HomeMy WebLinkAboutPermit Building 2001-01-31SPRINGFIELD
Job# 00-01775-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1884 00008th St Spr
AssessorsMap#: 17032613
Lot: Block: Addition:
Job Number: 00-01 775-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00700
Subdivision:
clTY oF SPR7NGFIELD, OREGON
Owner: R Kimm Caddy
Address: 1BB4 Bth Street
Scope Of Work: Accessory Bldg
RV Parking Structure
Phone Number:
City/State/Zip:
New
541-744-0350
Springfield, OR97477
Value: $17,826
Contractor Type
GeneralContr
Contractor
Tom Stewart
28748 Royal Ave, Eugene, OR
97402-9316
Registration # Expiration Date Phone
541-688-71 10
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
2
Office Use
-
Land Use: Motor Vehicles & Equip. # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Private Garage/Ci
Bedrooms: 0 Heat Source:
Range: Sq. Footage:
To request an inspection callthe 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
Site
Foundation
Framing
High Strength Bolting
FinalBuilding
-To be made after excavation but prior to setting forms.
-After forms are erected but prior to concrete placement.
- Prior to cover.
-To be done during construction by a State Certified Special lnspector. Provide inspection resul
-When all required inspections have been approved and the building is complete.
Plumbin
Storm Sewer Line - Prior to filling trench.
Zoning: LDR
FloodPlain? ! Wetlands? [
Overlay District:
# of Street Trees:
Job# 00-01775-01 Page 2 of 3
Land Use: Motor Vehicles & Equip.
Pave Driveway? E
Panel 1134of2975
Journal numbers
1:
Comments:
2:
Planner: Liz Miller
Urban Growth Boundary?[ Glenwood Area? [
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X, Light Gray
3
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types:
Occupancy Groups : Private Garage/Carp/Stor
# Of Buildings: 1 # Of Stories: 1
# Of Bedrooms: 0 Current Units:1
Handicap Access? ! Census Code: Does not apply
(Sq. Feet)
Main:Accessoryl200 Total:1200
Height (feet): 15
Proposed Units2
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
12t11t2000 4008 22,008 $103.03
$103.03
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildinq
01t31t2001
0113112001
01t31t2001
4350
4350
4350
17,826 $128.50
$9.00
$3.86
$141.36
Plumbing
01t3112001
0113112001
01t3112001
01t31t2001
4350
4350
4350
4350
100
$.00
$2.80
$40.00
$1.20
$44.00
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
System Development
01t3112001
01t31t2001
4350
4350
972 $263.41
$13.17
$276.58
Grand Total
PIan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Wendy Stanley
Steve Templin
Liz Miller
Don Moore
Date Gompleted
12t1212000
12t14t2000
0112412001
12t21t2000
$564.97
Comment
Revised plan to meet '10 foot rear yard setback
Minimum Plumbing Permit Fee
State Surcharge - Plumbing
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Job# 00-01775-01 Page 3 of 3
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein 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. I further state 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 the project 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
Signature Date
y' st- o/
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
ANNEXATIONYEAR
DEVELOPMENT TYPE:
DWELLING LINITS:
LANE COT]NTY ASSESSED VALUE (LAND)
GARAGE
BUILDING SIZE SFSF LOT SITF:
JOURNAL OR JOB NUMBER: 00-01775-01
CADDY
I884 8TH STREET
l 7-03-26- l 3-00700
IMPER\'IOUS S.F COST PER S.F.
