HomeMy WebLinkAboutPermit Building 2005-3-15
,.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, SITE ADDRESS: 721 Aspen Street
ASSESSOR'S PARCEL NO.: 1703342101900
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/2212005
EXPIRES: 09/15/2005
VALUE: $ 248,494.00
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New
I PROJECT DESCRIPTION: Aspen park subd lot 2 - single family residence
ATTENTION: Oregon law requiresP~~~umber:
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 throuah OAR 952-001-
CON of the rules by
calling the center. (Note: the telep~on~
Contractor number for the Or~mity NHtlfJ&lMwn Date
DJS INVESTMENTS LLC Center is 1-8l16'-l3t32-2344). 10/09/2006
BOB FISHER ELECTRIC INC 96275 01/25/2006
MARSHALLS INC 25790 12/23/2005
JAMMAL INC 158262. 01/12/2006
I BUILDING INFORMATION r.;;"~'~" .
;- 't~~f~1:.'
# of Stories: 2
Height of Structure 27.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
IVt1'ifP.fI'rr:.
Fully Improved
Yes
Owner:
Address:
GEORGE JESSIE
2085 COVENTERY WAY
EUGENE OR 97402
Contractor Type
General
Electrical
Mechanical
Plumbing
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
10.00
19.00
5.50
19.50
0.00
Subdivision Not Accepted
, Street Improvements:
Storm Sewer Available:
Special Instruction:
Residential
541-689-4019
Phone
541-485-2655
541-689-7973
541-747-7445
541-484-7440
3
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
608
7,649
2,144
335
I DEVELOIr~1';-1FllNlJ1P~'jfJQ~RE IF THE WORII
~~Y~?~I,ZED UNDER THIS PERMIT IS NMQUlRED PARKING
Ovel1layolDlst:CED OR IS ABANDONED FOR Total: 2
# S.ffl~~t Tn{es:>>~dflERJOD. 2 Handicapped:
Paved Drive Rqd: Yes Compact:
% of Lot Coverage: 35.70
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
Curbside 5'
Curb and Gutter
Notes: No hook-up to City Infrastructure until Public Improvements accepted; storm drainage piped to curb face
2/28/2005 CAS
Pae:e 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541~726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
V Wood Frame
V Wood Bonus Rm
Garal!e
Dwellinl!s
Dwellinl!s
Garal!e
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Curbcut Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Fireplace
Gas Outlets 1-4
Heat Pump
Plan Review Major - Planning
Plan Review Residential
PW Disc - 2nd Permit (Street)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC Sanitary/Storm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WiIlamalane Single Family
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$96.00
$82.00
$25.00
Square Footage
or Bid Amount
2,144.00
335.00
608.00
Total Value of Project
~
Amount Paid
$625.40
$10.00
$161.19
$112.83
$254.00
$31.00
$6.00
$1,049.90
$80.00
$6.00
$9.00
$12.00
$15.00
$4.00
$12.00
$103.00
$54.92
$-30.00
$106.00
$76.00
$365.60
$480.80
$10.00
$865.31
$82.03
$125.80
$63.42
$772.49
$175.13
$80.00
$1,033.08
$50.00
$12.00
$1,000.00
Date Paid
2/22/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
3/15/05
Pal!e 2 of 4
CITY OF SPRINGFIELD'
Building/Combination Permit.
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/22/2005
EXPIRES: 09/15/2005
VALUE: $ 248,494.00
Value
Date Calculated
$205,824.00
$27,470.00
$15,200.00
$248,494.00
02/22/2005
03/10/2005
02/22/2005
Receipt Number
2200500000000000203
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
1200500000000000323
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/2212005
EXPIRES: 09/15/2005
VALUE: $ 248,494.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Amount Paid $7,813.90
I Plan Reviews I
Initial Review 02/24/2005 02/24/2005 APP SKG
Planninl! Review 02/24/2005 03/11/2005 APP TAJ
Public Works Review 02124/2005 02/28/2005 APP CAS No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
curb face. 2/28/2005 CAS
Structural Review 02/24/2005 03/10/2005 APP TCM
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.
Erosion/Grading Inspection: After all erosion measures are in place.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Foundation: After forms are erected but prior to concrete placement.
Rough Mechanical: Prior to Cover
Rough Electric: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Electric: When all electrical work is complete.
Floor Insulation: Prior to decking.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Drywall: Prior to taping.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Gas: When all gas work is complete.
Wall Insulation: Prior to cover.
Final Plumbing: When all plumbing work is complete.
Footing: After trenches are excavated.
Post and Beam: Prior to floor insulation or decking.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Shear Wall Nailing: Before covering sheathing with finish materials.
Storm Sewer Line: Prior to filling trench.
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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Ufor Electrical Ground: Install ground rod at footing and call for inspection in conjuction with footing and/or
foundation inspection.
Underfloor Drain: Prior to cover or placement of concrete.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Underfloor Mechanical. Prior to insulation or decking and including required testing.
Pal!e 3 of 4
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00211
ISSUED: 03/15/2005
APPLIED: 02/22/2005
EXPIRES: 09/15/2005
VALUE: $ 248,494.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Underfloor Plumbing: Prior to insulation or decking.
Ceiling Insulation: Prior to cover.
Water Line: Prior to filling trench and including required testing.
Electric Service: Approval required prior to utility company energizing service.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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
t;mVc:tr:~on. _~ __ 3-Ls---os-
Owner or Contractors Signature
Date
PalZe 4 of 4
225 Fifth Street
Springfieltl, Oregon 97477
541-726-3759 Phone
.
