HomeMy WebLinkAboutPermit Building 2007-8-8
:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1029 53RD ST
ASSESSOR'S PARCEL NO.: 1702283403600
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01037
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 136,304.00
SPRING FIE TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Single famliy residence - Thurston Place lot 28
Owner: CUMMINS INVESTMENTS LLC
Address: 31221 OSPREY RD
LEBANON OR 97355
TYPE OF USE: New
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
DA VIS CONSTRUCTION SERVICES LLC
EASTSIDE ELECTRIC INC
. MARSHALLS INC
JOHNS PRECISION PLUMBING LLC
License
160347
117770
25790
158279
I BUILDING INFORMATION I
# of Units: 1 # of.sori s: 1
Primary Occupancy mOOlON: Otlt~n law req\jff~ . ructure: 19.00
Secondary occupan~~~. es adop1Ied by the 0 I . orced Air Electric
Primary ConstructN&t1btmtion Cental'.BThose rule ~ &1- Gas
Secondary ConstruRfji<!)A.lM@2.Q01-001 0 thro~gh fu Hi" Gas
# of Bedrooms: 0090. You may obtjln copIes '~a, ifl . Path 1
calling the center. (Note:.~h Ei-Mwci'lii i1ding: n/a
:;I:.:~':':'~ 4^p thD nrAopn Ut~~t,?
Center is 1-8~tc8tJMENT INFORMATION I
Total: 2
NOTICE: 3 Handicapped:
THIS PERNM' SHAll~: IF, THE WORK
AUTHOffrzEt UNDER THIS PERMIT IS NOT
r.OMMENCED OR IS ABANDONED FOR
I PUBLIC IMPROVEMENTS I ANY 180 DAY PERIOD.
Sidewalk Type:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
5.00
28.00
10.00
18.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
Phone Number: 541-401-5272
Expiration Date
06/14/2008
10/04/2007
12/23/2009
01113/2008
Phone
541-350-2060
541-915-9828
541-747-7445
541- 736-8690
Lot Size: 4,885
Sq Ft 1st Floor: 1,208
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 440
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
FullV Improved Curbside 5'
Yes Downspouts/Drains: Drywell - Provide
Storm sewer to drywell. Drywell should have overflow connected to the curb a~ditEngineering
Notes: For this parcel in Thurston Place Subdivision, it is the recommendation to the Building Division, by the City
Engineer: "that no connections shall be made to sanitary or stormwater systems, until the subdivision is accepted by
City Council".
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01037
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 136,304.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
DwelIinl!s
Garal!e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$103.00
$27.00
Square Footage
or Bid Amount
1,208.00
440.00
Value
Date Calculated
Description
Total Value of Project
$124,424.00
$11,880.00
$136,304.00
07/13/2007
07/13/2007
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $490.95 7/13/07 2200700000000001125
-Mech Iss 2+ Appliances- $40.00 8/8/07 1200700000000001014
+ 10% Administrative Fee $132.67 8/8/07 1200700000000001014
+ 5% Technology Fee $79.47 8/8/07 1200700000000001014
+ 8% State Surcharge $99.54 8/8/07 1200700000000001014
2 Baths One or Two Family $280.00 8/8/07 1200700000000001014
Addressing Assignment $35.00 8/8/07 1200700000000001014
Building Permit $755.30 8/8/07 1200700000000001014
Curbcut Permit $85.00 8/8/07 1200700000000001014
Dryer Vent $7.00 8/8/07 1200700000000001014
Exhaust Hoods $10.00 8/8/07 1200700000000001014
Fire SF Fee - Residential $82.40 8/8/07 1200700000000001014
Furnace - up to 100,000 btu $14.00 8/8/07 1200700000000001014
Gas Outlets 1-4 $5.00 8/8/07 1200700000000001014
Plan Review Major - Planning $205.00 8/8/07 1200700000000001014
PW Disc - 2nd Permit $-30.00 8/8/07 1200700000000001014
Residence Wiring 1000 Sq Ft $117.00 8/8/07 1200700000000001014
Residence Wiring Ea Addtl 500 $42.00 8/8/07 1200700000000001014
Sanitary Sewer - Improvement $448.89 8/8/07 1200700000000001014
Sanitary Sewer - Reimbursement $590.33 8/8/07 1200700000000001014
SDC MWMC Administration $10.00 8/8/07 1200700000000001014
SDC MWMC Improvement $961.52 8/8/07 1200700000000001014
SDC MWMC Reimbursement $91.61 8/8/07 1200700000000001014
SDC Sanitary/Storm Admin $108.86 8/8/07 1200700000000001014
SDC Transpo Admin $74.48 8/8/07 1200700000000001014
SDC Transpo Improvement $862.25 8/8/07 1200700000000001014
SDC Transpo Reimbursement $195.48 8/8/07 1200700000000001014
Sidewalk Permit $85.00 8/8/07 1200700000000001014
Storm Drainage Impervious Area $506.75 8/8/07 1200700000000001014
Vent Fan $14.00 8/8/07 1200700000000001014
Willamalane Single Family $2,303.00 8/8/07 1200700000000001014
Total Amount Paid $8,702.50
Pal!e 2 of 4
~u;:.WI
a
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01037
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 136,304.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
07/13/2007
07/13/2007
I Plan Reviews I
07/1312007 APP
08/0312007 APP
LLH
TAJ
Survey required because of
minimum front/rear setbacks.
