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HomeMy WebLinkAboutPermit Building 2002-05-24Job# 02-00514-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of4 Job Number: 02-00514-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03900 Subdivision: SPHINGFIELD Location Of Proposed Site: 292 00032nd St Spr AssessorsMap#: 17023131 Lot: Block: Addition: ctrY oF SPRINGFIELD, OREGOTV Owner: Adrian Ward Address: 292 32nd Street Scope Of Work: Single Family Residence Bedroom and garage addition Phone Number: City/State/Zip: Additio 04 541-746-5608 Springfield, OR 97478 Value: $71,216 n Date lF Phone 541 -746-5608 Contractor Type GeneralContr Electrical Contr Gontractor Adrian Ward 29232nd Street, Springfield, OR 97478 Adrian Ward 29232nd Street, Springfield, OR 97478 1-746-5608?s 3RNW (VN)Wood Frame Office Use - Land Use: Single Family Dwelling Zoning Code: LDR # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air ElectricBedrooms: Range: r,onxa BB3 To request an inspection call the 24 hour a.m. will be made the same working day, working day. Footing Foundation Post and Beam Floor lnsulation Ceiling lnsulation Shear Wall Nailing Framing Walllnsulation Drywall FinalBuilding Rough Electrical Fina! Electrica! Building -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. -When all required inspections have been approved and the building is complete. Electrical - Prior to cover. -When all electrical work is complete 225 Fifth Street Springfield, OR97477 Quad Area: # Of Units: Constr. Type: Water Heater: Required lnspections ub, Qv Ji; la2a *4 Job# 02-00514-01 Page 2 of 4 Underfloor Plumbing Rough Plumbing Storm Sewar Line FinalPlumbing Underfloor Mechanica! Rough Mechanical Final Mechanical Required lnspections Plumbing - Prior to insulation or decking. - Prior to cover. - Prior to filling trench. -When all plumbing work is complete. Mechanical -Prior to insulation or decking. -Prior to cover. -When all mechanicalwork is complete Zoning: LDR FloodPtain? [ I Wettands?[- Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? L] Panel 1 161 of2975 Journal numbers 1: Gomments: 2z Planner: Urban Growth Boundary?l t Glenwood Area? [] Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White 3: 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:883 Accessoryf18 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 13 Current Units:1 Proposed Units: Census Code: Does not apply Total:1501 Fee Paid On Receipt# Value/Quantity Fee Amount Plan Check Residential Plan Check Hourly Plan Review Total Plan Check 05t03t2002 05t24t2002 8820 9227 77,983 1 $311.90 $45.00 $356.90 Building Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Tota! Building 05t24t2002 05t24t2002 05t24t2002 9227 9227 9227 71,216 $456.45 $31.95 $36.52 $524.92 Electrical Branch Circuits WO Feeder or Service Branch Circuits With Feeder or Service State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical 05t24t2002 05t24t2002 05t24t2002 05t24t2002 9227 9227 9227 9227 1 4 $43.00 $12.00 $3 85 $4.40 $63.25 Job# 02-00514-01 Page 4 of 4 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 the site at alltimes during construction. Signature FIFTH .r 5/420, th"8H€itri'r3tqd N'Iulti-Family per du'elling unit. Ser-l'ice Includetl: B DESCRIPTION Permits are non- if work is not sttrrted lvithin of issutrnce or if work is 180 days Address Super.vising and expire 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dlvelling Serv'ice or Feeder ervices or Feeders ation, D. Branch Sign/Outline Liglrting Linrited Energv/Res Li ruited Energl'/Conrm r\linimunr Electric Permit Insp 4. SUBTOTALOFABOVE 7%o State Surchirrgc 8'% Administrative Fec s25.00 $45.00 ection Fee is S{5.00 * Surcharges Items Cost $ r 9.00 d) TOTAL t e3,2 q. Nerl Residcntirrl-Singlc or 7Qtr CONTRACTOR Supen'isor License Expiraliort Constr Contr. ELEC T tsJCAL PERMIT APPLICATiON Joh Number 6,3'-OO Y-o COMPLETE FEE SC}IEDULE BELOW Alterations or or less to 400 arnps to 600 amps lo 1000 arnps 1000 amps/r,olts Only C. Temporarl'Scrvices or Feeders Installation, Alterntion or Relocltion 200 amps or less 201amps t0,100 amps 401 to 600 amps or 1000 rrolts see s 106.00 $ 63.00 _i $ 75.00 $ l25.oo --$ 163.00 $3 75.00 s 50.00 _ iD Er€ 0g /g o'wner's Nrme,lDAt 4ni *i' tJll-t^'D Atltlress:'/7,t ul -i).xJ .5I Citr 1r i.',,^-( f,rccl) Phone .f// - 71( .ff6J -_t- OWNER INSTALT,ATION The installation is being nrade on properqy I orvn rvhich is not intended for srle. lease or rent. Otr'ncrs Signature: Neu' Alteration or Extension Per Panel o,e circuir I $4i oo 45@ Each Additional Circuit or u'itli Serv'ice orFeecierpe,nit vr trlLlt""'"{" $ 3.00 lLPo L Multi-Family per drvelling unit. Ser-vice Includetl: c 1000 sq.ft. or less Eaeh additional 500 TltE Wffi'tio" M$qsq{07 EffsxTl*lH;*""' Service or Feeder Items Cost $ 106.00 $ s0.00 EXPIRE IF THIS PER ABANDON ALLATION ONLY B. Services or Feeders2 Electrical Address Z/ET Installittion, Relocation: 200 amps or 201 arnps to 401 amps to er#*iu{B{e 37 n Date letrse or rent. )090. Yor calling nurnber or Extension Per $s0.00 $25.00 $4s.00 Nlinimum Electric Permit Ins 4. SUBTOTALOFABOVE 7oh Stile Surchargc 8% Administrativc Fce pcction Fee is S{5.00 * Surchargcs ilt-/Jt TOTAL 5?5 .225 FNTH SPRiNGFIELD, OFFICE: 726-3159 Pern.rits are if work is not sta(ed of issuance or if work 180 days. r: ql-/ ELE, 4LPERI,{ITAPPLICATION :fl<:ggg,,i1{ ; SCHEDULE BELOW or $ 19.00 ANY 180 Supen'isor #d,F/ Expiralion Constr Contr. OWNER s 63.00 $ 75.00 $125.00 #'=E- Signature of Superrising Electrician Arldress .. i t , ., .:";. "i; , I ':'o-1' ' {r* 601 amps to 1000 amps $163.00 Over 1000 amps/r'olts $375.00 - Reconnect On11' $ 50.00 Scrvices or Fceders $100.00 One Circuit Each Additional Circuit or rvith or Feeder Permit 3.00 d,L E. 1\'Iiscellaneous (Scnice/feeder not included) -Eaclr irrsttllation Pump or irrigation Sign/Outline Lighting L i nr i tecl E nergl'/l{es Limited Energl'/Comrn - ?./t 3,Q,a CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: LOCATION: TAX LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING UNITS 0 BUILDING SIZE: 1356 SF LOT SIZE: 10890 SF 292 32nd St. 17-02-31-31 Tax Lot # 03900 SINGLE FAMILY RESIDENCE JOURNAL OR JOB NUMBER: 02-005 14-01 Adrian Ward COST PER S.F DISCOLTNT RATEIMPERVIOUS S.F. 0 $0.273 50Vo IMPERVIOUS S.F. 1346.00 COST PER S.F $0.213 $361.46 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS x xx I. STORM DRAINAGE DIRECT RLINOFF TO CITY STORM SYSTEM .46ITEM l TOTAL. STORM DRAINAGE SDC NUMBER 162.4010$16.24 NUMBER OF DFU's l0 COST PER DFU $21.37 $213.70 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 94 1.00 ADT TRIP RATE 9.57 NUMBER OF UNITS 0 COST PER TRIP $ 16.21 NEW TRIP FACTOR 1.00 $0.00 B.IMPROVEMENT COST: xxx x x x 3. TRANSPORTATION A. REIMBURSEMENT COST: ITEM 3 TOTAL. TRANSPORTATION SDC $0.00 NUMBER OFFEU's 0 COST PER FEU $332.86 $0.00 NUMBER OF FEU's 0 COST PER FEU $34.83 $0.00 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE $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 .56SUBToTAL (ADD ITEMS 1,2,3, & 4) SUBTOTAL ADM. FEE RATE 57o l8 5. ADMINISTRATIVE FEE: x $780.74TOTAL SDC CHARGESSteve Templin SDC COORDINATOR DATE 5t24t2002 U) rJ]noU & E] E-ra (, E]& I 070 l09l 1092 1093 1094 1055 1056 1073 -rErfiL .t tu NUMBER OF NEW FXTURES x UNIT EQUTVALENT = DRAINAGE FXTURE UNITS (NOTE: FOR REMODEIS, CAI-CULATE ONLY THE NET ADDTTIONAL FIXTURES) NO. OFFIXTURES DRAINAGE FIXTURE UNITS( +Nnw - #oLD ) UNIT FXTURETYPE X=.-EQUIVALENT BATHTUB ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( I 0 )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x )x -1 DRINKING FOUNTAIN 0 0 I 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE I OIL ISOLIDS IETC.0 0 J 0 INTERCEPTORS FOR SAND i AI.]TO WASH IETC.0 0 6 0 LAUNDRY TI.IB 0 0 2 0 0 0 J 0 CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)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 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 I 0 I URINAL, STALL/WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 2 0 J 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'sX (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 10 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) YEAR ANNE)GD CREDIT RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED CREDIT RATE PER $1,OOO ASSESSED VALUE 1979 OR BEFORE $4.92 1990 $2.06 1980 $4.83 l99l $r.64 l98l $4.77 t992 $1.45 r982 M.64 t993 $1.31 1983 $4.47 $ 1.13 1984 M.30 I 995 $0.97 I 985 $4.09 1996 $0.82 I 986 $3.78 1997 $0.63 1987 $3.4r I 998 $0.41 1988 $2.98 1999 $o.22 1989 $2.s2 2000 $0.04 TOTAL MWMC CREDIT = 0.000 x $4.92 VALUE / 1OOO CREDIT RATE 0.000 x $4.92 CLOTHESWASHER / MOP SINK SINK: COMMERCIAL/RESIDENTIAL KITCHEN I t994