HomeMy WebLinkAboutPermit Building 2001-04-12SPFINGFIELD
Job# 01-00320-01 Page 1 of 3
Job Number:
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 01208
Subdivision:
h,
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
/(zfrlo44tr
# 47LL-
or-oog2o-0,44
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2130 00007th St Spr
AssessorsMap#: 17032613
Lot: Block: Addition
ctTY oF SPR;NGFIELD, OREGON
Owner: Peter Kugler
Address: 2130 7th Street
Scope Of Work: Bathroom
Phone Number:
City/State/Zip:
Remodel
541-726-8984
Springfield, OR97477
Value: $6,000
Adding interior bathroom in upstairs bedroom
Contractor Type
General Contr
Electrical Contr
Contractor
Peter Kugler
2130 7th Street, Springfield, OR 97 477
L H Morris Electric lnc
483 Shelley St, Springfield, OR
97477-1966
Registration # Expiration Date
1 838 6t8t01
Phone
541-726-8984
541-747-0811
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
(VN)Wood Frame
Office lJsg
-
Land Use:
Zoning Gode:
Bedrooms:
Range:
# Of Buildings: 1
OccupancyGroup: Dwelling
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording a1726-3769. 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
Framing
Drywall
Final Building
Rough Electrical
Final Electrical
Rough Plumbing
Shower Pan
Final Plumbing
- Prior to cover.
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-When all electricalwork is complete.
Plumbing
- Prior to cover.
-When all plumbing work is complete.
':r:*W
de\
Page 2 of 3
Required lnspections
Mechanical
Rough Mechanical
Final Mechanica!
-Prior to cover.
-When all mechanicalwork is complete.
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:Accessory:
# Of Stories: 1 Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Residential Plan Check
Total Plan Check
04t03t2001 4835 6,000 $36.73
$36.73
ng
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
04t12/2001
04112t2001
04t12t2001
4922
4922
4922
6,000
Electrica!
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
04t12t2001
0411212001
0411212001
4922
4922
4922
2 $37.00
$2.59
$1.11
$40.70
um ng
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
04t12t2001
04t12t2001
04t12t2001
04t12t2001
4922
4922
4922
4922
3
$.00
$30 00
$2.1 0
$90
$33.00
a
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
04t12t2001
04t12t2001
04t12t2001
04112t2001
04t12t2001
4922
4922
4922
4922
4922
1
$12.00
$45
$3 00
$10.00
$1 05
$26.50
m Development
Sanitary Sewer
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Total System Development
04t12t2001
04t12t2001
04t12t2001
5
5
$80.75
$106.25
$9.35
$196.35
Grand Total
4922
4922
4922
$395.44
Job# 01-00329-01
a
$56.50
$3.96
$1.70
$62.16
Plan Check Type
lnitial Review-Res
Engineering-Res
Structural-Res
Signature
Ghecked By Date Gompleted Comment
Bob Barnhart 04t04t2001
Steve Templin 04t10t2001
Don Moore 04t12t2001
Page 3 of 3
Date
pY signature, I state and agree that I have carefully examined the completed appllcation and do
hereby certify that all information herein is true and correct, and I further certify that any and all workperformed shall be done in accordance with the Ordinances of the City of SpringfielO aird tne Laws ofI:ltglq of Oregon. I further state that only contractors and employe-es whb aE in compliance with
ORS 701.055 will be used on this project. i further agree to ensureihat all required inspbctions are
requested at.the-propel time, that the project addres5 is readable from the strdet, that the permit cardis located at the front of the property, and the approved set of plans will remain on the site'at all timesduring construction.
Job# 01-00320-01
Ll-n-a I
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
2 $ 40.?0rf 11 t] nl+ .JIU . UI
IHANEE:
TfE . nn?I"LI\. UU,J
LANE COI-INTY ASSESSED VALUE (LAND)
BUILDING SIZE:SFSF LOT SZE:
JOURNAL OR JOB NUMBER: 0l-00320-01
ANNEXATIONYEAR
DWELLINGIINITS:
LOCATIONT 2I3O 7TH STREET
TAX LOT NUMBER:l7-03-26-13-01208
NAMEORCOMPANY: KUGLER
DEVELOPMENTTYPE: REMODEL
IMPERVIOUS S.F COST PER S.F
0.00 I $0.00
I. STORM DRAINAGE
x
$0.00ITEM I TOTAL - STORM DRAINAGE SDC
N{IMBER OF DFU's COSTPERDFU
5 $l6.ls $80.7s
NLIMBER OF DFI.Is
5
COST PERDFU
$21 .25 $106.25
B. IMPROVEMENT COST:
x
x
?. SANITARY SEWER- CITY
A. REIMBI]RSEMENT COST:
.00ITEM 2 TOTAL. CITY SANITARY SEWER SDC
ADTTRIPRATE NUMBEROF UMTS COST PER TRIP NEWTRIP FACTOR
