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Home My WebLink AboutPermit Building 2002-4-10 I ;' , . . I Job# 02-00296-01 I Page 1 of 4 Tl\ANSlI: OJ.-Q008571 DA TL APf~ 10 2002 ANT RECD:2 $ 5741,52 C!4ANGl: . CASHIER: 06;, 225 Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00296-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 764 Old Orchard Ln Spr Assessors Map#: 17032343 Lot: 127 Block: Addition:3rd Owner: Address: Tax Lot #: 09500 Subdivision: River Glen Mike Gansen Construction Company 362 Hwy 99N Ste 2 Phone Number: 541-463-1000 City/State/Zip: Eugene, OR 97402 New Value: $181,555 Scope Of Work: Single Family Residence ,0 ~o'> .~'I;.~ 1(\ 6/27/200~"l> ~~\\\,\~""726-0100 ~ ~o ",,0 SS ;\ ~\'lJ 0\'lJ 'If>00J;''/;'0'''''Q '",>'n~ i<> ~ ~, III Chapin Enterprises Incorporated 81994 ~6~-r;;,\~0 O~ 1(\0 ':Z~~Ci!~Qr 1146 3248 Kentwood Dr, Eugene, OR 97401 .dQ .00'Q 0",,0,;:,~ &'1 ~0~<~r;,~ o-X. ....C'\' .<'(~ -,..0 o.Q.e:, F~ -,~ To request an inspection call the 24 hour recording at 726-3769, All i~~t~o1l:~~~~~"k'jl:l~' a.m, :-viII be made the same working day, inspections requested aft~Y.R.o.~'R1~8Mj~\~~g~ing working day, ~o, ~o b"lfS z,.~ ~0 .~o r::r"fJ ~ '!f:.,r;, ~ ~ r;,0 0' !O<:I R 'd I t' ..Ao'l ~Q; ,-'> .oC>'.or>. ,. equlre nspec 10..". v., '" ,: ~ ,. .,-..i ,('\ RJ"'" '~'" \0 0' I Building 1 ",,<:I r;,~ ~0\ c,0~ -Install ground rod at footing, and call for inspecti~1ti 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, - Prior to cover. - Prior to Cover - Prior to taping, - When all required inspections have been approved and the building is complete, Contractor Type Architect General Contr Electrical Contr Mechanical Contr Plumbing Contr Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building Contractor Registration # Expiration Date Arbor South Architecture 4765 Village Plaza Loop Ste 20, Eugene. OR 97401 Phone 541-344-3332 Mike Gansen Construction Company 362 Hwy 99N Ste 2, Eugene, OR 97402 Everyday Electrical Service Inc Pmb #132 65 W1 Division Ave, Eugene, OR 97404-2485 92159 6/14/2003 541-463-1000 136371 8/12/2005 541-607-6908 Comfort Flow Heating Co 1951 Don Street, Springfield, OR 97477 00460 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: / Temporary Power 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 SW-Curbside CC-Standard . . Page 2 of4 I Job# 02-00296-01 I Required Inspections 1- Electrical ~I -Approval required prior to SUB energizing pole, 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, - When all plumbing work is complete, I Mechanical - - 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, I Public Works - - -I -After forms are erected but prior to placement of concrete -After forms are erected 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: o 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd, Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: Comments: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 2: 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Sam Gollah Urban Growth Boundary?O Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-white Flood Plain FEMA: 1134 of 2975 . Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 ,Area (Sq, Feet) I Main: 2295 Accessory528 Fee Residential Plan Check Total Plan Check Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Minimum Electrical Permit Fee 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 Gas Fireplace Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical New Sidewalk New Curbcut Total Public Works Residential - Single Family - Storm Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Job# 02-00296-01 I . Page 3 of 4 Private Garage/Carp/Stor # Of Stories: 1 Height (feet): 22 Current Units: Proposed Units:1 Census Code: New SF - detached Total:2823 Paid On Receipt# Plan Check 03/20/2002 8356 Building 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 Electrical 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 Plumbing 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 Mechanical 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 Public Works 04/10/2002 8571 04/10/2002 8571 System Development 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 Value/Quantity 