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: CQM2003-00509
ISSUED: 08/07/2003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 154,480.00
SITE ADDRESS: 6579 Aaron Lane
ASSESSOR'S PARCEL NO.: 1702341203300
PROJECT DESCRIPTION: SFR
TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
Owner: COZY HOMES
Address: PO BOX 237 SPRINGFIELD OR 97477
Contractor License ExpiraticUliDate
TOM WIRFS ENTERPRISES INC ,32947 \\\t~~Wb4
BILLS ELECTRIC . 2135!'/..\,\\\t. W ~~04
PACIFIC AIR COMFORT I~Q1\t.~. ~\\ S\-\~\\\\S ?'t.\\~\l ~f.l2004
JOYCE A FRIDLUND ,\-\\S ~t.~ -(~Il \\NQ~~f~\nC\~t\l /Y4ho04
I_BUlLDI~t'O~1\WN~
() \'J\I.- ?t.\\ u.
# of S?~~~=\ ~Q \) ~'{
Height~'fStructure 19.00
Type of Heat: Forced Air Elect
Water Type: Gas
Range Type: Electric
Energy Path: Path 1
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:
I DEVELOPMENT INFORMATION 1 \0
'~es'JOU.\!"'1 REQUIRED PARKING
{e~U~ \}\\\\loJ
Overlay Dist: 0'\ ~a\t<l Ote<lOt'\ e\ \ot'lfntal: 2
# Stree~~1f\~~4d~e~eo '0'1 \~e ~eS aqa ~SZ..o(J'tYlDdicapped:
Pa~tJtlVe~O~ \~OsetU nOhf\9 ~es<tl)Jnpact:
~ tU\ ,,\6t. tOu<l" e~e tU
%\U\'eOf ~t!)ye~~~ O'\O~ 'e~11 ~Ot'\e
~o\\\~~ 9SZJ::Jf) "~'o\a\~ ~~~~" \~e.\e~~\C~\\Ot'\
.,S 'E1" r.,., \)\'<<" ~.~)
I PUBLIC ~Q s te<)Ot'\ 3Z..2'3W'"
c ~, \0 ... eQO"?)
F II I d ~'oet ,~{ \S '\.. 'Sidewalk Type:
u V mprove t'\U'" ce{\\~
No Downspouts/Drains:
1
R-3
U-l
VN
18.00
5.00
6.00
10.00
0.00
Phone Number: 541-747-8704
Phone Number: 541-521-4001
I CONTRACTOR INFORMATION 1
Phone
541-747-8704
541-501-5650
541-672-9510
(541)746-9433
1
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
400
4,560
1,600
Curbside 5'
Curb and Gutter
Page 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,600.00
400.00
Tvpe of Construction
Dwellinl!:s
Garal!:e
V Wood Frame
Garal!:e
Total Value of Project
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00509
ISSUED: 08/07/2003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 154,480.00
Value
Date Calculated
I
$144,960.00
$9,520.00
. $154,480.00
06/17/2003
06/17/2003
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $483.86 6/17/03 1200200000000001575
-Mechanical Issuance Fee- $10.00 8/7/03 1200200000000001915
+ 10% Administrative Fee $127.64 8/7/03 1200200000000001915
+ 7% State Surcharge $89.35 8/7/03 1200200000000001915
2 Baths One or Two Family $254.00 8/7/03 1200200000000001915
Addressing Assignment $8.00 8/7/03 1200200000000001915
Air Handling Unit Up to 10,000 $8.00 8/7/03 1200200000000001915
Building Permit $744.40 8/7/03 1200200000000001915
Curb cut Permit $75.00 8/7/03 1200200000000001915
Dryer Vent $6.00 8/7/03 1200200000000001915
Exhaust Hoods $9.00 8/7/03 1200200000000001915
Furnace - up to 100,000 btu $12.00 8/7/03 1200200000000001915
Gas Fireplace $15.00 8/7/03 1200200000000001915
Gas Outlets 1-4 $4.00 8/7/03 1200200000000001915
Heat Pump $12.00 8/7/03 1200200000000001915
Plan Review - Planning $59.00 8/7/03 1200200000000001915
PW Mult Disc - 2nd Permit $-30.00 8/7/03 1200200000000001915
Residence Wiring 1000 Sq Ft $106.00 8/7/03 1200200000000001915
Residence Wiring Ea Addtl 500 $38.00 8/7/03 1200200000000001915
Sanitary Sewer - Improvement $319.01 8/7/03 1200200000000001915
Sanitary Sewer - Reimbursement $419.71 8/7/03 1200200000000001915
SDC MWMC Administration $10.00 8/7/03 1200200000000001915
SDC MWMC Improvement $34.83 8/7/03 1200200000000001915
SDC MWMC Reimbursement $332.86 8/7/03 1200200000000001915
SDC Sanitary/Storm Admin $85.60 8/7/03 1200200000000001915
SDC Transpo Admin $50.54 8/7/03 1200200000000001915
SDC Transpo Improvement $709.81 8/7/03 1200200000000001915
SDC Transpo Reimbursement $160.87 8/7/03 1200200000000001915
Sidewalk Permit $75.00 8/7/03 1200200000000001915
Storm Drainage Impervious Area $735.74 8/7/03 1200200000000001915
Temp Power 200 amps or less $50.00 8/7/03 1200200000000001915
Vent Fan $18.00 8/7/03 1200200000000001915
Willamalane Single Family $1,000.00 8/7/03 1200200000000001915
Total Amount Paid $6,033.22
Pal!:e 2 of 4
. -_~_e,@',~~I@i~1__
l\'
',' I'
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2003-00509
ISSUED: 08/07/2003
APPLIED: 06/1712003
EXPIRES: 02/07/2004
VALUE: $ 154,480.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl!: Review
06/18/2003
06/1812003
I Plan Reviews I
06/1812003 APP
06/26/2003 APP
LLH
AID
Structure not to exceed 45% lot
coverage
Public Works Review
Structural Review
06/18/2003
06/18/2003
06/19/2003
07/08/2003
APP
APP
DJW
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.
