HomeMy WebLinkAboutPermit Building 2002-05-30Job# 02-00568-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 02-00568-01
Office: 726-3759
lnspection Line: 726-3769
Tax Lot#: 01900
Subdivision:
SPRINGFIELD
225 Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1412 00031st St Spr
AssessorsMap#: 17023034
Lot: BIock: Addition
clTY oF SPRiNGFIELD, OREGON
Owner: Jeannie Odom
Address: 1412 31st Street
Scope Of Work: Bedroom
Phone Number:
City/State/Zip:
Addition
541-747-8594
Springfield, OR 97478
Vatue: SgZ,ZZl
Contractor Type
GeneralContr
ElectricalContr
MechanicalContr
Plumbing Contr
Contractor
Jeannie Odom
1412 31st Street, Springfield, OR 97478
Jeannie Odom
14123'lst Street, Springfield, OR 97478
Jeannie Odom
141231st Street, Springfield, OR 97478
Susan Arnold
PO Box 70526, Eugene, OR 97401
Registration # Expiration Date
49561 12t16t2002
Phone
541-747-8594
541-747-8594
541-747-8594
541-741-2242
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNW
(VN)Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
OccupancyGroup: Dwelling
Heat Source: Wall Heat
Sq. Footage: 432
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
Buildins
Footing
Foundation
Post and Beam
Floor lnsulation
Geiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to floor insulation or decking.
-Prior to decking.
-Prior to cover.
-Before covering sheathing with finish materials.
-Prior to cover.
-Prior to Cover
-Prior to taping.
Job# 02-00568-01 Page 2 of 3
FinalBuilding
Rough Plumbing
FinalPlumbing
Rough Mechanical
Final Mechanical
Zoning: LDR
FloodPlain? Wetlands? -
Buildins
-When all required inspections have been approved and the building is complete.
Plumbinq
-Prior to cover.
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-When all mechanicalwork is complete.
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?[] Glenwood Area? []
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
3:2
Overlay District:
# of Street Trees:
Land Use: Single Family Dwelling
Panel
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq. Feet)
Main: 432 Accessory:
# Of Stories: 1 Height (feet): 11
Current Units:1 Proposed Units:
Census Code: Does not apply
Total:432
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
05t14t2002 9038Residential Plan Check
Tota! Plan Check
32,227 $176.28
$176.28
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Building
05130t2002
05130t2002
05t30t2002
9307
9307
9307
32,227 $271.20
$18.98
$21.70
$3{ 1.88
Minimum Electrical Permit Fee
Branch Circuits WO Feeder or Service
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Electrical
0513012002
0513012002
05t30t2002
05t30t2002
9307
9307
9307
9307
2
$.00
$46.00
$3.22
$3.68
$s2.90
Plumbing
Minimum Plumbing Permit Fee 05t30t2002 9307 $3.00
Required lnspections
Job# 02-00568-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
PIum
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
05t30t2002
05130t2002
05t30t2002
9307
9307
9307
3 $42.00
$3.1 5
$3.60
$51.75
Mechanical
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanical
05t3012002
05130t2002
05t30t2002
05t30t2002
05t30t2002
9307
9307
9307
9307
9307
1
$39.00
$3.60
$6.00
$10.00
$3.1 5
$61.7s
System Development
Residential - Single Family - Storm
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC lmprovement
Total System Development
05130t2002
05t30t2002
05t30t2002
05130t2002
9307
9307
9307
9307
520 $141.96
$18.38
$128.22
$97.44
$386.00
o
6
Planning
05t30t2002 9307 1Planning Plan Review
Total Planning
$55.00
$s5.00
Large copy - Photocopy Fee
Total DeposiUCopies/Mis
DeposiUCopies/Mis
05t30t2002 9307 4 $12.00
$12.00
Grand Total
Plan Check Type
lnitial Review-Res
Checked By
Lisa Hopper
Liz Miller
Don Moore
Date Completed
05t15t2002
05t2112002
05t30t2002
$1,107.56
Comment
Application indicates "electric heat". Plans do
not show any extension of duct work for
existing forced air electrical heating system, so
assumption is electricalwall heat. lf heating
system is other than assumption made, please
change heat source prior to issuance and add
appropriate permit fees if it is a mechanical
system.
Engineering-Res
Planning-Res
Structural-Res
Denny Wright 05t22t2002
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 inspections are requested at the proper time, that each
readable from the permit card is located at the front of the property, and the
at all times during construction.of will
d
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 7 26-37 69
OFFICE: 726-3759
LEGAL DESCRIPTION/7f - 3o 3f o ^'-
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical
Phone
Supenrisor License Number
Expiration
Constr Contr.
Expiration
Signature of Supervising Electrician
Owners Name
The installation is being made on
prope4y I own which is not intended
for sale, lease or rent.
ELECT,: -.aL PERI\diT APPLICATION
City Job Number e/
3. COMPLETE FEE SCIIEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
$ 50.00
xa,"r, l4l2 3/if SV
ovJ/fr\ _pno,"_74-il,-2i
OWNER INSTALLATION
B. Services orFEgdpgr* I ruN:Oregon law requlres y9Y.l9
L'rt llffifl#iljg1rdo#g o, the oregon Utilitv..
