HomeMy WebLinkAboutPermit Building 2007-8-8
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01038
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 156,462.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1017 53RD PL
ASSESSOR'S PARCEL NO.: 1702283403400
SPRINGFIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single family residence - Thurston Place lot 26
TYPE OF USE: New
Residential
Owner: CUMMINS INVESTMENTS LLC
Address: 31221 OSPREY RD
LEBANON OR 97355
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DA VIS CONSTRUCTION SERVICES LLC
EAST SIDE ELECTRIC INC
MARS HALLS INC
JOHNS PRECISION PLUMBING LLC
License
160347
117770
25790
158279
I BUILDING INFORMATION I
:~~~~t~CC!~"h Pr800ft 1~requfrel fO ~o;~e~~ructure: 21.0~
Se~ondary o..fQ" 'er~e~bJ wel~~~~~~ V;'Hf Hea~: Forced Air Gas
PrImary Co .= 10 th~h OAR 95 ~_ Type. Gas
Secondary cO ~taln CO . es of the r &t Type: Gas
# of Bedroo Caiilng th: C8~ter. (NO~: the telep~gy Path:. . Path 1
t1Umber for the Oregon Utility N<?tifl_Akled Buddmg: n/a
~en1ll''' I-OW"\X)'ltit~ELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
26.00
7.00
19.00
10.40
4.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
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: 4,577
Sq Ft 1st Floor: 801
Sq Ft 2nd Floor: 609
Sq Ft Basement:
Sq Ft Garage/Carport 416
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
2
Yes
26.50
Total:
Handicapped:
Compact:
2
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
For this parcel in Thurston Place, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or storm H20 systems, until the
Storm water direotbdrosWtpshuleq.ted~~Council". NOli CE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page 1 of 4
Notes:
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01038
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 156,462.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,410.00
416.00
Value
Date Calculated
Description
Total Value of Project
$145,230.00
$11,232.00
$156,462.00
07/13/2007
07/13/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $537.49 7/13/07 2200700000000001125
+ 10% Administrative Fee $140.72 8/8/07 1200700000000001011
+ 5% Technology Fee $82.55 8/8/07 1200700000000001011
+ 8% State Surcharge $105.27 8/8/07 1200700000000001011
2 Baths One or Two Family $280.00 8/8/07 1200700000000001011
Addressing Assignment $35.00 8/8/07 1200700000000001011
Building Permit $826.90 8/8/07 1200700000000001011
Curbcut Permit $85.00 8/8/07 1200700000000001011
Dryer Vent $7.00 8/8/07 1200700000000001011
Exhaust Hoods $10.00 8/8/07 1200700000000001011
Fire SF Fee - Residential $91.30 8/8/07 1200700000000001011
Furnace - up to 100,000 btu $14.00 8/8/07 1200700000000001011
Gas Outlets 1-4 $5.00 8/8/07 1200700000000001011
Plan Review Major - Planning $205.00 8/8/07 1200700000000001011
PW Disc - 2nd Permit $-40.00 8/8/07 1200700000000001011
Residence Wiring 1000 Sq Ft $117.00 8/8/07 1200700000000001011
Residence Wiring Ea Addtl 500 $42.00 8/8/07 1200700000000001011
Sanitary Sewer - Improvement $448.89 8/8/07 1200700000000001011
Sanitary Sewer - Reimbursement $590.33 8/8/07 1200700000000001011
SDC MWMC Administration $10.00 8/8/07 1200700000000001011
SDC MWMC Improvement $961.52 8/8/07 1200700000000001011
SDC MWMC Reimbursement $91.61 8/8/07 1200700000000001011
SDC Sanitary/Storm Admin $125.64 8/8/07 1200700000000001011
SDC Transpo Admin $72.30 8/8/07 1200700000000001011
SDC Transpo Improvement $862.25 8/8/07 1200700000000001011
SDC Transpo Reimbursement $195.48 8/8/07 1200700000000001011
Sidewalk Permit $85.00 8/8/07 1200700000000001011
Storm Drainage Impervious Area $798.79 8/8/07 1200700000000001011
Vent Fan $14.00 8/8/07 1200700000000001011
Willamalane Single Family $2,303.00 8/8/07 1200700000000001011
Total Amount Paid $9,103.04
Paee 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2007-01038
ISSUED: 08/0812007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 156,462.00
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
TSS
Storm water directed to weep hole ill
curb/gutter.
