HomeMy WebLinkAboutPermit Building 2001-06-11SPRINGFIELD
Job# 01 -00537-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3357 Watermark Dr Spr
AssessorsMap#: 17021943
Lot:72 Block: Addition:
Job Number: 01-00537-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 07200
Subdivision: Ambleside Meadows
ctTY oF SPRINGFiELD, OREGON
Owner: Greg Larkin
Address: Po Box 2041
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
New
541 -726-0330
Corvallis, OR
Value: $150'831
same as 3370 Falcon # 01-00325-01
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
working daY
3RNC
1
(VN) Wood Frame
To request an inspection callthe 24hour recording a1726-3769.. All inspections requested before 7:00
a.m. will be made tn"'r"*" *orking day, inspe-tio"ns requested after 7:00 a'm' will be made the following
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms: 3
Range:
# Of Buildings: 1
Occupancy GrouP: Dwelling
Heat Source:
Sq. Footage: 2050
footing and/or foundation i
and the building is comPlete'
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
Final Building
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Sanitary Sewer CaP
Perimeter Foundation
Drains
- Prior to cover.
-gefore covering sheathing with finish materials'
- Prior to cover.
-Prior to Cover
-Prior to taPing.
-Wn"n att ieqiired inspections have been approved
Plumbi $Hilt HSll NE 15 "5pftwoEK
BNPI{
-Prior to cover or Placement of concrete.IqDEFiT,l#.q
Pffi!ilrr-Prior to insulation or decking'
-Prior to cover .*.nnnm,ttsF t,
-Prior to filling trench.
.-t"ffi!oot}'[rij'ilj?;"
of the property rine and capped with an approved material as required b
-nttligiur"f and filter cloth is installed' but prior to backfill'
w requiresl ou to
-lnstallground rod at
-After trenches are
-After forms are
- Prior to floor insulation or
-Prior to decking.
Job# 01-00s37-01 Page2 of 4
Required lnspections
Plumbinq
-When all plumbing work is complete
Mechanical
-Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tet
-When allgas work is complete.
-When all mechanicalwork is complete.
Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
I
FinalPlumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
SW-Gurbside
GC-Standard
Street lmprovement:
Curb Cut?f
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Fully lmproved
Improvement Agr.?[
Sidewalk Type:Curbside - 5'
Additional ROW?
Size Of Line (in): B
Downspouts/Drains: To Storm Sewer
Enchroachment Permit:
San Sewer Tee (in): 6
l
6-4
00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
STORM DRAINS TO STORM SEWER STUB PROVIDED
Types Of Warning Devices Reqd.
Zoning: LDR
FtoodPlain? [ Wetlands? [
Journal numbers
1:99-09-255 2z
Comments:LDAP issued in 1999
Planner: Liz Miller
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Gtenwood Area? [
Additiona! Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway?
Floodway FEMA: Zone X White
Gonstruction Types(VN) Wood Frame
Occupancy GrouPs: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? [
# Of Stories: 2 Height (feet): 28
Current Units: ProPosed Units:1
Gensus Code: New SF - attached
Area (Sq.
Main: 2050 Accessory44O Total2490
-Prior to insulation or decking.
3:
Job# 01-00537-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Hourly Plan Review
Total Plan Check
0512512001 5531 2 $80.00
$80.00
Buildinq
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
0611112001
0611112001
0611112001
5762
5762
5762
150,831 $547.75
$38.34
$16.43
$602.52
Plumbing
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
0611112001
06t11t2001
0611112001
0611112001
5762
5762
5762
5762
3
$.00
$577.50
$40.43
$17.33
$635.26
Mechanical
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
06t11t2001
0611112001
06t1112001
0611112001
06t11t2001
0611112001
06t11t2001
0611112001
0611112001
06t1112001
5762
5762
5762
5762
5762
5762
5762
5762
5762
5762
1
1
$4.50
$2.00
$.00
$.e6
$6.00
$12.00
$4.50
$3.00
$10.00
$2.24
$45.20
1
4
1
1
Public Works
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
06t1112001
06t11t2001
06t11t2001
5762
5762
5762
1 20
1
1
$66.80
$65.00
$-30.00
$101.80
System Development
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Property Annexed 1997
Transportation SDC Reimbursement
Total System Development
06t11t2001
06t1112001
06t1112001
06111t2001
0611112001
06t1112001
06t1112001
06t1112001
06t1112001
06t11t2001
5762
5762
5762
5762
5762
5762
5762
5762
5762
5762
2,037
25
1
1
1
1
25
29
1
$551.89
$403.7s
$656.02
$285.91
$24.33
$10.00
$531.25
$130.03
$-16.80
$1s4.27
$2,730.65
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
1 $1,000.00
$1,000.00
Grand Total
06t11t2001 5762
$5,195.43
