HomeMy WebLinkAboutPermit Building 2001-3-15
225 North Fifth Street
Springfield. OR 97477
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I Job# 01-00175-01 I
Page 1 of 4
TRANS#:01-0004680
DATE:MAR 15 2001
AMT RECD:2 $ 5328.83
CHANGE:
CASHIER: 003
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00175-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 844 Old Orchard Ln Spr
Assessors Map#: 17032343
Lot: 120 Block: Addition:3rd
Tax Lot #: 02102
Subdivision: River Glen
Owner:
Future B Inc
Po Box 7425
Phone Number: 541-744-2660
City/State/Zip: Eugene, OR 97401-0017
New Value: $144,573
Address:
Scope Of Work: Single Family Residence
SFR
Contractor Type Contractor Registration # Expiration Date Phone
General Contr Future B Inc 36499 5/18/2000 541-744-2660
Po Box 7425, Eugene. OR 97401-0017
Electrical Contr Bob Fisher Electric Inc 96275 1/25/2002 541-689-7973
180 Kingsbury Ave. Eugene, OR 97404
Mechanical Contr Rolfs Heating 102455 10/1/2001 541-741-0002
PO Box 66, Dexter, OR 97431
Plumbing Contr Custom Plumbing 81994 5/6/2004 541-485-1146
3248 Kentwood Dr, Eugene, OR 97401
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
Single Family Dwelling
LOR
3
Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
Sq. Footage: 1928
2RNW
1
(VN) Wood Frame
Gas
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
I Buildinll 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,
- Prior to cover.
- Prior to Cover
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
SW-Setback
CC-Standard
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I Job# 01-00175.01 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 I
-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.
-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 tel
-When all gas work is complete,
-When all mechanical work is complete.
I Public Works
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
Sidewalk Type: Setback - 5'
Additional ROW? D
Size Of Line (in): 8
Downspouts/Drains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in): 6
Bond End DateTime: 00/00/000000:00 AM
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:
Types Of Warning Devices Reqd.
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Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 01-00175-01 I
Overlay District:
# of Street Trees: 2
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Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
3:
Additional Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Planner: Ruth Klein
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
I Main: 1928 Accessory562
Fee
Hourly Plan Review
Total Plan Check
Building Permit
Stale 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 - 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
Flood Plain FEMA: Zone X (white)
Accessory Structure
# Of Stories: 1 Height (feet): 22
Current Units: Proposed Units:l
Census Code: New SF - detached
Total:2490
Paid On Receipt# Value/Quantity
Plan Check ~
02/27/2001 4560 2
Fee Amount
$80,00
$80.00
Building
03/15/2001 144,573
03/15/2001
03/15/2001
$534.25
$37.40
$16.03
$587.68
Electrical
03/15/2001 1
03/15/2001 3
03/15/2001 1
03/15/2001
03/15/2001
$85.00
$45,00
$40,00
$11.90
$5,10
$187.00
Plumbing
03/15/2001
03/15/2001 1
03/15/2001
03/15/2001
$,00
$160,00
$11,20
$4.80
$176.00
Mechanical
03/15/2001 1
03/15/2001 1
03/15/2001
03/15/2001
03/15/2001 1
03/15/2001 3
03/15/2001 1
$4,50
$2,00
$.00
$.87
$6,00
$9.00
$4.50
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Job# 01-00175.01
Paid On Receipt#
Mechanical
03/15/2001
03/15/2001
03/15/2001
1
Page 4 of 4
Value/Quantity Fee Amount
Fee
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
03/15/2001
03/15/2001
03/15/2001
60
1
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
Sanitary Sewer SDC Reimbursement
SDC Administrative Fee
Property Annexed 1998
Transportation SDC Reimbursement
Total System Development
System Development
03/15/2001
03/15/2001
03/15/2001
03/15/2001
03/15/2001
03/15/2001
03/15/2001
03/15/2001
03/15/2001
03/15/2001
44
1
3,256
29
1
1
1
1
29
S,F, Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
03/15/2001
1
Grand Total
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
Ruth Klein
03/01/2001
03/07/2001
03/13/2001
03/05/2001
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
$3,00
$10.00
$2,03
$41.90
$65,00
$65,00
$-30.00
$100.00
$882.44
$616,25
$154,27
$285.91
$24,33
$10,00
$468,35
$154.11
$-15.43
$656,02
$3,236.25
$1,000.00
$1,000.00
$5,408.83
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~proved set of plans will remain on the site at all times during construction. I --!
