HomeMy WebLinkAboutPermit Building 2007-8-8
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01036
ISSUED: 08/0812007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 139,780.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1005 53RD PL
ASSESSOR'S PARCEL NO.: 1702283403300
SPRINGFIE TYPE !JF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: Single family residence - Thurston Place lot 25 SAME AS COM2007-01035
Owner: CUMMINS INVESTMENTS LLC
Address: 31221 OSPREY RD
LEBANON OR 97355
. I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DAVIS CONSTRUCTION SERVICES LLC
EASTSIDE ELECTRIC INC
MARS HALLS INC
JOHNS PRECISION PLUMBING LLC
License
160347
117770
25790
158279
I BUILDING INFORMATION I
# of Units: ATTENTION: Oregon law ~qulres YOlI.~ Stories: 2
Primary o&ql~1!'l9Fo\\~9Pted by~~ Oregon U ~~irt of Structure: 21.00
secondary~~1 &Mtftr. Those {Y.les are setl of Heat: orced Air Electric
. ..... n -Oij-0010throuoh OAR 952- -
PrImary CUhMr e lain cOp/L of the ru~ r Type: Gas
Secondary I fag \heW crJ~~r. (Note: the teleph '" e Type: Gas
# of Bedro~inb~ f th 0 on ~-;~lity Notifica 8Wgy Path: Path 1
nu er or e reg um S . kl d B 'Id' /
Center is 1-800-332-2344). prIn e UI 109: n a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
30.00
6.00
16.00
11.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
I PUBLIC IMPROVEMENTS I
Residential
Phone Number: 541-401-5272
Expiration Date
06/14/2008
10/04/2007
12/23/2009
01/13/2008
Phone
541-350-2060
541-915-9828
541-747-7445
541- 736-8690
Lot Size: 4,828
Sq Ft 1st Floor: 802
Sq Ft 2nd Floor: 456
Sq Ft Basement:
Sq Ft Garage/Carport 378
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
3
Yes
24.40
Total:
Handicapped:
Compact:
2
Street Improvements: Sidewalk Type'
Fully Improved '. Curbside 5'
Storm Sewer Available: Yes Downspouts/Drains: To Storm Sewer
Special Instruction: Storm drainage for this lot to curb and gutt,'OT1CE: E WORt(
-I" R~ i11 SHAtt EX1'lRE If TH
Notes: For this parcel in Thurston Place Subdivision, it is the recomh\iUbAl P;~~i!ti'fi\ll&P&QMI1 ~ ~
Engineer: "that no connections shall be made to sanitary or sMJili J4. e v.qtiJ~~<tiOaaccepted by
City Council". COMMENC 0 I\>> A
ANY 180 DAY PERlOO.
Pal!e 1 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01036
ISSUED: 08/08/2007
APPLIED: 07/1312007
EXPIRES: 02/08/2008
VALUE: $ 139,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellin2s
Gara2e
Tvpe of Construction
V Wood Frame
Gara2e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,258.00
378.00
Value
Date Calculated
Description
Total Value of Project
$129,574.00
$10,206.00
$139,780.00
07/13/2007
07/13/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $220.00 7/13/07 2200700000000001125
-Mech Iss 2+ Appliances- $40.00 8/8/07 1200700000000001013
+ 10% Administrative Fee $139.18 8/8/07 1200700000000001013
+ 5% Technology Fee $82.75 8/8/07 1200700000000001013
+ 8% State Surcharge $104.80 8/8/07 1200700000000001013
2 Baths One or Two Family $280.00 8/8/07 1200700000000001013
Addressing Assignment $35.00 8/8/07 1200700000000001013
Building Permit $766.04 8/8/07 1200700000000001013
Curbcut Permit $85.00 8/8/07 1200700000000001013
Dryer Vent $7.00 8/8/07 1200700000000001013
Exhaust Hoods $10.00 8/8/07 1200700000000001013
Fire SF Fee - Residential $81.80 8/8/07 1200700000000001013
Furnace - up to 100,000 btu $14.00 8/8/07 1200700000000001013
Gas Outlets 1-4 $5.00 8/8/07 1200700000000001013
Plan Review Major - Planning $205.00 8/8/07 1200700000000001013
PW Disc - 2nd Permit $-30.00 8/8/07 1200700000000001013
Residence Wiring 1000 Sq Ft $117.00 8/8/07 1200700000000001013
Residence Wiring Ea Addtl 500 $42.00 8/8/07 1200700000000001013
Sanitary Sewer - Improvement $448.89 8/8/07 1200700000000001013
Sanitary Sewer - Reimbursement $590.33 8/8/07 1200700000000001013
SDC MWMC Administration $10.00 8/8/07 1200700000000001013
SDC MWMC Improvement $961.52 8/8/07 1200700000000001013
SDC MWMC Reimbursement $91.61 8/8/07 1200700000000001013
