HomeMy WebLinkAboutPermit Building 2000-04-26sP1'ttcFIELD
Job# 00-00539-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
IRANE$:01-0001364
I)f,TE:APR 26 2000
Al'lI RECD:Z $ 5021.?3
CHANGE:
IASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2257 00037th St Spr
AssessorsMap#: 17021943
Lot: 156 Block: Addition: 1
Job Number: 00-00539-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 01560
Subdivision : Ambleside Meadows
ctTY oF SPRfiNGFfiELq OREGOTV
Owner: Windheim Construction
Address: 84951 Tillicum
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
New
541-741-0000
Pleasant Hill, OR
Value: $166,468
NOTICE:
contractor Tv?Hrs p- gilll?$[gfil.Exptnr rFrHE lA/o*i.: Registration # Expiration Date
GeneralContr
COM
Electrical contgsy
1 Sg$1ffiffiic
X,X,X
Plumbing Contr Steves Plumbing
X,X,X
Phone
541-741-0000
m
-)
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN)Wood Frame
Gas
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
OccupancyGroup: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1946
To request an inspectlon 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 lnspections
Building
- 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.
-Before covering sheathing with finish materials.
- Prior to cover.
-Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
I
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Ceiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
FinalBuitding
Job# 00-00539-01
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
FinalPlumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
FinalGas
FinalMechanical
Curbcut
Sidewalk
Street lmprovement: Fully lmproved
Gurb Cut?f lmprovement Agr.?
San Sewer Depth (Ft): 6 - 4
Storm Sewer Availabte? f
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/00 00:00 AM
Specia! lnstructions:
Other Utilities:
Project Supervisor:
Page 2 of 4
Required lnspections
Electrical
-Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork 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.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te:
-When allgas work is complete.
-When all mechanicalwork is complete.
Public Works
-After forms are ereceted 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'
I
To Storm Sewer
6
00/00/00 00:00 AM
Types Of Warning Devices Reqd.
Job# 00-00539-01
Zoning: LDR Overlay District:
FloodPlain? ! Wetlands? [ # of Street Trees: 2
Journal numbers
1: 2: 3:
Comments2 paved 9x18 off-street parking spaces are required
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? Z
Planner: AlWard
Urban Growth Boundary?[
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Glenwood Area?
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? [
Area (Sq. Feet)
Main: 1946 Accessory600
Accessory Structure
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total2546
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
0410712000 1175Residential Plan Check
Total Plan Check
166,468 $379.44
$379.44
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
04t26t2000
04126t2000
04t26t2000
1 364
1 364
1 364
166,468 $s83.7s
$40.86
$17.51
$642.12
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
04t26t2000
0412612000
0412612000
0412612000
04t26t2000
1 364
1 364
1 364
1 364
1 364
1
4
1
$85.00
$60.00
$40.00
$12.95
$5.55
$203.50
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
04t26t2000
04t26t2000
0412612000
0412612000
04t26t2000
1 364
1364
1 364
1 364
1 364
1
1
$.00
$10.00
$192.50
$1 4.1 8
$6.08
$222.76
Mechanical
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
04126t2000
04t26t2000
04126t2000
0412612000
04126t2000
04t26t2000
1 364
1364
1 364
1 364
1364
1 364
1
5
$4.50
$2.00
$.00
$.e2
$6.00
$15.00
1
1
Job# 00-00539-01 Page 4 ol 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
0412612000
04126t2000
04t26t2000
1 364
1 364
1364
$3.00
$10.00
$2.14
$43.56
Public Works
New Sidewalk
New Curbcut
Total Public Works
04t26t2000
0412612000
1 364
1 364
60
1
$60.00
$60.00
$120.00
System Development
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Total System Development
04t26t2000
0412612000
04126t2000
04t26t2000
04t26t2000
04t26t2000
0412612000
0412612000
1 364
1 364
1 364
1364
1 364
1 364
1364
1364
2,557
27
1
1
1
1
15
$593.28
$1,303.29
$491.60
$242.76
$22.05
$10.00
$132.86
$-5.8s
$2,789.99
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
04t26t2000 1364 1 $'1,000.00
$1,000.00
Grand Total
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
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
is
ap of n on the site at all times during construction
Signature Date
$5,401.37
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Date Completed
04112t2000
04t14t2000
04117t2000
04t26t2000
all required inspections are requested at the proper time, that each
street, that the permit card is located at the front of the property, and the
2Q
Dryer Vent
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
1
OFEGOA'C'TY OF
zorrlrig and does not
apiJroval reguire specific
Lhfl&
land use
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
c
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
SP' FIELO
BIA TRICAL PBRHIT APPLICATION
Date
Zoning
,.I\l -oo
225 FI',* STREET ,a.ru,unzeo Srgnature
SPRTNGFTELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759 ,'
1
-7Supervisor License Number
Exp iration Oate /O ^/- ?-z-
Constr Contr. Number 2 Z "</ B
Expiration Date
si ture of Supervising Electrician
0vners Name trJ)r,^cl l*;C-rr^st t., c.{ ,'c.L
Address 8,trtE I T; /h.,,^.
