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Home My WebLink AboutPermit Building 2000-5-16 - . ;, . . Page 1 of 4 TRANS~:01-0001751 DATE:MAY 16 2000 AMT RECD:2 $ 4324.80 CHANGE: CASHIER: 059 I Job# 99-01555.01 I CITY OF SPRINGFIELD~ OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 99-01555-01 225 North Fifth Street Springfield, OR 97477 N'i , 'OO\\::I3d ,.,:1;/0 ~~~O~ Location Of Proposed Site: 3883 Pin~0~~'V~p\003~N OI-U.iYv Assessors Map#: 18020614 \::IO:l03N~~S\l-\l\::l30N~~03Z\\::I3dS\1-\1 Tax Lot #: 01900 Lot: 6 BIOCk.i.ONS\l\~~ ":1\.\ld)('3"'A'dl:liti6~~^\J (\1\', Subdivision: Jasper Park '>II-:\UN\"'-- ';;,o~'- Owner: Mike BlakenShip Phone Number: 541-746-0194 Address: Office: 726-3759 Inspection Line: 726-3769 8063 Thurston Road City/Slate/Zip: Springfield, OR 97478 New Value: $105,204 Scope Of Work: Single Family Residence Contractor Type General Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr, Type: Water Heater: Contractor .. "." ,'" ' '~U~lO'\ laQ\.l.Registration # Expiration Date . . ' ;" -: - Uoba10 <- . ',Jlil-e:> Mike Blakenshlp,\I\\l{'\ ... Clua:, "lI.' . ()roC' ....,'e~:)I""V\', .,..... '~i\.\ ~, .. \10).. , 8063~~-'1r~'Or,Rliad~crJlJi,,!gneldi'0R;- ~" I.\\~n 97478' 'j :l\\:o ~~\ "11()-,,)\1'u~' ial\.\' ':\ 5&\0 , ,!(1f\r:\.o' . Lld~.J,OI\' . , Rolfs,().?,c~. \-',\,'C:~ 11 oS'JIlI lrl. fi ;alo1o'J\O\\O' . " ,\...-.. ...0\ J ~\dOO'{;. ._, \ X,X,X.....6' - al03\:.\~Q~' , . . . ",'"n uOO, c Dougs Plumbing Inc 110163 11/24/99 29503 Awbrey Ln, Eugene, OR 97402-9635 Phone 541-746-0194 541-688-3385 3RSC 1 (VN) Wood Frame Office Use Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 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 Drywall 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 -Prior to taping, , Final Building Temporary Power Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Mechanical Curbcut Sidewalk I Job# 99-01555.01 I Required Inspections I Buildinll --I - When all required inspections have been approved and the building is complete, . . Page 2 of 4 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. 1-- --Plumbinll-I -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, '--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 tel -When all mechanical work is complete, I Public Works I -After forms are ereceted but prior to placement of concrete, Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 3: Additional Requirements: Glenwood Area? D Required Attachments: Source Locn: Material: Planner: Urban Grow1h Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: . 1 # Of Bedrooms: 3 Handicap Access? D ,Area (Sq. Feet) I Main: Accessory: Flood Plain FEMA: Garage/Shed # Of Stories: 1 Current Units: Census Code: Does not apply Height (feet): Proposed Units:1 Total:2106 . . . Job# 99.01555-01 I Page 3 of 4 Fee Paid On Receipl# Value/Quantity Fee Amount Transfered Records 1 Plan Check Fee 11/12/1999 36165 290 $290.23 Total Transfered Records $290.23 Buildinq Building Permit 05/16/2000 1571 105,204 $446,50 State Surcharge For Building Permit 05/16/2000 1571 $31,26 Building Administrative Fee 05/16/2000 1571 $13.40 Total Building $491.16 Electrical Wiring Footage 1,000 Sq Ft or Less 05/16/2000 1571 1 $85,00 Wiring Footage Each Add'l 500 Sq Ft 05/16/2000 1571 1 $15.00 Temporary: 200 Amps or Less 05/16/2000 1571 1 $40,00 State Surcharge For Electrical Permit 05/16/2000 1571 $9.80 Electric Administrative Fee 05/16/2000 1571 $4,20 Total Electrical $154.00 Plumbinq Two Bathrooms 05/16/2000 1571 1 $160,00 State Surcharge For Plumbing Permit 05/16/2000 1571 $11.20 Plumbing Administrative Fee 05/16/2000 1571 $4,80 Total Plumbing $176.00 Mechanical Hood and Exhaust 05/16/2000 1571 1 $4,50 One to Four Outlets 05/16/2000 1571 1 $2,00 Minimum Mechanical Permit 05/16/2000 1571 $,00 Mechanical Administrative Fee 05/16/2000 1571 $,78 Less than 100,000 BTU 05/16/2000 1571 1 $6,00 Vent Fan to One Duct 05/16/2000 1571 2 $6.00 Equipment Not Itemized on Permit 05/16/2000 1571 1 $4,50 Dryer Vent 05/16/2000 1571 1 $3,00 Mechanical Issuance 05/16/2000 1571 $10,00 State Surcharge For Mechanical Permit 05/16/2000 1571 $1,82 Total Mechanical $38.60 Public Works New Sidewalk 05/16/2000 1571 1 $60,00 Total Public Works $60.00 System Development Residential - Single Family - Storm 05/16/2000 1571 2,938 $681,50 Sanitary Sewer 05/16/2000 1571 18 $868,86 Residential Transportation 05/16/2000 1571 1 $491.60 Residential Sanitary MWMC 05/16/2000 1571 1 $242,76 MWMC Administrative Fee 05/16/2000 1571 1 $10,00 SDC Administrative Fee 05/16/2000 1571 $114.52 Miscellaneous MWMC 05/16/2000 1571 22 $22,05 Property Annexed 1990 05/16/2000 1571 15 $-26,25 Total System Development $2,405,04 . . Job# 99-01555-01 I Paid On Receipl# Willamalane SDC 05/16/2000 1571 Fee S,F. Residence - Willamalane Total Willamalane SDC Grand Total . Page 4 of4 Value/Quantity Fee Amount I 1 $1,000,00 $1,000.00 $4,615.03 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 'II re in on the site at all times during construction, l.vl Signature Sj~Cb Date ..