The URL can be used to link to this page

Home My WebLink AboutPermit Building 2001-2-23 " . . Job# 01-00029-01 Page 1 of4 TRANS#:01-0004534 DATE:FEB 23 2001 AMT RECD:2 $ 5130.65 CHANGE: CASHIER: 003 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00029-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6813 Ivy St Spr Assessors Map#: 18020314 Lot: 69 Block: Addition: Owner: Address: Tax Lot #: 02600 Subdivision:South Hills Kris Johnson Construction Phone Number: 541-988-4977 City/State/Zip: Springfield, OR 97478 New Value: $162,583 Scope Of Work: Single Family Residence 489 S 37th St Contractor Kris Johnson Construction 489 S 37th St, Springfield, OR 97478 Bear Mountain Electric L1c Po Box 912, Creswell, OR 97426 Mechanical Contr Pioneer Oil Contractor Type General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: SFR Registration # 133181 Expiration Date 1/9/2002 Phone 541-988-4977 136298 8/6/2001 541-895-8833 503-254-8585 x,x,x Fridlund Plumbing X, Eugene, OR 97407 541-746-9433 4RSE 1 (VN) Wood Frame Gas Office Use Land Use: Single Family Dwelling Zoning Code: LOR Bedrooms: 4 Range: Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1656 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 Wall Insulation Required Inspections 1 BuildinR 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 floor insulation or decking, .Prior to decking. - Prior to cover. - Before covering sheathing with finish materials. - Prior to cover. . Prior to Cover Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?O 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: Drywall Final Building Temporary Power Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Sanitary Sewer Cap Perimeter Foundation Drains Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical SW-Curbside CC-Standard . . Page 2 of 4 I Job# 01-00029-01 I Required Inspections Building - Prior to taping. - When all required inspections have been approved and the building is complete. I Electrical I -Approval required prior to SUB energizing pole. 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, -Capped within five feet of the property line and capped with an approved material as required b -After gravel and filler cloth is installed, but prior to backfill. -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 -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: San Sewer Tee (in): Bond End DateTime: Curbside - 5' o 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. . 1 Job# 01-00029-01 1 Overlay District: # of Street Trees: 2 . Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: 3: Comments:Hlllside lot - Needs to turn in application for LDAP Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? D Quantity Of Fill: Supplier: Drainage: , Floodway FEMA: Zone X White Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 4 Handicap Access? D rArea (Sq. r,,1) Main: 1656 Accessoryll48 Fee Residential Plan Check Additional Plan Check Hourly Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Minimum Plumbing Permit Fee Three 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 Each Additional Outlet Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1167 of 2975 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): Current Units: 0 Proposed Units:1 Census Code: Does not apply Total:2104 Paid On Receipt# Plan Check 01/09/2001 4208 02/23/2001 4534 02/23/2001 4534 Value/Quantity 123,539 57 3 Buildinll 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 162,583 Electrical 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 1 Plumbinll 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 1 Mechanical 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 1 1 1 4 1 Fee Amount $316.55 $57.04 $100.00 $473.59 $574.75 $40,23 $17,24 $632.22 $40.00 $2.80 $1.20 $44.00 $,00 $192.50 $13.48 $5.78 $211.76 $4,50 $2.00 $.00 $.98 $6,00 $12,00 $.50 . Fee Gas Fireplace Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut Total Public Works 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 S.F, Residence. Willamalane Total Willamalane SDC Grand Total Plan Check Type Checked By Initial Review-Res Wendy Stanley Engineering-Res Steve Templin Planning-Res Liz Miller