The URL can be used to link to this page

Home My WebLink AboutPermit Building 2004-1-13 ..,.. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 862 S ST ASSESSOR'S PARCEL NO.: 1703'261309400 ... - CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00042 ISSUED: . 01129/2004 APPLIED: 0111212004 EXPIRES: 07/29/2004 VALUE: . $ 264,000.00 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE:' New Residential PROJECT DESCRIPTION: SFR, Lot 33, Mimosa 2nd Addition Owner: . HIATT BERNARD D . Address: 836 R ST SPRINGFIELD OR 97477 Contractor Type General I CONTRACTOR INFORMATION I . License 152009 Contractor MICHAEL HIATT CONSTRUCTION # of Units: Primary Occupancy Group': Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 1 . R-3 U-I VN 3 SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 14.00 10.60 12.69 36.90 32.50 Street Improvements: Expiration Date 06/28/2004 Phone 741-0384 HUILUll'lti INFORMATION I # of Stories: 2 Lot Size: Height of Structure 25.00 Sq Ft 1st Floor: Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Water Type: Gas Sq Ft Basement: Range Type: Gas Sq Ft Garage/Carport Energy Path:' ' Path I ~t~er: A-rTENTION:Orego, n law reqUlr 0 V.lQJ\S Surface Area: , "I ,.. .... , the, nrAOO 1II\y L..J:.~.:.;.....-J'I \'.l' l..._ -\ ' etten' DEVELtwME~T - A: - ~e utes 8Je s . '. 1-0010 through OAR952~QUlRED PARKING 1 OAR 9?2-o.?,\; .;: ! .~ !\ 'opi9S of the rules t JXM.~tt'flay obtam c . ~~phon~otal: " . 2 rr ;S~~~'JI\~i-~ter., (Note. ,t~er<lc fficatilMndicapped: , pave<{fi ~irftBflWie Oregon Utlhty ,NO I Compact: nu . -c 800.332-~4). % of Lot C6'~fttg'C:'~ ,'.' 27.70 ' 7,481 1,683 1,070 396 I PUBLIC IMPROVEMENTS I Sidewalk Type: Fully Improved Yes Downspouts/Drains: f iHE. \NOR'" "Ol\C~: M\\ SH~ll E.~J)\R~~RM\1 \S N01, 1H\S :i~1t:n \ \~EE~ ~~~~~~nM~O rO~ ' AU \ \::.U \In h... ..~. CQN\~ \ f cri tion ~N'i'. ' , '. $ Per Sq Ft Type of ConstructIon It' I' . or mu Ip Ier Storm Sewer Available: Special Instruction: Notes: Description Setback 5' Curb and Gutter Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 4 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2004-00042 ISSUED: 0112912004 APPLIED: 01112/2004 EXPIRES: 07/29/2004 VALUE: $ 264,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line Dwellines . Garal!e V Wood Frame Garal!e . $92.40 $24.30 2,753.00 396.00 $254,377.20 $9,622.80 $264,000.00 01/12/2004 01/12/2004 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $714.12 1/12/04 1200400000000000042 -Mechanical Issuance Fee- $10.00 1/29/04 1200400000000000133 + 10% AdmInistrative Fee. $147.87 1/29/04 . 1200400000000000133 . + 7% State Surcharge $103.51 1/29/04 1200400000000000133 2 Baths One or Two Family . $254.00 1/29/04 1200400000000000133 Addressing Assignment $31.00 1/29/04 1200400000000000133 Annexed 1979 or Before $-14.71 1/29/04 1200400000000000133 Appliance Veut $6.00 ' 1/29/04 1200400000000000133 Building Permit $1,098.65 1/29/04 1200400000000000133 Curbcut Permit $75.00 . 1/29/04 '" 1200400000000000133 Dryer Vent $6.00 1/29/04 1200400000000000133 Exhaust Hoods $9.00' 1/29/04 1200400000000000133 Furnace - up to 100,000 btu . $12.00 1/29/04 1200400000000000133 Gas F,ireplace $15.00 1/29/04 1200400000000000133 Gas Outletshl-4 $4.00 1/29/04 1200400000000000133 Heat Pump $12.00 1/29/04 1200400000000000133 Plan Review - Planning $59.00 1/29/04 1200400000000000133 PW Mult Disc - 2nd Permit . $-30.00 1/29/04 1200400000000000133 Sanitary Sewer - Improvement $344.20 1/29/04 1200400000000000133 Sanitary Sewer - Reimbursement $452.80 1/29/04 1200400000000000133 SDC MWMC Administration $10.00 1/29/04 1200400000000000133 SDC MWMC Improvement $214.23 1/29/04 1200400000000000133 SDC MWMC Reimbursement $314.63 1/29/04 1200400000000009133 SDC Sanitary/Storm Admin .r_ $108.45 1/29/04 1200400000000000133 SDC Transpo Admin $53.25 1/29/04 1200400000000000133 SDC Transpo Improvement $727.42 1/29/04 1200400000000000133 SDC Transpo Reimbursement $164.89 1/29/04 1200400000000000133 Sidewalk Permit $75.00 1/29/04 1200400000000000133 Storm Drainage Impervious Area $1,020.51 1/29/04, 1200400000000000133 Temp Power 200 amps or less " $50.00 1/29/04 1200400000000000133 Vent Fan, $12.00 . 1/29/04 1200400000000000133 Willamalane Single Family $1,000.00 1/29/04 1200400000000000133 Total Amount Paid $7,059.82 I Plan Reviews I Initial Review Plannine Review Public Works Review Structural Review 01113/2004 01/13/2004 01/13/2004 01/13/2004 01113/2004 01/26/2004 01/14/2004 01128/2004 APP APP APP APP Pal!e 2 of 4 LLH TAJ , VRJ TCM -Wli:~flI"~~J~I~i """'"..,-. ,-~.. . '''''''.--.''''., ,', .....,.. .....-- CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00042 ISSUED: 01/29/2004 APPLIED: 01/12/2004 EXPIRES: 07/29/2004 VALUE: $ 264,000.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~eouire<Unsoections I 1 Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Setback: After forms are erected but prior to placement of concrete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole. 