HomeMy WebLinkAboutPermit Building 2003-6-30
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CITY OF SPRINGFIELD'
,Building/Combination Permit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 12/30/2003
VALUE: : $ 242,827.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 888 S
ASSESSOR'S PARCEL NO.: 1703261309300
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Single Family Residence wi accessory unit
Owner: HIATT BERNARD D
Address: 836 R ST SPRINGFIELD OR 97477
Owner: RICHARD mATT
Address: P.O. BOX 173 SPRINGFIELD OR 97477
SETBACKS
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
'to
I DEVELOPMENT INFORMATION. 10'6 ~O~~~~ ~
, ().~\'\ r'\.0~ e\.\O,,8EQUlRED PARKING
~ ,,10 '!o.0YJ e CJ ~v '0'>
Overlay Dist: '^ '\(). :-\,100 c;?f. ~~ :\~otal: , 2
# Street Trees Rqd: f'>~O~'O)'\ ~ ~.s.e r2tt-~ e \'1): Ha~ldicapped:
. ,,\'<.J V e ""v ~ ~u..,('\\'
Paved DrIve Rq~~ <\\.10 '-<''t,.oCJ :V~Yes')\ ~e~ ~OJDpact:
,0 00'1: '\ (<;1.\0. ~_ \.10 .~\c.
'% ofLot-€.~1e\l(2g'e: ~\.e\. \O~ c.<..41~.QOS'e ~o~
i",0 ~\~\ f.:\(}o"vOO ~~~ ~o\.~.,~~~ ~bi~'
.,- .,("\ ..,(') C"\V ~'O \\ _ v ~!}"
I PUBLIC IM~iiQviffiE~1:S~f c.~~\.~,\e~~~\}'~~v
,- U' '"\'" ~'\.., e ....,1()
.10 ~ r\ ~ ~"" Sidewalk Type'
Fully Improved ' '\ \)O~ . ~\~YJ \\0'\ >;...10\' . Curbside 5'
Yes c.f(f. ~'Oe (p<0 Downspouts/Drains: Curb and Gutter
Engineering has called for a survey of to\v~rify the location of the easement lines in relation to the
proposed siting of the structures. Intrusion of footings, eaves, and any other portion of the
proposed structure in to easement area is prohibited.
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I CONTRACTORINFORMATt~,~~\)\
W:->'; ~ ,,~\\ ~
~~:~C(,~~~ ~\), Expiration Date
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l"'. -....,. ~n ...,~
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~'\fI~etl.W~cture
~ ~ ,fj{eat:
t~r Type:
Range Type:
Energy Path:
Phone
Contractor Type
Owner
Contractor
HIATT. BERNARD D
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
18.00
5.00
5.00
24.00
10.00
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 12/30/2003
VALUE: $ 242,827.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
Dwellinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$74.60
$19.60
Square Footage
or Bid Amount
3,063.00
731.00
Value
Date Calculated
Total Value of Project
$228,499.80 '
$14,327.60
$242,827.40
02/24/2003
02/24/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $669.76 2/24/03 1200200000000000740
Curbcut - Overwidth Appl $35.00 6/24/03 2200200000000001115
-Mechanical Issuance Fee- $10.00 6/30/03 1200200000000001669
+ 10% Administrative Fee $149.44 6/30/03 1200200000000001669
+ 7% State Surcharge $104.61 6/30/03 1200200000000001669
3 Baths One & Two Family $306.00 6/30/03 1200200000000001669
Building Permit $1,030.40 6/30/03 1200200000000001669
Curbcut Permit $75.00 6/30/03 1200200000000001669
Dryer Vent $12.00 6/30/03 1200200000000001669
Exhaust Hoods , $18.00 6/30/03 1200200000000001669
Fixture $28.00 6/30/03 1200200000000001669
Gas Fireplace $15.00 6/30/03 1200200000000001669
Gas Outlets 1-4 $4.00 6/30/03 1200200000000001669
Gas Outlets 4+ $1.00 6/30/03 1200200000000001669
Plan Review - Planning $59.00 6/30/03 1200200000000001669
Planning Final Occy Inspection $118.00 6/30/03 1200200000000001669
PW Mult Disc - 2nd Permit $-30.00 6/30/03 1200200000000001669
Sanitary Sewer - Improvement $554.07 6/30/03 1200200000000001669
Sanitary Sewer - Reimbursement $728.97 6/30/03 1200200000000001669
SDC MWMC Administration $10.00 6/30103 1200200000000001669
SDC MWMC Improvement $69.66 6/30~03 1200200000000001669
SDC MWMC Reimbursement $665.72 6/30/03 1200200000000001669
SDC SanitarylStorm Admin $139.54 6/30/03 1200200000000001669
SDC Transpo Admin $102.88 6/30/03 1200200000000001669
SDC Transpo Improvement $1,419.61 6/30/03 1200200000000001669
SDC Transpo Reimbursement $321.74 6/30/03 1200200000000001669
Sidewalk Permit $75.00 6/30/03 1200200000000001669
Storm Drainage Impervious Area $1,078.65 6/30/03 1200200000000001669
Temp Power 200 amps or less $50.00 6/30/03 1200200000000001669
Vent Fan $30.00 6/30/03 1200200000000001669
Willamalane Single Family $1,000.00 6/30/03 1200200000000001669
Total Amount Paid $8,851.05
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 12/30/2003
VALUE: $ 242,827.00
Status ' Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
I Plan Reviews'
02/24/2003 APP
04/28/2003 APP
RJB
AID
0212412003
0212412003
Public Works Review
02/24/2003
04/29/2003 APP
VRJ
Structural Review
0212412003
03/11/2003
OK
TCM
Informed applicant 3-6-03 that
permit will be placed on hold
pending approval of an Accessory
Dwelling Unit Application.ADU
approved.
