HomeMy WebLinkAboutPermit Building 2000-4-12
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I Job# 00-00367 -01 I
Page 1 of 4
TRANS#:01-0001211
DATE:APR 12 2000
AMT RECD:2 $ 4931.68
CHANGE:
CASHIER: 004
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00367-01
Office: 726.3759
Inspection Line: 726-3769
Location Of Proposed Site: 6840 Ivy St Spr
Assessors Map#: 18020314
Lot: 23 Block: Addition:
Owner:
Address:
Tax Lot #: 00700
Subdivision: South Hills North
Kevin Jones
Phone Number: 541-726-6979
City/State/Zip: Springfield, OR 97478
New Value: $152,212
Scope Of Work: Single Family Residence
6856 Holly St
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Kevin Jones
6856 Holly St, Springfield, OR 97478
Rose Corporation
89976 Day Lane, Eugene, OR 97402
Deans Heating
X, X, X
Registration # Expiration Date
Phone
541-726-6979
54431 9/30/2000
541-686-0905
Rs Plumbing Contractor Inc 103816
2234 Dakota St, Eugene, OR 97402-1018
1/4/2000
541-461-4714
Office Use
4RSE
1
(VN) Wood Frame
Electric
Land Use:
Zoning Code:
Bedrooms:
Range:
Single Family Dwelling
LDR
5
Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 2036
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.
Footing
Foundation
Post and Beam
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Required Inspections
I Buildin!!
-After trenches are excavated,
-After forms are erected but prior to concrete placement.
.Prior to floor insulation or decking.
-Prior to cover.
- Before covering sheathing with finish materials.
- Prior to cover.
. Prior to Cover
. Prior to taping.
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: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
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 Gas
Final Mechanical
Sidewalk
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I Job# 00-00367-01 I
Page 2 of 4
Required Inspections
I Buildin!! I
- 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,
1 Plumbin!!
. 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,
1 Mechanical
- Prior to insulation or decking,
- Prior to CDver.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te~
-When all gas work is complete.
-When all mechanical work is complete,
Public Works
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Storm Sewer
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2000-03-0047 2: 3:
Comments:2 paved 9x18 off.street parking spaces are required
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Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill: 150 cy
Supplier:
Drainage:
Floodway FEMA: n/a
I Job# 00-00367-01 I
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Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Overlay District:
# of Street Trees:
2
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Glenwood Area? D
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 5
Handicap Access? D
iArea (Sq. r d)
I Main: 2036 Accessory576
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
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
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 2 Height (feet): 30
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2612
Paid On Receipt#
Plan Check
03/07/2000 854
Value/Quantity
Fee Amount
2
$80.00
$80.00
Buildinll
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
152,212
$552,25
$38.66
$16.57
$607.48
Electrical
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
1
3
$85.00
$45.00
$9,10
$3,90
$143.00
Plumbinll
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
1
$,00
$160,00
$11,20
$4.80
$176.00
Mechanical
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
1
1
$4,50
$2.00
$.00
$.74
$6,00
$9,00
$3.00
$10.00
1
3
1
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Job# 00.00367-01
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Fee
Paid On Receipt#
Mechanical
04/12/2000 0001211
Page 4 of 4
Value/Quantity Fee Amount
I
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
Total Public Works
Public Works
04/12/2000 0001211
60
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
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
04/12/2000 0001211
28
3,539
25
1
1
1
1
S,F, Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
04/12/2000 0001211
1
Plan Review-LDAP/Gr: 101 to 1,000 cu )
LDAP/Grad Prmt: 101 to 1,000 cu yds
Total LDAP/Grading
Grand Total
LDAP/Gradinll
03/08/2000 855
03/08/2000 855
1
150
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural.Res
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
03/08/2000
03/14/2000
03/15/2000
03/20/2000
$1.72
$36.96
$60,00
$60.00
$820,93
$1,206.75
$491.60
$242.76
$22,05
$10.00
$138.49
$-24.34
$2,908.24
$1,000.00
$1,000.00
$80,00
$44,00
$124.00
$5,135.68
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 cDmpliance with ORS 701,055 will be used on
this project.
I further agree to ens e that all requ' d inspections are requested at the proper time, that each
address is readab rom the stree (that the permit card is located at the front of the property, and the
appro zed s 0 ans will remai on the site at all times during construction, , /
n<<"'~ ( ---/ L - 00
Sign ture" Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00367-01
NAME OR COMPANY: KEVIN JONES
LOCATION: 6840 IVY STREET
TAX LOT NUMBER 18-02-03-14-00700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
LOT SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
3538.50
x
$0.232 PER SQ, FT.
