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HomeMy WebLinkAboutPermit Building 2000-05-02SPRINGFIELD Job# 99-00681-02 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of3 TRANS$:01-000145I DflTE:l'lflY 0? I00CI Al'1T REID:Z $ 428.]I IHANEE: IASHIER:059 Job Number: 99-00681-02 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 2867 Wayside Lp SPR AssessorsMap#: 17032241 Lot: Block: Addition: Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 02100 Subdivision: ctTY oF SPR7NGFTELD, OREGOA' Owner: Shelley & David Wilson Address: 2867 Wayside Loop Scope Of Work: Family Room Phone Number: City/State/Zip: Addition 541-741-7376 Springfield, OR97477 Value: $34,820 Contractor Type GeneralContr ElectricalContr This is a copy with a new Sequence Number Thevwill needafinal onlheoaraoeconversion 99-00681-01 .Thisisanotheradditionof a Contractor Construction Unlimited 1538 W 13th, Juntion City, OR 97448 Phone 541-998-1672 541-341-8426Bills Electric 3170 West 11th Avenue, Eugene, 97402 $r --r C\ Quad Area: # Of Units: Constr. Type: Water Heater: 5RNW (VN) Wood Frame omffi*au'uf' Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: Range: # Of Buildings: I OccupancyGroup: Dwelling Heat Source: Wall Heat Sq. Footage: 508 To request an inspection call the 24 hour a.m. will be made the same working day, working day ng Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding -After trenches are excavated. -After forms are erected but p -Prior to floor insulation or qAi'ira ( "?t'- Prior to decking 'r trO - 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. Rough Electrical -Prior to cover Electrical Registration # Required before 7:00 il11 'ia\u rr€lQ( aqt Plan Check Type Plann Checked By AlWard Wendy Stanley Date Completed 04t20t2000 04127t2000 Page 3 of 3 ,* /z l,,o Job# 99-00681-02 Date/I Job# 99-00681-02 Page 2 of 3 Required lnspections Electrical Final Electrical Zoning: LDR FloodPlain? Journal numbers 1: Comments: Planner: AlWard Urban Growth Boundary? Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a -When all electrical work is complete. Wetlands? [ Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? E 2: Additiona! Requirements: Glenwood Area? ! Required Attachments: Source Locn: Material: Flood PIain FEMA:nla 3 Construction TypesdVN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? # Of Stories: 1 Height (feet): 14 Current Units: Proposed Units: Census Gode: Does not apply (Sq. Feet) Main: 508 Accessory:Total:508 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Total Plan Check 04117t2000 1263 34,820 $140.08 $140.08 Building Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 05t02t2000 0510212000 0510212000 1452 1452 1452 34,820 $215.50 $15.09 $6.47 $237.06 Electrical 05t02t2000 0510212000 0510212000 1452 1452 1452 4 $41.00 $2.87 $1.23 $45.10 System Development Residential- Single Family - Storm SDC Administrative Fee Total System Development 0s10212000 05t02t2000 1452 1452 $139.20 $6.96 $146.16 600 $568.40Grand Total Plan Check Type lnitial Review-Res Engineering-Res Checked By Lisa Hopper Steve Templin Date Completed 04t18t2000 04t19t2000 I Branch Circuits WO Feeder or Service State Surcharge For Electrical Permit Electric Admin istrative Fee Total Electrical ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 2867 WAYSIDE LOOP 00-0068 1 -02 WILSON t7 -02-22-41-02100 ADDITION DWELLING UNITS BUILDING SIZE LOT SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT.600.00 x $0.232 PER SQ. FT $139.20 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU0 $0.00 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP 0 x l.0l x $486.73 PERTRIP x x $486.73 PER TRIP $0.00 s0.00 TOTAL TRANSPORTATION SDC $0.00 4. SANITARY SEWER- MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF 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 $139.20SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $6.96 9lp+,oTb,t^l;"t-ffi $146.r6041t9/2000 DATE TOTAL SDC CHARGES PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES X UNIT EQUTVALENT = PLUMBING FIXTURE UNITS NOTE: FOR REMODELS PLUMBING FIXTURES I.INIT FIXTURE FIXTURE TYPE NEW OLD ALENT UNITS BATHTUB DRINKING FOLINTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASTVETC. LALTNDRY TUB/CLOTHESWASHER/MOP 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 (NUMBEROF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 0 0 TOTAL PLUMBING FIXTURE CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE TN TABLE, CALCULATE CREDITS SEPARATEL 2 I 2 J 6 2 6 6 I J 2 I 2 2 I 6 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $ 4.47 $ 4.38 $4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1 989 1990 l99l 1992 1993 1994 1995 1996 1997 1998 $2.18 $ 1.7s $ l.3s $ l.l7 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $ 0.18 1979 orbefore 1980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE- IMPROVEMENT (IF AFTER ANNEXATION DATE) x x CREDIT TOTAL $0.00 $0.00 $0.00 CITY AF SPfr ORF.GCfi, giT ilGFIELc, EI.BCTRICAL CitY Job l{unber PER}{IT APPLICATION 225 FITTE SIBEET SPRINGPIEI,D, OREGON WSPECTIO}I REOTIEST: OPEICE: 726-3759 1 \p 3 A D E COI{PT.ETE TEE SSEE.DUIJ BEIOIT Nev Residential-Single or Hulti-FamilY Per dwelling unit' Service Includedt ,a"* Cost Sunt Permits are non-transferable and expire ii-uortc is not started qrithin 180 days oi ii"u"nce or j'f uork is suspended for 180 days. JOB DESCRIPTION 2.COT{TEASTOR INSTALI.ATION OI{LY I t Electrical Contract s 100C sq.ft. or less Each additionai 500 sq. ft or Portion t hereof Each Hanuf'd Home' or Hodular Druelling Service or Feeder B. Services or Feeders InstalIation, Alterations or Relocation: 200 anps 201 amps 401 amps 601 amps Over 1000 Reconnec t aflps --- amDS 0 anps_ vol ts s 8s,00 $ 15.00 s 40.00 $ s0.0CI $ 60.00 $100.00 $130.00 s300.00 $ 40.00 t }L t^r C Address Ci ty ?hone Supervi r License Number Expiration Daie e 3q SqzL es 00 CO 00 orIto4to5to1 amps/ 0nly Constr Contr. Nunber Expiration Da te/70 n Signature of SuP sing Electrician Osners Name Address Ci P Ct ALI,ATION Temoorarv Services or Feeders in"i"ffuiion, Alteration or Relocation 200 amps''or less I 1q'9qioi il;; io +oo amPs l: I l:'99or.t-abi to 600 amls -l $ 80'00 Over 600 "rp" or-ibOoE'fft see rrB'r a6ffi Branch Circuits Nev, dlteration or Extension Per Panel oneCircuit ( $35"00 b: 76O. The installatlon is being made on piop"tty I o'vrn vhich is not intended for saJe, lease or rent ' 0mers Signature: DATE: Each Additional Circui t or vi th Servic-g;;-F;;i.;Permit i s 2'oo Hiscellaneous (Service/feeder not included) -Each installaticn Pump or irrigation .--. Sigir/outline Lighting-- t imited EnergY/Hes ----Limited EnergY/Comm $ 40.00 $ 40.0c s 20.00 $ 36.00 SUBTOTAL OF ASOVE 7i,i State Surcharge 3,1 Admtnistrative Pee TOTALRBCEIVED 5 70 2l 3 r/ DI 4 CITY OF 5PF'A'iFIELC, 'At 9i4)i z S INSPECTION RSQUEST OFFICE: 726-3759 Aijtnorized Srgnature ::i:'qA"6V?t 3. COHPIJTE FEE SCEEDIT.E BELOS A' iiil.i:;9ffi#urowHeEtrIffi uni,. UOI O]UffiAIY8V Ef HDGAAN]WWO3 ET,ECTRT City Jo 1 LOCATION)t 67 OP INSTALI.ATIONF27 -f./ O 2toc srrulurd srHru30Nn olztuottttMtt cos t Sunt JOB DESCRIPTION -f €*o-.zc€ C,/*rV/ Permi!E aue non-transferable and expire if vork is not started uithin 180 days of issuance or if uork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATTON ONLY Eleetrical Contraclor@ Address 5511 MAIN Ci ty SPRIN FIFI D Phone 726-g701 Supervisor License Number 3023 Exp iration Date 1O/O.1/99 constr contr. Number 92506 ExP iration Date 7116199 Signature of Supervising Electrieiar Le ,// z--t JtElu I ffi llVHE+l laltbu S I Hr '3;: ?tot:';HtsfrfroN thereof Each Hanuf'd Home- or -Hodular'Dve1ling Service or Feeder Services or Feeders Ins tallation, Alterations or Relocationr vuoMSHl $ 85.00 s 1s.00 $ 40.00 s s0,00 s 60.00 s100,00 E Ovners Name fTAy tD Hz/5e.