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 and/or
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 ~ncluding 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
29 Electric Service: Approval required prior to utility company energizing service.
30 Final Electric: When all'electrical work is complete.
Pal!:e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00509
ISSUED: 08/07/2003
APPLIED: 06/17/2003
EXPIRES: 02/07/2004
VALUE: $ 154,480.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
a
Owner or Contractors Signature
Date
ff /7 ~ ?
r I
ATTENTION:Oregon law requires yUl' '.'
follow rules adopted by the Oregon Utiiil\
Notification Center. Those rules are set fo
in OAR 952-001-0010 through OAR 952-0,
0090. You may obtain copies of the rules
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Cp.nter is 1-800-332-2344'-
Pae:e 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
COM2003-00509
Payments:
Type of Payment
Check
Receipt #: 1200200000000001915
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
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
Check Number
Batch Number Authorization Number
Paid By
COZY HOMES
DJB
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/07/2003
10:04:41AM
Amount Paid
Item Total:
8.00
1,000.00
106.00
38.00
50.00
75.00
75.00
(30.00)
735.74
419.71
319.01
160.87
709.81
332.86
34.83
10.00
85.60
50.54
59.00
744.40
254.00
12.00
8.00
18.00
9.00
6.00
4.00
15.00
12.00
10.00
89.35
127.64
$5,549.36
How Received
In Person
Payment Total:
Amount Paid
$5,549.36
$5,549.36
'l>'i;'\.'\'l>~V
... '(\ . v
. ':o..eV 6~"
~'S ~0
>>'<::i ~ 'i;
225 FIFTH STREET . O,fQ-'i>~ep.'>>'\ -/ ELEL.>.KICALPERMIT APPLICATION
SPRINGFIELD, OREGON 97~~'i> ~o'l. V . / /'
INSPECTION REQUEST:'~\~~769 \9''+; . ,/ , City Job Number f}ffi?'.DD~
OFFICE: 726-3759 ".-;,\,0 'l>~, ~/ /. \1 /
\"~p0~:5~~ . ,p~{" ",' y? ,3. CONlPLETE FEE SCHEDULE BELOW
1. L~ATION q~ INffrALLA N~i~\' "
_lo ,:)'lq -cJ4()'\\\0t) ~ ~~~' A. New Residential-Single or
('''j:c Multi-Family per dwelling unit.
LEGAL DESCRIPTION ..j'" Service Included:
~~:':1i.~~\i[.. 0'0300 Items Cost Sm:n
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ r 1.f:: ,0 ~n~~allation, Alterations or
ElectriCa1">contracto;,.~io ~~J~~~o~~~~~ation:
? j 7' /) "J II "3. . ,~ 0~ ,C} "j~, ~
Address...51 C/ Gt../, ~~f...:?~ ~0~,~~FPS orless
. C' ... .~~~" .. ,';/ ~~iYi~l~ k9. 400 amps
City-U-/"(;~~.. Phone 50/ -~S>:Q'r.; ()~ ..'~~~~~~~~o 600 amps
. t!,.., ' :",.,..' -'. .~\~:iPs to 1000 amps
SupervIsor LIcenseNumber9' ~, ,v~~.~ ~~:~.oO amps/volts
.. ">)' c~ect Only
,(:\\;}',., ,i?P' ','
C;'1i1'~iu.porarv Services or Feeders
~~t\f"J,-'S~,1 .. _ .
.1' \s~stallation, Alteration or Relocation
':',
JOB DESCRIPTION . ,~~.