Engineering has called for a survey
of to verify the location of the
easement lines in relation to the
proposed siting of the structures.
Intrusion of footings, eaves, and any
other portion of the proposed
structure in to easement area is
prohibited. Applicant has applied
for overwidth driveway application.
Contacted Richard Hiatt 4/29/03, he
will either trim a 'foot or two off
house' or eliminate eaves. I
requested that he speak with
Building regarding any changes. MI
Haitt came into counter, 5/912003,
no eave on west side of structure.
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.
Ul-eouired.)nsnections I
1 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
2 Footing: After trenches are excavated.
3 Foundation: After forms are erected but prior to concrete placement.
4 Post and Beam: Prior to floor insulation or decking.
5 Floor In'sulation: Prior to decking.
6 Shear Wall Nailing: Before covering sheathing with finish materials.
7 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
8 Wall Insulation: Prior to cover.
9 Ceiling Insulation: Prior to cover.
10 Drywall: Prior to taping.
11 Final Building: After all required inspections have been requested and approved and the building is complete.
12 Underfloor Plumbing: Prior to insulation or decking. '
13 Underfloor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
15 Water Line: Prior to filling trench and including required testing.
16 Sanitary Sewer Line: Prior to filling trench and including required testing.
Pal!e 3 of 4
(
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2003-00109
ISSUED: 06/30/2003
APPLIED: 02/24/2003
EXPIRES: 12/30/2003
VALUE: $ 242,827.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
17 Storm Sewer Line: Prior to filling trench.
18 Final Plumbing: When all plumbing work is complete.
19 Undertloor Mechanical. Prior to insulation or decking and including required testing.
20 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
21 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.
22 Rough Mechanical: Prior to Cover
23 Final Gas: When all gas work is complete.
24 Final Mechanical: When all mechanical work is complete.
25 Rough Electric: Prior to Cover
26 Electric Service: Approval required prior to utility company energizing service.
27 Final Electric: When all electrical work is complete.
28 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
29 Temporary Electric: Approval required prior to Utility Company energizing pole.
30 Curbcut - Overwidth: After forms are erected but prior to placement of concrete.
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.
--;~:=:
~~~
Ar--~ () ~ () ~
Owner or Contractors Signature
Date
Pae:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00 109
COM2003-00 109
COM2003-00 1 09
COM2003-00109
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00109
COM2003-00109
COM2003-00 1 09
COM2003-00 109
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00 1 09
COM2003-00109
COM2003-00 109
COM2003-00 1 09
COM2003-00 109
COM2003-00 1 09
COM2003-00 109
COM2003-00 109
COM2003-00 1 09
Payments:
Type of Payment
Check
Receipt #: 1200200000000001669
Description
Building Permit
3 Baths One & Two Family
Fixture
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Fireplace
-Mechanical Issuance Fee-
Gas Outlets 1-4
Gas Outlets 4+
Plan Review - Planning
Planning Final Occy Inspection
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
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Willamalane Single Family
Paid By
EVERGREEN LAND TITLE
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department
Public Works Department'
Date: 06/30/2003
11:32:03AM
Amount Paid
Item Total:
1,030.40
306.00
28.00
30.00
18.00
12.00
15.00
10.00
4.00
1.00
59.00
118.00
75.00
75.00
(30.00)
1,078.65
728.97
554.07
321.74
1,419.61
665.72
69.66
10.00
139.54
102.88
50.00
104.61
149.44
1,000.00
$8,146.29
How Received
In Person
Payment Total:
Amount Paid
$8,146.29
$8,146.29
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT.APPLICATION
City Job Number (OtlVt '2005 - CX,.) / 0 9 Date
L
c:g)(
;>5
LEGAL DESCRIPTION
1/ () :s Zt) I -<::>
JOB DESCRIPTION
() 7 'i? (') (~
I CyV! P
'-----:::. ' {'L
1(")(..] t.c
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
Address
City
Phone
Supervisor License Number
,,1/
Expiration Date /
Constr. Cnntr. Nnm~
Expiration Date
Signature of Supervising Electrician
Owners Name -2-, ct-, ,4- r d I-J /:.- H-
Address') () 3,)" I 7 S
City S ~ r \ ) Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
07'C ~~~
--....
