HomeMy WebLinkAboutPermit Building 2002-2-15
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Job# 02-00060-01
Page 1 of4
TRANS#:01-000B059
DATE:FEB 15 2002
AMT RECD:2 $ 600.00
1 $ 1.26
CHANGE:
CASHIER: 003
SPRINGFIELD
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225 Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00060-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3501 rGar.2l\Pr1te Spr
fallow N:Oneg
Assessors Map#: 18020642 !Voti" ~Ulesaa on laWn Tax Lot#: 00501
Lot: 501 Block: In O}~~~n Cant'F.IJim~rt;he~~~/res y1JtJl(~ivision:
uog ~.Jc'U01 thu!l,a -l1vn!,it' .
Owner: Ron Hiebenthal O. YOU ma '0010tIPrIJ0fU!~ar. /1!tlH-747-4882
cal/in YObta' '~vUghOA etfry:rp
Address: 3501 Garden AvenJ!l'lb 9 thecante tnc~.s>WelZlJii<-Od'f.lingfield. OR 97478
ar fOr th r. (N9!fi1' the rlJl .
Scope Of Work: Bathroom Cent ~ Oregdi-,dol!f/re ta/eph as by Value: $27,453
er:s 1-800 t/l/tYNon' ona
-332-2'>",. I/cation
Addition closet! bathroom ~).
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Contractor Registration # Expiration Date Phone
Mike Turner Co. 120447 2/20/2002 541-746-0881
487 South 70th Place, Springfield, OR
97478
Glen Neal Electric NOr. 93953 10/22/2002 541-485-2472
4715 Fox Hollow Road, Eugene, If~ ICE:
97405 tlU S PERMI
Mike Turner Co. C rHORIII!,lt/4l1ltlLL E 2/20/2002 541-746-0881
487 South 70th Place, Springfi~~NCED UNDER r. XPIREIF r.
97478 y 780 D OR IS HIS PE'tM HE WOR
Dougs Plumbing Inc :4,~~Dtl8tlNDfJ~r;;~l0W3NO/ 541-688-3385
29503 Awbrey Ln, Eugene, OR . D FDR
97402-9635
To request an inspection call the 24 hour recording at 726-3769. All inspections 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
working day.
Footing
Foundation
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Bolts installed in
concrete
Hold Downs Installed
Vapor Barrier/lnsulation
Required Inspections
I Buildin!!
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to decking.
- Prior to cover.
-Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
- Prior to taping.
- To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir
- To be made after insulation and required vapor barriers are in place, but prior to any wall coveri
Street Improvement:
Curb Cut?D
San Sewer Depth (Ft):
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 0010010000 00:00 AM
Special Instructions:
Other Utilities:
Zoning: LOR
FloodPlain? 0 Wetlands? D
Journal numbers
1: 2:
Comments:
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Final Building
Rough Electrical
Final Electrical
Underground Plumbing
Rough Plumbing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Rough Mechanical
Final Mechanical
Project Supervisor:
Planner: Sam Gollah
Urban Growth Boundary?0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
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I Job# 02-00060-01 I
Page 2 of4
Required Inspections
I Building
- When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-When all electrical work is complete.
I Plumbing
- Prior to filling the trench.
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill.
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-When all mechanical work is complete.
ACMat
Improvement Agr.?D
Sidewalk Type:
Additional ROW? 0
Size Of Line (in):
DownspoutslDrains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
00/0010000 00:00 AM
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 10
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: 1161 Of 2975
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Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: 368 Accessory:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
ApplianceVent (Not Covered in SchedulE
50 hp - - 1,750,000 BTU
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Lisa Hopper
Steve Templin
Sam Goliah
Bob Barnhart
I Job# 02-00060-01 I
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Page 3 of 4
# Of Stories: 1
Current Units: 1
Census Code: Does not apply
Height (feet): 13
Proposed Units:
Total:368
Paid On Receipl#
Plan Check
01/16/2002 7792
Value/Quantity
Fee Amount
27,453
$157.27
$157.27
Buildin!l
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
27,453
$241.95
$16.94
$19.36
$278.25
PJumbin!l
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
6
$.00
$84.00
$5.88
$6.72
$96.60
Mechanical
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
02/15/2002 8059
1
1
$30.00
$3.60
$6.00
$9.00
$.00
$10.00
$3.15
$61.75
System Development
02/15/2002 8059
02/15/2002 8059
400
$109.20
$5.46
$114.66
Plannin!l
02/15/2002 8059
1
$50.00
$50.00
$758.53
Date Completed
Comment
01/18/2002
02/05/2002
01/25/2002
02/06/2002
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By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project 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
dur~~t~~~~rv ~'Jc)-O~
Signature N -- Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00060-01
NAME OR COMPANY: Ron Hiebenthal
LOCATION: 3501 Garden Ave.
