HomeMy WebLinkAboutPermit Building 2004-6-30 (2)
,',r
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00406
ISSUED: 06/30/2004
APPLIED: 04/12/2004
EXPIRES: 12/30/2004
VALUE: $ 170,338.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6794 Aster St Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'S PARCEL NO.: ST LUCIA PL SUB LOT:
TYPE OF USE:
PROJECT DESCRIPTION: ST Lucia PL lot 5 - same as COM2004-0040510t 6
New
Residential
Owner: COREY DEVELOPMENT LLC
Address: 3956 MIRROR POND WAY EUGENE OR 97408
Phonc Number: 541-344-0250
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor .~se
~~:.STRUCTI?r~~~~,~..1 37~
COM ~~W' n.~P1:\l.1 "IlO"f.\) , 0
RSPL l\~Nn~SI~\'t 103816
.CO~~~Wt.~1NFORMATIO~
~ 1 # of Stories: 2
R-3 Height of Structure 24.50
U-l Type of Heat: Forced Air Gas
VN Water Type: Gas
Range Type: Electric
Energy Path: Path 1
Sprinkled Building: n/a
Expiration Date
02/24/2006
08/12/2005
06/27/2005
01/04/2006
Phone
541-688-1907
541-607-6908
541-726-0100
541-461-4714
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
3
Lot Size:
Sq Ft 1 st Floor: 679
Sq Ft 2nd Floor: 1,033
Sq Ft Bascment:
Sq Ft Garage/Carport 500
Sq Ft Othcr:
Occupant Load:
Street Improvements:
Storm Sewer Available:
Special Instruction:
1~~~~OPMENTINFORMAT!9~
~IRED PARKING
Overlay Dist: ~..~. 2
# Street T.ees ' >",-......818 ped:
Paved Dr . .~. ~..- otS' .
'Yo of Lot. . Get"!!: ~ .-
."G. ~_O ~fA~
I!UBL!C1M;R~~;:';~
. __--"ei~~c:-
Yes ee-Downspouts/Drains: To Storm Sewer
Private drive, sanitary and storm sewer public. NO SANITARY SEWER CONNECTION OR
FINAL OCCUPANCY UNTIL APPROVAL OF PUBLIC IMPROVEMENT PLANS, See Ron
Sather for status of public improvement process #726-2240.
25.00
5.00
5.00
18.00
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Notes:
Pal!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
Dwellinl!s
Garal!e
V Wood Frame
Garal!e
Fee Description
Plan Review Same As
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Appliance Vent
Building Permit
Dryer Vent
Exhaust Hoods
Furnace - up to 100,000 btu
Gas Outlets 1-4
Plan Review - Planning
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
Storm Drainage Impervious Area
Temp Power 200 amps or less
Vent Fan
WilIamalane Single Family
Total Amount Paid
Initial Review
Planninl! Review
06/03/2004
06/03/2004
I.Yah~l!tion Description I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,712.00
500.00
Total Value of Project
~
Amount Paid
$] 00.00
$10.00
$115.54
$80.88
$254.00
$31.00
$6.00
$796.40
$6.00
$9.00
$12.00
$4.00
$71.00
$309.78
$407.52
$10.00
$214.23
$314.63
$97.44
$54.25
$727.42
$164.89
$885.37
$50.00
$18.00
$1,000.00
$5,749.35
Date Paid
4/12/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
6/30/04
I.~ Plan Reviews I
06/03/2004
06/28/2004
APP LLH
APP T AJ
Pal!:e 2 of 4
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00406
ISSUED: 06/30/2004
APPLIED: 04/12/2004
EXPIRES: 12/30/2004
VALUE: $ 170,338.00
Value
Date Calculated
$158,] 88.80
$12,150.00
$170,338.80
04/12/2004
04/12/2004
Receipt Number
1200400000000000462
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
1200400000000001007
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00406
ISSUED: r,6/30/2004
APPLIED: 04/12/2004
EXPIRES: 12/30/2004
VALUE: $ 170,338.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Public Works Review
06/07/2004 06/14/2004 APP VRJ NO SA'\ITARY SEWER
CONNECTION OR FINAL
OCCU P ANCY UNTIL APPROV Al
OF PUBLIC IMPROVEMENT
PLANS. See Ron Sather for status oj
public improvement process
#726-22~0.
06/03/2004 06/03/2004 APP RJB
Structural Review
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.
'. ~13.f9J'iw;LTnsoections .
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunctioll 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.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to hacklill.
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 trcnch and including required tcsting.
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.
Gas Service: After line is installed and line has been connccted 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.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pa!!e 3 of 4
_~f\?:R~,~iG.F;:!i~l,Jlr)
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,
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-00406
ISSUED: 06/30/2004
APPLIED: 04/12/2004
EXPIRES: 12/30/2004
VALUE: $ 170,338.00
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 employ~es 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.