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 30 Final Electric: When all electrical work is complete. 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 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Vnderfloor Plumbing: Prior to insulation or decking. 15 Vnderfloor Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Vnderfloor Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. Pal!e 3 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: COM2004-00042 ISSUED: 01/29/2004 APPLIED: 01/12/2004 EXPIRES: . 07/29/2004 VALUE: ' $ 264,000.00 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 cODlpliance with ORS 701.005 wil~ be used on this project. I further agree to ensure that a\1 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 construct" n. ~ ~ Owner or Contractors Signature Pa2e 4 of 4 /-e2cr- CJC{ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 COM2004-00042 Payments: Type of Payment Check Receipt #: 1200400000000000133 Description Willamalane Single Family Addressing Assignment Temp Power 200 amps or less SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Transpo Improvement Sidewalk Permit SDC Transpo Reimbursement Curbcut Permit Annexed 1979 or Before PW Mult Disc - 2nd Permit SDC MWMC Administration Storm Drainage Impervious Area SDC Transpo Admin Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement Plan Review - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Appliance Vent Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Received By djb Check Number Batch Number Authorization Number Paid By MICHAEL HIATT CONSTR 1235 City of Springfield Official R~ceipt Development Services Department Public Works Department Date: 01/29/2004 1:47:37PM Item Total: Amount Paid 1,000,00 31.00 50.00 214.23 314.63 108.45 727.42 75,00 164,89 75,00 (14.71) (30.00) 10.00 1,020.51 53.25 452,80 344.20 59,00 1,098.65 254,00 12,00 12,00 6,00 9.00 6,00 4,00 15,00 12.00 10.00 103.51 147.87 $6,345.70 How Received In Person Payment Total: Amount Paid $6,345.70 $6,345.70 \'0e . \)'<>~ o '0'3-S \'3-,<,0 ,.~6~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54!)\p~8~~oes \-,\1), ",' ELECTRICAL,f-ERl\IIIT 4PlDY\.Jj10N '~OO;~~.\ ,"00\0' City Job Number l 'OO\rW)Lt '"L..Date 'c.~ €I , ~ l. q'l~r~~~7a- 3. l.~~~"W2O-' - LfGAL DESCRIPTION \1 ~'Llo\3 cf{~cD - j! JOB DESCRIPTIONw ~~~ nO~I~an~~~WO'klS not started within 180 days of issuance or if work is Suspended for 180 days. Address City Expiration Date ~ / ~ Owners Name ~ id\{Ui ~\alb .~1 C Address OJ)fj... 'S' S~t'e* City ~~\'O.~tl1 Phone 1\}. 'l?2>g4 OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. o,wn wn,e err~s Si nature: ~~~. Inspection Request: 726-3769 A. Service Included 1000 sq, ft. or less Each additional 500 sq, ft, or portion thereof $106.00 $ 19,00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50,00 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 Amps/V olts Reconnect Only $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50.00 .....10 c. ~jcf) E. NOTIf~or irrigation $ 50,00 TH'S~iISftAt1fi~ $ 50.00 AUTHOO~B@rt1Pm1!ttsffilt IF THE WORK $ 25.00 COMWtGten@lmJt'S:om1A~Ij~~~RMII IS NOT $ 45,00 ANY1~nn^v nOK,vuVNEDfOR Minimlilh 'EIe\:~fF1OBVt Inspection Fee i~ $45.00 + Surcharges 50 cD 3~ 5 "co 5?J.Sd 4. 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)!Building Fonns/Electrical Pel1nit Application 1-03.doc , ' CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT1~RKSHEET JOURNAL OR JOB NUMBER: Com2004-00042 NAME OR COMPANY: Michael Hiatt LOCATION: 862 S Street TAX LOT NUMBER: 17032613 11,9400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF; . 2753 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F, x COST PER S,F, CHARGE 3519,00 $0,290 = j $1,020.51 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S,F. x I COST PER S,F, x I DISCOUNT RATE I DISCOUNT '0,00 I $0,290 I 50% = I $0.00 7481 r/J ~ ~ o u ~ ~ E-< r/J ..... ~ ~ . , 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 EQUIV ALEN~ UNITS BATHTUB 1 0 3 = --3-- DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. .0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 LAUNDRY 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 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 I SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LA V ATORYIRESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equiva]ent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at ]67 gallons per day MWMC 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) ]979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 1980 $4.95 (Enter 1 for Yes, 2 for No) 1981 $4.88 BASE YEAR, 1979 1982 $4,75 ]983 $4,58 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.41 VALUE / 1000 CREDIT RATE 1985 $4,20 $2,92 x $5,04 == , $14,71 1986 $3.88 1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) ]988 $3,07 VALUE/IOOO CREDIT RATE ]989 $2,60 $0.00 x $5.04 == , 0 1990 $2.14 1991 $1.71 1992 $1.52 TOTAL MWMC CREDIT = $14,71 ]993 $1.38 1994 $1.19 1995 $1.03 1996 $0,87 ]997 $0.68 1998 $0.46 1999 $0.27 2000 $0.09 2001 $0.04 -