TAX LOT NUMBER: 18-02-06-42 TL: 50 I
I DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 0 BUILDING SIZE:
o
SF
LOT SIZE:
CI)
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o
o
u
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E-<
CI)
-
o
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=1 $0.00 I I
=1 $109.20 l 1070
86248
SF
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I x I COST PER S.F. I
I 400.00 I $0.273 = I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I. I COST PER S.F. J.I DISCOUNT RATE I
L 0.00 1 $0.273 I 50%
lITEM 1 TOTAL - STORM DRAINAGE SOC'
2. SANITARY SEWER - CITY
$109.20
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I. I COST PER DFU
I 0 I $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's II COST PER DFU
I 0 .1 $16.24
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
I 1. TRANSPORTATION
= I $0.00
1091
=wo.oo
=1 $0.00
i 1092
T
A. REIMBURSEMENT COST:
I ADTTRIPRATE I. I NUMBER OF UNITS I xl COST PER TRIP I 'I NEW TRlP FACTOR I
I 9.57 I 0 1 $16.2\ 1.00 =1
B. IMPROVEMENT COST:
I ADT TRIP RATE I. I NUMBER OF UNITS I x I
I 9.57' I 0 I
lITEM 3 TOTAL - TRANSPORTATION SDC
~. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
1 NUMBER OF FEU's II COST PER FEU
1 0 '.1 $332.86
B. IMPROVEMENT COST:
II NUMBER OF FEU's I' I COST PER FEU
I 0 1 $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
I SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2.3, & 4)
~. ADMINISTRATIVE FEE:
1 SUBTOTAL I' ADM. FEE RATE
I $109.20 XI 5%
I s:r- ~"'ft.. 2/5/2002
SDC COORDINATOR DATE
$0.00 1093
COST PER TRIP J., I NEW TRIP FACTOR I
$68.94 1.00 = I
=1
=1
=1 $0.00 I
=1 $0.00 I
=1 $0.00 I 1055
=1 $0.00 _L 1056
-
=1 $0.110 III
=~109.20 IJ
-I
TOTAL SDC CHARGES =1
$5.46 I 11073
$114.66 J
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( ) UNIT FIXTURE
# NEW # OLD x EQUIVALENT = UNITS
o O)x 3 = 0
o O)x I = 0
o O)x 3 = 0
o O)x 3 = 0
o O)x 6 = 0
o O)x 2 = 0
o O)x 3 = 0
o O)x 6 = 0
o 0) x 12 = 0
o 0) x 1 = 0
o O)x 3 = 0
o O)x 2 = 0
o O)x 2 = 0
o O)x 3 = 0
o O)x 2 = 0
o 0) x 1=0
o O)x 2 = 0
o 0) x 1 = 0
o O)x 5 = 0
o O)x 6 = 0
o O)x 3 = 0
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC.
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC.
LAUNDRY TUB
CLOTHESW ASHER 1 MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRlG 1 WATER STATION 1 ETC.
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAlJRESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL 1 WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(0 0) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 0
*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 CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR
ANNEXED
CREDIT RATE PER $1,000
ASSESSED VALUE
$4.92
$4.83
$4.77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
$2.98
$2.52
1979 U~ DcrvRE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFrER ANNEXATION)
YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE
1990 $2.06
1991 $1.64
1992 $1.45
1993 $1.31
1994 $Ll3
1995 $0.97
1996 $0.82
1997 $0.63
1998 $0.41
1999 $0.22
2000 $0.04
VALUE 11000 CREDIT RATE
0.000 X $0.00 = I
0.000 x $0.00 = I
TOTAL MWMC CREDIT =L
I
I
J
$0.00
$0.00
$0.00