HomeMy WebLinkAboutPermit Building 2002-06-12ty
SPRINGFIELD
Job# 02-00558-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 3
Job Number: 02-00558-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00206
Subdivision:
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 8045 Thurston Rd Spr
AssessorsMap#: 17023620
Lot: Block: Addition
ctTY oF SPRTNGFIELD, OREGON
Owner: Andy Burnette
Address: 8045 Thurston Road
Scope Of Work: Single Family Residence
Garage Addition
Phone Number:
City/State/Zip:
Addition
541-7264901
Springfield, OR 97478
Value: $10,129
Contractor Type
ElectricalContr
MechanicalContr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Andy Burnette
8045 Thurston Road, Springfield, OR
97478
Andy Burnette
8045 Thurston Road, Springfield, OR
97478
Andy Burnette
8045 Thurston Road, Springfield, OR
97478
541-7264901
541-7264901
#of 1
p: Dwelling
Forced Air Electric
99
before 7:00
the following
Registration #Phone
541-726-4901.ga'
5RNE
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Gode: LDR
Bedrooms:
Range:
To request an inspection call the 24 hour recording at 726-3769. All
a.m. will be made the same working day, inspections requested after 7:00
working day
Required
Footing
Foundation
Slab
Floor lnsulation
Geiling !nsulation
Shear Wall Nailing
Framing
Wall lnsulation
Hold Downs lnstalled
-After trenches are excavated.
-After forms are erected but prior to concrete
-To be made after all inslab building service eq
-Prior to decking.
-Prior to cover.
-Before covering sheathing with finish materials.
- Prior to cover.
-Prior to Cover
ment, conduit piping, and other equipment iten
i*nl
o\
l*sQ
uL)
Job# 02-00558-01
FinalBuilding
Rough Electrical
Final Electrical
Rough Plumbing
Final Plumbing
Rough Mechanical
Final Mechanical
Zoning: LDR Overlay District: Urban Fringe
FloodPlain? ! Wetlands? f # of Street Trees:
Journalnumberc
{:96-05-110 2: 3:
Comments:Partition/lists wetlands on perimeter of lot 3 - ditches
Page 2 of 3
Required lnspections
Buildins
-When all required inspections have been approved and the building is complete.
Electrical
-Prior to cover.
-When all electricalwork is complete
Plumbing
- Prior to cover.
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-When all mechanicalwork is complete
Planner:
Urban Growth Boundary?,r l Glenwood Area? [ l
Quantity Of Fil!:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Land Use: Single Family Dwelling
Pave Driveway? n
Panel 1167 of2975
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main:99 Accessory:140
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 13
Gurrent Units:1 Proposed Units:
Census Code: Does not apply
Total239
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Gheck
05t13t2002 8994 10,129 $74.88
$74.88
Buildin
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
06t12t2002
06t12t2002
06t12t2002
9535
9535
9535
10,129 $115.20
$8.06
$9.22
$132.48
Electrical
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
06t12t2002
06112t2002
06t12t2002
9535
9535
9535
1
$2.00
$43.00
$3.1 5
Job# 02-00558-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
8% Admin Fee - Electrical
Tota! Electrical
06t12t2002 9535 $3.60
$sl.7s
Plumbing
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
06112t2002
06t1212002
06t12t2002
06t12t2002
9535
9535
9535
9535
$45.00
$.00
$3.1 5
$3.60
$51.75
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
DryerVent
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
06t12t2002
061't212002
06t1212002
0611212002
06t12t2002
06t12t2002
9535
9535
9535
9535
9535
9535
1
I
$33.00
$3.60
$6.00
$6.00
$10.00
$3.15
$61.7s
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
06t12t2002
06t12t2002
9535
9535
$19.11
$.96
$20.07
Plann
Planning Plan Review
Total Planning
06t12t2002 9535 $55.00
$ss.00
Grand Total
Ptan Check Type Checked By Date Completed Comment
lnitial Review-Res Lisa Hopper 0511412002
Engineering-Res Denny Wright 0512912002
Planning-Res Liz Miller 0512912002
Structural-Res Bob Barnhart 0611012002
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,the permit card is located at the front of the property, and the
approved set
$,147.68
6',L-aL
Signature
will site at all times during construction
Date
Mechanical
-
i
System Development
70
1
€'r4ffig$rlELE!
