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HomeMy WebLinkAboutPermit Building 2001-01-04SPRINGFIELD Job# 00-00998-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 1996 00008th St Spr AssessorsMap#: 17032613 Lot:2 Block: Addition:1 Job Number: 00-00998-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot #: 00700 Subdivision: Mimosa Park crTY oF SPRTNGFTELD, OREGOTV Owner: Allen Colburn Address: 1178 Echo Hollow Scope Of Work: Single Family Residence single family residence Phone Number: City/State/Zip: New 541-5'17-3535 Eugene, OR 97402 Value: $114,143 Contractor Type GeneralContr MechanicalContr Plumbing Contr Gontractor Colburn Homes lnc 1178 Echo Hollow Rd, Eugene, OR 97402-1328 Marshalls Heating 4110 Olympic Street, Springfield, OR 97478 Fridlund Plumbing X,X,X Registration # B7B3 Expiration Date 512112001 Phone 541 -689-6370 541-747-7445 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW 1 (VN)Wood Frame Electric Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq. Footage: 1500 To request an inspection callthe 24hour 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 Site Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation -To be rrd" "ft#n but priorto r"tting forms -lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i EWORK -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 Ai- lollt Notiii ils ]EFIMITISNOT lroD Drywall Final Building Temporary Power Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Mechanical FinalMechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f lmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm Sewer Available? f Specia! Req.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: 00/00/0000 00:00 AM Job# 00-00998-01 Page 2 ol 4 Required lnspections Buildinq I - Prior to taping. -When all required inspections have been approved and the building is complete Electrica! I -Approval required prior to SUB energizing pole. Ptumbing I -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. Mechanical - Prior to insulation or decking. -Prior to cover. -When all mechanicalwork is complete. Public Works -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd Zoning: LDR FloodPlain? [ Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? gWetlands?2 Journal numbers 1z Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a 2:3 Additional Requirements: tr Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Area (Sq. Feet) Main: 1500 Accessory528 Job# 00-00998-01 Accessory Structure # Of Stories: 1 Height (feet): 1B Current Units: Proposed Units:1 Gensus Code: New SF - detached Total202B Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 06t2312000 2297Residential Plan Check Total Plan Check 114,143 $303.39 $303.39 Buildi Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0110412001 0110412001 01t0412001 4174 4174 4174 114,143 $466.75 $32.67 $14.00 $513.42 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 0110412001 0110412001 0110412001 01t04t2001 0110412001 4174 4174 4174 4174 4174 1 3 1 $85.00 $45.00 $40.00 $1 1.90 $5.1 0 $187.00 Plumbinq Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 01t0412001 01t04t2001 01t0412001 0110412001 4174 4174 4174 4174 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanica! Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanica! 01t04t2001 01t04t2001 0110412001 01t04t2001 01t0412001 01t0412001 01t04t2001 0110412001 4174 4174 4174 4174 4174 4174 4174 4174 1 $4.s0 $.00 $.68 $6.00 $9.00 $3.00 $10.00 $1.s8 $34.76 1 3 1 Public Works New Sidewalk New Curbcut Total Public Works 01t04t2001 01t04t2001 4174 4174 70 1 $60.00 $60.00 $120.00 System Development Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC 01t04t2001 01t04t2001 01t0412001 0110412001 0110412001 4174 4174 4174 4174 4174 $639.39 $86B.B6 $491.60 $242.76 $22.05 2,756 18 1 1 1 Job# 00-00998-01 Page 4 ot 4 Fee Paid On Receipt# Value/Quantity Fee Amount MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development 0110412001 01t04t2001 01t04t2001 4174 4174 4174 1 $10.00 $1 10.38 $-67.05 $2,317.99 15 S.F. Residence - Willamalane TotalWillamalane SDG Willamalane SDC 01104t2001 4174 1 $1,000.00 $1,000.00 Grand Tota! Plan Check Type Checked By Date Completed Comment lnitialReview-Res Lisa Hopper 0612712000 Engineering-Res Steve Templin 0612812000 Planning-Res AlWard 0612912000 Structural-Res Don Moore 0811712000 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 allwork 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 from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Si gnature Date $4,652.56 /^{-o t msDilmu ?u 0Um* Sdbll IthfiAm $lrt b W oD-otD'tgf-DI /91L VV sE-- q {*)* %- @Ao\ ry-T^rn4*iL 4- /S Wn al a-I*Ar*-)f WV- V"t^ t\-D= 0 --r]"- o,la q ") >-l^-ha}* \ O,J/ ^b4 -'Lt\,%e "J --az a %2 ry af, X State of Oregon Cor:nty of Lane t-{--:lo-ot t prr-*p t', 8' / C'TV OF The lollowing proiect AS submitted has the tollowing zoning and does not requi re specific 225 I'IFTII STREIIT SPRINGFTEI.J, OREGON INSPECf,ION REQTIEST: OFFICE: 726-3759 Authorized Signatule 1 LOCATION OF INSTALLATION LEGAL DESCRTPTION JOB DESCRIPTION Permits are non-transferable and expire if vork is not started virhin 180 days of issuance or if vork is suspended for 180 days. 2. COI,ITRACTOR INSTALLATION ONLY sr-'-.N(;FIELI) land use 3. COHPLETE FBE SCBEDIII.E BELOV A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost apProval. 