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Home My WebLink AboutPermit Building 2001-09-12Job# 01 -00755-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 SPRINGFIELD UN!L AilT RFI':ih, 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 252 00035th St Spr AssessorsMap#: 17023131 Lot:1 Block: Addition Job Number: 01-00755-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 00400 Subdivision: ctTY oF SPRINGFIELq OREGON Owner: Gary Branson Address: 2427 DebraDr Scope Of Work: Single Family Residence SFR - same as 01-00753-01 Phone Number: City/State/Zip: New 541-747-6684 Springfield, OR97477 Value: $98,217 Contractor Type GeneralContr ElectricalContr MechanicalContr Plumbing Contr Contractor Registration # Expiration Date Gary Branson .,.\NORV 2427 DebraDr, Springfield, OR 97477 _.,"rqgtt1:^"a rSSd ;;:l |:: ff:I"*",, =,o"n" o* *d.\cqt .,. unu'-l{}ffi ;;*sr4os ',- r,':':,,flo --:-: luo*oo*- Harvey & Son Heating & Air Conditioning lS$661",,,rriLtt'$(t$g 54 4680 Main St, Springfield, OR cc\il . . fi.i t t' ' 97478-6054 .,,i 2t17t02 Phone 1-747-6684 1-746-7677 541-726-9854Barnes High Tech Plumbing lnc 83311 2787 Olympic St Ste 27, Springfield, OR 97477 Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage:1280 To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00 i a.m. will be made the same working day, inspectioins requested after 7:00 a.m. will be made the followingl working day. Required lnspections Building ion Verify Ground Rod Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation - 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. Job# 01-00755-01 Page2 of 4 Shear Wall Nailing Framing Wall lnsulation Drywall FinalBuilding Verify Ground Rod Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical Required lnspections Build -Before covering sheathing with finish materials. - Prior to cover. -Prior to Cover -Prior to taping. -When allrequired inspections have been approved and the building is complete Electrical -lnstall ground rod at footing, and callfor inspection in conjuction with footing and/or foundation i -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. -After gravel and filter cloth is installed, but prior to backfill -When all plumbing work is complete. Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanicalwork is complete Street lmprovement: Curb Cut?[ San Sewer Depth (Ft): Storm Sewer Available? SpecialReq.: Security Required: Bond Begin DateTime: Special lnstructions: Other Utilities: Project Supervisor: Fully lmproved lmprovement Agr.? 6-4 Sidewalk Type: Size Of Line (in): B Downspouts/Drains: Encroachment Permit Enchroachment Permit: San Sewer Tee (in): 00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM MUST HAVE APPROVED ENCROACHEMENT PERMIT PRIOR TO SEW Types Of Warning Devices Reqd. Curbside - 5' Additional ROW? Zoning: LDR FloodPtain? [ Wetlands? [ Journal numbers 1:2000-08-0172 2: Comments:partition- gary karP Planner: Liz Miller Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: zone X White Job# 01 -00755-01 Overlay District: # of Street Trees: Additional Requirements: Glenwood Area? [ Required Attachments: Source Locn: Material: Flood Plain FEMA:Panel 1161ot2975 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? E 3 Construction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? [ (Sq. Feet) Main: 1280 Accessory495 # Of Stories: 1 Height (feet): 16 Current Units: Proposed Units:1 Census Code: New SF - attached Total:1775 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Total Plan Check 07 t18t2001 6184 2 $80.00 $80.00 