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Home My WebLink AboutPermit Building 2000-04-07ctTY oF sPRtmGFtEL4 OREGOL SPRINGFIELD Job# 00-00235-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety spr Addition: Page 1 of 3 Job Number: 00-00235-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00806 Subdivision: Springfield, OR 97478 Value: $80,564 TRANSS:01-0001169 DAIE:APR O? ?OOO Al{T RECD:Z $ 509.44 IHANEE: EASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 6539 Thurston Rd AssessorsMap#: 17023412 Lot: Block: Owner: David Dolby Address: 6539 Thurston Road Scope Of Work: Single Family Residence Phone Number: City/State/Zip: Repair Fire Damage/ Entire Structure. 2nd srrhmittal is for a second storv to he added to the oaraoe. Contractor Type Contractor Registration # Expiration Date General Contr Peterson & Moore Construction I o2o birch tl*": rUiJ,,il,:,j: :_!, _ y,, i,cr l*lil.'ffi*fi$ r'n',n'*' po box 22753, Eugene, OR Phone 541-998-5320 541-344-3561 503-BB7-4467 541-463-8007 Quad Area: # Of Units: Constr. Type: Water Heater: (vN) wood rr"l#60 IHIS Zoning Code: LDR flfiEdroor"' 4RNE Office Use - Land Use: Single Family Dwelling # Of Buildings: 1 Occupancy Group: Heat Source: Sq. Footage: 576 To request an inspection call s requested before 7:00 will be made the following i\l l8ODAY PER,OD FOR Footing Foundation Shear Wal! Nailing Framing Drywall Final Building Required lnspections Buildin -After trenches are excavated. -After forms are erected but prior to concrete placement. -Before covering sheathing with finish materials. - Prior to cover. - Prior to taping. -When all required inspections have been approved and the building is complete. a.m. will be made the same working day. Rough Electrical Electrical Service Final Electrica! Underfloor Plumbing Rough Plumbing Final Plumbing Rough Mechanical FinalMechanical Zoning: LDR FloodPlain? ! Wetlands? [ Journal numbers 1: 2: Comments:Max building height 30' Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Job# 00-00235-01 Required lnspections Electrical - Prior to cover. -Must be approved to obtain permanent power -When all electricalwork is complete. Plumbing I -Prior to insulation or decking. - Prior to cover. -When all plumbing work is complete Mechanical - Prior to cover. -When all mechanicalwork is complete Page 2 of 3 Overlay District: # of Street Trees: 3: Additional Requirements: tr Glenwood Area? ! Required Attachments: Source Locn: Material: Flood Plain FEMA: Land Use: Single Family Dwelling Pave Driveway? E Construction Types(VN) Wood Frame Occupancy Groups: # Of Buildings: 1 # Of Bedrooms: Handicap Access? Area (Sq. Main:576 Accessory: # Of Stories: 2 Height (feet): 21 Current Units:1 Proposed Units: Census Code: Does not apply Total:576 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Hourly Plan Review Total Plan Check 03t22t2000 03t22t2000 1 007 1 004 10,564 1 $56.23 $40.00 $96.23 Building Building Permit Building Permit State Surcharge For Building Permit State Surcharge For Building Permit Building Administrative Fee Building Administrative Fee Total Building 03t2212000 04t07t2000 03t22t2000 04t0712000 03t22t2000 04t07t2000 1 004 1 169 1 004 1 169 1 004 1 169 70,000 10,564 $343.00 $86.50 $24.01 $6.06 $10.29 $2.60 $472.46 Electrical State Surcharge For Electrical Permit 03t2212000 1004 $.00 Job# 00-00235-01 Page 3 of 3 Fee Paid On Receipt# Value/Quantity Fee Amount Electrical State Surcharge For Electrical Permit Electric Administrative Fee Electric Administrative Fee Total Electrical 04t07t2000 0312212000 04t07t2000 1 169 1 004 1 169 $.00 .00 .00 .00 $ $ $ Plumbing Minimum Plumbing