HomeMy WebLinkAboutPermit Building 2003-5-13
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: COM2003-00214
ISSUED: 05/13/2003
APPLIED: 03/27/2003
EXPIRES: 11/13/2003
VALUE: $ 116,235.00
SITE ADDRESS: 902 S ST
ASSESSOR'S PARCEL NO.: 1703261309200
TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Single Family Residence
MICHAEL HIATT
1864 9TH STREET SPRINGFIELD OR 97477 r \t\\\j~'f..
. ~ .\ r',:, c. ~\.}\
I CONTRAc;.y>ll\~)t--tiON II
tf(:. S\\~\..\- ,\\\'0 (~
Contrac\Qn"\~ o~~~~' \ \~rv't.~ I\\\i>-~rv\j License
MICHAEl1;.~T ~T~~IUN 152009
MICHAEL!MA\F ~(.~~'t.rv o~~\\jrv. 152009
~\)~\i~'B&itb~NG INFORMATION I
~~,
1 # of Stories: 1 Lot Size:
R-3 Height of Structure 18.00 S<i..<Ft 1st Floor:
U-l Type of Heat: Forced Air Gas ~~~~nd Floor:
VN Water Type: ~~0c:, ~t t..(B:;i!i~ment:
Range Type: \~~0~0~' ~~~/Carport
3 Energy Path: \?>-~tUQi c:, ~ . ~~er:
0<' r. ~~ ~0 ot...):. c>.
1'0(:$ A '0'\ 1,.'V 0 ~Tvl~S~rface Area:
\ "l" f"'-> _c...e l"'S' L ~ .F~ J'O
I DEVELOPMENT__J,NFO~~'{{~~.0~;0c:, ~0 \.~O:.s.\V
~~' ,s.0'" 00 ~<.) , '~<,-VO l\.0~.~",'\ b.t>1ffiQUIRED PARKING
J>,: ....N'\ . 0<' ~'\' ~\.'lJ. ~O '\)~ ~'?:)
Overl~~'VIst~ a:\5 ~ 0 01,.. 0<' '.J>7: Total: 2
# Stre~J.fe<(i~~~ ~~ v0<'~01,.e(:$ ~~J? Handicapped:
Paved~rio~qd.P .;s.0.;s.0."::J .,Joy Compact:
\<' RP' .~~ ,\01,. ~'\ es
% of Lot ~ee~"g~i.o01,. 0<,\.0 26.00
~~ c;
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I PUBLIC IMPROVEMENTS I
Owner:
Address:
Contractor Type
General
Owner
# of Buildings:
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:
Description
Phone Number: 541-741-0384
Expiration Date
06/28/2004
06/28/2004
Phone
741-0384
541-741-0384
7,394
1,432
480
10.00
5.00
12.00
28.00
34.00
Fully Improved
Yes
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
I Valuation Description I
Type of Construction
Date Calculated
$ Per Sq Ft
Square Footal!:e
Value
Pal!:e 1 of 4
Issued
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
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Gas Fireplace
Gas Outlets 1-4
Plan Review - Planning
PW Mult Disc - 2nd Permit
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
Willamalane Single Family
Total Amount Paid
Initial Review
Planninl! Review
Public Works Review
03/27/2003
03/27/2003
03/27/2003
$74.60
$19.60
1,432.00
480.00
Total Value of Project
~
Amount Paid
$403.59
$10.00
$97.69
$68.38
$254.00
$8.00
$620.90
$75.00
$6.00
$9.00
$15.00
$4.00
$59.00
$-30.00
$335.80
$441.80
$10.00
$34.83
$332.86
$91.69
$50.22
$709.81
$160.87
$75.00
$812.16
$50.00
$18.00
$1,000.00
$5,723.60
I Plan Reviews I
03/27/2003
04/02/2003
04/04/2003
Date Paid
3126103
5/13103
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13103
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13103
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
5/13/03
APP LLH
APP EMM
APP VRJ
Pal!e 2 of4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00214
ISSUED: 05/13/2003
APPLIED: 03/2712003
EXPIRES: 11/13/2003
VALUE: $ 116,235.00
$106,827.20
$9,408.00
$116,235.20
03/27/2003
03/27/2003
Receipt Number
1200200000000000888
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
2200200000000000839
i,~~~,~,1J~gJi.~'"o"', .',.'
