HomeMy WebLinkAboutPermit Building 2000-11-9
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I Job# 00-01615-01 I
Page 1 of 3
TRANS#:01-0003750
DATE:NDV 09 2000
AMT RECD:2 $ 404.91
CHANGE:
CASHIER:059
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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: 00-01615-01
Office: 726-3759
Inspection Line: 726-3769 *
Tax Lot #: 03400
Subdivision:
Location Of Proposed Site: 1575 Kelly Blvd Spr
Assessors Map#: 17032741
Lot: Block: Addition:
Owner:
Address:
Michael Falls
1575 Kelly Blvd
Phone Number: 541-746-5612
City/State/Zip: Sprigfield, OR 97477
Addition Value: $15,599
Scope Of Work: Bedroom
Bedroom and Bath
Singlel5:amily Dwelling , # Of Buildings: 1
LD.BNs~CGNOoN ClI("cc:.~l{}'CY Group: Dwelling
){/Jr.A .JJWI:i3r-'<'oI1t/.b'&ttSHeat.sou%"e:L F,orced Air Electric
Q\.#I:A ~ '-J\J,. -VI'':'"",,,''\ v~
Range: Electnc.:iH./...://...", 1:i3c,Sg. Footajje:'/A'r224
::J,...,J_.~_ 'v,lrr...._ . 'VII'I )'"\
--'''l I7ttJ.i .--<.,,::tOJ./ I" -
To request an inspection call the 24 hour recording at 726-3769. All inspections reqUlfstElqe~fOre''7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be m.ade'tne1OIJpwing
working day. ::t:JIJ.ON
Required Inspections
Buildin!l
-After trenches are excavated!l(-.,
-After forms are erected bu~p'ri()r,t(u:oncretll,PJacement.
- Prior to floor insulation of'dl;Cking'.~ t..'f:lrije
-Prior to decking. v090. y~~ -007-007 I flU::'t u .
-Prior to cover. Cal/ilm/"tnaYObtp'.ot/JroU9n'''<~'
-Before covering sheathrng'\Yith'/finish:materi~~s?O'PI'e_ OtlA <.}_,
~c fO "C' (IV .' Of ~c.
-Prior to cover. " rtheOre' ote. th Ih" "11:,." :
- Prior to Cover Cenleris 1 '901) Utitt c lelepflo .
- Prior to taping. -aOO-33.'/!! Notiticat:l~
- When all required inspections have been approved';r1'd~e bu'iiliing is complete.
Contractor Type
General Contr
Electrical Contr
I
,
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Final Electrical
Contractor
Michael Falls
.1575 Kelly Blvd, Sprigfield, OR 97477
Michael Falls
1575 Kelly Blvd, Sprigfield, OR 97477
Registration # Expiration Date
Phone
541-746-5612
541-746-5612
Office Use
1RNW
1
(VN) Wood Frame
Electric
Land Use:
Zoning Code:
Bedrooms:
Electrical
- Prior to cover.
- When all electrical work is complete.
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I Job# 00-01615-01 I
Required Inspections
Plumbing
Page 2 of 3
Rough Plumbing
Final Plumbing
- Prior to cover.
-When all plumbing work is complete.
Mechanical
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Zonin'g: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Pave Driveway? D
3:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1141 of2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: 224 Accessory:
# Of Stories: 1
Current Units: 1
Census Code: Does not apply
Height (feet): 14
Proposed Units:1
Total:224
Fee
Paid On Receipt#
Plan Check
11/01/2000 3664
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
15,599
$75.73
$75.73
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
15.599
$116.50
$8.16
$3.50
$128.16
Branch Circuits W/O Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
4
$41.00
$2.87
$1.23
$45.10
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
4
$.00
$40.00
$2.80
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Page 3 of 3
Job# 00-01615-01
Fee
Plumbing Administrative Fee
Total Plumbing
Paid On Receipt#
Plumbing
11/09/2000 3750
Value/Quantity
I
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
1
Residential - Single Family - Storm
Sanitary Sewer
SDC Administrative Fee
Total System Development
Grand Total
System Development
11/09/2000 3750
11/09/2000 3750
11/09/2000 3750
224
2
Plan Check Type
Date Completed
Comment
Checked By
Initial Review-Res
Wendy Stanley
Steve Templin
Liz Miller
11/01/2000
11/03/2000
11/08/2000
Engineering-Res
PlaDning-Res
Structural-Res Wendy Stanley 11/01/2000 Pending eng and planniDg approvals
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 plaDs will remain on the site at all times during construction.
