HomeMy WebLinkAboutPermit Building 2001-03-27SPRINGFIELD
Job# 01-00074-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 3
Job Number: 01-00074-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00504
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 27BB 00032nd St Spr
AssessorsMap#: 17021931
Lot: Block: Addition:
ctTY oF SPRINGFfiELq OREGON
Owner: Bob Vigil
Address: 2788 32nd Street
Scope Of Work: Family Room
Contractor Type
GeneralContr
Phone Number:
City/State/Zip:
New
541-726-0117
Springfield, OR 97478
Value: $36,909
311612001 Customer revised scope of work to change mudroom from a slab floor to a post &
heam floor and added 80 s f to rear of new familv room.
Contractor Registration # Expiration Date Phone
D Foster Construction Llc 125406 10112101 541-gBB-4328
2412Ranch Dr, Springfield, OR
97477-1714
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group:
Heat Source: Forced Air Electric
Sq. Footage: 450
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
Verify Ground Rod
Footing
Foundation
Slab
Post and Beam
Floor lnsulation
Geiling lnsulation
Shear Watl Nailing
Framing
Walllnsulation
Drywall
FinalBuilding
-lnstallground,"#pectioninconjuctionwithfootingand/orfoundationi
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-To be made after all inslab building service equipment, conduit piping, and other equipment iter
-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.
Rough Electrical -Prior to cover
Electrical
Final Electrical
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Comments:
Planner: Ruth Klein
Urban Growth Boundary?f
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Job# 01-00074-01
Required lnspections
Electrica! I
-When all electricalwork is complete
Overlay District:
# of Street Trees:
2:3
Additional Requirements
Glenwood Area? [ Required Attachments:
Source Locn:
Materia!:
FIood Plain FEMA: Zone X (gray)
Page 2 of 3
Land Use:
Pave Driveway?
Construction Types(VN) Wood Frame
Occupancy Groups:
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq
Main: 450 Accessory:
# Of Stories: Height (feet):
Current Units:1 Proposed Units:1
Census Code: Does not apply
Total:450
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Additional Plan Check
Hourly Plan Review
Total Plan Check
01126t2001
03t02t2001
0312712001
4321
4592
4776
18,001
44
1
$87.43
$43.87
$40.00
$171.30
Building Permit
Building Permit
State Surcharge For Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Building Administrative Fee
Tota! Building
Buildinq
03t02t2001
03t2712001
03t02t2001
0312712001
0310212001
03t27t2001
4592
4776
4592
4776
4592
4776
31,338
5,571
$202.00
$22.00
$14.14
$1.54
$6.06
$.66
$246.40
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Electrical
0411812001
04t18t2001
04t18t2001
04t18t2001
4976
4976
4976
4976
12
$s0.00
$24.00
$s.18
$2.22
$81.40
System Development
Residential- Single Family - Storm
Residential- Single Family - Storm
SDC Administrative Fee
0310212001
0312712001
0310212001
4592
4776
4592
$111.79
$21.68
$5.59
413
80
Job# 01-00074-01 Page 3 of 3
Fee Paid On Receipt# Value/Quantity Fee Amount
SDC Administrative Fee
Total System Development
0312712001 4776 $1.08
$140.14
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Wendy Stanley
Steve Templin
Ruth Klein
Don Moore
Date Completed
0112912001
0210612001
0210612001
0210612001
Comment
$639.24
Signature Date
SPRINGFIELD
Job# 01-00074-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
spr
Addition:
Page 1 of 2
225 North Fifth Street
Springfleld, OR97477
Location Of Proposed Site: 27BB 00032nd St
AssessorsMap#: 17021931
Lot: Block:
Job Number: 01 -00074-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot #: 00504
Subdivision:
crTY oF SPRINGFiELD, OREGON
Owner: Bob Vigil
Address: 27BB 32nd Street
Scope Of Work: Family Room
Contractor Type
GeneralContr
Phone Number:
City/State/Zip:
New
541-726-0117
Springfield, OR 97478
Value: $36,909
311612001 Customer revised scope of work to change mudroom from a slab floor to a post &
heam floor and added 80 s f to rear of new familv room.
Gontractor Registration # Expiration Date Phone
D Foster Construction Llc 125406 1011212001 541-988-4328
2412Ranch Dr, Springfield, OR
97477-1714
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group:
Heat Source: Forced Air Electric
Sq. Footage: 450
To request an inspection call the 24 hour recording at 726-3769. 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 Inspections
Buildin
Verify Ground Rod
Footing
Foundation
Slab
Post and Beam
Floor lnsulation
Ceiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
FinalBuilding
-lnstallground rod at footing, and callfor inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-To be made after all inslab building service equipment, conduit piping, and other equipment iter
-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.
Job# 01-00074-01 Page 2 of 2
Land Use:
Pave Driveway?
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1: 2:
Comments:
Planner: Ruth Klein
Urban Growth Boundary?f
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Overlay District:
# of Street Trees:
Glenwood Area?