7l $263.41972.00
I. STORM DRAINAGE
x
$263.4rITEM I TOTAL. STORMDRAINAGE SDC
COST PERDFUNUMBEROF DFU's
.0016.150
NUMBEROF DFU's
0
COST PER DFU
$21.25 s0.00
B. IMPROVEMENT COST
x
x
2. SANITARY SEWER- CIry
A. REIMBTJRSEMENT COST:
$0.00ITEM 2 TOTAL. CITY SANITARY SEWER SDC
OF UNITS COST PER TRIP NEWTRIPFACTORADT TRIP RATE
$0.000$68.ss 1.009.57
ADT TRIP RATE
9.57
NUMBEROF UNITS
0
COST PERTRIP
$16.12
NEWTRIP FACTOR
1.00 $0.00
B. IMPROVEMENT COST:
x x x
x xx
3. TRANSPORTATION
A. REIMBURSEMENTCOST;
$0.00ITEM 3 TOTAL - TRANSPORTATION SDC
s0.00
NUMBEROFFEU's
0
COST PER FEU
$28s.91 $0.00
NUMBEROF FEU's
0
COST PER FEU
$24.33 $0.00
$0.00
B. IMPROVEMENT COST:
x
x
4. SANITARY SEWFR- MWMC
A. REIMBURSEMENTCOST:
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
ITEM 4 TOTAL - IyIWMC SANITARY SEWER SDC
.41suBTorAL (ADD ITEMS l, 2, 3, & 4)
ADM. FEE RATESUBTOTAL
13.17s%$263.41
5. ADMINISTRATIVE FEE:
x
$276.s8U24t0tt1r4,.Ir^l;*
SDC COORDINATOR
TOTAL SDC CHARGES
DATE
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NTWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALIIE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINACE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTTIRES DRAINAGE
FIXTURE
UNITSFXTURE TYPE (#NEW - #OLD )x UMT
EQUTVALENT
BATHTUB (
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
J 0
DRINKING FOUNTAIN I 0
FLOORDRAIN 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.J 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.6 0
LAUNDRY TUB 2 0
CLOT}IESWASI{ER / MOP SINK J 0
cLoTlrESwASrrER - 3 OR MORE (EA)6 0
MOBILE HOME PARK TRAP (I PER TRAILER)t2 0
RECEPTOR FOR REFRIG / WATER STATION / ETC -RECEPTOR FOR COM. SINK / DISHWASMR / ETC.
I 0
3 0
SHOWE& SINGLE STALL 2 0
SHOWER, GANG G\UMBEROF HEADS)2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 3 0
SINK: COMMERCIAL BAR 2 0
SINK: DOMESTIC BAR I 0
WASHBASIN 2 0
LAVATORY I 0
I.IRINAL, STALL / WALL 5 0
PUBLIC INSTALLATION 6 0
PRTVATE INSTALLATION 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDTIs*
(---) *20 0
TOTAL DRAINAGE FIXTT]RE I]NITS =
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
0
IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE, CALCULATE CREDIT SEPARATELY
CREDIT FORLAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
YEAR
ANNE)GD
CREDIT RATE PER $I,OOO
ASSESSED VALIJE
YEAR
ANNE)(ED
CREDIT RATE PER $I,OOO
ASSESSEDVALUE
I979 OR BEFORE $4.74 I 990 $1.96
l 980 $4.6s l99l $t.55
l98l s4.59 t992 $1.36
l 982 $4.46 1993 $ 1.23
l 983 $4.30 1994 s1.05
I 984 $4. l4 l 995 s0.90
r985 s3.93 1996 $0.7s
l 986 $3.63 1997 $0.s7
I 987 $3.26 I 998 $0.35
1988 s2.8s 1999 $0.1 5
l 989 $2.40
$0.00
$0.00
TOTAL MWMC CREDIT
x
0.000 x $4.74
VALUE / IOOO
0.000
CREDITRATE
$4.74
0J/I6/01 09:08 FAX 5.117:l6Z16J PSI SPRINGFIELD @ooz
Info, matbn
BuildOn
Enghgerrt g c Cctlplrlt*A.7/egltirI8
DAILY FIELD REPORT
Date Porformod:
Client:
P.O. No,:
Type of lnspection:
Fabricator/Erector:
Contractor:
March 2,2OO1
Mr. Tom Stewart
Advanced Building Systems
?8748 Royal Avenue
Eugene, OR 91402
Report Number:
Project Narne:
Project Location:
722-100234
MetalGarage Building
188+ 616 Street, Sprinlfeld, OR
00-01775-01
Light Rain
Field
Permit No.:
High Strength Bolts Weather:
Shop or Fietd:
Advanced Building Systems
Field Observations and Gomments
I
lf you have any questions regarding thts report, please feel free to contract us at 541-746-9649.
lndustries,lnc.
