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Home My WebLink AboutPermit Building 2004-4-26 ~~~J;ll1L~l~~I~~'.~ ,_,..,_,,,.... ~i r', Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ." '1r.._ . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00357 ISSUED:, 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: $ 265,069.00 SITE ADDRESS: 951 S ST ASSESSOR'S PARCEL NO.: 1703261308500 SPRINGFIE TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR - Mimosa park, 2nd Addition, lot 24 - same as COM2004-00042 862 S St '''r~:\ Owner: HIATT LIVING TRUST Address: 836 R ST SPRINGFIELD OR 97477 Contractor Type General I CONTRACTOR INFORMATION. Contractor GENE B HIATT CONSTRUCTION INC License 68798 1 # of Stories: 2 R-3 Height of Stf..~~ 25.00 U-l Type:~flk1'ru\~\~ot\Orced'Air Gas VN ~~r't~ ~0\ '" Ci Gas \0-'fta~1Y'~~ ~?.!J \ Gas 3 0~0~ ")~~t~Pa~ g '(\)\eS Path 1 0'( 0'" 0 .. 0 1(\0 ~0 ,,~. r.\0 L""OS . \~'(\ 01\ ~ r.'(\0. O~ ,,, J ~"V ".. . .....v;. ) OIV 1;"" ~<;;'~'(~0Cb ~d :-'. ])P=:~~~Rf\1A TION . ~ ~\O~ ;O~ o~~. ~o -..)\~Wl r:,~I>r" ,0 . 0-\" rt: ~ 0 ~. ~ o,?; ~o~,\\c~!Dli ~ ~'lf. c0~\~re~~~f: ~ Oij8:(J,f)) ~0 1(\0WJStI:Cft Trees Rqd: 2 "()()<?'C5:~Q\'~ ,o,(~,/Paved Drive Rqd: .,~Q..~ C'lf. 0'( / . &.~b\ 3R~~ r % of Lot Coverage: ,~ \~ K \fb~ 0:00 , ~~~,~\)~,,~~ y\)" . I PUBH~W~~~r~~'V\)~~. . "'-\) . ~ \ ~ "t"~ . F II . I \~'c.. ~ \'1~'V C\" "\~. Sidewalk Type: u y mpro .'V ,),\)"W ~'V v ~\\)\r , ~\"'~~~\; ~ \>~ Downspouts/Drains: <:;,;~~ \ 't>~ \) . ~~'{ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: )..... SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: 1._... Description I BUILDING INFORMATION. I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa2e 1 of 4 Expiration Date 10/09/2007 Phone 541-822-3509 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 7,604 1,683 1,070 440 REQUIRED PARKING Total: 2 Handicapped: Compact: Curbside 5' Curb and Gutter Value Date Calculated Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00357 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10126/2004 VALUE: $ 265,069.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Dwellinl!s Garal!e V Wood Frame Garal!e $92.40 $24.30 2,753.00 440.00 $254,377.20 $10,692.00 $265,069.20 03/31/2004 03/31/2004 Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number Plan Review Same As $100.00 3/31/04 2200400000000000306 -Mechanical Issuance Fee- $10.00 4/26/04 2200400000000000406 + 10% Administrative Fee $151.62 4/26/04 2200400000000000406 + 7% State Surcharge $106.13 4126/04 2200400000000000406 3 Baths One & Two Family $306.00 4/26/04 2200400000000000406 Addressing Assignment $31.00 4/26/04 2200400000000000406 Annexed 1979 or Before $-21.07 4/26/04 2200400000000000406 Appliance Vent $6.00 4/26/04 2200400000000000406 Building Permit $1,105.15 4/26/04 2200400000000000406 Curbcut Permit $75.00 4/26/04 2200400000000000406 Dryer Vent $6.00 4/26/04 2200400000000000406 Exhaust Hoods $9.00 4/26/04 2200400000000000406 Gas Outlets 1-4 $4.00 4/26/04 2200400000000000406 Heat Pump $12.00 4/26/04 2200400000000000406 Plan Review - Planning $71.00 4/26/04 2200400000000000406 PW Mult Disc - 2nd Permit $-30.00 4/26/04 2200400000000000406 Sanitary Sewer - Improvement $344.20 4/26/04 2200400000000000406 Sanitary Sewer - Reimbursement $452.80 4/26/04 2200400000000000406 SDC MWMC Administration $10.00 4/26/04 2200400000000000406 SDC MWMC Improvement $214.23 4/26/04 2200400000000000406 SDC MWMC Reimbursement $314.63 4/26/04 2200400000000000406 SDC Sanitary/Storm Admin $108.24 4126/04 2200400000000000406 SDC Transpo Admin $53.14 4/26/04 2200400000000000406 SDC Transpo Improvement $727.42 4/26/04 2200400000000000406 SDC Transpo Reimbursement $164.89 4/26/04 2200400000000000406 Sidewalk Permit $75.00 4/26/04 2200400000000000406 Storm Drainage Impervious Area $1,020.51 4/26/04 2200400000000000406 Temp Power 200 amps or less $50.00 4/26/04 2200400000000000406 Vent Fan $18.00 4/26/04 2200400000000000406 WiIlamalane Single Family $1,000.00 4/26/04 2200400000000000406 Total Amount Paid $6,494.89 I Plan Reviews I Initial Review 04/01/2004 04/01/2004 APP LLH Planninl! Review 04/01/2004 . 