HomeMy WebLinkAboutPermit Building 2002-4-4
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I Job# 02-00278-01 I
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Page 1 of 5
TRANS#:01-0008503
DATE:APR 04 2002
AMT RECD:2 $ 5452.26
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00278-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6721 Moses Pass Spr
Assessors Map#: 17023411
Lot: 35 Block: Addition:2nd
Tax Lot #: 06700
Subdivision: Levi Landing
Owner:
Gordon Evans
Address: 84825 Parkway Rd ~O~t-
Scope Of Work: Single Famil~~~~~O~
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Generalt~o~~l:-~G ~l!lro~ Evans
CO ",\'O()OIli4825 Parkway Rd, Pleasant Hill, OR
i'-~ 97455 0'V \0
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Electrical Contr Lynns Electric Co .ao.v.l\ 0,,1J \O~'\\ 102316
Po Box A, Fall Cr~~~~O~<9i4\)a'i>a~..()()'\'
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Manuf Home Install Dean !;l~tih~ , rosa \'V~o"'~' \u\0S 133733
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C 'd3' ~e' Office Use
(lU~ v6
4RNE Land Use:
1 Zoning Code:
(VN) Wood Frame Bedrooms:
Gas Range:
City/State/Zip:
Phone Number: 541-746-4803
Pleasant Hill, OR 97455
Value: $130,379
New
Registration #
102721
Expiration Date
10/20/2002
Phone
541-746-4803
10/14/2003
541-726-7895
2/23/2003
541-767-0626
Plumbing Contr
3/25/2002
541-744-0300
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Single Family Dwelling
LOR
3
Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1604
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,
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Required Inspections
: - Building I
-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,
- Prior to decking,
- Prior to cover.
- Before covering sheathing with finish materials,
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
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Page 2 of 5
1 Job# 02-00278-01 1
Required Inspections
1 --Building
1
- Prior to cover.
- Prior to Cover
-Prior to taping.
-When all required inspections have been approved and the building is complete,
I' -- . ElectriCal - --I
-Approval required prior to SUB energizing pole.
- Prior to cover,
- Must be approved to obtain permanent power.
- When all electrical work is complete,
1--- Plumbing~- ---I
-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,
-When all plumbing work is complete,
I -- -Mechanical' H - -I
-Prior to insulation or decking,
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance, Pressure te~
- When all gas work is complete,
-When all mechanical work is complete,
Sidewalk Type: Curbside - 5'
Additional ROW? 0
Size Of Line (in): 8
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime: 00/00/0000 00:00 AM
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?O
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Types Of Warning Devices Reqd.
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1 Job# 02-00278-01 1
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Overlay District: Floodplain Overlay
# of Street Trees: 2
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 1997-06-0142 2: 3:
CommentsCity Determined floodplain - FEMA Elevation Certificate Required
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: See Above
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
Main: 1604 Accessory547
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Flood Plain FEMA:
Page 3 of 5
Land Use: Single Family Dwelling
Pave Driveway? 0
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 18
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2151
Paid On Receipt#
Plan Check
03/12/2002 8283
Building
04/04/2002 8503
, 04/04/2002 8503
04/04/2002 8503
Electrical
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
Plumbing
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
Mechanical
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
04/04/2002 8503
Value/Quantity
Fee Amount
130,379
$433,16
$433.16
130,379
$666.40
$46.65
$53.31
$766.36
1
3
1
$,00
$106.00
$57.00
$50.00
$14,91
$17,04
$244.95
1
$.00
$254,00
$17,78
$20,32
$292.10
1
1
$9.00
$4.00
$,00
$4.64
$12,00
$18,00
1
3
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Fee
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
In Lieu of Assessment
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S,F, Residence - Willamalane
Total Wi llama lane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Lisa Hopper
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Bob Kettwig
Liz Miller
Tom Marx
Job# 02-00278-01 I . Page 4 of 5
Paid On Receipt# Value/Quantity Fee Amount
Mechanical
04/04/2002 8503 1 $9,00
04/04/2002 8503 1 $6,00
04/04/2002 8503 $10,00
04/04/2002 8503 $4,06
$76.70
Public Works
04/04/2002 8503 $,00
04/04/2002 8503 50 $75.00
04/04/2002 8503 1 $75,00
$150.00
System Development
04/04/2002 8503 2,851 $778,22
04/04/2002 8503 1 $34,83
04/04/2002 8503 1 $10.00
04/04/2002 8503 $136.15
04/04/2002 8503 1 $332.86
04/04/2002 8503 1 $659.76
04/04/2002 8503 1 $155,13
04/04/2002 8503 20 $427.40
04/04/2002 8503 20 $324,80
$2,859.15
Willamalane SDC
04/04/2002 8503 1 $1,000.00
$1,000.00
Planning
04/04/2002 8503 1 $55,00
$55.00
Permits w/o Srchll
04/04/2002 8503 1 $8. 00
$8.00
$5,885.42
Date Completed
Comment
03/20/2002
03/14/2002
No plot plan included with submittal. David
Bowlsby contacted applicant to submit plot
plan
03/22/2002
03/21/2002
03/25/2002
FEMA Elevation Certificate required
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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
a:..rn;1. d set of plans will remain on the site at all times during construction.