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00214
ISSUED: 05/13/2003
APPLIED: 03/27/2003
EXPIRES: 11/13/2003
VALUE: $ 116,235.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Revised Plan Review - Str
04/16/2003
04/17/2003
APP
DLM
Truss layout drawings only.
Applicant to provide truss design
drawings to this office prior to
delivery of trusses to the job, and
provide an additional set at the job
site prior to requesting framing
inspection.
Received Truss Information
Revised Plans Received/Ro
Structural Review
04/10/2003
04/16/2003
04/11/2003
APP
APP
LLH
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.
~eouiredJnSDections 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 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
4 Footing: After frenches 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. 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.
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.
Pae:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00214
ISSUED: 05/13/2003
APPLIED: 03/27/2003
EXPIRES: 11/13/2003
VALUE: $ 116,235.00
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
t~ru~:. _'_" c;- _ (. fJ _ 03
Owner or Contractors Signature
Date
Pal!e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 2200200000000000839
Date: 05/13/2003
'Job/Journal Number
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
COM2003-00214
Description
Addressing Assignment
Willamalane Single Family
Temp Power 200 amps or less
Plan Review - Planning
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
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Item Total:
Amount Paid
8.00
1,000.00
50.00
59.00
75.00
75.00
(30.00)
812.16
441.80
335.80
160.87
709.81
332.86
34.83
10.00
91.69
50.22
620.90
254.00
18.00
9.00
6.00
4.00
15.00
10.00
68.38
97.69
$5,320.01 '
Payments:
Type of Payment
Check
Paid By
MICHAEL HIATT
Received By
djb
Check Number Confirm No
How Received
In Person
Payment Total:
Amount Paid
5,320.01
$5,320.01
5/13/2003
1:23:54PM
Page 1 of 1
cReceipl.rpt
ubmitted has the following
,;i c:lQ&s.not.require specific land use
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . ~!v~~lfI)7 "o-.jb1S~
~~o~~~~~~: Mo. Zoo'og 6~'7t{)"? iJ"
B.
/ ~\~e ~ ~'O:\"
"etS. ~Arnffi o~s M
/ ~ \'lJ.~ 1'(\0 O~9J0~~~too'QAmps
_~Q~O o'Q~~ 0 ~~'4~{'~~$~~~S
...O~~o~,e ~~o'?) ~o\)~~q~~~~ps
_~, 'lJ.v 0~' ~ ~'<.I 0."m.~~
Phone .<,,~,..... .,.,C?:J .~~ R>~.$) C,o\Vv~\luO~~sNolts ,
~\ ~~ '\~~<' v'CJ~\,\J ~,iY<' ~ij."e~~~
,0~0. '1>~ b7:f::S ~ 0 ~0~'~ ~ '
~\V no. g <f:'0' v0~ ~~
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, v" .....- ~,- 1'(\'<.1 \'
\<' PJ\). . ~~ 0" ~ i,\C?:J
()f::S r~"~0~\!.~0<"e Installation, Alteration or Relocation ~~~
\ ~~~ v 200 Amps or less ~(~ ~ ~\)~ 50.00
201 Amps to 400 Amps S:. '\( . t..\'\ \~~ $ 69.00
401 Amps to 600 AmP\,~~ 'Xx'~\~.s ~\.i' $100.00
~ D. Over 600 Amps \\~s ~~~" above.
e~\.y1er~f~{{)~~~ijo\1'per Panel
O~ ~~~~~<v~\.J ~ ~ $ 43.00
Eac~'Mcfj~bq..,ah&u-cuit or with
servi&i~~'aerpermit $ 3.00
E.
