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Home My WebLink AboutPermit Building 2001-2-13 ,.I', I ';:; '. . .- I Job# 00-01778-01 I Page 1 o~'~ANSll: 01'-0004440 DATE:FEB 13 2001 AMT RECD:2 $ 307.89 CHANGE: CASHIER: 059 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety 4Jk1 ~, /g&~ Job Num~: 00-01778-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6936 Glacier Dr Spr Assessors Map#: 18020222 Lot: 9 Block: Addition: 1 Owner: Address: Tax Lot #: 03800 Subdivision: Cascade Heights Brian and Wendi Humphreys 769 71st Street Phone Number: 541-747-3808 City/StatelZip: Springfield, OR 97478 New Value: $212,944 Scope Of Work: Single Family Residence Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor ' 'Registration # Expiration Date , I, Humphreys Construction '.. . , 6892 Forsy1hia Drive, Springfield, OR ~)~,' ")j<:-UU'-UUIII " '.,- 'J..,,,, '~j _ lUlU , . 97478 , '1)3" ')1],,>, unl. u~" " l;,~ Ifll _ ' ,Ir ~."'JI-' , .. ."1,:",,. Brian ,and Wendi Humphreys " I", ': ", ":~II;_, "" 'I;, ' J' ~ _ ,'J___'... " 769 71st Street, Springfield, OR 97478 ' ',- "~j.; ., Deans Heating 133733 PO Box 462, Cottage Grove, OR 97424 BMC Mechanical 648 W Oregon, Creswell, OR 97430 Phone 541-747-3808 541-747-3808 2/17/00 " 'j....~. 541-767-0626 541-895-4575 4RSW 1 (VN) Wood Frame Electric Office Use Land Use: Single Family 8welling # Of Buildings: 1 Zoning Code: LDR' '_'J U"O-n :- "Occul1ancy_Group: Dwelling " 1:" THI - . ''-'''' { Bedrooms: '4'o/lENCEO OR IS S FHel!~!~?,U,~?~:i Forced Air Electric Range: ANVElectric\Jpr- ABANDCSq"Footage: 2719 .......~r ,...0/,...",... ..o.;.uJ-fJI.J -~. 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 Slab Floor Insulation Shear Wall Nailing Framing Required Inspections I Buildinll 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. - To be made after all ins lab building service equipment, conduit piping, and other equipment iter -Prior to decking. - Before covering sheathing with finish materials. - Prior to cover. . , ;;. . Wall Insulation Drywall Hold Downs Installed Final Building Temporary Power Verify Ground Rod Rough Electrical Electrical Service Final Electrical Underfloor Drain Rough Plumbing Shower Pan Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Rough Mechanical Final Mechanical SW-Curbside CC-Standard . Job# 00-0177S..o1 I Required Inspections Buildin!l . - Prior to Cover - Prior to taping. Page 2 of 4 - When all required inspections have been approved and the building is complete. I Electrical I -Approval required prior to SUB energizing pole. -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i - Prior to cover. . -Must be approved to obtain permanent power, - When all electrical work is complete. I Plumbin!l -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. Mechanical - Prior to cover. - 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: 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: Curbside - 5' o 8 To Storm Sewer San Sewer Tee (in): 00/00/0000:00 AM Bond End DateTime: 00/00/0000:00 AM HOOK TO EXISTING STORM SEWER STUB FROM MANHOLE HOOt Types Of Warning Devices Reqd. . , . I Job# 00..01778-01 I . , '" Zoning: LDR Overlay District: FloodPlain? 0 Wetlands? 0 # of Street Trees: 3 Journal numbers 1: 2: 3: Comments:See building permit # 00-01778-03 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 i' Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? 0 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? 0 iArea (Sq. Feet) I Main: 2719 Accessory~549 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): 30 Current Units: 0 Proposed Units:1 Census Code: Does not apply Total:4268 Fee Paid On Receipt# Plan Check 12/12/2000 4016 01/09/2001 4212 ValuelQuantity I Fee Amount Residential Plan Check Hourly Plan Review Total Plan Check 212,944 2 $446.71 $80.00 $526.71 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building , Buildinll 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 212,944 $687,25 $48.11 $20.62 $755.98 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 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 1 7 1 $85.00 '$105.00 $40.00 $16.10 $6.90 $253,00 Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures Three Bathrooms State Surcharge - Plumbing State Surcharge - Plumbing Administrative Fee - Plumbing Administrative Fee - Plumbing 'Total Plumbing Plumbing 01/09/2001 4212 02/13/2001 4440 02/13/2001 4440 01/09/2001 4212 01/09/2001 4212 02/13/2001 4440 01/09/2001 4212 02/13/2001 4440 3 1 $.00 $.00 $30.00 $192.50 $13.48 $2.10 $5.78 $.90 $244.76 Hood and Exhaust Minimum Mechanical Permit Mechanical 01/09/2001 4212 01/09/2001 4212 1 $4.50 $.00 Check 5 foot side setback at corner of house, 30 foot height limit on building. Needs to pick up LDAP permit also. Still need engineering for garage floor structure. 