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HomeMy WebLinkAboutPermit Building 2001-10-24Job# 01-01096-01 RESIDENTIAL PERMIT City Of Springfield Gommunity Services Division Building Safety Page 1 of 3 SPF'AIGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 745 00026th Pl Spr Assessors Map#: 17033611 Lot: Block: Addition: Job Number: 01 -01 096-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 12000 Subdivision: clTY oF SPRINGFIELD, OREGON Owner: William Neer Address: 35495 Mckenzie View Dr Scope Of Work: Garage Phone Number: City/State/Zip: New 541-747-7486 Springfield, OR 97478 Value: $17,875 Detached garage Contractor Prew Construction 409 S 58th St, Springfield, OR 9747 William Neer 35495 Mckenzie View Dr, S 97478 (1 Contractor Type GeneralContr ElectricalContr Registration # 65622 Phone 541-915-3399 541-747-7486 Date S)'J pringfield, OR Quad Area: # Of Units: Gonstr. Type: Water Heater: 2RNW (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Accessory Structu Heat Source: Sq. Footage: 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 -Aftertrenches.*# -After forms are erected but prior to concrete placement. -Prior to cover. -When all required inspections have been approved and the building is complete. Electrical Footing Foundation Framing Final Building Underground Electrica! Rough Electrical Final Electrical - Prior to cover. -Prior to cover. -When all electrical work is complete. Storm Sewer Line -Prior to filling trench. Plumbing Zoning: LDR FloodPlain? [ Wetlands? ! Journal numbers 1: Comments: Planner: Urban Growth Boundary?[ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: zone X white Job#01-01096-01 Overlay District: # of Street Trees: 2:3 Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA Panel 1 161 of2975 Page 2 of 3 Land Use: Single Family Dwelling Pave Driveway? Z Construction Types:(VN) Wood Frame Occupancy Groups:Accessory Structure # Of Buildings: 1 # Of Bedrooms: Handicap Access? (Sq. Feet) Main:Accessory912 # Of Stories: 1 Height (feet): 1B Current Units: Proposed Units: Census Code: Does not apply Total:912 Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 1010512001 6915 17,875 $1 10.37 $110.37 Building Building Permit Garage/Carport State Surcharge For Building Permit Building Administrative Fee Tota! Building 1012412001 10t24t2001 10t24t2001 10t24t2001 7079 7079 7079 7079 17,875 $.00 $169.80 $11.89 $13.58 $19s.27 Minimum Electrical Permit Fee Branch Circuits WO Feeder or Service State Surcharge - Electrical Administrative Fee - Electrical Total Electrical Electrical 1012412001 1012412001 1012412001 10t24t2001 7079 7079 7079 7079 2 $.00 $46.00 $3.22 $3.68 $52.e0 Plumbing Minimum Plumbing Permit Fee State Surcharge - Plumbing Storm Sewer Footage Administrative Fee - Plumbing Total Plumbing 10t2412001 10t24t2001 10t24t2001 10t2412001 7079 7079 7079 7079 25 $.00 $3.15 $45.00 $3.60 $51.7s System Development Residential- Single Family - Storm SDC Administrative Fee Total System Development 10t24t2001 10t2412001 7079 7079 $283.92 $14.20 $298.12 1,040 Fee Job# 01-01096'0 1 Paid On ReceiPt# Page 3 of 3 Value/QuantitY Fee Amount Fee Planning Plan Review Total Planning Plan 1012412001 7079 1 $50.00 $50.00 Grand Total Plan Check TYPe lnitial Review-Res Engineering-Res Checked BY