HomeMy WebLinkAboutPermit Building 2003-7-14
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: COM2003-00497
ISSUED: 07/14/2003
APPLIED: 06/13/2003
EXPIRES: 0111412004
VALUE: $ 151,007.00
SITE ADDRESS: 897 S ST
ASSESSOR'S PARCEL NO.: 1703261308200
PROJECT DESCRIPTION: SFR
SPRINGFIE TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: MICHAEL HIATT
Address: 1864 9TH ST SPRINGFIELD OR 97477
Contractor License
MICHAEL HIATT ,CONSTRUCTION 152009
THOMAS LEE BALCOM JR O\}\.01~~~21
COMFORT FLOW 0~ ~ ~'\\~~,
MICHAEL HIATT ' 0o.\}\~~ ,~ iP'"
SURRETTS PLUMBING~~~~:,~~ .~~6Ji~
, ~'r' ' '
~. ~ ~~~O ..r:-~cF'
~-<"\O~~O!...~Jt~\~ e' .".~ 1 Lot Size:
~~~ '1~etO C0 Ii~!t~. \~~. 19.00 Sq Ft 1st Floor:
~~ 'l~fpJ)~'f~t~\lf~~Air Elect Sq Ft 2nd Floor:
'\l ~ q ~Wa~~~O ~ Electric Sq Ft Basement:
~ O~ ~~ ~~~'Fti\~ Electric Sq Ft GaragelCarport
\~. '&.~. ~~~k&th: Path,1 Sq Ft Other:
, di' :oe~ CJb~ , Impervious Surface Area:
.l~ -{{
I DEVELOPMENT INFORMATION . '\~~~\)\~\
x.. ~ ~ IRED PARKING
15.00 Overlay Dist: \.. C(.i-<?'~ <?C(.~t'\f~~ : 2
5.00 # Street Trees R~~ CO~~~C(.~ '\~~ ~~~~ Handicapped:
12.00 Paved Driv~(Nl ~~~\ ~~\j 'CO ~~r Compact:
29.00 % of Lot ~~~~'1.~ x..~ ~\~
0.00 ~~~,,~~C(.~"~~ <?
Contractor Type
General
Electrical
Mechanical
Owner
Plumbing
# 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:
Phone Number: 541-741-0384
I CONTRACTOR INFORMATION.
Expiration Date
06/28/2004
10/19/2003
06/27/2005
Phone
741-0384
541-461-2590
541-726-0100
541-741-0384
541-741-3553
01/14/2004
7,470
1,465
528
I PUBLIC IMPROVE~~ 1"
Fully Improved
No
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Pa2,e 1 of 4
Description Tvpe of Construction $ Per Sq Ft Square Footage
or multiplier or Bid Amount
Dwellin2s V Wood Frame $90.60 1,465.00
Gara2e Gara2e $23.80 528.00
Gara2e Gara2e $23.80 240.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Air Handling Unit Up to 10,000
Building Permit
Copies - Ea Addtl @ 50 Cnts Ea
Copy 1st @ 75 cents
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
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
I Valuation Description I
Total Value of Project
~
Amount Paid
Date Paid
$464.85
$10.00
$112.27
$78.59
$254.00
$8.00
$8.00
$734.65
$4.00
$0.75
$75.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$59.00
$-30.00
$369.38
$485.98
$10.00
$34.83
$332.86
$95.16
$50.04
$709.81
$160.87
$75.00
$800.32
$50.00
$18.00
$1,000.00
6/13/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7114/03
7/14/03
7/14/03
'7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7/14/03
7114/03
7/14/03
7/14/03
7/14/03
7/14/03
Pa2e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00497
ISSUED: 07/14/2003
APPLIED: 06/13/2003
EXPIRES: 01/1412004
VALUE: $ 151,007.00
Value Date Calculated
$132,729.00
$12,566.40
$5,712.00
$151,007.40
06/13/2003
06/13/2003
07/11/2003
- Receipt Number
1200200000000001524
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
1200200000000001752
12n0200000000001752
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00497
ISSUED: 07/14/2003
APPLIED: 06/13/2003
EXPIRES: 01114/2004
VALUE: $ 151,007.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid
$6,029.36
I Plan Reviews I
Initial Review 06/16/2003 06/17/2003 APP LLH No initial plan reviews completed on
6/16103. I was o,ut of office.
Planninl!: Review 06/17/2003 07/01/2003 APP TAJ accessory building has proper
setbacks
Public Works Review 06/1712003 06/1812003 APP DJW
Public Works Review 07/03/2003 07/04/2003 APP DJW' Added impervious area for shop
added to building permit.
Structural Review 06/1712003 07/09/2003 APP 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.