9.57 0 $68.ss 1.00 .00
ADT TRIP RATE
9.57
NLIMBEROF UMTS
0
COST PER TRIP
$16.12
NEWTRIP FACTOR
1.00 $0.00
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBLIRSEMENT COST:
ITEM 3 TOTAL - TRANSPORTATION SDC
$0.00
NUMBER OF FEU's
0
COSTPERFEU
$28s.91 $0.00
NUMBER OF FEU's
0
COST PERFEU
$24.33 $0.00
$0.00
B.IMPROVEMENT COST:
x
x
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
$0.00ITEM 4 TOTAL - IVTWMC SANITARY SEWER SDC
$ 187.00SUBToTAL (ADD ITEMS t, 2, 3, & 4)
SIJBTOTAL ADM. FEE RATE
$ 187.00 5%$9.35
5. ADMIMSTRATIVE FEE:
x
$196.3sTOTAL SDC CHARGES
9r4.Tuf,l;q"
SDC COORDINATOR
4/t0/01
DATE
DI'U
NUMBER OF NEW FIXTURES X UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS,CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FXTURES DRAINAGE
FXTURE
UNITS( +uew - #oLD ) x LTNIT
EQUTVALENTFXTURE TYPE
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J 0
DRINKING FOUNTAIN I 0
FLOORDRAIN J 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS IETC,J 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0
LAUNDRYTUB 2 0
CLOTTIESWASHER / MOP SINK 3 0
CLOTHESWASHER - 3 OR MORE (EA)6 0
MOBILE HOME PARKTRAP (I PERTRAILER)t2 0
4E_qEryqBfOR REFRIG / WATER STAgON / ErC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
I 0
3 0
SHOWER, SINGLE STALL I 2 2
SHOWER, GANG GTUMBER oF mADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCMN J 0
SINK: COMMERCIALBAR 2 0
SINK: DOMESTIC BAR I 0
WASHBASIN 2 0
LAVATORY I I 0
I.IRINAL, STALL / WALL 5 0
TOILET, PUBLIC INSTALLATION 6 0
TOILET PRTVATE INSTALLATION I 3 J
MISCELLANEOUS DFU TYPE NLIMBER OF EDU'S*
(---) *20 0
TOTAL DRAINAGE FIXTURE T]NITS =
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU'S) set at 167 gallons per day
5
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
$0.00
IF IMPROVEMENTS OCCI]RRED AFTER ANNEXATION DATE, CALCULATE
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AI'TER ANNEXATIOI'o
$0.00
.00
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE 94.74 l 990 $1.96
l 980 $4.6s l99l $1.55
198 r $4.59 1992 s1.36
I 982 $4.46 1993 $1.23
1983 $4.30 1994 $1.0s
I 984 $4.1 4 1995 s0.90
I 985 $3.93 1996 s0.7s
1986 $3.63 1997 $0.s7
$3.26 I 998 s0.3s
l 988 $2.85 t999 s0.15
I 989 $2.40
TOTALIVTWMC CREDIT :
x
0.000 x $4.74
CREDIT SEPARATELY
VALUE / IOOO
0.000
CREDIT RATE
$4.74
I
t987
CITY OF OFEGOII'
{,sb L-tqn I
SPFlINGFIELD
D EVELO PMENT SERVI C E S D EPA RTM ENT
225 FIFTE STREET
SPRINGFIELD OREGON 97
IIISPECTf0N REQUEST: 7
0FFICE: 725-3759
1. LOCATION OFo {ae
LEGAL DESCRIPTTON
;h,
One Circuit IEaeh AdditionalCircuit or vith Serviceor Fe,-Cer permi t _L
STIBTOTAL OF ABOTE
7% State Surcharge
32 Administrative Fee
TOTAL
fti'ii2$Efi+iilqAf;rl:
sPRtNGFtELorg 6agzi)i
FqttzzEffiF,{.:
rex pqi,fs*#ffiasi)i
9\gnattte
CAI PERHIT APPLICATION
Job Nunber ?)^OD??a-e/
PEE SCEEDTILE BELOC
Nev Residential-Single or
Multi-Fa.mily per dve11i.ng unit.
Service Included:
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Eome or
-Hodular Dvelling
Service or Feeder
s 8s.00
s ls.00
$ 40.00
A
B. Services or FeedersInstallation, Alterationsor Relocation;
200 amps or less
201 amps to 400 anps
-
40L anps to 600 amps
-
601 amps to 1000 amps-
Over L000 amps/voIts
-
Reconnect 0n1y
Sum
JOB DESCRTPTTON
rZatL/ 2m (Ym J-/
Permits are non-transferable and expirei.f vork is not started vithin 180 daysof issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
cal Con t r ^"to, /-. tf ,It/ore,s lr-/Elec t ri
Address
Ci ty Sp 70 Phone -) 41 -oPt I
Supervisor License Number Z a s
s s0.00
s 50.00
s 100. 00
s130.00
s300.00
s 40.00
$ 3s.00.i,
s 2.00
4 s)u--T37-
-T;lr-
affi
3ft-
Expiration Date -01- o
Constr Contr. Number ol g \?
Exp:"ration Date L- k- ut
Sigua ture of Supervi sing Electrician
Ovners Name
Address {7ru
Tenporary Services or Feedersfnstallation, Alteration or Relocation
c
!Q0 anps or less $ 40.0020L anps to 400 atrps
--
S 55.00Over 401 to 600 atrps
-
S g0.OO
over 6oo amps or looo yorfs see nB,,
D. Branch Circuits
Nev, Alteration or Extension per panel
ci ' ?2-1-gF??
OSNER
The installation is,.being made onproperty f ovn uhich is not intendedfor sale, Iease or rent.
Onners Signature:
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limi ted Energy/iles e-
Limi ted Energy/Comn
.Phone
l>e2
D
s 40.00
s 40.00
s 20.00
$ 36.00
5DATE:
RECEwED 4o.1o