1.
\~m;~~~\3N rA9m
JOB DESCRIPTION
-\0(1\(\ thUQr~
~: non~transferable and expire if work \s
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
City
Expiration Date
,
Ci
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
----.
~-
-~...-
y
--~
Inspection Request: 726-3769
3.
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
$ 19.00
$50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
ID.OO
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
~.~
.O~:;
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application I-03.doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN1tvORKSHEET
JOURNAL OR JOB NUMBER: com2003-00214
NAME OR COMPANY: Michael Hiatt
LOCATION: 902 S Street
TAX LOT NUMBER: 17032613 t; 9200
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 1400
LOT SIZE (SF):
7394
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1, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F, x COST PER S,F, CHARGE
2880,00 $0,282 I = , $812.16
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S,F, x I COST PER S,F, I x DISCOUNT RATE DISCOUNT
0.00 ' I $0,282 150% $0,00
ITEM 1 TOTAL - STORM DRAINAGE SDC $812.16 $812.16 1070
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFUs x I COST PER DFU
I 20 I $22,09 , $441.80 1091
B, IMPROVEMENT COST:
I NUMBER OF DFUs x I COST PER DFU
I 20 I $]6,79 = , $335.80 1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $777.60
3, TRANSPORTATION
J
A, REIMBURSEMENT COST: I.
I ADT TRIP RATE x I NUMBER OF UNITS I x COST PER TRIP x NEW TRIP FACTOR j 1093
I 9,57 I 1 $16,81 1.00 $160.87
B, IMPROVEMENT COST: I
I ADT TRIP RATE x I NUMBER OF UNITS x' COST PER TRIP x NEW TRIP FACTOR
1 9,57 I 1 $74,17 1.00 $709.81 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = 1 $870.68 I
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
'NUMBER OF FEU's I x ICOST PER FEU
1 I , $332,86 = I $332.86 1054
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $34,83 $34.83 lOSS
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
,MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SAN IT ARY SEWER SO< =, $377.69
SUBTOT AL (ADD ITEMS 1,2,3, & 4) = ! $2,838.13
5, ADMINISTRATIVE FEE:
I SUBTOTAL x ADM, FEE RATE 1= CHARGE
I $2,838,] 3 5% I $]41.91
TOTAL SANITARY ADMINISTRATION FEE: 91.69 1079
TOTAL TRANSPORTATION ADMINISTRAT]ON FEE: $50,22 1078
--.-
Virginia Jurasevich 4/4/2003 TOTAL SDC CHARGES $2,980.04
PREPARED BY DATE
.--- -
*EDU (Equiva]ent Dwelling Unit) is a discharge equivalent to a single family dwe]ling unit (20 DFU's) set at ] 67 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
'I YEAR CREDIT RA TE/$I ,000
ANNEXED ASSESSED VALUE
I BEFORE 1979 $4,92
,I ]979 $4,92
I ]980 $4,83
I 1981 $4,77
i 1982 $4,64
: 1 ]983 $4.47
1 ]984 $4.30
1 1985 $4,09
I 1986 $3,78
1987 $3.41
1988 $2,98
1989 $2.52
1990 $2,06
1991 $1.64
1992 $1,45
1993 $1,31
1994 $1.13
1995 $0,97
1996 ' $0,82
1997 $0,63
1998 $0.41
1999 $0,22
2000 $0,04
IS LAND ELGIBLE FOR ANNEXA TIONCREDIT? 0
(Enter I for Yes, 2 for No) , ,
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
(Enter I for Yes, 2 for No)
BASE YEAR 1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
W,OO x U~ moo
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 ' CREDIT RATE
$0.00 x $4~92 =, 0
TOTAL MWMC CREDIT
,
$0,00
=