HomeMy WebLinkAboutPermit Building 2001-3-9
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I Job# 01-00163-01 I
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TRANS#:01-0004643
DATE:MAR 09 2001
AMT RECD:2 $ 4625.47
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00163-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4228 Cole Way Spr
Assessors Map#: 18020524
Lot: 3 Block: Addition:
Tax Lot #: 08500
Subdivision: Redwood Village
Owner:
Sierra Builders L1c
83188 Enterprise Road
Phone Number: 541-744-8267
City/State/Zip: Creswell, OR 97426
New Value: $95.852
Address:
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Contractor
Sierra Builders L1c
83188 Enterprise Road. Creswell. OR
97426
Electrical Contr Everyday Electrical Service 136371
3373 Paula Court, Eugene. OR 97402
Mechanical Contr Comfort Flow Healing Co 460
1951 Don St Ste D, Springfield. OR
97477-1993
Plumbing Contr BMC Plumbing 103570
648 W Oregon Ave, Creswell, OR 97426
Registration # Expiration Date
Phone
541-744-8267
8/12/2001
541-607-6908
6/27/2001
541-726-0100
1/1/2001
541-895-3758
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
Electric
Office Use
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1260
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.
SW-Curbside
CC,Standard
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
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I Job# 01-00163-01 I
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Curbside - 5'
Street Improvement: Fully Improved
Curb Cut?[?] Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? [?]
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00 AM
Special Instructions:
Otl1N Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
o
8
To Curb and Gutter
4
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 1
Land Use: Single Family Dwelling
Pave Driveway? [?]
3:
Planner: Ruth Klein
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Dr"inage:
Flood'Nay FEMA: nla
Construction Types:(VN) Wood Frame
Occupancy Groups:Owelling
# Of Buildings: 1
# Of Gcdrooms: 3
Hilndicap Access? 0
IAr~a (Sq. Feet)
I /,~ c in: 1260 Accessoryll42
Glenwood Area? 0
Additional Requirements: LOAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: nla
Accessory Structure
# Of Stories: 1 Height(feet): 18
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1702
Fee
Paid On Receipt#
Plan Check
02/26/2001 4550
Value/Quantity
Fee Amount
Resiclential Plan Check
Total Plan Check
95,852
$273,65
$273.65
Bt,jl,:ling Permit
Stoln Surcharge For Building Permit
BUIIC:;ng Administrative Fee
Total Building
Buildinll
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
95,852
$421,00
$29.47
$12,63
$463.10
Wi:ing Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
TOl1lporary: 200 Amps or Less
Stale Surcharge - Electrical
Arminislrative Fee. Electrical
To'~1 Electrical
Electrical
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
1
2
1
$85,00
$30,00
$40,00
$10.85
$4,65
$170.50
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Hood 8nd Exhaust
Mini,llLlln Mechanical Permit
Administrative Fee - Mechanical
Leos Ih8n 100,000 BTU
Vcol F8n to One Duct
Dr,'er Vent
M~sh8nicallssuance
St8le Surcharge - Mechanical
Totol Mechanical
Mechanical
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643 .
