HomeMy WebLinkAboutPermit Building 2004-3-11
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00889
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 146,372.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~ SITE ADDRESS: 851 Anderson Ln
ASSESSOR'S PARCEL NO.: 1703331100701
Springfield TYPE OF WORK: Single Family Residence
. TYPE OF USE: New Residential
PROJECT DESCRIPTION: Single family residence w/ detached garage (parcel # 3).
NOTE: no basement, will provide footing and stemwall fdn with post and beam floor
system per Vern Benson.
Owner: D.M. JOHNSON
Address: 1825 KINGSLEY ROAD #29 EUGENE, OR 97401
Phone Number: 338-8143
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
OWNER
OWNER
CmTTIM ENTERPRISES I INC
OWNER
License
Expiration Date Phone
47396
03/08/2005 541-461-2101
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
2
27.00
Wall Heat
Electric
Electric
Path 1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,819
1,140
360
1
R-3
U-l
VN
440
SETBACKS
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
10.00
5.00
5.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
1
t~
Yes
Rearyard Setback: 10.00 % of Lot Coverage: 27.10
Solar Setbacks: r.r 3.00 0 on law reqUires you to
linT',,'" . .. . . .... .^TTi=f\.ITION: reg Ulv V" 'J~:llr
THIS PERMIT SHALL EX/""It\t It" j. PROVEMfi)VI1) rules adopted oy Inti I ~re set fon
IITunol7ED UNDER THIS PER ation Center. Those ru es a
Street Im~W~h't~ EO OR IS ABANDO~btR -.Jotl Ie 952-~~e~ ~)fp.~ough OAR 952-~~. b k 5'
COM~NC ..n OAR .! 'j'. . f the ruleS"'~t ac
Storm Sew,HI~v.,' OIWAY PERIOD. Yes 0090. You rno}\'~".1ifS~7t!rl~~? ~ I ;too~tgrm Sewer
Special Inmr.hi n: improvement Agreement Lane COunty #200aalll~~O(ffi!g!mdlWd r~coVile.~~ol*fu~tflJe If
i~provements to street, setback sidewalk, cKU'rtl~eY\toNM~@\1l1l~rst.J~~ttug~rlal&8-dlagrm
Notes: . lInes. ('"",4",r;~ 1 ~p'(V,-q12-2344).
Developer connected to sewer and temp. storm water connection.
Pa2e 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00889
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 146,372.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,500.00
440.00
Value
Date Calculated
Description
Total Value of Project
$135,900.00
$10,472.00
$146,372.00
09/11/2003
09/11/2003
~
i
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $466.96 9/11/03 2200200000000001511
Plan Review Residential $466.96 9/11/03 2200200000000001514
Refund - Plan Review Residenti $-466.96 9/11/03 2200200000000001513
-Mechanical Issuance Fee- $10.00 3/11/04 1200400000000000298
+ 10% Administrative Fee $131.54 3/11/04 1200400000000000298
+ 7% State Surcharge $92.08 3/11/04 1200400000000000298
3 Baths One & Two Family $306.00 3/11/04 1200400000000000298
Add, Alter, Extend Circ Ea Add $3.00 3/11/04 1200400000000000298
Addressing Assignment $8.00 3/11/04 1200400000000000298
Building Permit $718.40 3/11/04 1200400000000000298
Dryer Vent $6.00 3/11/04 1200400000000000298
Exhaust Hoods $9.00 3/11/04 1200400000000000298
Furnace - Unit Heater $12.00 3/11/04 1200400000000000298
Perm Serv/Fdr 200 amps or less $63.00 3/11/04 1200400000000000298
Plan Review - Planning $71.00 3/11/04 1200400000000000298
Residence Wiring 1000 Sq' Ft $106.00 3/11/04 1200400000000000298
Residence Wiring Ea Addtl 500 $38.00 3/11/04 1200400000000000298
Sanitary Sewer - Improvement $413.04 3/11/04 1200400000000000298
Sanitary Sewer - Reimbursement $543.36 3/11/04 1200400000000000298
SDC MWMC Administration $10.00 3/11/04 1200400000000000298
SDC MWMC Improvement $214.23 3/11/04 1200400000000000298
SDC MWMC Reimbursement $314.63 3/11/04 1200400000000000298
SDC Sanitary/Storm Admin $131.53 3/11/04 1200400000000000298
SDC Transpo Admin $52.28 3/11/04 1200400000000000298
SDC Transpo Improvement $727.42 3/11/04 1200400000000000298
SDC Transpo Reimbursement $164.89 3/11/04 1200400000000000298
Storm Drainage Impervious Area $1,288.57 3/11/04 1200400000000000298
Vent Fan $24.00 3/11/04 1200400000000000298
Willamalane Single Family $1,000.00 3/11/04 1200400000000000298
Wood Stove $30.00 3/11/04 1200400000000000298
Total Amount Paid $6,954.93
.4<;
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00889
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 146,372.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Plan Reviews ,
Initial Review 09/18/2003 09/18/2003 APP DJB Site plan information confirmed.
