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HomeMy WebLinkAboutPermit Building 2001-11-29Job#01 -01 RESIDENTIAL PERMIT City Of Springfietd Community Services Division Building Safety Page 1 of 4 TrAt ff a/'oooz3ru; NoZ Zt zb/lssy'alo A*%e:ooS 225 North Fifth Street Springfield, ORgT4TT Location Of Proposed Site: 6g76 Simeon Dr Spr AssessorsMap#: 17023411 Lot: 52 Block: Addition:2 Job Number: 0'1 -01209-01 Office:726-3759 lnspection Line: 7 26-37 6g Tax Lot#: 03200 Subdivision: Levi Landing Owner: Bob Bagget Address: 4536 Glacier Dr Scope Of Work: Single Family Residence SFR Phone Number: City/State/Zip: New 541-521-7006 Springfield, OR 97478 Value: $128,875 Gontractor Type GeneralContr ElectricalContr Contractor Registration # Bob Bagget 4536 Glacier Dr, Springfield, OR 97478 Steve Hauck Electric 147618 828 S 46th Street, Springfield, OR 97478 Bob Bagget 4536 Glacier Dr, Springfield, OR 97478 Bob Bagget 4536 Glacier Dr, Springfield, OR 97478 Expiration Date 01/30/2003 Phone 541-521-7006 541-741-1085 541-521-7006 541-521-7006 To request an inspection call the 24 hour recording at726-3769. 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. Required lnspections Building Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wal! Nailing Framing Wall lnsulation Drywall Roof Sheating/Nailing Final Building Temporary Power Verify Ground Rod -lnstall ground rod at footing, and callfor inspection in conjuction with footing and/or foundation ir -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. -Before covering sheathing with finish material. -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole. -lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir CITY OF OREGON Mechanical Contr Plumbing Contr Rough Electrical Electrical Service FinalElectrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical FinalMechanical SW-Curbside GC-Standard Job# 01-01209-01 Required lnspections Electrical -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. -When all plumbing work is complete' -Prior to insulation or decking. -Prior to cover. -When all mechanicalwork is complete Public Works -After forms are erected but prior to placement -After forms are erected but prior to placement Page 2 of 4 of concrete of concrete Street lmprovement: Fully lmproved Curb Cut?f lmProvement Agr'? San Sewer DePth (Ft): 6 ' 4 Storm Sewer Avaitable? f Sidewalk TYPe: Additional ROW? Size Of Line (in): DownsPouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' 8 To Curb and Gutter 6 00/00/0000 00:00 AM 00/00/0000 00:00 AM NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRAS TYPes Of Warning Devices Reqd' Zoning: LDR FloodPlain? [Wetlands? [ Journal numbers 1: Comments: Planner:Sam Gollah Urban Growth Boundary? QuantitY Of Fill: SupPlier: Drainage: FloodwaY FEMA: V-White Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: OverlaY District: # of Street Trees Land Use: Single FamilY Dwelling Pave DrivewaY? g 2 32: Flood Ptain FEMA:1 166 of 2975 Special Req.: SecuritY Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project SuPervisor: