HomeMy WebLinkAboutPermit Building 2000-6-28
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225 North Fifth Street
Springfield, OR 97477
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I Job# 00-00855-01 I
Page 1 of 4
TRANS#:01-0002354
DATE:JUN 28 2000
AMT RECD:2 $ 4636.50
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00855-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 4313 COLE WAY Spr
Assessors Map#: 18020524
lot: 12 Block: Addition:
Tax lot #: 06900
Subdivision: Redwood Village
Owner:
Diana L. Olson
2304 Oakway Terrace
Phone Number: 541-302-4963
City/State/Zip: Eugene, OR 97401
New Value: $94,943
Address:
Scope Of Work:. Single Family Residence
She has paid her plan ck., quickstart, and an additional 38.30 which was applied to plan check
fnr nnw. It np.p.r1" 10 hp. ,mnlip.r1 In Ihp. hllilr1inn np.rmil" nnr:p. thn"p. fp.p." '''P. p.ntp.rp.r1. ( nriniMI r:k
Office Use
land Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms: 3
Range: Electric
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Wall Heal
Sq. Footage: 1258
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
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Hold Downs Installed
Final Building
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Rough Plumbing
Water Line
Required Inspections
I Buildinll I
-Install ground rod at footing, and call for inspection in conjuction wilh fooling and/or foundation i
-After trenches are excavated. NOTICE:
-A~er forms are erected but prior 10 c07~~'P~~~?rrgP1ALL EXPIRE IFTHE WORK
- Pnor to floor insulation or decking.
_ Prior to decking. AUTHORIZED UNDER THIS PERMIT IS NOT
- Prior to cover. COMMENCED OR IS ABANDONED FOR
- Before covering sheathing with finish ~~trri3~DAY PERIOD.
- Prior to cover.
-Prior to Cover
-Prior to taping.
- When all required inspections have been approved and the building is compiete.
Electrical ",. "I, 'V"':VitJe,'..., ,e.V I (:ll/uIT8S you "
-Prior to cover. follow rules adopted by the Ore(1on Utilit~
-Must be approved to obtain permal)!!n!:RRw.erCAnter. TI1~3e 'ule!' cT' se' fori,
-When all electrical work is completeQAFi !:lti2-1101-0DiO ;~"OUrl;10A.;H~52-001
.0000001J mav c.blain copies at the rules b~
. . . I Plumbinll ,:,.:;::::,~ the center. (Note:: the t~'I;,phone
- Pr~or to insulation or decking." 'mberfor the Orepon Utility Noliticatior
-Pnor to cover. ~ ",.,,'. , ,''''' ~C~ ."".1A\
- Prior to filling trench.
.- .
'...,:.
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
Project Supervisor:
I Job# 00-00855-01 I
Required Inspections
I Plumbing
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
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Page 2 of 4
I Mechanical
-Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
I Public Works I
-After forms are ereceted but prior to placement of concrete.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Curbside - 5'
o
8
To Curb and Gutter
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?O
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
San Sewer Tee (in): 4
00/00/0000:00 AM Bond End DateTime: 00/00/00 00:00 AM
ENCROACHMENT PERMIT SHALL BE REQUIRED IF MANHOLE RIM
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
Planner: AI Ward
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
I Main: 1258 AccessoryFlOO
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height (feet): 18
Current U.nits: Proposed Units:1
Census Code: New SF - detached
Total:1658
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,. Job# 00-00855.01 I Page 3 of4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check 06/28/2000 2354 94,943 $271.70
Total Plan Check $271.70
Buildinll
Building Permit 06/28/2000 2354 94,943 $383.18
State Surcharge For Building Permit 06/28/2000 2354 $26.82
Building Administrative Fee 06/28/2000 2354 $11.50
Total Building $421.50
Electrical
Wiring Footage 1,000 Sq Ft or Less 06/28/2000 2354 1 $85.00
Wiring Footage Each Add'l 500 Sq Ft 06/28/2000 2354 2 $30.00
State Surcharge For Electrical Permit 06/28/2000 2354 $8.05
Electric Administrative Fee 06/28/2000 2354 $3.45
Total Electrical $126.50
Plumbinll
Minimum Plumbing Permit Fee 06/28/2000 2354 $.00
Two Bathrooms 06/28/2000 2354 1 $160.00
State Surcharge For Plumbing Permit 06/2812000 2354 $11.20
Plumbing Administrative Fee 0612812000 2354 $4.80
Total Plumbing $176.00
Mechanical
Hood and Exhaust 0612812000 2354 1 $4.50
Minimum Mechanical Permit 06128/2000 2354 $1.50
Mechanical Administrative Fee 0612812000 2354 $.45
Vent Fan to One Duct 0612812000 2354 2 $6.00
Dryer Vent 0612812000 2354 1 $3.00
Mechanical Issuance 0612812000 2354 $10.00