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Bob Barnhart
Steve Templin
Liz Miller
Tom Max
Job# 01 -00537-01
Date Gompleted
05t2912001
06t07t2001
06/08/2001
06/05/2001
Page 4 ot 4
Comment
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 that the permit card is located at the front of the property, and the
ap set of the site at alltimes during construction
C
Date
CITY OF SPRINGFIE^ SYSTEMS DEVELOPMENT CH. --E WORKSTIEET
JOURNAL OR JOB NUMBER: 0l-00s37-0 I
NAME OR COMPANY LARKIN
LOCATION 3357 WATERMARK DRIVE
TAX LOT NUMBER:t7 -02-19-34-02100
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS:I BUILDING SIZE: 2490 SF LOT SZE: 5761 SF
COST PER S.F DISCOUNT RATEIMPERVIOUS S.F
$0.0050o/o0.00 I
IMPERVIOUS S.F
2036.50
COST PER S.F
$0.271 $s51.89
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
xx
I. STORMDRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
$ss1.89ITEM 1 TOTAL - STORM DRAINAGE SDC
NUMBER OF DFU's COST PERDFU
$403.7s25$ l 6.1s
NUMBER OF DFU's
25
COST PER DFU
$2t.2s $531.25
B.IMPROVEMENT COST:
x
x
2. SAMTARY SEWER- CITY
A. REIMBURSEMENT COST:
$93s.00ITEM 2 TOTAL. CITY SANITARY SEWER SDC
NEWTRIP FACTORNUMBER OF LINITS COST PER TRIPADTTRIPRATE
1.00 $656.02I$68.ss9.s7
ADT TRIP RATE
9.57
NUMBER OF UNITS
I
COST PER TRIP
$ 1 6.12
NEW TRIP FACTOR
1.00 $154.27
B.IMPROVEMENT COST:
xxx
x xx
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$8r0.29ITEM3 TOTAL. TRANSPORTATION SDC
10.00
NLIMBER OF FEU's
I
COST PER FEU
$285.91 $285.91
NUMBER OF FEU's
I
COST PER FEU
s24.33 s24.33
($ 16.80)
SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
B.IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER. MWMC
A. REIMBURSEMENT COST:
$303.44ITEM 4 TOTAL - IIyIWMC SANITARY SEWER SDC
SUBToTAL (ADD ITEMS 1,2,3, & 4)
ADM. FEE RATESUBTOTAL
$ 130.03s%o$2
5. ADMIMSTRATIVE FEE:
x
$2,730.65
ar!coO
&r!Fa
H&
1070
l09l
1092
1056
t073
617l0rtlrrwTu.+l;,'-
SDC COORDINATOR
TOTAL SDC CHARGES
DATE
I
NO. OF FIXTURES DRAINAGE
FIXTURE
I-INITSFIXTURE TYPE (#NEW - #OLD ).
UMT
EQUIVALENT
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
2 0 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J 6
DRINKING FOUNTAIN 0 0 I 0
FLOORDRAIN 0 0 J 0
INTERCEPTORS FOR GREASE I OTL ISOLIDS /ETC.0 0 J 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 J J
CLOTHESWASHER- 3 ORMORE (EA)0 0 0
MOBILE HOME PARKTRAP (I PERTRAILER)0 0 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
0 0 0
0 0 J 0
SHOWER, SINGLE STALL 0 0 2 0
sHowER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN I 0 J J
SINK: COMMERCTAL BAR 0 0 2 0
SINK: DOMESTIC BAR 0 0 0
WASH BASIN 0 0 2 0
LAVATORY 4 0 I 4
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET PRIVATE INSTALLATION J 0 J 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 - 0 )*20 0
TOTAL DRAINAGE FIXTURE TJNITS :
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
25
DRAINAGE F' JRE UNIT CALCULATIO
NUMBER OF X UNIT EQUIVALENT = DRAINAGE FIXTURE LTNITS
FOR CALCULATE ONLYTHE NET ADDITIONAL
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$r6.80
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
$ 16.80
$0.00
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE 74 1990 $ 1.96
I 980 $4.65 t99l $ l.s5
198 I $4.59 1992 $1.36
t982 s4.46 l 993 $ 1.23
I 983 s4.30 t994 $ 1.05
I 984 $4. l4 I 995 s0.90
I 985 $3.93 1996 $0.75
l 986 $3.63 t997 $0.s7
1987 53.26 I 998 s0.3s
I 988 $2.85 t999 $0. ls
I 989 $2.40
TOTAL MWMC CREDIT :
0.000 x $0.57
VALUE / IOOO CREDIT RATE
29.468 x $0.57
I
t2
I
I
DEVELOPMENT
225 ETETE STREET
SPRTNGFTELD, oREGoN 974
INSPECTI0N REOIIBST z 72
OFFICE: 726-3759
1
LEGAL DEZ/
ON
Permits are non-transferable and expire
if vork is not started vithin L80 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI"ATION ONLY
Electrical Contractor
Address
Ci tv
Supervisor License r
Exp iration Date
Signature of Supervising Electrician
S; :GFIELD
225 FIFTH STREET
SPRINGFIELD, OH 97477
(541) 726-s753
EI,ECTRICAL PERI{IT APPTICAT?dilS4 1 ) 7 2 6 - s 6 I e
City Job Nunber
3. COUPI,ETE PEE SCEEDUTE BELOS
A. Nev Residential-Single or
Multi.-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Ins tallation, Alterations
or Relocation:
nol requile
approval c-b
la{*
Zoning *6
Signature
oF INSTALTATI0N th/arr,.a"r/{
Sum
B
200 amps or less
20L amps to 400 amps
-401 arnps to 600 amPs _
601 amps to 1000 amps_
0ver 1000 amps/vo1ts
Reconnect 0n1Y
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
Temporary Services or Feeders
Installation, Alteration or Relocation
Exoiration Date 200 amps or less L
201 amps to 400 amps
-0ver 401 to 600 amPs
0ver 600 amps or 1000ET[s
Lo D. Branch Circuits
Ovners N,
c
Addres a.
