HomeMy WebLinkAboutPermit Building 2002-5-3
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Job# 02-00392-01
Page 1 of 4
TRANtt ~ 01-0008842
NAY 03 2002
$ -3707~95
fY7,0
....J-.JL
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00392-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Une: 726-3769
location Of Proposed Site: 5902 Cinder St Spr
Assessors Map#: 18020300
lot: 9 Block: Addition:
Scope Of Work: Single Family Residence
same as 1672 s 60th #02-00300-02
NO HOOK-UP FOR SANITARY & STORM UNTIL INFRASTRUCTURE IS ACCEPTED BY THE
CITY.
Contractor Type Contractor
General Contr Hayden Homes
PO Box 883, Springfield, OR 97478"
Christenson Electric Inc ~ 458 114~~qreRW,
111 SW Columbia St Ste ~~~ · &\tl SHAll EXP\RE \F M\I IS Nt;;'\'
OR 97201-5886 1H\S P lZED UNDER lH\S PER ", R
Mechanical Contr Home Comfort Heating & 4\U1~ I~ tM WJ4ABI\NDON~2~92003
Po Box 24205, Eugene, oft9)MM..O OW PER\OD.
ANY 18 ~. ,
Brenda Marlene Currier ,..' 103570 . ,: ','" )2/15/2002
648 W Oregon Ave, Creswell, OR 97426 ..,
Owner:
Address:
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Tax lot #: 00507
Subdivision:Jasper Meadows
Hayden Homes
PO Box 883
Phone Number: 541-501-4332
City/State/Zip:
,'''9
Springfield, OR 97478
Value: $113,772
New
Registration #
92208
Expiration Date
7/29/2003
Phone
541-501-4332
503-241-4812
541-345-2838
541-895-3758
4RSE
1
(VN) Wood Frame
Electric
Office Use
land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage: 1420
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
Required Inspections
I Building I :TTEI\nnN:Cre~::.,.1 \;-.:.W \'i.:ll.jt,nres you,~?
-I nstall ground rod at footing, and call for inspection^,nl c6nJ-JctiOr.lrW.ithJootinglan:O/0r.gf~i!J~a~hi0n ir
to lOW I Ul~ti duvl-'l~O ,,, 1 . - .
-After trenches are excavated. " .. n (....erlta-I Those rules are set forth
. I\lntifu"8t10 J \;>.. 001
-A~er forms a~e ere~ted but pn~r to concrete pla~erpf~A 952-001-001 0 through OAR 952- -
-Pnor to floor insulation or decking. In 0 v may obtain copies of the rules by
P. t d k' 009 ' ,au I h e
- nor 0 ec Ing. II' the center, (Note: the te ep on
P. t ca tng 'f' t' n
- nor 0 cover. f r the Oregon Utility Notl Ica 10 .
. -B~fore covering sheathing with finish materials. numbe~~nteriS 1-800-332-2344).
- Prior to cover.
"
"
Wall Insulation
Drywall
Final Building
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
SW-Curbside
CC-Standard
Job# 02-00392-01 I
Required Inspections
Building
Page 2 of 4
- Prior to Cover
-Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
- 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~
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: Curbside - 5'
Additional ROW? D
Size Of Line (in): 8
DownspoutslDrains: To Curb and Gutter
Enchroachment Permit:
San Sewer Tee (in): 6
Bond End DateTime: 00/00/0000 00:00:00 .
Street Improvement: Fully Improved
Curb Cut?~ Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? D
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00:00 .
Special Instructions:
Other Utilities:
Project Supervisor:
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2000-01-0015 2:
Comments:Subdivision - Jim Donovan Planner
.' t,
I Job# 02-00392-01 I
Overlay District:
# of Street Trees: 3
Page 3 of 4
land Use: Single Family Dwelling
Pave Driveway? ~
3:
Additional Requirements:
Required Attachments:
Source locn:
Material:
Planner:
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!
Main: 1420 Accessory:400
Fee
Same As Plan Review
Additional Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% 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
8% Admin Fee - Electrical
Total Electrical
Three Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: Panel 1166 of 2975
Private Garage/Carp/Star
# Of Stories: 2 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1820
Paid On Receipt#
Plan Check
04/05/2002 8534
05/03/2002 8842
Value/Quantity
Fee Amount
1
10
$90.00
$10.00
$100.00
Building
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
113,772
$611 . 1 5
$42.78
$48.89
$702.82
Electrical
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
1
2
1
$106.00
$38.00
$50.00
$13.58
$15.52
$223.10
Plumbing
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
1
$306.00
$21.42
$24.48
$351.90
Mechanical
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
1
$9.00
$4.08
$12.00
$24.00
$6.00
$10.00
1
4
1
,
.
