HomeMy WebLinkAboutPermit Building 2000-11-28
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Job# 00-01644-01
Page 1 of4
TRANS#:01-0003879
DATE:NOV 28 2000
AMT RECD:2 $ 4838.89
CHANGE:
CASHIER:061
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01644-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 814 Old Orchard Ln Spr
Assessors Map#: 17032343
Lot: 122 Block: Addition:3rd
Tax Lot #: 02000
Subdivision: River Glen
Owner:
Character Homes Inc
835 Sand Ave
Phone Number: 541-345-9395
City/State/Zip: Eugene, OR 97401
New Value: $143,168
Address:
Scope Of Work: Single Family Residence
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Character Homes Inc 97241 2/28/2002 541-345-9395
835 Sand Ave, EUgene, OR 97401
Electrical Contr Deans Electric Inc 99579 6/20/2000 541-935-5303
Po Box 2585, Eugene, OR 97402
Mechanical Contr Crystal Clean Air Inc 96878 2/17/2001 541-484-2286
Po Box 24408, Eugene, OR 97402
Plumbing Contr Contractors Plumbing Service Inc 101624 8/15/2001 541-607-8879
Po Box 7636, Eugene, OR 97401
Quad Area:
# Of Units:
Constr, Type:
Water Heater:
5RNW
1
(VN) Wood Frame
Gas
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
\C<c;','n'~'
L\;\yt!J~~. .
"'PI<' PFRiV1T ~HAl L EXPI::lE I:=THE WORK
Single Family DWelling' # Of Buildings:, .1ER'C,T IS NOT
Ul'IJURlz,-'n IIi~J lc:H I, "" I" - ",
LDR A -, 'Occupancy.Group: Dwelling
3 CO' " '''''\NCiH''''''t''S'~ Iq ',\H'\I'F" JCJi~l:alJArvGn
I"U\IL:. aa. ource: orca If as
Gas I\i\:Y 180CSq-fF.ootage: 1926
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
Framing
Wall Insulation
Required Inspections . C\\" ,\-,.,M"\'''~''''U'V
AliEN'" '.'-:"',~. .-.,.' .>,u
I Buildin!! I f 110\;' ~'l!I~r :;~~9t~,; ')\I Hi(' Or:lQon Uti~ity
-Install ground rod at footing, and call for insp'eglion'i~ conjuction with'footirig'ana/or:folrrid~tion i
-After trenches are excavated, 1,\I(JlI~~:'~~_UO:I~OOI ~ ~h;Ullgh OAl'li)5:l-0()'I-
-After forms are erected but prior to concrete,&19cem~nf 1I:1Y obt:>i1. ,;nf1i"~ 'lItho rul3s by
-Prior to floor insulation or decking, u~ul'I,lU\J I '''llIJ. ,'Jul':: lll:JI:JIJphoI13
.. ca IIly.iI..JI,.......' ., .
-Prior to decking, b r,. I' I' O,.J"ull'J1ility j\lotlflcatlon
, nU,l1 J u "" '" -,
-Prior to cover, r.~'- ",'" ,. "'';).'''',\4).
-Before covering sheathing with finish materials, '.,"
- Prior to cover. .
- Prior to Cover
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: 00/00/000000:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
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Drywall
Final Building
Temporary Power
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
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I Job# 00-01644-01 I
Required Inspections
Building
Page 2 of 4
- Prior to taping,
- When all required inspections have been approved and the building is complete,
I Electrical
-Approval required prior to SUB energizing pole,
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete,
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 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'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd,
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Zoning: LOR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
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I Job# 00-01644-01 I
Overlay District:
# of Street Trees: 2
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
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? 0
,Area (Sq, Feet)
I Main: 1926 Accessoryll93
Fee
Residential Plan Check
Total 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
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For 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
10,000 Cubic Feet or Less
Vent Fan to One Duct
Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Flood Plain FEMA: Panel 1134 of 2975
Asmb w/stage 1000+
# Of Stories: 1 Height (feet): 23
Current Units: 0 Proposed Units:1
Census Code: New SF - attached
Total:2419
Paid On Receipt#
Plan Check
11/08/2000 3742
Buildinll
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
Electrical
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
Plumbinll
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
Mechanical
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
11/28/2000 3879
Value/Quantity
Fee Amount
143,168
$345,80
$345,80
143,168
$532,00
$37,24
$15,96
$585,20
1
3
1
$85,00
$45,00
$40,00
$11,90
$5,10
$187,00
1
$,00
$160,00
$11,20
$4,80
$176,00
1
1
$4,50
$2,00
$,00
$,99
$6,00
$4,00
$9,00
1
1
3
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Job# 00-01644-01 Page40f4
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Gas Fireplace 11/28/2000 3879 1 $4,50
Dryer Vent 11/28/2000 3879 1 $3,00
Mechanical Issuance 11/28/2000 3879 $10,00
State Surcharge For Mechanical Permit 11/28/2000 3879 $2,31
Total Mechanical $46,30
Public Works
New Sidewalk 11/28/2000 3879 70 $60,00
New Curbcut 11/28/2000 3879 1 $60,00
Total Public Works $120.00
System Development
Residential - Single Family - Storm 11/28/2000 3879 3,264 $783.42
Sanitary Sewer 11/28/2000 3879 20 $997,20
Residential Transportation 11/28/2000 3879 1 $507,82
Residential Sanitary MWMC 11/28/2000 3879 1 $285,91
Residential Improvement MWMC 11/28/2000 3879 1 $24,33
MWMC Administrative Fee 11/28/2000 3879 1 $10,00
SDC Administrative Fee 11/28/2000 3879 $129,73
Property Annexed 1998 11/28/2000 3879 40 $-14,02
Total System Development $2,724.39
Willamalane SDC
S,F, Residence - Willamalane 11/28/2000 3879 1 $1,000,00
Total Willamalane SDC $1,000,00
Grand Total $5,184,69
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Wendy Stanley
Steve Templin
Liz Miller
11/09/2000
11/16/2000
11/17/2000
Engineering-Res
Planning-Res
Structural-Res Wendy Stanley 11/20/2000 OK pending planning an eng, approval
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
approve t f p~ns ~ill r~main 0 the site t all times during construction, i }Ji) 9- ~ 6U
Date
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p-'... Willamalane
t,"1' Park & Recreation District . Job. No. fJO-O/IJ'ILf-O/
fV . SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: (h 0. r(I;C +fV\ .f!OIiYJ-e..5
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ADDRESS:
-:s ., 5 Sa...d P.ve.
