HomeMy WebLinkAboutPermit Building 2004-7-16
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00799
ISSUED: 07/16/2004
APPLIED: 06/30/2004
EXPIRES: 01116/2005
VALUE: $ 181,650.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 831 S ST
ASSESSOR'S PARCEL NO.: 1703261307900
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE:
PROJECT DESCRIPTION: Single Family Residence Mimosa 2nd addtn lot 18 - SFR
Owner:
Address:
KONOLD GARY
3169 WOLF MEANl'J'-rom EUGENE OR 97408
"';"1110 r[nr.llT cap.^'-'- I:VPIRJ: n: ll.n: WORK
AUTHORIZED ~i~~~~1lION I
COMMENCED un 13 ~
Conru&~t.60 DAY PERIOD. License
GARY KONOLD 52796
FARMERS ELECTRIC 89886
PACIFIC AIR COMFORT INC 39237
RS PLUMBING CONTRACTING 103816
Contractor Type
General
Electrical
Mechanical
Plumbing
I BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
# of Stories: 1
Height of Structure 19.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
. 3
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
:..__ ~.tt'" 'OU \0
I\l(t)RMXTto'N' Utility
follOW rules op Those Ntes are set forth
Notifica~~t: gh OAR 952-001-
In OAR ~Qt1,Q.Q'J!liPles of the rules bY
0090. .~U~ . te: the telephon&es
, calhn~tMlM~it.e Utility NotificaVdW
number for the Oregon
E.;.;I.:-:-'~ 4_Q,~32.2344).
I PUBLIC IMPROVEMENTS I
20.00
5.50
15.50
26.00
20.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
New
Residential
Expiration Date
03/0712005
03/2412005
03/25/2006
01/04/2006
Phone
541-342-4819
541-998-6772
541-672-9510
541-461-4714
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
7,245
1,826
532
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Fully Improved
Yes
Sidewalk Type:
Curbside 5'
Curb and Gutter
Downspoutsillrains:
Notes:
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00799
ISSUED: 07/16/2004
APPLIED: 06/30/2004
EXPIRES: 01/16/2005
VALUE: $ 181,650.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwelline:s
Garae:e
Type of Construction
V Wood Frame
Garae:e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square .Footage
or Bid Amount
1,826.00
532.00
Value
Date Calculated
Description
Total Value of Project
$168,722.40
$12,927.60
$181,650.00
06/30/2004
06/30/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $540.90 6/30/04 1200400000000001011
-Mechanical Issuance Fee- $10.00 7/16/04 1200400000000001097
+ 10% Administrative Fee $119.72 7/16/04 1200400000000001097
+ 7% State Surcharge $83.80 7/16/04 1200400000000001097
2 Baths One or Two Family $254.00 7/16/04 1200400000000001097
Addressing Assignment $31.00 7/16/04 1200400000000001097
Annexed 1979 or Before $-15.02 7/16/04 1200400000000001097
Building Permit $832.15 7/16/04 1200400000000001097
Curbcut Permit $75.00 7/16/04 1200400000000001097
Dryer Vent $6.00 7/16/04 1200400000000001097
Exhaust Hoods $9.00 7/16/04 1200400000000001097
Furnace - up to 100,000 btu $12.00 7/16/04 1200400000000001097
Gas Outlets 1-4 $4.00 7/16/04 1200400000000001097
Heat Pump $12.00 7/16/04 1200400000000001097
Plan Review Major - Planning $103.00 7/16/04 1200400000000001097
PW Mult Disc - 2nd Permit $-30.00 7/16/04 1200400000000001097
Sanitary Sewer - Improvement $395.83 7/16/04 1200400000000001097
Sanitary Sewer - Reimbursement $520.72 7/16/04 1200400000000001097
SDC MWMC Administration $10.00 7/16/04 1200400000000001097
SDC MWMC Improvement $214.23 7/16/04 1200400000000001097
SDC MWMC Reimbursement $314.63 7/16/04 1200400000000001097
SDC Sanitary/Storm Admin $109.76 7/16/04 1200400000000001097
SDC Transpo Admin $53.16 7/16/04 1200400000000001097
SDC Transpo Improvement $727.42 7/16/04 1200400000000001097
SDC Transpo Reimbursement $164.89 7/16/04 1200400000000001097
Sidewalk Permit $75.00 7/16/04 1200400000000001097
Storm Drainage Impervious Area $925.68 7/16/04 1200400000000001097
Temp Power 200 amps or less $50.00 7/16/04 1200400000000001097
Vent Fan $18.00 7/16/04 1200400000000001097
Willamalane Single Family $1,000.00 7/16/04 1200400000000001097
Total Amount Paid $6,626.87
Pae:e 2 of 4
Status
Issued
CITY OF SPRIN(j~lELD c
Building/Combination Permit
PERMIT NO: COM2004-00799
ISSUED: 07/16/2004
APPLIED: 06/30/2004
EXPIRES: 01116/2005
VALUE: $ 181,650.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
Structural Review
07/0112004
07/02/2004
07/02/2004
07/02/2004
I Plan Reviews I
07/02/2004 APP
07/15/2004 APP
07/06/2004 APP
07/08/2004 OK
LLH
EMM
MS
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.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Erosion/Grading Inspection: After aU erosion measures are in place.
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 concr~te. 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.
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. 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 prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00799
ISSUED: 07/16/2004
APPLIED: 06/30/2004
EXPIRES: 01/16/2005
VALUE: $ 181,650.00
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 during construction.
