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Home My WebLink AboutPermit Building 2002-1-18 " 4 " 225 North Fifth Street Springfield, OR 97477 . . I Job# 01-01422-01 I Page 1 of 5 TRANS~:01-0007830 DATE: JAN 18 2002 AMT RECD:2 $ 5523.15 CHANGE: CASHIER:001 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01422-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6695 Jacob Ln Spr Assessors Map#: 17023411 Lot: 111 Block: Addition: 2 Owner: Address: Tax Lot #: 03200 Subdivision: Levi Landing Cozy Homes P.O. Box 237 Phone Number: 541-747-8704 City/State/Zip: New Springfield, OR 97477 Value: $115,478 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr SFR - same as 2272 33rd St #01-00815-01 Contractor Tom Wirfs Enterprises Inc Po Box 237, Springfield, OR 97477 Bills Electric 3170 West 11th Street, Eugene, OR Home Comfort Heating & Air Conditioning 84164 Po Box 24205, Eugene, OR 97402 BMC Plumbing 648 W Oregon Ave, Creswell, OR 97426 Registration # Expiration Date Phone 32947 ^TTF6~MlOlIlIregon law !li!AoW~-~~ j - d 'edbythEl' ra;:' ,I ) ~"IIOW ~ules a op. Those rules are set 10' .:' 21351 ~ otilica.tij~~gq~10throug9iOM-9~1'- - \"OAR3" v . coplesottha rules b1 0090. You ::~~(Notei:1h~u'eDhOne calliW3 I the Oregon Ull1'lly 1.8afi~on number~~ter is 1-800-332-2344). 12/15/2002 541-895-3758 103570 Office Use NOTICE: Land Use: Single Family Dwelliijs P~A?!I\I\l'!i'\li.l!g~Xf11RE IFTH:~ORK Zoning Code: LOR 1 .Q:~c;\!\J~~8tP,IfR81QWl!1IiiigSNOT Bedrooms: 3 AUTH\freatS'~!Ifj!i~6A~~i,\jEOiiS)R Range: Gas COMWS'q"!~!Jtage: . 1692 - - r- "I r"plnn ANY IOVU'" ,_. .. 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. Quad Area: # Of Units: Constr. Type: Water Heater: Site Verify Ground Rod Footing . Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing 4RNE 1 (V) Wood Frame Gas Required Inspections I Building I - To be made after excavation but prior to setting forms. -Install ground rod at footing, and call for inspection in conjuction with looting and/or loundation i -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. 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: Special Instructions: Other Utilities: Ii , . Wall Insulation Drywall Bolts installed in concrete Hold Downs Installed Vapor Barrier/Insulation Final Building Temporary Power Verify Ground Rod Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Backflow Device Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Insert Final Gas Final Mechanical SW-Curbside CC-Standard Project Supervisor: . . I Job# 01-01422-01 I Required Inspections Building Page 2 of 5 -Prior to Cover -Prior to taping. - To be done by a State Certified Special Inspector. Provide inspection test reports to City Buildir - To be made after insulation and required vapor barriers are in place, but prior to any wall coveri - When all required inspections have been approved and the building is complete. I Electrical I - Approval required prior to SUB energizing pole. -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i - 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. -After gravel and filter cloth is installed, but prior to backfill. -After device is installed but before backfilling trench. - When all plumbing work is complete. I Mechanical - Prior to insulation or decking. - Prior to cover. - After line is installed and line has been connected to a minimum of one appliance. Pressure tei -After installation. -When all gas work is complete. - 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: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Curbside - 5' D 8 To Curb and Gutter San Sewer Tee (in): 6 00/00/000000:00 AM Bond End DateTime: 00/00/0000 00:00 AM NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRA! Types Of Warning Devices Reqd. . . , . , . I Job# 01-01422-01 I Overlay District: Floodplain Overlay # of Street Trees: 3 Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? 0 Zoning: LDR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 1997-06-0142 2: 3: Comments City Determined FloodPlain - Requires FEMA Elevation Cert. Additional Requirements: Required Attachments: Source Locn: Material: Planner: Jim Donovan Urban Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: See Above Construction Types:(V) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 rArea (Sq. Feet) Main: 1692 AccessoryMO Fee Hourly Plan Review Total Plan Check Building Permit State Surcharge For Building Permit 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 Administrative Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Backflow Prevention Device Administrative Fee - Plumbing Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Flood Plain FEMA: Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 23 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2132 Paid On Receipt# Plan Check 12/26/2001 7611 Value/Quantity Fee Amount 2 $90.00 $90.00 BuildinR 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 