The URL can be used to link to this page

Home My WebLink AboutPermit Building 2000-11-21 - . .' .' I Job# 00-01629-01 I Page 1 of 4 TRANS#:01-0003846 DATE:NOV 21 2000 AMT RECD:2 $ 4494.78 CHANGE: CASHIER:059 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 00-01629-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 783 OLD ORCHARD LN Spr Assessors Map#: 17032343 Lot: 112 Block: Addition: 3rd Tax Lot #: 02102 Subdivision: River Glen Owner: Future B Inc Phone Number: 541-744-2660 Address: Po Box 7425 City/State/Zip: Eugene, OR 97401-0017 1\1"""',,,,, New -. d, ,',,[~: Value: $124,072 ""<:' . "0 P2F1iV;/T . SHJ)I, ,....._ ',,;, !:?C:')U' -'''''11:/F'T'HEIA' -..., ,\,,,- II ..,0/,,\ . '- ,,' _ .ui::F; i},iS ''':J''". "I{ Registratio~' Ii ,I Efp'iration Dat~-" ',1,;, !':Phorie ,,~ - _ -. t\....-...,I\ :.... '--r\ 36499 ' " 5/18/2000 '...uIMit744-2660 Scope Of Work: Single Family Residence Contractor Type General Contr Contractor Future B Inc P.o B.ox 7425, Eugene, OR 97401-0017 Bob Fisher Electric Inc 180 Kingsbury Ave, Eugene, OR 97404 Rolfs Heating PO Box 66, Dexter, OR 97431 CUSTOM PLUMBING P,O. Box 66, Dexter, OR 97431 Electrical Contr 96275 1/25/2002 541-689-7973 Mechanical Contr AT'T'E"""" 541-741-0002 6 l~, uV." 101l0tl" ....~"""-, ^, .'l' ~c....., ~ l . 1~'~1"_"" . O"po \:, 'O~'1'. .,... .',....~ fIIIC<:t;OI '.. '. I.',' '", "1' ':) . "54"1'!485"1146 ", G~J..: ~~f I '-'004...., Ii. ~ - rZ(iOn Ut.,. 009 o~'O{;7-UO' l,lJl>llUII:J~ _, lid, ..(J. ~"'''''''''_ lu,,},.,l,.....,.. .::tl.: ::)..:-',.' CCl//'-' '-'V'PI v" V'1H ,\ . Office Use . ,"!; :"< ';.::n _; II ':'),'Jii>; ')f ' . .:JO"'-Uu nU,"b,.". '. 1~1. ""'l" In" (iJ/')- Land Use: Single Family DWEl.llirig"'l#J?,t~ui!~!~g~:'..I!>IIOII~ (; Zoning Code: LOR .' Occupiir:lcy'Grou~:J,Dwelling . ~I. "" lion Bedrooms: 3 Heat Source:""). Range: Sq. Footage: 1661 Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: 5RNW 1 (VN) Wood Frame 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, Required Inspections I' Buildin!l -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. - Prior to cover, - Pri.or to Cover Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Wall Insulation Street Improvement: Fully Improved Curb Cut?0 Improvement Agr.?D 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: ... .'.. Drywall Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Shower Pan 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 SW-Setback CC-Standard . . Page 2 of 4 Job# 00-01629-01 I Required Inspections Buildinll - Prior to taping, - When all required inspections have been approved and the building is complete, Electrical - Prior to cover. -Must be approved to obtain permanent power. -When all electrical work is complete, j--Plumbinll - 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 filler 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 c.onnected 1.0 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: Setback - 5' D 8 To Curb and Gutter 6 00/00/0000 00:00 AM Types Of Warning Devices Reqd. ..' . ". Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: I Job# 00-01629-01 I Overlay District: # of Street Trees: 2 . 3: Additional Requirements: Required Attachments: Source Locn: Material: Planner: 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: 3 Handicap Access? D ,Area (Sq. Feet) I Main: 1661 Accessory~58 Fee Residential Plan Check T.otal Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Minimum Plumbing Permit Fee Two Bathrooms State Surcharge F.or Plumbing Permit 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 Page 3 of 4 Land Use: Single Family Dwelling Pave Driveway? 