t::;uc ,.~~
u
PHONE: 34 s,-qsq-S
STATE: nR. ZIP: ql-/101
LOCATION OF PROPOSED BUILDING SITE:
Street Address: <61 Ll Old O,..c1 (). rcl L 0'V\ {J,
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Plat Name: R I tel\. ~(e... ~._ Tax Lot Number: 1103;;l.)~~ ();;l.OOO
1. DEVELPPMENT TYPE (Check appropriale dwelling(s). SOC calculations and dwelfing l
ype definitions are on lhe back.)
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A. llinQIA-FRmilv DAtRr.hlW.
Single Family home
Manufactured home not in a park
X $1,000 per unit = $ \ ODC> .1Xr
NO. OF UNITS
B. SinolA-FRmilv AttRr.hArl
NO, OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufaclurArl HomA PRrl~
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (II applicable) SOG-payermuslfumlsh proof of
Willamalane Credil approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NEf SDC ASSESSED
(If SOC reduced for Credil)
Deve~~~~ Department
City of Springfield
$
/ (J/Y;J, ~
I J I 9 I ()(J)
Dafe
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The, following project as submitted has the following
zoning. and does not require specific land use
approval.
225 FIFTH STREET Zoning L..t> (2...
SPRINGFIELD, OREGON 9747aate 11- 1- 6- OJ'
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Authorized Signature q<.
3.
1. LOCATION QF ,INSTALLATION t
~ 11-1 (J[1l Orc.l..MJ'l ~
LEGAL DESCRIPTION
I-=rCJ~()... :,4 ~ O';}..crf)
JOB DESCRIPTION
GPR.
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor beo..'N~ f\e~1(.;c.
Address P.O. 60r ~~g~
City "l':'^je.V-g
Phone ~ 5<) - ,,; :So ~
Supervisor License Number :;;~\q 5
Expiration Date 10 -\ . 0\
Cons t r Con tr, Number q q C;;j '1
Expiration Date b -?.O - OC>
Si~ure of Supervising Electrician
\)--~ . .
Ovners Name C~-H~
Address q~s ~
Ci ty 6.....,....0. Phone 3'l~, 7-J\'1
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent,
Ovners Signature:
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DATE:
t\L.\.;r..lrl fJ:
RECEIVED 8Y:
l-lty Job Number
R~CTRICAL PERMIT APPLICATION
(V\_O~6 t.{L{ -0 (
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd.Home, or
Modular 'Dvelling
Service or Feeder
~. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Retonnec (. Only
Items Cos t
Sum
\ $ 85, 00 ~
<] l..J5.oJZ,
7 $ 15.001
.$ 40,00
$ 50.00
$ 60,00
$100,00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40,00 ~O
$ 55.00
$ 80,00
see "B" above
D. Branch Circuits
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Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE '.
1w. State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$ 2.00
no t included)
"
$ 40.00
$ 40.00
$ 20.00
$ 36,00
\7 O,~
11,"'lO
5 ,/U
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
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JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
00.01644-01
CHARACTER HOMES
814 OLD ORCHARD LANE
17.03-23-43-09000
SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
2419
LOT SIZE:
7175
l....S..TORM O~AINAGE
IMPERVIOUS SQ, IT,
3264,25
x
$0,240 PER SQ, IT,
$783.42 I
2 SANITARY SFWFR-CIIY
NUMBER OF PFU's
(SEE REVERSE SIDE)
20
x
$49,86 PER PFU
$997,20 I
3.....IRANS POR T A TT ON
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 SANITARY SFWFR - 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
I $24,33 1
I ($14,02)1
I $10,001
I $306,22 1
r $2.594,661
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTALMWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
.LAOMTNI.sIRATTVF FFFS;
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
$129,73 1
~T~
SDC COORDINATOR
11/16/00
DATE
TOTAL SDC CHARGES I $2,724.391
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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
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC,
INTERCEPTORS FOR SANDI AUTO W ASWETC,
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TORIW A TER ST A TION/ETC,
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET. PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
. TOTAL PLUMBING FIXTURE UNlTS=1
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 $4,74 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 OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
2
2,
$0,35
x
40,044
x
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
2
o
2
o
2
o
8
o
o
o
20
-1
$14,02
$0,00
CREDIT TOTAL $14,02