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.