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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 r/) ~ Q o U ~ ~ t-< r/) ...... c::> ~ 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