HomeMy WebLinkAboutPermit Building 2006-1-19
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01634
ISSUED: 01/19/2006
APPLIED: 11/22/2005
EXPIRES: 07/19/2006
VAL UE: $ 234,452.00
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 875 S ST
ASSESSOR'S PARCEL NO.: 1703261308100
SPRINGFIETYPE OF
Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single Family Residence, Lot 20, Mimosa, 2nd add
Residential
'" Owner: DAMON LYNN M
. Address: 1326 WIMBLEDON PL
SPRINGFIELD OR 97477
Phone Number: 541-747-oi45
REQUIRED PARKING
2
Contractor Type
General
Electrical
Mechanical
Plumbing
I CONTRACTOR INFORMATION.
s\ laWCl'~ nLl
Contractor BZ-Z~B-OOca- t~leeQS\~t la~~yiration Date
MIKE BLANKENSHIP CORP~~~ ",:\\\':1' L10~a1!~~~ al\': 6L1\\:06W09/2008
G MILLER ENTERPRlSESi~~a': all': :a':O\'\ !tl~~"BW not- Clt~0/2006
JUNG ENTERPRISES Il~@l\ a\ to sa\do:) Lll~fit;;~oo-Z96 'd~ ~1MQ.4/2006
DOUGS PLUMBING I~Sa\nl_a~() l\6noll\': .~10fji.~aC) LlO\~B,.~~.Y~4/2007
IBUlGDi~o;lNFO~Atm@NjOP~~;~'~\'\311';(
'ow . C\ LlO'OCl~U B\ L100CllO .
#"6~\~tflr.ie.s~pbal N\ 2 Lot Size:
, 1'(Oj'( ~
mtght of 25.00 Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Gas Sq Ft Basement:
Range Type: Gas Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy
" Yrimary Construction Type
Secondary Construction
# of Bedrooms:
1
R-3
U
VN
3
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
6.00
14.00
30.00
0.00
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Total:
,2 Handicapped:
Yes Compact:
32.30 ~
........ ~y; ,f 'l\\~ ~~1
IPUBLIC I.~~~\..\.. t{\\\S ~t~W\\ \ fO~
~Dt~ ~~~~.
Fullv Improved ~\ri\,\O~\1 to O~ \~Wi yp .
Yes co~~t~C ~ ?~~~nspouts/Drains
"~,&O O~
~ '
Street
Storm Sewer Available:
Special Instruction:
Notes: Storm drainage piped to curb face 11/23/2005 CAS
1 of 4
Phone
541-912-4582
541-741-2596
541-937-2688
541-688-3385
1,959
336
440
Curbside 5' )
Curb and Gutter
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
AC - Residential
V Wood Bonus Rm
V Wood Frame
Garal!:e
A.C. - Residen
Dwellinl!:s
Dwellinl!:s
Garal!:e
Fee Description
Plan Review Residential
" -Mechanical Issuance Fee-
:, + 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
. Residence Wiring Ea Addtl 500
.' 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
WiIlamalane Single Family
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01634
ISSUED: 01/19/2006
APPLIED: 11/22/2005
EXPIRES: 07/19/2006
VALUE: $ 234,452.00
I Valuation Description I
$ Per Sq Ft
or multiplier
$4.00
$82.00
$96.00
$25.00
Square Footage
or Bid Amount
1,959.00
336.00
1,959.00
440.00
Value
Date Calculated
$7,836.00
$27,552.00
$188,064.00
$11,000.00
$234,452.00
11/2212005
11/22/2005
11/22/2005
11/2212005
Total Value of Project
LFees Paid I
Amount Paid
$593.71
$10.00
$154.74
$108.32
$254.00
$31.00
$1,004.40
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$150.00
$59.15
$-30.00
$106.00
$57.00
$381.40
$501.40
$10.00
$865.31
$82.03
$127.38
$65.71
$805.70
$182.69
$80.00
$1,033.28
$50.00
$18.00
$1,000.00
Date Paid
Receipt Number
1200500000000001746
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
1200600000000000057
11/22/05
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
1/19/06
2 of 4
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: COM2005-01634
ISSUED: 01/1912006
APPLIED: 11/22/2005
EXPIRES: 07119/2006
VALUE: $ 234,452.00
Total Amount
$7,839.22
I Plan Reviews I
Initial Review 11/22/2005 11/22/2005 APP LLH
Plan nine: Review 11/23/2005 12/14/2005 APP TAJ
Public Works Review 11/23/2005 11/23/2005 APP CAS Storm drainage piped to curb face
11/23/2005 CAS
Structural Review 11/23/2005 12/21/2005 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.