0 Flood Plain FEMA: Panel 1134 of 2975 Accessory Structure # Of Stories: 1 Height(feet): 19 Current Units: 0 Proposed Units:l Census Code: New SF - attached Total:2119 Paid On Receipt# Plan Check 11103/2000 3699 Buildin!l 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 Electrical 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 Plumbin!l 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 Mechanical 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 Value/Quantity Fee Amount 124,072 $318.01 $318.01 124,072 $489,25 $34,25 $14.68 $538.18 1 3 $85,00 $45,00 $9,10 $3,90 $143.00 1 $,00 $160,00 $11,20 $4.80 $176.00 1 1 $4,50 $2.00 $,00 $.87 $6,00 $9,00 $4,50 $3.00 1 3 1 1 Page 4 of4 Value/Quantity Fee Amount .. . . '!.. Fee Job# 00-01629-01 I Paid On Receipt# Mechanical 11/21/2000 3846 11/21/2000 3846 Mechanical Issuance State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Public Works 11/21/2000 3846 11/21/2000 3846 60 1 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1998 Total System Development System Development 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 11/21/2000 3846 44 2,699 18 1 1 1 1 S,F, Residence - Willamalane Total Willamalane SDC Grand T.otal Willamalane SDC 11/21/2000 3846 1 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley Steve Templin Liz Miller 11/03/2000 11/16/2000 11/16/2000 Engineering-Res Planning-Res Structural-Res Wendy Stanley 11/20/2000 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, ~~ SitlaturG ~ Date $10.00 $2.03 $41.90 $60,00 $60,00 $120.00 $647,70 $897.48 $507,82 $285,91 $24,33 $10.00 $117.89 $-15.43 $2,475.70 $1,000.00 $1,000.00 $4,812.79 II}~/ Jou ..; . The, fOllowing project 8S submitted has the following zonIng. and does not require specific land use approval 97477 Zoning L:D(L- D1~6-3769 /1-;;11- 0""Il k.....tnonzea Signature c::rr ~ "t LOCATION 0' "INSTALL.\TIO/\ -:r~ Olrl.rlN'JAJl.ML ,~ LEGAL DESCRIPTION I M"Cl3/'{ 3- '?.IO d... 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFPICE: 726-3759 1. JOB DESCRIPTION ~FR- Permi ts are n.on':'transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical ContractorBab..f,'Sher !:Jet.r",e. Address / R () K,',., 9 c, h U,. 1/ IJ /.II? , ( City eU'lp.np, Phone ~f19-7'1'7j Supervisor License Number :3 q 70f - 5 Expiration Date /,j -1)/- CJ/ Constr C.ontr. Number~ !) 7" Expiration Date )- d6--- l>~ Si~~r.ff~~lectrician Ovners Name .f,Jh. ^ 0, IS . Address .fJ.:xw. :r4 ~ S Ci ty 6- ,-",-..-a...: ' . Phone 'f,1-{L.j, -;..(€() OVNER INSTALLATION The installation is being made on property I .ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATi~----------7A~/.~- RECEIFrii: ?, f?' I' 6 RECEIVED Br: Gv.5 ELECTRICAL PERKIT APPLICATION - Ci ty Job Number 00-0 IS ~~ - 0 I A. COMP~TE PEE SCHEDULE BELOV Nev Residential-Single or Hulti-Family per dyelling unit. Service Included: ' ItelllS Cost 1000 sq.ft. or less Each additional 500 sq_ ft or portion thereof Each Manuf'd Home, or Modular'Dvelling Service or. Feeder Sum $ 85.00 8'5> ~..s 3 $ 15.00 $ 40.00 '.j,'. ,... Services.otipeeders Ins taHaHon, Al t'e't'ations , 'U' -".i-"'r'r- or Relocation: ':. "~._'.' ':":[.':,. -I' r _ N I' I 'f-''''', " 'c.'.J C/,-' - I"',/~~ 'Jr-- I - 'lro,..., 200 ampscor less1c''::_r . ' '';'c,$ 50~00c' 201 amps to'400:e9'Ps "''-U,''...l60.',OO 401' amps to,600 amps - $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation " , ., ~ 200 ampS:I:9'r less. 201 amp's to"400 amps' Over 46i~"to'~600 'amps I ' .