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Home My WebLink AboutPermit Building 2003-8-7 .\ Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 1.- CITY OF SPRINGFIELD' . Building/Combination Permit PERMIT NO: COM2003-00514 ISSUED: 08/07/2003 APPLIED: 06/17/2003 EXPIRES: 02/07/2004 VALUE: $ 152,661.00 SITE ADDRESS: 6565 Aaron Lane ASSESSOR'S PARCEL NO.: 1702341203400 TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR' Owner: COZY HOMES Address: PO BOX 237 SPRINGFIELD OR 97477 Phone Number: 541-747-8704 Phone Number: 541-521-4001 I CONTRACTOR INFORMATION 1 Contractor Type General Electrical Mechanical Plumbing Contractor License .TOM WIRFS ENTERPRISES INC 32947 BILLS ELECTRIC 21351 PACIFIC AIR COMFORT INC 39237 c. ~~v..'f.. JOYCE A FRIDLUND 5~3.5\~ \c:. ~'\)\ BUILDING I I ~ \ ~~~ 1 ~a~~i ~Il~\~~~t\\ :~t-.~~~ ~ 1 R-3 ,\\\~,' ~~~f~~iblA. 18.00 U-l ~\)\,." ~~e~\\\DMced Air Elect VN .' ~ ~Rllf{{l;~e. Gas V ~,,~ Type: Electric ~~nergy Path: . Path 1 Expiration Date 06/29/2004 04/28/2004 .03/25/2004 12/14/2004 Phone 541-747-8704 541-501-5650 541-672-9510 (541)746-9433 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . Impervious Surface Area: 4,560 1,571 434 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: . Solar Setbacks: 18.00 7.00 8.00 I DEVELOPMENT INFORMATION 1 .,~~' ''''S~J. REDPARKING (\\)'~~ U\W\ ; Overlay Dist: ~\ \~'ol'l (0 O,e<)otto~\O~" 2 # Street Trees Rqd: '~'.O(e<)Oo '0'.1 \Ue ~eS 'lJ.,ft.~I!,~p"ed: Paved Drive ~~~\\O 90009\0 \'(\~" \U ~ O~~~~'O'.I % of Lot C~~1~\-: Ge\\\e~O,\~u~0S 0\ \~:9'(\0\\~\\ . \ "~C9o\\O ~O'\~ .~c09 \'(\0\0 .~ce.\" "'\P\\\ - o.r:..?; j 1'\'O\e." ~~I'\\e', j tolO\\ ~ I!EBLIC IMPRO~~ ~;ce\\\e'~O\\ U~;:~~,. \J s.\\\ ~ ~~~ O~ ~..~~ Fully Improved C ~'Oet\O n\e"'!,'A)/O p. No {\~ C6DownspoutslDrains: Curbside 5' Curb and Gutter SETBACKS 14.00 0.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!:e 1 of 4 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: cOM2003-00514 ISSUED: 08/0712003 APPLIED: 06/17/2003 EXPIRES: 02/07/2004 VALUE: $ 152,661.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Dwellinl!s Garal!e V Wood Frame Garal!e $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,571.00 434.00 Value Date Calculated Description Tvpe of Construction Total Value of Project $142,332.60 $10,329.20 $152,661.80 06/17/2003 06/17/2003 ~ Fee Description Amount Paid . Date Paid Receipt Number Plan Review Residential $479.64 6/17/03 1200200000000001575 -Mechanical Issuance Fee- $10.00 8/7/03 1200200000000001912 + 10% Administrative Fee $126.89 8/7/03 1200200000000001912 + 7% State Surcharge $88.82 8/7/03 1200200000000001912 2 Baths One or Two Family $254.00 8/7/03 1200200000000001912 Addressing Assignment $8.00 8/7/03 1200200000000001912 Building Permit $737.90 8/7/03 1200200000000001912 Curbcut Permit $75.00 8/7/03 1200200000000001912 Exhaust Hoods $9.00 8/7/03 1200200000000001912 Furnace - up to 100,000 btu $12.00 8/7/03 1200200000000001912 Gas Fireplace $15.00 8/7/03 1200200000000001912 Gas Outlets 1-4 ' $4.00 8/7/03 1200200000000001912 Heat Pump $12.00 8/7/03 1200200000000001912 Plan Review - Planning $59.00 8/7/03 1200200000000001912 PW Mult Disc - 2nd Permit $-30.00 8/7/03 1200200000000001912 Residence Wiring 1000 Sq Ft $106.00 8/7/03 1200200000000001912 Residence Wiring Ea Addtl 500 $57.00 8/7/03 1200200000000001912 Sanitary Sewer - Improvement $335.80 8/7/03 1200200000000001912 Sanitary Sewer - Reimbursement $441.80 8/7/03 1200200000000001912 SDC MWMC Administration $10.00 8/7/03 1200200000000001912 SDC MWMC Improvement $34.83 8/7/03 1200200000000001912 SDC MWMC Reimbursement $332.86 8/7/03 1200200000000001912 SDC Sanitary/Storm Admin $87.73 8/7/03 1200200000000001912 SDC Transpo Admin $50.43 '8/7/03 1200200000000001912 SDC Transpo Improvement ' $709.81 8/7/Q3 1200200000000001912 SDC Transpo Reimbursement $160.87 8/7/03 1200200000000001912 Sidewalk Permit $75.00 8/7/03 1200200000000001912 Storm Drainage Impervious Area $737.15 8/7/03 1200200000000001912 Temp Power 200 amps or less $50.00 8/7/03 1200200000000001912 Vent Fan $12.00 8/7/03 1200200000000001912 Willamalane Single Family $1,000.00 8/7/03 1200200000000001912 Total Amount Paid $6,062.53 Pal!e 2 of 4 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00514 ISSUED: 08/07/2003 APPLIED: 06/17/2003 EXPIRES: 02/07/2004 VALUE: $ 152,661.