~r~.' -?a,
Signature <----"'"
J 1- 9- '2I'Jd"';
Date
Fee Amount
$1.20
$44.00
$12.00
$.45
$3.00
$10.00
$1.05
$26.50
$53.76
$99.72
$7.67
$161.15
$480.64
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DEVELOPMENT SERVICES DEPARTAf!GN,~g. and does not require specific la 225 FIFTH STREET
approval.,(-. SPRINGFIELD. OR 97477
Zoning W (541) 726.3753
Date 1/- q- ~_ I' FAX(541) 726-3689
. ~ ELECTRICAL PERMIT APPLICATION
97477 Authorized Signature
726-3769 City Job Number
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ik'
LOCATION OF INSTALLATION
""'" 15"'7, k e //'-/ I> (t/J,
/
LEGAL DESCRI~ION
J 7'03 d-. ,,?l..{) 03 4 M.>
JOB DESCRIPTION
AM.'\-,""" {J:r;-",,?,
Permits are non-traDsferable and expire
if work is Dot started within 180 days
of issuance or if work is suspended for
180 days.
2,
CONTRACTOR INSTALLATION ONLY /
CODtractor
/'
Address
City
Supervisor
ExpiratioD
EI~cian
Owners Name .AI ,10 //0'" i u....- Fc:.jl S"
Address_1S"7S" !l~(('7 (JIb"
City.<:.:"',I(,""~/~/';' Phone 7Y6~5'//2,
) OVNER INSTALLATION
The iDstallation is being made on
property I own which is Dot iDtended
for sale, lease or rent.
Owners Signature:
...\" #1/...... ..:" ~_-4_ ~<
---------------------------------------
DATE:
l\..to....t..lYl- I:
RECEIVED BY:
3, COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additioDal 500
sq. ft or portion
thereof
Each MaDuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C, Temporary Services or Feeders
IDstallation, Alteration or RelocatioD
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D, Branch Circuits
~New, Alteration or ExtensioD Per Panel
$ 35.00 77
A
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permi t '?
2.00
c, CO
$
E, Miscellaneous (Service/feeder Dot included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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5. SUBTOTAL OF ABOVE 4] .
7%. State Surcharge ?" 'J.
3% Administrative Fee [.~~
TOTAL tI"i) {T
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
DWELLING UNITS:
1 STORM J)RAINAGF.
IMPERVIOUS SQ. FT.
2 SANITARV SFWFI?_rTTV
NUMBER OF PFU's
(SEE REVERSE SIDE)
00-01615-01
FALLS
1575 KELLY BLVD
17-03-27-41-03400
BUILDING SIZE:
LOT SIZE:
224.00
$0.240 PER SQ. FT.
x
2
$49.86 PER PFU .
x
1...IRANSPORT moo
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
o
x
x
UANITARY SFWFR - MWM'r
A. REIMBURSEMENT COST:
NUMBER OF FEU's
B. IMPROVEMENT COST:
NUMBER OF FEU's
1.01
x $502.79 PER TRIP
x $502.79 PER TRIP
TOTAL TRANSPORTATION SDC
o
$285.91
PER FEU
x
o
$24.33 PER FEU
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
\
TOTAL MWMC SDC
\
5....o.0MTNISTRATIVF FFFS'
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
BASE CHARGE (SUBTOTAL ABOVE) x
stm Tony/in
SDC COORDINATOR
0.05
11/3/00
DATE
TOTAL SDC CHARGES I
$53.76 ,
$99.72 I
$0.00 I
$0.00
$0.00 I
$0.00 I
$0.00 I
$0.00 I
$0.00 I
$0.00 I
$153.48 I
$7.67 I
$161.151
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC.
INTERCEPTORS FOR SANDIAUTO W ASHlETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
Ci.OTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
. SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALUWALL
WASH BASINILA VA TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
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FIXTURES
NEW OLD
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
1
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
2
o
o
o
o
o
o
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I
2
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CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARATEL
YEAR RATE PER $1,000 YEAR
ANNEXED ASSESSED VALUE ANNEXED
1979 or before $4.74 1990
1980 $4.65 1991
1981 $ 4.59 1992
1982 $4.46 1993
1983 $4.30 1994
1984 $4.14 1995
1985 $3.93 1996
1986 $3.63 1997
1987 $3.26 1998
1988 $ 2.85 1999
1989 $ 2.40
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$1.96
$1.55
$ 1.36
$1.23
$1.05
$0.90
$0.75
$0.57
$0.35
$0.15
x
x
$0.00
$0.00
CREDIT TOTAL $0.00