Fee
Job# 02-00392-01 I
Paid On Receipt#
Mechanical
05/03/2002 8842
Value/Quantity
Page 4 of 4
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Public Works
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
121
1
1
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
System Development
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
05/03/2002 8842
1
1
1
24
24
1,766
1
1
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
05/03/2002 8842
1
Planning Plan Review
Total Planning
Planning
05/03/2002 8842
Address Assignment
Total Permits w/o Srchg
Grand Total
Permits w/o Srchg
05/03/2002 8842
'1
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Liz Miller
04/08/2002
04/16/2002
04/15/2002
04/18/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
Fee Amount
$3.57
$68.65
$77.17
$75.00
$-30.00
$122.17
$482.01
$34.83
$10.00
$128.86
$332.86
$659.76
$155.13
$512.88
$389.76
$2,706.09
$1,000.00
$1,000.00
$55.00
$55.00
$8.00
$8.00
$5,337.73
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 will remain on the site at all times during construction.
,J.t~ IfLI ~-IL~_t~ @) 5' - 3 - ~<-
Signatffre Date
~\O~.,
\"e \0 'I},<>e
. ,,'0'<> \'Q.(\c,
\\\e6 6\"'c
225 FIFTH STREET . ~. 'Q.;S,?,?~~~~e( .
SPRINGFIELD, OREGON 974-7lo\e~0\~~o,~ >f"
INSPEC!JON REQ~~1\0~~~~189 ;",
OFFICE. 726-3759~~e.(\~'c>,:
.... .' ~oO\~'Q.\"\ ", ,<,g
.' , V\)~o1-po' .' ..... ,.... ...,.... .
1. LOCATION OF Im;TALLATI .;:\~,.. .. ..' '. .....
'S'q/J 2- ~. _ ~(C\(\'Q.~~~"-A. NewResidential~Singleor
Q'O, o~\1.-e6 oJ - Multi-Family per dwelling unit.
LEGAL DESCRIPTION \>-0\'(\ Service Included:
l R'6'U!J~lJa - ~If L;/J '7 Items Cost
./...~; ;~~\.:"- .
JOB DESCRIPTION. )'~!!.~'Jif ;!..it::; a~')p~e~ "0;' f~ l.Q~Q.);&fi./of"J~~s
SIN i/d3 FAMILV ;~iJi$1i(JCJM.~~81. :-hose ;~ichOgdtlHMA~it~.oo
, ,:1 U.l~,i 952<)01-00'10 th I qq~~ ~L]bW1Dn0;F~
. C'-I"O(~' rou. vAf; 9&:;2-0fl';
PermIts are non-transferable andJe~pHeYOll may obtain cop;::.berfof .V_ 'J,-
'f k . , d' h' 80 d ~"'III'''' h c-~ 01 f,!1,c. n_~~G,b"
I war IS not~tarte ,:It III 1 .-'15"8' :!g t ~ CG:lCGr. {\tote: fffW'!e.rJ;am~~:n'0me or
of Issuance or If work IS suspended'-f6Fberfo" the: Oreg"n ~ 'tMoqillat!thveUrng
C ',\.. ,~.flLN ,\!OJlf'('-vil'11"<
180 days. 9rtr.:i"C' 'V(' "-. Seo/fc~ dr'Peeuer
, '0" ~ .. ",' ~.<""~. .~.t~'I.
ELECTRlCAL...6RMIT APPLICATION
ob Numhel'_1JZ~d'tfJ3 '12,.; .;.cJ9/
-"'1 ~1'f.'''1 ~;r+r. :'\ '.' - 0 {\ f'l 0 0 I ,.
, .r nti' "_'1. V.lUU';',,;
f'iiW 03 2002
. $-:47(t, m
(1~1'J
"Ji..
SUI,l1
I
$106.00 ~()
'2--- $ 19.00 3Kd2o
2. CONTRACTOR INST ALL A TION ONLY B. Services or Feeders
Installation, Alterl}tions ,or>
Electrical' Contractor Chr; stenson F.lectric, Inc. Relocation:
$ 50.00
.'
200 amps or less.
201 amps to 400 amps
401 amps to 600 amps
601 amps t61000 amps
Over 1 000 amps/volts .'.
'-.' ,
Address '1 ?qg Rpfry'Pl Dr; UP
$ 63.00
$ 75.00
. $125.00
$163.00
$375.00
$ 50.00
CityR"o-~~~~j .
. '\L)
Expiration Date '
, .\-
Sign:ltur~.!:!f: SUjJervising Electrician
. 200 amps o,r Ie. '
. 201 amps to 400 amps'
.;YOVer 401 to 600 amps,
Over 600 amps or 1000 volts see
"B" above "'.~~
. Expiration Date
Branch Circuits
NewAlt~ration or Extension PerPane1
',.-'
1" -'-" _ __ _~_ .... .
One Circuit' ',. '
$43.00
"", )'..
. '
Ea911Additional Cirpuit or with Service
or feeder :p~nnit $ }.OO
E. Miscellaneous ,(Sel'vi,ce/feeller not included)
-:Each,installatiSlll' .
. Pump 'qrirrigation
Sign/Outline Lighting, .
