HomeMy WebLinkAboutPermit Building 2005-1-3
, CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01495
ISSUED: 01103/2005
APPLIED: 12/07/2004
EXPIRES: 07/03/2005
VALUE: $ 157,291.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 973 S ST
ASSESSOR'S PARCEL NO.: 1703261308600
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Mimosa park 2nd lot 25 - SFR, same as COM2004-00790 5029 Forsythia
I PUBLIC IMPROVEM:El~"f~~TION: Oregon law requires yo~ ~
. [vII",.. ules adopted by the Oregon Utility
Fullv Improved Notification dl:!~~llfffiy$\!:rules are set fO~urbside 5'
Yes in OAR 952-~~~pQJWtfNoo.gAR 95:tOOhnd Gutter
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Owner: GARY KONOLD
Address: 3169 WOLF MEADOWS EUGENE OR 97408
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
License
52796
89886
39237
103816
Contractor
GARY KONOLD
F~ERSELECTRIC
PACIFIC AIR COMFORT INC
RS PLUMBING CONTRACTING
BUILDING INFORMATION I
# of Units: 1 # of Stories: 1
Primary Occupancy Group: R-3 Height of Structure 18.75
Secondary Occupancy Group: U Type of Heat: Electric
Primary Construction Type VN Water Type: Electric
Secondary Construction W-$Y:~ C f: Range Type: Electric
# of Bedrooms: THIS PERM 3 Energy Path: Path 1
IT SHALL EXlSpnnmeWIDdJ~~gl< n/a
AUTHnf7?l7I=n 111\'r:~R TI ~~O rrr1M~';" I) 1\111
COMMENCED O~FMfLip~iUM~tcf~fO~ATION ,
ANY 180 DAY PERIOD.
18.30
17.00
8.00
22.50
0.00
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Storm drainage piped to curb face 12/1512004 CAS
Paj!e 1 of 4
Residential
Phone Number: 342-3762
Expiration Date
03/07/2005
03/24/2005
03/25/2006
01104/2006
Phone
541-342-4819
541-998-6772
541-672-9510
541-461-4714
Lot Size: 7,841
Sq Ft 1st Floor: 1,575
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 484
Sq Ft Other:
Occupant Load:
2
Yes
26.90
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01495
ISSUED: 01103/2005
APPLIED: 12/07/2004
EXPIRES: 07/03/2005
VALUE: $ 157,291.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Dwellin2:s
Gara2:e
Tvpe of Construction
V Wood Frame
Gara2:e
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,575.00
484.00
Value
Date Calculated
Description
Total Value of Project
$145,530.00
$11,761.20
$157,291.20
12/07/2004
12/07/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 12/7/04 1200400000000001705
-Mechanical Issuance Fee- $10.00 1/3/05 2200500000000000001
+ 10% Administrative Fee $111.52 1/3/05 2200500000000000001
+ 7% State Surcharge $78.06 1/3/05 2200500000000000001
2 Baths One or Two Family $254.00 1/3/05 2200500000000000001
Addressing Assignment $31.00 1/3/05 2200500000000000001
Building Permit $754.15 1/3/05 2200500000000000001
Curb cut Permit $75.00 1/3/05 2200500000000000001
Dryer Vent $6.00 1/3/05 2200500000000000001
Exhaust Hoods $9.00 1/3/05 2200500000000000001
Furnace - up to 100,000 btu $12.00 1/3/05 2200500000000000001
Heat Pump $12.00 1/3/05 2200500000000000001
Plan Review Major - Planning $103.00 1/3/05 2200500000000000001
Sanitary Sewer - Improvement $365.60 1/3/05 2200500000000000001
Sanitary Sewer - Reimbursement $480.80 1/3/05 2200500000000000001
SDC MWMC Administration $10.00 1/3/05 2200500000000000001
SDC MWMC Improvement $865.31 1/3/05 2200500000000000001
SDC MWMC Reimbursement $82.03 1/3/05 2200500000000000001
SDC Sanitary/Storm Admin $112.54 1/3/05 2200500000000000001
SDC Transpo Admin $64.89 1/3/05 2200500000000000001
SDC Transpo Improvement $772.49 1/3/05 2200500000000000001
SDC Transpo Reimbursement $175.13 1/3/05 2200500000000000001
Storm Drainage Impervious Area $797.17 1/3/05 2200500000000000001
Temp Power 200 amps or less $50.00 1/3/05 2200500000000000001
Vent Fan $18.00 1/3/05 2200500000000000001
WilIamalane Single Family $1,000.00 1/3/05 2200500000000000001
Total Amount Paid $6,349.69
I Plan Reviews I
Initial Review
Plannin2: Review
Public Works Review
12/0812004
12/08/2004
12/08/2004
12/08/2004
12/17/2004
12/15/2004
APP SKG
APP TAJ
APP CAS
Storm drainage piped to curb face.
12/1512004 CAS
Pa2:e 2 of 4
__Gfll\~U"~fl'Ie:LD
';1,
~
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-01495
ISSUED: 01/03/2005
APPLIED: 12/07/2004
EXPIRES: 07/03/2005
VALUE: $ 157,291.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
12/0812004
12/2712004
OK
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: After all 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.
Final Electric: When all electrical work is complete.
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.
Underfloor Drain: Prior to cover or placement of concrete.
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.
