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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