Structural Review
07/13/2007
08/0112007
10 LLH
For this parcel in Thurston Place, it
is the recommendation to the
Building Division, by the City
Engineer: "that no connections shall
be made to sanitary or storm H20
systems, until the subdivision is
accepted by City Council".
Forwarded to the Building
Department for review
Plans reviewed by Dave Mortier
with the Building Department under
contract with the City of Springfield
Structural Review
08/0112007
08/07/2007
APP LLH
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.
~eouirecUnsDections I
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: 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.
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.
Pa2e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01038
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: . 02/08/2008
VALUE: $ 156,462.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
Undertloor Mechanical. Prior to insulation or decking and including required testing.
Undertloor Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
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.
l,. 1Ir '" ~
~ .
Owner or Cont 'actors Signature
8/8/0:;-
Date
Paf?:e 4 of 4
ZON
INITIALS N YJI\
DA TE ~.A1 --c7
SOURCE ('Yvf';.!W../
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54])726-3689
ELECTRICAL PERMTJ.ft1'~LICATION
City Job Number (' .Yl. - \LJc::e>
() .' 0 A ~ New Alteration or Extension Per Panel
f-tC!/"'I One Circuit
Each Additional Circuit or with
f\ - Service or Feeder Permit
Owners Name ~.~~r(\cs, ..m.\1 -" ,', '
Addeo" ?'\1..7 \ C'f::::.~ "--\ E. . Mise~lI'n~o.~ (S;"ice/fecd;r not mcl~ded) -E,eh I..st,n,tion
City \f.~ Phone ~\.'t,7:J):~p or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUpTO,!~ OF ;WOKE.,; , ' '. '1.\ A;~
8% State Surcharge \ -, . VL
10% Administrative Fee 1... \A-l."')
5% Technology Fee \ r:J _"'7)
1l&:> /L 1.-
1. LOCA..TIOiiOFINSTALL4TIO!'ol: .
\()\\ '53~(i.\\lir-~ ~
LEGAL DESCRIPTION:
\\OLL6~ D.?A.cD
JOB DESCRIPpO~:. \~ 1...\.e?
~~~ ~;-\effip
Permits a~ non-transferable ~Pire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
CONTIV1CTOR'iNSiAiUTION ONLYJ
-' -";,
Electrical Contractor EA <515d)f G (. (( r f(JC
Address 31;) ~.$ 50SC ^ &E LANE
tr;'El{"'(';'!'-!' r. : .
City S .,'U:;.~!I,;q"""Phone -7<f1-/Lj'1q
Notificatlon C9(~\:l -
In OAR 952-00i-OOh ~,,--;.... .,
. cS'M'>1\. ~ m~\lpbta~~ 2'B)S7JrS - , ' .. ;
Supervls II!)ilSOn umoe 1>.~r, . ~A" -.~<n'~I' ,e
calling the center. nOLO. ~, <>" ','" \,
, mher f rthe pr.e@p .u,tiH}y Notification
Expiration 8~t~- c~er ~ 1~2--2344).
Constr. Contr. Number
I ( 77 7 0
Expiration Date
I (j ~ (.. "),001
Signature of Supervising Electrician
OWNER INST ALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
MnT'C~.
1U{Vn~r~:S-1&n~~~ 1\, II EXPIRE If ,r-:E WORK
THIS PcK\vll \ "r I, - . .-- '\ I n-'-
- . .-.":'t"'C':LUf\lrrS THIS PERM:\ I IS \JU \
III II r-luh!/- [J I 'J - ,I-'~ COD
G~\:':1;V1ENCEO OR IS Ai3ANDONI:IJ I n
,,':'Y 'n'\ DfW PER10D.
~~ \t" : '" u
Inspection Request: 726-3769
Date
.; -
3. ,CO~lPLr.1J:.FEE SCHEDVLE BELO~V,
A. Ne~:vJ~,esi~~nti~~.:- Sing!eorJ\'Iult!- F aniily p~rd~eUing unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manu fact' d Home or
Modular Dwelling Service or
Feeder
~~ \\\tv
llcV
$ ~O 4L~
\ .
