HomeMy WebLinkAboutPermit Building 2000-12-7
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US NATIONAL BANK OF OREGON
FOR DEPOSIT ONLY 1 536 0145 2508
Page1~lnY OF SPRINGFIELD
DEVELOPMENT SERVICES ,DEPARTMENT
L; 07 2000/4991.71/01-0003994
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Job Number: 00-01564-01 ~;/i1f:.
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Job# 00-01564-01
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225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5548 Glacier Dr Spr
Assessors Map#: 18020411
Lot: 42 Block: Addition:
Owner:
Address:
Tax Lot #: .01100
Subdivision: Royal Ridge
Melisa Vahala
84591 Pheasant Lane
Phone Number: 541- 74-6771
City/State/Zip: Pleasant Hill, OR 97455
New Value: $98,922
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
NOTICE:
S PERI"T C'>L' ^ 1 '. "'X"IRF. IF 1"HF. WORK
Contractor THI Registration #. EXl1lratlonNDate
. ,~, IORIL1~~ , 'NDER THIS Pl=RMIT IS U I
Emmanuel Construction & Excavation 54638 1/14/2002R
84591 Pheasant Ln, Pleasant HiII;(0RIIIENCED OR IS ABANDON1:.U rU
97455-9762 ANY 180 DAY PERIOD.
Melisa Vahala
84591 Pheasant Lane, Pleasant Hill. OR
97455
Phone
541-746.8351
541- 74-6771
Deans Heating 133733 2/17/2000
PO Box 462, Cottage Grove. OR 97424 .'
Steves Plumbing 65065 . ',3/12/2002:',( ;JT"~I:~};~342_3765
" _r","II,-,i:)t,UI~t<:.t-:)(i.'.
PO Box 70553, Eugene, OR 97401 '. .. OAi'1952 00 .
'_ '''';>.';;~'I~iilIlLJ InrOlJgn ..' ,
Office Use "Ill may o\Jtair, cople~ 01 lilt; 'h""~~ ~,
." "'or 'h{-,(;~nlel. i\~Oto:.lOetelep o~e
Single FaniiIYOo"'fr'ellulin, ~,l~ \~M?f'~!l!!~.!l'!gs:o\1ficatlon
LDR 'J..I '" 0 '" G .., D II'
'~"':'tiJr'~ ,c~up.mcy~ roup: we '"g
3 . Heat Source:
Sq. Footage: 1087.
541-767-0626
3RSC
1
(VN) Wood Frame
Land Use:
Zoning Code:
Bedrooms:
Range:
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
Required Inspections
I Buildin!l 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.
~,.
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
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 Mechanical
Final Mechanical
SW-Curbside
CC-Standard
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I Job# 00-01564-01 I
Required Inspections
Building
Page 2 of 4
- 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.
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electrical work is complete.
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.
-Alter gravel and filter cloth is installed. but prior to backfill.
-When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
- Prior to cover.
-When all mechanical work is complete.
I Public Works I
-Alter forms are erected but prior to placement of concrete
-Alter forms are erected but prior to placement of concrete
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
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:
Special Instructions:
Other Utilities:
Project Supervisor:
San Sewer Tee (in):
DO/DO/DODO 00:00 AM Bond End DateTime:
ALL STORM DRAINS TO STORM SEWER
Curbside - 5'
D
8
To Storm Sewer
4
DO/DO/DODO 00:00 AM
Types Of Warning Devices Reqd,
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 00-01564-01 I
Overlay District:
# of Street Trees: 3
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
/'
3:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X white
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
panel 1166 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq, Feet)
I Main: 1087 Accessory514
# Of Stories: 1
Current Units: 0
Census Code: Does not apply
Height (feet): 14
Proposed Units:1
Total:1601
Fee
Paid On Receipl#
Plan Check
10/19/2000 3526
Value/Quantity
I
Fee Amount
Residential Plan Check
Total Plan Check
98,922
$279.50
$279.50
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildin!!
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
98,922
$430.00
$30.10
$12.90
$473.00
Wiring Footage 1.000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
1
4
1
$85.00
$60.00
$40.00
$12.95
$5.55
$203.50
Plumbin!!
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
1
$.00
$160.00
$11.20
$4.80
$176.00
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Mechanical
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
1
$4.50
$.00
$.68
$6.00
$9.00
$3.00
$10.00
1
3
1
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Job# 00-01564-01
Page40f4
Fee
Paid On Receipt# Value/Quantity
Mechanical 1
12/07/2000 3994
I
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curb cut
Total Public Works
Public Works
12/07/2000 3994
12/07/2000 3994
J
80
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Total System Development
System Development
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
12/07/2000 3994
24
2,452
29
1
1
1
1
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
12/07/2000 3994
1
Grand Total
Plan Check Type Checked By Date Completed
Initial Review-Res Wendy Stanley 10/25/2000
Engineering-Res Steve Templin 10/25/2000
Planning-Res Liz Miller 11/16/2000
Structural-Res Don Moore 12/04/2000
Comment
Fee Amount
$1.58
$34,76
$60.00
$60.00
$120,00
$588.42
$1,445.94
$507.82
$285.91
$24.33
$10.00
$137.35
$-115.32
$2,884.45
$1,000.00
$1,000,00
$5,171.21
Needs to pick up LDAP and pay fee.