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
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Value/Quantity Fee Amount
I
$,00
1 $160,00
$11,20
$4,80
$176.00
1 $4,50
$.00
$,59
1 $6,00
2 $6,00
1 $3.00
$10,00
$1,37
$31.46
52 $65,00
1 $65,00
1 $-30,00
$100.00
2,516 $681,84
20 $425,00
1 $154,27
1 $285,91
1 $24.33
1 $10.00
20 $323,00
$127,83
25 $-3.79
1 $656,02
$2,684.41
1 $1,000,00
$1,000.00
$4,899.12
Job# 01-00163-01 I
Paid On Receipt#
Plumbing
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
Fee
Minimum Plumbing Permit Fee
Two Bathrooms
St8le Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
New Sidew81k
Ncw Curbcut
M' "tiple Permit Discount - 2nd Permit
To '.I Public Works
Public Works
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
Residential - Single Family - Storm
S8ni\ary Sevver
Residential Transportation
Resiclential Sanitary MWMC
Rc~idenliallmprovement MWMC
~'I' '.:C Administrative Fee
S?,-:13ry Sewer SDC Reimbursement
sr ~ Administrative Fee
Prcj,erly Annexed 1999
Tmnsportation SDC Reimbursement
Totol Systom Development
System DeveloDment
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
03/09/2001 4643
S.F. Residence - Willamalane
Totol Willal11alane SDC
Willamalane SDC
03/09/2001 4643
Gr r.:l Total
Pia' Check Type Checked By Date Completed
Initial Review.Res Lisa Hopper 02/27/2001
Engineering-Res Steve Templin 02/28/2001
Pl8nning-Res Ruth Klein 03/02/2001
Struclural-Res Tom Marx 03/02/2001
Comment
NO OCCUPANCY UNTIL CITY ACCEPTS
INFRASTRUCTURE
LDAP required,
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. I Job# 01-00163-01 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
appr~;..w the site at all times during construction, .3, / ~ (
Signature
Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 01-00163-01
NAME OR COMPANY: SIERRA Bun..DERS
LOCATION: 4228 COLE WAY
" TAX LOT NUMBER: 18-02-05-24-08500
ANNEXATION YEAR 1999 LANE COUNTY ASSESSED VALUE (LAND) $25,262
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS: 1 Bun..DING SIZE: 1702 SF LOT SIZE: 5826 SF
I l;T()~M DRAINAGE
Il IMPERVIOUS S.F. I x I COST PER S,F,
[ 2516,00 . I . $0,271
I ITEM 1 TOTAL - ST<)RM DRAINAGE SDC
2 SANITAllV l;"W1'1l. r.TTV
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x 1 COST PER DFU
1 20 I $21.25
B. IMPROVEMENT COST:
. 1 NUMBER OF DFU's I x I COST PER DFU
1 20 1 $16.15
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
=1 $681.84 !
=1 $681.84'
:LIll.A Nl;P()llT illQIi
A. REIMBURSEMENT COST:
1 ADTTRIPRATE I xlNUMBEROF UNITS I 'I
1 9.57 1 1
B. IMPROVEMENT COST:
1 ADTTRIPRATE 1~INUMBEROFUNITSI 'I
1 9.57 . 1 1
ITEM 3 TOTAL - TRANSPORTATION SDC
4 SANITARY l;"W1'1l . MWM.c..
A, REIMBURSEMENT COST:
1 NUMBER OF FEU's IXI COST PER FEU
1 1 I $285,91
B. IMPROVEMENT COST:
I NUMBER OF FEU's I ,I COST PER FEU
I 1 $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMlNISTRA TIVE FEE
lITEM 4 TOTAL - MWMC SANITARY SEWER SDC
ISUBTOTAL(ADDmMS 1.2,3,&4) -
.LAnMTNTl;TIlATTVP """,
COST PER TRIP I xlNEW TRIP FACTOR I
$16.12 1.00 . =1 $154.27
COST PER TRIP HNEWTRIPFACTORI
$68.55 1.00 =L $656.02 II
=1 $810.29 II
=[ $285.91
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=1 $316.45 II
=r $2.556.5,Lj I
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SUBTOTAL
$2.556.58
I" I ADM, FEE RATE
5%
s:t- ~
2/28/01
SDC COORDINATOR
DATE
=1
=1
=1
$24,33
($3,79)
$10,00
=1 $127.83
TOTAL SDC CHARGES =r;,684.41
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DRAINAGE ~IXTU~ UNIT (DFU)~ALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT; DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE I
( # NEW # OLD ) x EQ=ENT = FIXTURE
FIXTURE TYPE UNITS
BA THWB ( 2 ) x 3 6
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 WB ( ) 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 REFRIG /WATER STATION / ETC, ( ) x I 0
RECEPTOR FOR COM, SINK / DISHWASHER / ETC. ( ) x 3 0
SHOWE~SINGLESTALL ( ) x 2 0
SHOWE~ GANG (NUMBER OF HEADS) ( ) .x 2 , = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( ) x 3 = 3
SINK: COMMERCIAL BAR ( ) x 2 0
SINK: DOMESTIC BAR ( ) x I 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 INST ALLA TION ( 2 ) x 3 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( ) x 20 = 0
TOTAL DRAINAGE F1XTURE UNITS =1 20
.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 CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
[ IF IMPROVEMENTS OCCURRED AFIER ANNEXATION DATE. CALCULATE CREDIT SEP ARA TEL Y
I YEAR I CREDIT RATE PER $1,000 II YEAR I CREDIT RATE PER $1.000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
I 19190RBEFORE = $4.14 I 1990 - $1.96
I 1980 $4.65 1991 $1.55
I . 1981 $4,59 1992 $1.36
1982 $4.46 I 1993 -$1.23
1983 $4.30 I 1994 $1.05
1984 $4,14 1995 $0.90
1985 $3.93 I 1996 $0.75
1986 $3,63 I 1997 $0.57
1981 $3.26 I 1998 ${1.35
1988 $2.85 I 1999 SO.15
1989 $2.40 I
I CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE/lOOO CREDITRATE
25,262 X $0.15 =1
0,000 X $0,15 =1
TOTAL MWMC CREDIT =1
$3,79 I
$0,00 !
