HomeMy WebLinkAboutPermit Building 2004-9-27
r-CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2004-00985
ISSUED: 09/27/2004
APPLIED: 08/10/2004
EXPIRES: 03/27/2005
VALUE: $ 61,272,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
::;./'
SITE ADDRESS: 5950 Aster St Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO,: ASTER MEADOWS LOT
TYPE OF USE:
. PROJECT DESCRIPTION: Aster Meadows lot 1 - SFR
Owner: DENNIS R MINIUM
Address: 8745 THURSTON RD SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
License
62682
147618
150189
Contractor
DENNIS R MINIUM
STEVE HAUCK
MICHAEL GRIFFIN
CUSTOM PLUMBING
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: 1
Height of Structure 15,00
Type of Heat: aseboard Electric
Water Type: Electric
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
1
I DEVELOPMENT INFORMATION I
Frontyard Setback:'
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
9.00
14.00
'10.00
8.50
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: Yes
% of Lot Coverage: 35.00
I PUBLIC IMPROVEMENTS I
Street Improvements:
New
Residential
Phone Number: 541-747-8495
Expiration Date
12/11/2005
04/30/2005
01/23/2005
Phone
541-747-8495
541-221-2665
541-942-8339
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:.
6,600
600
240
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:
Curbside 5'.
Curb and Gutter
Fully Improved
Storm Sew.er_Av.\ .ailable: . . . ,. I . __, n '. \, Yes)
. !rl 11-1\ .1 I UI\l:V l'E..Cj'J. , .:"V1 i ''''''1\1<, C;,) ) ",cA ....
SpecIal 'InstructIon: d t- d I. At.. -'''~gon U"'llit.,
follow rules a, op e I,I}.' \11l.1 v, """ I l ,.j
N t I\Jotification Center, Those ruk1S are set tJrtr.
o es, . O!\R9r::2 "-'1
in OAR 952-001-0010 throuGh r /-..' ::>' -uU
0090. You may obtain copies of the rules OJ
. calling the center, (Note: .the t91e.~hc~e
number forthe Oregon Utlllty Notification
Center is 1-800-332-23,44).
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
~UTHORIZED UNDER THIS PERMIT ISNor
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
.' ,-
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00985
ISSUED: 09/27/2004
APPLIED: 08/10/2004
EXPIRES: 03/27/2005
VALUE: $ 61,272.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax,
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Dwellines
Garaee
Tvpe of Construction
V Wood Frame,
Garaee
$ Per Sq Ft
or multiplier
, $92.40
$24.30
Square Footage
or Bid Amount
600.00
240.00
Value
Date Calculated
Total Value of Project
$55,440.00
$5,832.00
$61,272.00
08/10/2004
08/10/2004
~
Fee Description Amount Paid, Date Paid Receipt Number
Plan Review Residential $271.34 8/9/04 1200400000000001196
-Mechanical Issuance Fee- $10.00 9/27/04 2200400000000001210
+ 10% Administrative Fee $71.35 9/27/04 2200400000000001210
+ 7% State Surcharge $49.94 9/27/04 2200400000000001210
1 Bath One & Two Family $145.00 ,9/27/04 2200400000000001210
Addressing Assignment ' $31.00 9/27/04 2200400000000001210
Building Permit $417.45 9/27/04 2~00400000000001210
Curbcut Permit $75.00 9/27/04 2200400000000001210
Dryer Vent $6.00 9/27/04 2200400000000001210
Exhaust Hoods $9.00 9/27/04 2200400000000001210
Minimum/Adjustment Mechanical $24.00 9/27/04 2200400000000001210
Plan Review Major -Planning' $103.00 9/27/04 2200400000000001210
PW Mult Disc - 2nd Permit ., '$-30.00 9/27/04 2200400000000001210
Residence Wiring 1000 Sq Ft $106.00 9/27/04 2200400000000001210
Sanitary Sewer - Improvement ' $237.64 ' 9/27/04 2200400000000001210
Sanitary Sewer ~ Reimbursement ' $312.52 9/27/04, 2200400000000001210
SDC MWMC Administration $10.00 9/27/04 2200400000000001210
SDC MWMC Improvement $865.31 9/27/04 2200400000000001210
SDC MWMC Reimbursement $82.03 9/27/04 2200400000000001210
SDC Sanitary/Storm Admin $94.64 9/27/04 2200400000000001210
SDC Transpo Admin $67.27 9/27/04 2200400000000001210
SDC Transpo Improvement ,$772.49 9/27/04 2200400000000001210
SDC Transpo Reimbursement $175.13 9/27/04 2200400000000001210
Sidewalk Permit $75.00 9/27/04 2200400000000001210
Storm Drainage Impervious Area $783.06 9/27/04 2200400000000001210
Vent Fan $6.00 9/27/04 2200400000000001210
WiIlamalane Single Family $1,000.00 9/27/04 2200400000000001210
Total Amount Paid
$5,770.17
J
I Plan Reviews I
Initial Review
Plannine Review
08/11/2004
08/11/2004
08/11/2004
09/14/2004
" OK RJB
APP TAJ '
Dennis Minium approved a change
in rear setback to 10' on 9/10/04.
, Paee 2 of 4
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Status
Issued
""-,..... CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-00985
ISSUED: 09/27/2004
APPLIED: 08/10/2004
EXPIRES: 03/27/2005
VALUE: $ 61,272.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
08/1112004
08/13/2004
APP MS
8/13/2004 - Applicant submitted
revised site plan. - MS
See documents for plan review
comments
Structural Review
08/11/2004
09/24/2004
APP . DLM
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,
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Final Electric: When all electrical work is complete.