04/17/2004 APP TAJ Public Works Review 04/01/2004 04/09/2004 APP VRJ Structural Review 04/01/2004 04/19/2004 APP TCM Pal!e 2 of 4 \ ;',_..~ CITY OF SPRINGFIELD. Status Issued Building/Combination Permit PERMIT NO: COM2004-00357 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: $ 265,069.00 225 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. 1 Curbcut - Standard: After forms are erected but prior to placement of concrete. . 2 Sidewalk - Curbside: 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 Servic~: Approval required prior to utility company energizing service. 30 Final Electric: When all electrical work is complete. 3 Ufer 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 tloor 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 Undertloor Plumbing: Prior to insulation or decking. 15 Undertloor 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 Undertloor 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. Pa2e 3 of 4 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO: COM2004-00357 ISSUED: 04/26/2004 APPLIED: 03/31/2004 EXPIRES: 10/26/2004 VALUE: $' 265,069.00 225 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 4;on;';k~ Owner or Contractors Signature Date Pa2e 4 of 4 225 Fifth Street' . Springfield, Oregon 97477 541-7,26-3759 Phone Job/Journal Number COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 ~'.Wo COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 COM2004-00357 ';.!-,. Payments: . Type of Payment Check "'~:" <':;., 4/26/2004 RECEIPT #: Description Addressing Assignment WillamalaneSingle Family Temp Power 200 amps or less -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 Sidewalk Permit Cutbcut Permit PW Mult Disc - 2nd Permit Building Permit 3 Baths One & Two Family Vent Fan Appliance Vent . Exhaust Hoods Dryer Vent Gas Outlets 1-4 Heat Pump -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Plan Review - Planning Paid By GENE HIATT ~'ty of Springfield Official Receipt oj ~velopment Services Department Public Works Department 2200400000000000406 Date: 04/26/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 2315 In Person Payment Total: Page 1 of 1 11:15:36AM Amount Due 31.00 1,000.00 50.00 1,020.51 452.80 344.20 164.89 727.42 314.63 214.23 10.00 108.24 53.14 (21.07) 75.00 75.00 (30.00) 1,105.15 306.00 18.00 6.00 9.00 6.00 4.00 12.00 10.00 106.13 151.62 71.00 $6,394.89 Amount Paid $6,394.89 $6,394.89 ~ 1 as submitted has the following , 01 require specific land use 225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · FAJ(p~~f726-3689 L::t)(l,. ELECTRICALtf!,&1lA~~4P~WAI10N Zoning City Job Number ~,.lJt"Wt(1') 'Date Date ~-rl..1-0 ~ \ 1. f.;.'v'.~'...'.'.T';..7 'O"'>':'C' ....;';..f:".T.'~Ll'y^o'':'~.'r..~.:o'if'F;;;0'.....;..I.;..1:.,..:. '.'i~.';';'1:.". r"?i\. ;"":'1",;.r""'0'''';'.''.'.. Y/""H"''',t;''''''~$;:',.;;''C?,'9";,<~ ,V,tP",,()J,~ir~..d/~,(I;!J;1,,~!.\.!~fiI.",. <'. .,.,.,.....,...:; <f)~ " L. on. H . ~f~Ln.:L . 