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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.