HomeMy WebLinkAboutPermit Building 2000-04-03Job# 00-00421-01
RES!DENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of3
TRANS*:01*0001110
DATE:APft 0l 1000
Al'lT REID:Z $ 116?.I?
IHANEE:
[A$HIER:059
senrNcrttlo
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1 137 S 00045th St Spr
AssessorsMap#: 18020524
Lot:50 Btock: Addition:
Job Number: 00-00421 -01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 05802
Subdivision : Lucerne Meadows
crTY oF SPRINGFIELD, OREGON
Owner: Wade Holaday
Address: 1 137 S. 45th Street
Scope Of Work: Bedroom
Phone Number:
City/State/Zip:
Addition
541-741-4460
springfield, OR 97478
Value: $51,887
Adding new bedrooms and bath upstairs
Contractor Type
ElectricalContr
Plumbing Contr
Contractor Registration # Expiration Date
Wade Holaday ':\r"' i i-;";!uiieb ytiu i
1 137 S. 45th Street, springfield, dRirr' riries adopted bv the Oregon Utilitl
g747g i""att,irr()erller '{"hose ruies aresetfor,
rrr ir :r52-Lr[)1-()01t] !hrough OAR 952-001
Wade Holaday )giL r,r-;u inav o5tatn iiopies of the rUleS b,
1 137 S. 45th Street, springfield, QRrl'r'! rne rjenter. (Note: the telephone97478 ..n!ler lor the Oregon Utilitl' Notificatior
Phone
541-741-4460
541-741-4460
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 745
To request an inspection call the 24 hour r"corOing$10tr6$fu. All inspections requested before 7:00
a.m. will be made the same working day, inspection$i€Qpflffid1-qfiqA[l(DgmpqflffiE\4ffifie following
working dav. AUTHoRtzEDUt'JDERTHtspERtvitlsNor
Required lnspections DAT'AI\UUI\tr,U FUTI
Footing
Foundation
Ceiling lnsulation
Shear Wall Nailing
Framing
WaMnsulation
Drywal!
Bolts installed in
concrete
Hold Downs lnstalled
Final Building -When all required inspections have been approved and the building is complete.
AIEUIdIMY PERIdD.
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to cover.
-Before covering sheathing with finish materials.
- Prior to cover.
-Prior to Cover
-Prior to taping.
-To be done by a State Certified Special lnspector, Provide inspection test reports to City Buildir
Rough Plumbing
FinalPlumbing
Rough Mechanica!
FinalMechanical
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1: 2:
Comments:Max building height 30'
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Job# 00-00421-0'l
Required lnspections
Electrical
-Prior to cover.
-Must be approved to obtain permanent power
-When all electrical work is complete.
Plumbing
- Prior to cover.
-When all plumbing work is complete
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
Page 2 of 3
Overlay District:
# of Street Trees:
3:
Additional Requirements:
[] Glenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Land Use: Single Family Dwelling
Pave Driveway? 7
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
# Of Stories: 2 Height (feet): 23
Current Units:1 Proposed Units:
Census Code: Does not apply
Area (Sq. Feet)
Main: 745 Accessory:Total:745
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
03t17t2000 969Residential Plan Check
Total Plan Check
51,882 $187.85
$187.8s
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
04t03t2000
0410312000
0410312000
1 130
1 130
1 130
51,887 $289.00
$20.23
$8.67
$317.90
Branch Circuits WO Feeder or Service
State Surcharge For Electrical Permit
Electric Ad ministrative Fee
Total Electrical
Electrical
04t03t2000
0410312000
0410312000
5 $43.00
$3.01
$1.29
$47.30
1 130
1 130
1 130
Rough Electrical
Electrical Service
Final Electrical
Job# 00-00421-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
04t03t2000
04/03/2000
04t0312000
04/03/2000
1 130
1 130
1 130
1 130
6
$.00
$60.00
$4.20
$1.80
$66.00
Minimum Mechanical Permit
Mechanical Administrative Fee
Vent Fan to One Duct
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
04t03t2000
04t03t2000
04/03/2000
0410312000
04t03t2004
1 130
1 130
1 130
1 130
1 130
3
$6.00
$.45
$9.00
$10.00
$1.05
$26.s0
Sanitary Sewer
SDC Administrative Fee
Total System Development
System Development
04t03t2000
04/03/2000
1 130
1 130
14 $675.78
$33.79
$709.s7
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
$1,355.12
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
03t21t2000
03t24t2000
03t28t2000
04/03/2000
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
0 ; -.An n\^ \NoAo..^O\
ATTACHMENT A
CITY OF SPRIN GFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER
DEVELOPMENT TYPE:
WADE HOLADAY
00-00421-01
1 139 S 45TH STREET
18-02-0s-24-05802
2ND FLOORADDITION
DWELLING IINITS:BUILDNG SIZE:LOT SIZE
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.0.00 x $0.232 PER SQ. FT $0.00
2. SANITARY SEWER-CITY
NUMBEROF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFUt4 $675.78