.,.
Erosion/Grading Inspection: Prior to ground 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.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
3 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO: COM2005-01634
ISSUED: 01/19/2006
APPLIED: 11/22/2005
EXPIRES: 07/19/2006
VAL UE: $ 234,452.00
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor 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. Pre sure 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 prior 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 Spririgfield 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 requir
the street, that the permit card is oca
at all times during cons ruct'
/- r\.[!
II~ '
Owner or ConM-actors Signature
nspections are requested at the proper time, that each address is readable from
at the froat of tbe prope My. and thei~;f ;?If plM' win remain on tbe ,;te
I '
Date
\,
4 of 4
ss\)
~~e
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 "F~,~ (5'~<}l~9g89
ELECTRICAL PERMI~APPLICATION ,'\";~'(l.\. ,,,"
^ J:=(. \ .... "':l....A , ',)\ 1-o{\\\'~
City Job Number ~0. ~ U)~ Date .' ,...1-'
1. 3.
~'\~ ~ ~WftOt
LEGAL DESCRIPTION
\ C} D"Ottl n \ ~ r----.~\ llC )
JOB DESCRIPTION - - 2.~
~~l\\<L~ U \I~ r.l+\~
Permits a~non-transferable ami'expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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
2.
B.
r'- _I.-C\ ~s-OOr - \-~, \. .lOi-)8
Electrical Contractor ~"e.,-c.:\ r(] C. (e.UVrr'(7bC,-Z \ioo.::Amp'Slo1\l~ss'\.\i 6111.\\-eQ
, 1\\1.\1.1 1 ~ ",,'U8Q G I' Oc.:OO
. UG)\\-e~II.\I'd ~\.<'"tQ,J~4.mPS'to04R~&.l11P&" \) UI
Address r""-?, q<:;" <I,' ' J-Ia.. (.1 cl e..AJ ;.:).,.,-mJB.'.\ v \. 8~P.b~mps'1,tb 600 r},.,mnSJ 'd'\J0 ,,',
- - \0 S \~ 00- \,Ov v - \11,0,,,
I , S8\1'\) 8\.\\ t c60d)1AfuQho 10(}(h\1in~'),-eQ\t,
. "g..,~~ j, vO \.\\.J" . II ')8~OV'-' '~P" 0\\0\
Phone 7'1 J -:~~~ B\I sa\IQV.ep(}l00e AmRs(Yen:!f'l NI: \ '<1
I ;\~oi- \as 8.l-e oRec9hneH%~1Y.ol-' '~0\.\.~3.\..1-
'-\ \\ U0681 0"\ -e U0081 .
.'::>' ,/ <:'"'".//S f\0\1~\~0' sa1\n..b. I
Supervisor License Number ..J 0 <J ....,. . ,," C
City
Jj:J+ I d
,
\
~
\DlocP
S7.;
$106.00
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Expiration Date /0....... / - 67
Constr. Contr. Number 871 'IS
Expiration Date /1-/ D -0 ~
Installation, Alteration or Relocation
200 Amps or less \
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 V oIts see "B" above.
D.
$ 50.00
$ 69.00
$100.00
50 tV
Signature of Supervising Electrician
/i CiA.- ~'-
C
Owners N.~e _\ _, ,~(\ \h ro f""\Y\. _
Address ~ \.D~l..DA~\>~. E.
City ~rl~~_f)~ItjPhone\4l.~~RtA\' ~1~i\tn\ia\?~~~1 ;OR $ 50.00
\ \ ~U1~OR\1~D ~€'A~tiltg"" $ 50.00
OWNER INST ALLA nON tOtAME.NCED ~\~.nergY/Residential $ 25.00
The installation is being made on property I own~'i~aO 0"''' Imited Energy/Commercial $ 45.00
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3,00
Owners Signature:
4.
