HomeMy WebLinkAboutPermit Building 2000-03-31SPEINGFIELD
Job# 00-00267-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
TRANS*:01-0001105
0ATE:HAR i1 ?000
Al'lI REID:Z $ 4969.8?
IHANEE:
CASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2255 00033rd St Spr
AssessorsMap#: 17021943
Lot:24 Block: Addition
Job Number: 00-00267-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 02400
Subdivision: AMBLESIDE
ctrY oF SPRfiNGF1EL4 OREGOfi|
Owner: Brian Taylor Construction
Address: 2318 32nd Street
Scope Of Work: Single Family Residence
single family dwelling with attached garage
Phone Number:
City/State/Zip:
New
541-747-2185
Springfield, OR97477
Value: $186,950
Contractor Type
GeneralContr
Electrical Contr
Mechanical Contr
Plumbing Contr
4680 Main St, Springfield, OR
97478-6054
Don Lewis Plumbing
500 Greenfield Street, Eugene, OR
97404
33076 6110101
on Date Phone
541-747-2185
541-741-1499
541-746-7677
541 -688-1 931
To request an inspection call the 24 hour
a.m. will be made the same working day,
working day.
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor lnsulation
Shear Wall Nailing
Framing
Walllnsulation
Drywall
Final Building
re 7:00
following
Building toD l
-To be rade afte@tting forms.
- lnstall ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After trenches are excavated.
-Afier forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
- Prior to decking.
-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.
UNDERTHIS PERMITIS
Ail
Rough Electrica!
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
FinalPlumbing
Underfloor Mechanica!
Rough Gas
Rough Mechanical
Gas Service
Final Mechanical
Curbcut
Sidewalk
Street lmprovement: Fully lmproved
Curb Cut?f Improvement Agr.?
San Sewer Depth (Ft): 6 - 4
Storm Sewer Available? f
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/00 00:00 AM
Specia! !nstructions:
Other Utilities:
Project Supervisor:
Job# 00-00267-01 Page2 of 4
Required lnspections
Electrical
-Prior to cover.
-Must be approved to obtain permanent power,
-When all electrical work is complete.
Plum
-Prior to insulation or decking.
- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
-Prior to filling trench.
-After gravel and filter cloth is installed, but prior to backfill
-When all plumbing work is complete
Mechanical
-Prior to insulation or decking
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure ter
-When all mechanicalwork is complete.
Public Works
-After forms are ereceted but prior to placement of concrete.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
8
To Curb and Gutter
o
00/00/00 00:00 AM
Types Of Warning Devices Reqd
Zoning: LDR
FloodPlain? [ Wetlands? [
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Job# 00-00267-01
Overlay District:
# of Street Trees:
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? g
Journal numbers
1:2:3
Comments2 paved 9'x18' parking spaces are required.
Additiona! Requirements: LDAP Required
tr Glenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:nla
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? [
Area (Sq. Feet)
Main:2541 AccessoryS45
# Of Stories: 2 Height (feet): 25
Current Units:O Proposed Units:1
Census Code: New SF - detached
Total:3086
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total PIan Check
0211412000 0000588 166,894 $379.44
$379.44
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Buildinq
0313112000
03/31/2000
0313112000
1 105
1 105
1 105
186,950 $628.75
$44.01
$18.86
$691.62
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrica!
Electrical
03/31/2000
03131t2000
03/31/2000
03/31/2000
03t31t2000
1 105
1 105
1 105
1 105
1 105
1
4
1
$85.00
$60.00
$40.00
$12.95
$5.55
$203.s0
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
PIum
03/31/2000
0313112000
03t31t2000
03/31/2000
1 105
1 10s
1 105
1 105
1
$.00
$192.50
$13.48
$5.78
$211.76
Mechanica!
