HomeMy WebLinkAboutPermit Building 2003-12-19
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
/
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01147
ISSUED: 12/19/2003
APPLIED: 11/14/20Q3
EXPIRES: 06/19/2004
VALUE: $ 199,780.00
SITE ADDRESS: 102 75th St
ASSESSOR'S PARCEL NO.: 1702354101000
PROJECT DESCRIPTION: SFR
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
;"
Owner: TED HUTCHENS
Addre,ss: 615 S 37TH ST SPRINGFIELD OR 97478
Phone Number: 541-741-1521
_ _ yritl to
, . I PUBLIC IMPROVEM~oregoo \a'l'J {eci~;g~o U\\\\W'"
~E . r(ft&\~ t"e are 5e\-'0 .
Fully Improved .IX \ ~ fU\eS adOP "'O~~ 'f~Af{9,S2.;.()O Curbside 5'
Yes io\ ~ 90\\00 ceo\eb~O'~~fu~,iMe 'ru\es To Storm Sewer
Storm to public piped storm seweNB\\~'CR 9~~1\-W~ ,\l\,GOp\es 0 e\ephone
, \06'" '{oU\t'c\3y,ob a:, {Note'. the ~'O\\t\Ca\\OO
0090. the center. n U\\\\\'} \..
c9o\\\\'\9 ior the orego O.'1;~?.Z344).
nu.....her je 1.80 .
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Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
STEVE HAUCK
OWNER
OWNER
# of Units:
prhnary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
'-.i.:
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
25.00
7.00
14.00
37.00
26.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
147618
04/30/2005 541-221-2665
BUILDING INFORMATION I
1
R-3
U-l
VN
# of Stories: 2 Lot Size:
Height of Structure 26.00 Sq Ft 1st Floor:
Type of Heat: Wall Heat Sq Ft 2nd Floor:
Water Type: Electric Sq Ft BamW
Range Type: Electric )l~Ft~~~~61'rport
Energy Path: c. prt~?\~'Bg'f~~I\ir.
~01\C~. ..~\\ '2>t\~\..: 0 \\-\\'2> flJi ti~~urface Area:
- o~~W\ \..\\"\~n , \It''\('\
I DEVELOPMEN~WRQ~0M j, ~'OI"\'~
, ..~a\).
C()N\\~\ \)~'{ ?\.
Overlay Disfi,Wo( '\ CO\)
# Street Trees Rqd:
Paved Drive Rqd:
400
7,481
1,170
930
3
5
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
% of Lot Coverage:
Yes
21.00
Paee 1 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01147
ISSUED: 12/19/2003
APPLIED: 11/14/2003
EXPIRES: 06/19/2004
VALUE: $ 199,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
',\ I Valuation Description I
Description Tvpe of Construction $ Per Sq Ft Square Footage Value Date Calculated
or multiplier or Bid Amount
Dwelline:s V Wood Frame $90.60 2,100.00 $190,260.00 11/14/2003
Garae:e Garae:e $23.80 400.00 $9,520.00 11/14/2003
Total Value of Project $199,780.00
~
Fee Description Amount Paid Date Paid Receipt Number
, Plan Review Residential $578.92 11/14/03 1200200000000002470
-Mechanical Issuance Fee- $10.00 12/19/03 1200200000000002639
+ 10% Administrative Fee $145.47 12/19/03 1200200000000002639
+ 7% State Surcharge $101.83 12/19/03 1200200000000002639
3 Baths One.& Two Family $306.00 12/19/03 1200200000000002639
"
Addressing Assignment $8.00 12/19/03 1200200000000002639
Annexed 1980 $-131.99 12/19/03 1200200000000002639
Building Permit $890.65 12/19/03 1200200000000002639
Curbcut Permit $75.00 12/19/03 1200200000000002639
Dryer Vent $6.00 12/19/03 1200200000000002639
Exhaust Hoods $9.00 12/19/03 1200200000000002639
Minimum/Adjustment Mechanical $6.00 12/19/03 1200200000000002639
Plan Review - Planning $59.00 12/19/03 1200200000000002639
PW Mult Disc - 2nd Permit $-30.00 12/19/03 1200200000000002639
Residence Wiring 1000 Sq Ft $106.00 12/19/03 1200200000000002639
Residence Wiring Ea Addtl 500 $57.00 12/19/03 1200200000000002639
Sanitary Sewer - Improvement $533.51 12/19/03 1200200000000002639
Sanitary Sewer - Reimbursement $701.84 12/19/03 1200200000000002639
SDC MWMC Administration $10.00 12/19/03 1200200000000002639
