HomeMy WebLinkAboutPermit Building 2003-7-22
Status
Issued
_ CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00548
ISSUED: 07/22/2003
APPLIED: 06/24/2003
EXPIRES: 01122/2004
VALUE: $ 177,683.00
~
. ~...
..
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
, 541-726-3769 Inspection Line
SITE ADDRESS: 909 S ST
ASSESSOR'S PARCEL NO.: 1703261308300
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR
Owner: DAVID KLEIN
Address: 770 ROWAN AVE SPRINGFIELD OR 97477
Phone Number: 541-741-1904
I CONTRACTOR INFORMATION I
Contractor License Expiration Date
JOHN GOEKEN ENTERPRISES INC 130777 03/08/2005
HARDING ELECTRIC INC 132089 02/0112004
MARSHALLS INC 25790 12/23/2003
THOMAS ANT~NY RYDER 152323 '07/26/~Q}04
, ~~~ BUILDING INFORMATION I -AO~~~~(,
. <, ' ~ ~ ~0C:J 0(:- V;- ~ f:JCj
# of Buildings:, , ..,,;,' , ~ ~ ~ ~ # of Stories: 1 0~11ifJ..tJ qj f)fJ; 0tt..J'"
Primary occupancY'Gr. oup:' ~ ~~~ ~ Height of Structure 18.00 ~ ~ ~'i>)~tfmo~ o(:-~ ~
Secondary Occtip'ancY'G~rou.P8~ ~<<. Type of Heat: Forced Air ~flf ~~f{~1;J)'ff~o~ ~o ,
Primary Construction Ty~~'~ ~ Water Type: 0~b'O ocfq ~~~~,~()
Secondary Constru~tio~~~ ~~ Range Type: ~t;lic~,,~ ~~<9~e~r~rt
# of Bedrooms: ~~ ~ ~ ~. 3 Energy Path: ,p ~ . ~~~dR Qbh~~t')~
, ,.<;,' ~ ~~, ~ ~ /~ ~e'O r!li ~ ~~~~~fface Area:
.." .~,<{(' .v, ,tV" '\~ v g'" ~ J. ~ no.
~~~~~~~...~\ I DEVELOPMENTINF~~'>~IlI-~;'~O~ !O~vJ
, S~~~~ ~ <:;;j ~ ~ ~0 ~0 .~'" REQUIRED PARKING
~....~- ~ ~o O'r' ""'10 ~~ 0'" e\ '
Frontyard Setb~~~ ~ . 20.00 Overlay Dist: .~ _Ot~. ~ ~~ 0~' Total: 2
Side 1 Setback: ~ 5.00 # Street Trees Rqd: "~~- CJIt; ~ttJ Q Handicapped:
Side 2 Setback: 18.00 Paved Drive Rqd: (:--:5 Y Compact:
es
36.60
Contractor Type
General
Electrical
Mechanical
Plumbing
Phone
541-915-9061
541-688-5006
541-747-7445
(541)343-0975
7,516
1,678
462
616
Rearyard Setback:
Solar Setbacks:
21.00
0.00
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Fullv Improved
No
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes:
Pae:e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00548
ISSUED: 07/22/2003
APPLIED: 06/2412003
EXPIRES: 01122/2004
VALUE: $ 177,683.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellinl!s
Garal!e
Garal!e
Tvpe of Construction
,V Wood Frame
Garal!e
<<:;aral!e
$ Per Sq Ft
or multiplier
$90.60
$23.80
$23.80
Square Footage
, or Bid Amount
1,678.00
462.00
616.00
Value
Date Calculated
Description
Total Value of Project
$152,026.80
$10,995.60
$14,660.80
$177 ,683.20
06/24/2003
06/24/2003
06/24/2003
'~
Fee Description Amount Paid Date Paid Receipt Number
Curbcut - Overwidth Appl $35.00 6/24/03 1200200000000001618
Plan Review Residential $532.45 6/24/03 1200200000000001618
-Mechanical Issuance Fee- $10.00 7/22/03 1200200000000001800
+ 10% Administrative Fee $124;52 7/22/03 1200200000000001800
+ 7% State Surcharge $87.16 7/22/03 1200200000000001800
3 Baths One & Two Family $306.00 7/22/03 1200200000000001800
Addressing Assignment $8.00 7/22/03 1200200000000001800