Mechanigai Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main:1675 Accessory360 Job# 01-01209-01 Accessory Structure # Of Stories: 1 Height (feet): 22 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2035 Page 3 of 4 Fee Residential Plan Check Total Plan Check Paid On Receipt# Value/Qu Plan Check 1110712001 7201 128,875 Fee Amount $428.94 $428.94 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 1112912001 1112912001 11t2912001 7378 7378 7378 128,875 $659.90 $46.1 I $52.79 $7s8.88 Electrical Minimum Electrical Permit Fee Minimum Electrical Permit Fee Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical State Surcharge - Electrical Administrative Fee - Electrical Administrative Fee - Electrical Total Electrical 1110712001 1112912001 1112912001 1112912001 1110712001 1110712001 1112912001 1110712001 11t2912001 7201 7378 7378 7378 7201 7201 7378 7201 7378 1 3 1 $.00 $.00 $106.00 $57.00 $50.00 $3.50 $11.41 $4.00 $13.04 $244.95 Plumbing Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 1112912001 1112912001 11t2912001 11t29t2001 7378 7378 7378 7378 1 $.00 $254.00 $17.78 $20.32 $292.10 Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Tota! Mechanical Mechanical 1112912001 1112912001 1112912001 1112912001 1112912001 1112912001 11t2912001 7378 7378 7378 7378 7378 7378 7378 $9.00 $18.00 $3.60 $12.00 $6.00 $10.00 $3.15 $61.75 I 2 1 New Sidewalk New Curbcut Multiple Permit Discount - 2nd Permit Total Public Works Public Works 1112912001 1112912001 1112912001 7378 7378 7378 60 1 1 $65.00 $65.00 $-30.00 $100.00 Residential - Single Family - Storm 1112912001 7378 2,960 $808.08 Job#01 -01Fee S.F. Residence - Willamalane Total Willamalane SDC Willamalane SDC 11129t2001 7378 Page 4 of 4 Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Devetopment Paid On 11t29t2001 11/29/2001 11t29t2001 11t29t2001 11t29t2001 11129t2001 11t29t2001 11129t2001 7378 7378 7378 7378 7378 7378 7378 7378 1 1 Fee Amount $34.83 $10.00 $137.64 $332.S6 $659.76 $155.13 $427.40 $324.80 $2,890.50 1 1 1 20 20 $1,000.00 $1,000.00 Plan Planning Plan Review Total Planning 11129t2001 7378 I $50.00 $50.00 Permits w/o Srchg Address Assignment Total Permits w/o Srchg 11t29t2001 7378 1 $8.00 $8.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Signature Checked By Lisa Hopper Steve Templin Sam Gollah Don Moore Date Completed 11t14t2001 1112612001 11119t2001 1112912001 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 that all required inspections are requested at the proper time, that each address is that pla the permit card is located at the front of the property, and the site at all times during construction. $5,835.12 Comment NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRASTRUCTURE Date 1 approved 225 FUT'TISTREET ffi il8ffi fi,'ff T,.',,,:uT.,u, OFFICE: tze-stsi $ \IT ELECTR]CAL PERMIT APPLICATION CityJob Number 1. LEGAI-DESCRIPTION 3, CO}IPLETE EEE SCHEDULE BELOW A. New Residential-Siagle or Multi-Family per dwelling unit. Service Included: Permits are non-transferable and expire if work is not started within 1g0 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elearical conrmdor