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Home My WebLink AboutPermit Building 2002-1-18 . . 'l .~, ~ 225 North Fifth Street Springfield, OR 97477 . . I Job# 01-01420-01 I Page 1 of 5 TRANS#:01-000?828 DATE: JAN 18 2002 AMT RECD:2 $ 5559.77 CHANGE: CASHIER: 001 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01420-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6679 Jacob Ln Spr Assessors Map#: 17023411 Lot: 110 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: Springfield, OR 97477 New Value: $125,590 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: SFR. same as 3320 Watermark #01-00817-01 Contractor RegistratioMPT~m~~r~tiQnH Date.XPIREPrh!l.'l~ WORK THISP ~T~ All-I: ,. . Tom Wirfs Enterprises Inc 32947 6 OD04UNDERTHR.,4j1i?I'l-~H87,04~OT AUTHORIZ ' Po Box 237, Springfield, OR 97477 CEO OR IS ABANDONED FOR Bills Electric 21351 COMW~~{fW~ERIOD 541-687-1851 3170 West 11th Street, Eugene, OR ANY 180 A . Home Comfort Heating & Air Conditioning 84164 6/25/2003 Po Box 24205, Eugene, OR 97402 BMC Plumbing 103570 12/15/2002 541-895-3758 648 W Oregon Ave, Creswell, OR 97426 . I _.~'l ,0I\l:Ore90n law reqUUtl: yu~ . , .'n", ........ .>ttnntlHl bv the Oree.:1 Utllll, Office Use ~ .otilicallon Center. Those rules are set fC" o QAR 9!i2;.Clq,j-001 0 throu..Qh OAR 952-", . Land Use: Single Family D~I~(ll. Y03 ~a'9''O~\!MW!!oplas of the rU!f3S tl'o' Zoning Code: LOR callinlRF.5~ ~l!pg,~~ne Bedrooms: 3 numbe~t~lJn Utility Nolificallol"' . Range: ~l1fulo.ta'geOO-:-'I:$9l2344), :"; ;~\ ~ r, 541-345-2838 4RNE 1 (VN) Wood Frame 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. Site Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Required Inspections I Buildinll I - To be made after excavation but prior to selting forms. -Install ground rod at footing. and call for inspection in conjuction with footing and/or foundation 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. l .- Wall Insulation Drywall Bolts installed in concrete Hold Downs Installed 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 Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Insert Final Gas Final Mechanical SW-Curbside CC-Standard . I Job# 01-01420-01 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 -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 andlor 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. - When all plumbing work is complete. 1 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 te~ -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 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: Project Supervisor: 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 00/0010000 00:00 AM Bond End DateTime: 00100/000000:00 AM NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRA~ Types Of Warning Devices Reqd. -~ . I Job# 01-01420-01 I . Page 3 of 5 Land Use: Single Family Dwelling Pave Driveway? 0 Zoning: LDR FloodPlain? 0 Wetlands? D Journal numbers 1: 1997-06-0142 2: 3: Comments:City determined flood plain - FEMA elevation cert. required Overlay District: Floodplain Overlay # of Street Trees: 2 Additional Requirements: Required Attachments: Source Locn: Material: Planner: Jim Donovan Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: See Above Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D rArea (Sq. r, ,t) I Main: 1595 AccessoryFl50 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 Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee. Mechanical Less than 100,000 BTU Vent Fan to One Duct Gas Fireplace Flood Plain FEMA: Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 18 Current Units: Proposed Units:l Census Code: New SF - detached Total:2045 Paid On Receipt# Plan Check 12/26/2001 7609 Value/Quantity Fee Amount 2 $90.00 $90.00 BuildinQ 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 125,590 $650.15 $45.51 $52.01 $747.67 Electrical 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 1 3 1 $.00 $106.00 $57.00 $50.00 $14.91 $17.04 $244.95 PlumbinQ 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 1 $254.00 $17.78 $20.32 $292.10 Mechanical 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 01/18/2002 7828 1 3 $9.00 $4.00 $.00 $4.64 $12.00 $18.00 $9.00 1 3 1 c .' . 