Building Permit $819.15 7/22/03 1200200000000001800
Curbcut Permit $75.00 7/22/03 1200200000000001800
Dryer Vent $6.00 7/22/03 1200200000000001800
Exhaust Hoods $9.00 7/22/03 1200200000000001800
Furnace - up to 100,000 btu $12.00 7/22/03 1200200000000001800
Gas Fireplace $15.00 7/22/03 1200200000000001800
Gas Outlets 1-4 $4.00 7/22/03 1200200000000001800
Plan Review - Planning $59.00 7/22/03 1200200000000001800
PW Mult Disc - 2nd Permit $-30.00 7/22/03 1200200000000001800
Sanitary Sewer - Improvement $453.33 7/22/03 1200200000000001800
Sanitary Sewer - Reimbursement $596.43 7/22/03 1200200000000001800
SDC MWMC Administration $10.00 7/22/03 1200200000000001800
SDC MWMC Improvement $34.83 7/22/03 1200200000000001800
SDC MWMC Reimbursement $332.86 7/22/03 1200200000000001800
SDC SanitarylStorm Admin $111.14 7/22/03 1200200000000001800
SDC Transpo Admin $49.34 7/22/03 1200200000000001800
SDC Transpo Improvement $709.81 7/22/03 ' 1200200000000001800
SDC Transpo Reimbursement $160.87 7/22/03 1200200000000001800
Sidewalk Permit ' $75.00 7/22/03 1200200000000001800
Storm Drainage Impervious Area $911.42 7/22/03 1200200000000001800
Temp Power 200 amps or less $50.00 7/22/03 1200200000000001800
Vent Fan $24.00 7/22/03 1200200000000001800
Willamalane Single Family $1,000.00 7/22/03 1200200000000001800
Total AmounfPaid $6,591.31
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00548
ISSUED: 07/22/2003
APPLIED: 06/24/2003
EXPIRES: 01/22/2004
VALUE: $ 177,683.00
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
06/25/2003
06/25/2003
06/25/2003
06/25/2003
I Plan Reviews I
06/25/2003 APP
07/0112003 APP
06/26/2003 APP
07/16/2003 APP
LLH
TAJ
DJW
TCM
shopbuilding setbacks OK
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 Sidewalk -Curbside: After forms are erected but prior to placement of concrete.
2 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
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 Underfloor 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 Underfloor 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. Pres,ure 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.
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.
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: COM2003-00548
ISSUED: 07/22/2003
APPLIED: 06/24/2003
EXPIRES: 01/22/2004
VALUE: $ 177,683.00
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 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.
~UJ(Ov-
Owner or Contractors Signature
Pa2e 4 of 4
Date
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. FAX: (541)726-3689 ~'O~~ meG, ./S
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL PERMIT APPLICATION
City Job Number ~:, .DOS\B Date
1.
~~
~~ed-
LEGAL DESCRIPTION
\f)()'3Uo\3 ~
JOB DESCRIPTION
\:Q.ro {(ZL(.\)l4' ~(~ ~
Permits a~ non-transfe~le and expire if work is 0
not started within 180 days of issuance or if work is
Suspended for 180 days.
