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
' ..: {
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r.a' b -
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