$3.79 ~
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~\ 0_ t'~rt_ ~\ t -. \A. 0 ~ PHONE: \-\4. R'Uol
ADDRESS: ~~\9B ft\\r~ STATE: ~ ZIP:Q.,41.1 0
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 4-1-'1J!J (\ "'\ CLlc. ")\, ~. .
Pial Name:'~ 0 ().l I~ _ Tax Lol Num~: \~'\'l.t17..'1.4 ()~
. . \'\\\\~ . .
1.,DEVELPPMENT TY~ (Check-~priate dwelling(s). SDC calculations and dwelfing t
ype definitions are on the back.) .
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\
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A Sinale-Familv Delaphed
l Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ _llYn.CO
\
B. ~inolf!-FRmllv Aff~l(~hpQ
NO. OF UNITS.
X $924 per unit . =. $
C. Multi-Familv Aoartment
NO. OF UNITS
X .$692 per unit = $.
D. Manufactured HomA P.ads,
NO. OF UNITS
W1LLAMALANE SDC
X $699 per unIt = $
$ \000.00
2. SDC CREDIT (If applicable) SDCi>ayer must furnish proof of .' ,..rr
Winamalane Credit approval See SOO Credit Wodcsheet. $ lP
3; TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Credit)
$ \OOOpo
\j.~'~'u L1 ~~~e)
Development SeM'ces . rtment
City of Springfield
,? I '8 I er/
Date
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1t>~~0~Qlf"
~ro-S ~,0
\& 0~
Q.d~~
"i\<,"b~~
,~O 0<,0
225 FIFTH STREET -<.'<.'<0 \<,"b' 0"
SPRINGFIELD, OREGON 9747~~~. ~o
INSPECTION REQUEST: 726-~"69
OFFICE: 726-3759 ~
Q0 0,\1.0 3.
1. J.qCATION OF INST~LAIION t-~'"
~f)J) 9-l ('J)\ 0 \..D~ 1) . A.
\ <t(\~ty~~~PTO~~ ()
DESCRIPTI<>R \ f'\O'L.
~ ~()~~~
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Permits are on-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
~ - r -0 I
- +th ~ 3-
/;f7J~
^'"\ - l
ELECTRICAL PERMIT APPLICATION
,
City Job Number(')\.(X)\\o'?,.oL
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 PT::/~
Each additional 500
sq. ft or portion Q. 112:.00
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dvelling
Service or Feeder .$ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
E:~~~~ . Installation, Alterations
Electrical Contractor E J So.nJl~]ilc.or Relocation: .
Address '3~" 3' 'PMlu, C.DVrr . 200 amps or less $ 50.00
Ei . 201 amps to 400 amps $ 60.00
. City Uf-,/DJF" Phone b01-bqO~ 401 amI's to. 600 amps $100.00
601 amps to 1000 amps $130.00
Supervi~or License Number __~~()~S Over 1000 amps/volts $300.00
/olr<{ 101 Reconnect Only $ 40.00
Expiration Date __Li.,d t:_
I I C. . Temporary Services or Feeders
Constr Contr. Number 1'3631/ Installation, Alteration or Relocation
Expiration Date Oq/J2/0J
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Sign:;Z:f ;Iil.~ectrician
Ovners ~ame ~\Ju~n:~,\fu.(..s
Address_B ~\W f f\WI\'t\~~cL
Ci ty~ \,ft~ Phone'M. CR'UOl
,
$ 40.00 '"\n?O
$ 55.00
$ 80.00
see "B" above
volts
.'
Nev, Alteration 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
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
I~~
.-1.(') .~S -
~.leS _
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