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Home My WebLink AboutPermit Building 2001-02-12Job# 01-00079-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety paselof4 #lO a- *- - ii-rfii'il:i:/ i:*:::iTli : iiri ,I - "*', 14q7zto 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 414 00020th St Spr Assessors Map#: 17033613 Lot: Block: Addition Job Number: 01-00079-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 11403 Subdivision: ctrY oF SPRINGFTELD, OREGOTV Owner: James Storey Address: 761 N Cloverleaf Loop Scope Of Work: Single Family Residence Phone Number: Gity/State/Zip: New 541-744-1645 Springfield, OR97477 Vatue: $91,644 Gontractor Type GeneralContr Gontractor James Story Contracting 761 N Cloverleaf Loop, Springfield, OR 97477 Registration # Expiration Date Phone 541-744-1645 Quad Area: # Of Units: Constr. Type: Water Heater: 2RNW I (VN)Wood Frame Electric Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric # Of Buildings: 1 OccupancyGroup: Dwelling Heat Source: Baseboard Electric Sq. Footage: 1208 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 !nspections Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Naiting Framing Walllnsulation Drywall FinalBuilding Underfloor Drain Rough Plumbing Water Line -lnstallground.#pectioninconjuctionwithfootingand/orfoundationi -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. Plumbin ---l7(33-+ IT f) --{ 73rnr? E7 {)F IC}C)tit r:f) C,rf,:r rrlT CJiq= f--'t 1E! *r c) Fr (3C}fiC}!J - Prior to cover or placement of concrete. - Prior to cover. -Prior to filling trench. Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Mechanical FinalMechanical Job# 01-00079-01 Required lnspections -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. Page? of 4 Street lmprovement: AC Mat Sidewalk Type Curb Cut?!lmprovement Agr.?!AdditionalROW? San Sewer Depth (Ft): 6 - 4 Size Of Line (in): B Storm SewerAvailable? f Downspouts/Drains: To Storm Sewer Special Req.: Enchroachment Permit: Security Required: San Sewer Tee (in): 6 Bond Begin DateTime: OO/00/0OOO 00:00 AM Bond End DateTime: OO/OO/OOOO 00:00 AM Special lnstructions: RAIN DRAINS CONNECT DIRECTLY TO 30" STORM SEWER lN 20Tl Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning: LDR FtoodPtain? [ Wetlands? [ Journal numbers 1: Comments: Planner: Ruth Klein Urban Growth Boundary?! Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: Glenwood Area? Land Use: Single Family Dwelling Pave Driveway? Z 2 3 Additional Requirements: 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? ! (sq. Main: 1208 Accessory*10 Private Garage/Carp/Stor # Of Stories: Height (feet): 17 Current Units:0 Proposed Units:1 Census Code: Does not apply Total:1618 Fee Paid On Receipt# Value/Quantity Fee Amount PIan Check Residential Plan Check Total Plan Check $265.85 $265.85 0112912001 4331 91,644 Job# 01-00079-01 Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Buildinq Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0211212001 02t12t2001 02112t2001 4426 4426 4426 91,644 $409.00 $28.63 $12.27 $449.90 Plumbin Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing 0211212001 02t12t2001 02t12t2001 02112t2001 4426 4426 4426 4426 1 $.00 $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge - Mechanical Total Mechanical 02t12t2A01 0211212001 02t12t2001 02112t2001 02t1212001 0211212001 0211212001 4426 4426 4426 4426 4426 4426 4426 1 $4.50 $.00 $.50 $9.00 $3.00 $10.00 $1 .16 $28.16 3 1 Encroachment Permit - Residential Total Public Works Public Works 0211212001 4426 1 $80.00 $80.00 System Development