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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 p'ote"io,iatBreY,f.L1flU06trA'S; f#:!{dtdflght({fggt'gp',lH6/i6i5ldf d#iify Pf, f#'Ef f,ry8##6i51'f,i ,gwfrr#5\dz*oHtBtrED 722-00353-1