HomeMy WebLinkAboutPermit Building 2001-05-30SPRINGFIELD
Job# 01-00451-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2092 00008th St Spr
AssessorsMap#: 17032613
Lot: 5 Block:1 Addition:1st
Job Number: 01-00451-01
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
SFR
Phone Number:
City/State/Zip:
New
541 -51 7-3535
Eugene, OR 97402
Value: $117,782
Contractor Type
GeneralContr
Gontractor
Allen Colburn
1178 Echo Hollow, Eugene, OR 97402
Registration # Expiration Date Phone
541-517-3535
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms: 3
Range:
# Of Buildings: I
OccupancyGroup: Dwelling
Heat Source:
Sq. Footage: 1552
To request an inspection call the 24 hour 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
Buildinq
- lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-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
-Prior to taping.
-When all required inspections have been approved and the building is complete.
Eiectrical I
-Prior to cover.
-Must be approved to obtain permanent power
-When all electricalwork is complete.
I
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Geiting lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
FinalBuilding
Rough Electrica!
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
FinalPlumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalMechanical
SW-Curbside
SW-Setback
CC-Standard
Street lmprovement: Fully lmproved
Curb Gut?f lmprovement Agr.?
San Sewer Depth (Ft): 6 - 4
Storm Sewer Availabte? f
SpecialReq.:
Security Required:
Bond Begin DateTime:
Special lnstructions:
Other Utilities:
Project Supervisor:
Job# 01-00451-01 Page2 of 4
Required lnspections
Plumbi
-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.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-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
-After forms are erected but prior to placement of concrete
00/00/0000 00:00 AM
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1: 2:
Comments:
Land Use:
Pave Driveway?
Additional Requirements :
Required Attachments:
Source Locn:
Material:
Overlay District:
# of Street Trees
3
Planner:
Urban Growth Boundary?[ Glenwood Area?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X Light Gray Flood Plain FEMA:Panel 1 134 ot 2975
tr
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? [
Area (Sq. Feet)
Main: 1552 AccessoryS29
Job# 01-00451-01
# Of Stories: 1 Height (feet): 20
Current Units: Proposed Units:1
Census Code: New SF - attached
Total20B1
Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
05/03/2001 5142Residential Plan Check
Total Plan Check
117,782 $307.78
$307.78
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildinq
05/30/2001
05/30/2001
0513012001
5601
5601
5601
117,782 $473.50
$33.15
$14.21
$520.86
Plumbing
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
05/30/2001
05/30/2001
05/30/2001
05/30/2001
5601
5601
5601
5601
1
$.00
$160.00
$11.20
$4.80
$176.00
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
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
5601
5601
5601
5601
5601
5601
5601
5601
5601
5601
1
1
$4.50
$2.00
$.oo
$.87
$6.00
$e.00
$4.50
$3.00
$10.00
$2.03
$41.90
1
3
1
1
Public Works
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
05/30/2001
05/30/2001
05/30/2001
5601
5601
5601
1 30
1
1
$67.40
$65.00
$-30.00
$102.40
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Transportation SDC Reimbursement
Total System Development
System Development
05130t2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05/30/2001
05t30t2001
05/30/2001
05/30/2001
5601
5601
5601
5601
5601
5601
5601
5601
5601
2,937
20
1
1
1
1
20
$795.79
$323.00
$656.02
$285.91
$24.33
$10.00
$425.00
$133.72
$154.27
$2,808.04
1
Job# 01-00451-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
05/30/2001 5601 1 $1,000.00
$1,000.00
Grand Total
PIan Check Type
lnitial Review-Res
Checked By Date Completed Comment
Bob Barnhart 05/03/2001
$4,956.98
J"3o - al
Engineering-Res Steve Templin 0511712001
Planning-Res Liz Miller 0512912001
Structural-Res Tom Max 0511612001
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.
Signature Date
CITY OF SPRINGFIELI STEMS DEVELOPMENT CHAk TVORKSHEET
NAME OR COMPANY:
LOCATION:
TAX LOTNI^]MBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:I BUILDING SIZE: 2081 SF LOT SZE: 6816 SF
20928TH STREET
t7 -03-26-13-00700
SINGLE FAMILY RESIDENCE
COLBURN
JOURNAL OR JOB NUMBER: 0l-0045 l-01
IMPERVIOUS S.F COST PER S.F DISCOLINT RATE
0.00 $0.271 s0%$0.00
IMPERVIOUS S.F
2936.50
COST PER S.F.
