HomeMy WebLinkAboutPermit Building 2000-4-25
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TRANS#:01-0001354
DATE:APR 25 2000
AHT RECD:2 $ 12235.86
CHANGE:
CASHIER:003
I Job# 00-00520-01 I
225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00520-01
Office: 726-3759
Inspection Line: 726-3769
Location Of PropQsed Site: 695 Edgemont Way Spr
Assessors Map#: 17033413
Lot: Block: ' Addition:
Owner:
Address:
Tax Lot #: 06800
Subdivision:
Don Vanderpool
1257 Hamilton Street
Phone Number: 541-747-7079
CityIState/Zip: Springfield, OR 97477
New Value: $207,308
Scope Of Work: Single Family Residence
Contractor
Nye Building Company
24579 Wolf Creek Road, Veneta, OR
97487
Don Vanderpool
1257 Hamilton Street, Springfield, OR
97477
Mechanical Contr Rolfs Heating
Po Box 66, Dexter, OR 97431
Plumbing Contr Dougs Plumbing Inc
29503 Awbrey Ln, Eugene, OR
97402-9635
Contractor Type
General Contr
Electrical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Registration # Expiration Date
Phone
541-935-1302
541-747-7079
102455
10/4/00
541-686-4927
110163
11/24/99
541-688-3385
1RNW
1
(VN) Wood Frame
Gas
Office Use
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 1
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 2689
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,
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Required Inspections
I Buildin!! I
-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,
- Prior to cover.
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Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Curbcut
Sidewalk
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I Job# 00-00520-01 I
Page 2 of 4
Required Inspections
I Buildinll
- Before covering sheathing with finish materials,
- Prior to cover.
- Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete,
Electrical
- Prior to coyer.
- Must be approved to obtain permanent power.
-When all electrical work is complete,
I Plumbinll
-Prior to insulation or decking.
- Prior to cover or placement of concrete.
-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 Insulation or decking,
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te!
-When all gas work is complete,
- When all mechanical work is complete.
I Public Works I
-After forms are ereceted but prior to placement of concrete,
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.: In Lieu of Assessment
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
DownspoutsJDrains:
Enchroachment Permit:
Curbside - 5'
D
8
To Curb and Gutter
Cut Street
San Sewer Tee (in): 6
00100100 00:00 AM Bond End DateTime: 00100100 00:00 AM
Sanitary Sewer to be contructed by City; Project Number P20163 Permi
Types Of Warning Devices Reqd.
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2000-04-0070 2:
Comments:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: nla
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 1
Handicap Access? 0
iArea (Sq. Feet)
I Main: 2689 Accessory~ 093
I Job# 00-00520-01 I
Overlay District:
# of Street Trees: 9
3:
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Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Glenwood Area? 0
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Each Additional Outlet
Dryer Vent
Flood Plain FEMA: ilia
Accessory Structure
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:3782
Paid On Receipt#
I Plan Check
04/04/2000 1142
Buildinll
04/25/2000
04/25/2000
04/25/2000
Electrical
04/25/2000
04/25/2000
04/25/2000
04/25/2000
Plumbinll
04/25/2000
04/25/2000
04/25/2000
04/25/2000
Mechanical
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
ValuelQuantity
I
Fee Amount
207,308
$439.40
$439.40
207,308
$676.00
$47.32
$20,28
$743.60
1
6
$85.00
$90.00
$12.25
$5,25
$192.50
1
$,00
$192,50
$13,48
$5,78
$211.76
1
$4.50
$2.00
$.00
$.95
$6.00
$15.00
$1.00
$3.00
1
5
2
1
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Page 4 of 4
Job# 00-00520-01
Fee
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Paid On Receipt#
Mechanical
04/25/2000
04/25/2000
ValuelQuantity
In Lieu of Assessment
In Lieu of Assessment 151 +
New Curbcut
Additional Driveway
Encroachment Permit - Residential
Total Public Works
Public Works
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
21,000
5,290
1
1
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Total System Development
System Development
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
04/25/2000
15
4,873
25
1
1
1
1
SF Residence - Willamalane
Total Willamalane SDC
Grand Total
Willamalane SDC
04/25/2000
1
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
04/06/2000
04/25/2000
04/13/2000
04/17/2000
Fee Amount
$10,00
$2,21
$44.66
$5,880.00
$740.60
$60.00
$30.00
$80,00
$6,790.60
$1,130,54
$1,206,75
$491,60
$242,76
$22,05
$10,00
$154.89
$-5.85
$3,252.74
$1,000.00
$1,000.00
$12,675.26
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
, ap~r2d ~~main on the site at all times during construction, .t://-G?S /00
Signature ~, Date
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~?"Jb. Willamalane
'"t'-""f' Park & Recreation District Job. No. ('f). (1)520.01
". SYSTEM DEVELOPMENT CHARGE
\ ~ WO'1KSHEET
NAME, ~ -\- )iv- ,; \1(\ U\l\fr(lIDl PHONE, l4- L-JQ:lL
ADDRESS: }JJ.r{lJt. STArE: ~IP: q11 ?I}
,
LOCATION OF PROPOSED BUILDING SITE: t I, h
Street Address: _ ~ ti r ri..q..ermfl UAllf
Plat Name: -il L _ Tax Lot Number:
I
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculalions and dwelling t
ype delinitions are on the back.)