Report lD : SPRA103
Voucher lD :
Handling Code :
City of Spring'teld'.--
1l
Burnette,Andy
8045 Thurston Rd.
Springfield, OR 97478
Descriotion Account
Partial refund of Project
215004
425602
Comments:
Express Check
Job number 02-00058-01
Ok'd by Lisa Hopper
Voucher
Fund Aq SubClass
Accounting Date :
Vendor Number :
lnvoice Date :
lnvoice # :
Approver :
Operator :
Gross Amount :
BY Proi/Grant
000481 s4
RE
May 22,2002
0000008050
May 22,2002
2-13-2002
Hopper,Lisa
wtLS5940
'166.17
Amount
13.37
152.80
821
100
2002
2002
effiGrrsln
Report lD : SPRA103
Voucher lD :
Handllng Gode I
00048154
RE
City of Springfreld
Voucherffi,
Burnette,Andy
8045 Thurston Rd.
Springfield, OR 97478
Descriotion Account
Partial refund of Project
215004
425602
Comments:
Express Check
Job number 02-00058-01
Ok'd by Lisa Hopper
7OX Thn-totaa- lzo a-,.(*
Fund
821
100
Arq SubClass
Accounting Date :
Vendor Number:
lnvoice Date :
lnvoice # :
Approver:
Operator:
Gross Amount :
BY Proi/Grant
May 22,2002
0000008050
May 22,2002
2-13-2002
Hopper,Lisa
wtLS5940
166.17
Amount
13.s7
152.80
2002
2002
SPRIl{GFIELD
Job# 02-00058-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 02-00058-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot #: 00206
Subdivision:
h,
225 Fitth Street
Springfield, OR97477
Location Of Proposed Site: 8045 Thurston Rd Spr
AssessorsMap#: 17023620
Lot: Block: Addition
ctTY oF SPRfiNGFfiEL4 OREGON
Owner: Andy Burnette
Address: 8045 Thurston Road
Scope Of Work: Single Family Residence
Garage w/ Bonus Room above
Phone Number:
City/State/Zip:
Addition
541-726-4901
Springfield, OR 97478
Value: $46,563
Contractor Type
GeneralContr
Contractor
Andy Burnette
8045 Thurston Road, Springfield, OR
97478
Registration # Expiration Date Phone
541-726-4901
To request an inspection call the 24 hour 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 I
Site
Footing
Foundation
Post and Beam
FIoor lnsulation
Ceiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywatl
Bolts installed in
concrete
Hold Downs lnstalled
-To be made after excavation but prior to CE:
Vapor Barrier/lnsulation -To be made after insulation and required vapor barriers are in place, but prior to any wall coveri
Final Building -When all required inspections have been approved and the building is complete
Electrical
.AftETITENChCS ATC EXCAVAIEd. THISPERI\4ITSHALLEXPIREIFTHEWoRK
-After forms are erected but prior to concrete prEEg''iH&zED ,NDER TH,S pEBMrr ls NOT-Prior to floor insulation or decking.
-Prior to decking. COI'IMENCEDOR ISABANDONEDFOB
-Prior to cover. At\l\- 180 DAY PEBIOD.
-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
-,rl r iUl\. rJi.-!
Verify Ground Rod
Rough Electrical
Electrical Service
Final Electrical
-lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i
- Prior to cover.
-Must be approved to obtain permanent power.
-When all electricalwork is complete.
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Perimeter Foundation
Drains
FinalPlumbing
Underfloor Mechanical
Rough Mechanical
FinalMechanical
Zoning: LDR
FloodPlain? I Wetlands? [
Journal numbers
1z
Comments:
Planner: Sam Gollah
Urban Growth Boundary? 7,
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Page 2 of 3
Land Use: Single Family Dwelling
I Pave Driveway?
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:1167 of 2975
Job# 02-00058-01
Required lnspections
Plum
-Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to cover.
- 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
2
Overlay District:
# of Street Trees:
Glenwood Area?