8 t<\~
Owner or Cont~Signature
'1"'\ ~-o 4-
Date
Pal!e 4 of 4
225 Fifth Street
Sprhigfield, Oregon 97477
541-726-3759 Phone
,....~ty of Springfield Official Receipt
;velopment Services Department
Public Works Department
Job/Journal Number
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
COM2004-00799
RECEIPT #:
1200400000000001097
Date: 07/16/2004
Description
Addressing Assignment
Willama1ane Single Family
Temp Power 200 amps or less
Sidewalk Permit
Curb cut 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 1979 or Before
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Heat Pump
~Mechanica1 Issuance Fee~
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Payments:
Type of Payment Paid By
CreditCard GARY KONOLD
Item Total:
Check Number Authorization'
Received By Batch Number 'Number How Received
djb 000443 169980 In Person
Payment Total:
7/16/2004
Page 1 of 1
3:14:56PM
Amount Due
31.00
1,000.00
50.00
75,00
75.00
(30.00)
925.68
520,72
395,83
164.89
727.42
314,63
214,23
10.00
109.76
53.16
(15,02)
832.15
254.00
12,00
18.00
9.00
6.00
4.00
12.00
10,00
83.80
119,72
103.00
$6,085.97
Amount Paid
$6,085.97
$6,085.97
LEGAL DESCRIPTION
\ f\D~'1.\ Q ~ D\OoQ
JOB DESCRIPTION
pe~it:a:::\:5:~ :::::,,: ~~~
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
City
\
'\
\
OwnersName (<=i~ ~ffiD\d-
Address ~\\.oC\. \)~~\t~
- ~
C;ty h~. Phone~.~
OWNER INSTALLATION
Expiration Date
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
~ ~OV~
Inspection Request: 726-3769
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
$ 19.00
$50,00
B.
2WB'l: .less $ 63.00
2~ .400 Am)s $ 75,00
4A ~ MfJ ~ ~ll EXPIRF IF THE WOR~
6t I o~R THIS PERMIT I~~
<w ~~~~INm,IS ABANDONED FO!il79. 0
~<<tJ~~ PERIOD. ~50.00
c.
\ $ 50.00 'OJ.($:>
$ 69.00
$100,00
E
n r
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
4.
50 Ii)
o~
S .0 o.
~~.sd
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Pennit Application I,03,doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN'l _ORKSHEET
JOURNAL OR JOB NUMBER: C0M2004-00799
NAME OR COMPANY: Gary Konold
LOCATION: 83] S Street
TAX LOT NUMBER: 17032613 Tax Lot 07900
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
, NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x COST PER S,F, CHARGE
I 3 I 92,00 $0,290 = I $925.68
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F, I x'l COST ]>ER S,F, I x I DISCOUNT RATE I . I DISCOUNT
I 0,00 I' $0,290 I 50% = I $0,00
ITEM 1 TOTAL - STORM DRAINAGE SDC '$925.68 I
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's' x' COST PER DFU
I 23 $22,64
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 23
7406
r/)
~
Ci
o
u
~
~
r-<
Ir/)
......
o
~
$925.68
1070
$520;72
1091
COST PER DFU
$17,2 ]
$395.83
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
$9]6.55
J
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x NEW TRIP FACTOR
9,57 I i $17,23 1.00 , $164.89 ' 1093
B. IMPROVEMENT COST:
I ADTTRIP RATE x I NUMBER OF UNITS x I . COST PER TRIP x I NEW TRIP FACTORI
I 9,57 I I I ' $76,0] I 1.00 I $727.42 1094
ITEM 3 TOTAL - TRANSPORTATION SDC =, $892.31
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x COST PER FEU
I ' $314,63 = $314.63 1054
B, IMPROVEMENT COST:
'NUMBER OF FEU's x "COST PER FEU'
1 I $214,23 = $214.23 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) ($15.02) 1054
MWMC ADMINISTRATIVE,FEE $10.00 11056
ITEM '4 TOTAL - MWMC SANITARY SEWER SD< =, $523.84 I
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I $3,258.38 ,I
5, ADMINISTRATIVE FEE:
'SUBTOTAL .x f ADM, FEE RATE 1= CHARGE
$3,258.38 5% , $162.92
TOTAL SANITARY ADMINISTRATION FEE: 109,76 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $53,] 6 1078 ,
Matt Stouder ' 71,6/2004 TOTAL SDC CHARGES =1 $3,421.~O
"
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQillV ALENT = DRAINAGE FIXTURE UNITS
(N01E: FOR REMODELS, CALCULA 1E ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 2 0 3 = 6
IDRINK1NG FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC, ' 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
I CLOTHES WASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE. HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
/RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. .0 0 3 = 0
SHOWER, SINGLE STALL . 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLELAVATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 23
*EDU (EQuivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED .' " "
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998 ,
1999
2000
2001 '
CREDIT RATE/$I,OOO
ASSESSED VALUE
$504
$5.04
$4.95
$4.88
$4.75
$4.58
$4.41
$4.20
$3.88
$3.50
$307
$2.60
$2.14
$1.71
$1.52
$138
$1.19
$1.03
$0.87
$0.68
$0.46
$0.27
$0.09
$0.04
. 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
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE .
$2,98 x $5,04 = I
$15,02
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0,00 x $5.04 = ,
o
TOTAL MWMC CREDIT
=
$15,02
II