HomeMy WebLinkAboutPermit Building 2000-3-1
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225 North Fifth Street
Springfield, OR 97477
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1 Job# 99-00939-01 I
Page 1 of 3
TRANS#:01-0000784
DATE:MAR 01 2000
AMT RECD:2 $ 4685.48
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-00939-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6852 Ivy St Spr
Assessors Map#: 18020314
Lot: Block: Addition:
Owner:
Tax Lot #: 00600
Subdivision:
David Blain
3098 Duck Horn
Phone Number: 541-689-6292
City/StatelZip: Eugene, OR 97404
New Value: $138,917
Address:
Scope Of Work: Single Family Residence
Quad Area: 4RSE
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspectiDn 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
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Roofing
Framing
Wall Insulation
Drywall
Final Building
Underground Electrical
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing _
Required Inspections
I Building I
-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 decking.
- Prior to cover,
- Before covering sheathing with finish materials.
-Prior to installing any roof covering.
- Prior to CDver,
- Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
Electrical
. Prior to cover.
- 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.
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq. Feet)
I Main: Accessory:
/'
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Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
Fee
Plan Check Fee
Total Transfered Records
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I Job# 99-00939-01 1
Required Inspections
1 Plumbing
- Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
-When all plumbing work is complete,
1 Mechanical
- Prior to insulation or decking.
- Prior to cover.
- When all mechanical work is complete,
1 Public Works 1
-After forms are ereceted but prior to placement of concrete,
-After excavation is complete, forms and sub base material is in place.
Page 2 of 3
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Paid On Receipt# Value/Quantity
Transferea t<ecords I
07/12/1999 34800 336
Fee Amount
$335.56
$335.56
Building
03/01/2000 784
03/01/2000 784
03/01/2000 784
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
$520.75
$36.45
$15.62
$572.82
138,917
Electrical
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
$85.00
$45.00
$9.10
$3.90
$143.00
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Plumbing
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
$.00
$192.50
$13.48
$5.78
$211.76
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MeChanical
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
1
$4.50
$,00
$1.13
$6.00
$9.00
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3
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Fee
Job# 99-00939.01
Paid On Receipt#
~echanical
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
1
1
Page 3 of 3
Value/Quantity
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Alter/Add to ea Appl Unit or System
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
03/01/2000 784
03/01/2000 784
60
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1994
Total System Development
System Development
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
03/01/2000 784
27
2,212
25
1
1
1
1
S.F. Residence - Willamalane
Total Willamalane SDe
Willamalane SDe
03/01/2000 784
1
Fee Amount
$15.00
$3,00
$10.00
$2.63
$51.26
$60.00
$60.00
$120.00
$513.18
$1,206.75
$491.60
$242.76
$22,05
$10,00
$123.17
$.22.87
$2,586.64
$1,000.00
$1,000.00
$5,021.04
Grand Total
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 of plans will remain on the site at all times during construction,
~.,~~ _-_ '<..- \- (\C\
Signature Date
. JOURNAL .JOB NO. qqocz,cr
A TT ACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
DAVII') MLAI.v
NAME OR COMPANY:
LOCATION:
c::,RS2- T IIY
'S F IL..
DEVELOPMENT TYPE:
BUILDING SIZE:
LOT SIZE
~'1/f' l't ~ 1," :- ,.~'Z-
'Z"7v4Q = ,,,.0
, 0 J.I'O
], STORM DRAINAGE 01'"-' 2.0.,. ," ~
Il'vfPERVIOUS SQ. FT. 2,2/2... X $0.232 PER SQ. FT.
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2. SANITARY SEWER-CITY
NO. OF PFU'S 2-;;-
(See Reverse Side)
X $48.27 PER PFU
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP.
X J. 0 r X $486.73 PER TRIP
X
X $486.73 PER TRIP
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4. SANITARY SEWER-MWMC
A. REIl'vfBURSEMENT COST:
NO. OF FEU'S "J
X Z 42., 7C"PER FEU
. B. Il'vfPROVEMENT COST:
NO. OF FEU'S
X 22 o<;!'ER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOT AL-MWMC SDC
SUBTOTAL (ADD ITEMS [,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE 9f~GE (SUBTOTAL ABOVE) X .05
l(U. . Date: 7-20-9'1
SDC COilrdinator
ATTACH'A.WPD
TOTALSDC
SQ.Ft.
$ "".~. "2..~
L/; 70~\
$ 4"f I . C.d
s
S 2#2...7&:.
S zz..o~
<$ - .L2- .87 >
$ 10.00
$ z:.,~
$ ?4t:. 7, ~I
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$ /2.. ~ ,/7
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$ 2,!::;lfC".. t:..A
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FIXTURE UNIT CALCUW nON TABLE: Number of New FeS X Unit Equivalent = Fixrure ~nils
(NOTE: For remodels, calculate only the. additional fixrures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIV ALENT UNITS
Bathrub....................... .......... ....................... ..............
Drinking Fountain....., ........... ................... ...........,.....
Floor Drain.......... .....,. ......... ...................__. ..____..........
