HomeMy WebLinkAboutPermit Building 2000-3-3
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I Job# 00-00078-01 I
Page 1 of 3
TRANS#:01-0000819
DATE:MAR 03 2000
AMT RECD:2 $ 9154.36
CHANGE:$ 0.26
CASHIER: 059
SPRINQFIELD
~
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00078-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 4253 Cole Way Spr
Assessors Map#: 18020224
Lot: 17 Block: Addition:
Tax Lot #: 6900
Subdivision: Redwood Village
Owner:
Ernest Rawling
1410 West Harrison
Phone Number: 767-350-0
City/State/Zip: Cottage Grove, OR 97424
New Value: $116,360
Address:
Scope Of Work: Single Family Residence
Redwood villagga lot 17
Contractor Type
General Contr
Electrical Contr
Contractor Registration # Expiration Date
Ernest Rawlings
1410 West Harrison, Cottage Grove, OR
97424
Ed Hauck
X, x, X
Phone
541-767-3800
Mechanical Contr Deans Heating
X, X, X
Plumbing Contr
Joe Fridlund
x, x, OR
541-746-9433
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
Electric
Office Use
Land Use:
Zoning Code:
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1555
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.
An t:1\lIIUI\j.Vi\;;;~"".j h...n I....'-i....llt:;::yu..... It
follow rules adopted by the Oregon Utilitl
Notification Center. Those rules are set fOri,
in OAR 952-001-001 0 through OAR 952-001.
0090. You may obtain copies of the rules b'
calling the center. (Note: the telephone
numberforthe Oregon Utility Notificatior
Center is 1-Rnn-'l'l?-?'l44l.
NOTICE:
ffilB PI!RMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
I,I~Y 180 DAY PERIOD.
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I Job# 00-00078-01 I
Street Improvement: Fully Improved Sidewalk Type:
Curb Cut?~ Improvement Agr.?D Additional ROW?
San Sewer Depth (Ft): 6 4 Size Of Line (in):
Storm Sewer Available? ~ Downspouts/Drains:
Special Req.: Enchroachment Permit:
Security Required: San Sewer Tee (in):
Bond Begin DateTlme: 00/00/000000:00 A Bond End DateTime:
Special Instructions: No occupancy or sewer hookup until city accepts infrastructure
Other Utilities: Types Of Warning Devices Reqd.
Page 2 of 3
Curbside - 5'
o
8
To Curb and Gutter
4
00/00/0000 00:00 A
Project Supervisor:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1555 AccessoryMO
# Of Stories: 1 Height (feet): 18
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1995
Fee
Paid On Receipt#
Plan Check
01/27/2000 382
Value/Quantity
I
Fee Amount
Residential Plan Check
Total Plan Check
116,360
$306.31
$306.31
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
03/03/2000 819
03/03/2000 819
03/03/2000 819
116,360
$471.25
$32.99
$14.14
$518.38
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
03/03/2000 819
03/03/2000 819
03/03/2000 819
1
$40.00
$2.80
$1.20
$44.00
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Plumbing
03/03/2000 819
03/03/2000 819
03/03/2000 819
03/03/2000 819
1
$.00
$160.00
$11.20
$4.80
$176.00
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Mechanical
03/03/2000 819
03/03/2000 819
03/03/2000 819
03/03/2000 819
03/03/2000 819
03/03/2000 819
03/03/2000 819
1
$4.50
$.00
$.68
$6.00
$9.00
$3.00
$10.00
1
3
1
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.
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Fee
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Bob Barnhart
Steve Templin
AlWard
Wendy Stanley
.
Job# 00-00078-01 I
Paid On Receipt#
Mechanical
03/03/2000 819
Page 3 of 3
Value/Quantity Fee Amount
Public Works
03/03/2000 819
03/03/2000 819
50
1
System Development
01/27/2000 382
01/27/2000 382
01/27/2000 382
01/27/2000 382
01/27/2000 382
01/27/2000 382
01/27/2000 382
2,715
20
1
1
1
1
Willamalane SDC
03/03/2000 819
1
Date Completed
01/25/2000
01/26/2000
03/03/2000
03/03/2000
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.
