HomeMy WebLinkAboutPermit Building 2001-10-25
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225 North Fifth Street
Springfield, OR 97477
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I Job# 01-01125-01 I
Page 1 of 4
TRANS#:01-0007088
DATE:OCT 25 2001
~MT RECD:2 $ 5822.85
CHANGE:
CASHIER:061
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01125-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 836 Old Orchard Ln Spr
Assessors Map#: 17032343
Lot: 8900 Block: Addition:3
Owner:
Address:
Tax Lot #: 02102
Subdivision: River Glen
FUTURE B HOMES
PO BOX 7425
Phone Number: 541-744-2660
City/State/Zip: Eugene, OR 97401
New Value: $156,337
Scope Of Work: Single Family Residence
Overwidth driveway permit required/Application in folder to be paid at time of issuance.
Contractor Registration # EXPir~~O~te Phone
\,0t;;"t\)\~ ~~
FUTURE B HOMES >II\0o.~ 0QP(\ 0\\0 \_ 541-744-2660
PO BOX 7425, Eugene, OR 97401 Q,o(\ \'3' ~00\ '" ~'0~'O~..o() 'O'l
. '9,0 0. '0'1 ,\~0 Ib~ ~0'"
Bob Fisher Electric Inc ~~~!p;}:,09\e -<;~0",01!~?2u~'~ 0(\0 541-689-7973
180 Kingsbury Ave, Eugene, OR 97~~ ~\0"''3' (\\0" .()~\O n,0S0\ \0\0?~c0-'i.'O(\
r >II' v0 .()()'. cOy. "/S:;0 O\"~
Jung Enterprises Inc 'O\:~\C~~O~~\ O'O\~'(\ ~~{~~~'\, 541-937-2688
Po Box 66, Dexter, OR 97431 ';;\0""0' ~~Q,'5 ~'((\~'l 0(\\0" ...o(\\J ~'l-"?;
.(\ -(0 0C 0,0"'rnx'?;
Chapin Enterprises Inc \ ()()Q,Ca~~~0,\~0 \'" \"016/2004 541-485-1146
3248 Kentwood Dr, Eugene, OR 97401 ~'((\'O0' ve(\\0\
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.
Contractor Type
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
Temporary Power
Rough Electrical
Electrical Service
Required Inspecti~~~ ~,}f
I Building I \~~y,,<;;" ~'f.,O~
-Install ground rod at footing, and call for inSp~\\'8'I~ ~1)1:Jo~ith footing and/or foundation i
-After trenches are excavated r,~' ~\>-\.\. y,,\'O ~ 1i::.\) ~ "
-After forms are erected ~0>1Mr t~lJ!iln'aet~~~~~
- Prior to floor insulation or a~'(!sli1~: ~<;;..\) \)~ \'0 \>-~
- Prior to decking. '\ KyP~\ ~\) O~ CO.
- Prior to cover. \>-'0 'i:.'f.,G ?<;;..f(.~
-Before covering sheathing Wi~~h !r~letrials.
-Prior to cover. ,,'f.,-( \'Cl
-Prior to Cover r
-Prior to taping.
- When all required inspections have been approved and the building is complete.
r- - Electrical I
-Approval required prior to SUB energizing pole.
- Prior to cover.
-Must be approved to obtain permanent power.
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:
Zoning: LOR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
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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
SW-Setback
CC-Overwidth
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Page 2 of 4
I Job# 01-01125-01 I
Required Inspections
I Electrical
- 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.
- 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'
D
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 1
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: X-White
Flood Plain FEMA: 1134 of 2975
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r' Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
rArea (Sq. Feet)
I Main: 1958 Accessory524
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
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
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
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
2nd Driveway/Overwidth Appl Fee
Multiple Permit Discount - 2nd Permit
Total Public Works
Job# 01-01125-01 I
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Accessory Structure
# Of Stories: 1 Height (feet): 19
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2482
Paid On Receipt# Value/Quantity
Plan Check l
10/11/2001 6966 156,337
Building
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
Electrical
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
Plumbing
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
Mechanical
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
Public Works
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
Page 3 of 4
Fee Amount
$488.09
$488.09
156,337
$750.90
$52.56
$60.Q7
$863.53
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
$9.00
$6.00
$10.00
$4.06
$76.70
1
3
1
1
70
1
1
1
$65.00
$65.00
$30.00
$-30.00
$130.00
or
.
