HomeMy WebLinkAboutPermit Building 2001-11-29Job#01 -01
RESIDENTIAL PERMIT
City Of Springfietd
Community Services Division
Building Safety
Page 1 of 4
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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