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Home My WebLink AboutPermit Building 2000-12-01Job# 00-01611-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of 4 Trrilln4-A{ I tlnttd{f . LJt L,rurjr.j./,-rJ nATtr = ncr n'i tnflflUft I L, ULtr U-L -UUU i1l4l ftE[il: I $ 4il*1?. tfi nt tit ,nr -LHHI\Ur.: nt_ftt t?rh - n-, { trnLJI lILl\. UU-L SPRINGFIELD 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 623 S 00035th St Spr AssessorsMap#: 17023143 Lot: Block: Addition: Job Number: 00-0161 1-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03903 Subdivision: ctTY oF SPR1NGFIELq OREGON Owner: John Goeken Address: 1089 Wilkes Rd Scope Of Work: Single Family Residence same as 635 S 35th St (00-01608-01) Phone Number: City/State/Zip: New 541 -689-2098 Eugene, OR 97404 Vatue: $98,217 Contractor Type GeneralContr ElectricalContr Mechanical Contr Plumbing Contr Contractor John Goeken 1089 Wilkes Rd, Eugene, OR 97404 Harding Electric 2498 Cubit Street, Eugene, OR Marshalls lnc 4110 Olympic St, Springfield, OR 97478-5620 Eugene Plumbing Co 325 Dellwood Dr, Eugene, OR 97405-4909 Registration # 130777 Expirhtion Date 7124101 Phone 541-689-2098 541-747-744525790 44012 12t23t01 Office Use - ' v Quad Area: # Of Units: Constr. Type: Water Heater: 3RSC 1 (VN)Wood Frame Gas Land Use: Single Family Dwelling # Of Buildings: 1 Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: 3 Heat Source: Forced Air Gas Range: Gas Sq. Footage: 1280 To request an inspection callthe 24hour 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 lnspectio ns -rnstar ground r"#pection in conj -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. Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling lnsulation Shear Wall Nailing uction with footing and/or foundation i 1t9t02 541-484-7440 Job# 00-0f61 1-01 Page 2 of 4 Required lnspections I Framing Walllnsulation Drywall Fina! Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains FinalPlumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service FinalGas Final Mechanical SW-Curbside CC-Standard Street lmprovement: Fully lmproved Curb Cut?f tmprovement Agr.? San Sewer Depth (Ft): 6 - 4 Storm SewerAvailable? f Special Req.: Security Required: Bond Begin DateTime: 00/00/00 00:00 AM Special lnstructions: Other Utilities: Project Supervisor: -Prior to cover. -Prior to Cover - Prior to taping. -When all required inspections have been approved and the building is complete Electrical - Prior to cover. -Must be approved to obtain permanent power -When all electrical work is complete. Plumbinq - 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. -After line is installed and line has been connected to a minimum of one appliance. Pressure te: -When all gas work is complete. -When all mechanicalwork is complete. Public Works I -After forms are erected but prior to placement of concrete -After forms are erected but prior to placement of concrete Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: Curbside - 5' B To Curb and Gutter 6 00/00/00 00:00 AM Types Of Warning Devices Reqd Zoning: LDR FloodPlain? [ Wetlands? Job# 00-01611-01 Overlay District: # of Street Trees: Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? Z Panel 1 161 of 2975 Journal numbers 1: 2: Gomments: Planner: Liz Miller Urban Growth Boundary?