Signature
Date
$1.58
$34.76
$60.00
$60.00
$120.00
$629.88
$965.40
$491.60
$242.76
$22.05
$10.00
$118.08
$2,479.77
$1,000.00
$1,000.00
$4,679.22
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.. ~t''''Willamalane
'"t,,,,,!, Park & Recreation District Job. No.cJD ~1~-:Ul
"'. SYSTEM DEVELOPMENT CHARGE
, WORKSHEET
NAME: ~R.~~~
ADDRESS: V-\.\1.") \0. \-\.(\Jl~
PHONE: 1b 1- 3T)cJ.)
STATE:~ ZIP: <=t1"eLI.
LOCATION OF PROPOSED BUILDING SITE:
Street Address: L.\.~ ~ ~l.ltLJ..t
~
Plat Name: WQ{)~I..\ Tax Lot Number: ()~ <ic '0
1. .DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. Sing,IA-FRmilv DAtRr.hAQ.
~ Single Family home
NO. OF UNITS l
Manufactured home not in a pari<
X $1,000 per unit = $ l c..L.l) ~
B. .8inoIA-FRmilv Attached
NO. OF UNITS
X $924 per unit . - $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. MRnlJfRt;l\lJrAc1 HnmA Parts.
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$
2. SDC CREDIT (II applicable) SOC-payer must tumlsh proot of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDCreduced for Credit) $
~Iopment Services Department
~~~f Springfield
3 I ~ I ~
Date
~.,
The. following project as submilted has the following
zonmg, and does not require specific land use
approva' .
225 FIFTH STREET Zoninr L urL-
SPRINGFIELD, OREGON 971il'JIV '3 - 2.. - ~
INSPECTION REQUEST: 7..?finOlit~aSignatur'- 1\u.J c'ity Job Number ()O-tJpy)7fh-O /
OFFICE: 726-3759 . .
3. COMPLETE FEE SCHEDULE BELOY
1. LqCATION OF INS1'ALLATIqN
425."1 r'~ WAV
{
LEGAL DESCRIpTION
1'f:O? 10'2- 2. 4 ~~ j1l ()
, -
JOB DESCRIj'J'ION
~~ ~ !Mt?.
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
~
City
Phone
License N~~.IJl.b/
Date /
Supervisor
Expiration
Signature of Supervising Electrician
Ovners Name fjplVEfT If/tUJ/.;If.Tr
AddressJ.1:/0 0. ;-/Iw~/S/)J. J
City {417ft1e-4t1lJ,E Phone 76J--?500
OYNER INSTALLATION
The installation is .being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
3,2- o-n
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VT~CTRICAL PERMIT APPLICATION
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
. Each addi tional 500
sq. ft or portion
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 Circuits
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
~ $ 40.00 .d:f2,r;o'
$ 55.00
$ 80.00
volts 'see "B" above
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Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00079-01
NAME OR COMPANY: PMI
LOCATION: 4241 GOLE WAY
TAX LOT NUMBER 18-02-05-24-06900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1995
LOT SIZE:
8780
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2715.0
x
$0.232 PER SQ. FT.
$629.88 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
20
x
$48.27 PER PFU
$965.40 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 I
TOTAL TRANSPORTATION SDC
$491.60 I
4. SANITARY S!,:W":Il_ - .MW~M-;'
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22.05 I
$0.00 I
$10.00 I
$274.81 I
$2,361.69 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
$118.08 I
TOTAL SDC CHARGES I $2,479.771
SDC COORDINATOR
DATE
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PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURE~
J
,
FIXTURES
NEW OLD
I
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OILlSOLIDS/ETe.
INTERCEPTORS FOR SAND/AUTO W ASH/ETe.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETe.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETe.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALLIW ALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
4
o
o
o
O.
2
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 20
2
2
CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
I YEAR
~NNEXED
1979 or before
1980
1981'
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
~SESSED 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
IMPROVEMENT (IF AFTER ANNEXA nON DATE)
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
x
x
I
I
$0.00
$0.00
CREDIT TOTAL $0.00