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Home My WebLink AboutPermit Building 2001-1-9 , I . . " " . .' I Job# 00-01778-01 I Page 1 of 4 TRANS#:01-0004212 DATE:JAN 09 2001 AMT RECD:2 $ 5566,99 CHANGE: CASHIER: 059 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01778-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 6936 Glacier Dr Spr Assessors Map#: t8020222 Lot: 9 Block: Addition: 1 Address: 769 71 st Street Scope Of Work: Single Family Residence QIl~ ^~'IJ New '(\O\'03d ^~~~\";\~~o':) 1<1 S\ 'OU U"- Orll.\ \'1 !:\-::1,~OG~".IS C~(\ C37.\'d S\rll. Contractor Type..\O~Contract(li;l. '03 :<:IriS l.\V'I'03d O~ General Contr. O~S\ H~~t~r;y's~C6~ruction'.-a';)\l,; t. _\\\ ~\_ )"OON'6892 Forsythia Drive, Springfield, OR . 97478 Owner: Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Tax Lot #: 03800 Subdivision: Cascade Heights Brian and Wendi Humphreys Phone Number: 541-747-3808 Springfield, OR 97478 Value: $212,944 City/State/Zip: Registration # Expiration Date Phone 541-747-3808 Brian and Wendi Humphreys 769 71st Street, Springfield, OR 97478 Deans Heating 133733 ," PO Box 462, Cottage Grove, OR 97424,,,,~ . "'\ '\1,,\ BMC Mechanical, ,leU' I'" ',' ")0" .........\ ,}.",\..' ...."',' \~-l\\ ,,' >I\. " 648lN,Oregon, peswell, OR\97430,G\ ,....r 10 .~..r '~J"I~\ . ". ,'l\.'C.o~'''' . C'\,,~ , " ..>1 . aI.lV~; 3\\\ It.. ''2:,:'''' i'\~Office Us~ .... ,',I '0, sax "''lJO~ ,<;0',\ .' , 4RSW :()(\"z~~ ":\1 :;a\(1~~~~,~ Use: ,. Single Family Dwelling 1 . fA \"" 00;>10 'Zoning Code: LDR --"\\l . (VN) Wood Frame 'Bedrooms: 4 Electric Range: Electric 541-747-3808 2/17/00 541-767-0626 541-895-4575 # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 2719 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 Buildin!l I - To be made after excavation but prior to selling forms. -Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i -After trenches are excavated. -After forms are erected but prior to concrete placement. - To be made after all inslab building service equipment, conduit piping, and other equipment iter .Prior to decking. - Before covering sheathing with finish materials. - Prior to cover. 'I - Wall Insulation Drywall 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 . I Job# 00-01778-01 I Required Inspections Building . Page 2 of 4 - 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. -Install ground rod at footing, and call for inspection in conjuction with footing andlor foundation i -Prior to cover. - Must be approved to obtain permanent power. - When all electrical work is complete. I Plumbing -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 Street Improvement: Fully Improved Curb Cut?[?] Improvement Agr,?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? [?] Special Req.: Security Required: Bond Begin DateTime: Special Instructions: Other Utilities: Project Supervisor: Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: Curbside - 5' o 8 To Storm Sewer San Sewer Tee (in): 00100100 00:00 AM Bond End DateTime: 00/00/0000:00 AM HOOK TO EXISTING STORM SEWER STUB FROM MANHOLE HOOf Types Of Warning Devices Reqd, , . I Job# 00-01778,01 I . Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 Zoning: LDR Overlay District: FloodPlain? 0 Wetlands? 