s7EuE___ppuc.k aaar"r, 828 5 4oS 5, city$E-f;.A_Phone I -e L5 Supervisor License Number ss7? .S E4piration Date ffto-| - zoo3 Constr Contr. Number i tJ +A lP Expiration Date 1-Sa -2oo3 Signature of Supervising Electrician 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof EachManufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 arnps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampVvolts Reconnect Only Items Cost Sum t $106.00 IpLo Pa 3 $re.oo -A@ $ 50.00 $ 63.00 $ 75.00 $r25.00 $163.00 $375.00 $ s0.00 {cg5tg Owners The installation is being made on prqpefty I own which is not intended for sale, lease or rent. C. Temporary Senrices or Feeders hstallation, Alteration or Relocation 200 arnps or less 201 amps to 400 amps Over 401 to 600 .mps I s69.00 $100.00 Over 600 amps or 1000 volts see t'B" above D. Branch Circuits New Alteration or Extension Per Panel One Circuit $43.00 Each Additional Circuit or with Service or Feeder Permit $ 3.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 Sigrr/Outtine Lighting $50'00 Limited Enerry/Comm $45'00 Minimum Electric Pemit Inspection F'ee is $45.00 * Surcharges 5. SUBTOTALOFABOVE TohState Srucharge 8% Atlminisrative Fee 4 lL ?,3- 6 qg,{ c,q,-\D[noQu$-Pno*5I]ICD]e OwNEn INST\LLATION W4? 13I3t - Owners Signature: TOTAL tt1.+s CITY OF SPRTNGFIELI .STEMS DE JOURNAL OR JOB NIIMBER 0l-01209-01 VELOPMENT CHAR WORKSTIEET NAME OR COMPANY: LOCATION: TAX LOT NTIMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS BAGGET 6876 SIMEON DRIVE 17 -02-34-1 t -03200 SINGLE FAMILY RESIDENCE 1 BUILDING SIZE: 203s SF LoT SIZE: 5702 SF DISCOUNT RATECOST PER S.FIMPERVIOUS S.F 5O7o$0.2730.00 IMPERVIOUS S.F 2960.00 COST PER S.F $0.273 $808.08 xx RUNOT ' ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1. STORM DRAINAGE DIRECT RT]NOFF TO CITY STORM SYSTEM ITEM l TOTAL. STORM DRAINAGE SDC $324.80 16. ffiBER oF DFU's -COST PER DFU $21.37 $427.40x x COST:A.REIMBURSEMENT B IMPROVEMENT COST: $752.20SDCSEWERARYSANITALCITYTOT,,ITEM FACTORTRIPNEWCOST PER TRIPUNITSOFNUMBER 76RATETRIPADT1 19 ADT TRIP RATE 9.51 NUMBER OF I.INITS 1 COST PER TRIP $16.2 1 NEW TRIP FACTOR 1.00 155.13xxx xxx A. REIMB URSEMENT COST: B COST: ATION SDCTTRANSPORALTOT3ITEM .83 .00 $367.69 $10.00 NuNasBn or FEU's I COST PER FEU --s::z6q_ $332.86 NUMBER OF FEU'rS COST PER FEU $34.83 x x IMPROVEMENT COST: A. REIMB B. URSEMENT COST: -l = = IF APPLICABLE (SEE REVERSE)MWMC CREDIT &CREDIT SUBTOTAL OF MWMC REIMBURSEMENT' ADMINISTRATIVE FEEMWMC $377.69 SDCSEWERARYSANITCMWMALTOT4ITEM 752.86 TOTAL 4&2I )3,ITEMS(ADDSUB RATEFEEADM.$r37.64SUBTOTAL 57o x $2,890.50 (t) E]ooU &r!F(t) (, E]& r070 1091 1093 1073 to92 1094 1055 1056 ty26l200l TOTAL SDC CHARGES5t/4,oTur.