J
r
FeE'
Paid On Receipt#
System Development
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
10/25/2001 7088
. Page 4 of 4
Value/Quantity Fee Amount
3,957 $1,080.26
1 $34.83
1 $10.00
$150.36
43 $-17.83
1 $332.86
1 $659.76
1 $155.13
20 $427.40
20 $324.80
$3,157.57
1 $1,000.00
$1,000.00
1 $50.00
$50.00
1 $8. 00
$8.00
$6,310.94
Job# 01-01125-01
Residential- Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Properly Annexed 1998
Residential Sanitary MWMC
Reside,ntial - Improvement
ResidEmtial- Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
10/25/2001 7088
Planning Plan Review
Total Planning
Planning
10/25/2001 7088
Addmss Assignment
Total Permits wlo Srchg
Grand Total
Plan Check Type
Permits wlo Srchg
10/25/2001 7088
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
10/12/2001
10/19/2001
10/24/2001
10/23/2001
Engineering-Res
Planning-Res
Structural-Res
Sam Gollah
Tom Marx
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 fur1her 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 PI~e=es during construction. {6 f 'L-J ~ () \
stt( D,"
. CITY OF SPRINGFIE.YSTEMS DEVELOPMENT CH. WORKSHEET
fJOURNAL OR JOB NUMBER: 01-01125-01
NAME OR COMPANY: FUTURE B
LOCA nON: 836 OLD ORCHARD LANE
TAX LOT NUMBER: 17-03-23-43-08900
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: I BUILDING SIZE: 2482 SF LOT SIZE: 7830 SF
.1 ST()llM ORAINAGE
I DIRECT RUNOFF TO CITY STORM SYSTEM
1 IMPERVIOUS S.F. 1..1 COST PER S.F. I
I 3957.00 $0.273 =1 $1.080.26
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. I x 1 COST PER S.F. I x I DISCOUNT RATE
- 0.00 $0.273 50% =1 $0.00
1 ITEM ~ TOTAL - STORM DRAIN~GE SDC =1 51,080.26
2..SMrITARV Sl'Wl'R - rTIY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
20 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1,1 COST PER DFU
lO I $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
.1...IRAI~.s. P()R T A TI()N
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS 1 x I COST PER TRIP I x I NEW TRIP FACTOR I
9.57 I I $16.21 1.00 =1
B. IMPROVEMENT COST:
I ADT ~~ RATE H NUMBE\OF UNITSH COS;:S~9: TRIP
I ITEM 3 TOTAL - TRANSPORTATION SDC
~NIIARY SFWFR - MWMC
A. RI,IMBURSEMENT COST:
I NUMBER OF FEU's I " I COST PER FEU
I I $332.86
B. IMPROVEMENT COST:
1 NUMBER OF FEU's 1.1 COST PER FEU
I I I $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
- .
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
TSlmTOTAL (ADD ITEMS 1,2,3, & 4)
[,' A=~':~'''''I FIEF~DM. FEE RATE
1 $3,007.21 5%
I St-~ 10/19/2001
we eOORDlNA TOR DATE
IX! NEW TRIP FACTOR 1
1.00 1=1
=1
=1
$427.40
1-:-
~
Q
o
u
~
~
r-<
r/)
......
o
~
I
l'1107()O/
/
1091'
I 109'/ ~
I -,
$155.13 /
1093<'
$659.76 I 1091,1 /
-
5814.89 I
=1
$332.86
=1
=1
$324.80
5752.20
=1 $34.83 I
=1 ($17.83) I /
=1 $349.86 I 1055'
=1 $10.00 I I 1056
=1 5359.86 1
=r $3.007.21 -1-1
=1
TOTAL SDC CHARGES =f
$150.36 I J 1073
$3,15~ I
DRAINAGE .URE UNIT (DFU) CALCULATI.ABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FlX11JRES DRAINAGE
( ) UNIT
# NEW # OLD x EQUIVALENT =
) x 3
) x 1
) x 3
) x 3
) x 6
) x 2
) x 3
) x 6
) x 12
) x 1
) x 3
) x 2
) x 2
) x 3
) x 2
) x 1
) x 2
) x 1
) x 5
) x 6
) x 3
~~
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC.
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC.
LAUNDRY TUB
CLOTHESW ASHER 1 MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC.
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIALlRESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL. STALL 1 WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
1
o
o
o
o
o
1
o
o
o
o
1
o
I
o
o
o
3
o
o
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
=
FIXTURE
UNITS
3
o
o
o
o
o
3
o
o
o
o
2
o
3
o
o
o
3
o
o
6
=
=
=
(0 0) x 20
TOTAL DRAINAGE FIXTURE UNITS =1
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
o
20
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MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR
ANNEXED
1979 OR BEFORE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
CREDIT RATE PER $1,000
ASSESSED VALUE
$4.92
$4.83
$4,77
$4.64
$4.47
$4.30
$4.09
$3.78
$3.41
S2.98
$2.52
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATE PER $1,000
ASSESSED VALUE
$2.06
$1.64
$1.45
$1.31
SI.I3
SO.97
SO.82
$0.63
$0.41
$0.22
$0.04
VALUE 11000 CREDIT RATE
43.489 X $0.41 =1
0.000 X $0.41 =1
TOTAL MWMC CREDIT =1
$17.83
$0.00
$17,83
2. CONTRACI'OR INST ALLA TION ONLY B. Services ar Feeders
, 12 I - Inn.notion. A1Icrations or
Electrical Contractorpt?O /-: '(' At?/" C' /ec. .7 A C-Rclocation:
Address/,.fL) A'/ '.-n",,:;6w;/' // /'1-tl.12.-
/ /'
CilV~ C/4t?",?..e. Phone C51'3'-')9 '/d
/
Supe:visor Uccnse Number.3 Cj 7,5 - S
Expiration Dale,jJ) - 6 / - ;) 1M 1
Conslr Contr. Number q;.;:; .:;2 7.,--'
.