Address
/
/
/
P~,9fie
/
/
/ r
City
Supervisor License Num
/
//
Expiration Date
re of Supervising Electrician
OwnersName ~ ~\e.in
Address \l{J ~, A~
ci~f'oH Phon,l4I. ICI.l:l4
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
Service Included
>>'.
r
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.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less \
201 Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
5D.DO
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
Pump or irrigation
Sign/Outline Lighting
Limited EnergyIResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
6t)~
3.S0
~.oO
5<t .escJ
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03,doc
/'
CITY OF ~'''''NGFIELD SYSTErvlS DEVELOPMEf>t. dORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00548
NAME OR COMPANY: David Klein
LOCATION: 909 S Street
TAX LOT NUMBER: 17032613TL08300
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF) 0 LOT SIZE (SF):
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I. IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 3232,00 I $0.282 = $911.42
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F. I x COST PER S.F. I x DISCOUNT RATE I DISCOUNT
I 0.00 $0.282 50% = I $0.00
ITEM 1 TOTAL. STORM DRAINAGE SDC $911.42
2, SANITARY SEWER - CITY
A REIMBURSEMENT COST:
NUMBER OF DFU's I x
27
B. IMPROVEMENT COST:
NUMBER OF DFU's x
27
7516
C/.l
~
o
o
U
0:::
~
E-<
C/.l
......
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~
0:::
)
$911.42
1]070
COST PER DFU
$22.09
$596.43
1091
COST PER DFU
$16.79
$453.33
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
$1,049.76
3, TRANSPORTATION
A REIMBURSEMENT COST:
ADT TRIP RATE I x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
$16.81 . $160.87
9.57 I' 1.00 1093
B, IMPROVEMENT COST:
I ADT TRIP RATE x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR 11094
I 9.57 . 1 I $74.17 I 1.00 = $709.81
ITEM 3 TOTAL - TRANSPORTATION SDC = I $870.68
4, SANITARY SEWER - MWMC
A REIMBURSEMENT COST:
NUMBER OF FEU's x ICOST PER FEU
1 , $332.86 = $332.86 1054
B, IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
I $34.83 = $34.83 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1,1054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $377.69
SUBTOTAt (ADD ITEMS 1,2,3, & 4) = I $3,209.55 ,I
5. ADMINISTRATIVE FEE:
SUBTOTAL lX' ADM. FEE RATE 1= CHARGE
$3,209.55 5% $160.48
TOTAL SANITARY ADMINISTRATION FEE: 111.14 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $49.34 1078
D. Wright 6/26/2003 TOTAL SDC CHARGES = $3,370.03
PREPARED BY DATE
, n_.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE ..
NUMBER OF NEW AXTURES x UNIT EQUIVALENT = DRAINAGE AXTURE UNITS ;/r
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL AXTURES) \
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUlV ALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 - 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = ,0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.I 0 0 3 = 0
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIV ATE INSTALLATION 3 0 3 = 9
MIS,CELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 27
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE,
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RA TE/$] ,000
ASSESSED VALUE
$4,92
$4,92
$4,83
$4,77
$4,64 '
$4.47
$4,30
$4,09
$3,78
$3.41
$2,98
$2.52
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0.22
$0.04
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
o
o
]979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / ] 000 CREDIT RATE
$0,00 x $4.92
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF At< II:'..K ANNEXATION)
VALUE / 1000 CREDIT RATE
. $0.00 x $4.92
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
COM2003-00548
Payments:
Type of Payment
Check
Receipt #: 1200200000000001800
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
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
Plan Review - Planning
Building Permit
3 Baths One & Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
~Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number
Batch Number Authorization Number
Paid By
DAVID W KLEIN
Jmp
2101
City of Springfield Ofticia~eceipt
Development Services Department
Public Works Department
Date: 07/22/2003
1l:37:19AM
Amount Paid
Item Total:
8.00
1,000.00
50.00
75.00
75.00
(30.00)
911.42
596.43
453.33
160.87
709.81
332.86
34.83
10.00
111.14
49.34
59.00
819.15
306.00
12.00
24.00
9.00
6.00
4.00
15.00
10.00
87.16
124.52
$6,023.86
How Received
In Person
Payment Total:
Amount Paid
$6,023.86
$6,023.86