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 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 Lisa Hopper Steve Templin Engineering-Res Planning-Res Liz Miller Structural-Res Bob Barnhart Job# 01-01420-01 . Page 4 of 5 Paid On Receipt# Value/Quantity Fee Amount r Mechanical I 01/18/2002 7828 1 $6.00 01/18/2002 7828 $10.00 01/18/2002 7828 $4.06 $76.70 Public Works 01/18/2002 7828 90 $65.00 01/18/2002 7828 1 $65.00 01/18/2002 7828 1 $-30.00 $100.00 System Development 01/18/2002 7828 3,621 $988.40 01/18/2002 7828 1 $34.83 01/18/2002 7828 1 $10.00 01/18/2002 7828 $144.78 01/18/2002 7828 1 $332.86 01/18/2002 7828 1 $659.76 01/18/2002 7828 1 $155.13 01/18/2002 7828 19 $406.03 01/18/2002 7828 19 $308.56 $3,040.35 Willamalane SDC 01/18/2002 7828 1 $1,000.00 $1,000.00 Planning 01/18/2002 7828 1 $50.00 $50.00 Permits w/o Srchg 01/18/2002 7828 1 $8.00 $8.00 $5,649.77 Date Completed Comment 12/31/2001 01/09/2002 NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRASTRUCTURE. 24' MAXIMUM DRIVEWAY THROAT WIDTH 01/08/2002 Called Tom Wirfs to determine if LDAP needed. FEMA Elevatin certificate required. 01/08/2002 . I Job# 01-01420-01 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 approved set ~ill remain on the site at all times during construction. / .h/~ z.. Signature Da~ j CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER: 01-01420-01 NAME OR COMPANY: COZY HOMES LOCATION: 6679 JACOB LANE TAX LOT NUMBER: 17-02-34-11-03200 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: 1 BUILDING SIZE: 0 SF LOT SIZE: ~. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM II IMPERVIOUSS.F'I"I COSTPERS.F. 1 3620.50 $0.273 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS [I IMPERVIOUSS.F'IXI COSTPERS.F. Ixl DISCOUNTRATE I 0.00 $0.273 50% I I ITEM I TOTAL -STORM DRAINAGE SDC 7, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I ,I COST PER DFU 19 $21.37 B. IMPROVEMENT COST: lNUMBER OF DFU's I ,I COST PER DFU 19 1 $16.24 I liTEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION . . o SF =1 $988.40 =1 =1 $0.00 $988.40 =1 $406.03 =1 =1 l CIl ~ Ci o U ~ ~ CIl I-< t) ~ I" I 1070 1091 $308.56 J 1092 $714.59 J A. REIMBURSEMENT COST: I ADTT:~~RATE HNUMBER10F UNITS I xl COS;I:~~ TRIP HNEWTRII.~ACTORI=I B. IMPROVEMENT COST: I ADTT:~~RATE HNUMBE~IOFUNIT~H COS;:SE9: TRIP HNEWTRII~~ACTORJ=I liTEM 3 TOTAL. TRANSPORTAl'1ON SDC 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's 1'1 COST PER FEU 1 $332.86 B. IMPROVEMENT COST: I NUMBER OF FEU's 1,1 COSTPERFEU 1 $34.83 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS I, 2, 3, & 4) - - 5. ADMINISTRATIVE FEE: SUBTOTAL ,I ADM. FEE RATE $2,895.57 5% =1 TOTAL SDC CHARGES =1 $155.13 =1 $659.76 $814.89 s:r- ~ SDC COORDINATOR 1/9/2002 DATE =1 $332.86 =1 $34.83 I =1 $0.00 I =1 $367.69 I =1 $IO.OO----.J =L~69 "11. =1 $2,895.57 I I $144.78 $3,040.35 1093 1094 I I 1055 1056 I 11073 J r . . DRAIN~GE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CAlCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE ( # NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( I 0 ) x 3 = 3 DRINKING FOUNTAIN ( 0 0 ) x 1 = 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 ( 1 0 ) x 3 = 3 CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0 MOBILE HOME PARK TRAP (1 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 ( 1 0 ) x 2 = 2 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 ( 2 0 ) x 1 = 2 URINAL, STALL I 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 EDD's' ( 0 0 ) x 20 = 0 TOTAL DRAINAGE FIXTURE UNITS =1 19 *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 CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARA TEL Y YEAR ANNEXED r--t979 OR BEFORE I 1980 1 1981 I 1982 1 1983 1 1984 r 1985 1 1986 1 1987 1 1988 I 1989 CREDIT RATE PER $1,000 II ASSESSED VALUE $4.92 $4.83 $4.77 $4.64 $4.47 $4.30 $4.09 $3.78 $3.41 $2.98 $2.52 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION) YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE 1990 $2.06 1991 $1.64 1992 $1.45 1993 $l.31 1994 $1.13 1995 $0.97 1996 $0.82 1997 $0.63 1998 $0.41 1999 $0.22 2000 $0.04 VALUE/lOOO CREDIT RATE 0.000 X $0.00 = I 0.000 X $0.00 = 1 TOTAL MWMC CREDIT =1 $0.00 $0.00 $0,00