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelllng
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:798 AccessoryB5T
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 22
Gurrent Units:1 Proposed Units:
Gensus Code: Does not apply
Total:1655
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
0111612002 7790 46,563 $229.52
$229.52
Building Permit
State Surcharge For Building Permit
B% Building Administrative Fee
Total Building
Building
0211312002
02113t2002
02t13t2002
8033
8033
8033
46,563 $353.1 0
$24.72
$28.25
$406.07
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
Sanitary Sewer Footage
Plumbing
0211312002
02113t2002
0211312002
02113t2002
4
$.00
$56.00
$10.22
$45.00
8033
8033
8033
8033 25
3:
Job# 02-00058-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
Plumbing
Storm Sewer Footage
B% Administrative Fee - Plumbing
Total Plumbing
0211312002
0211312002
8033
8033
25 $45.00
$11.68
$167.90
Minimum Mechanical Permit
B% Administrative Fee - Mechanical
Vent Fan to One Duct
Dryer Vent
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
Mechanical
0211312002
02t13t2002
02t13t2002
0211312002
0211312002
0211312002
8033
8033
8033
8033
8033
8033
$33.00
$3.60
$6.00
$6.00
$10.00
$3.15
$61.7s
System Development
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
0211312002
0211312002
8033
8033
1,219 $332.65
$16.63
$349.28
Planning
02t1312002 8033 1Planning Plan Review
Total Planning
$50.00
$50.00
Grand Total
Plan Check Type Checked By Date Completed Comment
lnitialReview-Res Lisa Hopper 0111812002
Engineering-Res Steve Templin 0210512002
Planning-Res Sam Gollah 0112512002
Structural-Res Bob Barnhart 0210412002
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 site at all times during construction
f.
Signature Date
$1,264.52
7-ts-+ )
1
1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:0 BUILDING SIZE: 1656 SF LOT SIZE: 398138 SF
Andy Burnette
8045 Thurston Rd.
17023620 TL:206
SINGLE FAMILY RESIDENCE
JOURNAL OR JOB NUMBER: 02-00058-01
IMPERVIOUS S.F COST PER S.F DISCOUNTRATE
00J0.00
IMPERVIOUS S.F
1218.50
COST PER S.F
$0.273 $332.65
RI.INOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
ITEM l TOTAL. STORM DRAINAGE SDC
COST PER DFU
0 16.24
NUMBER OF DFU's
0
COST PER DFU
$21.37 $0.00
B.IMPROVEMENT COST:
x
x
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
ADT TRIP RATE NUMBER OF UNITS COST PER TRIP NEW TRIP FACTOR
9.57 0 1.00 $0.00
ADT TRIP RATE
9.57
NUMBER OFUNITS
0
COST PER TRIP
$ r 6.21
NEW TRIP FACTOR
1.00 ;0.00
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
$0.00ITEM 3 TOTAL - TRANSPORTATION SDC
$0.00
NUMBER OF FEU's
0
COST PER FEU
$332.86 $0.00
NUMBER OF FEU's
0
COST PER FEU
$34.83 $0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
B.IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
$0.00ITEM 4 TOTAL . MWMC SANITARY SEWER SDC
$332.65SUBTOTAL (ADD ITEMS I,2,3, & 4)
SUBTOTAL ADM. FEE RATE
5Vo 16.63
5. ADMINISTRATIVE FEE:
x
$349.28TOTAL SDC CHARGEStlr,u,Tul,l;,F
SDC COORDINATOR
2t5t2002
DATE
1070
1091
to92
1093
to94
1055
1056
1073
aHaoU
&
E]
Fra
t)H&
-Irrr
l"rt|u
NUMBER OF NEW FXTURES x UNIT EQUTVALENT = DRAINAGE FD(TURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDIflONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FXTURE* EeuryAt-gNt = uMTSFIXTURE TYPE ( *xew - #oLD )
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
0 0 )x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
3 0
DRINKING FOUNTAIN 0 0 I 0
FLOOR DRAIN 0 0 J 0
0 0 J 0
INTERCEPTORS FOR SAND / AI-ruO WASH / ETC 0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 J 0
CLOTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOBILE HOME PARKTRAP (I PERTRAILER)0 0 t2 0
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEP
0 0 I 0
0 0 J 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NUMBER OF HEADS )0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 J 0
SINK:COMMERCIAL BAR 0 0 2 0
SINK: DOMESTIC BAR 0 0 I 0
WASH BASIN 0 0 2 0
LAVATORY 0 0 1 0
URINAL, STALL/WALL 0 0 5 0
TOILET PUBLIC INSTALLATION 0 0 6 0
TOILET PRIVATE INSTALLATION 0 0 3 0
MISCELLANEOUS DFU TYPE NUMBER OFEDU's*(0 o )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
0
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CRBDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 1990 $2.06
1980 $4.83 l99l $1.64
1981 $4.77 1992 $l.45
1 982 $4.64 1993 $1.31
I 983 $4.47 1994 $1 .13
1984 $4.30 I 995 $0.97
1 985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
t987 $3.41 1998 $0.41
I 988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
TOTAL MWMC CREDIT =
x
0.000 x $0.00
VALUE / IOOO
0.000
CREDIT RATE
$0.00
INTERCEPTORS FOR GREASE I OIL ISOLIDS / ETC.