Inspection Request: 726-3769
3.
;'uwln!;
, use
A.
-03
elling."tt
.~
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
"')::--J' ~.i.::.:0,b
$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.
\\'-
, ,,\<,'
lns~alh.ti~~, Alteration or Relocation
, '200 Amps or less ( $ 50.00
20.1 'Amps to 400 Amps $ 69.00
, '401 Am~s tQ60~ AmP's ' $100.00
- . .~-,'.- .
, ,Over 600 Afup~,or'1000 Volts see "B" above.
D.
s-o
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
E.
,~\fb\&~' ~\~ x.~ \\\~ ~\)\)~~ $ 50.00
'\ ~~\~\ll;kc;, ~'O~ $ 50.00
~~{\~~\11 $25.00
~~ \~~t~~mercial $ 45.00
Minimu~~lectric Permit Inspection Fee is $45.00 + Surcharges
4.
S"O
7% State Surcharge
1 0% Administrative Fee
(-, -,
<~ ."\ \..-.....
TOTAL
$
5- \) <.
/-- q, ;, '-'
_~ /J __
Shared Drive(T:)/Building FonnslElectrical Pennit Application I-03,doc
oJ .\ . ...
CITY OF SPRINGFIE'LD SYSTEMS DEVELOPMENl\'ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00109
NAME OR COMPANY: Richard Hiatt
LOCATION: 888 S Street
TAX LOT NUMBER: 17032613 t19300
DEVELOPMENT TYPE: DUPLEX
NEW DWELLING UNITS 2 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, l CHARGE
I 3825,00 I $0,282 = $1,078.65
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, x I COST PER S.F. x I DISCOUNT RATE I DISCOUNT
I 0,00 I $0,282 I 50% I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,078.65 I
7438
$1,078.65
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO, OF FIXTURES DRAINAGE
~ '- >. .. UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 == 6
DRINKING FOUNTAIN 0 0 1 == 0
FLOOR DRAIN 0 0 3 == 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 == 0
INTERCEPTORS FOR SAND / AUTO WASH / ETe. 0 0 6 == 0
LAUNDRY TUB 1 0 2 == 2
CLOTHESW ASHER / MOP SINK 1 0 3 == 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 == 0
MOBILE HOME P ARK TRAP (l PER TRAILER) 0 0 12 == 0
RECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 == 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETe. 0 0 3 == 0
SHOWER, SINGLE STALL ' 1 0 ,2 -.. 2
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 == 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 - 3
ISINK: COMMERCIAL BAR 0 0 2 - , 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 0 0 2 == 0
ISINK: SINGLE LA V A TORY /RESIDENTIAL BAR 5 0 1 == 5
IURINAL, STALL / WALL 0 0 5 == 0
ITOILET, PUBLIC INSTALLATION 0 0 6 == 0
ITOILET, PRIVATE INSTALLATION 4 0 3 == 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 == 0
TOTAL DRAINAGE FIXTURE UNITS 33
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 1\
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR CREDIT RATE/$I,OOO
~ -
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 0'
, I BEFORE 1979 $4,92 (Enter I for Yes, 2 for No)
I 1979 $4,92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
I 1980 $4,83 (Enter I for Yes, 2 for No) "
I 1981 $4,77 BASE YEAR 1979
I 1982 $4,64
1983 $4.47 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.30 VALUE / 1000 CREDIT RATE,
1985 $4,09 $0,00 x $4,92 = I $0,00
1986 $3,78
1987 $3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $2,98 VALUE / 1000 CREDIT RATE
1989 $2,52 $0,00 x $4,92 0
1990 $2,06
1991 $1.64
1992 $1.45 TOTAL MWMC CREDIT == $0,00
1993 $1,31
1994 $1.13
1995 $0,97
1996 $0,82
1997 $0,63
1998 $0.41
1999 $0,22
2000 $0,04