C'lty of Springfield Official Receipt
lelopment Services Department
Public Works Department
Job/Journal Number
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
CbM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
tOM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
i
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
COM2005-00211
Payments:
Type of Payment
Check
3/15/2005
RECEIPT #:
1200500000000000323
Date: 03/15/2005
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curb cut Permit
PW Disc - 2nd Permit (Street)
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
2 Baths One or Two Family
-Mechanical Issuance Fee-
Appliance Vent
Dryer Vent
Gas Fireplace
Furnace - up to 100,000 btu
Exhaust Hoods
Gas Outlets 1-4
Vent Fan
Heat Pump
Plan Review Residential
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By
DJS INVESTMENTS LLC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
4203
In Person
Payment Total:
Page 1 of 1
9:44:09AM
Amount Due
31.00
1,000.00
106.00
76.00
50.00
80.00
80.00
(30.00)
1,033.08
480.80
365.60
175.13
772.49
82.03
865.31
10.00
125.80
63.42
254.00
10.00
6.00
6.00
15.00
12.00
9.00
4.00
12.00
12.00
54.92
1,049.90
112.83
161.19
103.00
$7,188.50
Amount Paid
$7,188.50
$7,188.50
, r
COST PER DFU
$24.04
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I . 20
$] 8.28
ITEM 2 TOTAL- CITY SANiTARY SEWER SDC
~. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE . x
I 9.57
B. IMPROVEMENT COST:
I ADT TRIP RATE I
I 9.57 I
. NUMBER OF UNITS' x I
] I
x I NUMBER OF UNITS
I ]
x I
I
. = ,
ITEM 3 TOTAL - TRANSPORTATIONSDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x
I ]
ICOST PER FEU
$82.03
B. IMPROVEMENT COST: .
INUMBER OF FEU's x
I ]
ICOST PER FEU
I $865.3]
MWMC CREDlT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I
SUBTOTAL(ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
I $3,784.44 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
7700
ifJ
u:l
Cl
o
u
~
u:l
~
ifJ
......
d
~
$1,033.08
1070
$480.80
1091
$365.60
1092
= I
$846.40 .
COST PER TRIP x I NEW TRIP FACTOR
$] 8.30 I 1.00 $175.13 1093
COST PER TRIP x NEW TRIP F ACTORI
$80.72 1.00 I $772.49 1094
$947.62 I
i
Ii
= $82.03 1054
= $865.31 .; 1055
$0.00 1054
$10.00 1056
$957.34 f
$3,784.44 I
r
CHARGE I.
$]89.22
]25.80 1079
$63.42 11078
TOTAL SDC CHARGES =, $3,973.66 _J
Cheryl Slaymaker
2/28/2005
PREPARED BY
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNlT EQUTV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY TIIE NET ADDmONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
ICLOTHESW ASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTORFORREFRIG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIM-/RESIDENTIM- KITCHEN 1 0 3 = 3
I SINK: COMMERCIM- BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
ISINK: SINGLE LA V ATORY/RESIDENTIM- BAR 1 0 1 = 1
IURINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$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 ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter 1 for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT
=
2
2
1979
$0.00
o
$0.00
ELECTRICAL PERMIT APPLICATION
City Job Number L..:;":-'oO '2 ( l Date
1.
SJ~
7-21
LEGAL DESCRIPTION
1701 ')Lj2l 0 I cr IX)
JOB DESCRIPTION
IOh t DO
$ 19.00 7 b(or>
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
SJ-rv;~~~JIIj ~/ cfooAJ-' ~
(
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
$50.00
B.
2.
Electrical Contractor IJn b .Ii 5). ~ y c /eC' I he...... 200 Amps or less
201 Amps to 400 Amps
Address };;/ i) k.l' /',74S- .6 // r <-;/ /9 ~,. nztQ:lN'-rrp,seto 60( Amps
. "'/ f . . . ~r gon ~r .
C.lI()N ruM1-A-mPJtto lOW m~urreS you to
City ? ~~ /J e Phone C f9- 7"!9f~t;oro>f.e;~~9P. ~~Bt; oUf regon Utilitv
,/ Ce /1 S- / ~ or 98 ~ 95;R~lf9lPIl76~<att~1 e ru es are setforth
0096:' You . rough OAR 95 _
Supervisor License Number 39 7 J-- SCal/ingCfI:J
. number for the 0 e '. . e ep one
Expiration Date /13- / - c:z 0 0 -7 Cel1m~t!f4iBb~b~kvnN.i;~wn
200 Amps or ress 2-2344). J
Constr. Contr. Number 96'.:2? S- 201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Am s or 1 000 Volts see "B" above.
D.
$ 63.00
$ 75.00
$ 125.00
$163.00
$375.00
$ 50.00
~IOO
$ 50.00
$ 69.00
$100.00
Expiration Date / - d J - - d2 tJ 0 6
~:bJv
v
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
. /"'\'" rn;"\S'{M'ce or Feeder Permit
Owners Name l~t=;o 0-; (::- Uc"SS ( e T-HIS' ~~.
Address 208~ CQ~/CiILy tJ tAlfr'~.. I \.
City~~ Phone b'{ 7 -if DI; C01\lp,1~~\jf-iQ;Qa%d~ ABANDONED FOR $ 50.00
- AI~Y Si~h!)rutl)~fEi~i{tifi'g $ 50.00
OWNER INST ALLA TION Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
$ 43.00
$ 3.00
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
4.
.2--12,00
I (,t vi
'21t 20
# 2:f-1 LP-f
7% State Surcharge
10% Administrative Fee
Inspection Request: 726-3769
TOTAL
Shared Drive(T:)/Building FormslElectrical Permit Application I-D3.doc