~\J!\f\~"JL~~~, ~~ ~ \JOJl'Y\O
~ D.~ _.. ~ ~..~
Permits are non-transferable and expire
if work is noistarted within 180 days
of issuance tir if work is suspended for
180 days.
Constr Contr. Number
Expirati~n Dat~/t> ~O l.
. ~~
Expiration Date / /) - . .(';,
. v ~~0 ~F;@"
'e,..~,ign,a, ,ur",' OJ,',S,,,uP~rv, i",'n,~ ~lectricia~v~
,.,".c~' ,;','~/ '\
'. " '1':" .' ,,( A ,t~l/
. . " "'f",~(t
.... / ~ .,F ., p
, b l '
......~- t, ,,1
Owners Name \~"'. \.K~ ,"')\~"\-~
. "I) . t"! -:2/1 'U
Addl ess '\ ()~., 'l_ Ie) II
Cit)' ~J\.{~dhon;14r'1
- \ . . -
OWNER INSTALLATION
The installation isheing made on
property I o\vn which is not intended
for sale, lease or rent.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
~ $106,00 fr>L a!D
II '~.. ;ilt'Y
'j)~~., 06
~ $ 19.00 ""b~ B
$ 50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
..
200 mnps or less
201 amps to 400 amps
Over401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
$50.00 ::i9.aV
$69,00
$100.00
D. Branch Ci~its
New ' 'on or Extension Per Panel
<
~I
~ ~ ,(.. .
~~:~~rA~itional Circuit or with Service
S. ~F~~rPermit $ 3.00
0'~~'
'v "" _~ .
~. ~i~1aneous (Service/feeder not included)
if ~ ~ -~~ installation
~o ~ '5 ~ ~mp or)rrigation $50.00
~~ ~ ~ ~ <t~ign/Outline Lighting $50,00
~ ~;;.. ~ rfP ~ Limited Energy/Res $25.00
~ ~ ~ .$ ~<:::j Limited Energy/Comm $45.00
~~~ . . ,
... Ci' ~Minimum Electric PermitInspection Fee is $45.00 + Surcharges
~
4.
RlfYt
Owners Signature:
$43.00
TOTAL
'MOD
. \3: <f;;[5
~ C\ ~J.)
'2 'Llo.Of6
SUBTOTAL OF ABOVE
7% State Surcharge
~O~/o Administrative Fee
..
!
CITY OF SPRINGFIE,LD SYSTEMS DEVELOPMEN I ~ORKSHEET
'1 JOURNAL OR JOB NUMBER: Com2003-00509
NAME OR COMPANY: Tom Wirfs
LOCATION: 6579 Aaron Lane
TAX LOT NUMBER: 170234 I 2 tI 3300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF:
. ..'- .~. . . . .'.
o
LOT SIZE (SF):
4560
I, STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. I. I CHARGE 1
2609.00 $0.282 = I $735.74
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% = , $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC '$735.74
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's I x I COST PER DFU
19 I' $22,09
B. IMPROVEMENT COST:
NUMBER OF DFU's x
19
$735.74
$419.71
COST PER DFU
$16.79
$319.01
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
, ADT TRIP RATE x I NUMBER OF UNITS x
I 9.57 I I
B. IMPROVEMENT COST:
ADT TRIP RATE x NUMBER OF UNITS
9.57 I
$738.72
x INEW TRIP FACTOR
I 1.00
COST PER TRIP
$16.81
$160.87
ITEM ,3 TOTAL - TRANSPORT A TION SDC
x I.: COST PER TRIP.
I $74.17
= , $870.68
x NEW TRIP FACTOR
1.00
$709.81
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I I $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's x COST PER FEU
I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I $377.69
SUBTOTAL (ADD ITEMS 1, 2,3, & 4) = , $2,722.83
=
$332.86
=
$34.83
$0.00
$10.00
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM.FEERATE
$2,722.83 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
CHARGE
$136.14
85.60
$50.54
Virginia Jurasevich
PREPARED BY
6/18/2003
TOTAL SDC CHARGES
= I $2,858.97
DATE
r/1
~
~
o
u
p:::
~
r-<
r/1
......
o
gz
I
1070
1091
1092
1093
I
/1094
I
I
1054
1055
1054
. 1056
r
1079
1078
*EDU (Equivalent Dwellin~ Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
I
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
I
I
IS, LAND ELGIBLE FOR ANNEXATION CREDIT?
I (Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
YEAR
ANNEXED
CREDIT RA TE/$I ,000
ASSESSED VALUE
BEFORE 1979
1979
$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
I
I
I
1980
1981
1982,
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$O!OO x $4.92
I
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I .
VALUE! /1000 CREDIT RATE
$OlOO x . $4.92
= ,
TOTAL MWMC CREDIT
=
o
o
1979
$0.00
o
$0,00