- Address z- 3'(')>--h? t/g{12e?? Ci ty 54,/1!Phone '7 7/ 2t ?- ( OUNER INSTALI.ATION The installation is being made on property I ovn vhich is not intended for sale, lea.se or rent. Omers Signature; DATE: 200 c. D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circui t or r.ri th Service or Feeder Permit - S 2.00 B, Miscellaneous (Service/feeder not included) -Each installation Pump or irrigetion Sign/OurIine Lighring Limited Energy/Res Linri ted EnergY/Cotnn SUBTOTAL OF ABOVEI[ State Surcharge 3Z Adnrinistrativ€ Fec TOTAL f ,, tl ion a56Tf s 40.00 s 40.00 s 20.00 s 36.00 50, oo5 RECEIWD 7 -T / 7"^f9,uu riai .Ins raIIat 200 amps''or less 201 ambs to 400 amps -Over 401 to 50o amps over 600 amps or 100016-ffs $ act see CITY OF 225 FrFTE 'TREET Zoning SPRINGFIELD, OREECIq INSPECf,ION REQI ESfi ;o.,rZ36rolJr6$ OFFICE: 726-3759 1. LOCATION OF TNST I 6 The following proiect as submitted has the lollowing zoning, and does not require specific land use approval I nft' =;P ,GFIELC' BLECTRICAI, PERHIT APPLICATTON City Job Number 410 / r/ COHPI,ETE FBE SCEEDT'LE BELOV Nev Residential-Single or Multi-FamiIy per dvelling unit. Service Included: Items Cost $ 8s.00 c-t q 3 A I^EGAL DESCN.IPTION/?fi22?r 62roo Sum (7tc^,/(/. 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. CO}ITRACTOR INSTALLATTON ONLY 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Hodular Dvelling /r1-TEl\TlCfQEXlge' I Qfi'' FeSdE+:'"'(l fol rul Feeders Notifi a t A1 terat ions in OAR 9 ON Electrical Contractor ad v s 1s.00 s 40.00 s s0.00 s 60.00 s100.00 s130. 00 s300.00s 40.00 Addr Ci ty ess 90. You caliing t[6 2o E e amps amps 601 amps to 1000 amps- Over 1000 amps/volts Reconnect Only Supervisor Lic Number Expiration D e Cons t Expi r s r ture of supervising Electr$UiY#oDAY NOTICE: THISPERMIT #EDUN COMMENCEDOR lsaryq165*f,@f,@pss PERloffi:r.l8i :: 133 0ver 600 amps o D. Branch Circuits or Feeders eration or Relocation $ 40.00 amps $ ss.00 amp s $ 80.00r1000-v5fTs see I'B,a56ve- r. Number on Date ovners N^^. pano/ i 5/o//r, l,t,/Cn Address 2 t6 Z ci ty 10n*r6,/,/Phone 7{/'77 7L,/ OVNER TNSTALIATION The installation is being made onproperty I ovn vhich is not intendedfor saIe, Iease or rent. rs Signature: DATE; Nev, Alteration or Extension Per Panel onegJircuit I S35.oO 3f gach'edditional Circuit or vith Service - .a or Feeder Permi t / S 2.00 c- Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/Out1ine Lighting- SLimited Energy/Res - $ Limi ted Energy/Comm $ SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL 40.00 40.00 20.00 36.00 97 0?,5 RECEIVED B A <r 1.c telephone RESIDENTlAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 SPllINGFIELD 64n/EpJOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 ')f6tLOCATION OF PROPOSED WORK:2 ASSESSORS MAP:/-1 b3 >L L{/ TAX LOT:0 Ztc>o LOT BLOCK:SUBDIVISION h/r I ovt PHONE on- t 7 u n STATE: 7V/- 7 7 7b 2 ?a'31ot CITY: ADDRESS: OWNER: /1/a,,,/ t^4 NEW - REMODEL ADDITION DEMOLISH OTHER -- b, Ut z 5r tY:,(-DESCRIBE WORK: ADDRESS rules by t may r! EXPIRES ,l PHONE ,low rules -00 lOthrougn iitrY CONTRACTOR'S NAME ELECTRICAL: T tnete MECHANICA CONST. CONTRACTOR # e rules are GENERAL: PLUMBING oU[flbor rut'"-is f -AOO-ggZ"Zst+t+ t co EDFqbuARE FoorAGE: - OFFICE USE - LAND USE: l$HOdr.ronnY HEAT: ZONING CODE: FLOOD I)LAIN: #oF QUAD AREA: I OF BLDGS: idFffinnrsnprrexetaaF THE wcRKBDRMS:OCCY GROUP: g OF STORIES:HEAT RANG To request an lnspectlon, you made the same worklng day, must call 726-3765. lnspectlbns, requ'bs' a r recordlng. All lnspectlons requested before 7:00 a.m. will be ted afler 7:00 a.m. wlll be made the followlng work day. OUIRED INSPECTIONS Temporary Electrlc ugh Mechanlcal - Prlor