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. - , . Page 4 of4 ."' . Job# 00-01778-01 Paid On Receipt# Mechanical 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 Fee Value/Quantity Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Wood stove Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical 1 4 2,000 1 New Sidewalk New Curbcut Total Public Works Public Works 01/09/2001 4212 01/09/2001 4212 80 1 Residential - Single Family - Storm Sanitary Sewer Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development System Development 01/09/2001 4212 01/09/2001 4212 02/13/2001 4440 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 02113/2001 4440 01/09/2001 4212 27 3,027 30 7 1 1 1 1 S.F. Residence - Willamalane Total Wi llama lane SDC Grand Total Willamalane SDC 01/09/2001 4212 1 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley Steve Templin Liz Miller 12/13/2000 12/14/2000 12/18/2000 Engineering-Res Planning,Res Structural-Res Don Moore 01/09/2001 r-I___....__ n_&_ Fee Amount $1.22 $6.00 $12.00 $15.00 $3.00 $10.00 $2.84 $54.56 $60.00 $60.00 $120.00 $820.18 $1,122.00 $261.80 $810.29 $285.91 $24.33 $10.00 $t47.22 $13.09 $-128.24 $3,366.58 $1,000.00 $1,000.00 $6,321.59 \ . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET II JOURNAL OR JOB NUMBER: 00-01778-01. NAME OR COMPANY: HUMPHRIES LOCATION: 6936 GLACIER TAX LOT NUMBER: 18-02-02-22-03800 ANNEXATION YEAR LANE COUN1Y ASSESSED VALUE (LAND) DEVELOPMENT TYPE; SINGLE FAMILY RESIDENCE I DWELLING UNITS: BUILDING SIZE: SF LOT SIZE: SF III ~~:~~~;~;GIF~I COST PER S.F. J 0.00 $0.271 =1 $0.00 I liTEM I TOTAL - STORM DRAINAGE SDC =1 $0.00 1.1 2...SAMITAllV <:"WFll_ rlTY A. REIMBURSEMENT COST: I NUMBER OF DFU's II COST PER DFU I 7 'i $21.25 =1 .$148.75 B. IMPROVEMENT COST: I NUMBER OF DFU's II COST PER DFU I 7 'I $16.15 =1 $113.05 I - 1 lITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $261.80 3...IB,A l\T<:Pl1llT A nON A. REIMBURSEMENT COST: I ADT TRIP RATE I I NUMBER OF UNITS I 1 COST PER TRIP I,INEW TRIP FACTOR I I 9.57 " 0 1'1 $16,12 I 1.00 =1 $0.00 B. IMPROVEMENT COST: 1 ADT TRIP RATE 1 1 NUMBER OF UNITS I I COST PER TRIP ',' NEW TRIP FACTOR I I 9.57 I" 0 I' $68.55 I I 1.00 =1 $0.00 I - liTEM 3 TOTAL - TRANSPORTATION SDC =1' $0.00 J! 4 SANITARY SEWFll - MWMr A. REIMBURSEMENT COST: I NUMBER OF FEU's I . I COST PER FEU , I 0 I I $285.91 B. IMPROVEMENT COST: I NUMBER OFFEU's I I COST PER FEU , I 0 I I $24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TNE FEE lITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) .LA OMTNTSTllA TJVJ'~ SUBTOTAL I 'I ADM. FEE RATE $261.80 5% =1 $0.00 =1 $0.00 I =1 $0.00 I =1 $0.00 I =1 $0.00 1.1 =1 $261.80 '-I =1 $13.09 I TOTAL SDC CHARGES =1 $274.89 il St- r-;u.. 2/13/01 SOC COORDINATOR DATE , . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE II NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS I (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE ( # NEW ) UNIT FIXTURE # OLD. x = FIXTURE TYPE EQUIVALENT UNITS BATHTUB ( 1 ) x 3 3 DRINK.ING FOUNTAIN ( ) x I 0 FLOOR DRAIN ( ) x 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( ) x 3 0 INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ' ( ) x 6 0 LAUNDRY TUB ( ) x 2 0 CLOTHESW ASHER 1 MOP SINK ( ) x 3 0 CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( ) x 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. ( ) x 1 0 RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC. ( ) x 3 0 SHOWER., SINGLE STALL ( ) x 2 0 SHOWER., GANG (NUMBER OF HEADS) ( ) x 2 0 SINK: COMMERCIALlRESIDENTIAL KITCHEN ( ) x 3 0 SINK: COMMERCIAL BAR ( ) x 2 0 SINK: DOMESTIC BAR ( ) x 1 0 WASH BASIN ( ) x 2 = 0 LAVATORY ( ) x I 1 URINAL, STALL 1 WALL ( ) x 5 0 TOILET, PUBLIC INSTALLATION ( ) x 6 0 TOILET, PRIVATE INSTALLATION ( ) x 3 = 3 MISCELLANEOUS DFU TYPE NUMBER OF EDO's' ( ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 7 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD'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 $1,000 II YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 19790RBEFORE $4.74 1990 $1.96 1980 $4.65 1991 SI.55 1981 $4.59 1992 SI.36 1982 $4,46 1993 $1.23 1983 $4.30 1994 SI.05 1984 $4.14 1995 SO,90 1985 S3.93 1996 SO.75 1986 S3,63 1997 SO,57 1987 S3,26 1998 SO.35 1988 S2,85 1999 SO.15 1989 S2.40 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/1000 CREDITRATE 0.000 x $4.74 =1 0.000 x $4.74 =1 TOTALMWMCCREDIT =1 $0.00 $0.00 $0.00 II 1 I,