Buil Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 0911212001 0911212001 0911212001 6674 6674 6674 98,217 $430.00 $30.10 $12.90 $473.00 Electrical Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical Administrative Fee - Electrical Total Electrical 09t12t2001 09t12t2001 09t12t2001 0911212001 6674 6674 6674 6674 1 2 $85.00 $30.00 $8.05 $3.45 $126.50 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge - Plumbing Storm Sewer Line w/Bath Permit Administrative Fee - Plumbing Total Plumbing Plumbinq 0911212001 09t12t2001 0911212001 0911212001 0911212001 6674 6674 6674 6674 6674 1 $.oo $160.00 $13.30 $30.00 $5.70 $20e.00 215 Mechanical Hood and Exhaust Minimum Mechanical Permit Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical lssuance 0911212001 0911212001 09t12t2001 0911212001 0911212001 0911212001 0911212001 6674 6674 6674 6674 6674 6674 6674 1 $4.50 $.00 $.68 $6.00 $9.00 $3.00 $10.00 1 3 1 Job# 01-00755-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount State Surcharge - Mechanical Total Mechanical Mechanical 09t12t2001 6674 $1.58 $34.76 Encroachment Permit - Residential Tota! Public Works Public Works 09112t2001 6674 1 $85.00 $8s.00 System Development Residential- Single Family - Storm Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - lmprovement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC lmprovement Total System Development 09112t2001 09112t2001 09112t2001 09t12t2001 09112t2001 0911212001 09112t2001 0911212001 09112t2001 $1,620.53 $34.83 $10.00 $178.27 $332.86 $659.76 $155.13 $427.40 $324.80 $3,743.58 6674 6674 6674 6674 6674 6674 6674 6674 6674 936 1 1 1 1 1 20 20 5, S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 09112t2001 6674 $1,000.00 $1,000.00 Planning 09t12t2001 6674 1Planning Plan Review Tota! Planning $s0 $50 .00 .00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res $5,801.84 Checked By Bob Barnhart Steve Templin Date Completed 0712012001 08/03/2001 Gomment MUST HAVE APPROVED ENCROACHEMENT PERMIT PRIOR TO SEWER HOOKUP Planning-Res Liz Miller 0811012001 Structural-Res Don Moore 08/09/2001 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each is readable from the street, that the permit card is located at the front of the property, and theadd set of will remain on the site at alltimes during construction 1 Qlnl u r 6tte I C'TY OF ORF.GO'\I approval Zoning Date 225 FIFTE STREET Authorized Signature SPRINGFIELD, OREGON 97477 INSPECTION REQUESTT 726-3769 OFFICE: 726-3759 zoning, and does not require specilic land use vo< SPFlli.stlELC, SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOIAL al I.EGAL DESCRIPIION JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.,A:TION ONLY Electrical Contrac rcr(f 6,^ /l/c- I Address 3. COHPI,ETE FEE SCffiDTII,E BELOV A Nev Residential-Sing1e or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf 'd liome- or Hodular Dvelling Sertice or Feeder 4-'$ 8s.00 Sum _45 _30 Ci ty Supervisor License Number 257?s Expiration Date -ZZ. O Constr Contr. Number Expiration Date o- o of Supervising Elec clan Ovners Name Address z $ 1s.00 $ 40.00 .8. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _ 401 anps to 600 amPs - 601 arnps to 1000 amps_ Over 1000 amps/volts Reconnect only c.Temporary Services or Feeders Installation, Alteration or Relocation v Phone 4P .l7Z vno"" ?*7-6oA] $ s0.00 $ 60.00 $100.00 $130.00 s300.00 s 40.00 $ $ $ s $ 40.00 s 40.00 $ 20.00 $ 36.00 200 amps'"or less 201 amps to 400 amps -0ver 401 to 600 amps _ Over 600 amps or 1000 volts 40.00 5s.00 80.00 ee uBr a6,oF Ci ty OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. ov.,!?s Signature: DATE: RECEIIII *: D. Branch Circuits : . Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting_ Limited Energy/Res Limited Energy/Comm 5 RECETVED 1. rocATroN oF TNSTALI,ATToN-tz ?5u sr ELECTRICAL PERHIT APPLICATION city Job N,'a", o/-()L)755-O/ DI / / ,,oo -:'Tsn'.+r-ffi NAME OR COMPANY: LOCATION: TAX LOTNUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS:I BLIILDNG SIZE: 1775 SF LOT SIZE: 10915 SF 25235TH STREET l7-02-3 l-3 t-00400 SINGLE FAMILY RESIDENCE BRANSON JOURNAL OR JOB NUMBER: 0l-00755-01 IMPERVIOUS S.F DISCOTINT RATE 0.00 50%$0.00 IMPERVIOUS S.F 5936.00 COST PER S.F $0.273 $1,620.53 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CIry STANDARDS COST PER S.F. $0.273 x x x I. STORMDRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM ITEM 1 TOTAL. STORM DRAINAGE SDC NUMBER OF DFL-l"s COST PER DFU $324.8020$t6.24 NUMBER OF DFU's 20 COST PER DFU s21.37 $427.40 B.IMPROVEMENT COST: x x 2. SANITARY SEWER- CITY A. REIMBI.JRSEMENT COST: $7s2.20 COST PER TRIP NEW TRIP FACTORADTTRIP RATE NUMBEROF I-'NITS 1.00 $6s9.769.57 I $68.94 ADT TRIP RATE 9.s7 NUMBER OF UNITS I COST PER TRIP $ 16.21 NEW TRIP FACTOR 1.00 $l5s.l3 B.IMPROVEMENT COST: x xx x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: 14.89ITEM3 TOTAL - TRANSPORTATION SDC 10.00 NUMBEROFFEU's I COST PER FEU $332.86 $332.86 NUMBER OF FELts I COST PER FEU $34.83 $34.83 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT,IMPROVEMENT & CREDIT MWMC ADMIMSTRATIVE FEE $367.69 B.IMPROVEMENT COST: x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) 4. SANITARY SFWER- MWMC A. REIMBURSEMENT COST: $377.69ITEM 4 TOTAL. MWMC SANITARY SEWER SDC $3 IsuBToTAr (ADD ITEMS 1,2,3, & 4) SUBTOTAL ADM. FEE RATE I$3 5%$t78.27 5. ADMIMSTRATIVE FEE: x $3,743.58 8l3l0tt*4"Tr"r-,fl;"- SDC COORDINATOR TOTAL SDC CHARGES DATE CITY OF SPRINGFIET--,, SYSTEMS DEVELOPMENT CHr'- .;E WORI(SIIEET ar!coO &HFa c trl& 1070 109 I 1056 I 1073 ITEM 2 TOTAL - CITY SANITARY SEWER SDC 1 NUMBER OF NEW FIXTURES X UNIT EQUIVALENT: DRAINAGE FIXTURE IJNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE FIXTURE UNITS(#NEW . #OLD )x LINIT EOUIVALENTFIXTURE TYPE BATHTUB (2-0 (0-0 (0-0 (0-0 (0-0 (0-0 (l-0 (0-0 (0-0 (0-0 (0-0 (0-0 (0-0 (l-0 (0-0 (0-0 (0-0 (2-0 (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 6 DRINKING FOUNTAIN I 0 FLOORDRAIN J 0 INTERCEPTORS FOR GREASE /OIL /SOLIDS / ETC.J 0 INTERCEPTORS FOR SAND / AIIIO 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 RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM. SINK / DISHWASHER / ETC. I 0 J 0 SHOWER, SINGLE STALL 2 0 SHOWER, GANG OTUMBER oF HEADS)2 0 SINK: COMMERCIAL/RESIDENTIAL K]TCHEN J 3 SINK: COMMERCIALBAR 2 0 SINK: DOMESTIC BAR I 0 WASH BASIN )0 LAVATORY I 2 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 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 20 DRAINAGE F. ^'URE UNIT CALCULATIO. ,ABLE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE $0.00 IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE, CALCLILATE CREDIT SEPARATELY CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF ATTER ANNEXATION) $0.00 $0.00 YEAR ANNE)GD CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $I,OOO ASSESSED VALI.IE I979 OR BEFORE s4.92 l 990 s2.06 I 980 $4.83 l99l $ 1.64 198 I $4.77 1992 $1.4s 1982 $4.64 I 993 $ l.3l I 983 $4.47 1994 s l.l3 I 984 $4.30 I 995 $0.e7 1985 $4.09 1996 $0.82 l 986 $3.78 t997 $0.63 I 987 $3.41 l 998 $0.41 1988 $2.98 1999 $0.22 1989 $2.s2 2000 $0.04 TOTAL IVIWMC CREDIT : 0.000 x $0.00 VALUE/ IOOO CREDITRATE 0.000 x $0.00