HomeMy WebLinkAboutPermit Building 2002-4-23
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SPRINGPIELD
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: 225 Fifth Street
Springfield, OR 97477
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I Job# 02-00377 -01 I
Page 1 of 4
TRANS#:01-0008734
DATE: APR 25 2002
AMT RECD:2 $ 5607.75
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00377-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 7277 Forsythia St Spr
Assessors Map#: 18020221
Lot: 66 Block: Addition:
Owner:
Tax Lot #: 01800
Subdivision: McKenzie Hills
David Best
Phone Number: 541-741-6201
City/State/Zip: Springfield, OR 97478
New Value: $131,831
Address: 972 Cloverleaf Loop
Scope Of Work: Sin91e Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
SFR same as 581 S 72nd Street 02-00217-01
Contractor Registration # Expiration Date Phone
David Best e uires'/OI.l,\O 541-741-6201
972 Cloverleaf Loop, Springfield. OR \'l'Olegol' 1a'l'J r dtegon \.l\l~wt\\'I
97478 f(\I~N"IO 'dOll\edo,/\\'Iel.llesatese\ 0001-
ll.ll<>e. a "\'IOse l , ~ n5Z-
Steve Hauck Electric \o\lOv.l1~Z~~,83l. \'Iou1/;'3012003 I.Iles b'l 541-741-1085
828 S 46th Street, Springfield, O~197478~9\~~_001-001? \ ~Olli~S 0\ \\'Ile ~none
, Oll-R " ob\aln \\'Iete e... 'n
David Best 1~1'I90, '(ol.l toabentel, \Nole\i\iW \'lo\\lica\\O 541-741-6201
972 Cloverleaf Loop, Springfield, OR calling \\'Ie \\'Ie oregon ~'3Z.Z'3t\4),
97478 I.ltooetlOl lis 1-800-
n Gen\e
David Best 541-741-6201
972 Cloverleaf Loop, Springfield, OR
97478
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~:m. will be made the fOIl~'('l.~~Q~~
working day. ;' .' 'j..~\~~ W \S "01
R . d I ...\.t\"I'\t'.~."., - ~uIl.L\. tr n~9..\'lI\\ -n
eqUlre nspeClj\Hl9 E~ll\\ I;,/t e?o. '\ \'II" r ~U tl.l"
I Buildinq W\~~:. \leU ~~Q t>.~t>.~\l0~
-Install ground rod at footing, and call fONIH~~~re~&>ltu\~ with footing and/or foundation ir
-After trenches are excavated. CQ\'lI~. t.~ ~e?o.\ .
-After forms are erected but prior to concr~\tfl. r,ln~~ent.
- Prior to fioor insulation or deckin9. i
- Prior to decking.
- Prior to cover.
- 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.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
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Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
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Page 2 of 4
I Job# 02-00377-01 I
Required Inspections
I Electrical I
-Approval required prior to SUB energizing pole.
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
I Plumbinq
- 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.
- Prior to cover.
-When all mechanical work is complete,
Sidewalk Type: Curbside - 5'
Additional ROW? D
Size Of Line (in): 8
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime: 00/00/0000 00:00:00 '
Street Improvement: Fully Improved
Curb Cut?~ Improvement Agr.?D
'San Sewer Depth (Ft): 6 4
,Storm Sewer Available? D
'Special Req.: /
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 '
Special Instructions:
Other Utilities:
,Project Supervisor:
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 1
Land Use: Single Family Dwelling
Pave Driveway? ~
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: Sam Gollah
Urban Growth Boundary?D
'Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Flood Plain FEMA: 1167 of 2975
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Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq. Feet)
I Main: 1578 Accessory:720
Fee
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
'Total Building
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
,Wiring Footage Each Add'l 500 Sq Ft
'Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
, Mechanical Issuance
State Surcharge - Mechanical
. Total Mechanical
. New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
, MWMC Administrative Fee
Job# 02-00377-01 I
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Page 3 of 4
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 24
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2298
Paid On Receipt#
Plan Check
04/04/2002 8519
Building
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
Electrical
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
Plumbing
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
Mechanical
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
Public Works
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
System Development
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
Value/Quantity
Fee Amount
1
$100,00
$100.00
131,831
$669.65
$46.88
$53,57
$770.10
1
3
1
$.00
$106.00
$57.00
$50.00
$14.91
$17.04
$244.95
1
$.00
$306.00
$21.42
$24.48
$351.90
1
$9.00
$.00
$3.60
$12,00
$18.00
$6.00
$10.00
$3.15
$61.75
1
3
1
50
1
1
$75.00
$75.00
$-30.00
$120.00
3,260
1
1
$889,98
$34.83
$10,00
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Job# 02-00377-01
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Page 4 of 4
Value/Quantity Fee Amount
Fee
Paid On Reeeipt#
System Development
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
04/25/2002 8734
$142.67
27 $-131.82
1 $332.86
1 $659.76
1 $155.13
24 $512,88
24 $389.76
$2,996.05
SDC Administrative Fee
Property Annexed 1979 or Before
Residential Sanitary MWMC
Hesidential - Improvement
Residential- Reimbursement
Sanitary Sewer SDC Reimbursement
'Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
04/25/2002 8734
1
$1,000.00
$1,000.00
Planning Plan Review
.Total Planning
Planning
04/25/2002 8734
1
$55.00
$55.00
.Address Assignment
Total Permits w/o Srehg
Grand Total
Permits w/o Sreh!!