Okay to proceed with plan review
Initial Review 09/18/2003 09/19/2003 APP LLH Still need structural drawings for
garage. Don Moore called and left
message for Vern Bensen. He could
not get in touch with DM Johnson.
Initial Review 09/12/2003 09117/2003 WE DJB Need information on site. Waiting
on information to confirm site plans
that were submitted.
Planninl! Review 03/05/2004 03/05/2004 APP TAJ Plat recorded 9/02/03. See Steve
Barnes' notes about paving.
Planninl! Review 09/1912003 03/04/2004 WI TAJ Waiting to find out if plat recorded
(SUB 2003-00021). See Kitti.
Public Works Review 09/19/2003 09/25/2003 WE VRJ Waiting for PW approval of Public
Improvements. See Don Branch for
more information.
Public Works Review 03/03/2004 03/03/2004 APP SB Received drawing showing 10' rear
yard setback. 3/3/04 Driveway
needs to be 12 feet wide until it gets
up near the chimney obstruction,
when it can neck down to 10' 9-5/8".
Virginia's hold requirements were
met.
No concrete in Lane County
Right-of-way. Applicant must get a
Lane County Driveway Permit and
they will provide specifications for
connection to their pavement in
right-of-way.
Structural Review 09/19/2003 10/03/2003 APP 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 Erosion/Grading Inspection: After all erosion measures are in place.
2 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
3 Footing: After trenches are excavated.
4 Foundation: After forms are erected but prior to concrete placement.
5 Post and Beam: Prior to floor insulation or decking.
6 Floor Insulation: Prior to decking.
7 Shear Wall Nailing: Before covering sheathing with finish materials.
8 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
9 Wall Insulation: Prior to cover.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00889
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 146,372.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
10 Ceiling Insulation: Prior to cover.
11 Drywall: Prior to taping.
12 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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 Rough Mechanical: Prior to Cover
22 Final Mechanical: When all mechanical work is complete.
23 Temporary Electric: Approval required prior to Utility Company energizing pole.
24 Rough Electric: Prior to Cover
25 Electric Service: Approval required prior to utility company energizing service.
26 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.
J)oYvrLiL!VI. ~ ~/IIJDY
Owner or Contractors SignJJre
Date
Pae:e 4 of 4
\S.1~~
225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 p~
~'O ~
ELECTRICAL PERMIT APPLICATION i\0C\~r;,~0~\)\te
City Job Number ~ ffi\ 'lD03 .CO~ '3/ J / /iJ ~ ~\<'~~~0S <,0\
, I 1~~~.0P'O
l.'~'~{J1{gO..~.'rJftt 3.
."r.;~rae("50Y\
LEG\lAL()D~C~~\N\ 0 oo\1D\
~ L) J \' I ~ Service Included
JOB DESCRIPTION . 1~ 1000 sq. ft. or less
o r t\ j~' L... ^^; \ ,f\ _ Each additional 500 sq. ft, or
::)U \J Ulll' \\ \. KOlJ t (lJ.Aportion thereof
Permits are n-tramfe).,ble and toxpire if work is J Each Manufact'd Home or
not started within 180~s of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
\
~~
\ Dl!fO
'3 '^ .cO
$106.00
$ 19.00
$50.00
B.
$ 63.00 ~3.d)
$ 75.00
$125.00
$163.00
City $375.00
$ 50.00
C.
Expiration Date __ .../ .. _ Installation, Alteration or Relocation
A, I d I /GI";~~gon law reqUires you to 200 Amps or less $ 50.00
Constr. contrJOII er~ules ad?~ by the Oregon UtilitY201 Amps to 400 Amps $ 69.00
. 0 leat/or, Ct1l1ltlr. I se ruies are set fort~ 1 Amps to 600 Amps $100.00
E '. f D' AA952-001-0010th gh OAR 952-001.
xplla IOn 000. '(vu .IIay ulJ(ain COp; or me rules b ver 600 Amps or 1000 Volts see "B" above.
. Signatur ofSup~B@ tba:~r. (Note: the lephomp.
number for the Oregon Utility No . ieation New Alteration or Extension Per Panel
Center is 1-800-332-2344). One Circuit
Each Additional Circuit or with
Service or Feeder Permit
,
O~nersName 1J~ rjD"'\\~
.Address ~\(\1'Y\~~..ll2.q E.
City ~()e ['{J L p10ne ~.1"'11dQ.