3. TRANSPORTATION
NUMBEROF TRIPS X TRIP RATE X COST PERPM PEAK HOURTRIP
0 x l.0l x M86.73 PER TRIP
x x M86.73 PER TRIP
$0.00
$0.00
TOTAL TRANSPORTATION SDC $0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's 0
B.IMPROVEMENT COST:
NUMBEROF FEU's 0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
x $242,76 PER FEU
x $22.05 PER FEU
TOTAL MWMC SDC
$0.00
$0.00
$0.00
$0.00
$0.00
78SUBTOTAL (ADD ITEMS 1,2,3, &4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $33.79
z/t*lzy.,$709.s7
SDCEOOMKATOR DATtr
TOTAL SDC CHARGES
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x IINIT EQUIVALENT: PLUMBING FIXTURE TINITS
/NOTF.FOR RFIVr)NF I-S. CAI,CIII,ATE ONI,Y THF NFT ADDITIONA L FIXTIJRF,S)
UNIT
FIXTURE TYPE
BATHTUB
DRINKING FOLTNTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LATINDRY TUB/CLOTHESWASHER/MOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I 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, STALLAVALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
TOTAL PLUMBING FIXTURE
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CRXDITS SEPARATEL
FIXTURES
NEW OLD
PLUMBING
FIXTURE
LTNITS
0
0
0
0
0
0
0
0
2
0
0
0
2
0
8
2
1
2
J
6
2
6
6
I
J
2
I
2
2
I
6
4
0
0
0
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
s4.47
$ 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
$ 1.75
$ l.3s
$ l.l7
$ 1.03
$ 0.86
$ 0.71
s 0.57
$ 0.39
$ 0.18
1979 or before
1980
l98l
1982
1983
1984
1985
r986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
$0.00
$0.00
$0.00CREDIT TOTAL
1
2
225 FIFTE STREET
SPRINGFIELD
INSPECTION REQTIEST:
OFPICE; 726-3759
1
JOB DE
Permi ts aif vork i
of issuan
180 days.
Add
Ci ty
-n9
760'
SPFrINGFIELc,
ELECTRICAL PBRHIT APPLICATION
City Job Nuruber
3. COHPLETE FEE SCMDUI.J BELOV
A Nev Residential-Single or
MuIti-FamiIY Per dvelling unit.
Service Included:Items Cost
$ 8s.00
.D
Sum
I
I
re non-transferable and pi re
s not started vithin 18
ce oL' if vork is susPended for
CONTRACTOR INSTALI.ATION ONLI
trical Contractor
e
Supervisor Lic ber
Expiration Dat
Constr Cont Number
Expi ra t i Da te
Signa of Supervising EIec cl:rn
Orners Name
Address
one
INST,
OAIE:
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home. or
Modular 'Dvelling
SerVice or Feeder
B
c
D.
$ 40.00
Services or Feeders
InstaIlation, Alterations
or Relocation:
200 amps or Iess
20L amps to 400 amPs
--
40L amps to 600 amPs
-
601 amps to 1000 amps-
0ver 1000 amPs/vo1ts
-
Reconnect 0n1Y
Temporary Services or Feeders
Installaiion, Alteration or Relocation
$ 1s.00
s 50.00
s 60.00
s100. 00
s130. 00
s300.00
s 40.00
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
One Circuit $ 3s.00
Each Additional
Circui t or vi th Service
or Feeder Permit
-
s 2.09
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
200 amps"or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amPs or 1000 volts
Branch Circuits
Nev, Alteration or Extension Per Panel
SUBTOTAL OF ABOVE
TZ state Surcharge
3Z admini.strative Fee
TOTAL
40.00
55. OO
80. o0
ee rtBrr aEF
s
s
$
s
.t
s 40.00
$ 40.00
$ 20.00
$ 36.00
RBCEIVED BY:
5
ci
---
I ts r I fiTot'tt[mott
lr=Zll.To Buitd on
Engineering . Consufting o Testing
DAILY FIELD REPORT
Date Performed
Client:
August 7 ,2000
Wade Holaday
1 137 South 45th Street
Springfield, OR 97477
Report Number:
Project Name:
Project Location:
Permit No.
Weather:
Holaday Residence
1 137 South 45th Street
Springfield, Oregon
00-00421 -00
Clear
P.O. No.:
Type of lnspection: Epoxy Anchors ffflEE &3&r;.Frtr tJs sr rl tE fl: $J
Field Observations and Gomments
Performed continuous inspection during the installation of
Foundation/shear wall connection six (6) total (detail SW
" all thread epoxy anchored bolts in the following locations:
106). Prior to installation the predrilled holes were cleaned
nylon brush and compressed air. Verified minimum embeddment depth of 5 inches. The above listed epoxy anchors
were installed using Simpson Epoxy E.T. in accordance with the manufacturer's directions. Contractor stated the nuts
would betightened after epoxy has cured. The epoxy anchors were installed in accordance with approved jobsite plans
and specifications. Contractor was asked to notify our office when additional services are needed.
,
rspector: David Smith, ICBO# 0877340-84
lf you have any questions regarding this report, please feel free to contact us a|541-746-9649
Respectfully Submitted,
Professional Service lndustries, lnc.?,v
Raymond V. Aliperti,
Springfield Branch
rtment Manager
c: City of Springfield
THIS REPORT IS PROVIDED FOR THE INFORMATION OF THE CLIENT ONLY- THE REPRODUCTION OF THIS REPORI, BY ANY METHOD, AND ITS TRANSMIITAL TO A THIRD
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722-00353-1