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Zone X (gray)
Construction Types(VN) Wood Frame
Occupancy Groups:
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
(Sq. Feet)
Main:450 Accessory:
# Of Stories: Height (feet):
Current Units:1 Proposed Units:1
Census Code: Does not apply
Total:450
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Additional Plan Check
Hourly Plan Review
Total PIan Check
01126t2001
03102t2001
0312712001
4321
4592
4776
18,001
44
1
$87.43
$43.87
$40.00
$171.30
Buildinq
Building Permit
Building Permit
State Surcharge For Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Building Administrative Fee
Tota! Building
03102t2001
0312712001
0310212001
03127t2001
03t02t2001
0312712001
4592
4776
4592
4776
4592
4776
31,338
5,571
$202.00
$22.00
$14.14
$1.54
$6.06
$.66
$246.40
Residential- Single Family - Storm
Residential- Single Family - Storm
SDC Administrative Fee
SDC Administrative Fee
Tota! System Development
System Development
03t02t2001
0312712001
03t02t2001
03t27t2001
4592
4776
4592
4776
413
BO
$111.79
$21.68
$5.59
$1.08
$140.14
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Wendy Stanley
Steve Templin
Ruth Klein
Don Moore
Date Completed
01t29t2001
0210612001
o210612001
0210612001
Gomment
$557.84
os/rz/o r
g*-?)z-
SPE!NGFIELD
Job# 01-00074-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Buitding Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2788 00032nd St Spr
AssessorsMap#: 17021931
Lot: Block: Addition:
Job Number: 01-00074-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 00504
Subdivision:
ctTY oF SPRfiNGFfiELq OREGON
Owner: Bob Vigil
Address: 27BB 32nd Street
Scope Of Work: Family Room
Phone Number:
City/State/Zip:
New
541-726-0117
Springfield, OR 97478
Value: $31,338
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
Office Use
-
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group:
Heat Source: Forced Air Electric
Sq. Footage: 450
To request an inspection callthe 24hour recording at 726-3769. 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
Verify Ground Rod
Footing
Foundation
Slab
Post and Beam
Floor lnsulation
Ceiling lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
FinalBuilding
- lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-To be made after all inslab building service equipment, conduit piping, and other equipment iter
-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.
I-SHA.LL EXP'F?E'IFTHEWORK
l::_rHrs PERMns Nor
15/\BAA,IDONEDFOR
Job# 01-00074-01 Page 2 of 2
Land Use:
Pave Driveway?
Zoning: LDR
FloodPlain? ! Wetlands? !
Journal numbers
1:
Gomments:
Planner: Ruth Klein
Urban Growth Boundary?f
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Overlay District:
# of Street Trees:
2:3
Additional Requirements
Gtenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Zone X (gray)
Construction Types(VN) Wood Frame
Occupancy Groups:
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:450 Accessory:
# Of Stories: Height (feet):
Gurrent Units:1 Proposed Units:1
Census Code:Does not apPly
Totali450
Fee Paid On Receipt# Value/Quantity Fee Amount
PIan Check
Residential Plan Check
Additional Plan Check
Total Plan Check
01t26t2001
0310212001
4321
4592
18,001
44
$87.43
$43.87
$131.30
Building
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
0310212001
0310212001
03t0212001
4592
4592
4592
31,338 $202.00
$14.14
$6.06
$222.20
System Development
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
03t02t2001
03t0212001
4592
4592
413 $1 11.79
$5.59
$117.38
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Checked By
Wendy Stanley
Steve Templin
Ruth Klein
Don Moore
Date Completed
01t2912001
02t06t2001
02t06t2001
02t06t2001
Comment
$470.88
S re
dd,
CITY OF SPRINGFIELD S YSTEMS DEVELOPMENT CIIARGE WORKSIIEET
NAME OR COMPANY:
LOCATION:
TAXLOTNUMBER:
ANNEXATION YEAR
DEVELOPMENT TYPE:
SF
JOLIRNAL ORJOB NUMBER: 0l-00074-01
SINGLE FAMILYRESIDENCE
VIGIL
2788 32ND STREET
l 7-02- l9-3 l-00s04
LANE COI.INTY ASSESSED VALUE (LAND)
DWELLINGUMTS:BUILDING SIZE SF LOT SZE:
COST PER S.FIMPERVIOUS S.F
ttt.79$0.271412.50
I. STORMDRAINAGE
x
11.79ITEM I TOTAL - STORM DRAINAGE SDC
COST PERDFUNUMBEROF DFU's
$ l6.l s0
NUMBEROF DFU's
0
COST PERDFU
$2r.25 .00
B.IMPROVEMENT COST
x
x
,. SANITARY SEWER. CIry
A. REIMBURSEMENTCOST:
$0.00ITEM 2 TOTAL - CITY SANITARY SEWER SDC
NEWTRIPFACTORCOST PERTRIPNUMBEROF UNITSADT TRIP RATE
001.00$68.s50.57
ADTTRIP RATE
9.57
NUMBER OF IJNITS
0
COSTPERTRIP
$16.12
NEWTRIPFACTOR
s0.001.00
B.IMPROVEMENT COST:
xxx
xxx
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ITEM 3 TOTAL - TRANSPORTATION SDC
.00
NUMBER OF FEU's
0
COSTPERFEU
$285.91
NUMBER OF FEU's
0
COST PERFEU
$24.33
$0.00
$0.00
s0.00
B.IMPROVEMENT COST;
x
x
4. SANITARY SEWER - MWMC
A, REIMBURSEMENTCOST:
MWMC CREDIT TF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
$0.00ITEM 4 TOTAL - IVTWMC SANITARY SEWER SDC
$111.79SUBTOTAL (ADD ITEMS 1,2,3;&4)
ADM. FEERATESUBTOTAL
$5.s9s%$lll.79
5. ADMINISTRATTVE FEE:
x
$117382t6l0l914"k ril;*
SDC COORDINATOR
TOTAL SDC CHARGES
DATE
225 FIFTE STREET
SPRTNGFTELD, 0REGON 97'477
TNSPECTIoN REQLIEST. 7.26-37(!:-,,,;,rat,,rcOFPICE: 726-3759
1. LOCATTON OF276trk)4
oo fi{
JOB PTTON
For,^r?