0 # of Street Trees: 3 Journal numbers 1: 2: 3: Comments:See building permit # 00-01778-03 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:l Census Code: Does not apply Total:4268 Fee Paid On Receipt# Plan Check 12/12/2000 4016 01/09/2001 4212 Value/Quantity 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 Buildin!l 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 Three Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbin!l 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 1 $.00 $192.50 $13.48 $5.78 $211.76 Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Wood stove Mechanical 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 01/09/200t 4212 1 $4.50 $.00 $1.22 $6.00 $12.00 $15.00 1 4 2,000 . . Job# 00-01778-01 . Page 4 of 4 Value/Quantity Fee Amount 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 aMd set o~lan~;Yrain on ~ site at all times during construction. /1...I.l//. jJ. (# -,~~~ ({/-/)q -Q/ Signature- ~ I' / -. Date Fee Paid On Receipt# Mechanical 01/09/2001 4212 01/09/2001 4212 01/09/2001 4212 1 Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical 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 Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development System Development 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 01/09/2001 4212 27 3,027 30 1 1 1 1 S.F. Residence - Willamalane Total Willamalane SDe Willamalane SDC 01/09/2001 4212 1 Grand Total 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 $3.00 $10.00 $2.84 $54,56 $60.00 $60.00 $120.00 $820.18 $1,122.00 $810.29 $285.91 $24.33 $10.00 $147.22 $-128.24 $3,091.69 $1,000.00 $1,000,00 $6,013.70 . . p.'~ Willamalane t,,,,!, Park & Recreation District Job, No. oO-~I~~g-ol ,...., SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: Br~......~ fJ~ t1.....:'lon~ 'J t i. .'" ~ . I ADDRESS: +6q ~I$+ ~"',rl~ LOCATION OF PROPOSED BUILDING SITE: PHONE: 1l/:r~380i" STATE: OJt ZIP: qT-<l).R Street Address: 6~~6 (;.1ll.L.U.A Dr Plat Name: Tax Lot Number: Jgo~O;!Q.;) ()~^ 1. DEVELPPMENT TYPE (Checkappropna(e dwelling(s). SDC calculations and dwclling ( ypc dclinllions are on (he back.) A. SinaIA-F::Jmilv DAlached Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 per unit = ,$ l/lna B. .SinoIA-F::Jmilv Alt::Jr:hArl . , ' NO. OF UNITS X $924 per unit = $ C. .Mulfi-Familv Aoartment NO. OF UNITS X $692 per unit = $ " , " D. ManufaclllrArl Homfl P::Jrk. I 'j' I NO. OF UNITS X $699 per unit '" $ $ ," WILLAMALANE SDC 2. SDC CREDIT (If applicable) SOc-payer muslfumlsh proof of Willamalanc Credit approval. See SDC Credit Workshoet. $ !' ., ~ I . . _ ..J ,- I' 3. TOTAL WILLAMALANE NETSDC ASSESSED (II SDC reduced for Credit) $ I "tjO , OG. fJ~ HJ Developmd'fit Servn5es Department City of Springfield la I I~ I M Date CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER: 00-01778-01 NAME OR COMPANY: HUMPHREYS LOCATION: 6936 GLACIER DRNE TAX LOT NUMBER: 18-02-02-22-03800 ANNEXATION YEAR ' 1960 LANE COUNfY ASSESSED VALUE (LAND) DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: I BUILDING SIZE: 4268 SF LOT SIZE: I' <'0'" n..,,",o' 1 IMPERVIOUS S.F. I, I COST PER S.F. 1 3026.50 $0.27 I I ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANlTAllv<;"WPll-rITY- A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I "1 COST PER DFU I 30 $21.25 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I" 1 COST PER DFU 1 30 $16.15 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC . .1...I.RAN<;POllTA TTON A. REIMBURSEMENT COST: 1 ADTTRlPRATE I 'INUMBER OF UNITS 1,1 I 9.57 1 I B. IMPROVEMENT COST: I ADT TRIP RATE I ,I NUMBER OF UNITS I, I 1 9.57 1 1 rmM 3 TOTAL - TRANSPORTATION SDC ~ANlTARY<;FWPR-M~ A. REIMBURSEMENT COST: 1 NUMBER OF FEU's I" I COST PER FEU I 1 I $285.91 B. IMPROVEMENT COST: 1 NUMBER OF FEU's I' I COST PER FEU I' I I $24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMlNISTRA TIVE FEE I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3,&4) 5 ADMINISTRATJVF 1'1'1" SUBTOTAL $2,944.47 1,1 ADM.FEERATE 5% - ~ T-r4 SDC COORDINATOR 12/14/00 DATE . $27,055 SF =1 $820.18 I =1$820.t8 l =1 $637.50 =1 $484.50 -..11 =1 $1,122,00 I COST PER TRIP I I NEW TRIP FACTOR I $16,12 I' 1.00 =1 $154.27 COST PER TRIP $68.55 I" I NEW TRIP FACTOR I 1.00 =1 =1 $656.02 --1 $810.29 , =1 $285.91 =1 $24.33 I =1 ($128.24 ) I =1 $10.00 I =1 $192.00 --1 =1 $2.944.47 I =1 TOTAL SDC CHARGES 1 II II $147.22 $3,091.69 . . 