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review PlanniDl~ Review Public Works Review Structural Review 06/1812003 06/18/2003 06/1812003 06/18/2003 I Plan Reviews I 06/1812003 APP 06/26/2003 APP 06/19/2003 APP 07/0312003 APP LLH AJD 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 Underfloor Mechanical. Prior to insulation or decking and including required testing. 24 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 25 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. 26 Rough Mechanical: Prior to Cover 27 Final Mechanical: When all mechanical work is complete. 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. .31 Temporary Electric: Approval required prior to Utility Company energizing pole. Pal!e 3 of 4 ~~'@J~~I~',,~,..~,~, t' ~' . 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: cOM2003-00514 ISSUED: 08/07/2003 APPLIED: 06/17/2003 EXPIRES: 02/07/2004 VALUE: $ 152,661.00 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 construction. ~ ,~~ Owner or Contractors Signature Pae;e 4 of 4 Date 7/7/0"] . I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 COM2003-00514 Payments: Type of Payment Check Receipt #: 1200200000000001912 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less 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 Plan Review - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Gas Outlets 1-4 Gas Fireplace Heat Pump + 7% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee- Paid By COZY HOMES Received By DJB Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services DepartllJent Public Works Departmel!t . Date: 08/07/2003 10:00:16AM' Amount Paid Item Total: 8.00 1,000.00 106.00 57.00 50.00 75.00 75.00 (30.00) 737.15 441.80 335.80 160.87 709.81 332.86 34.83 10.00 87.73 50.43 59.00 737.90 254.00 12.00 12.00 9.00 4.00 15.00 12.00 88.82 126.89 10.00 $5,582.89 How Received In Person Payment Total: Amount Paid $5,582.89 $5,582.89 ,,~'.J.~(;,q;.' //P ;> 0" ;~ f ..0 f?J~ ;/,;7 ,i~:c,,~f0 ,/~ / Ii ,if 225 FIFTH STREET h'\;S'\'~~ L,"/--',-.;:h', ELE(:rRICAL PERMIT APPLICATION SPRINGFIELD OREGON 97477;:~1/\\ J\;") J;'j / i?' , ,'Il,...,"'"'f rl"C" .Vi INSPECTION REQUEST: 726_3;~~~~Cl ';/ ;:Vi::/" ?/ City Job Number \! tty\ h 11 ,~ ) ....). \ /{j\::rrf- OFFICE: 726-3759,,"'/ .to ',.. , .~o.;...<:~.~ ~,,' ";"'... ~ 3. C01'.A"DLETE FEE SCHEDULE BELo"r 'Y_, ': - _, .~~ <f ~\~J'" IVlr - - 'IV 1. LOCATION OF l,NS3:'~LATltJ~ \J ~?~;;: I (lj~~ '/\;i j'~;"r\) ~;: " A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: 1 l' -,*'~,\y:~~ ~-~}f 'i ~. d: i ";;r"h . Items Cost Sm:n ~OB .DE~CRIP~ION '" " t~_Y),,",ff),;{, ~_ ,{/l " 'h .. .. I..- h, h Permits are non-tratlsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq. ft. or less Each additional 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder 1 $106.00 ' $ 19.00 $ 50,00 B. Services or Feeders Installation, Alterations or Relocation: C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less \ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above 2. CONTRACTOR INST ALLA nON ONLY "~f/i .t 1 i f Electrical" Contn~~tCfC)(pk~J (_--t~; (:lit. ~# Address ,3/ 7L~~ ' ,>/ ..