cit /[phone€4I-740'437o
OI'NER INSTALLATION
The installati.on is being made on
property I ovn which is not intended
for sa1e, lease or rent.
gna
..Ii,il|DATEit .
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
$
$
$
s
-Each installation
Pump or irrigation $
signzoutline Lighting- $
Liilited Energy/Res
-
S
40.00
55.00
80.00
@-
ee rfBr a566
40.00
40.00
20. 00
36. 00.:*-l
tlt!
iUUtJ 5 SUBTOTAL OF ABOVE
7% State Surcharge
3% Adninistrative Fee
TOTALRBgEIVED
CITY OF SPR,,VGFIELD, ORF.,GOF'
(-
o70
*a
DI
CITY OFSPR
ab
EIJCTRICAL PER}IIT AP PLICATION
Ctty Job Nunber cl-oo 53A'o1
3. COI{PLEf,E PEB SCEEDUI.E BELOII
A Nev Residentlal-Single or
Hulti-FamiIy per dwelling unit.
JOB Ioning
Permlts are non-transferab an
lf vork is not started vlthln 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRAqTOR INSTALI.ATION ONLY
q..or Iess
nal 500
rtion 3 $ 15.00 qs,oo
uded:Items Cost
$ 2.00
( g Bs.oo gS 0O
$ 40.00
$ 3s.00
thereo f
Each Manuf'd Home or
Hodular DveIIing
Service or Feeder
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 OnIY
One Clrcul t
Each Additional
Circuit or vith Service
or Feeder Permit
B
Sum
lohlA
Electrical Contractor H{E fuu^o
Address Qo b oT, lbab
ci Phonest//_ Qrrl.gbzT
Supervisor License Number
Expiration Date C'/- ot
dqerS c Temporary Services or ieeders
Installatlon, Alteration or Relocation
S
$ s0.00
$ 60.00
$100.00
$130.00
$300. 00
s 40.00
I
C
Constr Contr. Number
Expi ration Date l0 t- o(
ture of Supervising Electrician
D.
Ovners Name
Address fO Z-oql
Ci ty C*^nl,[ t Phone -*r( - az6'0rc
OIINER INSTALI.ATION
The installatlon is being made on
property I ovn vhlch is not intended
for sale, Iease or rent.
0sners Signature i
DATE:
RECEIPT
RECEIVED
200 amps or Iess $ 40.00
Over 600 amPs or 1000-vo1ts see "8, above
Branch Circutts
Nev, Alteratlon or Extension Per Panel
.00
.00
.00
.00
0,o Cf,F
IOG(}
El'.C}
r...1
f'..1
E:Z.
r.J\o
E. Hiscellaneous (Service/feeder not included)
-Each installation
Prrmp or irrigatlon
Sign/Outline Lighting-
Limited EnergY/Res
-
Limi ted Energy/Comm
$40
$40
$20
s36
3oISTIBTOTAL OP ABOVE
71tr state Surcharge
TOTAL 37a Qdru,+rr
9,6Z?o/
5
7da.(.tq3
t
IJGAL DESCRIPTION The AS
C)not require
exP re
t
t
I
$
SFRtfi{GFIELD
Report lD: SpRA103
Voucher lD :
Handling Code :
tu
City of Spring* -old
Voucher
'il
00044679
IN
Vendor Number:
lnvoice Date:
lnvoice # :
Approver:
Operator:
Gross Amount :
Proi/Grant
0000004089
March 6,2002
01-325-537-01
Puent,David
wtLS5940
847.00
Amount
53.90
770.00
23.10
River Valley Builders
P.O. Box 2041
Corvallis, OR 97339
Description
Plumbing Refund
Account Fund gq Subclass BY
215004
425602
426605
821
100
100
2002
2002
2002
iie:.!
Comments:
lnternal Express Check
Overpayment of Plumbing/Refund ok'd by Lisa Hopper
$385.00 x2 for Plumbing/ $26.95 x 2 for State Surcharge/ $1 1 .55 x 2 for Admin
Job numbers 01-00537-01 & 01-00325-01
na51 f ,aro F*<*e o*-b r