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225 PIFTH STREET ,,,,,f'>~ 00'00 C'
SPRDlGPIELD, OREGON !N.~~t ..f'>0
INSPECTION REQUEST: -P'({~69 ,,\f'>~
OFFICE: 726-3759 ..~~' ,/-0
l'~I~~~~~~ A.
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.... ~ DES~PTION ~_.....
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\. J~~: ,,~~"'^ ~
~f"l_ UO ~ \a.t\+ \.0....,
Permits are' n -transfe~le 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 CoritractorBab..f,'sher ~/et.:r",e.
Address /80 K,'Ylyshu,.v J)I.II>.
. I
City eU'ft:!.IlI>: Phone ~e9-79'lj
Supervisor License Number ~,~- 5
Expiration Date /tJ - O/-ttJ /
Constr Contr. Number rr;,:J 7 -)
Expiration Date /-,.;2)-- 0 2......
Si~~:p~i~~ectrician
Ovners Name ~. ~ ., 0 ~_~Q,(J D.
Addres~ ~
, Ci ty f I ~ c, - Phone~''2..\.O\.d)
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
------------.---
S -/S--c7/
,~~
DATE:
a..""'.L:ii if:
BEw:..L...D Bl:
ELECTRICAL PERMIT APPLICATION
City Job NUllberO\.M\"1.~.O\
COMPLETE PEE SCHEDULE BELOV
Nev Residential-Single or
Hulti-Family per dve1ling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modu1ar'Dve1ling
Service or Feeder
B5
'\-5
$ 85.00
~
$ 15.00
$ 40.00
B.
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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
S300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'or less \
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00 Ad)
$ 55.00
$ 80.00
see "D" aDove
,,.
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited ,Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
lr'lf)P:)
lJ.4~
-1;;,..\0.
...\.. c:a.. ""\QQ..
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Pee
TOTAL
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME~"~h~n ~~n.f""\
ADDRESS:\.,~ ~1~ ~.
I
LOCATION OF PROPOSED BUILDING SITE:
Street Address: _AA4. t\J\Ur(\~r, l\rt ~
Plat Name~l' ~(' (;\pl(\br(L Tax Lot Number:\\.D31.M3D~~CO
1. DEVELOPMENT TYP/,: (Check appropriate dwelling(s). SOC calculations and dwelfirig t
ype definitions are on the back.) ,
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,
Job. No. ('1.QDns.Ql
PHONE: -AA 'Uo\.rf)
STATE: ~ ZIP: Ca.'"14O\
.
A SlnolA-Familv Detached
\ Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ \{XX:),cO
\
B. ~inole-Familv Attached
NO. OF UNITS
X $924 per unit
$
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unIt = $
D. Manufactured Home PRlk
NO. OF UNITS
'WllLAMALANE SDC
X $699 per unit <= $
$ \DOO ,to
2. SDC CREDIT (If appficable) SOC1>ayer must furnish proof of rX
WiUamalane Credit approval. See SOO Credit Wodcsheet. $ ~ '
3. TOTAL WILLAMALANE NET SDC ASSESSED
(It soe reduced for Credit)
bl~l ?
Development SlbVices Date
City of Springfield
$\(Y1"") ~
/ })/ -&/
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
I JOURNAL OR JOB NUMBER: 01-00175-01 -
NAME OR COMPANY: FUTUREBHOMES
LOCATION: 844 OLD ORCHARD LANE
TAX LOT NUMBER: 17-03-23-43-08800
ANNEXATION YEAR 1998 LANE COUNfY ASSESSED VALUE (LAND) $44.085
DEVELOPMENT TYPE: SINGLE I' AMll.. Y RESIDENCE
DWELLING UNITS: I BUll..DING SIZE: 2490 SF LOT SIZE: 8773 SF
I ~TORM ORAINAGF.