R"bqi{iib;ii"" c"*t6i'Those ru'les are eet rorth
i'' oAFl d;;fii-'00lotnrougn oAR e52-001-
200 arnq[Ailr;;-;; outain copios otffi$fles bv
i8lffi $ilfle1ffi"".5";ff tffiffi,HF
60I amirCtd'fm0-ir$Es is f -i00-3gZEC4i3.00
Over 1000 amps&olts $325.00
Reconnect Only $ 50.00
C. Temporary Services or Feeders
Installationl{&Tffi h or Relocation
THts pEfiMtT SHALL EXPIRE tF ISdfloRK
;B? ffiUIffdHfuu N il ; i, rrm,ubb 6 Nor
over 0<{dvffiU 6frFs0 R t S n gnND0.UnDfim
-over fi fipfffif OApPERIE Bq€ttBt'above
D. Branch Circuits
New Alteration or Extension Per Panel
one Cirarit t4 $43.00 -15n'
Each Additional Circuit or with Service
or Feeder permit L$ 3.oo -af
E. Mscellaneous (Sewice/feeder not included)
-Each installation
Pump or irrigation $50.00
Limited Energy/Res $25.00
Limited Energy/Comm _ $45.00
Minimum Electric Permit Inspection E'ee is $45.00 * Surcharges
IU
Lr!
5, SUBTOTALOFABO\E
1Yo State Surcharge
8% Administrative Fee
4a:". Z.LL
3,6$
TOTAL fe
' i7o'o":'ry"t*'o"
city-
I
,IU. rf :1"
isNuHI
7 ' Tf1/. ltr -'t\r r I tLI
.-1 luat
'-f rvu
1
5Z
NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINACE FXTURE UNTTS
(NOTE: FOR REMODEIS, CAI-CULATE ONLY TTIE NET ADDTTIONAL FXTURES)
NO. OFFIXTURES
FIXTURE TYPE ( +xrw - #oLD )
DRAINAGE
UNIT FIXTURE
^ rquwntENT = LTNITS
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE I OTL ISOLIDS / ETC.
INTERCEPTORS FOR SAND / AUTO WASH IETC.
LATINDRY TUB
CLOTHESWASHER / MOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIG / WATER STATION IETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
SHOWER, SINGLE STALL
sHowER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL/RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
J
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
)x
(0-0
(0-0
(0-0
(0-0
(0-0
(0-0
(0-0
(0-0(0-0
(0-0
(0-0
(1-0
(0-0
(0-0
(0-0
(0-0
(0-0
(l-0
(0-0
(0-0
(l-0
3 0
I 0
-l 0
0
0
J
6
2 0
J 0
6
t2
0
0
I 0
J 0
2
0
0
2
2
J
2 0
I 0
WASH BASIN 2
LAVATORY
M I
5
PUBLIC INSTALLATION 6
PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU,s*
( 0 - 0 )x 20
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
I
0
0
J
0
6
DRAINAGE FIXTURE UNIT CALCULATION TABLE
MWMC CREDIT 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
YEAR
ANNEXED
CREDIT RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
CREDIT RATE PER $1,OOO
ASSESSED VALUE
1979 OR BEFORE $4.92 I 990 $2.06
I 980 $4.83 1991 $1.64
l98l $4.77 1992 $1.4s
1982 $4.64 1993 $1.31
l 983 $4.47 1994 $ l.l3
l 984 $4.30 1995 $0.97
I 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
$0.00$4.92
TOTAL MWMC CREDIT =
0.000
x
x
VALUE / 1OOO
0.000
CREDIT RATE
$4.92 =
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:0 BUILDINC SIZE: 432 SF LOT SIZE: 9584 SF
Jeannie Odom
1412 3lst St.
11-02-30-34 Tax Lot # 01900
SINGLE FAMILY RESIDENCE
JOURNAL OR JOB NUMBER: 02-00568-01
IMPERVIOUS S.F COST PER S.F.DISCOUNT RATE
0.00
IMPERVIOUS S.F
520.00
COST PER S.F.
$0.273 $141.96
RUNOFF ROUIED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
x
x x
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
141.96ITEM l TOTAL. STORM DRAINAGE SDC
OF DFU's COST PER DFU
.441
NUMBER OF DFU's
6
COST PER DFU
$21.37 $128.22
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
94 1.00 $0.009.s7 0
ADT TRIP RATE
9.57
NUMBER OF UNITS
0
COST PER TRIP
$r6.21 $0.00
NEW TRIP FACTOR
1.00
B.IMPROVEMENT COST:
x x x
x x x
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM 3 TOTAL. TRANSPORTATION SDC
$0.00
NUMBER OF FEU'S
0
COST PER FEU
$332.86
NUMBER OF FEU's
0
COST PER FEU
$34.83 $0.00
$0.00
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIYE FEE
$0.00
;0.00
B. IMPROVEMENT COST:
x
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
4. SAMTARY SEWER - MWMC
A. REIMBURSEMENT COST:
ITEM 4 TOTAL. MWMC SANITARY SEWER SDC
$367.62SIIBTOTAL (ADD ITEMS 1,2,3, &4)
SUBTOTAL ADM. FEE RATE
r 8.38.62 57o
5. ADMINISTRATIVE FEE:
x
$386.00Steve Templin 512212002 TOTAL SDC CHARGES
SDC COORDINATOR DATE
1070
1091
to92
1093
1094
1055
1056
1013
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