Needed basement engineering and aditional
site elevations, which is what held up the
review
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.
vhH~-r. ~ )).Ju1/1./
S Ig natu re
J':< - 7-00
Date
The following projecf as submitted has the following
zoning, and does not require specific land use
approval. (Z..
Zoning J....D
12-7-00
9}W
225 FIFTH STREET
SPRINGFIELD, OREGON 97~~e
INSPECfION REQUEST: 72R(]liM'rfi~d Signature
OFFICE: 726-3759
1.
LOCATION OF INSTALLATIO~
S~49.> -::::;l.M.J~ /vi,
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LEGAL DES~PTION
JNXL 04~J / 0Ji~ 0
JOB DESCRIPTION
~pp
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor
'"'0./
Address
City
./
Supervisor License Nu~er
Expiration Date /
/'
Constr con~Number
Expiratj" Date
Si~~re of Supervi~ing Electrician
Ovners Name mg.-LiSA tlAlfr+/.-A
Address ~7'15~ I A~Ar')T /d-
City'p~Phone-Z4~-12n
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for' sale, lease or rent.
Ovners Si~ature:
---------------------------------------
DATE:
RECEr'PT II:
RECEIVED BY:
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~~CTRICAL PERMIT APPLICATION
City J~b NUJIlber _/)() - QJ5?~ -f) /
3. COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
. Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Ser~ice or Feeder
~ $ 85.00
'h~f"9
-I- $ 15.00
M
.$ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
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 1000
<-- $ 40.00 :/t200
$ 55.00
$ 80.00
vol ts 'see "B" above
D.
Branch Circuits
. .
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
/~5.(JO
1/_,9.5"
C:;.~.J
2:)'7.5"'Cl
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ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01564-01
NAME OR COMPANY: VAHALA
LOCATION: 5548 GLACIER DRIVE
TAX LOT NUMBER 18-02-04-11-01100
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
1602
LOT SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2451.75
x
$0.240 PER SQ. FT.
$588.42 1
2 SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
29
x
$49.86 PER PFU
$1,445.94 I
~NSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$507.821
$0.00
$507.82 1
x
1.01
x $502.79 PER TRIP
x $502.79 PER TRIP
x
4 SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$285.91
PER FEU
$285.91 1
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$24.33
PER FEU
$24.33 ,
($115.32)1
$10.001
$204.92 1
$2,747.10 1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5 ADMINISTRA TI\I" """.s:,.
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$137.36 I
~T~
:SDC CUURDINATUR
10/25/2000
DATE
TOTAL SDC CHARGES I $2,884.461
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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)
FIXTURES
NEW OLD
2
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASHlETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W ATER STA TION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALUWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
2
UNIT
EQlITV ALENT
2
I
2
3
6
2
6
6
1
3
2
I
2
2
1
6
4
, ,
PLUMBING
FIXTURE
UNITS
4
o
4
o
o
2
o
o
o
o
2
o
2
o
3
o
12
o
o
o
TOTAL PLUMBING FIXTURE UNlTS=1 29
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl
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 $4.74
IMPROVEMENT (IF AFTER ANNEXA TION DATE)
3
3
RATE PER $1,000
ASSESSED VALUE
$L96
$ 1.55
$ 1.36
$ 1.23
$ 1.05
$0.90
$0.75
$0.57
$0.35
$0.15
x 24.329
x
CREDIT TOTAL
$115.32
$0.00
$115.32
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p.~ Willamalane
t, l Park & Recreation District . Job. No. 00-0/56:10(-01
iI'. . SYSTEM DEVELOPMENT CHARGE
WORKSHEET
,
NAME: rvw..;",_ (/ok..lo
ADDRESS: ~~6~1 ~h~~ ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: '5'Sll;l ~ fir'.
Plat Name: r:{?o'1" I 12-,iff Tax Lot Number: 180QJ"O"/1l O~.lOO
1. DEVELOPMENT TYPE; (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
. PHONE: ~'lG~ r1-lcr
STATE: DR. ZIP: 'l1-Ll 55
A. Sinole-F:3milv Detached
Single Family home
Manufactured home not in a park
NO. OF UNITS
X $1,000 per unit = $ \~
B. f'ionle-F:3milv Atf:3r.herl
. ,
NO. OF UNITS
.'
.". . X $924 per unit = $
, '
C. .Multi-Familv Aoartment
NO. OF UNITS X $692 per unit = $
. ., at I:
.. ., la.-,. .. ,~;i\,.l ,I .;.
D. Manufactumcf Homo P:3~
, I
NO. OF UNITS
X $699 per unit <= $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC-payer must furnish proof 01
Willarnalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced for Credit)
$ 1000"""
. f.J-t sJ~
Developmbht Servic:!es Department
City of Springfield
l.;t.. I -It / OQ,
Date'