$0.27 r $79s.79
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
I. STORM DRAINAGF
DIRECT RUNOFF TO CITY STORM SYSTEM
$79s.79ITEM 1 TOTAL - STORM DRAINAGE SDC
NUMBER OF DFU's COST PER DFU
$323.0020$ l6.l s
NUMBER OF DFU's
20
COST PER DFU
szt.2s $42s.00
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
$748.00ITEM 2 TOTAL. CITY SANITARY SEWER SDC
ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
$68.ss 1.00 $656.029.57 I
ADTTRIP RATE
9.57
NUMBER OF UMTS
I
COST PER TRIP
$ 16. l2
NEW TRIP FACTOR
1.00 $t54.27
B.IMPROVEMENT COST:
x x x
x xx
3. TRANSPORTATION
A. REIMBURSEMENTCOST
$810.29ITEM 3 TOTAL - TRANSPORTATION SDC
10.00
NUMBER OF FEU'S
I
COST PER FEU
$285.91 $285.91
NUMBER OF FEU's
I
COST PER FEU
$24.33 $24.33
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
$310.24
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
$320.24ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
suBTorAL (ADD ITEMS I , 2, 3, & 4)
ADM. FEE RATESUBTOTAL
9133.724.32 5%
5. ADMINISTRATIVE FEE:
x
$2,808.04
ar!ncQ
&r!Fa
r!&
1070
l09l
1092
1093
1094
l 055
1056
1073
5lt7l0t91r4/oknll;q-
SDC COORDINATOR
TOTAL SDC CI{ARGES
DATE
UNIT CALCULA TABLE
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
FIXTURE
UNITS(#NEW - #OLD )x UNIT
EQUIVALENTFIXTURE TYPE
BATHTTIB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
l-0
0-0
0-0
0-0
0-0
0-0
l-0
0-0
0-0
0-0
0-0
l-0
0-0
l-0
0-0
0-0
0-0
3-0
0-0
0-0
2-0
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J J
DRTNKING FOUNTAIN 1 0
FLOORDRAIN 3 0
INTERCEPTORS FOR GREASE / OIL I SOLIDS /ETC.)0
INTERCEPTORS FOR SAND / AUTO WASH IETC.6 0
LAUNDRY TUB 2 0
CLOTHESWASHER / MOP SINK J J
CLOTHESWASHER - 3 OR MORE (EA)6 0
MOBILE HOME PARK TRAP (I PER TRAILER)t2 0
RECEPTO}FORREFRTG /'ry4TER S-TATTON / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
I 0
J 0
SHOWER, SINGLE STALL 2 2
SHOWER, GANG GTIJMBER OF HEADS)2 0
SINK: COMMERCIAL/R-ESIDENTIAL KITCHEN J J
SINK: COMMERCIAL BAR 2 0
SINK: DOMESTIC BAR I 0
WASH BASIN 2 0
LAVATORY I 3
URINAL, STALL/WALL 5 0
TOILET PUBLIC INSTALLATION 6 0
TOILET, PRIVATE INSTALLATION J 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 - 0 )x 20 0
TOTAL DRAINAGE FIXTT]RE UNITS =
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU'S) set at 167 gallons per day
20
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTERANNEXATION)
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNE)(ED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
I979 OR BEFORE $4.74 I 990 $1.96
I 980 s4.65 l99l $1.5s
l98l $4.59 t992 $r.36
1982 $4.46 I 993 $1.23
I 983 s4.30 1994 $1.05
I 984 $4.r4 I 995 $0.90
I 985 s3.93 1996 $0.7s
1986 $3.63 t997 $0.57
l 987 $3.26 I 998 $0.3s
r 988 $2.85 1999 $0.15
I 989 $2.40
$0.00
00
TOTAL MWMC CREDIT
0.000 x $0.00
VALUE / IOOO CREDIT RATE
0.000 x $0.00
DRAINAG
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
wonrsHeer
NAME
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
PHONE:
srArE: -t(-,r'
X $1,ooo per unit = $ [000 .CD
=$
=$
E$
000 .oD
l'0 00
Plat Name:
1. pEVELOPMENT TYPE
ype detinitions are on the
Tax Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
A Single-Family Detached
( Single Family home.-
NO. OF UNITS
B. Single-Family Attached
NO. OF UNTTS X $924 Per unit
C. Multi-Family Apartment
D. Manufactured Home Perk
NO. OF UNITS X $699 Per unlt
WLLAMALANE SDC $
2. SDC CREDIT (U appticaOte) SDOaayermustfurnlsh proof of
Wllamalane creoit approuil. See ioc crem Wodcsheat- $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(l( SDC reduoed torCredit) $
1
City of
5,3L, lL
Date
Job. No. Ct.00+St0l
t
ub/:t1)/oL
225 TIFTE STREET
Ci ty
Ittl, uu: uo rAJt o{l r.6l,duoe
gPRIN( ,!€.LO
the foll
land use
PER}TIT APPLICATION
Ci. ty Job Nuober
CO}IPIJTE FEE SCEEDI'IJ BELOV
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service fncluded:
f tems Cos t
DES CRIPTION
JOB
Perarits are non-transferable and expire
if vork is not'started vithin 180 days
of issuance or if eork is suspended for
180 days.