97 4rr 'on'ne t-ol Sum l-000 sq. f t. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Jz $ 8s.oo 85 3 s 1s.oo # . $ 40.00 Electrical Contractor Address ciw ,€ /<ru€Phone Supervi.sor License Number /52 9_s Expiration Date 200 amps or 201 amps 40L amps 601 amps 0ver 1000 Reconnec t Iess 600 amps 1000 amps /voI ts 00 00 00 00 00 00 to to to amps 0nIy S so. S 60. $100. s130. s300. s 40. $ 2.00 constr contr. Number Expiration Date Signature o s cian 0vners Name Address Ci tv Phone OVNER INSTALU\TION The installation is being made on property I ovn vhibh is not intended for sale, Iease or rent. Orrners Signature: DATE: C Circuit or vith Service or Feeder Permit B Miscellaneous (Service/feeder not included) Temporary Services or Feeders tnstallaiion, Alteration or Relocation 2oo amps'"or less tl $ 49.99 4D over 4bL to 600 ambs - $ 80'00 or"i ooo "rp" or-i5oo *f-," see ,Brr aEoE Branch Circuits Nev, Alteration or Extension Per Panel gach\ Additional 5/ D -Each installation Pump or irrigation - Sign/0utline Lighting- Limi ted EnergY/Res - Limi ted EnergY/Comm $ 40.00 $ 40.00 $ 20.00 s 36.00 5 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTALRBCEIVED -rtr BLEC'TIUCAL PERHIT APPLICATION city Job nr^u", flO'M?9'Ol ", -'l ",liT_w DI CITY OF SPFINGFIELD, OREGON €g o"ru 225 FIFTE STREET SPRTNGFTELD, OREGoN 97 477 INSPECTION REQI EsT t 726-37 69 OFPICE: 726-3759 1 PTION JOB Permits are non-ferable and e re if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. COT.ITRACf,OR INSTALLATION ONLY EIec icaL Contractor Address Ci ty Phon Supervisor Li SE r Expiration Date Constr Contr. Expiration Signa trician 0wners N Address Ci ty Phone OIJNER ON The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: SPF|I ,..IEL!, Residential-Single or MuIt i-Family per dvelling unit. Service Included:Items Cost A 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling SerVice or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or Iess 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amps- 0ver 1000 amps/volts - Reconnect 0n1Y C D 9nq APPLICATION BELOVSCEBDUI,EFEE I Sum s 8s.00 s 1s.00 s 40.00 $ so.oo s 60.00 $100. 0o s130.00 s300.00s 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less I $ 19.00 201 amps to 400 amps ._ $ 55.00 over 4b1 to 600 amps - S Bo.oo Over 600 amps or iOOO voTEs see rrB* o E aE6ve- Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each instal-lation Pump or irrigation - Sign/OutIine Lighting- Limited Energy/Res - Limi ted EnergY,/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL s s $ $ 40.00 40.00 20.00 36.00 N of Supervising ber te RECEIVED UI: 5 c Willamalane Park & Recreation District Job. No..0[ SYSTEM DEVELOPMENT CHARGE WORKSHEET \PHONE:\l'b srArE:-0$=r,r, M4DL X $699 per unlt = $ 3bNAME Street Address: ADDRESS: LOCATION OF PROPOSED BUILDIN SITE \ Single Family home NO. OF UNITS D. Mantrfactured Home Park NO. OF UNITS WILLA,MALANE SDC +t\ Lot Number:t 3Z r3 1. DEVELOPMENT TYPE (Check appropriate dwelting(s). SDC calculations and dwelting t ype definitions are on the back.) A Single-Family Detached Manufactu (X $1,000 per B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unlt = $ @$ 2. SDC CREDTT (lt applicable) SDGpayer must (umlsh proo( of Willamatane Credit approval. See SOC Credit Wotkshoet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lt SDC reduced for Credit) $d) City of Springfield Department ate Plat Name: ,d ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 1996 8TH STREET 00-00998-01 HIATT t7-03-26-13- PO 00700 SINGLE FAMILY RESIDENCE DWELLING TINITS I BUILDING SIZE: 2028 LOT SIZE: 6474 1. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.232 PER SQ. FT2756.00 $639.39 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x 548.27 PER PFU $868.86 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP I x 1.01 x M86.73 PER TRIP x x $486.73 PER TRIP $491.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NUMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PERFEU TOTALMWMC SDC $242.76 $22.0s ($67.05) $10.00 $207.76 .61SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $l10.38 9lpvok4,l;4-0612812000 $2,317.99 SDC TOR DATE TOTAL SDC CHARGES PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X LTNIT EQUTVALENT = PLUMBING FIXTURE TINITS NOTE: FOR REMODELS. CALCUT,ATE ONLY THE NET ADDITIONAL FIXTURES) PLUMBTI.JG FIXTURES I.JNIT FIXTURE FIXTURE TYPE NEW OLD UNITS BATHTUB DRINKING FOLJNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESWASHERA4OP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINIO DISHWASHER/ETC SHOWER, SINGLE STALL sHowER, GANG (NITMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLA//ALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE LTNITS:l8 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 2I 0 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 0 0 0 2I 0 0 0 0 2I 0 2 0 2 0 8 2 2 YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $4.47 $ 4.38 s4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 l99l 1992 1993 1994 1995 1996 t99l 1998 $ 2.18 $ 1.75 $ l.3s $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $0.18 1979 orbefore 1980 1981 t982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4'47 x IMPROVEMENT (IF AFTER ANNEXATION DATE) X 15.000 $67.05 $0.00 $67.0sCREDIT TOTAL I