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.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01495
ISSUED: 01/03/2005
APPLIED: 12/07/2004
EXPIRES:. 07/03/2005
VALUE: $ 157,291.00
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~
Owner or con~~go:r~
cJ'cnl '3 oS
Date
Pae:e 4 of 4
CITY OF SPt'tINGFIELD SYSTEMS DEVELOPMEN1
JOURNAL OR JOB NUMBER: COM2004-01495
NAME OR COMPANY: Gary Konold
LOCATION: 973 S St
TAX LOT NUMBER: 1703261308600
DEVELOPMENT TYPE:
NEW DWELLING UNITS' BUILDING SIZE (SF: 2118,5
1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x. COST PER S,F, ,., I CHARGE
I 2571.50 $0.310 = I $797,17
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 0,00 $0.310 I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$797.17
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
20
COST PER DFU
$24,04
B. IMPROVEMENT COST:
I NUMBER OF DFU's' x
I 20
$18,28
_ . JRKSHEET
LOT SIZE (SF):
DISCOUNT
$0,00
o
$797.17
$480.80
$365.60
r/)
~
o
.0
u
p:::
~
r/)
C3
~
1070.
1091
1092
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTIJRE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 1 0 3 = 3
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC, 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER/MOP SINK 1 0 3 = 3
CLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC, 0 0 3 = 0
I SHOWER, SINGLE STALL 1 0 2 = 2
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
SINK: SINGLE LAVATORY /RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL/WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRlV ATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ELGIBLE 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
= I
$0,00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5,29
o
TOTAL MWMC CREDIT
$0,00
=
225 Fjjth Street .
Springfield, Oregon 97477
541-726-3759 Phone
,.....ty of Springfield Official Receipt
,velopment Services Department
Public Works Department
Job/Journal Number
COM2004-0 1495
COM2004-0 1495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-0 1495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
CbM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
COM2004-01495
Payments:
Type of Payment
CreditCard
1/3/2005
RECEIPT #:
2200500000000000001
Date: 01103/2005
Description
Addressing Assignment
Willamalane Single Family
Curbcut 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
Plan Review Major - Planning
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
-Mechanical Issuance Fee-
Temp Power 200 amps or less
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GARY KONOLD
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 060930 In Person
Payment Total:
Page 1 of 1
9:34:30AM
Amount Due
31.00
1,000.00
75.00
797.17
480.80
365,60
175.13
772.49
82.03
865.31
10.00
112.54
64.89
103.00
254.00
12.00
18.00
9.00
6,00
12.00
10,00
50,00
754.15
78.06
111.52
$6,249.69
Amount Paid
$6,249,69
$6,249.69
, .
, .... I \
CITY OF 81 ttlNGFIELD, OREGON l\~ j
)-,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726~~
"I "/ o~
ELECTRICAL PERMIT APPLICATION \O.o",o"~ oft;,,,
~ ~~p
City Job NumberCotMtoo't -C:> IL{ 9,J Date () "1/ O'<x~,..o
"I/. 0 :7<9-
AI ~ ~ ~S' (1/
1. 1~:~!2J!;ii!Q!ii~ttfi!tiY/!d!,tjo 3. i1,gPMl[~~t~:~~;tqF{~::1_2iF
'17'3 5 ~-1 (l.U.e + 0' ~.
LEGAL DESCRIPTION
1703 Zb/~ C)8bOD
JOB DESCRIPTION
I e~ P \JCWCYL
Permits are non-transferab'e and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address
./
Phone /
/,/
Supervisor License Numb/
Expimtion Date /
/
constr'i::contr. Number
Expiratio ate
Signatu e of Supervising Electrician
City
Owners Name 6-1wf'l-...r \ Ce" 0 { cd
Address '5/6' vv;'(f IYIt:'Ad.t>l.v........
City {jJ...G-t::1Vt::.... Phone 3'-t Z - If i'\ ~
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent. .
Owners Signature:
~G~~
Inspection Request: 726-3769
A.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
200 Amps or less
r.: ~:n' ~ r ~ ~O 1 Amps to 400 Amps
TLJIS PE -,401-Am~s to 600 Amps
rl 'Hlvlll ",iALl~ txPIKt IF THE WC/hr\
AU THORI6Q'lr..Amp.sJo,1 000 AmpsR' -.
LCU'UI<UC/i I AIS t't IVIII IS I~U T
ru iVi IV, E ~teD IB~O i~~?~I~I[JO I~ E 0 FO h
ANY 180 tlA~npr:cRfDn&
c.
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
$ 50,00
$ 69,00
$100.00
~o
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Pennit
$ 43.00
$ 3,00
...'.,.!~~ie~TI<iMZ.. , ,OrifaW'~~lm~~~t!if/;ii~i"}'(;'
E. c~~~llawW.Bf~ ". p e~ ~,1~~'~~gbA)trt~~~~~!!.a~...",
PumNgt~ticaltf11J Center. Those rules arC$ ~~~fprth
Signrp>>>.C1'r9~~tg21-001 ~ througn UAH~~Ol.
Limig~~u'YOYorrs~cYeRt~~aln copies or tnE$rZS'~Y} by
, , ca1ffl~/tne cenler, (Nol~. 1I1~ ldefr.f.6be
LlmlteA&1j1Po~~f6nffi:nJ?~gon Ut:ity t~vtl1iCa!IOn
Minimum E'ectric ~eniBtqwt~6~~~~9 + Surcharges
4.
50
350
roc:;l
58~~
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Orive(T:)lBuilding Forms/Electrical Permit Application I-03,doc