HomeMy WebLinkAboutPermit Building 2003-8-7
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: COM2003-00512
ISSUED: 08/0712003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 118,783.00
SITE ADDRESS: 6553 Aaron Lane
ASSESSOR'S PARCEL NO.: 1702341203500
PROJECT DESCRIPTION: SFR
TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: COZY HOMES
Address: PO BOX 237 SPRINGFIELD OR 97477
. I.,fONTRACTORINFORMATION I \0
'l~~~\1
(:ontractor License~~\\~~,~f~ Date'
TOM WIRFS ENTERPRISES INC 32~~ ,0 O\e<)O e ~m,~o.94
BILLS ELECTRIC . '0~\'(\e ~eS 'lJ.\ ~1Fk,~
PACIFIC AIR COMFORT INC ,,\O~~ 'lfi>0 t~ lI\O~~~~Qll4
JOYCE A FRIDLUND t~~~.\\ffO'aI_^\eil ~\ou.~ c;0'\~~Wl<<'
- -.... t . U"~: 1 cov" ~e ~- ~\ViJ--
BUILD 1" . ~ ~fIi.~' ~o~ .
~o ~9 ~'I ~e\'~O \}\\X\\'i ~'\,.
# ofS~~ ,<ou. ~ ece~ o<~o(}'.."b'b'lL~t Size:
Heig~~1\"'~ ~\'(\e. ~~ Sq Ft 1st Floor:
Type o'tiiooti :o~~~e~\t\'~~lect Sq Ft 2nd Floor:
Water Ty~~ C6 Gas Sq Ft Basement:
Range Type: . Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Impervious Surface Area:
Contractor Type
General
Electrical
Mechanical
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:
18.00
5.00
12.00
17.00
0.00
Phone Number: 541-747-8704
Phone Number: 541-521-4001
Phone
541-747,.8704
541-501-5650
541-672-9510
(541)746-9433
1
R-3
U-l
VN
4,610
1,206
400
3
I DEVELOPMENT INFORMATION I nWJ.l
\\\t. \N~~UIRED PARKING
Overlay Dist: . 't.'/..'?\~'t. W ~\\ \~I: 2
# Strll.lI~~qd::"\ ~\\~\.\. \\\\<0 '?i.~ c.\) r\1fandicapped:
pavedmf.~~~\ \) '0~\)t.~ ~~~\.. Compact:
% ofL~~@\'\~l~ 't.\) C~ \~ t35.00
~r\~~'t.~~~~ ?t\\\O ·
I PUBLIC IMPRft~mNTS I
Sidewalk Type:
Fully Improved
No
Curbside 5'
Curb and Gutter
Downspouts/Drains:
Pa2e 1 of 4
._~.~6t~~~I~!;~ ,,_ __"~
'\.' . - ., . .' ...,'
i
"
.'
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00512
ISSUED: 08/07/2003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 118,783.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or .multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,206.00
400.00
Value
Date Calculated
Description
Total Value of Project
$109,263.60
$9,520.00
$118,783.60
06/1712003
06/17/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $407.81 6/17/03 1200200000000001575
-Mechanical Issuance Fee- $10.00 8/7/03 1200200000000001913
+ 10% Administrative Fee $111.84 8/7/03 1200200000000001913
+ 7% State Surcharge $78.29 8/7/03 1200200000000001913
2 Baths One or Two Family $254.00 8/7/03 1200200000000001913
Addressing Assignment $8.00 8/7/03 1200200000000001913
Building Permit $627.40 8/7/03 1200200000000001913
Curbcut Permit $75.00 8/7/03 1200200000000001913
Dryer Vent $6.00 8/7/03 1200200000000001913
Exhaust Hoods $9.00 8/7/03 1200200000000001913
Furnace - up to 100,000 btu $12.00 8/7/03 1200200000000001913
Gas Outlets 1-4 $4.00 8/7/03 1200200000000001913
Plan Review - Planning $59.00 8/7/03 1200200000000001913
PW Mult Disc - 2nd Permit $-30.00 8/7/03 1200200000000001913
Residence Wiring 1000 Sq Ft $106.00 8/7/03 1200200000000001913
Residence Wiring Ea Addtl 500 $38.00 8/7/03 1200200000000001913
Sanitary Sewer - Improvement $352.59 8/7/03 1200200000000001913
Sanitary Sewer - Reimbursement $463.89 8/7/03 1200200000000001913
SDC MWMC Administration $10.00 8/7/03 1290200000000001913
SDC MWMC Improvement $34.83 8/7/03 1200200000000001913
SDC MWMC Reimbursement $332.86 8/7/03 1200200000000001913
SDC Sanitary/Storm Admin $83.80 8/7/03 1200200000000001913
SDC Transpo Admin $50.65 8/7/03 1200200000000001913
SDC Transpo Improvement $709.81 8/7/03 1200200000000001913
SDC Transpo Reimbursement $160.87 8/7/03 1200200000000001913
Sidewalk Permit $75.00 8/7/03 1200200000000001913
Storm Drainage Impervious Area $624.07 8/7/03 1200200000000001913
Temp Power 200 amps or less $50.00 8/7/03 1200200000000001913
Vent Fan $12.00 8/7/03 1200200000000001913
Willamalane Single Family $1,000.00 8/7/03 1200200000000001913
Total Amount Paid $5,736.71
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD ~
Building/Combination Permit
PERMIT NO: COM2003-00512
ISSUED: 08/07/2003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 118,783.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninf! Review
Public Works Review
Structural Review
06/18/2003
06/18/2003
06/18/2003
06/18/2003
I Plan .Reviews I.