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)tBuilding FonnslElectrical Permit Application 1-03,doc
'2' "3
J 'f 7"
2/70
2q,~
CITY OF ~_INGFIELD SYSTEMS DEVELOPMErfJ"WORKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S,F, CHARGE
I 3199,00 I $0.323 = I $1,033,28
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, x COST PER S,F, x I DISCOUNT RATE I I
I 0,00 $0,323 I 50% I = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$1,033.28'
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
20
B, IMPROVEMENT COST:
NUMBER OF DFU's x
20
COM2005-0 1634
Lynn Damon
875 S St
1703261308100
SINGLE F AMIL Y RESIDENCE
1 BUILDING SIZE (SF' 2735
COST PER DFU
$25,07
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$19,07
3, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE . x
I 9,57
B. IMPROVEMENT COST:
I ADT TRIP RATE
I 9.57
I NUMBER OF UNITS' x
I 1
x
I NUMBER OF UNITS x I
I 1 I
=,
ITEM 3 TOTAL - TRANSPORTATION SDC
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I 1
I COST PER FEU
I $82,03
B. IMPROVEMENT COST:
INUMBER 01 F FEU's x COST PER FEU
$865,31
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5, ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM,FEERATE
I $3,861.81 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
LOT SIZE (SF):
[f)
~
Cl
o
u
~
~
E-<
[f)
6
~
7426
DISCOUNT
$0.00
$1,033.28
1070
$501.40
1091
$381.40
1092
= I
$882.80
COST PER TRIP
$19,09
x I NEW TRIP FACTOR'
I 1.00
$182.69
] 1093
COST PER TRIP
$84,19
$988.39
x I NEW TRIP FACTOR
I 1.00
1094
$805.70
=
$82.03
1054
= $865.31 1055
$0.00 11054
$10.00 1056
$957.34
$3,861.81
CHARGE
$193,09
127.38 1079
$65,71 r 1078
TOTAL SDC CHARGES $4,054.90
... ..~~. ~
.-.--
Cheryl Slaymaker
PREPARED BY
11/23/2005
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
IDRlNKlNG FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC, 0 0 1 = 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 I
SINK: COMMERCIAL BAR 0 0 2 = 0 II
ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 I
IURINAL, STALL/WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$5.29
$5.29
$5,19
$5.12
$4,98
$4,80
$4,63
$4.40
$4,07
$3.67
$3,22
$2,73
$2,25
$1,80
$1,59
$1.45
$1,25
$1.09
$0,92
$0,72
$0.48
$0.28
$0.09
$0,05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX, CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $5,29
=,
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0,00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfield, O~egon 97477
5~tl-726-3759 Phone
-"0
,,,.
, ~
JOb/Journal Number
COM2005-01634
COM2005-0 1634
COM2005-0 1634
COM2005-01634
COM2005-0 1634
COM2005-0 1634
COM2005-0 1634
COM2005-0 1634
COM2005-01634
COM2005-01634
COM2005-0 1634
t~pM2005-0 1634
CtOM2005-0 1634
COM2005-0 1634
CqM2005-0 1634
GbM2005-0 1634
1
COM2005-0 1634
COM2005-0 1634
COM2005-0 1634
COM2005-0 1634
COM2005-0 1634
COM2005-01634
COM2005-01634
CbM2005-0 1634
C~bM2005-0 1634
COM2005-01634
COM2005-0 1634
COM2005-0 1634
!d:)M2005-01634
dbM2005-0 1634
COM2005-0 1634
Ct)M2005-0 1634
3f'
Payments:
Type of Payment
Check
;\
~i
'~f
".
-";.~
:\
't:
:ti
:'i'~
1/19/2006
RECEIPT #:
Description
Plan Review Residential
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 Disc - 2nd Permit (Street)
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
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 Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MIKE BLANKENSHIP
~~
~ity of Springfield Official Receipt
..Jevelopment Services Department
Public Works Department
1200600000000000057
Date: 01119/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 9955 In Person
Payment Total:
1 of 1
12:00:12PM
Amount Due
59.15
31.00
1,000.00
106.00
57.00
50.00
80.00
80.00
(30.00)
1,033.28
501.40
381.40
182.69
805.70
82.03
865.31
10,00
127.38
65.71
150.00
1,004.40
254.00
12.00
18.00
9.00
6.00
4.00
15.00
12.00
10.00
108.32
154.74
$7,245.51
Amount Paid
$7,245.51
$7,245.51