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Home My WebLink AboutPermit Building 2003-8-5 Status Issued fi. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00470 ISSUED: 08/0512003 APPLIED: 06/0612003 EXPIRES: 02/05/2004 VALUE: $ 202,826.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726~3769 Inspection Line SITE ADDRESS: 853 S ST ASSESSOR'S PARCEL NO.: 1703261308000 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Owner: MIKE BLANKENSHIP Address: 8063 THURSTON ROAD SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor ~~ License MIKE BLANKENSHIP CO~~\)~\)'\ 78966 G MILLER ENTERPRI~.l~ctO ~ 87145 ROLFS ~Y., ~~ ~\S DOUGS PLUMlJ~\~~~~G~Y.,<V 110163 ~. (\ S~~~~~~B.mi>ING INFORMATION ~ ~\t; ~~ ~~ f.> . ' # of Buildings: ~~ ~v:; ~~<V <\ \)~ ~\)<V # of Stories: 2 Lot Size: Primary Occupancy Gr~~\~~~~~~)'~ ~v:; Height of Structure 24.00 Sq Ft 1st Floor: Secondary Occupancy Gr~.~~ ~ Type of Heat: Forced Air Gas Sq Ft 2nd Floor: Primary Construction Typecv\) i:\ ,CO'VN Water Type: Gas Sq Ft Basement: Secondary Construction Typ~~ Range Type: Gas Sq Ft Garage/Carport # of Bedrooms: 2 Energy Path: Path~ Sq Ft Other: S '10\} '~\\.'1 Impervious Surface Area: ,,<0 \ \\" l I DEVELOPMENT Il..n\~~{eJi'''tOe\ '~O' ~u,. ~ ~9~~ \. . '9~? 0'0'1 e '(\).\0 O~~ t\}\-etO . ~'\e):}v ~ 1.'(\otO ~9J'(\ 1\ \'(\0 . O~e , ,\",\'i:-W ~Eet~~S'R~'!;\<tO ~\e'b 0 \0\e~~'b-\\o{\ IX ~v~<Dr.\:e..qtq'\l~ CO~. ~0 ....\O~\'\" \.O\~~\c,0.\\O J:)O"\ ~\?J.$\ ~o\e'1\\\\\'1 "':,6,f; ~s '. ~O\\~ ~ ~~C6.~r~~t;: ~ o{\ ~ 1).:1-0-"'1: 0 \{\ O~C\.-..(o~ ,'(\0 c~: O,\e~()(),'b'?) I pUJificlx;~~_N}S I ~$"'vID Fullv Improved No Contractor Type General Electrical Mechanical Plumbing SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Phone Number: 541-746-0194 Expiration Date 01/09/2004 11/10/2004 Phone 541-746-0194 541-741-2596 741-0002 541-688-3385 11/24/2003 7,382 1,763 337 528 REQUIRED PARKING 18.00 5.00 13.00 33.30' 0.00 Total: Handicapped: Compact: 2 Sidewalk Type: Curbside 5' Curb and Gutter Downspouts/Drains: Pal!e 1 of 4 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00470 ISSUED: 08/05/2003 APPLIED: 06/06/2003 EXPIRES: 02/05/2004 VALUE: $ 202,826.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Dwellin2s Gara2e Tvpe of Construction V Wood Frame Gara2e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,100.00 528.00 Value Date Calculated Description Total Value of Project $190,260.00 $12,566.40 $202,826.40 06/06/2003 06/06/2003 ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $585.26 6/6/03 1200200000000001466 -Mechanical Issuance Fee- $10.00 8/5/03 120020000QOOOOO1902 + 10% Administrative Fee $143.54 8/5/03 1200200000000001902 + 7% State Surcharge $100.48 8/5/03 1200200000000001902 2 Baths One or Two Family $254.00 8/5/03 1200200000000001902 Addressing Assignment $8.00 8/5/03 1200200000000001902 Building Permit $900.40 8/5/03 1200200000000001902 Curbcut Permit $75.00 8/5/03 1200200000000001902 Dryer Vent $6.00 8/5/03 1200200000000001902 Exhaust Hoods $9.00 8/5/03 1200200000000001902 Furnace - up to 100,000 btu $12.00 8/5/03 1200200000000001902 Gas Outlets 1-4 $4.00 8/5/03 1200200000000001902 Plan Review - Planning $59.00 8/5/03 1200200000000001902 PW Mult Disc - 2nd Permit $-30.00 8/5/03 1200200000000001902 Residence Wiring 1000 Sq Ft $106.00 8/5/03 1200200000000001902 Residence Wiring Ea Addtl 500 $76.00 8/5/03 1200200000000001902 Sanitary Sewer - Improvement $335.80 8/5/03 1200200000000001902 Sanitary Sewer - Reimbursement $441.80 8/5/03 1200200000000001902 SDC MWMC Administration $10.00 8/5/03 1200200000000001902 SDC MWMC Improvement $34.83 8/5/03 1200200000000001902 SDC MWMC Reimbursement $332.86 8/5/03 1200200000000001902 SDC Sanitary/Storm Admin $92.22 8/5/03 1200200000000001902 SDC Transpo Admin $50.19 8/5/03 1200200000000001902 SDC Transpo Improvement $709.81 8/5/03 1200200000000001902 SDC Transpo Reimbursement $160.87 8/5/03 1200200000000001902 Sidewalk Permit $75.00 8/5/03 1200200000000001902 Storm Drainage Impervious Area $822.31 8/5/03 1200200000000001902 Temp Power 200 amps or less $50.00 8/5/03 1200200000000001902 Vent Fan $18.00 8/5/03 1200200000000001902 WiIlamalane Single Family $1,000.00 8/5/03 1200200000000001902 Total Amount Paid $6,452.37 Pa2e 2 of 4 ~iii~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00470 ISSUED: 08/05/2003 APPLIED: 06/06/2003 EXPIRES: 02/05/2004 VALUE: $ 202,826.