HomeMy WebLinkAboutPermit Building 2001-5-11
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01-00329-01 I
Page 1 of4
TRANS#:Ol-0005308
DATE:I'lAY 11 2001
AMT RECD:2 $ 4483.71
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00329-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 972 Fuchsia St Spr
Assessors Map#: 17032613
Lot: 2 Block: Addition:
Owner:
Tax Lot #: 04100
Subdivision: Fuchsia Gardens
Edward Lohner
Phone Number: 541-747-7035
City/State/Zip: Springfield, OR 97477
New Value: $108,248
Address: 473 Hayden Bridge Way
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
SFR
Contractor
Richard Hiatt
po box 173, springfield, OR 97477
Registration # Expiration Date
Phone
541-746-9789
2RNW
1
(VN) Wood Frame
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
r'''.''''''.__
'\ MJr";',
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 1428
To request an inspection call the 24 hour recording at 726-3769. f\lI,in\iP~c;:tio!l~Jr~~~!1,~PIP,~9,rer!iQQVORK
a.m. will be made the same working day, inspections requested after,7:00 a.m. willee made the},ollowil)9,O' T
working day. NIi: \?:.'I;~(iP IJNDUR THIS F'GriMII 1::1"
R . d I t.eOMMENCED OR IS ABANDON!;!,) FOR
equlre nspec Ions
I B 'Id' ,l,"f{ 'I au 01.1 Y P!;RIQO,
UI In!! .
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
- Prior to decking. . .. ATTENTION:Oregon law requires you to
- Before covering sheathing With finish materrn!!'.w rules adopted by the Oregon Utility
- Prior to cover. Notification Center. Those rules are set forth
- Prior to Cover in OAR 952-001-001 0 through OAR 952-001-
- Prior to taping, 0090. YOIl may' obtain copies of the rules by
-When all required inspections have been approvedtand,the!luildin9,is,complete"ne
o,:"dlllll~ II'" vO'llh..l. \1'lIV...... t 10' LII;.;.........IIV
I Electrical 'I ,umber for the. Oregon Utility Notification
-Approval required prior to SUB energizing pole. Center IS 1-800-332-2344).
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Underfloor Plumbing
Underfloor Drain
I Plumbin!!
- Prior to insulation or decking.
- Prior to cover or placement of concrete.
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Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
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I Job# 01-00329-01 I
Required Inspections
Plumbing
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Page 2 of4
-Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
I Public Works I
-After forms are erected but prior to placement of concrete
- After forms are erected but prior to placement of concrete
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?O
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Planner: Liz Miller
Urban Growth Boundary?O Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
[Area (Sq. Feet)
_ Main: 1428 Accessory1480
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 2
Land Use:
Pave Driveway? 0
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1134 of 2975
# Of Stories: 1 Height (feet): 20
Current Units: Proposed Units:1
Census Code: New SF - attached
Total:1908
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Job# 01-00329-01 I Page 3 of4
Fee Paid On Receipt# Value/Quantity Fee Amount
I Plan Check
Residential Plan Check 04/05/2001 4852 108,248 $294.61
Total Plan Check $294.61
Building
Building Permit 05/11/2001 5308 108.248 $453.25
State Surcharge For Building Permit 05/11/2001 5308 $31.73
Building Administrative Fee 05/11/2001 5308 $13.60
Total Building $498.58
Electrical
Temporary: 200 Amps or Less 05/11/2001 5308 1 $40.00
State Surcharge - Electrical 05/11/2001 5308 $2.80
Administrative Fee - Electrical 05/11/2001 5308 $1.20
Total Electrical $44.00
Plumbing
Minimum Plumbing Permit Fee 05/11/2001 5308 $.00
Two Bathrooms 05/11/2001 5308 1 $160.00
State Surcharge - Plumbing 05/11/2001 5308 $11.20
Administrative Fee - Plumbing 05/11/2001 5308 $4.80
Total Plumbing $176.00
Public Works
Sidewalk Repair 05/11/2001 5308 1 $10.00
New Curbcut 05/11/2001 5308 1 $65.00
Total Public Works $75.00
System Development
Residential- Single Family - Storm 05/11/2001 5308 2,736 $741.46
Sanitary Sewer 05/11/2001 5308 19 $306,85
Residential Transportation 05/11/2001 5308 1 $656.02
Residential Sanitary MWMC 05/11/2001 5308 1 $285.91
Residential Improvement MWMC 05/11/2001 5308 1 $24.33
MWMC Administrative Fee 05/11/2001 5308 1 $10.00
Sanitary Sewer SDC Reimbursement 05/11/2001 5308 19 $403.75
SDC Administrative Fee 05/11/2001 5308 $128.10
Property Annexed 1979 or Before 05/11/2001 5308 4 $-20.56
Transportation SDC Reimbursement 05/11/2001 5308 1 $154.27
Total System Development $2,690.13
WiIlamalane SDC
S.F. Residence - Willamalane 05/11/2001 5308 1 $1,000.00
Total WiIlamalane SDC $1,000.00
Grand Total $4,778.32
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Bob Barnhart
04/06/2001
04/09/2001
04/26/2001
04/13/2001
Steve Templin
Liz Miller
Tom Marx
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I Job# 01-00329-01 I Page 4 of 4
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 701.055 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.