Structural. Res Wendy Stanley Structural-Res Don Moore Job# 01-00029.01 . Page 4 of 4 Value/Quantity Fee Amount I 1 $4,50 1 $3.00 $10.00 $2,28 $45.76 60 $60,00 1 $60.00 $120.00 2,320 $628.72 28 $1,047.20 1 $810,29 1 $285.91 1 $24.33 1 $10.00 $139.04 24 $-25.62 $2,919.87 1 $1,000,00 $1,000.00 $5,447.20 Paid On Receipt# Mechanical 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 Public Works 02/23/2001 4534 02/23/2001 4534 System Development 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 02/23/2001 4534 Willamalane SDC 02/23/2001 4534 Date Completed Comment 01/17/2001 01/17/2001 02/15/2001 2/2/01 . Applicant turned in applicaIion for LDAP. In review process. LM Need foundation engineering. Structural review has not been completed.1/25/01 Structural review complete 2/13/01 02/02/2001 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. kdY~ ' 7-Z3-ot ~~ ~ DUPLICATE RECEIPT DUPLICATE RECEIPT '.> ======================================== CITY OF SPRINGFIELD 225 FIFTH STREET SPRINGFIELD. OR 97477 (541)726-3753 ========~=============================== WELCOME TO DEVELOPMENT . SERVICES ANO'PUBLIC WORKS =============~=====~==================== REG-RECEIPT:Ol-0004534 C:FEB 23 2001 CASHIER 10:003 9:32 am A:FEB 23 2001 ====================~=================== 1002 BUILDING PERMIT JOB#:01-00029-01 1099 STATE SURCHARGE(7~) JOB#:01-00029-01 1098 ADMIN FEE(3~) JOB#:01-00029-01 1004 ELECTRICAL PERMIT J08#:01-00029-01 1099 STATE SURCHARGE(7~) JOB#:01-00029-01 1098 ADMIN FEE(3%) JOB#:01-00029-01 1006 MECHANICAL PERMIT JOB#:01-00029-01 1099 STATE SURCHARGE(7~) JOB#:01-00029-01 1098 ADMIN FEE(3~) JOB#:01-00029-01 1087 MECHANICAL ISSUANCE JOB#:01-00029-01 1005 PLUMBING PERMIT JOB#:01-00029-01 1099 STATE SURCHARGE(7%) JOB#:01-00029-01 1098 ADMIN FEE(3%) JOB#:01-00029-01 1061 PLAN CHECK/RES , JOB#:01-00029-01 $574,75 $40,23 $17.24 $40,00 $2,80 $1.20 $32,50 $2,28 $O,9B $10,00 $192,50 $13,4B $5,78 $157,04 '" ) r) 1012 CURB CUT PERMIT $60,00 JOB#:01-00029-01 1013 SIDEWALK PERMIT $60.00 JOB#:01-00029-01 1070 SDC/STORM $628,72 JOB#:01-00029-01 1071 SDC/SANITARY SEWERS $1,047,20 , JOB#:01-00029-01 1072 SDC/TRANSP $810,29 J08#:01-00029-01 1055 SDC/RESIDENTIAL SAN $284.62 JOB#:01-00029-01 1056 SDC/REGIONAL SEWER $10.00 JOB#:01-00029-01 1060 PLAN CHECK/COMM $0,00 JOB#:01-00029-0l 1073 SDC/ADMIN $139.04 JOB#:01-00029-01 , 1074 SDC/VHLLAMALANE $1,000,00 JOB#:01-00029-01 ----------------- , TOTAL DUE $5,130.65 I RECEIVED FROM: KRIS JOHNSON CONSTRUCTION CHECK: $5,130,65 ----------------- TOTAL TENDERED $5,130,65 ----------------- CHANGE DUE $0,00 ================~======================= *Pay Name :KRIS JOHNSON CONSTRUCTION *Mail Addr :4B9 S 37TH STREET *Cty/St/l :SPRINGFlELD OR 9747B *Site Addr :6813 IVY STREET ======================================== ======================================== THANK VOU!!!!!! ======================================== DUPLICATE RECEIPT DUPLICATE RECEIPT . . . . DRAINAGE 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 I ( # NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATH1lJB ( 2 ) x 3 6 DRINKING FOUNTAIN ( ) x 1 0 FLOOR DRAIN ( ) x 3 0 INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC, ( ) x 3 0 INTERCEPTORS FOR SAND I AUTO WASH I ETC. ( ) x 6 0 LAUNDRY 1lJB ( ) x 2 0 CLOTHESW ASHER I MOP SINK ( ) x 3 3 CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( ) x 12 0 RECEPTOR FOR REFRlG I WATER ST A nON I ETC, ( ) x 1 0 RECEPTOR FOR COM. SINK I DISHWASHER I ETC, ( ) x 3 0 SHOWER, SINGLE STALL ( 2 ) x 2 4 SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0 SINK: COMMERCWJRESIDENTIAL KITCHEN ( ) x 3 3 SINK: COMMERCIAL BAR ( ) x 2 0 SINK: DOMESTIC BAR ( ) x I 0 WASH BASIN ( ) x 2 0 LAVATORY ( 3 ) x 1 3 URINAL, STALL I WALL ( ) x 5 0 TOILET, PUBLIC INSTALLATION ( ) x 6 0 TOILET, PRIVATE INST ALLA TION ( 3 ) x 3 9 MISCELLANEOUS Dru TYPE NUMBER OF EDlJ's' ( ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 28 *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 nON TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y YEAR CREDIT RATE PER S I ,000 '1 YEAR CREDIT RATE PER S I ,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR BEFORE $4.74 1990 $1.96 1980 $4.65 199t $1.55 t98t $4.59 1992 $1.36 t982 $4,46 1993 $1.23 t983 $4.30 1994 $1.05 t984 $4.14 1995 $0.90 t985 $3.93 1996 $0.75 1986 $3.63 1997 $0.57 t 987 $3.26 1998 $0.35 t988 $2.85 1999 $0.15 t 989 $2.