HomeMy WebLinkAboutPermit Building 2002-5-3
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.,. SPRINGFIBLD
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225 Fifth Street
Springfield, OR 97477
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I Job# 02-00399-01 I
Page 1 of 5
TRANS#:Ol-0008809
DATE: MAY 03 2002
AMT RECD:2 $ 5758.95
CHANGE:
CASHIER:OOl
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00399-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6748 Jacob Ln Spr
Assessors Map#: 17023411
Lot: 61 Block: Addition: 2nd
Owner:
Address:
Tax Lot #: 03200
Subdivision: Levi Landing
Dennis Minium
Phone Number: 541-747-8495
City/State/Zip: Springfield, OR 97478
New Value: $156,691
Scope Of Work: Single Family Residence
8745 Thurston Road
'SFiR ' . ".' ren,'I;.G.Wrb'-l",r"syol.>\v
A. .u..\lIIVI\I.U :;J-:, .L._t"'\.........,...,...lltilit\l
folloW rule~ auuf"OU U] ... - - - t f rth
Contractor TYP51.ificLCCmtfactorr. Those rUlesAaRre9s;2_~01'
. OAR ,"'?nG' .n!110 through 0
General Contrln Dennrs M,nrum copies of the rules by
0090. 874'5'f'Th'tJPJlbW'koad,. Springfield nOR
caW-~ .....~{.;t:HI\"I. \,......"....., -,. -. .
6~~1~; the Oregon Utility Notification
Electrical Contr numSt~!!I!,!,lj~.9.kl_800-332-2344).
828 S 46th Street, Springfield, OR 97478
Mechanical Contr Home Comfort Heating & Air Conditioning 184164
Po Box 24205, Eugene, OR 97402
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
R~laliin # EX~i'r~~~\'i\t~ THE 1f,Ii))ti~
62/:18\8 PERMIT ~~a~~WS PERM\54Ifi;tli~a495
AUTHORIZEOO OR IS ABANDONED fOR
COMMENCE
1q,(R'ire180 DAY ft~~g3 541-221-2665
6/25/2003
541-345-2838
Don Lewis Plumbing 33076
500 Greenfield Street, Eugene, OR 97404
6/10/2003
541-688-1931
Office Use
4RNE
1
(VN) Wood Frame
Electric
Single Family Dwelling
LOR
4
Electric
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1968
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
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation ir
-After trenches are excavated.
- After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
- Prior to decking. .
- Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
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Wall Insulation
Drywall
Final Building
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 Gas
Rough Mechanical
Gas Service
Final Mechanical
SW-Curbside
CC-Standard
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I Job# 02-00399-01 I
Required Inspections
Building
Page 2 of 5
- Prior to Cover
-Prior to taping,
-When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
- Must be approved to obtain permanent power.
- When all electrical work is complete.
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 mechanical work is complete,
I Public Works I
- After forms are erected but prior to placement of concrete
- After forms are erected but prior to placement of concrete
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: 0010010000 00:00:00 '
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 0010010000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Types Of Warning Devices Reqd.
