HomeMy WebLinkAboutPermit Building 2000-9-28
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Job# 00-00908.01
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Page 1 of 4
TRANS#:01-0003333
DATE:SEP 28 2000
AMT RECD:2 $ 6560.95
CHANGE:
CASHIER:061
SPRINQFIELD
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00908-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 825 mckenzie crest Dr Spr
Assessors Map#: 17032342
Lot: 100 Block: Addition:
Tax Lot #: 01000
Subdivision: River Glen
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Owner:
Anslow & Degeneault Inc
1953 Garden Avenue
Phone Number: 503-484-0070
City/State/Zip: Eugene, OR 97403
New Value: $286,755
Address:
Scope Of Work: Single Family Residence
plans submitted for quickstart
Engineer
Contractor
Anslow & Degeneaulllnc
1953 Garden Avenue, Eugene, OR
97403
Hal Pfeiffer
40 W. 17th, Eugene 0, OR
Registration #
49169
Expiration Date
10/16/2000
Phone
503-484-0070
Contractor Type
General Contr
541-683-4257
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Hold Downs Installed
Final Building
Office Use
Land Use: Single Family ~~~~qIO!ffBfEl~~.\I,~1~~ruqJlresyou ~c
Zoning Code: LDR occueancv.f.lroue.,-l:lwelht;lg
follow rules f:lllUfJl-'V U}'"n:~, ."l.."" _." '.
Bedrooms: 3 Notificationd\M,~~.qHrs!!~uleSaresetfon
Range: in OAR 952-0~fl0l5q9W99,;,gh3_~,O;i 95~~02
0090. You may omal1 I \;UI""'" v,, "'" 'U,___)
To request an inspection call the 24 hour recording at 726-3769. All ins~.W@tr~~~ted ~Eifdre 'illooelephone
a.m. :-viII be made the same working day, inspections requested after 7:R~RrfJ1dl"YiJ\'~c.mJ\Q.~\l1elfolloy.tiriglilication
worklrtg day. . Center;c i -eC'o-'3:':?-'2344).
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Required Inspections
I Building
-Install 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.
-Prior to floor insulation or decking. NOTICE:
- Prior to decking. THIS PERMIT SHALL EXPIRE IFTHE WORK
- Pnor to cover.
- Before covering sheathing with finish materialsrHORIZED UNDER THIS PERMIT IS NOT
- Prior to cover. COMMENCED OR IS ABANDONED FOR
- Prior to Co~er ANY 180 DAY PERIOD.
-Pnor to taping.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
- When all required inspections have been approved and the building is complete.
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Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 6 8
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin OateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
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Temporary Power
Underground Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Curbcut
Sidewalk
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Page 2 of 4
I Job# 00-00908-01 I
Required Inspections
I Electrical I
-Approval required prior to SUB energizing pole.
- Prior to cover.
I Plumbing
- 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.
I 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 tel
- When all gas work is complete.
- When all mechanical work is complete.
I Public Works I
- 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:
Setback - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
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Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
I Job# 00-00908-01
Overlay District:
# of Street Trees:
.
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?O
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
['Area (Sq. Feet)
I Main: 3907 AccessoryBOO
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Four or More Bathrooms
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
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Flood Plain FEMA: n/a
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Accessory Structure
# Of Stories: 2 Height (feet): 28
Current Units:O Proposed Unils:l
Census Code: Does not apply
Total:4707
Paid On Receipt#
Plan Check
06/09/2000
Building
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
Plumbing
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
Mechanical
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
Public Works
09/28/2000 3333
Value/Quantity
Fee Amount
286,755
$554.94
$554.94
286,755
$853.75
$59.76
$25.61
$939.12
1
$.00
$13.48
$192.50
$5.78
$211.76
1
1
$4.50
$2.00
$.00
$1.05
$6.00
$15.00
$4.50
$3.00
$10.00
$2.45
$48.50
1
5
1
1
140
$63.00
Page 4 of 4
Value/Quantity Fee Amount
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Job# 00-00908-01 I
Paid On Receipt#
Public Works
09/28/2000 3333
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Fee
New Curbcut
Total Public Works
1 $60.00
$123.00
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1990
Total System Development
System Development
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
09/28/2000 3333
15
6,095
39
1
1
1
1
S.F. Residence - Willamalane
Total Willamalane SDC
Grand Total
WilIamalane SDC
09/28/2000 3333
1
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Wendy Stanley
06/13/2000
Engineering-Res
Steve Templin
06/14/2000
06/15/2000
Planning-Res
AW
$1,414.04
$1,882.53
$491.60
$242.76
$22.05
$10.00
$201.84
$-26.25
$4,238.57
$1,000.00
$1,000.00
$7,115.89
Structural-Res Wendy Stanley 06/23/2000 engineered plan
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
approv;fS;:;e~~e ~4:::s:~ring construction. k c::>9- 28' o-~
Signature U 0' / ~ Date
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.. ~1'''''Willamalane
~,1/IIItf' Park & Recreation District Job. No. aO-OD'll) 8-0\
fW SYSTEM DEVELOPMENT CliARGE
WORKSHEET
NAME: _Jrh1J\QIU..Ic D~^1* PHONE: 4 gl.l- OOM
ADDRESS: STATE: O~ ZIP: ct.1-4~<
,q':)~ G-~ j ~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: <6 ~'5 M~~~ Jl.. . ~ th.. ,
Pial Name: ~ ~ Tax Lol Number: \1-0)~~Lt~ DlCOO
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1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
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A. Sinqle-FHmilv DelHcher!.