<0 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE 24.400 x SI.05 ~I 0.000 x SI.05 =1 TOTAL MWMC CREDIT =1 S25.62 J: $0.00 $25.62 . . . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET I JOURNAL OR JOB NUMBER: 01-00029-01 NAME OR COMPANY: KRIS JOHNSON CONST LOCATION: 6813 NY STREET TAX LOT NUMBER: 18-02-03-14-02600 ANNEXATION YEAR 1994 LANE COUNTY ASSESSED VALUE (LAND) S24,400 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE . . DWELLING UNITS: 1 BUILDING SIZE: 2104 SF LOT SIZE: SF LSIQRM DR AINAGE I IMPERVIOUS S.F. 1"1 COST PER S,F, II 2320.00 $0.271 I [ ITEM I TOTAL - STORM DRAINAGE SDC 2 SANITARYSFWFR.rUY. =1 $628.72 I I =1 $628.72 111 A. REIMBURSEMENT COST: I NUMBER OF DFU's I" I COST PER DFU I 28 $21.25 B. IMPROVEMENT COST: I NUMBER OF DFU's I" I COST PER DFU I 28 , S16.15 I I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3:..mANspnRT A TTnN =1 S595.00 =1 $452.20 I =1 $1,047.20 II ~ A. REIMBURSEMENT COST: I ADTTRIPRATE IxlNUMBEROFUNITSlxl COST PER TRIP IxlNEWTRIP FACTOR I I 9.57 ' I SI6,I2 1.00 1=1 B. IMPROVEMENT COST: I ADT ~ RATE HNUMBER ~F UNITS H COS~:SE~ TRIP '- - - lITEM 3 TOTAL - TRANSPORTATION SDC 4 SANITARY SEWER - MWMC A. REIMBURSEMENT COST: I NUMBER OF FEU's 1..1 COST PER FEU I 1 S285.9I B. IMPROVEMENT COST: I NUMBER OF FEU's I" I COST PER FEU I I S24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TNE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) $154,27 I x I NEW TRIP FACTOR I 1.00 1=1 =1 S656,02 $810.29 I, II =1 $285.91 II =1 S24,33 I =1 (S25.62) I =1 SIO,OO II =1 $294.62 II =1 S2.780.83 I ,LADMINTSTR A TTVF FFF' SUBTOTAL S2.780.83 1..1 ADM. FEE RATE 5% =1 $139,04 I II l -. s:t- ~ 1/17101 SDC COORDINATOR DATE TOTAL SDC CHARGES = $2,919.87 . . . . JOB DESCRIPTION T~^^(' ,p~ 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 Electrical Contractor Address City Phone Supervisor License Number Expiration Date 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION City Job Number 0(-000Z1-0/ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 200 amps or less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits The following projecf as submitted has the followlng 225 FIFTH STREEionlng and does not require specific land use SPRINGFIELD, 0RE'a'8tr~7 4 7,~ __ L.t>(2...> INSPECTION REQUEST: nll-9n;~.... '?> ~' OFFICE: 726-375jhte -:2-.-' ......~_>' 1. LOCATION OF ~gpit'UIf'Wwa t, !?/1 /'7" LEGAL DESCRIPTION J ~ &1 2- I) ~ I ~ ~ 2...~ 6>-t>::J 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling 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 Items Sum Cost $ 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 Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name iL,r,< ~ol,,"'5"'''''''' ? 7 --t .b-- Address '1r;'l. 5~ Ci tYyfA~'''''- f J Phone 'f7J''l - q "1 ? 7 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~ -----~-------------------------------- DATE: '2 - "? ""3 - /'}I RECEIPT II: - RECEIVED BY: $ 40.00 ~ <m.. $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One, Circui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder '-Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 40. <>0 2..~ I,~f) .A )I b'f> II . 40.00 40.00 20.00 36.00 . . . . Job. No. 61-0t;029-~/ SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~~ U:N5'T ADDRESS:~q S. 37~ Sr; PHONE:.-!j.b9:> -1-'977 STATE: 6A ZIP: 9741tJ LOCATION OF PROPOSED BUILDING SITE: Street Address: ("P.; I '2, I vy ~T. Plat Name: Tax Lot Number: 19xJ2-6~!1- 07--?t}() 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculalions and dwelling t ype delinilions are on the back.) A. flinlJlp.-F::1milv Df1I;>..ffie.d ~Single Family home NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ ~ B. Sinolp.-F::1milv_At1BcheQ NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MBnllfBctllmrl Home PBrl\ NO. OF UNITS WILLAMALANE SDC X $699 per unit co $ $ 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED, (It SDCreduced for Credit) $ /01) 0 Development Services Department City of Springfield Z I Z"g lOr Date