$820.93 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
25
x
$48.27 PER PFU
$1,206.75 1
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486,73 PER TRIP
x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
SO.OO
$491.60 I
4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's
x
S242,76
PER FEU
S242.76 1
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
S22.05
PER FEU
$22.05 1
($24.34)1
$10.00 1
S250.4 7 I
S2,769.75 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS I, 2, 3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)
x
0.05
$138.49 I
S~~OR
...1."("",,",,
DA'i'E'
TOTAL SDC CHARGES I
$2,908.24 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR REMODE"~ CA1,CtJl.ATE ONLV THE NET ADDITIONAL FIXll1RES\
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASWETC,
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URJNAL,STALLAVALL,
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
1
6
4
3
3
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
2
o
2
o
3
o
12
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 25
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984.
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4,32
$4,20
$4.03
S3.88
$3.68
$3,38
S3.03
S2.62
RATE PER SI,OOO
ASSESSED VALUE
S2,I8
SI.75
S 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.86
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
28,300
.$24.34
- $0,00
CREDIT TOTAL S24.34
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approval, I n
974n Zoning- ~::I::l -:;:J
726 3769 ~ "kJ
Date -
S' nature
AUthOrized Ig, 3 .
1. LOCATION ,OF INSTALLATION
6'Bl../O 1..1/11 s-r
LEGAL DESCRIPTION
, ~o 'd-.O :') 1'--1 (Y) -=l---(:E)
225 nFTU STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB DESCRIPTION
sr:R
Permits are non-transferable and expire
if work is not started within 180 days'
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor ~~~ ~~~
AddressR9'97b' /JelV ~a/V~
r--Y '
City .E/;~~Ne Phone.:.6.P.b'-oQ05"
Supervisor License Number ~~~~
Expiration Date /0///0/
~ C.
Constr Cont.. Number S4"~~/
Expiration Date q /.:56/ tJt2
,
Signature o~i:ing E~rician
/~-,'P?~.
Ownel-s Name ~n:..^ '";j ~
Address' h<6' Sb ~10 0-t
City2pEkL q9+l,]5phone +-::JC-ffi,Tf
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent;
Owners Signature:
---------------------------------------
DATE: 4'-/7'c;?a
RECEIPT ft: ~ -?'7 / / '
RECEIVED BY: /~ ~ .
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. EI,ECTRICAL PERMIT APPLICATION
-:Ci ty Job Number (j(),()(J3(,7{) /
COMPLETE FEE SCHEDULE BELOV
'.
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A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.'
. ~:
Items
1000 sq.ft. or less I
Each additional 500
sq. ft or portion ~
thereof /
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
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
Reconnecr' Only
Cost
Sum
$ 85.00 ~
$ 15.00 4 5
,
:1
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see nB"
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above
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New, Alteration or Extension Per Panel
$ 35.00
..;i::.i
,: ~
";
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One \'::ircui t,
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
5% State Surcharge
3% Administrative Fee
TOTAL
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11
$ 2.00
not included) '~1
S 40.00
S 40.00
S 20.00
$ 36.00
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.. ~1''''Willamalane
'"t, ""f' Park & Recreation District Job. No. -po. (t) ~.Df>
fV SYSTEM DEVELOPMENT CHARGE I
. WORKSHEET
NAME: ~OJJLI\ ~O r:0 PHONE: Wn.( oq19-
ADDREss:\tnQ.-,~\O~\\\\ ~~}STATE:~ZIP: 0-'4-15
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \...o~4D ...~.\l\.~ ~-\{:~ Or
Plat Name~\rt\\ \\\ \\~ \~T~ Lot Number: \ ~f:)'1.....D~ \4- OOltJ)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinnlfl-Fflmilv DfllfIC,:hflO
\ Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $ ---.lIXfJ .00
S. Sinnlfl-Fflmilv Attached
NO. OF UNITS
X $924 per unit
$
C. Mulli-Familv AOflrtmflot
NO. OF UNITS
X $692 per unit = $
D. Manufactured H(\mp PI'lJt
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \roo ,CD
j2f
$ Jr[J) dJ
$
2. SDC CREDIT (II applicable) SOc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
/
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit
I I
Developmen rvi~\ Department Date
City of Springfield