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Home My WebLink AboutPermit Building 2000-05-08SPRINGFIELD Job# 00-00555-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 1p6pg1:01-00015?1 DATE:l'|AY OB 2OOO Al'lT RE[D:? $ ?003.90 CHANGE: IASHIER: OO5 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 345 S 00032ND ST Spr AssessorsMap#: 17023134 Lot: Block: Addition Job Number: 00-00555-01 Office:726-3759 Inspection Line: 726-3769 Tax Lot#: 02405 Subdivision: ctrY oF SPRINGFIELD, OREGOTV Owner: Jerry Tabor Address: 2833 Hayden Bridge Rd Scope Of Work: Single Family Residence Phone Number: City/State/Zip: New 541-746-0179 Springfield, OR97477 Value: $76,862 Contractor Type GeneralContr ElectricalContr MechanicalContr Contractor Registration # Expiration Date Jerry Tabor 18222 81517001 . , 2833 Hayden Bridge Rd, Springfield, OR ,i-., -,, t. . .-. ,_1,. , i 97477 Kidd and Company PO Box 1067, Springfield, OR 97477 "rr: '' ' I.: Harvey & Son Heating & Air Conditi*, Onin 55682 ):.,r:.,',212612001 , .,ri,:', 4680 Main St, Springfield, OR 97478-6054 Phone 541-746-0179 541-7464269 541-746-7677 Quad Area: # Of Units: Constr. Type: Water Heater: 3RSC I (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: 1050 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 Buildins Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywalt -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. NOTICE:-Prior to cover. -Before covering sheathing with finish materials. THISPEHMITSHALLEXPIREIFTHEWORK -Priorto cover. AUTHORTZEDUNDERTHTSPERMTTTSNOT -Prior to Cover - prior to tapins. coh4MENCED OR lS ABANDONED FOB ANY 1BO DAY PERIOD. Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line FinalPlumbing Underfloor Mechanical Rough Mechanical FinalMechanical Street Improvement: AC Mat Curb Cut?[ Improvement Agr.?f Page2 ol4 Required Inspections -When all required inspections have been approved and the building is complete. Electrical -Approval required prior to SUB energizing pole - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete. Plumbing 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 allplumbing work is complete. Mechanical -Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete Sidewalk Type Setback - 5' Additiona! ROW? San Sewer Depth (Ft): 6 - 4 Size Of Line (in): 6 Storm Sewer Available? f Downspouts/Drains: To Culvert-Provide Drainage F Special Req.: Additional Right of Way Enchroachment Permit: Security Required: San Sewer Tee (in): Bond Begin DateTime: 00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM Special lnstructions: lmprovement agreement, sewer hook-up and dedication deed must be sigr Other Utilities: Types Of Warning Devices Reqd. Project Supervisor: Zoning:LDR FloodPtain? [ Wetlands? [-] Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Overlay District: # of Street Trees: 2 Land Use: Single Family Dwelling Pave Driveway? Z Journal numbers 1: 2: 3: Comments2 paved 9x18 off-street parking spaces are required Additional Requirements: tr Glenwood Area? [ Required Aftachments: Source Locn: Material: Flood Plain FEMA:nla Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ Job# 00-00555-01 Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New SF - detached Page 3 of 4 Area (Sq. Feet) Main: 1050 Accessory204 Total=1254 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check 0411212000 1212Residential Plan Check Total Plan Check 76,862 $236.60 $236.60 Building Permit State Surcharge For Building Permit Building Administrative Fee Tota! Building Buildinq 05/08/2000 05/08/2000 05/08/2000 1571 1571 1571 76,862 $364.00 $25.48 $10.92 $400.40 Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft Temporary: 200 Amps or Less State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 1571 1571 1571 1571 1571 1 1 1 $85.00 $15.00 $40.00 $9.80 $4.20 $154.00 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 05/08/2000 05/08/2000 