04/25/2002 8734
1
$8.00
$8.00
$5,707.75
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Lisa Hopper
Bob Kellwig
Sam Gollah
04/08/2002
04/23/2002
04/16/2002
04/16/2002
Tom Marx
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 rea ~the eet. that the permit card is located at the front of the property, and the .~
approved of P~1- ain on the site at all times during construction.
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JOB DESCRIPTION
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TOTAL
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
I JOURNAL O' JO' NUMBEI<, 02-0037701
NAME OR COMPANY: DAVID BEST
LOCATION: 972 CLOVERLEAF LOOP
TAX LOT NUMBER: 18-02-02-21 TL: 1800
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 2298 SF LOT SIZE: 9148
I, STORM DRAINAGE
, DIRECf RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I 'I COST PER S.F. I
I 3260.43 $0.273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
1 IMPERVIOUS S.F'I xl COST PER S.P. J xl DISCOUNT RATE
I 0.00 $0.273 50%
[iTEM 1 TOTAL - STORM DRA1NAG~DC
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
r NUMBER OF DFU's 1,1 COST PER DFU
I ~ I ~137
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1,.1 COST PER DFU
L 24 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
13, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE I xl NUMBER OF UNITSI xl COST PER TRIP I xl NEW TRIP FACTOR I
I 9.57 1 $16.21 1.00 1=1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP
I 9.57 I $68.94
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ITEM 3 TOTAL - TRANSPORTATION SDC
~,SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
I $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
1 $34.83 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
SF
=1
$890.10
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1 xl NEW TRIP FACTOR I
I 1.00 J=I
=1
471 .
/1 I)'
/GO;\ ,"/
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ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5, ADMINISTRATIVE FEE:
I SUBTOTAL J '.1 ADM. FEE RATE
L' :5~ 4/;:2002
SDC COORDINATOR DATE
=1
TOTAL SDC CHARGES =1
I
I
$235.87 I lOW
$10.00 --1J 1056
$~5.87 j
$2,853.5011
=1
=1
$0.00
$890.10
=1
$512.88
=1 $389.76 I
=L $902.641
$155.13
$659.76
$814.89
=1
$332.86
=1
=1
=1
=1
=1
=1
$34.83
($131.82)
$142.67
$2,996.17
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DRAINAGE FIXTURE UNIT (DFU) CALCULA nON TABLE
I NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADOITIONAL FIXTURES)
I NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) x EQUI~ENT = FIXTURE
FIXTURE TYPE UNITS
BATHTUB ( 2 0 ) x 3 = 6
DRINKING FOUNTAIN ( 0 0 ) x 1 = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 3 0 ) x I = 3
URINAL, STALL / WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INST ALLA TION ( 3 0 ) x 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 24
"'EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFUs) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
I YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED V AWE ANNEXED ASS~SED VALUE
\979 OR BEFORE $4.92 \990 $2,06
\980 $4.83 \991 $1.64
\98\ $4,77 1992 $1.45
1982 $4,64 1993 $\.3\
1983 $4.47 1994 $1.13
1984 $4.30 \995 $0,97
1985 $4.09 1996 $0,82
1986 $3.78 1997 $0.63
1987 $3.4\ 1998 $0.41
1988 $2.98 1999 $0,22
1989 $2.52 2000 $0.04
VALUE /I 000 CREDIT RATE
26.793 x $4.92 =1
0.000 x $4.92 =1
TOTAL MWMC CREDIT =1
$131.82
$0.00
$131.82