Interceptors For GreaselOiIlSoIidslEtc________......______.
Interceptors For Sand/Auto WashlEtc____.____.......__.__.
Laundry Tub/ClotheswasherlMop Sink__....____...__.....
CIotheswasher - 3 Or More........______...______..__..__.......
Mobile Home Park Trap (I Per Trailer)____.......____....
Receptor For RefrigeratorlWater StationlEtc.______....
Receptor For Commercial.SinklDishwasherlEtc..____
Shower, Single SlaIL.__......,......"'__..______.......__....."..
Shower, Gang.......... ____..... ..________.......'" .....__....,.. ..____
Sink: Bar, Commercial, Residential Kitchen______......
Urinal. Stall/W all..... ____.." ...____.______.__.. ____...__..,.,..,...__
Wash Basin/Lavatory, Single......________...__.......__.......
ToiIel, Public Installation__..__...__.____...__........____.______.
Toilet , Private.,.,............".....__.____......____..__..........,...
Miscellaneous;
2-
t
2
I
2
3
6
2
6
6
1
3
2
IlHead
2
2
1
6
4
4-
'Z-
,.
"2-
3
'"'"
.5
/2-
TOTAL FIA'TURE UNITS
z,C-
CREDIT CALCULATION TABLE: Based on assessed value.
credits separatelv.
" ~~~ed
If improvements occulTed after annexation date in table, calculate
. Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
Year Rate per $1,000
Annexed Assessed Value
1989 2.18
1990 1.75
1991 1.35
1992 Ll7
1993 1..Q3
(1'9.'[4 O.V
1995 0.71 j
1996 0.57
1997 0.39
1998 0.18
Credit for Parcel or Land Only If Applicable 0, II (, X $ ~.<"7o
(Rate X Assessed Value)
Improvement (if after annexation date> X $ =
(Rate X Assessed Value)
77R7
CREDIT TOTAL =$
zz.87.
RUNOFF COEFFICIENTS FOR STORM DR-\INAGE
(For Estimating Purposes Only)
ResidentiaL..__...________........., . 0.4
CommericaL__...__________...____. 0.9
IndustriaL__.______.__.______________ 0.5
GovernmentaL______.____......__ 0.5
FtXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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. P.?lb. Willamalane
t,,,,,!, Park & Recreation District Job. No. '1'la<t~ q
f'V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: 'l\~ R -l~ PHONE: ~~<i.-C:-A(g\
ADDRESS: ~a<; A'~'l.\.c...k\.\~lA ~, _ STATE: On. ZIP: qi~()t{ .
LOCATION OF PROPOSED BUILDING SITE:
Street Addfess: . <0 t\ 5'A "I-...\..u,' h
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Plat Name: \. b~(,\~V-l Tax Lot Number: on bOO
1. PEVEL9PMENT TYPE (Check appropriate dwelling(s). SOC calculalions and dwerfing t
ype delinllions are on the back.) .
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A. SifllllA-FRmllv DAtR~hArl
R Single Family home .
NO. OF UNITS \
Manufactured home not in a park
X $1.000 per unit = $ ~ (;-or l go
B. SiflllIA'-FRmllv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv_Aoartment
NO. OF UNITS
X $692 per unit = $
D. ~nufaQll.!rArl HnmA PRrfi
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDe $
2. sec CREDIT (If appncable) SOCopayer must furtqSh proof of
WiUamalane Credit approval See SOO Credit Wodcshoot. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced for Credit)
$ / CJt}O. ex::>
~R .. .
De~pment Services Department
City of Spfingfield
I
I
Date
The following project as submitted Ms the following
loning, and does not require spe~lflc land use
approval. 1-1::>12.-
225 FIITH STREET Zoning .
SPRINGFIELD, O~gN 97477 ?-t- en:>
INSPECTION REQu'EST: 726-3769 C/<:,.0
OFFICE: 726_375'!1honzed Signature.
1. LOCATION OF INST4LLATION
&'~5Z II/V 50
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LEGAL DESCRIPTION /
/~2. .Q~ /"'? C)t9~D1')
JOB DESCRIPTJPN
~-tl /~ ~ ;).F~
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Permits are non-transferable and expire
if york is not started yithin l80.days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
. Signature of Supervising Electrician
Owners NameJ)~/D Pl-AiJ.. )_
Address~~'fb ]'JHr~A1 N.
Phone..0'-'!l9'- 02"-
City
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f:::l)~ .
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~-~---------------------------~---------
DATE:
RECEIPT #:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9' "7/) 9_ ~ :3
COMPLETE FEE SCHEDULE BELOY
3.
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd' Home,or
Modular. 'Dyelling
Service or 'Feeder
.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
uni t.
Cost
Sum
S 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less f-/'
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
1'1oState SULcharrre
37. Administrative Fee
TOTAL
$ 40.00 '::ID--
$ 55.00
$ 80.00
see "B" above
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$ 2.00
no t included)
40.00
40.00
20.00
$
$
$
$ 36.00'
-41J, "0
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j .7-0
11. t70