to al Plumbing - When alt cover.umbing worl( ls complete. Site lnspectlon - To be madc after excavation, but prior to setting forms. ugh Electrical - Prior to Fin Electrical - When allcover,trical work ls complete. Underslab Plumblng/ Electrical / Mechanlcal - Prlor to cover. Eleclrical Servlce - Must be approved to obtaln permanent electrlcal power. al Mechanical - When all mechanical work ls complete, Footlng - After trenches are excavated.Flreplace - Prlor to faclng rlaterlals and framlng lnsp. al Building - When all ulred lnspectlons have been pproved and building is Masonry - Steel locatlon, bond beams, groutlng. completed - Prlor to cover. Foundatlon - Alter forms are erected but prlor to concrete placement. Other l/Celling lnsulatlon - Prlor to over. l-l Underground PluJnblng - Prlorl-J to filllng trench.- Prlor to taplng. MOBILE HOME INSPECTIONS Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng.Wood Stovo - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decking.lnsert - After flreplace approval and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulation - Prior to decking.Curbcut & Approaclr - After forms are erected but prior to placomont of concrete. Plumblng Connectlons - When home has been connected to water and sewer. Sanltary Sewer - Prior to fllling trench,Electrical Connectlon - When blocking, set-up, and plumbing lnspections have been approved and the home ls connected to the acrvlcr prnel, Storrn Sewer - Prior to filling trench. Sidewalk & Drlveway - After excavation ls complete, lorms and sub-base materlal ln place. Waler Llne - Prlor to filling trench. Fence - When coiilpleted Strcct Treeg - When all requlred trees are planted. Final - After all required lnspectlons are approved and porohes, sklrtlng, decks, and ventlng have been lnstalled.cover. Plumbing - Prior to zte, ?7777 WATER HEATER: tl E E E E E E E E E E E tl E tl .il'? Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type _ - lnterior -- Corner -- Panhandle ! - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E S THE PROPOSED WORK TN THE .'-HISTORICAL DISTRI T, OR ON THE HISTORICAL REGISTER? - lf yes, thls appllcatlon must be slgned arrd approved by the Historical Coordinator prior to permit issuance. APPFIOVED: SO. FT. X $/SO, FT. = VALUE oot) {o,5e q.o f fT.rf .L , (A) i BUILDING PERMIT ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee BUTLDING IALUE, i5INru CHECK AND BUILDING PERMIT Thls permlt is granted on the express condition that the said construction shall, ln all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Beceipt Number:- /q/tr Plans Reviewed By Date Plan Check Fee:3t,t3 Received Date Paid SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE '/o n 7. )u ,/ o'o * (c) Nt FT. 11. ta PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS #a t By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certify that all lnformation hereon is true and correct, and I f urther cerilfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfir:ld, and the Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnisslon of the Bullding Safety Division. I further certify that only contractors and employees who are In compliance with ORS 70'1.055 will be used on this proiect. 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 ls located at the front of the property, and the approved set of plans will remain ruction.at all times durin g con Slgnature Date 6-4-n4 on the Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance Stato Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) /r: 7 3 (D) NoVent Fan zL an 7f Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood /0P ToTAL AMOUNT DUE (excrudtns etectrtca tl /.5!' 7 I (A, B, C, D, and E Comblned) VAl.IDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVEO ,t>3 ) ' 7 llL 7{ RECEIVED BY FT. FT.