I IMPERVIOUS S.F. I I COST PER S,F.
I 3256.25 I $0.271
L ITEM I TOTAL - STORM DRAINAGE SDC
2 SANITARY SEWER - rlTV
= I $882.44 I
=1 5882.44 ~
A, REIMBURSEMENT COST:
1 NUMBER OF DFD's I " I COST PER DFU
I 29 $21.25
B. IMPROVEMENT COST:
I NUMBER OF DFD's I" I COST PER DFU
29 $16.15
liTEM 2 TOTAL - CITY SANITARY SEWER SDC
.1..IB.A N~PO.R.IA TTON
A. REIMBURSEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRIP I x I NEW TRIP FACTOR I
I 9.57 1 $16.12 1.00 =1
B.IMPROVEMENTCOST:
I ADTTRlPRATE IxlNUMBEROFUNITSlxl COSTPERTRIP Ix NEW TRIP FACTOR I
1 9.57 I, $68.55 1.00 =1
=1
$616.25
,
=1 $468.35 I
=1$1,084.60 JI
5154.27
ITEM 3 TOTAL-TRANSPORTATIONSDC
4 SANITARY ~"WPR - MWMr
=1
$656.02
5810.29
II
II
I
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I ,I COST PER FEU
1 5285.91
B. IMPROVEMENT COST:
I NUMBER OF FEU's I " I COST PER FEU
1 $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
M\VMC ADMINISTRATIVE FEE
liTEM 4 TOTAL - MWMC SANITARY SEWER SDC
L SUBTOTAL (ADD ITEMS 1,2,3, & 4)
~~TT! ATTVP ""~
SUBTOTAL 1"1 ADM,FEERATE
53.082.14 5%
I St-r-,.4
~DC COORDINATOR
=1
$285.91
I
I
I
=1 5304.81 l.
=1 $3.082.~ I
$24.33
($15.43)
$10,00
=1
=1
=L
$154.11 1
$3,236.25 l j
=1
TOTAL SDC CHARGES =I
3/7/01
DATE
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
'I NUMBER OF NEW FIXTURES. UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE I
( # NEW # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUlVALENr = UNITS
BATHlUB ( 1 ) x 3 3
DRINKING FOUNTAIN ( ) x I 0
FLOOR DRAIN ( ) x 3 0
INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. ( ) x 3 0
INTERCEPTORS FOR SAND I AUTO WASH I ETC. ( ) x 6 0
LAUNDRY lUB ( ) x 2 = 0
CLOTHESW ASHER I MOP SINK ( 2 ) x 3 = 6
CLOTHESW ASHER - 3 OR MORE (EA) ( ) x 6 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( ) x 12 = 0
RECEPTOR FORREFRIGI WATER STATION I ETC. ( ) x 1 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. ( ) x 3 0
SHOWER, SINGLE STALL ( ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0
SINK: COMMERCIAL/RESIDENfIAL KITCHEN ( ) x 3 = 3
SINK: COMMERCIAL BAR ( ) x 2 0
SINK: DOMESTIC BAR ( ) x 1 = 0
WASH BASIN ( ) x 2 = 0
LAVATORY ( 3 ) x 1 = 3
URINAL, STALL I WALL ( ) x 5 0
TOILET, PUBLIC INSTALLATION ( 2 ) x 6 12
TOILET, PRNATE INSTALLATION ( ) x 3 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
( ) x 20
TOTAL DRAINAGE FlXTURE 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
29
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MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
~,
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR
ANNEXED
1979 OR BEFORE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
I CREDIT RATE PER $1,000 II
ASSESSED VALUE
- $4.74 I
$4,65
$4.59 I
$4.46
$4.30
$4.14
$3.93
$3,63
$3,26
$2,85
$2,40
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
YEAR
ANNEXED
~DIT RATE PER $1,000
ASSESSED VALUE
$1.96
$1.55
$1.36
$1.23
$1.05
$0.90
$0.75
$0.57
$0.35
$0.15
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
I
I
I
I
I
VALUE I 1000 CREDITRATE
44,085 x $0.35 =1
0.000 x $0.35 =1
TOTAL MWMC CREDIT =1
$15.43
$0.00
$15.43