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I Job# 02-00399-01 I
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Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? 0
Zoning: LDR
FI~odPlain? 0 Wetlands? D
Journal numbers
1: 1197-06-0142 2: 3:
Comments:City Engineer determined fioodplain - FEMA Elevation Cert. Requirel
Overlay District: Floodplain Overlay
# of Street Trees: 2
Planner:
Urban Growth Boundary? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: See Above
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 4
Handicap Access? D
,Area (Sq. Feet)
I Main: 1968 Accessory504
Private GaragelCarplStor
# Of Stories: 2 Height (feet): 27
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2472
Fee
Paid On Receipt#
I Plan Check
04/08/2002 8547
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
156,691
$488.09
$488.09
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Building
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
156,691
$750,90
$52,56
$60.07
$863.53
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Electrical
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
1
3
$.00
$106.00
$57,00
$11.41
$13,04
$187.45
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Plumbing
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
1
$,00
$306.00
$21.42
$24.48
$351.90
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Mechanical
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
1
1
$9.00
$4.00
$.00
$5.12
$12.00
$24.00
$9.00
1
4
1
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-I
Fee
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
SDC Administrative Fee
Property Annexed 2000
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits wlo Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Engineering-Res
Planning-Res
Bob Kettwig
Liz Miller
Structural-Res
Tom Marx
Job# 02-00399-01
Paid On Receipt#
Mechanical
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
- Page 4 of 5
Value/Quantity Fee Amount
I
1 $6.00
$10.00
$4.48
$83.60
80 $75.00
1 $75.00
1 $-30.00
$120.00
3,243 $885,34
1 $34,83
1 $10,00
$147,12
15 $-,60
1 $332.86
1 $659,76
1 $155,13
23 $491,51
23 $373.52
$3,089.47
1 $1.000.00
$1,000.00
1 $55.00
$55.00
$8.00
$8.00
$6,247.04
Public Works
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
System Development
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
05/03/2002 8809
[ Willamalane SDC
05/03/2002 8809
Planning
05/03/2002 8809
Permits w/o Srchg
05/03/2002 8809
Date Completed
Comment
04/10/2002
Assumption made of electrical forced air heat.
Saw furnace on plans in garage and no
indication of gas. Please verify with contractor
prior to issuance of heat source,
04/30/2002
04/21/2002
For property on the lot north of the "no fill, no
build line" no fencing other than 2 strands of
smooth wire no larger than 12 guage on posts
no closer than 30 feet are allowed, no
bedgerows or other closely spaced plantings
that might trap flood debris or divert
floodwaters. FEMA elevation certificate
required on SFR.
04/18/2002
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I Job# 02-00399-01 I Page 5 of 5
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
apl?rov'ed set' of plans will remain on the site at all times during construction.
f<_,/ ' ~~_~ S -3 r- 0 'Z-
Signature
Date
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Permits are lpn-transferable and expire
if work is ncitistarted within 180 days
of issuance k~jr work is suspended for
180 d...",
ays, If""
i'..~.
", OR J.STALLATION ONLY
:..... .f
A ' STE.vI-. H-4uc.k.
g],g S "H}}
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1000 sq.fi. or less
Each additional 500
sq. ft or portion
thereof
Each Manui'd Home or
Modular Dwelling
Service or Feeder
1.08809
,2002
. .95
~JGE:
*~ 001
s ~. .." ,,;,~....
-: . ~:~'d>~a.'1",,~
~~.~
.~2:
~~'.fl
....Of~~
Items Cost S~;
..L $,06.00{ik~
~',,,"t';','
Jd"'.
'3 $ 19.00 ~~.ct>
~
..~;":",.
"1'0 :;:t:.
':!,~"'. "
,,,~p,
$ 50.00 .:,,;lit
'ji'~'-':
'. 'fl'
~. "t!
~~w-=
~:,J~
':;;Yy
":'<l'o:'",~
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B. Services or Feeders
Installation, Alter
Relocation:
,
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TOTAL
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00399-01
NAME OR COMPANY: DENNIS MENIUM
LOCATION: 6748 JACOB LN
TAX LOT NUMBER: 17-02-34-11 TL: 3200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 1861
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I' I COST PER S.F. 1
3242,99 $0.273 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F'I..I COST PER S.F. I xl DISCOUNT RATE I
0.00 $0.27L--J 50%
I[lTEM 1 TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER - CITY ,
A. REIMBURSEMENT COST:
I NUMBER OFDFU's 1.,1 COST PERDFU
23 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1"1 COST PER DFU
. 23 $16.24 1
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
1, TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTT9R.5IP7RATE 1..INUMBERlOF UNITS I Xl COST PER TRIP IxlNEWTRIPFACTORI
$16.21 1.00 1=1
B. IMPROVEMENT COST:
I ADTT~~RATE HNUMBERIOFUNITSH COS;:SE9~ TRIP
I ITEM 3 TOTAL - TRANSPORT A nON SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's 1'.1 COST PER FEU
I , $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's 1..1 COST PER FEU
I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
i ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3,&4)
5, ADMINISTRATIVE FEE:
1 SUBTOTAL I ADM. FEE RATE
L $2,942.35 5%
~ T~ 4/30/2002
,.