Residential- Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee Sanitary Sewer SDC Reimbursement SDC Administrative Fee Property Annexed 1979 or Before Transportation SDC Reimbursement Total System Development 02t1212001 02t12t2001 02112t2001 02t12t2001 02t1212001 02112t2001 0211212001 0211212001 0211212001 02112t2001 $559.34 $488.75 $154.27 $285.91 $24.33 $10.00 $371.45 $123.53 $-79.s6 $6s6.02 $2,594.04 4426 4426 4426 4426 4426 4426 4426 4426 4426 4426 2,064 23 1 1 1 1 23 17 I S.F. Residence - Willamalane Tota! Willamalane SDC Willamalane SDC 02t12t2001 4426 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Checked By Wendy Stanley Steve Templin Date Completed 01130t2001 0210712001 $4,593.95 Comment NO DRYWELL PERMITTED. ROOF & FOOTING DRAINS CONNECT TO 30' STORM SEWER IN 2OTH STREET. SEE PERMIT FOR DETAILS Driveways abutting improved streets need to be paved forthe first 1B feet. Planning-Res Ruth Klein 0210812001 OREGO'VCITY OF 5P! iFIELO 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 EI,BCTts,ICAL PERHTT APPtICAfifuI{ 5 4 1 ) 7 2 6 - 3 6 B 9 City Job Number 6t - oaz?-ol DEVELOPMENIsEBYAgFSp*fifdf fi$FflJrub.mitredhasrhetollowins ';;';'; -";;"d'oei not require specilic land use appl u vai zz5 FTY.m STREET zontns SPRTNGFIELD, OREGOTLAA 1. LOCATION INSTALI.ATION IJGAL DESCRTPTTON I l,to 3'7o JOB DESCRIPTION (D& oO ffi IEff ")r::3ffi '' ^''/'?9;J 3 f fl u"'" Nt[oL-t,t*..<s (l tlr COUPI,ETB FEE SCEEDIILE BELOS Nev Residential-Single or Multi-FamilY Per dvelling unit. Service Included:Items Cost / s ss.oo 8f s 1s.00 /.f $ 40.00 Services or Feeders Installation, Alterations or Relocation: 1000 sq.ft. or less Eaeh additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dve1ling Service or Feeder 200 amps or less 201 amps to 400 amPs -Over 401 to 600 amPs 0ver 600 amps or 10007ofis 3 A B E Sum Permits are non-transferable and expire if vork is not started within 180 days oi i."u"nce or if vork is suspended for 180 days. 2. COTiITRACTOR INSTALI,ATION ONLY Electrical Contractor LLc uai T 4Address .Q 7 ..7//J 200 anps or less 201 amps to 400 amPs -4C1 anps to 600 amPs - 60L amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0n1Y bK Ci ty Supervisor License Number q/v? -5 Expiration Date 2 c. constr contr . nunber /)7 7y'8 Temporary Serviees or Feeders Insiallation, Alteration or Relocation Expiration Date 6 -/D - 02 Signa ture of SuPervising Electrician ee trBu a5666Branch Circuits Nev, Alteratlon or Extension Per Panel "6( N,$ 3s.00 $ s0.00 s 60.00 s 100. 00 $130. 00 $300.00 $ 40.00 40.00 55.00 80.00 $ $ $ s D 0vners Name Address s.-a cirv l PA Phone '7Yf OIJNER INSTALI,ATION The installation is being made on piop"tty I ovn which is not intended for sale, lease or rent' Signa o Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40'00 iieizortiine"l.ightins- q 19'99 -t,iilitea Energy/Res - $ 20.00 suBTorAL OF ABOVE / 09 , ' 7% State Sureharge i ' 3Z Administrative Pee TOTAL , /C."' :l -/drr One Circuit Each Additional Circuit or with or Feeder Permit Service s 2.00 RSCEIVED obal 5 /?. Li t4 i,. ') o.,,r. )/a Phor,e S'// - //7'J)75 Job# 01 -00079-01 Page 4 of 4 Plan Check Type Checked By Date Completed Comment Structural-Res Wendy Stanley 0210612001 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 all work 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 set of will remain on the site at alltimes during construction. l?- GR >o" ) nature Date UUillamalane Park & Recreation District t Job. No. O i _l e +q-0t , SYSTEM DEVELOPMENT CI{ARGE WORKSHEET PHONE:l-tt STATE: OP ZIP: 3Y.