05/08/2000 05/08/2000 1571 157 1 157 1 157 1 $.oo $160.00 $11.20 $4.80 $176.00 Mechanical Hood and Exhaust Minimum Mechanical Permit Mechanical Administrative Fee Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance State Surcharge For Mechanical Permit Tota! Mechanical 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 157 1 1571 157 1 157 1 1571 1571 1571 1571 1 3 1 $4.50 $.00 $.68 $6.00 $9.00 $3.00 $10.00 $1.58 $34.76 Public Works ln Lieu of Assessment ln Lieu of Assessment 151+ New Sidewalk New Curbcut Encroachment Permit - Residential Total Public Works 05/08/2000 05/08/2000 0s/08/2000 05/08/2000 0s/08/2000 1571 1571 1571 1571 1571 9,000 2,460 $2,520.00 $344.40 $.00 $.oo $80.00 $2,944.40 1 System Development Residential- Single Family - Storm Sanitary Sewer 05/08/2000 05/08/2000 1,834 22 $425.49 $1,061.94 1571 1571 1 1 Job# 00-00555-01 Page 4 ol 4 Fee Paid On Receipt# Value/Quantity Fee Amount System Development Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 05/08/2000 157 1 157 1 157 1 157 1 1571 1571 1 1 1 1 $491.60 $242.76 $22.05 $10.00 $109.25 $-68.75 $2,294.34 15 S.F, Residence - Willamalane TotalWillamalane SDC Willamalane SDC 05/08/2000 1571 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res $7,240.50 Checked By Lisa Hopper Steve Templin AlWard Wendy Stanley Date Gompleted 0411812000 05/08/2000 04t2112000 05/08/2000 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 approved set of plans will remain on the site at all times during construction. Signature Date 1 S. .NGFIELD 225 FITTE STREET SPRINGFIELD, OREGON 9 INSPECTION REQTIEST: OFFICE z 726-3759 t OF ON A tasl + re t rans bIe and ex lre kisn s tar ted v ithin 180 days of issuance or if vork is suspended for 180 days. 2. CO}ITRACTOR INSTALTATION ONLY B. Electrical Contractor Elect City Job Nun 3. COHPIJTE FEE SCHEDULE BELOV ELECTRICAL PERHIT APPLICATION u".0o.00 5-O t Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t $ 8s.00 ffi 4D Sum Permi t i. f vor eaaress fC 8 oX t 0(r1 Ci ty r Phone 1"b-?3o3 Supervisnr License Number )b IS Expiration Date C Constr Contr. Number 2A-l'17 C, Expiration Date 00 Signatu of Su rvising Electrician D. Ovners Addres Ci Phon e q INSTALTATION L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular DvelIing Sertice or Feeder t $ 1s.00 $ 40.00 Services or Feeders InstaIIation, Alterations or Relocation: 206 amps or less 20L amps to 400 amPs - 40L amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amps/volts Reconnect Oniy Temporary Services or Feeders Installation, Alteration or Relocation I 200 amps''or less I201 amps to 400 amps - Over 40L to 600 amps 0ver 50C amps or 100CEITs SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL ls $ s0.00 s 60.00 $100. 00 $130. 00 s300.00 $ 40.00 s 40.00 $ ss.00 $ 80.00 see ttBrt a6'ove not included) 40.00 40. o0 20.00 Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0nners Signature: DATE: Miscellaneous (Service/feeder -Each installation Pump or irrigation $ sign/Outline Lighting- S Limited Energy/Res - $ E 5 BRECEIYED ) pD krcrs I Willamalane Part< & Recreation District 00.OnFlqoi.OlJob. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: STATE: NAME: ADDRESS: LOCATION Street Add Plat Name:_ Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctrlations and dwelling t ype definitions are on the back.) A. Single-Family Detached I\ Single Family home Manufactured home not in a park X $1,000 per unit = $.oD OF PROPOSED BUILDING SITE: A/-y..feSS:L)\. )$hr*Yr S\tu!+,' NO. OF UNITS I B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNTTS X $692 Per unit = $ D. Manufac{ured Home Park NO. OF UNITS WILLAMALANE SDC X $699 per unlt = $ 05 I $ OD q) 2. SDC CREDIT ([ applicabte) SDOaayor must fumlsh proof of Willamalane ireOit approval. See $DC Credit Workshoet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if for Credit) Development City of Spring fie s Department Date $a a l_,o-