SDC Sanitary/Storm Admin $123.65 8/8/07 1200700000000001013
SDC Transpo Admin $72.54 8/8/07 1200700000000001013
SDC Transpo Improvement $862.25 8/8/07 1200700000000001013
SDC Transpo Reimbursement $195.48 8/8/07 1200700000000001013
Sidewalk Permit $85.00 ' 8/8/07 1200700000000001013
Storm Drainage Impervious Area $763.67 8/8/07 1200700000000001013
Temp Power 200 amps or less $55.00 8/8/07 1200700000000001013
Vent Fan $14.00 8/8/07 1200700000000001013
Willamalane Single Family $2,303.00 8/8/07 1200700000000001013
Total Amount Paid $8,781.51
Pa2C 2 of 4
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01036
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 139,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin2 Review
Public Works Review
07/13/2007
07/13/2007
07/13/2007
I Plan Reviews I
07/13/2007 APP
08/03/2007 APP
07/20/2007 APP
LLH
TAJ
MS
Storm drainage to curb and gutter
-MS
Forwarded to the Building
Department for review
Structural Review
07/13/2007
08/01/2007 10
LLH
Structural Review
08/01/2007
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
L.JleouiredJnsnections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Final Plumbing: When all plumbing work is complete.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Pa2e 3 of 4
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01036
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 139,780.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
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.
~t!t " " 8/6//Y7
Owner or Contract( rs Signature
Date
Pa2e 4 of 4
,i
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER;
NAME OR COMPANY;
LOCATION;
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE I
2207.00 I $0.346 I = $763.67
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. . x I COST PER S.F. x I DISCOUNT RATE . I
0.00 I $0.346 I 50% = I
COM2007-01036
Cummins Investments
1005 53rd Street
17022834 TL 03300
SINGLE FAMILY RESIDENCE
1 BUILDING SIZE (SF'
o
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x
22
$763.67
COST PER DFU
$26.83
B. IMPROVEMENTC08T;
I NUMBER OF DFU's x I COST PER DFU
I 22 ' I $20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
,= ,_ ,. . $1,039.22
3. TRANSPORTATION
A. REIMBURSEMENT COST;
I ADT TRIP RATE x
I ,. . 9.57
B. IMPROVEMENT COST:
ADT TRIP RATE
9.57
I NUMBER OF UNITS x I" COST PER TRIP
I 1...... ." 20.43
x INEW TRlP FACTOR
I 1.00
x . INUMBER OF UNITS' :.'X: '::CTOSTPER TRIP
I . 1., .;., . .';:.:-:, -" . . ~'$90:l 0
LOT SIZE (SF):
DISCOUNT
$0.00
x INEW TRIP FACTOR
I 1.00
ITEM 3 TOTAL - TRANSPORTATION SDC . ;" , $1,057.73
-...'
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x ICOST PER FEU
I 1 I $91.61
B. IMPROVEMENT COST;
NUMBER OF FEU's x COST PER FEU
1 $961.52
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1,063.13
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $3,923.75
5. ADMINISTRATIVE FEE:
4828
$763.67 '
$590.33
$448.89
$195.48
" $862.25
rfJ
~
Q
o
u
.~
I~
rfJ
......
t)
~
j!
1070
11091
1092
1093
1094
=
$91.61
1054
1055
$0.00 1054
$10.00 1056
123.65
$72.54 1078
,= I $4,119.94
PREPARED BY
DATE
TOTAL SDC CHARGES
=
$961.52
I SUBTOTAL x I ADM. FEE RATE
I $3,923.75 I 5%
TOTAL SANITARY ADMINISTRATION FEE;
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Matt Stouder -:Y2JJ / oJ-
CHARGE
$196.19
1079
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$l,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4 .40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGlBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$~OO x $0.00
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $0.00
TOTAL MWMC CREDIT
=
2
2
2006
$0.00
o
$0.00
ZON L 02-
INITIALS j'-.j ~ _
DATE '6-, -u {-
SOURCE
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)126-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number Q,'l.O\DolO
0_ _ IIA /)' _ New Alteration or Extension Per Panel
~rl ~ One Circuit
"J Each Additional Circuit or with
(\ ~ "" Service or Feeder Permit $ 3.00
Owners Name \llJ't'\.t{\~ ~~ ..