[ Gtenwood Area? [ Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White 2 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Gonstruction Types(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? , (Sq. Feet) Main: 1280 Accessory495 Accessory Structure # Of Stories: 1 Height (feet): 16 Current Units:0 Proposed Units:1 Gensus Code: Does not apply Total:1775 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Hourly Plan Review Total Plan Check 11t02t2000 3666 2 $80.00 $80.00 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 12t01t2000 1210112000 1210112000 3931 3931 3931 98,217 $430.00 $30.10 $12.90 $473.00 Minimum Plumbing Permit Fee Two Bathrooms State Surcharge For Plumbing Permit Plumbing Administrative Fee Total Plumbing Plumbing 1210112000 12t01t2000 1210112000 1210112000 3931 3931 3931 3931 $.00 $160.00 $11.20 $4.80 $176.00 Hood and Exhaust One to Four Outlets 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 Total Mechanical Mechanical 12t01t2000 1210112000 12t01t2000 12t01t2000 12t01t2000 1210112000 1210112000 12101t2000 1210112000 3931 3931 3931 3931 3931 3931 3931 3931 3931 1 1 $4.50 $2.00 $.00 $.74 $6.00 $e.00 $3.00 $10.00 $1.72 $36.96 1 3 1 Public Works 1New Curbcut Total Public Works $60.00 $60.00 1210112000 3931 1 Job# 00-01611-01 Page 4 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential lmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1979 or Before Total System Development 12t01t2000 12t01t2000 12t01t2000 12t01t2000 12t01t2000 1210112000 12t0112000 12t0112000 3931 3931 3931 3931 3931 3931 3931 3931 2,860 1B 1 1 1 1 $686.40 $897.48 $507.82 $285.91 $24.33 $10.00 $109.14 $-229.16 $2,291.92 4B S.F. Residence - Willamalane TotalWillamalane SDC Willamalane SDC 1210112000 3931 1 $1,000.00 $1,000.00 Grand Total Plan Check Type lnitial Review-Res Engineering-Res Planning-Res Structural-Res Checked By Wendy Stanley Steve Templin Liz Miller $4,117.88 Comment Wendy or David, As far as I can tell these two lots are being billed by LC Property tax and assessment as one account although they are still legally two lots. I could tell by plot maps this was done between 1981 and 1986 but there was no application for lot line adjustment or any other planning application. One problem is that Lane County's records show these lots under one addresss and tax lot number (627 S. 35th Street, 170231431o1 3903). The owner may want to check with LC Assessor's office and also Lorne Pleger regarding addressing to avoid problems with the post office down the line. Approved pending planning an emg. approval. in particular I want to be sure these lots have been separated legally and there are 2 buildable lots. WS11/8 14-1-rt Wendy Stanley 11t20t2000 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 70'1.055 will be used on this project. er agree to ensure that required inspections are requested at the proper time, that each is readable from the that the permit card is located at the front of the property, and the plans will on the site at all times during construction dK Date Completed 11t0612000 11t2012000 1111712000 \ Willamalane Park & Recreation District Job. No. CO-) I 6 t- SYSTEM DEVELOPMENT CI{ARGE WORKSHEET NAME:h ADDRESS:8q. PHONE: i g\/- a, STATE:AAP :q LocAroN oF pRoposED Bufffrftaz-srE 6a 3 5. vyLStreet Address: Plat Name: ,_ Tax Lot Number:t70a3/4 O= 1' DEVELOPMENT fy-PF lch.