$;,r- SDC COORDINATOR DATE 20 DRAINAGE FIXT 3 UNIT CALCULATION T, MWMC CREDIT CALCULATION TABLE:BASED ON COUNTY ASSESSED VALUE NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FD(URE UNITS CALCULATE ONLY THE NET ADDITIONALFOR NO. OF FIXTURES DRAINAGE FIXTURE UNITS (*NEW # OLD ).UNITFIXTURE TYPE BATHTUB ( ( ( ( ( ( ( 2-0 0-0 0-0 0-0 0-0 0-0 l-0 0-0 0-0 )x )x )x )x )x J 6DRINKING FOLINTAIN 1FLOOR DRAIN 0 JINTERCEPTORS FOR GREASE / OIL /SOLIDS /0 ETC.J 0INTERCEPTORS FOR SAND/ AUTO WASH /ETC.6LAUNDRYTUB 0 CLOTHESWASHER /MOP SINK )x )x )x )x )x )x 2 0 CLOTHESWASHER - 3 OR J JMORE (EA)( ( 6 0MOBILE HOME PARK TRAP (l PER RECEPTOR FOR REFRIG/WA t2 0TER STATION/ETC (o-o(o-o(-b-----(o-o 0RECEPTOR FOR COM. SINK/DISHWASHER/ETC. SHOWER, SINGLE STALL J 0 q4NG (NUMBER OF HEADS))x )x 2 0 SINK:l-0 0-0 0-0 0-0 2-0 0-0 2 0KITCHEN( ( ( ( ( ( )x )x )x )x )x )x )x JSINK:COMMERCIAL BAR -l 2SINK: DOMESTIC BAR 0 WASH BASIN 1 0 LAVATORY 2 0 URINAL,STALL/WALL 2 TOILET, PUBLIC INSTALLATION (0-0(2-o 5 0 TOILET, PRIVATE INSTALLATION 6 0 MISCELLANEOUS DFU TYPE )x J 6NLIMBER OFEDU's* ( o - 0 )x 20 0 *EDU (Equivalent Dwelling ls TOTAL DRAINAGE FIXTURE at 167 gallons UNITS _ per day Unit)a discharge equivalent to a single family dwelling unlt (20 DFU's)set 20 $0.00 $0.00 YEAR ANNEXED I 1980 198 I 1982 1983 I 984 1985 CREDIT RATE PER $I ,000 ASSESSED VALUE $4.83 $4.77 $4.64 $4.47 $4.30 YEAR ANNEXED CREDIT RA TE PER r,000 VALLIE $1.64 $1.45 $1.31 $ l.l3 $0.97 t99t 1992 1993 1994 I 995 1 986 1987 I 988 1989 $4.09 $3.78 $3.41 $2.98 $2.52 1996 1997 1998 1999 $0.82 $0.63 $0.41 $0.22 0.000 SEPARA IF OCCURRED AFTER CREDIT x DATE,TELY x $0.00 TOTAL MWMC CREDIT = VALUE / IOOO 0.000 CREDIT RATE $0.00 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) I I Tto6--- 2000 The tollp,.,ing proiect as submitted has the tollowing zoninE rdoes not require specific land use 225 FIFTH STREET APPTOV.' SPRINGFIELD, oREGoN 97 4fPNiNO INSPECTION OFFICE: 726-3759 Authorized Signature LEGALDESCRIPNONlloZ3ltt 03 Zlrr<s l/D ELECTIU,AL PERMT APPLICATION I o Or:OtZO1 -o( 'u'#B*ry#.!fo*\a FEE SC}IEDULEBELOW A. New Residential-Single or Multi-Family per dwelling unit. Service Inciuded: Items Cost J JOB DESCRIPTION itl tlrl te /lo *s € 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 STrtuE Hnor.t< Addr"ss BUd 5 i6rL si 5f,rie1.1{pnorr *il'AW Supervisor License Number 3571 S ExpirationDxe lO- t' Zor3 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders lnstallatiorq Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampVvolts Reconnect Only Sum $106.00 /0 $ 19.00 E5 $ 63.00 $ 75.00 $12s.00 $163.00 $37s.00 $ s0.00 Constr Contr. Number Expiration Date ,l - 3o _ Zoo] Signature of Supervising Electrician 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 volts see t'Bttabove D. Branch Circuits New Alteration or Extension Per Panel One Circuit - $43.00 -Each Additional Circuit or with Service or Feeder Permit $ 3.00 -E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50'00 Sign/Ortline Lighting $50'00 Limited EnergY/Res - $25'00 Limited EnergY/Comm $45'00 Minimum Electric Pemit rnspection X'ee is $45.00 + Surcharges 5, STIBTOTAL OF ABOVE TYoState Surcharge 8% Administrative Fee 147 eta il /z-1tt - l,le Owners Adtlress I OWNERINSTALLATTON The installation is being made on property I own which is not intended for sale, lease or rent. TT qS3 e G/t ,.,-- N'2- Phone )Zl - 70oL / t,o. - $6e. 00 00 -'c) $1 Owners Signature: TOTAL $ 50.00 .t !f '?B? $ i: iliru 1l^lu it]tll ltJ l10l'l:].lUfi r[ir00[-'r[ : itLii'lH Hi