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.
Underfloor Drain: Prior to cover or placement of concrete.
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.
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.
Pal!e 3 of 4
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00985
ISSUED: 09/27/2004
APPLIED: 08/10/2004
EXPIRES: 03/27/2005
VALUE: $ 61,272.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 sure that all required inspections are requested at the proper time, that each address is readable from the
street, th~ e perm t card is located at the front of the property, and the approved set of plans will remain on the site at all
timzs uting constr ction. ,
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Owner or Contractors Signature Date
Pal!e 4 of 4
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (54q;r26-368'~ 0-
ELEc..;lKICAL PERMIT APPLICATION I J h:.-/ ..,V%",~ ~"0.
City Job Number C/JIIJlJlJf -11)165 Date 9/ Z 7.' o~ ~&O'&..... <9~~
1.
$950,A,<tLd 5Ti
LEGAL DESCRlPTION
/71?,2 1~_~3 O~6t:trJ
- f
JOB DESCRlPTION
l<:~
-, ..
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor
STbUf.
f1l7vc~
Address
t o. 6()~ '1IS~ i
City Gvf qf'{(; i Phone
;181 \. ~~&~
Supervisor License Number
5511-5
Expiration Date
}o - I - o'-{
Constr, Contr. Number 14'1-<.,/9
Expiration Date 4.- Jo ,- O,S
Signature of Supervising Electrician
zJ J1l~
V
Owners Name .JJa.;vlS /If/VL.L141
Address ~Y5 TiflltltS.&) /iJ.
City 5;JfV Phone 71-1 +f95
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
3.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$ 19.00
$50.00
B,
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Amps or 1000 Volts see "B" above,
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
/oro .DO
. ~2-
7,
/D.bO
-L~4., 0 2.
TOTAL
Shared Drive(T:)/Building FormsfElectrical Permit Application I-D3.doc
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN"P'tfbRKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY: .
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x 1 COST PER S.F. CHARGE
I 2526.00 I $0310 = I $783.06 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F. x I COST PER S.F. 1 x 1 DISCOUNT RATE 1
I 0.00 I $0310 I I 50% = I
ITEM 1 TOTAL - STORM DRAINAGE SDC '$783.06
COM2004-00985
Dennis Minium
5950 Aster Street
17023433 Tax Lot 00600
SINGLE FAMILY RESIDENCE
] BUILDING SIZE (SF:
.f
o
LOT SIZE (SF):
6530
r/)
~
Cl
o
u
~
~
E-<
r/)
C3
~
DISCOUNT
$0.00
$783.06
11070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's x
I 13
B. IMPROVEMENT COST:
1 NUMBER OF DFU's x
I 13
COST PER DFU
$24.04
$312.52
1091
$] 8.28
$237.64
1092
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
= I
$550.16
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE x . NUMBER OF UNITS I x I COST PER TRIP x NEW TRIP FACTOR
1 9.57 ] I I $] 830 1.00 $175.13 .1093
B. IMPROVEMENT COST:
ADT TRIP RATE x I NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
9.57 I ] $80.72 1.00 $772.49 1094
ITEM 3 TOTAL - TRANSPORTATION SDC = I $947.62
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's 1 x COST PER FEU
] I $82.03 = $82.03 1054
B. IMPROVEMENT COST:
/NUMBER OF FEU's x ICOST PER FEU
I ] I $865.3 ] = $865.31 1055
I
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 11054
MWMC ADMINISTRATIVE FEE $10.00 1056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $957.34
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I $3,238,18
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE 1= CHARGE
I $3,238.18 5% I $]61.9]
TOTAL SANITARY ADMINISTRATION FEE: 94.64 11079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $67.27 11078
Matt Stouder 8/13/2004 TOTAL SDC CHARGES =, $3,400.09
PREPARED BY DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQillV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTUB 1 0 3 = 3
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
I INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER / MOP SINK 1 0 3 = 3
ICLOTIIESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
I SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 1 0 1 = 1
I URINAL, STALL / WALL 0 0 5 = 0
ITOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 1 0 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNlTS 13
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
]983
]984
]985
]986
1987
1988
1989
1990
1991
1992
1993
1994
1995
]996
1997
]998
1999
2000
200]
CREDIT RATE/$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 I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
o
o
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
. 225,Fjfth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985 .
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
COM2004-00985
~'ty of Springfield Official Receipt
..:velopment Services Department
Public Works Department
RECEIPT #:
Date: 09/27/2004
lO:49:40AM
2200400000000001210
Description
Addressing Assignment
Willamalane Single Family
Sidewalk Permit.
Curbcut Permit
PW Mult 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
1 Bath One & Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimum! Adjustment Mechanical
Residence Wiring 1000 Sq Ft
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Amount Due
31.00
1,000.00
75.00
75.00
(30.00)
783.06
312.52
237.64
175.13
772.49
82.03
865.31
10.00
94.64
67.27
103.00
417.45
145.00
6.00
9.00
6.00
24.00
106.00
10.00
49.94
71.35
$5,498.83
Payments:
Type of Payment Paid By
Check DENNIS MINIUM
CONSTRUCTION
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 3484 In Person .
$5,498.83
9/27/2004 .
Amount Paid
Payment Total:
$5,498.83
Page 1 of I