Address ~ \ '2.. L \ f">.-~~~u E. Miscellaneous (~ervice/feedernot included) -Each Installation
. \ - \rot,... '"'
City \f..~()f\ Phone ~ \ -\J::jJ 2O\cl>ump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited Energy/Residential $ 25,00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~
:,;
ril L', _
tG; l G.'
i1. IL-
~_ l -LfC
1. : LOC4..TIONOFINSTALL4TION:
\DD'::J "'5'6~'-'yC-
LEGAL DESCRIPTION:
\'\O'L~~
OOcr:D
JOB QESCRIPTION: \lD '3lp
~~~. ~'I-~
Permits are non-transferabl~ expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. 'CONTRA.9"TO~'INSTALLATION ONLY'
Electrical Contractor EA<jJ'5!f)( GL(Crf()(
t)R~~;r~.J;~,s:::~, ~i),~~:'~~~~~,:~AN E
':oilow ~.,'''::: 30();.(" I.,J' "Ie uregon ~l:..ty
~'tji1;~8.$;~~~o-;'. ;\:.se ijJR~~~~j;~r'f!.r-y~q
~rl Oj~d S0r.:-OU1-U,UI ':' 1I ;!lJ~gtl ~r'\' ~"'':' v~, g
CaBO. You may QD'(air, COp!8S o. t~e :~le5 i:)~,
ca.;lino t~e cen'(sr. (No'te: 'lt~ ~'~'~0~.'
StfBfnY3~?~6f~~~~?~mr~Hi\iI\d ~cllt;oo
Canter is t-800-332-2344). .
Expiration Date ) 0 - I -.) 00 7
C011Str. Contr. Number ) ( 7 7 7 0
Expiration Date 10 ~ {.. ::l GO 1
Signature of Supervising Electrician
OWNER LNSTALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
?\~. ,~(~:1": f't ~ ~
7\', . j;, "./ . ~,e
: J;)wn~~?,iooatu!'e.:', 1\ l' ;:-:Vl;",":' '': ,(,..:- \{,!Q;~ '(
1 :-tl\) ('~:f\rvil r--Vi ;J~.!-L 1_;1,1 ;1..... it ..l~-;. I ..~,..
.'.,.-n -.'\'CO.... r', 1.< "lfl'
h,n,.\,!,y,,',cn 1\;\1",';" ',-,I,~ ,.-. .,!~ 1;..1
.c\\....' .Ullll-'-~ -'
'CS;V\~/iENCE:} OR \S ADi\NDONED fOR
i~~'~\f '18D Di:J..Y PERIOD.
Inspection Request: 726-3769
(5 k;tCt/ 01
Date
3. ' C01UPLETEFEE SCHEDULE BELOlV
'_~ ~ ~v
A. ,. Ne'xResi~~n~i~(-:- Sillgle'or J\lulti-Fll,mily p~r_dweUing unjt.
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
}~o()\\\.d)
Va;
$ ~O
\
'2-
$50.00
B. Services.or Feeders - In~ta~ation, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/V olts
Reconnect Only
$ 63,00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Tempor~ry Services or Fe~ders
Installation, Alteration or Relocation
200 Amps or less l
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits .
~~
~O
$ 69.00
$100.00
$ 43.00
4. SrJBTOTAL OF ABOVE
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL d (PJ ~ ~:})-
Shared Drive(T:)/Building Fonns/Electrical Pen'Tut Application S-06.doc
225 Fifth St'reet
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01036
COM2007-01036
COM2007 -0 I 036
COM2007-01036
COM2007-0 I 036
COM2007-01036
COM2007-01036
COM2007-0 I 036
COM2007-0 I 036
COM2007-01036
COM2007-01036
COM2007-0 I 036
COM2007-01036
COM2007-01036
COM2007-01036
COM2007-01036
COM2007-01036
COM2007-0 I 036
COM2007-0 I 036
COM2007-01036
COM2007 -0 1036
COM2007-01036
COM2007-01036
COM2007-01036
COM2007-0 I 036
COM2007-01036
COM2007~01036
COM2007-0 I 036
COM2007-01036
COM2007 -0 I 036
COM2007-01036
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001013
Date: 08/08/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddtI 500
Temp Power 200 amps or less
Fire SF Fee - Residential
Sidewalk Permit
. Curbcut Permit
PW 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 Transpo Admin
SDC Sanitary/Storm Admin
Plan Review Major - Planning
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
-Mech Iss 2+ Appliances-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
SCOTT DAVIS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
04842C In Person
Payment Total:
Page I of I
9:28:58AM
Amount Due
35.00
2,303.00
117.00
42.00
55.00
81.80
85.00
85.00
(30,00)
763.67
590.33
448.89
195.48
862.25
91.61
961.52
10.00
72.54
123.65
205.00
766.04
280.00
14.00
14.00
10,00
7.00
5,00
40.00
82.75
104.80
139,18
$8,561.51
Amount Paid
$8,561.51
$8,561.51
8/8/2007