Storm drainage to engineered
drywell, as shown on plans. Drywell
should have overflow directed to the
curb and gutter via a weephole as
well. 7/2012007 MS
Forwarded to the Building
Department for review
Plans reviewed by Shawn Eaton
with the Building Department under
contract with the City of Springfield
Public Works Review
07/13/2007
07120/2007 APP
MS
Structural Review
07/13/2007
08/01/2007 10
LLH
Structural Review
08/01/2007
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.
~eouiredJnsnections I
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Drywell: Engineered Drywell is Required.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
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.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01037
ISSUED: 08/08/2007
APPLIED: 07/13/2007
EXPIRES: 02/08/2008
VALUE: $ 136,304.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.
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..-
,M- \\ -
B!8/v1-
Owner or Contraciors Signature
Date
Pa2e 4 of 4
. .-&J .~~,'
~..==-
B.IMPROVEMENT COST;
I NUMBER OF DFU's x
I 22
COST PER DFU
$26.83
COST PER DFU
$20.40
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
- ,. $1,039.22
3. TRANSPORTATION
A REIMBURSEMENT COST:
I ADT TRIP RATE I x
I. . 9.57 I
B. IMPROVEMENT COST:
I ADTTRlP RATE x
1 9.57
I NUMBER OF UNITS . x I..,.,' COST PER TRIP
I I :I:.;, 20.43
I NuMBER OF UNITS ~.x.l.-TOSTPER TRIP
II ~...."c . ,/:.='"..; ". $90;1 0
ITEM 3 TOTAL - TRANSPORT A nON SDC
= "
4. SANITARY SEWER- MWMC
A REIMBURSEMENT COST:
INUMBER OF FEU's 1 x COST PER FEU
1 I I $91.61
B. IMPROVEMENT COST:
INUMBER OF FEU's x
I 1
ICOST PER FEU
I $961.52
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 ADM. FEE RATE 1=
I ' $3,666.83 5% /
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Matt Stouder
PREPARED BY
DATE
$1,057.73
$1,063.13
$3,666.83
CHARGE
, $183.34
~. /NEWTRIPFACTOR
I LOO
x /NEW TRIP FACTORI
I 1.00 I
4885
$506.75
$590.33
$448.89
$195.48
$862.25
=
$91.61
len
P-1
Cl
o
u
~
P-1
f--<
en
......
o
~
1070
1091
11092
'I
1093
1094
1054
= $961.52 1055
$0.00 1054
$10.00 1056
I
J
=, $3,850.17
TOTAL SDC CHARGES
108.86
$74.48
1079
1078
.. ,-"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIV ALENT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BA THTIJE 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
CLOTHESW ASHER / MOP SINK 1 0 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 1 0 3 = 3
SHOWER, SINGLE STALL 1 0 2 = 2
SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK; WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LAVATORYIRESIDENTIAL BAR 2 0 1 = 2
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 22
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE] 979
]979
1980
]98]
]982
1983
]984
]985
]986
]987
]988
]989
]990
]99]
]992
]993
]994
]995
]996
]997
]998
]999
2000
200]
CREDIT RATE/$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
2
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
2
2006
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $0.00
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $0.00
o
=
$0.00
TOTAL MWMC CREDIT
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FA-\':: (541)726-3689
ELECTRICAIffJitRMJT APPLICATION
City Job Number C /-\ NI
~,'1F',Irf~i~t~'J.'l'::;:~l<;::':;{$tt;')::.;-;'St~h.H_i ;;~,:::):;':{r":'h~~~>'{::H,'St'.1 \~""';:i+Li:C:;,)"'~,.'"
