The URL can be used to link to this page

Home My WebLink AboutPermit Building 2000-2-17 \ ,- i I 225 North Fifth Street Springfield, OR 97477 . . I Job# 99-01698-01 I Page 1 of4 TRANS#:01-0000621 DATE:FEB 17 2000 AMI RECD:2 $ 4845.75 CHANGE: CASHIER:003 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01698-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6848 Jessica Dr Spr Assessors Map#: 18020314 Lot: Block: Addition: Owner: Address: Tax Lot #: 03200 Subdivision: King Solomon Estates BrianlWendy Humphrys 6892 Frosythia Dr Phone Number: 541-747-3808 City/StatelZip: Springfield, OR 97478 New Value: $133,700 Scope Of Work: Single Family Residence Contractor Humphrys Construction co 6892 Forsythia Dr, Springfield, OR 97478 Antone Electric 37514 Snyder Road, Junction City, OR 97448 Mechanical Contr Deans Heating XI X, X Contractor Type General Contr Electrical Contr Development on west of parcel. Original parcel was divided into two parcels Registration # 134382 Expiration Date 2/1/2000 Phone 541-747-3808 541-688-4444 Plumbing Contr Bmc Mechanical X,X,X 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 Wall Insulation Drywall Final Building Temporary Power 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 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 - 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. 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 Final Mechanical Curbcut Sidewalk Erosion/Grading Inspection . . Job# 99-01698-01 I Required Inspections I:lectrical Page 2 of 4 - 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. I Mechanical - Prior to insulation or decking. -After line is installed and capped if not attached to an appliance. - Prior to cover, -After line is installed and line has been connected to a minimum of one appliance. Pressure tes -When all mechanical work is complete. I Public Works I -After forms are ereceted but prior to placement of concrete. -After excavation is complete, forms and sub base material is in place. LDAP/Grading Fully Improved Improvement Agr.?D Sidewalk Type: Curbside - 5' Additional ROW? D Size Of Line (in): Downspouts/Drains: To Storm Sewer Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: DO/DO/DODO 00:00 A Street Improvement: Curb Cut?EJ San Sewer Depth (Ft): Storm Sewer Available? EJ Special Req.: Security Required: Bond Begin DateTime: DO/DO/DODO 00:00 A Special Instructions: Other Utilities: Project Supervisor: All drainage from roof, foundation and underfloor area shall be directed to Types Of Warning Devices Reqd. . Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 99-04-0098 2: Comments:Partition finaled 12/27/99 I Job# 99-01698-01 I Overlay District: # of Street Trees: 3 3: . Page 3 of 4 Land Use: Single Family Dwelling. Pave Driveway? ~ Additional Requirements: LDAP Required Glenwood Area? D Required Attachments: Drainage Plan Source Locn: Material: Planner: Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Fee Residential Plan Check 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 Temporary: 200 Amps or Less 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 ApplianceVent (Not Covered in Schedul Flood Plain FEMA: # Of Stories: Current Units: Census Code: Does not apply Total: Paid On Receipt# Plan Check 02/17/2000 621 Building 02/17/2000 621 02/17/2000 621 02/17/2000 621 Electrical 02/17/2000 621 02/1712000 621 02/17/2000 621 02/1712000 621 02/1712000 621 Plumbing 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 Mechanical 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 Height (feet): Proposed Units: Value/Quantity I Fee Amount 133,700 $331.18 $331.18 133,700 $509.50 $35.67 $15.29 $560.46 1 3 1 $85.00 $45.00 $40.00 $11.90 $5.10 $187.00 1 $.00 $160.00 $11.20 $4.80 $176.00 1 1 $4.50 $2.00 $.00 $.92 $6,00 $6.00 $4.50 1 2 1 . . Fee Job# 99-01698-01 I Paid On Receipt# [' Mechanical 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 1 1 Page 4 of 4 Value/Quantity Gas Fireplace Dryer Vent Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk Total Public Works Public Works 02/1712000 621 90 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Properly Annexed 1994 Total System Development system Development 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 02/17/2000 621 36 2,944 18 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 02/17/2000 621 1 Plan Review-LDAP/Gr: 101 to 1,000 cu Total LDAP/Grading Grand Total LDAP/Grading 02/01/2000 426 1 Plan Check Type Checked By Date Completed Received Date Don Moore 02/15/2000 Engineering-Res Dennis Ernst 01/07/2000 Planning-Res AlWard 01/12/2000 Structu ral-Res Don Moore 02/16/2000 Fee Amount $4.50 $3.00 $10.00 $2.14 $43.56 $60.00 $60.00 $683.01 $868.86 $491.60 $242.76 $22.05 $10.00 $114.36 $-31.09 $2,401.55 $1,000.00 $1,000.00 $80.00 $80.00 $4,839.75 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 properly, and the ~] set of plans w~ rilin on the s, at all times during construction. In /' f. (!J////I&~2A./2AJ e,///~h) gn re -... I I I Date . JOURNAL ~B NO. qq I t-/I9/ A TT ACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ---1:1 U M. PH'fU;'1"f f'. ~ ;./~"UJ.uc.7'/C}JV LOCATION: /,..,84~ :r~<'~,~A.!.. ,d DEVELOPMENT TYPE: C. ~12 ,;>, BUILDING SIZE: LOT SIZE SQ. Ft. R0q2 16~2'~ ~ 7",""~ 3S-.rS""!> ~ IS 1::> 1. STORM DRAINAGE lov2"- 0 2~" 1 ,\"y,~.E 21 p.l,J ~...,.,'2-4- ~ ~~O IMPERVIOUS SQ. FT. z,Q44- X $0.232 PER SQ. FT. , $ (oI'l3.0( 2. SANITARY SEWER-CITY NO. OF PFU'S I ?l (See Reverse Side) X $48.27 PER PFU $ .s\b8. ~c;, 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP X I J) / X $486,73 PER TRIP $ 4Q.L.&9 X X $486.73 PER TRIP $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S I X ;z. 4-2. ., :: PER FEU L.2...4-2... 7'::' B. IMPROVEMENT COST: NO. OF FEU'S I X 7"7.00::- PER FEU L...z 2 . or MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ - 3 , ,oq > $ 10.00 TOT AL-MWMC SDC $ 243, 7'1- SUBTOTAL (ADD ITEMS 1,2,3 & 4) $~Z~7.lq 5. ADMINT3TRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 L \fe, Date: 1- 7 - "., SDC Coordinator ATTACH'A.wPD $ / /4 , .% TOTALSDC $ 2Aol.~., FIXTURE UNIT CALCUI"'- nON TABLE: Number of New FiX. X Unit Equivalent = Fixture Un.its (NOTE: For remodels, calculate only the .dditional fixtures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................... ................ .......... ......... .............. Drinking Fountain.................. .............................."". Floor Drain............. ................. ............ ......... ............. Interccptors For Grease/Oil/SolidsJEtc..................... Interceptors For Sand/Auto WashlEtc...................... Laundry Tub/ClotheswasherZMop Sink.................... Clothcswasher - 3 Or More....................................:. Mobile Home Park Trap (I Per Trailer)................... Receptor For Refrigerator/Water Station/Etc........... Receptor For Commercial Sink/Dishwasher/Etc...... Shower, Single StalL................................................ Shower, Gang"" ..................... .......... .............. .......... Sink: Bar, Commercial, Residential Kitchen............ Urinal, StalllW alL............. .......... ......uu...... ............ Wash Basin/Lavatory, Single................................... Toilet, Public Installation......................................... Toilet, Private.......................................................... Miscellaneous: '2- 2 I 2 3 6 2 6 6 I 3 2 l/Head 2 2 I 6 4 2.. ?- TOTAL FIXTURE UNITS 4. ~ 2- :3- J! /9: Based on assessed value. If improvements occurred after annexation date in table, calculate CREDIT CALCULATION TABLE: credits separately. I Year Annexed Rate per $1 ,000 Assessed Value Year Annexed 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 1989 1990 1991 1992 1993 ~~A 1995 1996 1997 1998 Credit for Parcel or Land Only If Applicable (;? g,c:. X $ 36./4(" (Rate X Assessed Value) Improvement (if after anoexation date) X $ (Rate X Assessed Value) 31.0"'1 Rate per $1,000 Assessed Value 2.18 1.75 \.35 Ll7 1.03 n 8,6.----") 0.71 0.57 0.39 0.18 CREDIT TOTAL =$ 3'.~ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL......,.."............. 0.4 CommericaL...................... 0.9 IndustriaL................,.......... 0.5 GovernmentaL................... 0.5 F1XUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT :e ,.,. SaGFIELD The. following project as submitted has the following ,mnll1g and does not require specific land use approval . L 225 FIFTH STREET Zoning j) (L SPRINGFIELD, OREGON 9747.],1. d-I'1 -&'!> INSPECTION REQUEST: 726-3'/69 ) OFFICE: 726-3759 Autnorlzed Signature G</ A 3. 1. LOCATION OF INSTALLATION /.,9,~ t...LEso ~ EL1<;CTRICAL PERHITAPPLICATION v~ cy Job Number 99 / ~ c; :b COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION J ~ fCJ 2. D~ /4 ,81.3 2..o-t) JOB DESCRIPTION ~.F:. A7~. 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 4/70/1 ?>. Address :z '7 S-< 'I S' /1.p e y /?,./ Ci tF.-;; t:J "- Phone Supervisor License Number ;J 0 () t:, 5 Expiration Date j/ 0/ a / / n / ( ,-/ Constr Contr. Number .2CJ /SfirC-.- Expiration Date /0 /0//1"') / , /' / ;;Z~ s:v~~an own~ Name W ln~ Hu fYI!?IYi e.s d Address Ci ty Phone ..247- ~~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- 2. -/ 7 -L'T<1 /:, ")..1 . f"J'-n- ~ ".-c.e - , DATE: RECEIPT 11: RECEIVED BY: 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 Cost Sum ~ $'85.00 ~~t>&J ~ $ 15.00 45~ $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less L.--- $ 40.00 ~oo 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B".above C. D. Branch Circuits " New, Alteration or Extension Per Panel One Circuit 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 Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL 1 $ $ $ $ )70.~ / I. 7v <::10 , i' -u:r:Il 7VI' 40.00 40.00 20.00 36.00 ., '\. .. ~,... 'Willamalane '"t'--"1' Park & Recreation District Job. No. Q<1,l(., q e .;,9 SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: \$~~~' PHONE: lq1-~b08 ADDRESS: (.,P....c...2 1F:(~ ~c.,J)U STATE: rm. ZIP: q It.t1.b '-S ~ LOCATION OF PROPOSED BUILDING SITE: Street Address: <0 ~\~ b t ~ ~ ~ \.~ ~ Plat Name: \ t\C~...O:z-.. \L{ Tax Lot Number: O~(j[) . 1. DEVEL9PrY.\ENT TYPI; (Check appropriate dwemng(s). SDC calculations and dwemng t ype definitions are on the back.) . A. S!nole-FAmllv DetMheQ . rC Single Family home NO. OF UNITS l Manufactured home not in a park X $1,000 per unlt =$ I a-uD <;lP.. B. S!nafe'.FAmilv AttAched. NO. OF UNITS X $924 per unit. = $ C. Mufti-FAmilv_Aoartment NO. OF UNITS X $692 per unit = $ . D. ,M~mlJfArnlJred Home p~ NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ 2. SDC CREDIT (If appficable) SDC-payer must tumlsh proof of Willamalane Credit approval See SOC Credit Wotksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SOC reduced for Credit) . $ \~ De\@lopment Services Department City of Springfield 2- I I? I f11) Date