HomeMy WebLinkAboutPermit Building 2002-5-14
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Job# 02-00469-01
Page l' of 4
TRANS#:Ol-0009030
DATE:I'1AY 14 2002
At1T REeD:
CHANGE:
CASHIER:032
"1
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00469-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 5953 Cinder St Spr
Assessors Map#: 18020300
Lot: 44 Block: Addition:
Tax Lot #: 00507
Subdivision: Jasper Meadows
Owner:
Hayden Enterprises
Phone Number: 541-923-6607
'1, /!.., ~itY/S, tate/Zip:
, f/; ~.....-'% ".1-":'-
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0.... 0 '(-':, .....4:' 1(',
'1Q ~A'\ ('I'~' ~~~i.1,
V r(> 0 .s' "'0
C\~ . k 0'$ ,/('; $~ ":'..;;.
'><:~, ~;.. o(j ~'I).... ,%, Ch,.~9,-.,.
"Q IV ',," "';-' .~ '\,.v .",
. & ~ ~ 'n'':'. 0', ~
Contractor Type Contractor - ',:"'0 lS>a oR~istr.a'ti~n #....&. Expiration Date
. \,o~ ~0 &1/.. v,.-::". V 1{; q~ ~<9 >1-- .
General Contr Hayden Enterprises '?~ lS>af'&....92:20o/'-o & ~ C?,.; y'l~9/2003
i"'. I'-. .~.oo ~ ~ &. is'
2622 SW Glacier Place #110, Redm09:a~ '''0 Zl",' ~-? is' i90 :.J.-o
OR 97756 (9- 001') r&. &U' 0.-<'1 ~....& ~ (", ~/,
Va ~: ~ OF 1~ \S'./Q ~;:. 0
Christenson Electric Inc t~5~~ & I'&. 0& s6'.5/~'/20'e3
~-") IU ~, "t: ~'Q V?A
111~W Columbia St Ste 480, Portland, "& o~. ~~ ~ V.1:'/
OH 01-5886. ~ ~6 0.." is'6 '
~-'~ . ~~. (9 ~
Mechanical Contr ~~ ~ort Heating & Air Conditioning 184164 001') 6/25/2003
~ (lO~~~~05, Eugene, OR 97402
Plumbing Contr ~;'~~~~e C, urrier . 103570
4ta ~r.1~...Ave, Creswell, OR 97426
't' _l:?fI..J\.'"f(/
"r v1> e~. . (-,.
'~ ~ ?>~ 'f'~, Office us~ . .
4RSE ~ 4~, ~ ,.br~ Use: Single Family Dwelling
1 ~a UQi'4;;ode: LDR
(VN) Wood Frame '~~ro~~'. 2
Electric Ff"~~1'~-9.f Electric
. v
Address:
2622 SW Glacier Place #110
Redmond, OR 97756
Value: $99,598
Scope Of Work: Single Family Residence
Cascade
SFR same as 01-01117-01
Phone
541-923-6607
Electrical Contr
503-241-4812
541-345-2838
. 12/15/2002
541-895-3758
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1230
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 7:00a.m. will be made the following
working day.
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Required Inspections
I Building I
-Install ground rod at footing, and call for. inspection in conjuction with footing and/or foundation ir
- 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.
Framing
Wall Insulation
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 Mechanical
Final Mechanical
Job# 02-00469"01 I
Required Inspections
Building
Page 2 of 4
-Prior to cover.
- Prior to Cover
- 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.
- 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.
- When all mechanical work is complete.
Street Improvement: Fully Improved
Curb Cut?D Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 .
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
6
00/00/0000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Curbside - 5'
D
8
To Curb and Gutter
No connection to infrastructure until subdivision complete and accepted
Types Of Warning Devices Reqd.
Zoning: LOR Overlay District:
FloodPlain? D Wetlands? D # of Street Trees: 1
Journal numbers
1: 2000-01-0015 2: 2002-04-0121 3:
Comments:Subdivision and LDAP
Planner:
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Land Use: Single Family Dwelling
Pave Driveway? 0
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Panel 1166 of 2975
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelli,ng
# Of Buildings: ' 1
# Of Bedrooms: 2
Handicap Access? D
-Area (Sq. Feet)
Main: 1230 Accessory~OO
Fee
Same As Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee .
Wiring Footage 1,000 Sq Ft or Le~s
Wirilig Footage Each Add'l 500 $q Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
One Bathroom
Two Bathrooms
State Surcharge - Plumbing.