181,555 181,555 1 1 1 1 1 3 1 1 30 1 3,788 1 1 Fee Amount $540,90 $540,90 $832,15 $58,25 $66,57 $956,97 $,00 $50,00 $3,50 $4,00 $57,50 $,00 $254,00 $17,78 $20,32 $292,10 $9,00 $4,00 $,00 $4,64 $12,00 $18,00 $9,00 $6,00 $10,00 $4,06 $76.70 $75,00 $75,00 $150.00 $1,034,12 $34,83 $10,00 $149.77 . . Job# 02-00296-01 . Page 4 of 4 Value/Quantity Fee Amount 1 , Fee Paid On Receipt# System Development 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 04/10/2002 8571 51 $-21,03 1 $332,86 1 $659,76 1 $155,13 21 $448,77 21 $341,04 $3,145.25 Property Annexed 1998 Residential Sanitary MWMC Residential - Improvement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development S,F, Residence - Willamalane Total Willamalane SDC Willamalane SDC 04/10/2002 8571 1 $1,000,00 $1,000,00 Planning Plan Review Total Planning Planning 04/10/2002 8571 $55,00 $55,00 Address Assignment Total Permits w/o Srchg Grand Total Plan Check Type Permits w/o Srchg 04/10/2002 8571 1 $8.00 $8,00 $6,282,42 Checked By Date Completed Comment Initial Review-Res Engineering-Res Planning-Res Structural-Res Lisa Hopper Bob Kettwig Sam Gollah 03/25/2002 04/01/2002 03/28/2002 04/04/2002 Don Moore 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 plans will remain on the site at all times during construction, s.-::- -~-~~ ~~ 4-/CJ-~::J~ Signature - ~. Date . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET I JOURNAL OR JOB NUMBER: 02-00296-01 NAME OR COMPANY: MIKE GANSEN LOCATION: 764 OLD ORCHARD LANE TAX LOT NUMBER: 17-03-23-43 TL: 9500 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 2660 SF LOT SIZE: 10850 SF L STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S,F, I" 1 COST PER S,F. I 3788,00 $0,273 =1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS.F.J ,I COSTPERS,F. IX,I DISCOUNTRATE 0,00 $0,273 50% I ITEM 1 TOTAL - STORM DRAINAGE SDC 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's 1..1 COST PER DFU 21 $21.37 B, IMPROVEMENT COST: I NUMBER OF DFU's ',.L COST PER DFU 21 -.J $I6,24 - - I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3, TRA_IiISPORTATION A. REIMBURSEMENT COST: I ADTTRIPRATE I 'INUMBER OF UNITS I xl COST PER TRIP 1..1 NEW TRIP FACTOR I I 9,57 I 1 I $16,21 I 1.00 1=1 B, IMPROVEMENT COST: I ADTTRIPRATE J"INUMBEROFUNITSlxl COSTPERTRlP 9.57 L I I I $68,94 I ITEM 3 TOTAL - TRANSPORTATION SDC 4. SANITARY SEWER - MWMC $1,034,12 =1 =1 en ~ Q o U '0::: ~ en - o ~ $0,00 I $1.034.12~ 1070 / / =L $341.Q4 1 1092' =L $789.81 0 I A. REIMBURSEMENT COST: I NUMBER OF FEU's I " I COST PER FEU I 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 I ITEM 4 TOTAL - M'YMC SANITARY SEWER SDC ~BTOTAL (ADD ITEMS 1,2,3, & 4) 15' ADMINISTRATIVE FEE: I SUBTOTAL I..l ADM,FEERATE I $2,995.48 5% =1 $149,77 --.J 1073 - - I St- ~ 4/112002 Il TOTAL SDC CHARGES = $3,145.25 SDCCOORDINATOR DATE =1 $448,77 $155,13 I I NEW TRIP FACTOR I I" 1.00 =L $659.76 =r $814.89 1091'/ 109y / 1 11 1094- =1 $332,86 =1 $34,83 1 =[ ($21.03) 1 1055/ =1 $346,66 1 =1 $10,00 I I056 =1 $356.66 I] =[ $2,995.48 IJ . . 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 FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( I 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 1 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 1 WATER STATION 1 ETC. ( 0 0 ) x I = 0 RECEPTOR FOR COM, SINK 1 DISHWASHER 1 ETC. ( 0 0 ) x 3 = 0 SHOWER, SINGLE STALL ( I 0 ) x 2 = 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAURESIDENTIAL KITCHEN ( I 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 ( 4 0 ) x I = 4 URINAL, STALL 1 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 21 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFU's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, CALCULATE CREDIT SEP ARA TEL Y YEAR ANNEXED 1979 OR BEFORE 1980 t981 1982 1983 1984 t985 t986 1987 1988 1989 CREDIT RATE PER $1,000 I ASSESSED VALUE - $4,92 I $4,83 I $4,77 I $4.64 I $4,47 $4,30 $4,09 $3,78 $3.4t $2,98 $2,52 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 t998 1999 2000 CREDIT RATE PER $1,000 ASSESSED VALUE $2,06 $1.64 $1.45 $1.3t $1.13 $0,97 $0,82 $0,63 $O,4t $0,22 $0,04 VALUE 11000 CREDIT RATE 51.293 X $0.41 =1 0,000 X $0.41 = 1 TOTAL MWMC CREDIT =[ $21.03 $0,00 $21.03