3//1'1.#0 M. fOrcwA_ ~ cj- '-1- 02-
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00278-01
NAME OR COMPANY: GORDON EVANS
LOCATION: 6721 MOSES PASS
TAX LOT NUMBER: 17-02-34-11 TL:67oo
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2151
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SF
LOT SIZE:
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I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. 1,,1 COST PER S,F. I
I 2850.64 $0.273 =1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
II IMPERVIOUSS,F'I"I COSTPERS,F, IXI DISCOUNTRATE I
I 0.00 $0.273 50%
I ITEM 1 TOTAL. STORM DRAINAGE SDC -
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
1 NUMBER OF DFU's I "I COST PER DFU
I 20 $21.37
B. IMPROVEMENT COST:
II NUMBER OF DFU's 1,,1 CV;:' 1 rei< urU
1_ 20 _ $16.~
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
.,. TRANSPORTATION
A. REIMBURSEMENT COST:
1 ADTTRIPRATE 1..1 NUMBER OF UNITS I xl COST PER TRIP I "I NEW TRIP FACTOR I
1 9.57 1 1 $16,21 1.00 =1
B. IMPROVEMENT COST:
1 ADTTRIPRATE 1..INUMBEROFUNITSlxl COST PER TRIP 1,.1 NEW TRIP FACTOR I
1 9.57 L 1 1 $68.94 1.00 =1
ITEM 3 TOTAL - TRANSPORTATION SDC
6440
SF
r/.l
~
Q
o
U
0:::
~
r/.l
I-<
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gz
=1_ $0.00 I /'
=r $778.221 11070 .
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
1 NUMBER OF FEU's 1..1 COST PER FEU
I 1 I $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I "I COST PER FEU
I I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
II ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL "l ADM, FEE RATE
$2,723,00 5%
s:t- T~ 3/22/2002
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I
I
DATE
=1
TOTAL SDC CHARGES =l
SDC COORDINATOR
$2,859.15
$778.22
=1
$427.40
=1
=1
$324.80 I
$752.20 ---.J
$155.13
=1
$659,76
$814.89
=1
$332,86
=1
=1
=1
=1
=1
=1
/
1091'
1092 /'
1093'/
I 1094"'/
I-I
$34.83 I
$0,00 I /
$367.69 1 105S"
$IO.OO.-J 1056
$377.69 r 1
$2.723.00 I
$136.15 1073
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) UNIT RXTURE
FIXTURE TYPE x EOUIV ALENT = UNITS
BATHTUB ( 1 0 ) x 3 = 3
DRINKING FOUNTAIN ( 0 0 ) x I = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS / ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER 1 MOP SINK ( I 0 ) x 3 = 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION 1 ETC. ( 0 0 ) x 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER 1 ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 1 0 ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAURESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x I = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 3 0 ) x I = 3
URINAL, STALL/WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 2 0 ) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's.
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 20
*EDU (Equivalent Dwelling Unit} is a discharge equivalent to a single family dwelling unit (20 DRJ's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE. CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 l 1990 $2.06
1980 $4,83 1991 $1.64
1981 $4,77 1992 $1.45
1982 $4,64 1993 $1.31
1983 $4,47 1994 $1.13
1984 $4,30 1995 $0,97
1985 $4,09 1996 $0,82
1986 $3,78 1997 $0,63
1987 $3.41 1998 $0.41
1988 $2,98 1999 $0,22
1989 $2,52 2000 $0,04
VALUE/WOO CREDITRATE
0,000 X $0,04 = 1
0.000 X $0.04 = 1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0,00