eA:TI0MOFl~T.ALL:AT
ill qArj""t'b3;~~s~3T
LEGAL DESCRIPTION:
\,OA ~r <~lf o3IPQD
JOB DESCRIPTION:
6~
1.
Permits are non-transferable and expire if work k
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
fA 515/{J(2 .(L(-C1R.IC
Address 3~ d. 5'"3
Bose A Gf (A..JSPt'cO
City
5P~LD
Ph' 71/1~/V79
one , 7
Expiration Date
Lj7)75
)0 -)- O~
Supervisor License Number
Constr. ContT. Number
1/7770
l(]~/-O(J
Expiration Date
,
Signature of Supervising Electrician
,
~H~
y )
'1 '
Owners Name (I Gl i'ftf'(\ V'fl ~ 1;Yl C./'
dd ss ~ \ 7~ \ . ()sd7~c...A...
. "-
^,/J P\-."n6-ff -
,~ .
R INSTALLATION
The installation is being made on property i own which
is not intended for sale, lease or rent.
A' D.Y<..O.er.t.s.i.~ateJreaon law requires you to
Dt:N IV . ,..., h. 0 on Utility
f -II_.~. r"!ec:t ~('lnp1l1..d bv t e reg - l\
N~t~i~atio~Ccenter. Those rules are sellUI I
in OAR 952-001-0010 throu.gh OAR 952-00b1-
Y ma obtain COpies of the rules y
OOJfm~c~~t\fet: \j!.fe~6~he tel~pho~e
numb2r tor the Oregon Utility NotifIcatIon
Center i~ 1-800-332"2344).
Date
3. ~{~~Mr:1Jiflgml~1~;~~~~:~~~Ji~~f&J
A.
; ~'.:'~
Service Included.
\ \~ . au
Lf~
\
;9--
$117.00
1000 sq, ft. or less
Each additionill 500 sq. ft, or
portion thereof
$ 21. 00
Each Manufact'd Home or
Modular Dwelling Service or '
Feeder
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1 000 AmpsNolts .
Reconnect Only
$ 70.00
$ 83,00
$138.00
$180.00
$413.00
$ 55.00
c.
Installation, Alteration or Relocation
. 200 Amps or less 1
201 Amps to 400 Amps
, 40 I Amps to 600 Amps
t:~
Ft.).
$ 55.00
$ 76.00
$11 0.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 48.00
$ 4.00.
E.
Pump or irrigation $ 55.00
Sign/Outline Lighting $ 55.00
Limited Energy/Residential $ 28.00
Limited Energy/Commercial $ 50.00
Minimum Electric Permit Inspection Fee is $50.00 + Surcharges
4.
'- \~.~
8% State Surcharge '\.o ,1.. 0 .
10% Administrative Fee \1 . \.1-
5% Technology Fee ~ \. ..t:..t U
,~<O3.~
Shared Drive(T:)/Building Forms/Electrical Permit Application 7-07.doc
TOTAL
NOTICE:
THIS PERMIT SHALL EXPIRE1F THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED 'OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
225 Fift~, Street
Springfi'eld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007 -01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
COM2007-01037
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200700000000001014
Date: 08/08/2007
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Fire SF Fee - Residential
Curbcut Permit
Sidewalk 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 Sanitary/Storm Admin
SDC Transpo 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
~Mech Iss 2+ Appliances~
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
d j b 00681 C In Person
Payment Total:
Page I of I
9:30:51AM
Amount Due
35.00
2,303.00
117.00
42.00
82.40
85.00
85.00
(30.00)
506.75
590.33
448.89
195.48
86225
91.61
961.52
10,00
108.86
74.48
205.00
755.30
280.00
14.00
14.00
10.00
7.00
40.00
5.00
79.47
99.54
132.67
$8,211.55
Amount Paid
$8,211.55
$8,211.55
8/8/2007