HomeMy WebLinkAboutPermit Building 2004-3-11
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00890
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 112,888.00
';,\.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 863 Anderson Ln
ASSESSOR'S PARCEL NO.: 1703331100701
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: New single family residence (parcel #2). Do we need to add Electrical to this
permit? (swb )
Owner: BENSON VERN W
Address: 940 HWY 99 N EUGENE OR 97402
'\,
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
BENSON DEVELOPMENT CO LLC
SUNSET ELECTRIC INC
CHITTIM ENTERPRISES I INC
THOMAS ANTHONY RYDER
License
143021
158859
47396
152323
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
# of Stories: 2
Height of Structure 24.50
Type of Heat: Forced Air Elect
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
3
\
I DEVELOPMENT INFORMATION'
SETBACKS
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
50.00
8.00
7.00
10.00
8.00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I1"LJtiLIC IMPROVEMENTS I
Street Improvements:
Storm Sewrin~Oregon law reqUires you, ~o
Special fn'st'ruttlon: adopted by the Oregon Utility
follow ~u'es Those rules are set fort
Notes:-lotificatlon ce~~g~1 0 through OAR 952-00
n OAR 952-00 obtain copies of the rules l
0090. You may t (Note' the telephone
calling the cenoer. on Utility Notification
number for the reg
r,,,,,,,~,-,,r;~ 1 s!n(v)/~?-?844).
Residential
Expiration Date
05/15/2004
02/27/2006
03/08/2005
07/26/2004
Phone
541-688-8897
541-915-4883
541-461-2101
(541)343-0975
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
5,676
846
400
500
1
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Yes
23.70
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANQQNED FOR
'ANY 180 DAY PERIOD,
Paee 1 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2003-00890
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 112,888.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
DwelIine:s
Garae:e
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$90.60
$23.80
Square Footage
or Bid Amount
1,246.00
400.00
Value
Date Calculated
Description
Total Value of Project
$112,887.60
$9,520.00
$122,407.60
09/11/2003
09/11/2003
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $395.14 9/11/03 220200000000001512
-Mechanical Issuance Fee- $10.00 3/11/04 1200400000000000299
+ 10% Administrative Fee $93.79 3/11/04 1200400000000000299
+ 7% State Surcharge $65.65 3/11/04 1200400000000000299
2 Baths One or Two Family $254.00 3/11/04 1200400000000000299
Addressing Assignment $8.00 3/11/04 1200400000000000299
Building Permit $607.90 3/11/04 1200400000000000299
Dryer Vent $6.00 3/11/04 1200400000000000299
Exhaust Hoods $9.00 3/11/04 1200400000000000299
Furnace - up to 100,000,btu $12.00 3/11/04 1200400000000000299
Gas Fireplace $15.00 3/11/04 1200400000000000299
Gas Outlets 1-4 $4.00 3/11/04 1200400000000000299
Heat Pump $12.00 3/11/04 1200400000000000299
Plan Review - Planning $71.00 3/11/04 1200400000000000299
Sanitary Sewer - Improvement $344.20 3/11/04 1200400000000000299
Sanitary Sewer - Reimbursement $452.80 3/11/04 1200400000000000299
SDC MWMC Administration $10.00 3/11/04 1200400000000000299
SDC MWMC Improvement $214.23 3/11/04 1200400000000000299
SDC MWMC Reimbursement $314.63 3/11/04 1200400000000000299
SDC Sanitary/Storm Admin $89.86 3/11/04 1200400000000000299
SDC Transpo Admin $54.82 3/11/04 1200400000000000299
SDC Transpo Improvement $727.42 3/11/04 1200400000000000299
SDC Transpo Reimbursement $164.89 3/11/04 1200400000000000299
Storm Drainage Impervious Area $665.52 3/11/04 1200400000000000299
Vent Fan $18.00 3/11/04 1200400000000000299
Willamalane Single Family $1,000.00 3/11/04 1200400000000000299
Total Amount Paid $5,619.85
I Plan Reviews I
Initial Review
09/18/2003
09/19/2003
APP LLH
Don Moore requested information
on electrical contractor in order to
process electrical permit. Electrical
permit is not included at this time.