Ci ty Qf, e = {;l,l Phone
OVNER TNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
Ci ty
3. COHPIJTE FEE SCMDUI^E BELOV
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
l s es.oo b
-1- sls.oo L
LO'ATION OF
a'Aa}^
P'"3*\'1iff'4Y aft6QO
JOB DESCRIPTION
* /-lSI- F-
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR TNSTALI,.ATION ONLY
Erectrical contrac tor c,lq //cLd z:/c*
Address F. a , &ox ;r5;;
Ci ty -Eury-*-":r-'Phone-loj-477-/Z? Z.
Installation, Alterations
or Relocation:
200 arnps or less
20L amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps
over L000 amps/volts
-Reconnect Only
Sum
s 40.00
,5
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 amps"or }ess I S 4o.OO 4 C
201 amps to 400 amps
-
$ 55.00
over 401 to 6oo amps
-
$ 80.00
0ver 600 amps or 1000-Tiffis see I'8" aEffi
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service,/feeder not included)
-Each installation
Pump or irrigation
Sign/outline Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
s 40.00
s 40.00
s 20.00
s 36.00
5
RECEIVED BY:
l8 3
Job Nu.mbe r2c oox *ct
KEUEITI ff:
ATTACHMENT A
CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT WORKSHEET
JOTIRNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
DWELLING UNITS:
WINDHEIM CONST
00-00539-01
2257 37TH STREET
t7 -02-19-43-15600
SINGLE FAMILY RESIDENCE
BUILDNG SIZE: 2546 LOT SIZE 6737
1. STORMDRAINAGE
IMPERVIOUS SQ. FT.2557.25 x $0.232 PER SQ. FT $s93.28
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFU27 s1,303.29
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE X COST PER PM PEAK HOUR TRIP
I x l.0l x $486.73 PERTRIP
x x M86.73 PER TRIP
$491.60
$0.00
TOTAL TRANSPORTATION SDC $491.60
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I
B.IMPROVEMENT COST:
NUMBER OF FEU's I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
x $242.76 PER FEU
x $22.05 PER FEU
TOTAL MWMC SDC
s242.76
s22.0s
($s.8s)
$ 10.00
$268.96
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 s 132.86
9l.ovck 4^+lb 041t4/2000 $2,789.99
SDC COORDINATOR DATE
TOTAL SDC CHARGES
suBTorAL (ADD ITEMS 1, 2, 3, & 4) | $2,657.13 |
PLUMBING FIXTURE LTNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES X UNIT EQUTVALENT = PLUMBING FIXTURE LTNITS
NOTE: FOR REMODELS.
PLUMBING
FIXTURES LINIT FIXTURE
FIXTURE TYPE NEW OLD LTNITS
BATHTUB
DRINKING FOUNTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LALINDRY TUB/CLOTHESWASHERA4OP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINIV DISHWASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTTAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE NSTALLATION
MISCELLANEOUS:
t2
TOTAL PLUMBING FIXTURE
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
42
0
2
I
2
J
6
2
6
6
I
J
2
I
2
2
I
6
4
0
0
0
42
0
0
0
0
2
0
2
0
3
0
J
3
0
0
0
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
$4.47
$ 4.38
$4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
$2.62
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
$ 2.18
$ 1.7s
$ 1.3s
$ 1.17
$ 1.03
$ 0.86
$ 0.71
$ 0.s7
$ 0.39
$ 0.18
1979 or before
1980
l98l
1982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.39
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
15.000 $5.8s
$0.00
$5.8sCREDIT TOTAL
1
1
I
tlUillamalane
Park & Recreation District Job. No.
PHONE:
STATE:
X $692 per unit
X $699 per unlt
SYSTEM DEVELOPMENT CHARGE
wo KSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILD SITE:
Street Address:
Plat Name:_ Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calarlations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
It Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $
B. Single-Family Attached
X $924 per unlt
I
C9
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
$
$
$
$
2. SDC CREDTT (lf applicable) SDOaayer must (umlsh proof of
Wllamalane Credit approval. See SOC Credit Workshoot.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduoed for Credit)
$
$oo
evelop Date
City of fietd
partment
d
@
U