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
I Job# 02-00469-01 I
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 18
Current Units: Proposed .Units:1
Census Code: New SF - detached
Page 3 of 4
r"':'::. .
Fee
. I Job# 02-00469-01 I
Paid On Receipt#
System Development
05/14/2002 9030
05/14/2002 9030
05/14/2002 9030
05/14/2002 9030
05/14/2002 9030
1
1
1
20
20
Page 4 of 4
Value/Quantity
Residential SanitarY MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
05/14/2002 9030
Planning Plan Review
Total Planning
Planning
05/14/20029030
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/oSrchg
05/14/2002 9030
Checked By
Date Completed
Comment
Initial Review-Res
04/25/2002
. 05/02/2002
No occupancy or connection to infrastructure
intil subdivision complete and accepted.
Engineering-Res
Lisa Hopper
Dennis Ernst
Planning-Res
Structural-Res
'Uz Miller
05/01/2002
04/27/2002
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 further agree to ensure that all required inspections are requested at the proper time, that each
address is readable from the street, that th,e 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.
)1-1> ~cC(1~~. ~
Signature {)
. Date
Fee Amount
$332.86
$659.76
$155.13
$427.40
$324.80
$2,737.43
$1,000.00
$1,000.00
1
$55.00
$55.00
1
$8.00
$8.00
$5,202.88
;; ~ Irt- 0 1--
1. LOCATION OF INSTALEATION'
El1S? Cl~ srrt&
/
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
"v::;.o(;., >t""; " ,
O' .1
LEGAL DESCRIPTION
'~.b;}'03. DO, OoSO'f
.,
j'
V'"
..i..j)\\
Items Cost Sum
$106.00 Jr1oa>
~ $19.00 p,~~
"
/
JOB DESCRIRTION, .J" \( A"2...f\ 1000 sq. ft. or less
~ X. 1& s.: ~C('___ \y..N Each additional 500
,.. . sq. ft or portion
Permits are non-transferable a~QlA~E. thereof
if work is not started within 18lil1l~sPERMIT SHALL EXPIREJS1~W@a~ne or
of issuance or if work is susperWa-lf'tORIZED UNDER THIS ~mTQStNOti
180 days. COMMENCED OR IS ABANoUtm1 PdReder
2. CONTRACTOR INSTALLA.~I6~1\V PERIWJ.Services or Feeders
Installation, Alterations or
Electrical' Contractor-.-Chri RtpnRnn llleetrie, Ine. Relocation:
$ 50.00
CitY. F.llfPnp
Phone
200 amps or less
201 amps to 400 amps
401 amps to 60Q amps
amps to 1000 amps
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Address 1 ?qfLBpthpl Drivp
Supervisor License Number
Expiration Date 10/01/03
. <.i ........... "i<V'T-:t!~t~'11 . .~~tyel~~ffls.orFeedersi.
Constr Contr. Number 26-~owruf' Y~~~8~lm'tWon or RelocatIOn
Expiration Date 10 /fl;/~o You m~Y1\6Jl~i~i@i{li~~~
of SupervISIng ElectemHWg the center (Note' th~et~(p{g~~amps
_ nurnbe'r for th~ Or~gon Utilit~~c?t,l~~'lor 1009 volts see
(i ~..J.." r,:"~tor !",-pnO-~32-2344).
.......ij'athanPhilips D. Branch Circuits
I~.A ~u . "~ New Alteration or Extension Per Panel
(~~:~~
I
Phone fo~g ~ 1001
......... ~r\rIJ
$50.00 ~
$69.00
One Circuit
$43.00
City ~tP.-
~ u
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
for sale, lease or rent.
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
~~~
~~~\rD
Minimum Electric Permit Inspection Fee is S45.00 + Surcharges
4. SUBTOTAL OF ABOVE \a!.~_\
7% State Surcharge l.b '~"6
8% Administrative Fee /) ~- .:;" . 'S.l 0
TOTAL L.,."Li" )
,
$6~ I. 1070 ~
laLll..~) J1
'I
$427.40 I ~~~
,"..... - -~-'-.- ~~.'~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
- ._ _. ._ - _0-
- --' - - . .
JOURNAL OR JOB NUMBER: 02-00469-01
NAME OR COMPANY: Hayden Homes ..1.:"'.
LOCATION: 5953 Cinder St .