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A. RinoIA-F::Jmilv DAt::Jr.hAd
l
Single Family home
NO. OF UNITS
l
Manufactured home not in a park
X $1,000 per unit = $ l(YY') ~
.
B. RinolA-FBmilv Attached
NO. OF UNITS
X $924 per unit = $
C.: Multi-Familv AOBrfmen~
NO. OF UNITS
X $692 per unit = $
D. M::JnlJfll(~lJrArl HnmA PRri~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ I D()() .CO
j!f
$ JDo.() ~rr)
$
2. SDe CREDIT (II applicable) SOc-payer must lurnlsh proof of
Willamalane Credit approval. See SDC Credil Worksheet.
3. TOTAL WILLAMALANE NET SDe ASSESSED
. (II socr\d,ced lor creodit) ~
~(){\,~ 2-/ of 1 2-S 1 (!TO
Developm Se-r;vi~ epa tment Date
eity 01 Springfield
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
,G
Q<o~
~,<:<~ 1:,00
\0\\0 '?J.~O
~'O>0. ~" ,
, f:t..\'('i. ~'?J.'" ~"
1.0 ~<O 1.0
97tn ~\''i>
r,,''''
726-~ ,.,,0
. I.\t)\\
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1. LOC~ION OF INSTALLATION
//?'-/~C: ~/ a-J4:p
~G~lES~ ION See /0 1\a~eJ
IrJrJ~ 'Z.,c;-! ? IJG ~
JOB ~ESCRIPTION '--- Q.f"'lQ
.'S'//.9. r,1,n, A7~_ .:) ~~
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 6ut oUlne.rs
J
Address
City
/
Number /
/
Phone
Supervisor License
Expiration Date
Expiration
Electrician
Constr Contr,
Signature
,
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number -L2/J ~ 0 D 5"20 -0 !-
COMPLETE FEE SCHEDULE BELOY
3.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
~
Services or Feeders
Installation, Alterations
or Relocation:
unit.
It ems
Sum
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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600,amps or 1000 volts
. \ 1 J '" ~. Branch Circui ts
Owners Name \/ Ofl/Ae-r<\Joo' , l)()()alc\ <+ \W.SA
\\ Q New, Alteration
Address \:lS 1 1I0.rn\ \\0" ~;\.
Ci ty' 5'~~M,.Q~ _Pho~e 147-101Q
, q,~:ln
OYNER INSTALLATION
DATE~----------~::~5~~~-----------
RECEIPT II: 'i~,J4_/J'"
RECEIVED BY:' 1]/ ~
Cost
~
LD
B5
qo
$ 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
$ 40.00
$ 55.00
$ 80.00
see nB" above
or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
,
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
I?
40.00
40.00
20.00
36.00
00
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Addendum to Electrical Permit Application
Location: 0.59-acre site bounded by River Hills Drive on the west,
Edgemont Way on the north, and West D street on the south.
Legal description: Assessor's Map 17-03-34-13, Lot 6800
(Meets and bounds description can be provided if required.)
Job description: Wiring for new residence to be constructed on
this site. Electrical work to be performed by owners on structure
which is to be owner-occupied.
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00520-01
NAME OR COMPANY: VANDERPOOL
LOCATION: 695 EDGEMONT WAY
TAX LOT NUMBER 17 -03-34-13-06800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
3782
LOT SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
4873,00
x
$0,232 PER SQ. FT,
$1,130.54 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
25
x
$48.27 PER PFU
$1,206,75 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
$491.60 I
$0.00
TOTAL TRANSPORTATION SDC
$491.60 I
4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242,76
PER FEU
$242,761
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22,05 I
($5,85)1
$10,00 I
$268,96 I
$3,097.85 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$154.891
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SDe COO~UR
~/-7~r-.
DATE!
f<-v 4-1u; {1..0<> v
TOTAL SDC CHARGES I $3,252.741
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
!NOTE: FOR REMODEI_~. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURES
NEW OLD
1
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
4
o
o
o
o
2
o
2
o
3
o
12
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 25
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
RATE PER $1,000
~SESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0,71
$0,57
$ 0.39
$0,18
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESW ASHERJMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
2
3
3
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
t980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3,68
$3.38
$3,03
$2,62
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0,39
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x j'-..
"
. x
15.000
,$5,85",.
$0,00
'I. ..........
"CREDIT TOTAL $5,85