~"'f' :s (--" '\
Owner or Contractors Signature )
\Q \3C\ \06<,
Date
Pa2e 4 of 4
225 F.ftb Street
SpEingfield, Oregon 97477
541-726-3759 Phone
~'ty of Springfield Official Receipt
.:velopmcnt Services Department
Public Works Department
Job/Journal Number
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
COM2004-00406
RECEIPT #:
1200400000000001007
Date: 06/3012004
Description
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
~Mechanical Issuance Fee~
Appliance Vent
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
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
Building Permit
Addressing Assignment
Willamalane Single Family
2 Baths One or Two Family
Furnace - up to 100,000 btu
Payments:
Type of Payment Paid By
CreditCard DEBRA COREY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 000425 045339 In Person
Payment Total:
6/30/2004
Page 1 of 1
9:45:39AM
Amount Due
18.00
9.00
6.00
4.00
10.00
6.00
50.00
80.88
115.54
885.37
407.52
309.78
164.89
727.42
314.63
214.23
10.00
97.44
54.25
71.00
796.40
31.00
1,000.00
254.00
12.00
$5,649.35
Amount Paid
$5,649.35
$5,649.35
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL ~~~!l fPPLICATION
City Job Number ~.~ Date
200 Amps or less
201 A~~O Amps
Address _ ~ \a'N~\1\\\\WO Amps
C)'ttUt tedbVth8Q~:itwt~~Amps
City Pho --~'fh0S8M~6~f\~~Olts
Gv~..oo'\O\\\fOUqh~_VQ\@~bV
OAR 951-00 ob~n CO~\es ne
~ 'IoU ~ . lNdl$~
~V\V~egonU _~}.
Expiration Date ftU(\\bet ~~.: \$ \~ttl'Iation, Alteration or Relocation
'\. -.,." 200 Amps or less t
'\ 201 Amps to 400 Amps
\ 401 Amps to 600 Amps
~ Over 600 Amps or 1000 Volts see "B" above.
Supervising Electrician D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
1.
LEG\1D2~$t
JOB DESCRIPTION
-\tmQ J'ThOoL tX\~.
Permits are non-trans~rable and expire if worO
not started within 180 days of issuance or if work is
Suspended for 180 days.
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
'\)z\'", 5 C \.- \j
Inspection Request: 726-3769
3.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$ 50.00
$ 69.00
$100.00
S)JP
$ 43.00
$ 3.00
E.
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
1<eited EnergY/ReSidentia~\f 'tHE-WORK $ 25.00
N01\~~~ftB5~M.t~~tRM\l ,<<: NOt $ 45.00
W~\m'Rl2E~ij~~~ ~R~&\ $45.00 + Surcharges
~-~
~.W
~~
S~.. .
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc
. ,
;A~;
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOURNAL OR JOB NUMBER: Com2004-00406
NAME OR COMPANY: Corey Development
LOCATION: . 6794 Aster Street
TAX LOT NUMBER: 17023444 t1500
DEVELOPMENT TYPE:, SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS 1 BUILDING SIZE (SF: 2212 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x I COST PER S.F. CHARGE
3053.00 I $0.290 = I $885.37
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. x I COST PER S.F, x I DISCOUNT RATE I DISCOUNT
I 0.00 I $0.290 I 50% = , $0.00
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 18 I I $22.64
B. IMPROVEMENT COST:
I NUMBER OF DFU's x. COST PER DFU
I 18 $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC =,
~ 3, TRANSPORTATION
A. REIMBURSEMENT COST:
, ADT TRIP RATE x NUMBER OF UNITS x
I 9.57 . 1
B. IMPROVEMENT COST:
ADT TRlP RATE . x . NUMBER10F UNITS I x
9.57
ITEM 3 TOTAL - TRANSPORTATION SDC =. ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x COST PER FEU
I 1 I $314.63 .
B. IMPROVEMENT COST:
INUMBER OF FEU's x COST PER FEU
I 1 $214,23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL -:MWMC SANITARY SEWER SD< = ,
SUBTOTAL (ADD ITEMS 1, 2, 3, &4) = ,
5. ADMINISTRATIVE FEE:
. ISUBTOTAL x ADM. FEE RATE
I $3,03H4 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Virginia Jurasevich
PREPARED BY
'.
6/14/2004
DATE
4356
CI)
~
~
o
U
0:::
I~
CI)
.....
o
.~
$885.37
,
1070
$885.37
$407.52
r 1091
I
$309.78
1092
$717.30
COST PER TRlP
$17.23
x NEW TRlP FACTOR
1.00
1093
$164.89
COST PER TRlP
$76.01
. $892.31
x INEWTRIPFACTOR'
I 1.00
1094
$727.42
= $314.63 1054
= , $214.23 11055
, $0.00 1054
, $10.00 11056
$538.86
$3,033.84 . ~
CHARGE
$151.69
97.44 1079
$54.25 11078
TOTAL SDC CHARGES =1 $3,185.53