Lisa HopPer Steve TemPlin Date ComPleted 1011212001 1012212001 Planning-Res Liz Miller 1012412001 Structural-Res Tom Marx 1011712001 By signature,I state and agree that I have carefully examined the completed application and do hereby certify that all information herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ord inances of the City of Springfield and the Laws of the State of Oregon I further state 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 the project address is readable from the street, that the permit card IS at the front of the property, and the approved set of pla ns will remain on the site at alltimes d ction nature Date $7s8.41 Comment Electricalwork can be done by home owner only if property is not for rent sale or lease' FUTURE ROW DEDICATION OF 5 FEET. BASE 1O FOOT SETBACK ON FUTURE DEDICATION PER SPRINGFIELD DEVELOPMENT CODE. SEE PLOT PLAN FOR DETAILS 10 foot setback needs to be from future Right of Way Dedication. Garage cannot be taller than the primary structure. 7//-O/ CITY OF SPRIN GFIE--z SYSTEMS DE\rELO PMENT CII.}E WORKSIIEE T NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: 0SIZE: 145 26TH PLACE t7-03-36-I l-12000 0 I -0 1096-01 OSFSF LOT SIZE NEW DWELLING UNITS: JOURNAL OR JOBNUMBER: GARAGE NEER O BUILDING RATEDISCOUNT.FSPERCOST $0.00IMPERVIOUS.FS s0%$0.2730.00 COST PER S.F $283.92x xx RUNOFF ROUTED TO STORMRUNOFFDIRECT AND CONSTRUCTED TO CITY STANDARDS DRYWELL DESIGNED SYSTEMTO CITY $283.92 SDCAGEDRAINSTORMALTOTIITEM DFUPERCOST s0.00DFU'sOF $16.240 NUMBER OF DFU's 0 $2r.37x x COSTA. B.COST: ARYTOTAL SDCSEWERSANITCITY2ITEM FACTORTRIPNEWCOST PERTRIPI.TNITSOFNUMBERADTTRIPRATE s0.001.00$68.9409.57 STTrupRArE NUMBER OF TiNITS 0 COS T PERTRIP s 16.21 NEW TRIP FACTOR 1.00 00xxx xxx COST:A. B T:COS $0.00 TRANSPORTATION SDCALTOT3ITEM $0.00 NUMBER OF FEU's 0 COST PERFEU $332.86 $0.00 NUMBER OF FEU's 0 COST PER FEU $34.83 $0.00 $0.00 SUBTOTALOFMWMCREIMBURSEMENT,IMPROVEMENT&CREDIT $0.00 x x B.COST: COST:A. MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL . MWMC SANITARY SEWER SDC $283.92SUBTOTAL (ADD ITEMS 1,2,3, &4) SUBTOTAL ADM. FEE RATE $283.92 s%14.20 5. ADMIMSTRATIVE FEE: x ttu4ck^+/;4- SDC COORDINATOR 1012212001 TOTAL SDC CHARGESDATE $298.12 aHooO & rrlFa O trl& 1070 1091 t092 1093 1094 1073 1055 1056 S.F. 1040.00 $0.27]- 6-sr pERDFU 9.51 MPK(JV-trIVIEI\ DRAINAGE F ..URE UNIT fABLE OFNUMBER NEW FIXTURES x UNIT ALENTEQUIV DRAINAGE FIXTURE LINITSFOR.TECALCULA YONL NETTHE ADDITIONAL NO. OF DRAINAGE FIXTURE I.]NITS TYPE (#NEW - #OLD ). LTNIT BATHTUB DRINKING FOLTNTAIN (0 0 )x x x, x J 0 FLOOR DRAIN 0 0 I (0FOR GREASE /0 )3 0OIL / SOLIDS /ETC.( FOR SAND /0 0 )JAUTO WASH /ETC.0 LAUNDRYTI.IB (0 0 )x x x, x 6 0 /MOP SINK (0 0 )2 0 CLOTHES WASHER -3 ORMORE (0 )aJ 0 MOBILE (EA)(0 )HOME PARK TRAP I PER 6 0 FOR REFRIG / (0 )x x x x x 12 0WATER STA TION/ETC.RECEPTORFOR COM. SINK (0 0 )0DISHWASHER/ETC (0SINGLESTALL )J 0(0 )2 0(0 )2 0(0 0 )x x x x J 0(SINK:DOMES TIC BAR 0 0 )2 0 WASHBASIN (0 0 )0 LAVATORY (0 0 ))0 STALL/WALL (0 0 )x x x x 0(TOILET, PIIBLIC INSTALLA 0 0 )5 0TION PRIVA TE INSTALLA (0 0 )6 0TION MISCELLANEOUS DFU TYPE (0 0 )0NTIMBER OF EDU's*(o-o )x 20 0 *EDU (Equivalent Dwelling Unit)is TOTAL FXTURE UNITSdischargeequivalenttoasinglefamilydwellingunit(20 DFU's)167setat gallons per dayMWMC