*$ appropriate dwelting(s). sDC carcutarions and dweuing r1pe definitions are on the 6ack.) A. Sinqle-Family Detachecr \I single Family home Manufactured home not in a park NO. OF UNITS I X $t,000 per unit = $)aa o B. Single-Family Attachecl NO. OF UNITS X $gz+ per unit = $ C. Multi-Family Apartment NO. OF UNITS X $0ge per unlt = $ D. Manufactured Home park NO. OF UNITS WILLAMALANE SDC X $699 per unlt E $ 2. SDC CREDTT ^(tf appticabte) SDGpayer must tumtsh proof ofwi[amarane credit approvar. see sDC credit wokihoet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (t( SDC reduced for Credit) $ $ $ ervices City of etd nt #, j-rao oa) I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOLIRNAL ORJOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NI.]MBER DEVELOPMENT TYPE: 623 S 35TH STREET 00-0161 l-01 GOEKIN r7 -02-31-43-03903 SINGLE FAMILY RESIDENCE DWELLING LTNITS I BUILDING SIZE:LOT SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT.x $0.240 PER SQ. FT2860.00 $686.40 ?. SANTTARY SFWER.CITY NLIMBEROF PFU's (SEE REVERSE SIDE) x $49.86 PER PFU18 $897.48 3. TRANSPORTATION NTIMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP I x l.0l x $502.79 PER TRIP x x $502.79 PER TRIP $s07.82 $0.00 TOTAL TRANSPORTATION SDC $507.82 4. SAMTARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEI-l's I B.IMPROVEMENT COST: NUMBEROF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE x $285.91 PER FEU x $24.33 PER FEU TOTAL MWMC SDC $28s.91 $24.33 ($229.16) $10.00 $91.08 $2 t82.78SUBTOTAL (ADD ITEMS 1,2,3, &4) 5. ADMINISTRATIVE FEFS: BASE C}IARGE (SUBTOTAL ABOVE)x 0.05 $ 1 09.14 9lapTu4^tu-tU20l00 $2,291.92 SDC COORDINATOR DATE TOTAL SDC CHARGES PLUMBING FIXTLIRE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) UNIT FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAMALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 0 0 0 TOTAL PLUMBING FIXTURE UNITS: CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 48.346 FIXTURES NEW OLD ALENT PLl]MBING FIXTURE I.INITS 9229.16 4 0 2 0 0 0 0 0 0 2 0 2 0 8 2 I 2 6 2 6 6 I J 2 I 2 2 1 6 4 2 2 2 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) CREDIT TOTAL x x t8 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE 1979 or before 1980 198 I 1982 1983 1984 1985 1986 t987 1988 1989 $4.74 $ 4.6s $ 4.s9 $4.46 $ 4.30 $ 4.14 $ 3.93 $ 3.63 $ 3.26 $ 2.8s $ 2.40 1990 t99t 1992 t993 1994 1995 1996 1997 1998 r999 $ 1.96 $ r.5s $ 1.36 $ 1.23 $ l.0s $ 0.90 s 0.7s $ 0.57 $ 0.3s $0.1s $229.t6 $0.00 s4.74 I I 225 IIFIH STREET . SPRINGFIELD,OR 97477 . PH:(541)726-3753 o IAX: (541)726-3689 0p ou(,\\ D [/ptll\']mLmbCity Job Number Job Assessors g Tax Owner Address City EU/Vfzr*-S tate te BACKFLOW PERMIT IS $51.75 (includes P#ffim6| State Surcharge & Administrative Fee) THIS PEBMIT SHALL EXPIRE IT THE WORK AUTHOBIZED UNDER IHIS PERMIT IS NOT Contractor Information C9MMENCEp 0R lS ABANDSNEg tgR ANY I OAY PERIOO.,/ Contractor zip I frrroCity zip Construction Contractors Registration # r:\\Q1*s Expires By signing this permit/application, I agree to call for an inspection once the backflow prevention devise has been installed and is visible for inspecti on (726-37 69). I also state that all information on this permit/application i s correct. For Office Use Date of Application Checked for Delinquenci es ATl'you tofollowutit in OAR -001 gh OAR 9sA-001- calling the center.(Note :thetelephonenumberfortheOregonUtility Notification Centcr is 1-800 -332-23441$ 5\15 Sbared Ihive (T:)/Building Forms/BackIlow Prcventionl-02.doc CITY OF SPRINGFIELD, OREGON a a () () ofi () H t-.