HomeMy WebLinkAboutPermit Building 2004-12-2
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. CITY OF SPRINGFIELD
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Building/Combination Permit
PERMIT NO: COM2004-00565
ISSUED: 12/02/2004
APPLIED: 05/1212004
. EXPIRES: 06/02/2005
VALUE: $ 124,850.40
I"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 925 ANDERSON LN .
ASSESSOR'S PARCEL NO.: 1703331100700
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
PROJECT DESCRIPTION: SFR (Same as 863 Anderson Ln. - Com2003-00890)
Called on 11-16-2004 to notify contractor that plans are about to expire.
Owner: D.M. JOHNSON
Address: 1825 KINGSLEY ROAD #29 EUGENE, OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
General
Mechanical
Plumbing
, Contractor
BENSON DEVELOPMENT CO LLC
CHITTIM ENTERPRISES IINC
THOMAS ANTHONY RYDER
License
143021
47396
159425
tlLJILUING INFORMATION.
# 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 25.00
Type of Heat: Forced Air Gas
Water Type: Gas
. Range Type: . Gas
Energy Path: Path 1
Sprinkled Building: n/a
3
I DEVELOPMENT INFORMATION I
Residential
Phone Number: 541-338-8143
Expiration Date
05/15/2008
03/08/2005
05/12/2006
Phone
541-688-8897
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:
Occupant Load:
846
400
REQUIRED PARKING
Front yard Setback: 23.00 Overlay Dist: Total: 2
Side 1 Setback: 5.00 # Street Trees Rqd: 9 Handicapped:
Side 2 Setback: Paved Drive Rqd: Yes Compact:
Rearyard Setback: 15.00 % of Lot Coverage: 13.60
Solar Setbacks: 0.00
I PUBLIC IMPROVEMENTS I
Street ImprMeliJilTs0N: Oregon law reqti'C\.Y:~u to Sidewalk Type:
follow:ry.les adopted by the Oregon tility
Storm SeW1rtifiva~blt; T Ye . Downspouts/Drains:
SpeCial Ins#.JJp.~~e2n OOe1~Ol);"r1m~h8~~iW~~tWM~JJQJihne located alon2IAnde"~n Lane.
In UAtr~v - - () ~ t r'6~gh OAR 952-001- . ull\,J! H lVi.:", . THE WORK
Notes: 0090~ You may obtam caples of the rules by THIS PERMIT SHALL EXPIR~~~MIT IS NOT
calling the center. (Note: the telephone AUTHORIZED UNDER THIS
number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR .
Center is 1-800-332-2344). ANY 180 DAY PERIOD.
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00565
ISSUED: 12/02/2004
APPLIED: 05/12/2004
EXPIRES: 06/02/2005
VALUE: $ 124,850.40
225 Fifth Street, Springfield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Dwellines
Garaee
Type of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$92.40
, $24.30
Square Footage
or Bid Amount
1,246.00
400.00
Value
Date Calculated
Description
Total Value of Project
$115,130.40
$9,720.00
$124,850.40
05/12/2004
05/12/2004
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 5/12/04 1200400000000000728
-Mechanical Issuance Fee- $10.00 12/2/04 1200400000000001680
+ 10% Administrative Fee $98.49 12/2/04 1200400000000001680
+ 7% State Surcharge $68.94 12/2/04 1200400000000001680
2 Baths One or Two Family $254.00 12/2/04 1200400000000001680
Addressing Assignment $31.00 12/2/04 1200400000000001680
.Air Handling Unit Up to 10,000 $8.00 12/2/04 1200400000000001680
Building Permit $646.90 12/2/04 1200400000000001680
Dryer Vent $6.00 12/2/04 1200400000000001680
Exhaust Hoods $9.00 12/2/04 1200400000000001680
Furnace - up to 100,000 btu $12.00 12/2/04 1200400000000001680
Gas Fireplace $15.00 12/2/04 1200400000000001680
Gas Outlets 1-4 $4.00 12/2/04 1200400000000001680
Heat Pump $12.00 12/2/04 1200400000000001680
Plan Review - Planning $71.00 12/2/04 1200400000000001680
Sanitary Sewer - Improvement $344.20 12/2/04 1200400000000001680
Sanitary Sewer - Reimbursement $452.80 12/2/04 1200400000000001680
SDC MWMC Administration $10.00 ' 12/i/04 1200400000000001680
SDC MWMC Improvement $214.23 12/2/04 1200400000000001680
SDC MWMC Reimbursement $314.63 12/2/04 1200400000000001680
SDC Sanitary/Storm Admin $84.55 12/2/04 1200400000000001680
SDC Transpo Admin $55.26 12/2/04 1200400000000001680
SDC Transpo Improvement $727.42 12/2/04 1200400000000001680
SDC Transpo Reimbursement $164.89 12/2/04 1200400000000001680
Storm Drainage Impervious Area $568.08 12/2/04 1200400000000001680
Vent Fan $18.00 12/2/04 1200400000000001680
Willamalane Single Family $1,000.00 12/2/04 1200400000000001680
Total Amount Paid $5,300.39
I Plan Reviews I
Initial Review
05/12/2004
05/12/2004
OK
RJB "
Paee 2 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00565
ISSUED: 12/02/2004
APPLIED: 05/1212004
EXPIRES: 06/02/2005
, VALUE: $ 124,850.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726~3769 Inspection Line
Plan nine Review
05/1212004
06/21/2004
DON TAJ
Needs over the counter LDAP.
