HomeMy WebLinkAboutPermit Building 2000-3-3
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SPRINGFIELD
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225 North Fifth Street
Springfield, OR 97477
Owner:
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
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I Job# 00-00079-011
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Page 1 of 4.
TRANS#:01-0000B19
DATE:MAR 03 2000
AHT RECD:2 $ 9154.36
CHANGE:$ 0.26
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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Contractor
Ernest M Rawlins, PMI
1410 W. Harrison, Cottage Grove, OR
97424
Ed Hauck Electric
x,x,X
Deans Heating
x,x,X
Fridlund Plumbing
X,X,X
Job Number: 00-00079-01
Office: 726.3759
Inspection Line: 726-3769
Tax Lot #:
06900
Location Of Proposed Site: ,.4241 Cole Way Spr
Assessors Map#: 18020524 . "",lie;, ,
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Lot: 18 Block:" I c:\'" ,....'-:.;""\"e':;; iJ~MditI6fl!ll'l \!~ Subdivision: Redwood Village
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professiona\1t100~gll;"elifl'tfc '110n\~~~~g~:P.IfOnerNumber: 541-767-3800
~ ,,<;2-001.00 . nit'" '
Address: 1410 W Harr~'vl! may obtain COPI8SCIt&/State/Zlp:
n090, YOU I tNote: Ine I ',c, .
Scope Of Work: Single Family \3!!lIld!!nC& cen~r~gon ~e\.yNO\lj" ~
~umbedort\1e, p,,,,.~~')_')"'M
\\ ro!"'!~c.~ If 1.
Cottage Grove, OR 97424-1928
Value: $126,978
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Registration # Expiration Date Phone
541-767-3800
AI'I bll 1101II:Ore90n law requires you to
follow rules adopted by the Oregon Utility
\jotification Center. Those rules are set forth
n OAR 952-001-001 0 through OAR 952-001-
J090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
("'7"ley;" 1_"I1"-~"l?-?::l44I,
"
Office Use if /-..
Quad Area: 3RSC Land Use: ( ~~f Buildings: 1
# Of Units: 1 Zoning Code: !JJ lfcr/fipancy Group: Dwelling
Constr. Type: (V) Wood Frame Bedrooms: 3 if .:H~ Source: Forced Air Electric
Water Heater: Electric Range: Electric iiJ !lS{iVFootage: 1718
l>"....ri
Ii:' ~ ?:..J
To request an inspection call the 24 hour recording at 726-3769. All inspecti.9~s~q~sted before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a,@. )1(111 ~ made the following
working day. ~ f!j ~ r;::i
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Required Inspections_ ~ r-. _ .::
- ~.,..".....Q ~
I Building o~i !!J tJ ~
- Install ground rod at footing. and call folGiispjic@'niWconjuction with footing and/or foundation i
-After trenches are excavated. 0 !/l i!l ;Ji tiS
-After forms are erected but prior to co~rele ~c~eJif.
- Prior to floor insulation or decking, U if
- Prior to decking.
- Prior to cover,
- Before covering sheathing with finish materials.
- Prior to cover,
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
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Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 A
Special Instructions:
Other Utilities:
.
.~rr
Wall Insulation
Drywall
Final Building
Temporary Power
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
. Final Gas
Final Mechanical
Curbcut
Sidewalk
Project Supervisor:
.
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Job# 00-00079-01 I
Required Inspections
Building
Page 2 of 4
.Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
I Electrical I
.Approval required prior to SUB energizing pole.
I Plumbing
. 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.
-When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking,
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
-When all gas work is complete.
-When all mechanical work is complete.
I PublicWorks I
.After forms are ereceted but prior to placement of concrete,
-After excavation is complete, forms and sub base material is in place.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit;
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
4
00/00/0000 00:00 A
No occupancy or sewer hookup until city accepts infrastructure
Types Of Warning Devices Reqd.
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Zoning:
FloodPlain? 0 Wetlands? 0
Journal numbers
1:
Comments:
2:
.
I Job# 00-00079-01
Overlay District:
# of Street Trees:
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types~V) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
I Main: 1718 Accessory1400
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100.000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA:
.
Page 3 of4
Land Use:
Pave Driveway? 0
# Of Stories: 1 Height (feet): 18
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2118
Paid On Receipt#
r-- Plan Check
03/03/2000 819
Building
03/03/2000 819
03/03/2000 819
03/03/2000 819
Electrical
03/03/2000 819
03/03/2000 819
03/03/2000 819
Plumbing
03/03/2000 819
03/03/2000 819
03/03/2000 819
03/03/2000 819
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
Value/Quantity
126,977
126,978
1
1
1
1
2
1
Fee Amount
$320,94
$320.94
$493,75
$34.56
$14,81
$543.12
$40,00
$2,80
$1,20
$44.00
$.00
$160,00
$11.20
$4,80
$176.00
$4.50
$,00
$,59
$6,00
$6,00
$3.00
$10.00
.
:1
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
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Job# 00-00079-01 I
Paid On Receipt#
Mechanical
03/03/2000 819
Page 4 of4
Value/Quantity Fee Amount
Public Works
03/03/2000 819
03/03/2000 819
50
1
System Development
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
2,986
20
1
1
1
1
Willamalane SDC
03/03/2000 819
1
Date Completed
01/25/2000
03/03/2000
01/27/2000
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 pertainin~ 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
$1.37
$31.46
$60,00
$60,00
$120.00
$692,64
$965.40
$491,60
$242.76
$22,05
$10.00
$121.22
$2,545.67
$1,000.00
$1,000.00
$4,781.19
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~''''Willamalane
'-t,,,,, Park & Recreation District Job. No.~l1~(
", SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
?MI
\4\0 W.'ttt~
PHONE: 1 b 7-38c.o
STATE:~ ZIP: 9..11.~l\
lOCATION OF PROPOSED BUilDING SITE:
Street Address:, ~~l...\\ ~ \1)~
Pial Name: -\ ~~4 _ Tax lot Number: (')~ c; OJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. SinnlA-FRmilv DAtRr.hAQ
/'C: Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ JJ: I\JI CJQ...
B. SinnlA-FRmilv Attached
NO. OF UNITS
X $924 per unit . - $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit =. $
D. Manufactured Home Pf.lIk
NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SOc-payer must furnIsh proof 01
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDCreduoed for Credit) $
~~ .
D~lopment Services Department
City of Springfield
I
I
Date
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.
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ATTACHMENT 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:
2118
LOT SIZE:
8002
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2985,5
x
$0,232 PER SQ. FT.
$692.64 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
TOTAL TRANSPORTATION SDC
$491.60 I
$0,00
$491.60 I
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
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
$274.8 I I
$2,424.45 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 $121.22 I
~ ~,............... 1/2-../.-, TOTAL SDC CHARGES I $2,545.67 I
SDe COORDINA R i'\All'E
e
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PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
LNOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTllRESl
FIXTURES
NEW OLD
I
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/W A TER STA TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERJETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALLIW ALL
WASH BASIN/LAVATORY, 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 CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE. CALCULATE CREDITS SEPARATEL
YEAR
ANNEXED
1979 or before
1980
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
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
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
.' . $0.00.
,.',
= . $0.00
x '
'... '
CREDIT TOTAL $0.00