HomeMy WebLinkAboutPermit Building 2000-10-23
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SPRINGFIELD
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I Job# 00-01511-01 I
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Page 1 of 4
TRANS#:01-0003561
DATE:OCT 23 2000
AMT RECD:2 $ 5760.22
CHANGE:
CASHIER: 061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01511-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Tax lot #: 02000 M'
Subdivision: River Glen ~
location Of Proposed Site: 781 McKenzie Crest Dr Spr
Assessors Map#: 17032343
lot: 98 Block: Addition:
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Owner:
Future B Inc
Po Box 7425
Phone Number: 541-744-2660
City/State/Zip: Eugene, OR 97401-0017
New Value: $189,387
Address:
Scope Of Work: Single Famiiy Residence
SFR
Contractor
Future B Inc
Po Box 7425, Eugene, OR 97401-0017
Electrical Contr Bob Fisher Electric Inc 96275
180 Kingsbury Ave, Eugene, OR 97404
Mechanical Contr Rolfs Heating
PO Box 66, Dexter, OR 97431
Contractor Type
General Contr
Registration # Expiration Date
36499 5/18/2000
Phone
541-744-2660
1/25/2002
541-689-7973
541-741-0002
Plumbing Contr
ATTENTION:Oregcn 1?5~ 1~85~1146 .
follow rules adopted by the UruCiC,r. u 111.1
I\'nH!;""tinn Center. ThoS6 ruleb alG :;(')11 '"
. f"'Ihcar:;? nn:l-(J01 ()tnrnugll UMM,.,;J"'-U')
To request an inspection call the 24 hour recording at 726-3769. All inspectl~n~:,r,egJ!.,e~~~\?!\19(~,li9,9.)ie~ of th" iul:'lS b
a.m. will be made the same working day, inspections requested after 7:00 a.m')willlie 'made the1foilowinglh_ tol:Jphon!>
working day. calling the contSI. \1~Ul"..." '.. .v
nUlilburforthe Qrtlgon Utility Notlflf:atlor
- -. --...............,
CUSTOM PLUMBING
P.O. Box 66, Dexter, OR 97431
SW-Setback
CC-Standard
Required Inspections
I Public Works I
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
V~IIlt::t I;;:; ,-u""
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 160 DAY PERIOD.
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Street Improvement: Fully Improved
Curb Cut?[{] Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? [{]
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
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Zoning: lOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
I Job# 00-01511-01 I
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Page 2 of 4
Setback - 5'
D
8
To Curb and Gutter
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 4
land Use: Single Family Dwelling
Pave Driveway? [{]
3:
Additional Requirements:
Required Attachments:
Source locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 4
Handicap Access? D
,Area (Sq. Feet)
I Main: 2507 AccessoryB07
Moving length:
# of Sections Moved:
Begin Move Datetime: 00/00/000000:00 AM
Structure Moved To:
Moved To Taxlot:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Flood Plain FEMA: Panel 1134 of 2975
Accessory Structure
# Of Stories: 1 Height (feet): 23
Current Units: 0 Proposed Units:1
Census Code: Does not apply
Total:3314
Moving Width:
Dolly Height:
End Move Datetime: 00/00/0000 00:00 AM
Paid On Receipt#
Plan Check
10/09/2000 3423
Value/Quantity
Fee Amount
189,387
$413.08
$413.08
Buildinll
10/23/2000 3561
10/23/2000 3561
10/23/2000 3561
189,387
$635.50
$44.49
$19.07
$699.06
. . Job# 00-01511-01 . Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical I
Wiring Footage 1,000 Sq Ft or less 10/23/2000 3561 1 $85.00
Wiring Footage Each Add'l 500 Sq Ft 10/23/2000 3561 5 $75.00
Temporary: 200 Amps or less 10/23/2000 3561 1 $40.00
State Surcharge For Electrical Permit 10/23/2000 3561 $14.00
Electric Administrative Fee 10/23/2000 3561 $6.00
Total Electrical $220.00
Plumbinll
Minimum Plumbing Permit Fee 10/23/2000 3561 $.00