{,lr( V r yrr{,.t-)(.lF.t() G). $t(,AF+r ts ^\.r't-iq-{VF-l C) Cs. m, \h. City of Springfield Plumbing Permit Status: Issued 225 Fifth Street Springfield, Oregon 97 47 7 541-726-3759 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMITNO.: ISSUED: APPLIED: EXPIRES: PLM2002-00105 10n4t2002 10n4t2002 4n4t2003 SITE ADDRESS: ASSESSORS PARCEL NO.: PROJECT DESCRIPTION: 623 S 35TH ST 1702314303903 Install Backllow Device for Single Family Residence under construction. See Job Number 00-01611-01 Sprinsfield TYPE OF WORK: TYPEOF USE: New Residential OW]TIER/APPLICANT: GOEKENJOHNM PO BOX 41630 EUGENE OR 97404 PLUMBING CONTRACTOR: DELTA LANDSCAPE PO BOX 40217 EUGENE OR Phone: 541-688-9144 97404 CCB#: 119285 EXPIRES: 0110612004 541-688-9144 Description + 7Yo State Surcharge + 8% Administrative Fee Backflow Device Minimum/Adj ustnent Plumbine Amount Paid 3.15 3.60 14.00 3l.00 Date Paid 101t412002 t0lt4/2002 101t412002 1011412002 Receint Number 1200200000000000063 1200200000000000063 1200200000000000063 1200200000000000063 Cashier llh llh llh llh To Request an inspection call the 24 hour recordingd.726-3769. All inspections requested before 7:00 am. will be made the same working day, inspections reque$ed after 7:00 a.m. will be made the following working day. Required Insnections: 1 Backllow Device: Prior to covering and provide a copy of the test report on site at the time of inspection. 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 shalt 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. 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, and that the approved set of plans, if applicable, will remain on the site at all times during construction. Owner or Contracton Sipgrature Date OF SPRINGFIELD, 225 FIFTE STREET DAIE SPRINGFIELD' OREGON gfikndrized Sisnature INSPECTION REQITEST z 726-3769 OFPICE: 726-3759 approval Zoning 1 OP LEGAL DESCRIT'TION JOB DESCRI Address 10 l9 Eralherlon s>_.dtGFtELE, L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Hodular 'Dvelling Sertice or Feeder SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL Lt{:-,-It-.ri:IllII PERI{IT APPTICATION Sum $ 8s.oo _9. g 1s.oo 15 $ 40.00 The tollowing proiect as submitted has the tollowing ;;;;;,;"dtei not require speciric land use nLTf ii,tf!UFIIL-.rllnli - _-l- -I\LL,Lj. L { LNZ/ -o Ci ty Job Nurober Ao' otlrt['o ( 3. COHPI,ETB FEE SCEEDI'IJ BELOV A. Ne'r Residential-Sing1e or Multi-Family per Cvelling unit. Service Included:Items Cost Permits are non-transferable and expire if vork is nc,,t started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COI{TRACTOR TNSTALI.,ATTON ONLY Services or Feeders Installation, Alterations or Relocation: 200 amps or lr:ss 201 amps to 400 amPs ___/+0L amps to. 600 amps _ 601 amps to 1000 amps_ 0ver 100C amps/voIts Reccnnect Oniy Tr:mporary Services or Feeders Installation, Alteraiion or Relocation 200 amps"or less $ 40.00 201 amps to.400 amps - $ 55.00 over 4b1 to 6oo amps - $ 80.00 Cve:: 600 amps or fOtO:frfts see rrB. aEffiF Branch Circui ts ; .. Nev, Alteration or Extension Per Panel One Circuit $ 35.00 -L Electrical Contractor l3leclri c .B c D Ane $ s0.00 $ 60.00 $100. 00 s130.00 $300;00 $ 40.00Jq Exoirarion Date Constr Contr. Number Expiration Date t()-01 -0( Signa of Supervi tri Ovners Name ,uo"*"rlT**ru lluru",a-s 4), cit EuEen e utrr'500bPhone Address l0I ') Ci ty fr;aata Phone |apr:29 28 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Osners Signature: DATE: Each Additional Circuit or vith Serviceor Feeder Permit $ 2.00 E. M:scel.laneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0u :line Lighting-- l,imi ted Energy/Res -Limi terd Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 d3 L--7-r: <RECETVED o (t -7a - I