-'-, \ --". Over 600 amp.s, oi:'-'lOOO 'volts see "B" above . L" II. . "'" ,'., ,', , r.j,,;, ..." _, . :J~f", "'IU'j:~, . " . ',. B chC" 'i" 1/" "~'I . ran 'lrcutS~17' ""',.' "',:, I~,. ,. I . '" . ... 'J I I ""." ';,... _ .'J- 1,.orJI. Nev, Alteration or Exte'nsion per/'panel ,'.','.J/ . ~ ')., "".," $'35.00 '" Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited ,Energy/Res Limited Energy/Comm c. D. One Circuit Each Additional Circuit or vith Service or Feeder Permi t E. 5. SUBTOTAL OF ABOVE ~% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55.00 $ 80.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 /30 'f.tU ~,<to J<-f3_c- . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: 00-01629-01 FUTURE B HOMES 783 OLD ORCHARD LANE 17-03-23-43-08000 SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 2119 LOT SIZE: 8618' 1 STOIl.M DRAINAGE IMPERVIOUS SQ, IT, 2698,75 x $0,240 PER SQ, IT. $647,70 I 2 SANITAllY S~ll_rTTY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU $897.48 1 3 TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x 1.01 x $502.79 PER TRIP x $502.79 PER TRIP $507.821' $0,00 x TOTAL TRANSPORTATION SDC $507.82 1 4 SANITAllY SFWFll - MWMr 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 ($15.43)1 $10,001 $304,81 1 $2.357,81 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATIVF FFFS', BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $117,891 ~1~ SDC COORDINATOR 11/16/00 DATE TOTAL SDC CHARGES I $2,475.70 I . PLUMBING FIXTURE UNIT (pFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BA THTIJB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TIJB/CLOTHESW ASHER/MOP 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! DlSHW ASHERJETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASINILA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 1 2 2 . " UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 I 2 2 1 6 4 PLUMBING FIXTURE UNITS 2 o o o o 2 o o o o 2 o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=I 18 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFfER 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 $4.74 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 $g,57 1987 $ 3,26 1998 $ 0.35 1988 $2.85 1999 $0.15 1989 $ 2.40 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.35 x 44.085 $15.43 IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0.00 CREDIT TOTAL $15.43 " . . A.'1\ . , .. ~1""lb.Willamalane ~, "'1' Park & Recreation District . Job. No. ()O-{) (6~q-O(' "., ,SYSTEM DEVELOPMENT CHARGE WORKSHEET h-n..^ Il (2, ~ ~ ADDRESS: ~()d. i-LI~7 < NAME: PHONE: 7'1~(-;;2.(t6 STATE: O~ ZIP: 1=tL/OI LOCATION OF PROPOSED BUILDING SITE: Street Address: 1-1?3. OlclOrr~) <.~ Plat Name: 12.~A.A ~{~^ ?:, rO\ IlJJ_ Tax Lot Number: I =rOXJ..YI3 0J.Jfli)... 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I ype definitions are on the back.) A. Sinolp.-F~milv Dp.f~r:hp.d. I Single Family home NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ !af'J B. Sinolp.-F~milv Atf~r:h~ NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufacturer! Home P/Uk NO. OF UNITS X $699 per unit <= $ WILLAMALANE SDC $ 2. SDC CREDIT (II applicable) SDc-payer must furnish proof of Willamalane Credit approval. See SOC Credit Worl<sheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (II SDC reduced for Credil) $ / (JOD :. oa- '/00 4J~ 1Jt~1 /, DevelopmenT~elVices DePartment Date' City of Springfield ,15'