2-
$50.00
B. Servicesbr Feeders:":In~tallation, Alterations or Relocation:
, .". . ..,.., .. ,~. .. .
- .
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less \
20 I Amps to 400 Amps
401 Amps to 600 Amps
~ 5CS~
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Cir~uit~.' '
$ 43.00
$ 3.00
TOTAL
Shared Drive(T:)/Building FonTIs/Electrical Pennit Application 8-06.doc
, ,CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: COM2007-0 I 038
NAME OR COMPANY; Troy Cummins
LOCATION: 1017 53rd Place
TAX LOT NUMBER: 17-02-28-34-03400
DEVELOPMENT TYPE; SINGLE FAMILY RESIDENCE
. NEW DWELLING UNITS I BUILDING SIZE (SF: 0 LOT SIZE(SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2308.50 I $0.346 I $798.79
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x I COST PER S.F.x I DISCOUNT RATE I, DISCOUNT
0.00 I I $0.346 I 50% = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $798.79
o
$798.79
... -~
.~-- .--
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST;
I NUMBER OF DFU's I x
I 22 I
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 22 I
. COST PER DFU
$26.83.
$590.33
COST PER DFU '
$20.40
$448.89
= I
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
$1,039.22
3. TRANSPORTATION
A. REIMBURSEMENT COST;
I ADTTRlPRATE x
I 9.57
B. IMPROVEMENT COST;
ADTTRIPRATE x
9.57
I NUMBER OF UNITS x
I I
I x NEW TRIP FACTOR
I 1.00
COST PER TRIP
20.43 .
$195.48
I NUMBER OF UNITS
I I
x I COST PER TRIP
I . $90.10
= I $1,057.73
x INEWTRIPFACTOR
I 1.00
$862.25
ITEM 3 TOTAL - TRANSPORTATION SDC
r:/J
i:.I.1
Cl
o
U
~
I~
r:/J
>-<
o
ga
1070
109]
1092
1093
1094
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL-MWMC SANITARY SEWER SDC = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5. ADMINISTRATIVE FEE:
I SUBTOTAL x I ADM. FEE RATE 1=
I $3,958.87 I 5% I
TOTAL SANITARY ADMlNISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST;
INUMBER OF FEU's x
I ' I
B. IMPROVEMENT COST;
INUMBER OF FEU's x
I 1.
ICOST PER FEU
I $91.61
=
$91.61
ICOST PER FEU
I $961.52
=
$961.52
$0.00
$10.00
$1,063.13
$3,958.87
CHARGE
$197.94
]054
1055
1054
11056
I
I 125.64 1079
I $72.30 1078
~ I $4,156.81 J
Todd Singleton
PREPARED BY
TOTAL SDC CHARGES
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUN ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1, = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS rGR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG I WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 1 0 3 = 3
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIALIRESIDENTIAL KITCHEN 1 0 3 = 3
I SINK; COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRlVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 22
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit p.o DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
]995
]996
1997
1998
1999
2000
2001
CREDIT RATE/$I,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 ELGIBLE FOR ANNEXA nON CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
=
$0.00
TOTAL MWMC CREDIT
225, F,ifth Street
, Springfield', Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01038
COM2007-0 I 038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-0 1 038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-01038
COM2007-0 1038
COM2007-01038
COM2007-01038
COM2007-01038
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000001011
Date: 08/08/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
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
Curbcut Permit
Sidewalk Permit
PW Disc - 2nd Permit
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
+ 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 00356C In Person
Payment Total:
Page 1 of 1
9:24:13AM
Amount Due
35,00
2,303.00
117.00
42.00
91.30
798.79
590.33
448.89
195.48
862.25
91.61
961.52
10.00
125,64
72.30
85.00
85.00
( 40.00)
205.00
826.90
280.00
14.00
14.00
10,00
7.00
5.00
82.55
105.27
140.72
$8,565.55
Amount Paid
$8,565.55
$8,565.55
8/8/2007