~~i/ cityf;~:. c- . . ...1;\ ,'^'(\~-" ,-,~- >. S upervis~r, ~icenseNuhf6er Expiration Date L.I I Signaturc of Supervising Electrician / /! ~-'J --.... :u -...., '" .J( -Ii --r . "'h ( j , Owners Name \, \ J('(\ i.;' .L'y"\j Address ('" \ ~~~.J :~ -:> , c. Cit0'.0't \."'1 '\ OWNER INSTALLATION The installation is being made on property I o'\vn which is not intended for sale, lease or rent. ';(h1r.l~' Owners Signature: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampsh'olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $"0.00 c::,[\~ t1; ..J (__:...._Ji $69.00 $100.00 D. Branch Circuits New Alteration or Extension Per Pancl One Circuit $43.00 , Each Additi~nal circuit or with Sen'ice or Feeder Permit $ 3.00 E. Misccllaneous (Service/feedcr not included) -Each installation Pump 'or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $50.00 $50,00 $25.00 $-1-5.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges 4. SUBTOTAL OF ABOVE 7% State Surcharge ~% Administrativc Fee r ..h. ~ : '" .; <".... '] ~'v; * .'"'' " [' TOTAL CITY OF SPRINGFIELD SYSTEMS DEVELOPMENl WORKSHEET JOURNAL OR JOB NUMBER: Com2003-00514 NAME OR COMPANY: Tom Wirfs LOCATION: 6565 Aaron Lane TAX LOT NUMBER: 17023412 tl 3400 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWEl.,LING UNITS I BUILDING SIZE (SF: 0 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x COST PER S.F. CHARGE 2614.00 $0.282 = $737.15 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. x I COST PER S.F. I x DISCOUNT RATE I DISCOUNT 1 0.00 1 $0,282 50% = 1 $0.00 4560 C/l w Q o U ~ W E-< i6 .gz ITEM 1 TOTAL - STORM DRAINAGE;SDC $737.15 $737.15 1070 2. SANIT AR Y SEWER - CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU's x I COST PER DFU I 20 1 $22.09 $441.80 1091 8. IMPROVEMENT COST: I NUMBER OF DFU's x COST PERDFU I I 20 $16.79 $335.80 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $777.60 I . .;;..&:.... 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE x 1 NUMBER OF UNITS x 1 COST PER TRIP x NEW TRIP FACTOR 1 9.57 1 I I $16.81 1.00 , $160.87 11093 B. IMPROVEMENT COST: 1 ADT TRIP RATE x I NUMBER OF UNITS I x .' COST PER TRIP x NEW TRIP F ACTOR I I 9.57 I I , $74.17 1.00 , $709.81 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $870.68 .- 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x ICOST PER FEU I I $332.86 = $332.86 1054 B. IMPROVEMENT COST: , INUMBER OF FEU's x ICOST PER FEU I I I $34.83 = I $34.83 lOSS MWMC CREDIT IF APPLICABLE (SEE REVERSE) = ., $0.00 1054 MWMC ADMINISTRATIVE FEE =1 $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , $377.69 SUBTOTAL (ADD ITEMS 1, 2,3, & 4) = I $2,763.12 5. ADMINISTRATIVE FEE: SUBTOTAL x ADM. FEE RATE CHARGE $2,763.12 5% $138,16 TOTAL SANITARY ADMINISTRATION FEE: 87,73 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $50.43 1078 Virginia Jurasevich 6/19/2003 TOTAL SDC CHARGES =1 $2,901.28 PREPARED BY DATE DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 1 0 3 = 3 DRINKING FOUNTAIN 0 0 1 = 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. 0 0 3 = 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC. 0 0 6 = 0 LAUNDRY TUB 0 0 2 = 0 CLOTHESW ASHER I MOP SINK 1 0 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0 z MOBILE HOME PARK. TRAP (1 PER TRAILER) 0 0 12 0 RECEPTOR FOR REFRlG I WATER STATION I ETC. 0 0 1 = 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC. 0 0 ,3 = 0 SHOWER, SINGLE STALL 1 0 2 = 2 SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3 SINK: COMMERCIAL BAR 0 0 2 - 0 SINK: WASH BASINIDOUBLE LA V A TORY 1 0 2 = 2 SINK: SINGLE LA V ATORYIRESIDENTIAL BAR, 1 0 1 = 1 URINAL, STALL I WALL 0 0 5 = 0 ~~. . TOILET, PUBLIC INSTALLATION 0 0 6 = 0 . TOILET, PRIVATE INST ALLA TION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 20 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling.unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981. 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RATE/$I,OOO ASSESSED VALUE $4.92 $4.92 $4.83 $4.:n $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 11000 CREDIT RATE $0.00 x $4.92 = I $0.00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE $0.00 x .$4.92 o TOTAL MWMC CREDIT $0.00