COHPLETE FEE SCMDULE BELOV
Nev Residential-Single orMulti-Family per dvell:.ng unit.Service fncluded:
f tems
1000 sq.ft. or less
=Eaeh additional 500sq. ft or portion
thereo f
Each Hanufrd Home. or
-
Modular 'Dve11ing
Service or Feeder
SPFr'' -iFtELo
EI.ECTRICAL PERHTT APPLICATION
City Job Number 7'-o
Cos t
s 8s.00
$ is.00
$ 40.00
''' " !lrrrlec'dt $unmitlednasthetollo-wtng
,;";;o''"q'"u sPecilic land use
vt>(u
Z()nrng /l -C2
3
A
Sum
Permits are non-transferable and expireif vork is not -started vi thin 180 daysof issuance or if vork is suspended iorL80 days.
2. COMRACTOR INSTALI.,ATTON ONLY B
Elec tri
Address
Ci ty
ca1 Contractor
Supervi-sor Li cense r
Expiration Date
Constr Contr. Num
Expiration Date
Signature of Supervising Electrician
ovnersName 3oR VtGtt
Address Za trtr BzrJ 9+-
city >?A Phone -726- O// a
OVNER TNSTALLATTON
The installation is being made on
property I ovn vhich is not intended
for sal lease or rent.
DATE:
Services or Feeders
fns tallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
--601 amps to 1000 amps-over 1000 amps/vo1ts
-
Reconnect 0n1y
s s0.00
s 50.00
s100.00
s130.00
$300.00
$ 40.00
c Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps''or less $ 40.00
201 amps to 400 amps
-
$ 55.00over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTts see rrgrr uffi[!-
D. Branch Circuits
E
Nev, Alteration or Extension per panel
onecircuit I S35.ooEach Additional
Circuit or vith Serviceor Feeder Perrnit L $ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/0utline Lighting- $
Limited Energy/Res
-
S
Limi ted Energy/Conm $
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
40.
40.
20.
36
3?r.
:l;>
00
00
00
00
5
IC}r}C}
L',1cE
r..:l
FJtrl'.
tJC)(}P
..8
Cf,H
Pho
RECEIVED
osr60/
(?o>
D EVELz P M E NT s E RV t c E s a effif?)l El..tr
Zoning
Date
Authorized Signature
225 FIFTH STREET
SPRTNGFTELD, oREGoN 97417
INSPECTION REQIBST. 726-3769
OFFICE: 726-3759
CAT PERUTT APPLICATION
City Job
3. COHPLETB FEE SCMDUI.E BELOIT
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
$ 8s.00
SPFlIEaiFTELO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd .Home or
-Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
FAX (
1. LOCATJ?gr ION OF INSTALTATIONN. Z**4 sr A
LEGAI 0o
ervl s License Numbe
)Sum
DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTAILATION ONLY
ElectricaL Contracto
eaaress4 C {n +#
vho,4.CS?5?30
D
S
000 amps_
Over 1000 amps/volts
Reconnect 0n1y
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
gne Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit /Z- $ 2.00
B
$ 1s.00
s 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
@_=_
)nT,
200 amps or 1
201 amps to 4
401 anps to 6
60L amps to 1
es
00
00
s
amp
ampcit
sup
Exp iration Date
Constr Contr. Number
Expiration Date
Signature o ing Electrician
0vners Name
Address )28 N, 3*4 5T
Ci ty (1 Phone>zb-cl
OI{NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Orners Signature:
DATE
Temporary Services or Feeders
Installatlon, Alteration or Refocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ Bo.oo
0ver 600 amps or 1b0O voTEs see n6tt u[[ru-
E Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation
-
$
Sign/outline Lighting- $
t i.ilited Energy/Res
-
$
SUBTOTAL OF ABOVE
7'/o State Surcharge \
3Z Administrative Fee/
TOTAL '
2I=
not included)
40.00
40.00
20.00
q5
RECEIVED B
-o CD