CREDIT CALCULATION TABLE : BASED ON COUNTY ASSESSED VALUE $0.00 YEAR ANNEXED CREDIT RATE PER $1,000 ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALTIE1979OR BEFORE $4.92 I r 980 $2.06$4.83 l99t $ r.64r98t$4.77 1992 $1.451982$4.64 1993 sl.3lI 983 $4.47 1994 $ r.l3I 984 $4.30 I 995 $0.97I 985 $4.09 1996 $0.82I 986 $3.78 1997 $0.631987$3.41 r 998 $0.41l 988 $2.98 1999 I 989 s2.52 2000 s0.22 $0.04 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) $0.00 $0.00$0.00 TOTAL MWMC CREDIT : ANNEXATIONIFIMPROVEMENTSOCCI.JRRED AFTER CALCULA x DATE, 0.000 x TE CREDIT SEPARATELY VALUE / 1OOO 0.000 CREDITRATE $0.00 0 I 0 0 0 0 0 0 I I ELECTRICAI, PERMIT APPLICATl 225 FIFTH STREET SPzuNGFIELD. OREGON 97477 '/26-3 Citl'Job CTY D. Branclt N One BELOW TIONL land usg uir iirr rieu slgnatLlre or per drvelling unit. or Extension Per Items Cost Sum $106.00 - $ 19.00 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manufd Hotne or Modular Drvelling Service or Feeder Over amps "8" abo\re ,-b Zoningo 6 JOB DES W Permits are non-trzlnsferable and expire if work is not started lvithin 180 days ofissuance or ifwork is suspended for 180 days. , CONTRACTOR INSTALLATION ONLY B,lectrlcal 2 Address Supen'isor $ 50.00 -- of Super-lising Electrician Expiration Date /c Circuit or rvith lease or E. i\Iisc l. SUBTOTi\L OF ABOVE 7oh Sttrte Surchirrge 87o Administrative Fee not included) $i0 00 $50.00 $25.00 $,15.00 Limited Energv/Res Limited EnergyiComm l\Iinimum Electric Permit Inspection Fee is S-15.00 * Surcharges 7o TOTAL 5Z OF1.. .-,-sg IlOt Constr Contr.Nunrber Orvners C. Tcntpontrl Scn'ices or Fceders Installittion, Alteration or Rclocation B. Ser-vices or Feeders Instirllntion, Alterations or Relocation: 200 amps or less 201 unrps to 400 amPs -101 anrps to 600 amPs 60 1 anips to 1000 amPs Oler lU00 amPs/r'olts Reconnect OnlY $ 163.00 _.-- s375 o0 -.- -,$ so.oo -- j$4300if ^/,{ (> o -22-3@- s $ $ 63.00 --75.00 125.00 ---_ f .Fb 1(a O'ryncrs ELECTRICAL PERMIT APPLICATION ob Number O oto76-o// I LEGAL OF INST FEE SCI{EDULEBELOW or Multi-FamilY Per dwelling unit' Service Included:Signature Permits are non-tmnsferable and expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. 2. COI{TRACTOR INSTALLATION ONLY Electrical Address u bob il ,ll Pd, L Exairation Date t2 Electrician Name Address ) 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amPs 601 amps to 1000 amPs Over 1000 ampVvolts Reconnect Only Over 401 to 600 arnps Over 600 amps or 1000 "B" abovg D. Branch Circuits New, Alteration or tra one circuit 200 amPs or less 201 amps to 400 amPs Items Cost Sum $106.00 $ 19.00 $ s0.00 -1-$6300 [3 $ 7s.00 $125.00 s163.00 $375.00 $ s0.00 $s0.00 $69.00 $100.00 Panel $43.00 included) $50.00 $50.00 $2s.00 $45.00 6) qq/ toY I 7rt a3 ///ZaQ JOB €ua CitySPPUE Supenrisor License Number Expiration ,c C) Constr Contr,N'merZO - l\C. Temporary Services or Feeders Installation, Alteration or Relocation -7't7 -Zf L a Each -Each Pump or Sign/Outline Limited Energy/Res Limited Enerry/Comm ALLATION The installation is being made on prcperty I own which is not intended for sale, lease or rent. or E. SUBTOTAL OFABOVE 1Yo State Surcharge 87o Administrative Fee Owners Signature: TOTAL 7 z!i co,,*oo, Btr IruBolHAl/E Service $ 3.oo _ ,n*"W\l%- \o rc ' ..: { {\ r.a' b - ':