=1
$885.34
CI)
~
Ci
o
SF U
-I~
CI)
-
o
~
SF
LOT SIZE:
12000
=1
=1
$0.00
$885.34
-.J
I
1070
=1 $491.51 1091
=1 $373.52 11092
=1 $865.03
$155.13
1093
I xl NEW TRIP FACTOR 1
, 1.00 J=I $659.76
-=1$814.89
1
-l
1094
=1
$332.86
=1 $34.83 1
=1 ($0.60) I
=1 $367.09 1 1055
=1 $10.00 I 1056
=1 $377.09 r
=1 $2,942.35 I'
$147,12 ---.J 111073
$3,08~
=1
TOTAL SDc CHARGES =1
SDC COORDINATOR
DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF RXTURES DRAINAGE
( #NEW # OLD ) x EQU~ENT = FIXTURE
FIXTURE TYPE UNITS
BATHTUB ( I 0 ) x 3 = 3
DRINKING FOUNTAIN ( 0 0 ) x I = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER I MOP SINK ( I 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 I WATER STATION I ETC. ( 0 0 ) x I = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( I 0 ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIALlRESIDENTIAL KITCHEN ( I ,0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x I = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 3 0 ) x I = 3
URINAL, STALL I WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 3 0 ) x 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 23
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
II
MWMc CREDIT cALcULA TION TABLE: BASED ON COUNTY ASSESSED VALUE
rF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 II YEAR. I CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
- -
- 1979 v(\. oc.rvRE $4.92 1990 $2.06
\980 $4,83 \991 $1.64
\98\ $4,77 \992 $1.45
\982 $4,64 \993 $1.31
\983 $4.47 1994 $1.13
\984 $4.30 \995 $0.97
\985 $4,09 1996 $0.82
\986 $3,78 \997 $0.63
\987 $3.4\ 1998 $0,41
\988 $2,98 1999 $0.22
\989 $2,52 2000 $0,04
VALUE/IOOO CREDITRATE
15.000 X $0.04 = I
0.000 x $0.04 = I
TOTAL MWMC CREDIT =1
$0,60
$0.00
$0.60
...
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P.~Willamalane
t, l Park & Recreation District Job. No.Otl ; OO~ '.01'
il'W SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME~l~~ PHONE:14"',~~
ADDRESS:_~1AS \Y\u~~\M.~STATE:~, ZIP:.Q1-'t-t1
LOCATION OF PROPOSED BUILDING SITE:
lO\~ (. ~1\<lJ
Plat Name: ax Lot Number: llD~.?-.411' OQ.4ro
1.QI;VELPPMENT TYPE, (Check appropriate dwelling(s). SOC calculations and dwelfirig t
ype definitions are on the bacl<.)
A. ~inlJle-Fl'lmilv Dell'lched
~ Single Family home
NO. OF UNITSt
Manufactured home not in a park
X $1.000 per unit =$ .10..0'1 .00
B. ~inale-Familv Attl'lched.
NO. OF UNITS
X $924 per unit
$
C. Multi-Familv Aoartment
NO. OF UNITS
X .$692 per unit = $
t? Mflnllfl'lcllJr~rf Home PRJt
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
$
( oW . CP
o
2. SDC CREDIT (II appficable) SOG-payer must furnish proof 01
Willamalane Credit approval. See sac Credit Worl<sheet. $
3~ TOTAL WILLAMALANE NET SDC ASSESSED
(II SOC reduced for Credit)
w.o.U 6j
Development SelVi ~Depariment Date
City of Springfield
$ ,\oro pO
J/O~
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