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 ( # NEW # OLD ) x EQ=ENT = FIXTURE FIXTURE TYPE UNITS BA TH1lJB ( 2 ) x 3 = 6 DRINKING FOUNTAIN ( ) x 1 0 FLOOR DRAIN ( ) x 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS 1 ETC. ( ) x 3 0 INTERCEPTORS FOR SAND 1 AUTO WASH / ETC. ( ) x 6 0 LAUNDRY TUB ( ) x 2 = 0 CLOTHESW ASHER 1 MOP SINK ( 2 ) x 3 6 CLOTHESWASHER - 3 OR MORE (EA) ( ) x 6 = 0 MOBILE HOME PARK TRAP (I PER TRAILER) ( ) x 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. ( ) x 1 = 0 RECEPTOR FOR COM. SINK 1 DISHWASHER / ETC. ( ) x 3 0 SHOWER, SINGLE STALL, ( ) x 2 2 SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0 SINK: COMMERCIAURESIDENTIAL KITCHEN ( ) x 3 3 SINK: COMMERCiAL BAR ( ) x 2 = 0 SINK: DOMESTIC BAR ( ) x 1 0 WASH BASIN ( ) x 2 = 0 LAVATORY ( 4 ) x 1 4 URINAL, STALL 1 WALL ( ) x 5 0 TOILET, PUBLIC INST ALLA TION ( ) x 6 0 TOILET, PRNATE INSTALLATION ( 3 ) x 3 9 MISCELLANEOUS OFU TYPE NUMBER OF EOD's. ( ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 30 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons peT day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION OA TE, CALCULATE CREDIT SEP ARA TEL Y YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR BEFORE $4,74 1990 $1.96 ' 1980 $4.65 1991 $1.55 1981 $4.59 1992 $1.36 1982 $4.46 1993 $1.23 1983 $4.30 1994 $1.05 1984 $4.14 1995 $0.90 1985 $3.93 1996 SO,75 1986 S3.63 1997 $0.57 1987 $3.26 1998 S0.35 1988 $2,85 1999 $0,15 1989 S2,40 II CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE /1000 CREDIT RATE 27.055 x $4.74 =1 0.000 . x $4.74 =1 TOTAL MWMC CREDIT =1 $128.24 $0.00 $ I 28.24 . DEVELOPMENT SERVICES DEPARTMENT,,, t 11 'ng The tollowing proJect as submitted h~~ the 0 OWl , and dOBS not require specific land use zoning, approval., LX) (2... 225 FIFTH STREET Zomng SPRINGFIELD, OREGON 97&.?tt \_"1-0 \ \ INSPECTION REQUEST: 726-3769, ;::>>...) OFFICE: 726-3759 Au,,"onzed Signature t. LOCATION Or INSTALLATIO'~hh. N- 9 C:;1.y-'0( ry-, (r~r~ Icllj\<...,. A, . F'\~ t:Y'\ LEGAL DESCRIPTION, , 1<6' a -;:) ()d ;)~ tfP.K()Q JOB DE.5..CRIPTIO,N ~:-:; I.:;::.os.."\QPI\( 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 Supervisor Expiration Dat 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 ELECTRICAL PERMIT APPLICATION r<tyJob Number 3. COMPLETE FEE SCHEDULE BELOV ()O~ 0 I =l-:t-I?..or " ,-- New Residential-Single or Mul ti-Family per dwelling uni t. Service Included: Items Cos t Sum 1000 sq.ft. or less ~ $ 85.00 ~ Each additional 500 sq. ft or portion thereof 7 $ 15.00 /O~ Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits $ 50.00 $ 60.00. $100.00 $130.00 $300.00 $ 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 C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Date ature of Supervising Electrician Owners Name,Bn Qr\ (l1y:I...Y-\; ~l ~~ Address 7C-,Q / I ~ \...~ Ci t~jlYfli~ _Phone ,l.\ I-~ , OVNER ~N ' The installation is being made on property I own,which is not intended for sale. lease or rent: , OwnrSlignatu~,rj/ /J f( lJ OJ ./'UVff A( ~ d>y7 DATE~----------~------~----~- RECEIPT II: RECEIVED BY: $ 40.00 $ 55.00 '$ 80.00 volts see "B" LiO above 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 $ $ $ $ ~'$V,6D /?"/O /...>'0 , ""l~",l!>o .,' ----Z::;v,-". .- 40.00 40,00' 20.00 36.00 "