+;- NAME ADDRESS: LOCATION OF PROPOSED BUILDING SITE: AO+n Plat Name: 1. DEVELOPMENT TYPE (Check ype delinitions are on the back.) A. Single-Family Detached i Single Family home NO. OF UNITS B. Singte-Family Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Manufac,tured Home Park NO. OF UNITS WILLAMALANE SDC _ Tax Lot Number:lla @6ts n'l oJ appropriate dwelling(s). SDC calctrlations and dwefiing t Manufactured home not in a park X $1,000 per uflit = $to00 X $924 per unit $ X $692 per unlt $ $ o X $699 per unlt 2. SDC CREDTT (lf appticabte) SDCpayer musr tumtsh proot of Willamalane Credit approvat. See SDC Credit Wotkshoot. 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced (or Credit) pment epartment *. $ $ $ t t Tutot 1 It Clty of Spring Date CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE WORKSHEET DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE I BUILDING SZE: 1608 SF LOT SZE: 8088 SF $ 16,785 JOURNAL OR JOB NUMBER: 0l-00079-01 ANNEXATION YEAR DWELLINGI-INITS NAME OR COMPANY STOREY TAXLOTNUMBER:t7 -03-36-t3-11403 LOCATION:4I4zOTH STREET 1948 LANE COTINTY ASSESSED VALUE (LAND) IMPERVIOUS S.F COSTPERS.F. .342064.00 $0.271 I. STORMDRAINAGE x $559.34ITEM I TOTAL - STORM DRAINAGE SDC COSTPERDzuNLIMBEROF DFU's $371.45$ 16.15z5 NUMBEROF DFU's 23 COSTPERDzu $2r.2s $488.75 B.IMPROVEMENT COST x x 2. SAMTARY SEWER- CITY A. REIMBURSEMENT COST: $860.20ITEM 2 TOTAL - CITY SAIIITARY SEWER SDC NUMBEROFUNITS COSTPERTRIP NEWTRIPFACTORADTTRIP RATE I $68.ss r.009.57 ADTTRIP RATE 9.57 NUMBEROFUNITS 1 COST PERTRIP s 16.12 NEWTRIPFACTOR l.00 $rs4.27 B.IMPROVEMENT COST: x x x x xx 3. TRANSPORTATION A. REIMBURSEMENTCOST: 10.29ITEM 3 TOTAL . TRANSPORTATION SDC 10.00 NUMBEROF FEU's 1 COSTPERFEU $28s.91 NLIMBER OF FEU's I COST PERFEU s24.33 $285.91 s24.33 79.5 B.IMPROVEMENT COST: x x 4. SANITARYSEWER-MWMC A, REIMBURSEMENTCOST: MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATWE FEE $240.68ITEM 4 TOTAL - NTWMC SANITARY SEWER SDC 70.51SUBTOTAL (ADD ITEMS l, 2, 3, & 4) SUBTOTAL ADM. FEERATE 70.51 5%$ 123.s3 5. ADMINISTRATIVE FEE: x $2,594.04 2/7/0tSlrA/LTr^+l;*TOTAL SDC CHARGES SDC COORDINATOR DATE DRAINAGE FIXTURE UNIT CALCULATION TABLE NTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE DIt 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 UMTS(+mw-#oLD)x UMT FIXTI'RE TYPE BATHTTIB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 2 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x 3 6 DRINKING FOUNTAIN I 0 FLOORDRAIN 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.J 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0 LAUNDRYTUB 2 0 CLOTTIESWASHER / MOP SINK 2 J 6 CLOTIIESWASI{ER - 3 OR MORE (EA)6 0 MOBILE HOME PARK TRAP (I PER TRAILER)t2 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC J 0 SHOWER, SINGLE STALL 2 0 sHowE& GANG (NUMBEROF HEADS )2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN I J 5 SINK: COMMERCIAL BAR 2 0 SINK: DOMESTIC BAR I 0 WASH BASIN 2 0 LAVATORY I 2 LIRINAL, STALL / WALL 5 0 PUBLIC INSTALLATION 6 0 TOILET PRTVATE INSTALLATION 2 J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* )x 20 0 TOTAL DRAINAGE FIXTURE UNITS : *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day 23 IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $79.s6 $0.00 YEAR ANND(ED CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALUE I979 OR BEFORE $4.74 $4.65 $4.s9 I 990 $1.96 r 980 l99l 1992 l 993 $1.55 l98 t $1.36 I 982 $4.46 $1.23 I 983 $4.30 1994 l 995 $1.0s l 984 $4.14 s0.90 I 985 $3.93 I 996 $0.75 l 986 s3.63 1997 $0.s7 t987 l 988 $3.26 I 998 $0.35 $2.8s 1999 $0.15 I 989 $2.40 TOTAL IVTWMC CREDIT : 0.000 x $4.74 VALUE / IOOO CREDIT RATE 16.785 x 54.74 2