Dale A. Webber
Structural Steel Field Supervisor
c. City of Springfietd
IH''s REPOfi7 ,S PROVIDEO FN II1E INFORMAIION OF II+E C.:UEi{T ONLY, THE REPAODUCNON OF IHIS FEr,RT, AY ANY METHOO, AND ITS TRANST/J'TT/N- f O A THIRD
pARly. gY ANy MeA r$ EXCEPT r
'
Ful |/f;ftfiLc ]iHE UnfffEN pBr,rrsStCw oF pnoFEissoMr s€RyrcE,xou3rnlEs. ts pFrtflarfEo.
Met on-s withite tocontractor onnut 5/8',inspection onboltshish tobeam beambeamtocolumntnconnectionsmetalAlrboltsbuitding.wer6 snuin condition ands-tighl an additionat turnl3AIperforrnedboltscheckedmeetwillexceedandlorminlmumlistedvalueskipAISCinmanuallatestadditionwasContractortoaskedourwhenofficeadditionalservlcesneeded"are
Froeesional Servic€ tndustrl€s, rnc.. 1040A Snelky SL r Sprtngrlsld, OR 97477. Phone 64In48.S649'FEr 541r4+7t6il
C'TY OF OREGON
-r ',. ioltc\,vtng prolect as submittecl has the following,. !fio and does not reguire specific land use
..,-,r.roval
Lo,a-
SP}. JFIELD
225 FIFTH STREET
SPF'NGF'ELD, OR 97477
(541) 726-3753
FAX t541) 726-s689
ELECIRTCAL PER}IIT APPLICATION
citv Job Nunber c)o -C>17? 5-- O I
rEE SCEEDTILB BBLOS
225 FIFTH STREBT Zoning
SPRTNGFTEU), oREGoN 97
IIISPECTI0N REOUEST: 7
l+77
OFFICE: 726_3759 /, .,., rui, :t;gri6rure
1. TOCATION OF
7 3'/ sT4
TJGAL DESCRIPTION
t 1e3 Lt3 o o700
JOB DESCRIPTION
D EV ELO P M ENT S ERV I C ES D EPARTM ENT
sa
A Nev Residential-Single or
Multi-Family Per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00
$ 1s.00
Sum
Electrical Contractor
Address
City Phone
Supervisor License Number
Expiration Date
Constr Contr' Number
Expiration Date
Signature of Supervising Electrician
---yn0vners Name
Address
Ci tY
_ r?Ll4 o3t-0
OVNER INSTALI,ATION
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuftd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Refocation:
200 amPs or less
201 amps to 400 amPs --
40L amPs to 600 amps
-
601 amPs to 1000 lmPs-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
Miscellaneous (Service/feed
-Each installation
pump or irrigation
-
sienZOuttine Lighting-
liilited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
J% State Surcharge
32 Administrative Fee
TOTAL
Temporary Services or Feeders -iilffii;iion, ert"ration or Relocation
2oo amps or less q 19'qq
;oi ffi; i" ryg ?it: t ?3:33Over 401 to 600 amPs I oL
over 600 "rp" o"i56o=;ff" lee uBu aE66
Branch Circuits
Nev, Alteration or Extension
I
One Circuit I
Each Additional-cii"rlt or vith Service
or Feeder Permit I
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;.""" o. if vork is susPended for
180 days.
2. CONTRACTOR INSTALI'.ATION ONLY
s 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
er not in
Per Panel
^!'S 35.00 / I
$ 2.00
B
Y
D
C
L
The installation is being made on E'
oroperty I ovn "t'ict' is not intended
iot'".rL, ]ease or rent'
eluded)
s 40.00
s 40.0p
$ 20.ffi
$ 36.W frv
-)7rrffif
Ots
Ia(}(3s'
+r'
f..J
r]13,1
5
C}tJ--r
Si
i
I
I
Phone I
th