Three Bathrooms 10/23/2000 3561 1 $192.50
State Surcharge For Plumbing Permit 10/23/2000 3561 $13.48
Plumbing Administrative Fee 10/23/2000 3561 $5.78
Total Plumbing $211.76
Mechanical
Hood and Exhaust 10/23/2000 3561 1 $4.50
One to Four Outlets 10/23/2000 3561 1 $2.00
Minimum Mechanical Permit 10/23/2000 3561 $.00
Mechanical Administrative Fee 10/23/2000 3561 $1.14
less than 100,000 BTU 10/23/2000 3561 1 $6.00
ApplianceVent (Not Covered in SchedulE 10/23/2000 3561 4 $18.00
Gas Fireplace 10/23/2000 3561 1 $4.50
Dryer Vent 10/23/2000 3561 1 $3.00
Mechanical Issuance 10/23/2000 3561 $10.00
State Surcharge For Mechanical Permit 10/23/2000 3561 $2.66
Total Mechanical $51.80
Public Works
New Sidewalk 10/23/2000 3561 100 $60.60
New Curbcut 10/23/2000 3561 1 $60.00
Total Public Works $120.60
System Development
Residential - Single Family - Storm 10/23/2000 3561 4,659 $1,118.10
Sanitary Sewer 10/23/2000 3561 27 $1,346.22
Residential Transportation 10/23/2000 3561 1 $507.82
Residential Sanitary MWMC 10/23/2000 3561 1 $285.91
Residential Improvement MWMC 10/23/2000 3561 1 $24.33
MWMC Administrative Fee 10/23/2000 3561 1 $10.00
SDC Administrative Fee 10/23/2000 3561 $164.62
Total System Development $3,457.00
Willamalane SDC
S.F. Residence - Wi llama lane 10/23/2000 3561 1 $1,000.00
Total Willamalane SDC $1,000.00
Grand Total $6,173.30
Plan Check Type Checked By Date Completed Comment
Initial Review-Res Wendy Stanley 10/10/2000
Engineering-Res Steve Templin 10/13/2000
Planning-Res Liz Miller 10/19/2000
Structural-Res Wendy Stanley 10/17/2000
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I Job# 00-01511-01 I
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Page 4 of4
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 ail 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
~=~Ott:wil~ema~ at all times during construction. I() / l-3,/ 6 0
\j'naturQ Date
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ATTACHMENT A
CITY OF SPR.frIGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01511-01
NAME OR COMPANY: FUTURE B HOMES
LOCATION: 781 MCKENZIE CREST DRIVE
TAX LOT NUMBER 17-03-23-43-02000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
3314
LOT SIZE:
12000
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
4658.75
x
$0.240 PER SQ. FT.
$1,118.10 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
27
x
$49.86 PER PFU
$1.346.22 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$507.82 I
$0.00 I
$507.82 I
x
x
1.01
x $502.79 PER TRIP
x $502.79 PER TRIP
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$285.91
PER FEU
$285.91 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$24.33
PER FEU
$24.33 I
$0.00 I
$10.00 I
$320.24 I
$3,292.381
. MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2, 3, & 4)
J. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$164.62 I
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SDC COORDINATOR
10/13/2000
DATE
TOTAL SDC CHARGES I $3,457.00 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT' PLUMBING FIXTURE UNITS
{NOTE: FOR REMODEL~. CALCULATE ONLY THE NET ADDITIONhL FIXTURES'
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLlDS/ETe.
INTERCEPTORS FOR SAND/AUTO W ASH/ETe.
LAUNDRY TUB/CLOTHESW ASHERlMOp.SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/WATER ST A TION/ETe.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASIN/LA VA TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES UNIT
NEW OLD EQUIVALENT
.1 2
I
2
3
6
2 2
6
6
I
3
2 2
I
2
2
3 I
6
3 4
x
x
PLUMBING .
FIXTURE
UNITS
2
o
o
o
o
4
o
o
o
o
4
o
2
o
3
o
12
o
o
o
27
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TOTAL PLUMBING FIXTURE UNITS~I
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE ..