Annexation effective 6/7/04. ' 9 street
trees required: 5 on Anderson; 4 on
Kellogg.
Improvement agreement for street
and storm sewer required prior to
issuance of building permit, Survey
is writing up the agreement and will
be ready in the next few days.
Storm sewer to private storm along
Anderson.
Same a's plan.
Public Works Review
, 05/12/2004
06/02/2004
APP VRJ
Structural Review
05/12/2004
06/03/2004
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.
lJeouireCUnsnections I
Erosion/Grading Inspection: After all erosion measures are in place.
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.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
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.
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 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.
, Paee 3 of 4
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00565
ISSUED: 12/02/2004
APPLIED: 05/12/2004
EXPIRES: 06/02/2005
VALUE: $ 124,850.40
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
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 ofany '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.
Owner or Contractors Signature
Date
Paee 4 of 4
. ~l
,'j
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENl . .0RKSHEET
JOURNAL OR JOB NUMBER: COM2004-00565
NAME OR COMPANY: VERN BENSON
LOCATION: 925 Anderson Ln
TAX LOT NUMBER: 17 03 33 31 00700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF: 1246 LOT SIZE (SF):
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x COST PER s.F.1 CHARGE
'1958.88 $0.290 = I $568.08
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. x DISCOUNT RATE DISCOUNT
0.00 $0.290 50% $0.00
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAlNAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD EQUIVALENT
BATHTUB 2 0 3 =
DRINKING FOUNTAIN 0 0 1 =
FLOOR DRAIN 0 0 3 =
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 =
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 =
LAUNDRY TUB 0 0 2 =
CLOTHESW ASHER / MOP SINK 1 0 3 =
CLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 =
MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 =
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1
RECEPTOR FOR COM. SINK / DISHWASHER / ETC 0 0 3 =
SHOWER, SINGLE STALL 0 0 2 =
ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 =
ISINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 --
ISINK: COMMERCIAL BAR 0 0 2 =
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 I =
ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 I = I
IURINAL, STALL! WALL 0 0 5 I = I
ITOILET, PUBLIC INSTALLATION 0 0 6 I = I
ITOILET, PRIVATE INST ALLA TION 2 0 3 I = I
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 =
TOTAL DRAINAGE FIXTURE UNITS
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
DRAINAGE
FIXTURE
UNITS
6
o
o
o
o
o
3
o
o
o
o
o
o
3
o
o
2
o
o
6
o
20
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RA TE/$I ,000
ASSESSED VALUE
$5.04
$5.04
$4.95
$4.88
$4.75
$4.58
$4.41
$4.20
$3.88
$3.50
$3.07
$2.60
$2.14
$UI
. $1.52
$ 1.38
$1.19
$1.03
$0.87
SO.68
$0.46
$0.27
$0.09
$0.04
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGlBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $0.04
2
o
2002
= I
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $0.04
TOTAL MWMC CREDIT
o
=
$0.00
225 Fifth Str~et ., "
, '
~pringfield, Oregon 97477
541-726-3759 Phone
~!J...}LN.~..rF~,'~ -'iii.".-."~.~- ".
W;r.., \
."'-,~,,_ I
~~~...,...,.."".~....".I'>- .-.,. -.~ -..-
r:..y of Springfield Official Receipt
/elopment Services Department
Public Works Department
. .
i Job/Journal Nu~ber
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
. COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
;.COM2004-00565
! COM2004-00565
COM2004-00565
COM2004-00565
i
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
COM2004-00565
RECEIPT #:
1200400000000001680
Date:, 12/02/2004
Description.
Storm Drainage Impervious Area
" Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
,SDC Transpo Improvement
SDC MWMC Reimbursement
SOC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review - Planning
. Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
Furnace - up to 100,000 btu
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Fireplace
Heat Pump
Gas Outlets I ~4
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment Paid By
Check BENSON DEVELOPMENT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 3747 In Person
Payment Total:
12/2/2004
"
Page I of I
8:23:14AM
Amount Due
568.08
452.80
344.20
164.89
727.42
314.63
214.23
10.00
84.55
55.26
71. 00
646.90
31.00
1,000.00
254.00
12.00
8.00
1'8.00
9.00
6.00
15.00
12.00
4.00
10.00
68.94
98.49
$5,200.39
Amount Paid
$5,200.39
$5,200.39