Paee 2 of 4
To Request an inspectio~ 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 I~spection: 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.
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 Underfloor Mechanical. Prior to insulation or decking and including required testing.
Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2003-00890
ISSUED: 03/11/2004
APPLIED: 09/11/2003
EXPIRES: 09/11/2004
VALUE: $ 112,888.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
22 Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
23 Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
24 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.
25 Rough Mechanical: Prior to Cover
26 Final Gas: When all gas work is complete.
27 Final Mechanical: When all mechanical work is complete.
28 Temporary Electric: Approval required prior to Utility Company energizing pole.
29 Rough Electric: Prior to Cover
30 ElectriC Service: Approval required prior to utility company energizing service.
31 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.
.......
~
<:'" \ ./
3-))~Y
Date
Owner or Contractors Signature
Paee 4 of 4
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
COM2003-00890
Payments:
Type of Payment
Check
f~
Receipt #: 1200400000000000299
Description
Willamalane Single Family
Addressing Assignment
Building Permit
-Mechanical Issuance Fee-
Vent Fan
Gas Fireplace
2 Baths One or Two Family
Dryer Vent
Heat Pump
Furnace - up to 100,000 btu
Gas Outlets 1-4
+ 7% State Surcharge
+ 10% Administrative Fee
Exhaust Hoods
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
Plan Review - Planning
Received By
dIm
Check Number
Batch Number Authorization Number
Paid By
P ALMAIN MOBILE HOME
SALES
1355
City of Springfield Official Receipt
Development Services Department"
Public Works Department
Date: 03/11/2004
1l:32:14AM
Amount Paid
1,000.00
8.00
607.90
10.00
18.00
15.00
254.00
6.00
12.00
12.00
4.00
65.65
93.79
9.00
665.52
452.80
344.20
164.89
314.63
214.23
10.00
89.86
54.82
727.42
71.00
$5,224.71
Item Total:
How Received
In Person
Amount Paid
$5,224.71
Payment Total:
$5,224.71
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x I NUMBER OF UNITS I x
'9.57 I 1 I
B. IMPROVEMENT COST:
ADT TRIP RATE I x . NUMBER OF UNITS - x I
9.57 1 I
ITEM 3 TOTAL - TRANSPORTATION SDC = ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $314.63
B. IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 1 I I $214.23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATNE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
SUBTOTAL x ADM. FEE RATE
$2,893.69 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
, S teue c;4fU1e4,
3/4/2004
PREPARED BY
DATE
5669
$665.52
$452.80
$344.20
$797.00
COST PER TRIP
$17.23
I x
$164.89
NEW TRlP FACTOR
1.00
COST PER TRIP
$76.01
$892.31
x -NEW TRIP FACTORI
1.00
$727.42
rFJ
P-1
.0
o
u
~
P-1
f-<
rFJ
.......
o
~
1070
1091
1092
1093
1094
= $314.63 1054
\
= $214.23 1055
$0.00 1054
$10.00 1056
$538.86
$2,893.69
CHARGE
$144.68
, 89.86 1079
I $54.82 J 1078
I
TOTAL SDC CHARGES = $3,038.37
1. (\ ~ 'N
J()1'11
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
'[ YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGlBLE FOR ANNEXATION CREDIT? 2
I BEFORE 1979 $5_04 (Enter 1 for Yes, 2 for No)
I 1979 $5.04 . IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT? 0
I 1980 $4,95 (Enter 1 for Yes, 2 for No)
I 1981 $4_88 BASE YEAR 2002
I 1982 $4_75
I 1983 $4.58 CREDIT FOR LAND (IF APPLICABLE)
I 1984 $4.41 VALUE/I000 CREDIT RATE
I 1985 $4_20 ,$0.00 X $0.04 =1 $0.00
1986 $3,88
I 1987 $3.50 . CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
I 1988 $3_07 VALUE /1000 CREDIT RATE
1989 $2.60 $0.00 x $0.04 0
1990 $2_14
-1991 $1.71
1992 $1.52 TOTAL MWMC CREDIT = $0.00
1993 $1.38
1994 $1.19
1995 $1.03
1996 $0.87
1997 $068
1998 $0.46
1999 $0_27
2000 $0_09
2001 $0,04