2. CONTRACTOR ONLI
Electrical Contractor
Address 1q
t..,r..P Phone tsbb *o3o 5
t
Date
The fgllowing project as submitted has'
zonl,lg, and doas not require specific
apptdvBl DaZoning"7 0
SPRINGFIELD' OREGON 97 AT,Aori-,ed Sianature
INSPECTIoN REQUEST: 726-3769 . "
OFPICE: 72.6-3759
3
A
Sum
(
1000 sc.ft. or less
Each addi rional 500
sq. ft or portion
t hereof
Each l'tanuf 'd Home. or
Modular Dvelling
SerVice or feeder
B- Services or Feeders
. Installarion, Alterations'Of1or Relocarion:
c
D
/ s 8s-00 AA,*
3 $15.oo 45,:
s 40.00
Supervisor License Nurnber ts-bBS
Expiratiott Date
consrr conrr. Number J OJ S 3C,
Expiration Date lo-r
Signat Supervising Electrician
0vners Name
Address
fi.aatf Phole 5/7-3 53:r
200 anrps or less S 50.00
201 amps to 400 amps ] S 60.00
401 arnis to 600 amps -] S1OO.O0 :
601 amps to 1000 amps j-- 5130.00 :-0ver 1000 amps/volts 5300.00
Temporary Services or Feeders
InstaIlacion, Alteration or Relocation
200 amps''or less
201 amls to 400 amps
-0ver 401 to 600 anps
over 600 ahps or rbOO-GTts
Branch Circuits
t
-Dl s 40.00
$ 5s.00
s 80.00
see t'Dtt a oove
o
Ci ty
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Peeder Permit
E. Miscellaneous (Service/fcedcr not included)
-Each installation
Pump or irrigation
Sign/0utlinc LightinS-
Limited Energy/Res
Limited Ener[y/comm
5. SUBTOTAL OF ABOVE
71 State Surcharge
32 Administrative Fee
TOTAL
s 3s.00
s 2.00OVNEN INSTALI.ATION
The installation is being made on
property I ovn r.rhiih is not intended
for sale, Iease o[ rent.
Oyners Signature:
DATE; '7
s 40.00
s 40.00
s 20.00
5 36.00
@
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r.JCOrH€$lt*i (}
H F.J Cf,-[r, rJ
L,r r..:r 0'., (f,FJr;] 13 F"J{} !-' C)
r-l
:T}fr::I:Fqrfrry:r
;T:I I}"" z.cf C]lFrrn
RBCEIVED
w a I a vl
1. LOCATION OF INSJIALI,ATION,- r SfgS- _
I
OwENs
@
This home has bl '.rssionally insulated with
Gwe s Gorning
PROPINK" Unbon led Loosefill lnsulation
Name
Address
Retrofit
Number of bags used
Estimated R-value of
previous insr.rlation
Area of coverage (sq.fr.
Other type(s) of
iilsulation in attic
Thiclness of insulation
Depti ofprevious
(Jc,b Site Addtess)
l,(xx) so FT
uAxniuM
COVEBAGE PEN BAG
No. of bags per Contents of eacfr
1,000 sq- ft. of bag should not
net area shall cov6r more than
not b€ less than:
31.2 32 sq ft
36sqft
24.1 42sqft
54sqft
16.1 62 sq ft
74sqft
11.8 84sqft
6.7 150 sq ft
Citu State _Zi,p
Owens Corning PROPINK Unbonded Loosefil! lnsulation (Red Bag Label IRN L32)
Ori-ens Comuig $rll accept no responsibility u'hen the product is not urstalled in accordance rith the product label. Statecl R-value is prouded by installing the
requred number of bags at a ttucL1ess not less than the labeied miruntun tluclmess. Installation of the reqrured number of bags may yreld more than the specified
minimum thiclmess. Failure by the rrstaller to provide both the required bags and at least the mirumun thiclmess uill result in lower tnsulation R-value.
Specification For Open Blorv Attics Nonrirurl net weight of tnsulation is 28 lbs.
New Construction I
16 U4 in
R-19
0. t87
*The higher the R-value. the greater the hsulating porver. Ask yow seller for the fact sheet on R-values.
Blanket lnsulation
Blanliet and batt fiber $ass insulation, when installed according to the manu-facturer's recommendations, will provide the stated R-Value.
R-15
Ceilings
Floors
Wa[s
Basement
Crawlspace
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Corttt
CompanE
Builder
Address
Phone
Date
,igttot r t|
Addrex
Phone
owENs coailrllc woR]D hcAlxxraaltRs
ONE O\r'r'ENS CORNING PAR(WAY
TOLEDO OHIO4365q
Q" n ,
Pub. No. ItBt-2267$A Primod in U.S.A., Jun. 1999 Copyright O 1999 OE6 Corning
't
MrtllMrni
YYEIG}IT l,tl LAiSO FT
Weight in lb. per
sq, ft. of installed
To obtain an insulation
resistance (R) of:
MINIMUMTHICKNESS
lnstalled insulation
should be:
R-38 R-38C R-30 R-30C R-25
:...::-. 1*18ina51n'cavity
THE FOLLOWING PRODUCTS HAVE BEEN INSTA1IEDAS SPECIFIEDABOVE:kraft unfaced foil F$25 B-Value Thid<ness
No.Coverage
AreaPkgs.