SDC MWMC Improvement $214.23 12/19/03 1200200000000002639
SDC MWMC Reimbursement $314.63 12/19/03 1200200000000002639
SDC Sanitary/Storm Admin $108.53 12/19/03 1200200000000002639
SDC Transpo Admin $51.13 12/19/03 1200200000000002639
SDC Transpo Improvement $727.42 12/19/03 1200200000000002639
SDC Transpo Reimbursement ' $164.89 12/19/03 1200200000000002639
Sidewalk Permit $75.00 12/19/03 1200200000000002639
Storm Drainage Impervious Area $658.74 12/19/03 1200200000000002639
Temp Power 200 amps or less $50.00 12/19/03 1200200000000002639
Vent Fan $24.00 12/19/03 1200200000000002639
Willamalane Single Family $1,000.00 12/19/03 1200200000000002639
Total Amount Paid $6,830.80
Pae:e 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
'PERMIT NO: COM2003-01147
ISSUED: 12/1912003
APPLIED: 11/14/2003
EXPIRES: 06/19/2004
VALUE: $ 199,780.00
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
11/17/2003
11/18/2003
11/1812003
I Plan Reviews I
11/18/2003 APP
12/08/2003 APP
11/20/2003 WE
LLH
EMM
VRJ
Site plan incomplete. Have
requested a revised site plan to show
driveway location and sanitary and
storm sewer location and
connection. Contacted Mr. Ted
Hutchens who requested I contact
Jack Fowler of Grass Roots, 4:20pm
11/20/2003.
Revised siteplan submitted
11/25/2003, placed copies in building
drawer. Site plan 'flipped',
driveway location changed to the
north side of property.
See documents for plan review
comments.
Public Works Review
12/01/2003
12/01/2003 APP
VRJ
Structural Review
11/18/2003
12/18/2003 APP
DLM
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.
1 Curbcut - Standard: After forms are erected but prior to placement of concrete.
2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
3 Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
4 Footing: After trenches are excavated.
5 Foundation: After forms are erected but prior to concrete placement.
6 Post and Beam: Prior to floor insulation or decking.
7 Floor Insulation: Prior to decking.
8 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
10 Wall Insulation: Prior to cover.
11 Ceiling Insulation: Prior to cover.
12 Drywall: Prior to taping.
13 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
14 Final Building: After all required inspections have been requested and approved and the building is complete.
15 Vnderfloor Plumbing: Prior to insulation or decking.
16 Vnderfloor Drain: Prior to cover or placement of concrete.
17 Rough Plumbing: Prior to cover and including required testing.
18 Water Line: Prior to filling trench and including required testing.
19 Sanitary Sewer Line: Prior to filling trench and including required testing.
20 Storm Sewer Line: Prior to filling trench.
21 Final Plumbing: When all plumbing work is complete.
Paee 3 of 4
Status
Issued
CITY OF SPKlNG.l11ELD '
Building/Combination Permit
PERMIT NO: COM2003-01147
ISSUED: 12/19/2003
APPLIED: 11/14/2003
EXPIRES: 06/19/2004
VALUE: $ 199,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
22 Underfloor Mechanical. Prior to insulation or decking and including required testing.
23 Rough Mechanical: Prior to Cover
24 Final Mechanical: When all mechanical work is complete.
25 Temporary Electric: Approval required prior to Utility Company energizing pole.
26 Rough Electric: Prior to Cover ,
27 Electric Service: Approval required prior to utility company energizing service.
28 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 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.