TAX LOT NUMBER: 1.80203E+12
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS: 1. BUILDING SIZE:
1. STORM DRAINAGE .
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. COST PER S.F.
x
I 2425.50 $0.273,
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. xl DISCOUNT RATE I
0.00 $0.273 I 50%
. I ITEM 1 TOTAL - STORM DRAINAGE SDC ------,
.-
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I COST PER DFU
. I 20 .,x $21.37'
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
x
20 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE I NUMBER OF UNITS I COST PER TRIP I NEW TRIP FACTOR
x x x
9.57 l' I $16.21 I 1.00 =,
B. IMPROVEMENT COST:
I ADT TRIP RATE I NUMBER OF UNITS' I COST PER TRIP
j 9.57 IX _1 XI $68.94
- -
ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I COST PER FEU
x
ill $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's I COST PER FEU
x
1 I $34.83
MWMC CREDIT IF APPLICABLE-(SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
o
SF
LOT SIZE:
4662
SF
=1
$662.16
=1
=1
$0.00
=1
r/}
~
Q
o
U
-~
~
~
r/}
~
o
~
=1 $324.80 I 1092
=1 $752.20l1
=1 $332.86
=/ $34.83 ,
=1 $0.00 I
=1 $367.69 , 1055
=1 $10.00 I 1056
=1 $377.69 II
=1 $2,606.94 , I
$155.13
, I NEW TRIP FACTOR
x
, I 1.00 =1
=1
$659.76
$814.89
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL ADM. FEE RATE
x
$2,606.94 5%
=1 $130.35
- -
- -
~T~'
SDC COORDINATOR
51212002
TOTAL SDC CHARGES = $2,737.29
DATE
-,- .
'-'
1093
,
II
1094
1073
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW # OLD ) UNIT FIXTURE
- x EQUIVALENT = UNITS
(2 O)x 3 6
(0 O)x I 0
(0 O)x 3 0
(0 O)x 3 0
(0 O)x 6 0
,( 0 0) x 2 0
,( 1 0) x 3 3
(0 O)x 6 0
(0 0) x 12 0
(0 0) x'l 0
(0 O)x 3 0
(0 O)x 2 0
(0 O)x 2 0
(1 O)x 3 3
(0 O)x 2 0
(0 O)x 1 0
(0 O)x 2 0
(2 O)x 1 2
(0 O)x 5 0
,( 0 0) x 6 0
,( 2 0) x 3 6
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC.
INTERCEPTORS FOR SAND / AUTO WASH / ETC.
LAUNDRY TUB
CLOTHESW ASHER / MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIG / WATER STATION / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIALIRESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL / WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
(0 0) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE $4.92 . 1990 . $2.06
1980 $4.83 1991 $1.64
1981 $4.77 1992 $1.45
1982 $4.64 1993 $1.31
1983 $4.47 1994 $1.13
1984 $4.30 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
VALUE / 1000 CREDIT RATE
0.000 X $0.00 =1
0.000 x $0.00 =1
TOTAL MWMC CREDIT =1
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$0.00
$0.00
$0.00.
~ . ..
I'.,
"'~Al\ . .....
~'. ~~'W"II:I'a"~a" I"a'"n,'e TB~~~~r~g~-i~oig~~
aaa r\/\.~ IL . AiT REeD:
~~ Park'& Recreation District Job. No. LH 01 .\ ):"4'0 CHANGE:
CASHIER:032
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\ PHONE: _ ffi~' ~
. ADDRE~S: O.t,~ 553 J~r,-sTATE:B(( ,z'P:C\r<\-li
LOCATION OF PROPOSED BUILDING SITE: .
Street Address: 5QS.5' (:...~~ S{y-~,
Plat Nam . ..... ~ ,_Tax Lot Number: \. . roWl
1. 'DEVELO ENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) ,
A. .Sinole-Familv Detached
\ 'Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \ lff).cf)
B. .$lnQle-Famil'LAtfach.frd
NO. OF UNITS .
X $924 per unit
$
C. Multi-Familv Aoartment
NO. OF UNITS
X .$692 per unit = $
D. Manuf1tQWred Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit . c: $ .
$ \cro,cO
rz5
$ \(XX) ~
2. SOC CREDIT (if applicable) SOG-payer must furnish proof of
Willamatane Credit approval. See SDC credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESS~D
(tfSOC reduced for ~!t) , . '
~0lroM j
Development Services~partment
City of Springfield
~. I
J+' I
0')
Date