\ - _O-n
OWNER INSTALLATION
$ 43.00
1
3.00
$ 3.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
Pump or inigation
Sign/Outline Lighting
Limited EnergyIResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Owners Signature:
4.
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building FonnslElectrical Permit Application I-03.doc
2.\D.cD
14.19
~\.
1.~5.'10
.CITY OF SPKINGFIELD SYSTEMS DEVELOPMEN.~i~RKSHEET
JOURNAL OR JOB NUMBER: C0M2003-00889
NAME OR COMPANY: VERN BENSON
LOCATION: 851 Anderson Ln
TAX LOT NUMBER: 17033331 00701
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 1984 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
4443.34 $0.290 = $1,288.57
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE I I DISCOUNT
I 0,00 $0.290 50% I = I $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC I $1,288.57 I
2. SANIT AR Y SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's x I COST PER DFU
24 I $22.64
B. IMPROVEMENT COST:
NUMBER OF DFU's
24
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS' x I COST PER TRIP
9.57 I I I $76.01
ITEM 3 TOTAL - TRANSPORTATION SDC = I $892.31
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I I $314,63
x I COST PER DFU
I $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC = I
3. TRANSPORTATION
A. REIMBURSEMENT COST:
. ADT TRIP RATE'. x . NUMBER OF UNITS x
9.57 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
I
x ICOST PER FEU
I $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD( = I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I
5. ADMINISTRATIVE FEE:
SUBTOTAL x I ADM, FEE RATE
$3,676.14 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
5820
$1,288.57
$543.36
$413.04
$956.40
COST PER TRIP
$17.23
x
NEW TRIP FACTOR
1.00
S(eqe t?CWte4
3/3/2004
PREPARED BY
DATE
$164.89
x I NEW TRIP FACTOR
I 1.00
$727.42
=
$314.63
r.rJ
~
~
o
u
~
~
E-<
r.rJ
.......
o
~
/
1070
1091
1092
I
r
1093
1094
1054
= $214.23 1055
$0.00 1054
$10.00 1056
$538.86
$3,676.14
CHARGE
$183.81
13 1.53 1079
$52.28 1078
TOTAL SDC CHARGES $3,859.95
'Z-- -rH tfO
-~I~
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUrv ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
BATHTUB 2 0 3 = 6
DRINKING FOUNTAIN 0 0 1 = 0
FLOOR DRAIN 0 0 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
!INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
I CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
ISHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 I 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 I 0 3 = 3
I SINK: COMMERCIAL BAR 0 I 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 . I 0 2 = 0
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 3 I 0 1 = 3
IURINAL, STALL/ WALL 0 I 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 I 0 6 = 0
ITOILET, PRIVATE INSTALLATION 3 I 0 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 24
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
r YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT?
I BEFORE 1979 $5.04 (Enter 1 for Yes, 2 for No)
I 1979 $5.04 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
I 1980 $4.95 (Enter 1 for Yes, 2 for No)
I 1981 $4.88 BASE YEAR
I 1982 $4.75
I 1983 $458 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.41 VALUE/I000 CREDIT RATE
I 1985 $4.20 $0.00 x $0.04
I 1986 $3.88
I 1987 $3.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3.07 VALUE/I000 CREDIT RATE
I 1989 $2.60 $0.00 X $0.04
1990 $2.14
1991 $1.71
1992 $L52 TOTAL MWMC CREDIT =
1993 $1.38
1994 $1.19
1995 $1.03
1996 $0.87
1997 $0.68 I
1998 $0.46
1999 $0.27 I
2000 $0.09
2001 $0.04 I
.... .
2
o
2002
$0.00
o
$0.00
225 Filth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
COM2003-00889
Payments:
Type of Payment
Check
;
Receipt #: 1200400000000000298
Description
Addressing Assignment
Residence Wiring Ea Addtl 500
Residence Wiring 1000 Sq Ft
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
WiUamalane Single Family
Wood Stove
-Mechanical Issuance Fee-
Dryer Vent
Exhaust Hoods
Vent Fan
Furnace - Unit Heater
3 Baths One & Two Family
Building 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
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dIm
Check Number
Batch Number Authorization Number
Paid By
DONNA M JOHNSON
3089
City of Springfield Officthl Receipt
Development Services Department
Public Works Department
Date: 03/11/2004
11:18:28AM
Amount Paid
8.00
38.00
106.00
3.00
63.00
1,000.00
30.00
10.00
6.00
9.00
24.00
12.00
306.00
718.40
1,288.57
543.36
413.04
164.89
727.42
314.63
214.23
10.00
131.5 3
52.28
71.00
92.08
131.54
$6,487.97
Item Total:
How Received
In Person
Payment Total:
Amount Paid
$6,487.97
$6,487.97