Permit Fee Minimum Plumbing Permit Fee Number of Fixtures State Surcharge For Plumbing Permit State Surcharge For Plumbing Permit Plumbing Administrative Fee Plumbing Administrative Fee Total Plumbing 03t22t2000 04t07t2000 04t07t2000 0312212000 04t07t2000 03t22t2000 0410712000 1 004 1 169 1 169 1 004 1 169 1 004 1 169 1 3 $15.00 $.00 $30.00 $1.05 $2.10 $.4s $.e0 $49.50 Mechanical Minimum Mechanical Permit Minimum Mechanical Permit Mechanical Administrative Fee Mechanical Administrative Fee Vent Fan to One Duct Mechanical lssuance Mechanical lssuance State Surcharge For Mechanical Permit State Surcharge For Mechanical Permit Total Mechanical 0312212000 0410712000 0312212000 04t0712000 04t0712000 03t22t2000 04t07t2000 03t22t2000 04t07t2000 1 004 1 169 1 004 1 169 1 169 1004 1 169 1 004 1 169 1 $15.00 $12.00 $.45 $.45 $3.00 $10.00 $10.00 $1.05 $1.0s $53.00 Sanitary Sewer SDC Administrative Fee Total System Development System Development 04t07t2000 0410712000 1 169 1 169 7 $337.89 $16.8e $354.78 Grand Total Plan Check Type lnitial Revlew-Res Engineering-Res Planning-Res Structural-Res $1,025.97 Checked By Lisa Hopper Steve Templin AlWard Don Moore Date Completed 0312312000 0312412000 0313112000 04t04t2000 By signature, I state and agree that I have carefully examined the completed application and do hereby certify that all information herein 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. I further state that only contractors and employees who are in compliance with ORS 701.055 will be used on I further agree to ensure that all required inspections are the pro project address is readable from the street, that the permit card set of plans will remain on the site at alltimes 4- the p Signature Date 1 ATTACHMENT A CITY JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOTNUMBER DEVELOPMENT TYPE: FIELD 00-00235-01 DEVELOPMENT CHARGE WORKSHEET DAVID DOLBY 6539 THURSTON RD t7-02-34-12-00806 NEW SECOND STORY ON GARAGE OF FIRE RESTORATION DWELLING UNITS:BUILDING SIZE:LOT SIZE: 0.00 + $0.232 PER SQ. FT $0.00 2. SANITARY SEWER-CITY NUMBER OF PFU'S (SEE REVERSE SIDE) x $48,27 PER PFU7 $337.89 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP 0 x 1.01 x M86.73 PER TRIP x x M86.73 PER TRIP $0.00 $0.00 TOTAL TRANSPORTATION SDC $0.00 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B.IMPROVEMENT COST: NUMBER OF FEU's 0 x $242.16 PER FEU x 522.05 PER FEU x 0.05 $0.00 $0.00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE $0.00 $0.00 TOTAL MWMC SDC $0.00 SUBTOTAL (ADD rTEMS 1,2,3, & 4) 5. ADMNISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)$ 16.89 89 s;E*7*r-$3s4.78 SDCreOORDINATOR DA-Ttr TOTAL SDC CHARGES 1. STORMDRAINAGE IMPERVIOUS SQ. FT. PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X TJNIT EQUTVALENT = PLUMBING FXTURE UNITS fNOrr: rOn ngUOOel,S PLUMBING FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT UNITS BATHTUB DRINKING FOLTNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WAS}VETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATORJWATER STATION/ETC. RECEPTOR FOR COMMERCTAL SINK/ DISHWASHER/ETC. SHOV/ER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 21 0 2 I 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 0 0 0 0 0 0 0 0 0 I 0 4 0 0 0 TOTAL PLLMBING FIXTURE UNITS: CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $4.47 $ 4.38 s 4.32 $4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 t99t 1992 r993 1994 1995 1996 1997 1998 $2.r8 $ l.7s $ 1.35 $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 1979 orbefore 1980 l98l 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) x x $0.00 $0.00 $0.00CREDIT TOTAL 7 I I