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