State Surcharge For Mechanical Permit 0612812000 2354 $1.05
Total Mechanical $26.50
Public Works
New Sidewalk 0612812000 2354 28 $60.00
New Curbcut 0612812000 2354 1 $60.00
Total Public Works $120.00
System Development
Residential- Single Family - Storm 0612812000 2354 3,890 $902.48
Sanitary Sewer 0612812000 2354 20 $965.40
Residential Transportation 0612812000 2354 1 $491.60
Residential Sanitary MWMC 0612812000 2354 1 $242.76
Residential Improvement MWMC 0612812000 2354 1 $22.05
MWMC Administrative Fee 0612812000 2354 1 $10.00
SDC Administrative Fee 0612812000 2354 $131.71
Total System Development $2,766.00
Willamalane SDC
S.F. Residence - WilJamalane 0612812000 2354 1 $1,000.00
Total Willamalane SDC $1,000.00
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Fee
QuickStart Fee - Residential
Total Pennits w/o Srchg
Grand Total
Plan Check Type Checked By
Initial Review-Res Lisa Hopper
Engineering-Res Steve Templin
Planning-Res AI Ward
Structural-Res Don Moore
Job# 00.Q0855.Q1 I
Paid On Receipt#
Permits w/o Srchll
06/28/2000 2354
Date Completed
Comment
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Page 4 of 4
Value/Quantity Fee Amount
I
1 $150.00
$150.00
$5,058.20
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 Ihe 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.
f) lIJ/TY? )f r+J~ )
Signature
06/02/2000
06/07/2000
06/08/2000
06/16/2000
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ob-30-00
Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00855-01
NAME OR COMPANY: OLSON
LOCATION: 4313 COLE WAY
TAX LOT NUMBER 18-02-05-24-06900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1658
LOT SIZE:
11484
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
3890.00
x
$0.232 PER SQ. FT.
$902.48 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 I
$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
$274.81 I
$2,634.29 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
$131.71 I
~T~
SDc COORDINATOR
06/07/2000
DATE
TOTAL SDC CHARGES I $2,766.00 I
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PLUMBING FIXTURE UNIT (PFU) cALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT ~ PLUMBING FIXTURE UNITS
(NOTE: FOR REMOQEL~. CALCIJLA TE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I.
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
4
o
o
o
o
o
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 20
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
RATE PER $1,000 I
ASSESSED 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 GREASElOIUSOLlDSIETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB/cLOTHESW ASHER/MOP SINK
cLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRlGERA TORIW A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLA nON
MISCELLANEOUS:
2
2
2
CREDIT cALcULA nON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
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
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
$0.00
$0.00
CREDIT TOTAL $0.00
The followln' .
225 FIFTH STREET zOning anlProlectassubmittedhastha~~CAL PERMIT
SPRINGFIELD, .OREGON 97477 eppro~al doe~s not require specific land use "g , '
INSPECTION REQUEST: 726-3769 Zo' City Job Number /1/1-aJ~.5"5:-t91
OFFICE: 726-3759 nmg ..{//--
Date tr. . oQll>. COMPLETE FtE SCHEDULE BELOV
1. ?O AT ION OF INSTALLAT]Qljuzo eo Signat -.!:!i
,'2/." /" - / .~ /A~/ ure. 'd . I
-:> '"'\ ~~ ~ ~l<::,u Rp~a ential-Slng e or
( Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
1~2.. /)5 /)..1 O~9//o
JOB DESCRIPTION
~. F, ..R'en- ,
Permits are non-transferable and expire
if work is not started within 180 days
O~foi~~~:~ce or if work is ~nded for
2. CONTRACTOR INSTALLATION ONLY
Elect ~al Contractor / '
Address'" /
City ~ / Phone'
. L' ^ N b
SupervIsor ;>cens~ er
::::::t:~~::~t:umber '~
E ,/. D. .
xplratlon ate .
Si~ture of Supervising Elec~
./
Owners Name l)/.At JA d-Jt'JA..)
Address :::zge4. ~~A'~J!..
. (
Ci ty n.J4rL"J};.. Phone_ 1'D:z.:-4'lt.3
. 7JAYTl~€ 5~:J.-15Sl XII':J...
OVNER INSTALLATION T~ ~ J
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
;><=~j?~~~~--~-~-~-----------
DATE:
RECEIPT II:
RECEIVED BY:
Items
. 354
.DATE:JUN 28 2000
AMT RECD:2 $ 4636.50
CHANGE:
CASHIER': 061
APPLICATION
Cost
Sum
1000 sq. ft. or less ~$ 85.00 ~
Each additional 500
sq. ft or portion '3D
thereof :2- $ 15.00
Each Manuf'd Home, or
Modular'Dwelling
Service or Feeder .$ 40.00
.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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see flB" above
"
New, 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
S
$
$
$
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