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Home My WebLink AboutPermit Building 2000-4-25 I .f . . Page 1 of 4 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. ! . 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 . . 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. . 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: . 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 . . 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 ~ I .. . ~?"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.) . 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 . ~ 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)\\ ,.> 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 , .' 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 . , . . ., . 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. . . 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 ~~ SDe COO~UR ~/-7~r-. DATE! f<-v 4-1u; {1..0<> v TOTAL SDC CHARGES I $3,252.741 . . 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