115,478 $617.65 $43.24 $49.41 $710.30 Electrical 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 1 2 1 $.00 $106.00 $38.00 $50.00 $13.58 $15.52 $223.10 PlumbinR 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 1 $.00 $254.00 $18.76 $14.00 $21.44 $308.20 1 Mechanical 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 1 1 $9.00 $4.00 $.00 $5.36 $12.00 1 . , . Fee Vent Fan to One Duct ApplianceVent (Not Covered in SchedulE Gas Fireplace 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 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 w/o Srchg Grand Total Plan Check Type Checked By Initial Review-Res Engineering-Res Lisa Hopper Steve Templin Planning-Res Structural-Res Liz Miller Bob Barnhart Job# 01-01422-01 Paid On Receipt# Mechanical 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 . Page 4 of 5 Value/Quantity Fee Amount I 3 $18.00 1 $9.00 1 $9.00 1 $6.00 $10.00 $4.69 $87.05 80 $65.00 1 $65.00 1 $-30.00 $100.00 3,056 $834.29 1 $34.83 1 $10.00 $144.60 1 $332.86 1 $659.76 1 $155.13 23 $491.51 23 $373.52 $3,036.50 1 $1,000.00 $1,000.00 1 $50.00 $50.00 1 $8.00 $8.00 $5,613.15 Public Works 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 System Development 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 01/18/2002 7830 Willamalane SDC 01/18/2002 7830 Planning 01/18/2002 7830 Permits w/o Srchg 01/18/2002 7830 Date Completed Comment 12/31/2001 01/09/2002 NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRASTRUCTURE 01/08/2002 01/07/2002 . . . I Job# 01-01422-01 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 oertify that any and all work performed shall be done in accordanoe 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 Servioes Division, Building Safety. I further certify that only contractors and employees who are in complianoe 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 0/~i11 remain on the site at all times during construction. Signature ~7-- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET [jOURNAL OR JOB NUMBER: 01-01422-01 I NAME OR COMPANY: COZY HOMES LOCATION: 6695 JACOB LANE TAX LOT NUMBER: 17-02-34-11-03200 I DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 0 SF LOT SIZE: 0 I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. I xl COST PER S.F. I 3056.00 $0.273 =1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F'I.I COST PER S.F. IX! DISCOUNTRATE 1 0.00 $0.273 L 50% =1 I ITEM 1 TOTAL - STORM DRAINAGE SDC =1 2, SANITARY SEWER - CITY .' . . A. REIMBURSEMENT COST: I NUMBER OF DFU's 1.1 COST PER DFU 23 $21.37 B. IMPROVEMENT COST: I NUMBER OF DFU's 1..1 COST PER DFU . 23 I $16.24 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE II NUMBER OF UNITS 1.1 COST PER TRIP I 9.57 I I $16.21 B. IMPROVEMENT COST: 1 ADT TRIP RATE 1,1 NUMBER OF UNITS 1 X 1 COST PER TRIP L 9.57 I I $68.94 I ITEM 3 TOTAL. TRANSPORTATIONSDC 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's 1.1 COST PER FEU I I $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's 1..1 COST PER FEU I 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 L SUB TOT AL (ADD ITEMS I. 2. 3, & 4) 5, ADMINISTRATIVE FEE: _' SUBTOTAL 1..1 ADM.FEERATE I $2,891.90 5% I ~T~ SDC COORDINATOR .1 NEW TRIP FACTOR I 1.00 =1 .INEW TRIP FACTOR I 1.00 =1 1/9/2002 =1 TOTAL SDC CHARGES =1 DATE en ~ ~ o u ~ ~ en ...... $834.29 I t) ~ $O'OO_~ $834.29 I 1070 SF =1 $491.51 1091 =1 =L $373.52 $865.03 I 1092 II $155.13 1093 =1 $659.76 $814.89 1--1 1094 II I =1 $332.86 =1 =1 =1 =1 =1 =1 $34.83 I $0.00 I $367.69 I 1055 $ 10.00 l , 1056 $377.69 ~ I $2.891.90 JJ $144.60 I 1073 $3,036.50 II . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONL V THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE II FIXTURE TYPE ( #NEW # OLD ) UNIT FIXTURE x EQUIVALENT = UNITS BATHTUB ( 2 0 ) x 3 = 6 DRINKING FOUNTAIN ( 0 0 ) x I = 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC. ( 0 0 ) x 3 = 0 INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ( 0 0 ) x 6 = 0 LAUNDRY TUB ( 0 0 ) x 2 = 0 CLOTHESW ASHER 1 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 1 WATER STATION 1 ETC. ( 0 0 ) x t = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( 1 0 ) x 2 = 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAURESIDENTIAL 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 1 = 3 URINAL, STALL/WALL ( 0 0 ) x 5 = 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0 TOILET, PRIVATE INST ALLA TION ( 2 0 ) x 3 = 6 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 -. MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE I. CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 197'::1' VI\. DCNI\.C $4.92 1990 $2.06 1980 $4.83 1991 $1.64 1981 $4.77 1992 $1.45 1982 $4.64 1993 $1.31 1983 $4.47 1994 $1.13 1984 $4.30 1995 $0.97 1985 $4.09 1996 $0.82 1986 $3.78 1997 $0.63 1987 $3.41 1998 $0.41 1988 $2.98 1999 $0.22 1989 $2.52 2000 $0.04 VALUE 11000 CREDIT RATE. 0.000 X $0.00 =1 0.000 x $0.00 =1 TOTAL MWMC CREDIT =1 $0.00 $0.00 $0.00