/Single Family home
NO. OF UNITS
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Manufactured home not in a park
X $1,000 per unit = $ \ ~G~
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B. Sinale-FRmilv AttRcherl
NO. OF UNITS
X $924 per unit = $
C. Mulli-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ~nufactllrArl Home Pml~
NO. OF UNITS
,WILLAMALANE SDC
X $699 per unit c $
$
2. SDC CREDIT (If applicable) SDCilayer must furnIsh proof of
Willamalane Credit approval. See SDC Credit Worl<sheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
$
$ ~ It) ~C'
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Development ~ices Department
City of Springfield
n I I"~ I 08
Date
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ATTACHMENT A
CITY OF SPRINGFIELD SY~I.EMS DEVELOPMENT CHARGE WORKSHEET
--....
JOURNAL OR JOB NUMBER 00-00908-01
NAME OR COMPANY: ANSLOW & DEGENEAULT
LOCATION: 825 MCKENZIE CREST DRIVE
TAX LOT NUMBER 17-03-23-42-01000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
4707
LOT SIZE:
15101
1. STORM DRAINAGE
IMPERVIOUS SQ. IT.
6095.00
x
$0.232 PER SQ. IT.
$1,414.04 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
39
x
$48.27 PER PFU
$1,882.53 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 1
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22.05 1
($26.25)1
$10.001
$248.56 I
$4,036.731
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINlSTRAT1VE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$201.84 I
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SDC CUURDINA TOR
06/14/2000
DATE
TOTAL SDC CHARGES I $4,238.571
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PLUMBING FIXTURE UNIT (PFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR R,!;,MODEIS- CAlrIlI.ATE ONLY THE NET ADDITIONAL FIXTlJRES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SANDI AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS) ,
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASINILA V ATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA TION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
2
2
5
5
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
4
o
o
o
o
4
o
2
o
5
o
20
o
,0
o
TOTAL PLUMBING FIXTURE UNITS=I 39
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 ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $4.47 1989 $2.18
1980 $4.38 1990 $ 1.75
1981 $4.32 1991 $ 1.35
1982 $4.20 1992 $1.17
1983 $4.03 1993 $1.03
1984 $3.88 1994 $0.86
1985 $3.68 1995 $0.71
1986 $3.38 1996 $0.57
1987 $3.03 1997 $0.39
1988 $2.62 1998 $0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75 x 15.000 I $26.25
IMPROVEMENT (IF AFTER ANNEXATION DATE) x = $0.00
CREDIT TOTAL $26.25
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00908-01
NAME OR COMPANY: ANSLOW & DEGENEAULT
LOCATION: 825 MCKENZIE CREST DRIVE
TAX LOT NUMBER 17-03-23-42-01000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
4707
LOT SIZE:
15101
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
6095.00
x
$0.232 PER SQ. FT.
$1,414.04 I
2. SANITARY SEWER-CITY.
NUMBER OF PFU's
(SEE REVERSE SIDE)
39
x
$48.27 PER PFU
$1.882.53 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
$491.60 I
$0.00
TOTAL TRANSPORTATION SDC
$491.60 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
$22.05 1
($26.25)1
$10.00 I
$248.56 I
$4,036.73 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$201.84 I
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SOC COORDINATOR
06/14/2000
DATE
TOTAL SDC CHARGES I $4,238.571