~": . IUDmlltsd hs.SIhs. following lhe lollowlng prolOCt ~I equire specifiC lend use wnlng, and doel no r approval LD (1-/ 225 FIFTH STREET Zoning crt> SPRINGFIELD, OREGON 97(.,77. '5-'~ - ~ INSPECTION REQUEST: 72'&-3769 S' nalure _ -(, OFFICE: 726-3759 ,,"'hou.ed rg . - 1. LOCATION OF INSTALLATION ? g~> Pi "'1 OY\- LEGAl.. DESCRIPTION I 'ilCi Q.Ut; ('-i 01 qOQ J9B DESCRIPTION 1J~ +l ovv& Permits are non-transferable and expire if work is not started I.'ithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY .B. Electrical Contractor Gev-t:\K1 c:Jec:r- Address c3QSq tfa.'fd~ By Rd Ci ty SP--tlc:L Phone {4 { -2S9t. Supervisor License Number _'<6'545 Expiration Date JD ~/O -2000 Constr Contr. Number gll4S Expiration Date /1-/0-00 Signature of Supervising Electrician "'" ol.'ners~J3~:~. ~I~~~P ~ Address '?JOG?:' '-n,\..r:*..~.QJ Ci ty <.,uft{ Phone -::rei r; -0 I Fl -j O\INER INSTALLATION The installation is being made on property I Ol.'n I.'hich is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT If: RECEIVED BY: I'I..ECTRICAL PERMIT APPLICATION "ity J~~ Number qq-O \5S5:-0'1 3. COKPLETE FEE SCHEDULE BELO\! , A. New Residential-Single or Hulti-F~mily per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular. 'DI.'elling 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 ----- Reconnect Only Sum $ 85.00 10- $ 15.00 \ '5 .$ 4b.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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Nel.', Alteration or Extension Per Panel One Circuit Each Additional Circuit or I.'ith Service , or Feeder Permi t E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 IO()"" . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: M: k..o 'P:>\o. '^ k~~ I '" . . I I ADDRESS: ~Oh~-r~'Jf..-+e.. ~{]\ . Job. No. QQ-OI655=-O 1 PHONE: +L1f;. O\q::r STATE: O.R- ZIP: ~ :)'4.-:r~ LOCATION OF PROPOSED BUILDING SITE: :, <6 <6~ 'Pil'.UOA. f Tax Lot Number: Street Address: Plat Name: 0.v..",.... ~)\t.~ 1 -- 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) \'ii'O:W6LLj ()[<}OO A. iliwlfl-Familv Dfltachec[ ./ l/Single Family home NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ I DO 0, f1.l> I B. iliwlfl-Familv Attached, NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactumd Homfl Par1\ NO. OF UNITS WILLAMALANE SDC X $699 per unit <= $ $ 2. SDC CREDIT (If applicable) SDG-paycr must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SOC reduced tor Credit) iV~//tI1d Developm~nt Serv~ Department City of Springfield $ ------ $ l!Ooo.c.9 7- Date I ; I oC . . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991555 NAME OR COMPANY: MIKE BLANKENSHIP LOCATION: 3883 PINYON ST TAX LOT NUMBER 18020614-01900 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE BUILDING SIZE: 2100 LOT SIZE 6318 = L STORM DRAINAGE IMPERVIOUS SQ. FT. 2937.5 x $0.232 PER SQ, IT, $681.50 I 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $48,27 PER PFU $868.86 I 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $486.73 PER TRIP x $486.73 PER TRIP $491.60 I $0.00 TOTAL TRANSPORTATION SDC $491.60 I 4. SANITARY SEWER - MWMG A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242,76 I B, IMPROVEMENT COST: NUMBER OF FEU's x $22,05 PER FEU $22,05 1 ($26.25)1 $10,00 I $248.56 1 $2,290.52 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0,05 $114,53 1 ~C cooRo1i?iroR r;fr(- TOTAL SDC CHARGES I $2.405.04 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDlTIO~AL FIXTlJRES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/0IL1S0LIDS/ETe. INTERCEPTORS FOR SAND/AUTO WASH/ETC, LAUNDRY TUB/CLOSTHSW ASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERA TORIW A TER ST A TlON/ETe. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, ST ALLIW ALL WASH BASIN/LA V A TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRlV ATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 2 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 . PLUMBING FIXTURE UNITS 4 o o o o 2 o o o o o o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=I 18 CREDIT CALCULA nON 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 $4.47 1989 $2.18 1980 $4.38 1990 $ 1.75 1981 $4.32 1991 $ 1.35 1982 $4.20 1992 $1.17 1983 $4,03 1993 $1.03 1984 $3.88 1994 $0.86 1985 $3,68 1995 $0.71 1986 $3.38 1996 $0,57 1987 $3.03 1997 $0.39 1988 $ 2.62 1998 $0,18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75 ,x 15.000 $26.25 IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0.00 CREDIT TOTAL $26,25