'7h'7t-- ~~
C)" \ I <)0(1:) I
Signature
Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
I JOURNAL OR JOB NUMBER: 01-00329-01
NAME OR COMPANY: HIATT
LOCATION: 972 FUCHSIA STREET
TAX LOT NUMBER: 17-03-26-13-03800
ANNEXATION YEAR 1967 LANE COUNTY ASSESSED VALUE (LAND) $4,337
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWELLING UNITS: 1 BUILDING SIZE: 1908 SF LOT SIZE: SF
t ~TORM DRAINAGE
I IMPERVIOUS S.F. H COST PER S.F.
2736.00 $0.271 =1 $741.46 I
r ITEM I TOTAL - STORM DRAINAGE SDC - /'
=1 $741.46 JI (070
2 ~ANITARY ~FWFR - (TIT.
A. REIMBURSEMENT COST:
I NUMBE~~F DFU's II COST PER DFU /
$21.25 =1 $403.75 /0"/1
B. IMPROVEMENT COST:
I NUMBE~ ~F DFlrs II COST PER DFU ./
$16.15 =1 $306.85 /o'1z.
lITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $71 0.60
~
:LIRAN~PORTATtON
A. REIMBURSEMENT COST:
I ADT TRIP RATE HNUMBER ~F UNITS J Xl COST PER TRIP I XINEW TRIP FACTOR I /
9.57 $16.12 1.00 1=1 $154.27 I' 1093
B. IMPROVEMENT COST:
I ADT TRIP RATE HNUMBER ~F UNITS H COST PER TRIP J xlNEW TRIP FACTOR I /
9.57 $68.55 1.00 =1 $656,02 I[ (09</
lITEM 3 TOTAL - TRANSPORTATION SDC =1 $810.29 ~
4 ~ANITARY ~FWFR _ MWMr
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
I $285.91
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
I $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRA TNE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
r SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
~5..j\ DMTNI,SIR A TIVF FFF.
1 SUBTOTAL 1"1 ADM. FEE RATE
I $2.562.03 5%
I Stw<- ~ 4/9/01
SDC COORDINATOR DATE
=1 $285.91
7'~ "
?t. 105>
=1 $24.33 I
=1 ($20.56) I
=1 $10.00 1 10$'"
=1 $299.68 !I
=1 $2.562.03 II
=1 $128.10 I 107'$
TOTAL SDC CHARGES = ~2'690.13ll
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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 '
( # NEW UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIV ALENT ~ UNITS
BATHTUB ( I ) x 3 3
DRINKING FOUNTAIN ( ) x I 0
FLOOR DRAIN ( ) x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( ) x 6 0
LAUNDRY TUB ( ) x 2 0
CLOTHESW ASHER / MOP SINK ( ) x 3 3
CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( ) x 12 0
RECEPTOR FOR REFRlG / WATER STATION / ETC. ( ) x I 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( ) x 3 0
SHOWER, SINGLE STALL ( ) x 2 2
SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( ) x 3 3
SINK: COMMERCIAL BAR ( . ) x 2 0
SINK: DOMESTIC BAR ( ) x 1 0
WASH BASIN ( ) x 2 0
LAVATORY ( 2 ) x I 2
URINAL, STALL / WALL ( ) x 5 0
TOILET, PUBLIC INSTALLATION ( ) x 6 0
TOILET, PRIVATE INSTALLATION ( 2 ) x 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 19
*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 AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 ,. YEAR CREDITRATEPERS1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.74 1990 $1.96
1980 S4.65 1991 SI.55
1981 $4.59 1992 SI.36
1982 S4.46 1993 SI.23
1983 $4.30 1994 SI.05
1984 S4.14 1995 SO.90
1985 S3.93 1996 SO.75
1986 S3.63 1997 $0.57
1987 S3.26 1995 $0.35
1988 S2.85 1999 SO.I5
1989 S2.40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
4.337 X $4.74 =1 $20.56 II
0.000 X $4.74 =1 $0.00 1
TOTAL MWMC CREDIT ~I $20.56 1
'tied has the following
. act 85 5ubml d use
The tollOwing prol t require specific 'an
zorHng, and does nO
225 FIFTH STREET approval., Cb r"-::.
SPRINGFIELD, OREGON 97477 Zoning- '5 ~ I \~ 0.1
INSPECTION REQUEST: rll(~-:Jl69 - ~
OFFICE: 726-3759 d S' nature
~\i.j{tlonze 19 3.
1. LJl.CATION OF INSTALLATION
C-j 72 FLJcHs/A 'STI . A.
LEGAL DESCRIPTION
/7tJ3 -z.t'",,/.5
(,:)4/ 07J
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Address
Electrical Contractor
City
Supervisor
Expiration Date
Con~tr con~umber
Expiration Date .
Signature of Supervising Electrician
Ovners Name @Jk/,Ad). 19~
Address_i/~ t/zitrA&],(//f. ~
Ci ty 1<).R'j']J' Phone .2i7"- 112-< )
, '
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
;x
---------------------------------------
DATE:
RECEIPT jI:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
- City Job Number O/~OtJ329-c)/
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
. Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
unit.
Items
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
~ $ 40.00 .4-o,(X).
$ 55.00
$ 80.00
volts ~ee "B" above
.'
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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