'-(l/) il t~( W curA-L--r
Own err Contractors Signatnre
I Z --let.- () ~
,; -
Date
Page 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
COM2003-01147
Payments:
Type of Payment
Check
Receipt #: 1200200000000002639
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
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 Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Annexed 1980
Plan Review - Planning
Building Permit
3 Baths One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
THE JOY OF BOOKKEEPING
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/19/2003
1:12:02PM :'
Amount Paid
Item Total:
8.00
1,000.00
106.00
57.00
50.00
75.00
75.00
(30.00)
658.74
701.84
533.51
164.89
727.42
314.63
214.23
10.00
108.53
51.13
(131.99)
59.00
890.65
306.00
24.00
9.00
6.00
6.00
10.00
101.83
145.47
$6,251.88
How Received
In Person
Payment Total:
Amount Paid
$6,251.88
$6,251.88
City Job Number
1.
JO~
7.s-~
oS Ir- .uA
LEGAL DESCRIPTION
/7 . 0;), . 35. 1/. o/{)O ()
JOB ~RIPTIO~ \)0 I\id.OYlf\o ~
~D~'~~'~~
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.
Electrical Contractor S TWE Itfft.; d.e..
Address BJ.g .5 q~ tiJ ..s+
City <;(}r;r,~.(ldJ
v
Phone
~~I-~~'J
Supervisor License Number
35 7-1-
I - 0'-1
J'I161R
s
Expiration Date i 0 .-
Constr. Contr. Number
Expiration Date '-/- :5 0 - 0 ~
Signature of Supervising Electrician
'1
1;(' f(~L~'~
/
Owners Name 'T-".ot
~~
Address
~ '5 :, G, (~ t~--',___
City ~
Phone 14(. ~~ I
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
A.
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
lO(o~
5'1.0)
\
h
$106.00
$ 19.00
$50.00
B.
200 Amps or less $ 63.00
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps $125.00
~bful~~to 100~r1-RL~ EXPIRE jF THE W@~.oo
<l*S1iitiiPA~hsOO5tR 1HIS PFRMI11S tlilll5,OO
~oo~9 S ABANDOt*fl FQ~ 50.00
NeED OR I -
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
I
50
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D.
Ne'"f~WWllliidafr~Wh~r Ynia are set48rt.
Ontl~aIfttion Center. Those ru ^AD~'
E ~ ~~~nQQ1J1JtlfCI.A;~);;!'An
S:~Il;~er ~enm~tairrcop'e8 of th! ~~. t
,.JV~ '. . Note: tnetelephone
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergyIResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
00
. .
l ~ .q t
/ll.?{)
d4-q .~ {
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application l-03.doc
" ,
CITY OF S~NGFIELD SYSTEMS DEVELOPMEN. .lfORKSHEET
JOURNAL OR JOB NUMBER: Com2003-01147
NAME OR COMPANY: Ted Hutchins
LOCATION: 102 75th Street
TAX LOT NUMBER: 17023541 tl 1000
, DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF' 0 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F, CHARGE '
I 2271.50 I $0.290 I $658.74
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F. x DISCOUNT RATE DISCOUNT
I 0.00 I $0.290 50% $0.00
7481
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS ,
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 3 0 3 = 9
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 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 0 0 2 = 0
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 = 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 4 0 1 = 4
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
. TOILET, PRIVATE INST ALLA TION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S /-
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 31
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
M,WMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RA TE/$1 ,000
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
BEFORE 1979 $5,04 (Enter 1 for Yes, 2 for No)
1979 $5.04 IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0
1980 $4.95 (Enter 1 for Yes, 2 for No)
1981 $4.88 BASE YEAR 1980
1982 $4.75
1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE/1000 CREDIT RATE
1985 $4,20 $26.67 x $4.95 = , $131.99
1986 $3.88
I 1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.07 VALUE /1000 CREDIT RATE
I 1989 $2,60 $0.00 x' $4.95 0 i'
I 1990 $2,14
I 1991 $1.71
I 1992 $1.52 TOTAL MWMC CREDIT = $131.99
I 1993 $1.38
1994 $1.19
1995 $1.03
1996 $0.87
1997 $0.68
1998 $0.46
1999 $0,27
2000 $0.09
2001 $0.04