06/18/2003 APP
06/26/2003 APP
06/19/2003 APP
07/07/2003 APP
LLH
AID
DJW
RJB
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 - Standard: After forms are erected but prior to placement of concrete.
3 Erosion/Grading Inspection: After all erosion measures are in place.
4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
5 Footing: After trenches are excavated.
6 Foundation: After forms are erected but prior to concrete placement.
7 Post and Beam: Prior to floor insulation or decking.
8 Floor Insulation: . Prior to decking.
9 Shear Wall Nailing: Before covering sheathing with finish materials.
10 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
11 Wall Insulation: Prior to cover.
12 Ceiling Insulation: Prior to cover.
13 Drywall: Prior to taping.
14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
15 Final Building: After all required inspections have been requested and approved and the building is complete.
16 Underfloor Plumbing: Prior to insulation or decking.
17 Underfloor Drain: Prior to cover or placement of concrete.
18 Rough Plumbing: Prior to cover and including required testing.
19 Water Line: Prior to filling trench and including required testing.
20 Sanitary Sewer Line: Prior to filling trench and including required testing.
21 Storm Sewer Line: Prior to fIlling trench.
22 Final Plumbing: When all plumbing work is complete.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Mechanical: When all mechanical work is complete.
. 27 Rough Electric: Prior to Cover
28 Electric Service: Approval required prior to utility company energizing service.
29 Final Electric: When all electrical work is complete. .
Paf!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: COM2003-00512
ISSUED: 08/07/2003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 118,783.00
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 constructiou. ~ <6 h /05
~ t
Owner or Contractors Signature
Date
Pa2e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
COM2003-00512
Payments:
Type of Payment
Check
Receipt #: 1200200000000001913
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
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
Plan Review - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Dryer Vent
Gas Outlets 1-4
-Mechanical Issuance Fee-
Exhaust Hoods
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
COZY HOMES
Received By
DJB
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt '
Development Services Department
Public Works Departm~nt .
Date: 08/07/2003 10:01:47AM
Amount Paid
Item Total:
8.00
1,000.00
106.00
38.00
50.00
75.00
75.00
(30.00)
624.07
463.89
352.59
160.87
709.81
332.86
34.83
10.00
83.80
50.65
59.00
627.40
254.00
12.00
12.00
6.00
4.00
10.00
9.00
78.29
111.84
$5,328.90
How Received
In Person
Payment Total:
Amount Paid
$5,328.90
$5,328.90
.
'b-'i>'\,','b-~-
o~''i-..'V
i:-~0'i>~0V'
;225 FIFTH STREET: :.~'i> 'i>~~ .\
SPRINGFIELD, OREGON ~i4J!j.<;' .
INSPECTION REQUE~~<Q ?:fi6~3769
OFFICE: 726-3759 ~o..:$.\o~ .
c ,>:" 'b' .~O;
l.aL~~TIOl:/b~~~Af~,. O~~fG" >
\\J)7:J}-;~~ ~~~~
, 0
~<i}0 ~,,-0
LEGAL DESCRIPTI01~~'<'o
\ "O~~4\~ l j:"5J~h
J;.OB DESCRIP'fION ~ ~Dw.
~_~ ,!:,~rnJL~ ~~A<<ll\i'-%,
Permits are 110n-tUsferable and expire ~
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
ELECTRICAL PERMIT APPLICATION'
. ~>Q1)N3 - COF)t f/
, .
A. NewResidenti;11-Sing1~ or
Multi-Family per dwelling unit.
Service Included:
.;,.... .,
Owners Signature:
Items Cost
SUl:n
2. CONTRACTORINSTALLATIONONLY B.
ElectriCa1"f:ntrac~ ~V ^
Address ~/ 7 tJ iu',/ / tla.l' ~ " ~~{{~~
City O)(JP/Ylll Phone
(j '. .