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSEQ VALUE ANNEXED ASSESSED VALUE
1979 or before $4.74 1990 $1.96
1980 $4.65 1991 $1.55
1981 $4.59 1992 $1.36
1982 $4.46 1993 $1.23
1983 . $4.30 1994 $1.05
1984 $4.14 1995 $0.90
1985 $3.93 1996 $0.75
1986 $ 3.63 1997 $ 0.57
1987 $ 3.26 1998 $ 0.35
1988 $2.85 1999 $0.15
1989 . $ 2.40 .
CREDIT FOR PARCEL )R LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
$0.00
$0.00
CREDIT TOTAL $0.00
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P.?"lb. Willamalane
t, "'!' Park & Recreation District . Job. No. 00 - 0 I 5 I ) - q (
,.., . SYSTEM DEVELOPMENT CliARGE
WORKSHEET
{:,,+t> re.. R -WOVl'\p/'s
,
NAME:
PHONE:
:fLj L\- :l, (; 60
A{<.ZIP: Q1L/ol
ADDRESS:
.,,'
\:JO\/.
"+ U 'dv'S
~ v~/AAA- STATE:
v
LOCATION OF PROPOSED BUILDING SITE:
+R l Me... t<~"l...\e.
Plat Name: ~ ,QA Gkv-.
Street Address:
Cn...a.&-. J)r~~
Tax Lot Number: l~o"?-Q.~4::> ()?.,OOO
1. DEVELQPMENT TYPI; (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
.
A fiinqlA-Fl1milv DAtl1r:hp.o.
v"Single Family home
Manufactured home not in a park
NO. OF UNITS
:1- X $1.000 per unit = $ I ,000
B. SinalA-Fl1milv Att8(~hp.o
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X .$692 per unit = $
D. Ml101lfRc1l1red Homp. PI'lIk
NO. OF UNITS
X $699 per unit 0: $
WILlAMAlANE SDC $
2. SDC CREDIT (II applicable) SOc-payer must furnIsh proof or
WiUamalane Credit approval. See SDC Credif Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOC reduced for Credit) $
IJ~ -N--~
Development Services Q.epartment .
City of Springfield
10 I 10 I CO
Date.
"NOF'"LD
lhe following
eet as lubml\led ~~~e land use
1M 101l0wln9 :~~~ nol require spe
LonlOg, end /:) (L-
225 FIPTH STREET . approvel. J- I E~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning- _ iJ.'" - ".-i>~
INSPECTION REQUEST: 726-3769 { 0 - ~ ri-ty Job Number
OFFICE: 726-3759 Date -
S' gnatlJre -
I\UlnOnzed I 3. COMPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION _..
+~l fY1.c...t'".~" ~e r...^* DnLl1J'P_ A. New Residential-Single or
Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service Included: .
l-:l.n~ ;::~:~ L(?, . 1'),:1.000 ItelllS Cost Sum
JOB DESCRIPTION
.::,t::e
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 Contractorl3"Q..k....6.2J..."'". J"/~ Co "'e.
AddressL!lD /{'J'n9~h",,..o/ l:tl/.(..,
. I
City,c "''l e /I P. . Phone;':; r;, '7. 7973
Supervisor License Number 3 q 7 !>~" C;
Signature of Supervisin~lectrician
Lf.lJ.JI-rP ~~
Owners Name :::r:;,,-+t...no, ~ 4hAti2!
Address ~l "'=t-L{;;)-,,';
Ci ty {;;'"1;j~~ Phone 1-'-/'-'1..... ~~o
miNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. leas~ or rent.
Owners Signature:
------------~--------------------------
DATE:
l"""~l.rl' ii:
RECEIVED BY:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Reloca tion I
200 amps or less
201 amps to 400 amps
401. amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only -----
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
5100.00
$130.00
5300.00
$ 40.00
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Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 ampS"OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 .amps or 100u
Branch Circui ts
$ 40.00
$ 55.00
5 80.00
VOlts see "B" aDove
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
B.
Miscellaneous (Service/feeder
-Bach installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy./Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.QQ
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00