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
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State of Oregon
Cor:nty of Lane
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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