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannin2: Review Public Works Review Structural Review 06/09/2003 06/10/2003 06/11/2003 06/10/2003 I Plan Reviews' 06/1012003 APP 06/11/2003 APP 06/1212003 APP 07/01/2003 APP LLH AJD DJW TCM 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<Unsnections I 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: 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 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 Underfloor 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 Final Mechanical: When all mechanical work is complete. 25 Final Cas: When all gas work is complete. 26 Electric Service: Approval required prior to utility company energizing service. 27 Final Electric: When all electrical work is complete. Pa2:e 3 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00470 ISSUED: 08/05/2003 APPLIED: 06/06/2003 EXPIRES: 02/05/2004 VALUE: $ 202,826.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 du.;n:::;t~ ~ A-h r Owner or Contractors Signature Date Pae:e 4 of 4 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 COM2003-00470 Payments: Type of Payment Check Receipt #: 1200200000000001902 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Plan Review - Planning 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 Building Permit 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Furnace - up to 100,000 btu + 7% State Surcharge + 10% Administrative Fee ~Mechanical Issuance Fee~ Paid By MIKE BLANKENSHIP Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department , Date: 08/05/2003 '. 2:59:22PM Amount Paid Item Total: 8,00 1,000,00 106.00 76,00 50.00 59.00 75.00 75,00 (30,00) 822.31 441.80 335,80 160,87 709,81 332,86 34,83 10.00 92,22 50,19 900.40 254.00 18.00 9,00 6,00 4.00 12.00 100.48 143.54 10.00 $5,867.11 . How Received In Person Payment Total: Amount Paid $5,867.11 $5,867.11 CITY OF Sl-nlNGFIELD SYSTEMS DEVELOPMEr-... .v'ORKSHEET JOURNAL OR JOB NUMBER: COM2003,00470 NAME OR COMPANY: Mike Blankenship LOCA TlON: 853 S St. TAX LOT NUMBER: 17032613TL0800 DEVELOPMENT TYPE: NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF): ,--- 7382 r/J ~ Q o U ~ ~ E-< r/J ,..... '" ~ ~ 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, x I COST PER S.F. CHARGE I 29]6,00 '$0,282 ,. = $822,31 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S,F, 'I x COST PER S,F, I x DISCOUNT RATE I DISCOUNT 0,00 $0,282 50% = I $0,00 ITEM 1 TOTAL - STORM DRAINAGE SDC $822.31 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's x I COST PER DFU 26 I $22.09 B, IMPROVEMENT COST: NUMBER OF DFU's x 20 $822.31 1070 $441.80 1091 COST PER DFU $16,79 $335.80 11092 x . NEW TRIP FACTOR' 1.00 $160.87 1093 x I NEW TRIP FACTOR .11094 I 1.00 $709.81 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =, $777.60 3, TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE x I NUMBER OF UNITS x I COST PER TRIP 9,57 I I I $16.8] B, IMPROVEMENT COST: ADTTRIP RATE x NUMBER OF UNITS x 9,57 ] COST PER TRIP $74,17 ITEM 3 TOTAL - TRANSPORTATION SDC = , $870.68 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's x COST PER FEU 'I $332,86 B, IMPROVEMENT COST: NUMBER 01 F FEU's I x COST PER FEU $34,83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC PREPARED BY DATE = , $.U2.86 1054 = $34.83 1055 $0.00 1054 $10.00 1056 = , $317.69 ~ , $2,848.28 , -, ----- - CHARGE $142.4] 92,22 1079 $50,19 11078 TOTAL SDC CHARGES = $2,990.69 .,~.- - - - SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE $2.848,28 I 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: D. Wright 6/1212003 DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIV ALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = On INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC, 0 0 3 = ~. r INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = ,o"~" ILAUNDRY TUB 0 0 2 = .,r,:;' . 0 CLOTHESW ASHER I MOP SINK 1 0 3 3 CLOTHESW ASHER, 3 OR MORE (EA) 0 0 6 = 0 IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRIG I WATER STATION I ETC, 0 0 1 0 I RECEPTOR FOR COM, SINK I DISHWASHER I ETC.I 0 0 3 = 0 ISHOWER, SINGLE STALL 1 0 2 = 2 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLELAVATORY 0 0 2 = 0 SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 3 0 1 = 3 I URINAL, STALL I WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE :FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE 'I YEAR CREDIT RA TE/$l ,000 ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0 , BEFORE 1979 $4.92 (Enter 1 for Yes, 2 for No) I 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0 1980 $4,83 (Enter 1 for Yes, 2 for No) I 1981 $4.77 BASE YEAR 1979 I 1982 $4.64 I 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 $4.30 VALUE 11000 CREDIT RATE 1985 $4,09 $0,00 x $4,92 = , $0,00 1986 $3.78 1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2.98 V ALUE 11000 CREDIT RATE 1989 $2.52 $0,00 x $4,92 I 0 1990 $2,06 1991 $1.64 1992 $1,45 TOTAL MWMC CREDIT = r $0,00 1993 $1.31 1994 $1.13 ' 1995 $0.97 1996 $0,82 1997 $O,tii3 1998 $0.41 1999 $0.22 2000 $0.04 --- - , ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)~~~'9 ELECTRICAL PERMIT APPLICATION e'~o.~~o .~~ nft"A ^ 0 iOO~ f"I\J..: '<..'(;< ,~~' V-' ~ City Job Number .mJ\ u ~,.rtlb Date 1-0~'~,0'" 1,.0 'b-'< ~'b' 3. :'L:i;gilifLET~ F~#/$J;ii!$A~~~JltlpV1fi ."..., .,.".']'... "."..0',.'-,....,...,.,'. .,..','. '<::5'1>..' "o"v ,. .'....,.. ",. 'r ,>'S' 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Phone "74 I ~ 25"9 f:. Over 1000 Amps/V olts oU tn ReconnectoC(pYi{W requu'es V Ut\\\W P-11EN1\ON:oreg OI'@gOIn \ ~,,\\oW nl4:e N'~t\1\cat\0~nn1 oj'\ot~WO~~~ _<l ~!o.~ iU\rJl.@t : (')p.f\ 95ia'R&fli'I1a, W~~~.~DIWI""R'eIQ~a~~ S\ . m:il\/ o:hSl M"(E) ts\~P'nO 1 0090. 'fOU1U\JA~~~r~~G.lte: .\~U ot\~\catiOIn ca\\h'\9 ml1 t~W~f@J~~~~W ~4). iJ1uvnber ~'6i mns ~QSOlO)~23 . Cen ef1:;' Over 600 or 1000 Volts see "B" above. D. W":;;'~-::-;i ~,'<Y'\':~'~-':_, __ .'". ,_" , , ;"" "-r"_: _ _. ,'_' ,',' ~"3,',r,,{;"'::" ~, _ ,,/S l.'f:(~E;1-1'IOf!q!:'!~91'ALLf:!10N ~s~ ~ ~-\- LEGAL DESCRIPTION MD'B'LlQ \-:, O~ JOB DESCRIPTION '2.ls,'2f!:, ~~O~;,~~ not started within 180 days of issuance or if work is Suspended for 180 days. 2. Electrical Contractor G e rC). 'rd <E.{ ccT 13 po- Rd Address c3 q 5 ~ /Io.-if. d. ~ City Sp+ { d I Supervisor License Number .3 6" 51 .S /0 "/ -D </ Expiration Date Constr, Contr. Number g 7 , 4 S Expiration Date II ~ /6 - 0 <-{ Signature of Supervising ElectriCian \ .A ~ d - . OwnersName ~l~~~f\~ Address PClci3 ~~ City~;~. Phone f::\.\o. b'A6t OWNER INST ALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 . ,.-:; ':'0 ~.'}" . '.!-,.~ ... .:><<-{f(~;,'" ,.,~' ~ jj : ~ " i:f~~': A;CZ 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 $106,00 \ Dlo lD f\tofP \ 4;- $ 19,00 $50,00 B. $ 63,00 $ 75,00 $125,00 $163,00 $375,00 $ 50,00 $ 50,00 $ 69,00 $100,00 S) ~cxJ New Alteration or Extension Per Panel Q?-'v... One Circuit ~ \r_'n'\t. ~ O"p,OO E~~Ait\~!tional ~~.~}ioc, ~,W\\\ \~ \~ . ~Mlb~ o{\~i~~\h~ \\,\\<2> r \. ~O t.~$ 3,00 E. . ",?~ ,l~i\~~~~~~~i~tiiiirii~l:~d)~+Ei~iilri~fali~;;itiij CO~~t: .. 1\~-'?t?\\6~:~.."Li';"':;':l:L/;J:"&k':'''''' ",:;",;';K"" " ,,/ :,' "..:"-,.., ,;. ,..,,/,..l: PU~'i>r1j~~lOn $ 50,00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 1.3Q..cO lIt] :Z-y 1.~. 1.() 2-7/ '-ILf 7% State Surcharge 10% Administrative Fee TOTAL Shared Dlive(T:)lBuilding Fonns/Electncal Pennit Application I,03,doc