Supervisor Licei1~e Number 9-
. ,.,~. .... \~\'\., ~1O'~\:'
Expiration Date ''7}~>\('tI~:;'''.''(j 7?;;"'!f:
:,~:~~~,,<\~:~>j'.~~i'.~~~~~<> c. Temporary Services or Feeders
. Constr ContL~~~~et'~~~~l\'l\- Installation, Alterat.i:: or Relocation
. ' Expiration Date ~~~_ \A~/--O 'r 200 amps or
. . "0' ~ ' 201 ampkfo~
, S' f' S ~ El t" t 0 1!<tt.':o',,;AIl
,.' 19nature 0 upen1smg ec rlCla ve.r:~'\lilfl t~)I;'1J'k
'_. ..---:>.... '." ,)' /.:,-7._ ~'I" ~'t'76QW"a'rws of:.l'0fw;:vo'1ts see
<.:::'--~ < ~".f /:/' I ~~W',t1~y~f;r.'''~'~~~:;)~'~(0~'t
-------1) L.. /c,: _, \~. ']' /' IV'-- &<&~ ,,'f)'1 J" ' 'ili'" .,<li>' 4ft' ,,"If'
''f''?,' , . '. ~. '1'l9R~)i~~~iIZillitl5~~;@:"~~V~r~~(\!
11~' "" ~ o~ ~'~ !~) C~~~f-'~V:J ~c;.
, Owners N, ame \,u\ '\ \, tc. ~. ! iL,:) -S;.~ (C~ ~<:tN:e~f"W1t~rn't19n'Or,~ 'en Per Panel
0(\ D, ('j~" \) ~~ 1.~C0d rF'2;~~~'1;~ii3:;0 ~~ >f'J';7~~~;~C')
Address V...t } r~ L-J) 'r" ~~~ t~~~i~~"'~"~iW8f!':itt~S~~ 1j}v
~ o~ r1&~/;; ;;,.f!;tJ' ,\,\/j;, CO\\, r ,Y{\.~
U ~ (}1 ~ ~'C~< ~ "'''' ~> ~~:' ~~
Cit~, '.. jill' , . I, IC\ I ~,f"'~ ~~~ ~h~~d4ttfonal Circuit or with Service
, '\0 " " Th ->,;; &.'0..a. ',,c"
.) .~ rS5\Q;o ~~'!'" ~'re~r Permit
OWNER INSTALLATION ~~0 i! .~@ C\';~ .
The installation is being made on ~~~iscellaneous (Service/feeder not included)
property I o'\.vn which is not intended -Each installation
for sale, lease or rent. Pump 'or irrigation
. Sign/Outline Lighting
Limited EllergyfRes
, Limited Energy/Comm .
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
,
$106,00 l ap9fJ
I)~ $ 19,00
$ 50.00 .
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Oniy
$ 63.00
$ 75.00
$125,00
$163.00
$375.00
$ 50.00
L $50.00
$69,00
$100.00
~{JI dO
$43.00
$ 3.00
$50.00
$50.00
$25.00
$45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
TOTAL
tC1J\.oo .
t~.~.'~.
H~AD~
2.'2 ~O Jqg
4, SUBTOTAL OF ABOVE
7% State Surcharge
\bJ% Administrative Fee
4 .
CITY OF St'"KINGFIELD SYSTEMS DEVELOPME~~ORKSHEET
JOURNAL OR JOB NUMBER: Com2003-00512
o
LOT SIZE (SF):
4610
I
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o
U
~
~
t-<
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......
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~
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
2213.00 I $0.282 = $624.07 ~
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE DISCOUNT
0.00 $0.282 50% $0.00
Tom Wirfs
6553 Aaron Lane
17023412 t] 3500
SINGLE F AMlL Y RESIDENCE
I BUILDING SIZE (SF:
-"..t ~
ITEM 1 TOTAL - STORM DRAINAGE SDC $624.07 $624.07 j.1070
2.-SANITARY SEWER - CITY,
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x COST PER DFU
I 21 $22.09 $463.89 1091
B. IMPROVEMENT COST:
I NUMBER OF DFU's x COST PER DFU
I 21 $16.79 $352.59 1092
....
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $816.48
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP I x NEW TRIP FACTOR
9.57 I I $16.81 1.00 $160.87 1093
B. IMPROVEMENT COST:
ADT TRIP RATE l x I NUMBER OF UNITS x ,; COST PER TRIP x NEW TRIP F ACTOR 1
. 9.57 I I $74.17 1.00 $709.81 1094
ITEM 3 TOTAL - TRANSPORT A TION SDC = 1 $870.68
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $332.86 = $332.86 1054
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
I $34.83 = $34.83 lOSS
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = 1 $377.69
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = 1 $2,688.92
5. ADMINISTRATIVE FEE:
I SUBTOTAL 1 x ADM. FEE RATE 1= CHARGE
I $2,688.92 5% $134.45 _
TOTAL SANITARY ADMINISTRATION FEE: 83.80 1079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.65 '1078
Virginia Jurasevich I
6/18/2003 TOTAL SDC CHARGES $2,823.37
PREPARED BY DATE
. . \..
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIV ALENT UNiTS
I BATHTUB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
\CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 .2 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LA V A TORY 1 0 2 = 2
SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1
... URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INST ALLA TION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATE/$I,OOO
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
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0,00 x $4.92
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
VALUE /1000 CREDIT RATE
. $0.00 x $4,92
o
TOTAL MWMC CREDIT
=
$0.00