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
03/31/2000
03t31t2000
03/31/2000
03/31/2000
03131t2000
0313112000
03131t2000
1 105
1 105
1 105
1 105
1 105
1 105
1 105
1
1
$4.50
$2.00
$.00
$.83
$6.00
$12.00
$3.00
1
4
1
Job# 00-00267-01 Page 4 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
03/31/2000
03t3112000
1 105
1 105
$10.00
$1.93
$40.26
Public Works
New Sidewalk
New Curbcut
Total Public Works
03/31/2000
03/31/2000
1 105
1 105
50
1
$60.00
$60.00
$120.00
Residential- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Total System Development
03/31/2000
03/31/2000
03/31/2000
03/31/2000
03/31/2000
03/31/2000
03/31/2000
03/31/2000
1 105
1 105
1 105
1 105
1 105
1 105
1 105
1 105 36
3,067
23
1
1
1
1
$711.49
$1 ,1 10.21
$491.60
$242.76
$22.05
$10.00
$128.70
$-14.08
$2,702.73
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
03/31/2000 1 105 1 $1,000.00
$1,000.00
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Bob Barnhart
Steve Templin
AlWard
Don Moore
Date Completed
0211512000
0211812000
0212212000
0312012000
$5,349.31
3-si-co
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 pla ll remain on the site at alltimes during construction
Signature Date
ATTACHMENT A
CITY O F SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER
DEVELOPMENT TYPE:
DWELLING UNITS
BRIAN TAYLOR
00-00267-01
2255 33RD ST
17 -02-19-43-02400
SINGLE FAMILY RESIDENCE
BUILDING SIZE: 2798 LOT SIZE: 8154
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.3066.7 s x $0.232 PER SQ. FT $71 1.49
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
23 x 548.27 PER PFU $1,110.21
3. TRANSPORTATION
NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP
I x l.0l x $486.73 PER TRIP
x x M86.73 PER TRIP
s491.60
$0.00
$491.60
4. SANITARY SEWER - MWMC
A, REIMBURSEMENT COST:
NUMBER OF FEU's I
B.IMPROVEMENT COST:
NUMBER OF FEU's I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
x $242.76 PER FEU
x 522.05 PER FEU
TOTAL MWMC SDC
s242.76
$22.05
(s14.08)
s r 0.00
s260.73
574.03SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)0.05 $ 128.70
/ a,"**
SDC COORDINA'TOR
2 \9 TOTAL SDC CHARGES $2,702.73
I
TOTAL TRANSPORTATION SDC
x
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x T]NIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR R CALCULATE ONLY THE NET ADDITION,FIXTURES)
FIXTURES
NEW OLD
UNIT
IVALENT
PLUMBING
FIXTTJRE
UNITSFIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESWASHEzuMOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
2
J
2
I
2
J
6
2
6
6
I
J
2
l
2
2
I
6
4
4
0
0
0
0
2
0
0
0
0
0
0
2
0
J
J
0
t2
0
0
0
TOTAL PLUMBING FIXTURE UNITS:23
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
94.47
$ 4.38
$4.32
$ 4.20
$ 4.03
s 3.88
s 3.68
$ 3.38
$ 3.03
$2.62
I 989
I 990
t99t
1992
1993
1994
1995
1996
1997
1998
s 2.18
$ l.7s
$ l.3s
$ l.l7
s 1.03
$ 0.86
s 0.71
$ 0.57
$ 0.39
$ 0.18
1979 or
I 980
l98l
1982
1983
1984
I 985
I 986
t987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.39
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
36. I 00 $14.08
$0.00
$14.08CREDIT TOTAL
Willamalane
Park & Recreation District Job. No.C Ir o t
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:-t?
ADDRESS:STATE: Oq zP''l.t
Street Address:AuSS 33d tt
Plat Name:_Tax Lot Number: Olqq)
DEVELOPMENT TYPE (check
ype delinitions are on the back.)
A. Single-Family Detached
)o Single Family home
appropriate dwelling(s). SDC calculations and dwelling t
X $692 per unit
D. Manufactured Home Park
WILLAMALANE SDC
2. SDC CREDTT ([ applicable] SDCaayer must-(umlsh prool o[
Wittamalane ireoit approval' See SDC Credit Workshael
t
1
Manufactured home not in a Park
No. OF UNITS X $1'000 Per unit = $
B. Singte-Family Attached
C. Multi-Family Apartment
(,G"
t CrjD
$
$
$
$
$3. TOTAL WILLAMALANE NET SDC ASSESSED
(l( SDC reduced (or Credit)
D nt
I
-
Date
City ot Springtietd
Department
LOCATION OF PROPOSED BUILDING SITE:
t10ata.rs
I
C'TY OF OBEGO'V
225 TIFTE STREET
SPRINGFIEIJ, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
The lollowing prolect as submitted has the tollowing
zoning. and does not req uire sPecific land use
apProval Lo (,-.
Zoning a)-\t-
^7lv6t!8+dWnature
S. GFIELO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
200 amps
201 amps
401 amps
60L amps
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
1 ON OF ON
LEGAL DESCRIPTIONOo-2c?-O/
JOB DESCRTPTION
)
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 INSTALLATTON ONIY B.
Electrical Contractor E.A3TsiDe (C(.C, f *'C'
Address -i)t3 Bct;cAeC
ELECTRICAI PERHTT APPLICATION
Ci ty Job Number oo-oo"€7-o/
3. COHPIJTE FBE SCMDULE BELOIT
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
I S Bs.oo
Sum
15:
Ci ty 5P(cD Phone -7
v / -/y'iq
Supervisor License Num ber '3c- /7 t
Expiration Date- l(;' t - Ci
Constr Co ntr. Number )17'77O
Expiration Date to'l-C-'O
Signa ture of Su pervising Electrician
Ovners Name
Address
Ci ty Phone 7Ll
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
0vners Signature:
DATE:
1- $ 1s.oo 60
s 40.00
Services or Feeders
Instalfation, Alterations
or Relocation:
amps
--amps _000 amps_
Over 1000 amPs/volts
-
Reconnect 0n1Y
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps"or less $ 40'00
ou"r abr to 6oo amps
-
S Bo'oo
Over 600 amps or tbOO voTts see rrB, above
Nev, Alteration or Extension Per Panel
one circuit s 35'oo
Each Addi tional
Circuit or vith Service
or Feeder Permit
--_
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting--
Limi ted EnergY/Res
-
Limited EnergY/Comm
or
to
to
to
I
4
6
L
$ s0.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
ses
00
00
C.
D
E
$
$
$
s
40.
40.
20.
36.
00
00
00
00
oo
5 /zl.
RBCEIVED
I )2154.40