA nON CREDIT? 2
I BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
1 1979 $5,29 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 2
I 1980 $5,19 (Enter I for Yes, 2 for No)
1981 $5.12 BASE YEAR 1979
I. 1982 $4.98
1 1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.63 VALUE / 1000 CREDIT RATE
1 1985 $4.40 $0,00 x $5,29 ~ , $0.00
1 1986 $4,07
1 1987 $3,67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1 1988 $3.22 VALUE / 1000 CREDIT RATE
1 1989 $2.73 $0.00 x $5.29 0
1 1990 $2.25
1 1991 $1.B0
I 1992 $1,59. TOTAL MWMC CREDIT = $0,00
i 1993 $1.45
1 1994 $1,25
1 1995 $1.09
1 1996 $0.92
I 1997 $0,72
I 1998 $0.48
I 1999 $0,28
1 2000 $0.09
1 2001 $0.05
- .,. + -. (, ~ ,." . ",y- '\: .
", ' , .CITY OF" .RINGFIELD.:OREGON' 1 ,I, '
.. I "\- ,,~. ~ "', - '~A""'
.' . + '. . 1 ~ .
-::::>
\ O~""'l.:-<L
Address
City
Expiration Date
OwnersNameGe.j L'"'lr k.,',-,
Address i),o, 0<!).,r ~?"2-
City,""'5"_~t/IoNte... Phone 22llr0330
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent. .
</~~
-
------- '-'
Inspection Request: 726-3769
C. : ~t;~it~~~q7~~tfite~~Q.;~f:;~1~Sjf;1~~~~?,~lif.:~~if~';:~.~~~
Installation, Alteration or Relocation
200 Amps or less / $ 50.00 ~- <...:)
201 Amps to 400 Amps . ~.ut;. ''Ii~~~(69.00
\(fM.~s to 600 ~~~\~~ '\.'.\'.c\<;"~'t#!OO,OO
\~y.e{~J2~~:.\t~;I~J.~,~~~k~iJ,!;"~,, "~\r,<,,,,,,,,,"7RJ
D~fii!r~!1Ct'\~~U~~J~~,t:id:):d1i~'-;~'~Jf~~~1l'~::~'Ji~~S~~;J
, "'hh~l'\'lv. Y::I\f'\\'\,.
rse.W'1\1teratlon or"$xtenslOn Per Panel
. \' 1P.\\] Ut'\l .
Qtl'.l COOlt $ 43.00
Each Additional Circuit or with
Service or Feeder Permit $ 3,00
E. ~<C~~iI'~h~;~~:(;s"~;;~~I~Jd~,~:grh~~i'~~d)~E~?~h'iIi~ciii~titr~:l
, ,', '~,"'~'''L""*,,,'!:",''J....d...iA-~_:'_'_'._.-... -'~'_'''''''.'' '~",'~-j.....,...., '.-,.""--,.". .....,..;,.'.h.......~
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
~."'.- ".... "",'0' '.''!1!i;:;.~''l;''!'';''''''''''j
4. :S@mTA!-:OF:ABq.vE);..~~",r.. ~~~'{,J"
. .;,~. '. '_y.. .,;. .''''',o., ..~-.... .",'~ 'i., <;_,,f;:.'\,"'f...~. ~'_'l-'~ (#-. '.' ';",.;r<,,~.... '.",
7% State Surcharge
10% Administrative Fee
TOTAL
<:)c..:::>
3)'C>
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Shared Drive(T;)IBuilding FonnslEleclrical Pennit Application 1-Q3.doc