22~ FIFTH STREET ~C) \
SPRINOf1ELD, OREGON 97477 \,)' \ V
INSPECTION REQUEST: 126.3169 \ \ ~
OFFICE: 126-31~9 \}.,
L 19;~tfA~~m~ _
LJ;GAL DESCRJrTJ~ _ _~"'^
\ .., "'"':l.. ~..IA ~lA)
- -:c. -
JI)B D~~RJPJ~~ q"" ~ 2-
:l\~ I D I.~
Pe: k are non-transferable and expiIe
if work is no\ started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Dale /-..2. -;-- 0 2.----
Signatute of Super\'i.mg Electrician
~ud~~
Owners NamettJ h.c. ~./~ ~
AddreSS~ 14:-'tS .
City W~ M. Phone r\4 21W
OWNER "STALLATION
The installation is being made on
propcny I own which is not intended
for sale, lease or rent
Owners Signature:
.
ELECl'RICAL PERMIT APPLICATION
City Job Number ()\, Ol1.2S:O.L
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
MoItI-Pamily per dwelling unit
SCIVicc Included:
1000 sq.ft. or less
Each additional 500
sq. it nr portion
thereof
Each Manufd Home or
Modular Dwelling
SeIVicc or Feeder
hems Cost Sum
-1- S106.oo lJJ.p.t:J6
~ $ 19.00 Ii1()P
S 50.00
200 amps or less
201 amps 10 400 amps
40 I amps 10 600 amps
60 I amps 10 1000 amps
Over 1000 ampslvolts
Reconnect Only
$ 63.00
_$75.00_
$125.00
$163.00
$375.00
$ 50.00
C. T -....~-J Serviocs or Feeders
Installation, Alteration or Relocation
200 amps or less
20 I amps 10 400 amps
Ch-er 401 to 600 amps
Over 600 amps or 1000 volts see
liB" above
,-.L $50.00 $.C:O
S69.00
_$100.00_
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit S43.00
Each Additional Circuit or with Service
or Feeder Pe.rmit $ 3.00
E. Miscellaneous (Service/feeder nol i"cluded)
-Each installation
Pump or irrigation
SignlOulline Lighting
Limited EnergylRes
Limi\cd Energy/Comm
SSO.OO
$50.00
$25.00
$45.00
Minimum Electric Pennit Inspection Fee is $4S.00 + Surcharges
5. SUBTOTAL OF ABOVE
7% State S=harge
8% Administrative Fee
~~:~
-1..:. . ,
&44.~
Tar AL
- ~
(','. . r.'y of upringfleld
~ .
Wf~
Application For a _
Applicant (Property Owner):
~t,...
BY 36
. -.- - Overwidth Driveway
i3 w'T"'Vu.a.---' Date: If)
Q0l ~~
~ ~
Address "f Property Owner:
Address .Jf Property for Driveway Permit:
Application Fee:
$30.00
'Z ^ (
o Second driveway )(overwidth (Max. 30' I .a-LJ FT.
I.\JIL..L ~ ~"""('~
Received By: w/",),w ~J2MJI.Receipt No:
Buildin9 Permit No: 6/_ Ofll S - '" I
Please sketch the proposed driveway. Include the followin9 applicable items: house or building, proposed driveway, and street names.
Include dimensions and measurements to property lines, road intersections and bordering driveways. (See attachment
for an example)
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All applications outside the city limits of Springfield that are within the Urban Growth Boundary require a Lane County Permit.
Nole: TIle City of Springfield will not grant a second driveway permit on an Arterial or Colledor Street.
Over width driveways up to 30ft. may be approved by the transportation planning engineer provided that safety and traffic guidelines are met.
Driveways over 30' in width require a Land Use Decision and are not handled on this application.(Contact the Planning Dept.)
The appilcation fee is not refundable.
.
.
1. Property type: Single Family Dwelling
~
2. _The I~ driveway will take access from which slreet?
/.
~ Duplex_ Other
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3. The distance from the edge of the driveway to the nearest corner (measured to the curb retum) is 2-61] feel.
4. The s.acond driveway will give access to: Garage_ Carport _ Side yard_ Other VZ \( ~
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5. The distance from the property line to the garage, carport, fence, wall or other (where the vehicle is to be parked) is
feel.
B._Will the proposed parking I storage area create a vision obstruction to adjacent property driveways or to any vehicular
movement on a public street? (See vision clearance ~ttachment) ,,( f'\
A permit will require that the applicant meet city andlor county standards. specifications. end codes. Generally this means that the
area behind the sidewalk shall be surfaced to the property line and also a minimum of 18 feet behind the property line.
When this application is approved by the City, the applicant must obtain a curbcutJdriveway permit from the Public Works Depart-
ment, Engineering Division within 60 days or reapply.
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Property owner' s signoturo: ~ ~:i1--- Ooto: ( E> ) [I /O}
~ _ 0 ~ l
fiA0rr2-~on) Ooto: 10/; g /0 /
ApprOVl!d by:
Staff Comments:
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