~eouiredJnsnections 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 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. 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
Pal!:e 3 of 4
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00497
ISSUED: 07/14/2003
APPLIED: 06/13/2003
EXPIRES: 01/14/2004
VALUE: $ 151,007.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
29 Electric Service: Approval required prior to utility company energizing service.
30 Final Electric: When all electrical work is complete.
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
tim~s during construction. _"
.~~
7-[Q-O 3
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
COM2003-00497
Payments:
Type of Payment
Check
Description
Addressing Assignment
Copy 1st @ 75 cents
Copies - Ea Addtl @ 50 Cnts Ea
Willamalane Single Family
Temp Power 200 amps or less
Sidewalk Permit
Curb cut Permit
PW Mult Disc - 2nd Permit
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Plan Review - Planning
Storm Drainage Impervious Area
SDC Sanitary/Storm Admin
SDC Transpo Admin
2 Baths One or Two Family
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
MICHAEL RIA TT CONSTR
Receipt #: 1200200000000001752
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt,
Development Services Department
Public Works Department.
Date: 07/14/2003
10:29:58AM
Amount Paid
Item Total:
8.00
0.75
4.00
1,000.00
50.00
75.00
75.00
(30.00)
485.98
369.38
160.87
709.81
332.86
34.83
10.00
59.00
800.32
95.16
50.04
254.00
12.00
8.00
18.00
9.00
6.00
4.00
15.00
12.00
10.00
734.65
78.59
112.27
$5,564.51
How Received
In Person
Payment Total:
Amount Paid
$5,564.51
$5,564.51
p IOr\lOg 9r.Q~ct as submitt&,
225 FIFTH STREET · SPRINGFIELD, OR 97477 · PH:(541)726-3753 · F (." ii, 4df.\~'dl5~!l~t require speclII'- ,~,,,
approval
Zoning
ELECTRICAfcPI?W'!IT A?XfJEA.TION
City Job Number \.UllZ-~.l.XYtjJ Date 07 (L{ 0 .3
1.
BC\f1 J?~\
LEGAL DESCRIPTION
'f) o?:/L\.o \3 C5?:!2W
JOB DESCRIPTION
~~~~;tY~::if~J
not started within 180 days of issuance or if work is
Suspended for 180 days.
City
Phone
//
Supervisor License
Expiration Date /
"
Owners Name ~~ffiL- \-\iat~&ns+
Address \~\~l^ (\-+h S\-re~
City~~f 11 Phone \'\\. ()3~
OWNER INST ALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Si~re:
~r~~~
Inspection Request: 726-3769
J~~
'7- /S-05
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
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
't:.~
~\\ ~~ ~e . . \,,~O. 0 ~O~
\O\\O~ ~~~~"a\~\~l6ft~~0-\\O~
NO\\'\~~~'?a:~cQ~!~~. '~. O\~\\\\\'f ~~~ \ $ 50.00
\(\~9()J@~~ct3~ ~~ ~~~~~?J $ 69.00
00 c~\\'l'~~ Ui'~Q ~~~ $100.00
~e~ ~t\,e~ ,S
{\~er 6\ll!)'Q\.mps or 1000 Volts see "B" above.
D.
5D.CD
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
1t~ \?~~;08~DtR \\1~~D(\~tO fQR$ 50.00
~<D\QWU~ctt0\3 \S ~B $ 50.00
L~~r~~~' $ 25.00
L~~ ~ergY/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
CO.l()
~.~D
S.W
~6.SO
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T: )lBuilding FormslEltx:trical Permit Application 1-03 ,doc
-i .;
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN I ..lfORKSHEET
JOURNAL OR JOB NUMBER: COM2003-00497
NAME OR COMPANY: Michael Hiatt Construction
LOCATION: 897 S St.
TAX LOT NUMBER: ]7032613TL08200
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 COST PER S.F, CHARGE
I 2838,00 $0,282 I = $800.32
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, x COST PER S,F, I x I DISCOUNT RATE DISCOUNT
I 0.00 $0,282 I 50% $0,00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $800.32
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1 x I COST PER DFU
I 22 I I $22,09
B, IMPROVEMENT COST:
I NUMBER OF DFU's x
I 22
COST PER DFU
$]6,79 '
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
3, TRANSPORTATION
A, REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS I
I' 9,57 I ] I
B, IMPROVEMENT COST:
I ADT TRIP RATE
I 9,57
x I NUMBER OF UNITS
I ]
ITEM 3 TOTAL - TRANSPORTATION SDC
4, SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
I NUMBER OF FEU's x ICOST PER FEU
I ] I $332,86
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
] $34,83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD(
$855.36
x I COST PER TRIP x INEW TRIP FACTOR
I $]6,8] I l.00
x I ' COST PER TRIP x INEW TRIP FACTOR
I $74,] 7 I l.OO'
= l $870.68
7470
r./:J
~
o
o
u
~
~
f-;
r./:J
......
Cj
~
$800.32
1070
$485.98
1091
$369.38
1092
$160.87
~"::
1 093 .......
$709.81
1094
=
$332.86
1054
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5, ADMINISTRATIVE FEE:
/SUBTOTAL x ADM. FEE RATE =
I $2,904,05 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
D. Wright
7/3/2003
PREPARED BY
DATE
MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
o
I
I
I
I
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
11992
1993
1994
1995
1996
1997
1998
1999
2000
=
CREDIT RA TE/$1 ,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 I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. <::REDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0,00 x $4,92
= I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $4,92
TOTAL MWMC CREDIT
o
1979
$0,00
o
$0,00