3. ;,';CpllfeJ:,~XE;El~A'S,Cl!EPf]kE.:1J!3lX), ", ''';'q~,c';;''';';''~;'';'i'7~~:,jdi'A'. ,j'<N.",.';'J!k""","''';'''.'','""e,j" "."l',;',",hc:!;:,,'/, ""it",;,>."';;'.;;""'.';"": 'UWkk. ~~~ON r ~J 'ClDc..sD. ~~€~~and~kis - not started within 180 days of issuance or if work is Suspended for 180 days. ~ ~~t)N!C"ftJ{~iJof{riN'STJfl!l1ffffifP"}gr/l}f;~ B. 2. ";;jj\'&~~:;01t':&';:;i;P;ii4(:;;:';;'.:<t, ,;;rr.;:7::&>;';;f(";;;"';0f!f'~::'!ff0Ikf~'7il Electri Contractor 200 Amps or less ~cWJ~I(@.wYPIJU to Address ' -rt::\\.rnON:oregon 40~~~~-6)gffi)l tl ~: \ I Ai . ~ dopted b~r W Se rt J 10\10\1\1 ru\es a r ih~~eAnlpS3t61 ff~15i~' City /Phone '~0tiHcation ~~~~~o 1 0 ta,~~~(;) ~~/XR!!~ l In OAR 952 bta.in~PtU1Scpbmy- hone 'fou may 0 e: the tele.p. . 0090. . he center. ( C},~i~fl~""'C)1!W'-'! ';; a\\lng h, ("':1 vlces'ol',F;eeder C 'he ore~ ;ifj;>h"",,"""_:i "c~"'~~; " numbeno' ~ _,,'~ -l onn-I),'1, - " - - Installation, Alteration or Relocation 200 Amps or less \ $ 50.00 20\,.~mps to 400 Amps $ 69.00 ~ (D)li'l~1~m)s to~Rimf>IRE If TH€-W0RI< $100.00 THIS ER T S 1 11l3I'SaOOl Al+' J~."_.i~ cttV1 -: ~R ANy~aiUiIiUGlE.xtension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit Supervisor License City OWNER mSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ;;Z:;gnature' /,/.- < v~/3rv ~ 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 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 5D.($) $ 43.00 $ 3.00 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. f)).ro g.SQ ~ .OCJ P\~ ~O 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding Forms/Electrical Permit Application I-03.doc CITY OF SPRINGFIELD SYSTEMS DEVELOPMENl WORKSHEET JOURNAL OR JOB NUMBER: Com2004-00357 NAME OR COMPANY: Gene Hiatt LOCATION: 951 S Street TAX LOT NUMBER: 17032613 t18500 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF; 2753 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE j 3519,00 I $0.290 = I $1,020.51 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. I x COST PER S.F. x DISCOUNT RATE DISCOUNT 0.00 $0.290 50% $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC $1,020.51 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I COST PER DFU I 20 I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 20 COST PER DFU $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x NUMBER OF UNITS x I I 9.57 1 I B. IMPROVEMENT COST: ADT TRIP RATE 9.57 $797.00 COST PER TRIP $17.23 x NEW TRIP FACTOR 1.00 x I NUMBER OF UNITS I x I I 1 I = , COST PER TRIP $76.01 $892.31 x NEW TRIP F ACTORI 1.00 ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x COST PER FEU I $314.63 B. IMPROVEMENT COST: jNUMBER OF FEU's I 1 x ICOST PER FEU I $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER sm = I SUBTOTAL (ADD ITEMS 1, 2, 3, & 4) = I 5. ADMINISTRATIVE FEE: I SUBTOTAL x ADM. FEE RATE I $3,227.61 5% TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 7604 C/'l ~ ~ o U 0::: ~ E-< C/'l H tJ ~ $1,020.51 1070 $452.80 1091 $344.20 1092 $164.89 1093 $727.42 1094 = $314.63 1054 4/9/2004 Virginia Jurasevich PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE, NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0 INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER / MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0 RECEPTOR FORREFRIG / WATER STATION /ETe. 0 0 1 = 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 = 0 SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 URINAL,STALL/WALL 0 0 5 = 0 TOILET, PUBLIC INSTALLATION 0 0 6 = 0 TOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1)991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 , CREDIT RA TE/$I ,000 ASSESSED VALUE $5.04 $5.04 $4.95 $4.88 $4.75 $4.58 $4.41 $4.20 $3.88 $3.50 $3.07 $2.60 $2.14 $1.71 $1.52 $1.38 $1.19 $1.03 $0.87 $0.68 $0.46 $0.27 $0.09 $0.04 IS LAND ELGlBLE FOR ANNEXA nON 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 $4.18 x $5.04 = , $21.07 . CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE / 1000 CREDIT RATE $0.00 x $5.04 = , o = .$21.07 TOTAL MWMC CREDIT