" LimitecLEnergyiRes
Liinited Energy/Coml1l
$50.00
$50.00
$25.00
$45.00
<
CCg1f A.~'()>
~~ ~\~cP
Minimum Electric PermitInsJlection Fee is $45.00 + Surchargcs
TOTAL
\0...'\ c;JJ \ / Lfif ~{){J
\3Sis~ ~'h9'
I~$.. j S7
1.2."3.10 -Is."
4. SUBTOTALOF ABOVE
7% State Surcharge
8% Administrative Fee
."
=1 $332.86 i'
=1 $34.83 I
=/ $0.00 I
=, $367.69 I 1055
=1 $10:OG t l-D56
=1 $377.69 II
=/ $2,577.23 II
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE '" ~RKSHEET
JOURNAL OR JOB NUMBER: 02-00392-01
NAME OR COMP ANY: HAYDEN HOMES
LOCATION: 5902 CINDER ST.
TAX LOT NUMBER: 18-02-03-00 TL:00507 JASPER MEADOWS LOT #09
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 1820 SF LOT SIZE: 5475 SF
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEN.
IMPERVIOUS S.F. COST PER S.F.
x
1765.60 $0.273 =1 $482.01
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. COST PER S.F. DISCOUNT RATE
x x
0.00 $0.273 50% =, $0.00
I ITEM 1 TOTAL - STORM DRAINAGE SDC =1 $482.01
2. SANITARY SEWER - CITY.
A. REIMBURSEMENT COST:
I NUMBER OF DFU's COST PER DFU
x
I 24 $21.37
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
x
24 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
=1
$512.88
=!
=1
$389.76
$902.64
A. REIMBURSEMENT COST:
I ADTTRIPRATE x 'NUMBER OF UNITS I x
I 9.57 I I
B. IMPROVEMENT COST:
I ADT TRIP RATE . . NUMBER OF UNITS II
x x
I 9.57 1 I
I ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER- MWMC.
A. REIMBURSEMENT COST:
NUMBER OF FEU's I x COST PER FEU
I $332.86
B. IMPROVEMENT COST: .
I NUMBER OF FEU's . COST PER FEU
x
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
I SUBTOTAL (ADD ITEMS 1,2,3,& 4) .....
5. ADMINISTRATIVE FEE~
COST PER TRIP
$16.21
x
NEW TRIPF ACTOR
1.00 =1
$155.13
COST PER TRIP
$68.94
NEW TRIP FACTOR
1.00 =1
=1
x
$659.76
$814.89
r/)
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o
u
~
~
~
r/)
~
o
~
11070
1091
I 1092
l'/
I
I
1093
l 1094
l
SUBTOTAL ADM. FEE RATE
x
$2,577.23 5% =\ $128.86 1073
r SteNe-- r empUw . 04/16/2002 TOTAL SDC CHARGES = $2,706.09
SDC COORDINATOR DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULA.TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB ( 2 0 )x 3 6
DRINKING FOUNTAIN ( 0 0 ) x . 1 0
FLOOR DRAIN . ( 0 0 )x 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 0
LAUNDRY TUB ( 0 0 ) x 2 0
CLOTHESW ASHER / MOP SINK ( I 0 ) x 3 3
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0
MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 O. ) x 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x I 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 0
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( I 0 ) x 3 3
SINK: COMMERCIAL BAR ( 0 0 ) x .2 0
SINK: DOMESTIC BAR ( 0 0 ) x I 0
WASH BASIN ( 0 0 ) x 2 .0
LAVATORY ( 3 0 ) x I 3
URINAL, STALL/WALL ( 0 0 ) x 5 O'
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOILET, PRIVATE INSTALLATION ( 3 0 ) x 3 9
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 24
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, CALCULATE CREDIT SEP ARA TEL Y
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
$0.00
$0.00
$0.00
-~'t~ ,> -,. ';t, ~
p~Willalllalane ...
~ '--l . Park & Recreation District Job. No. ro. .m ~1J;.r) 1
~_ SYSTEM DEVELOPMENT CHARGE
. WORKSHEET .
NAME~_~qd.Q_f\\~ . . PHONE: ffi'5.~
ADDRESS: Q.~.~ BOO J ~rl STATE: fj(() ZIP:Ch'\-ll
LOGA TION OF PROPOSED BUILDING SITE:
Street Address: ~\)''L... ~~~( <:\~\~. ~ t
Plat Nam~~~ .. _ Tax lot Number:\9Jj)I)~m~l
1.DEVEl(~P~ENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t .
. ype definitions ar~ on the back.)
A ,Sin(JIA-F;:Jmily DAt~
\ Single Family home
. NO. OF UNITS \
Manufactured home not in a park.
X $1,000 per unit =$ \ f11).ct)
B. Sinale-Famil'LAtt.ached
NO. OF UNITS
X $924 per unit
$
c. Multi-Familv Aoartment
NO. OF UNlTS
X .$692 per unIt = $
l? Manufactured HQrnA Park
NO. OF UNITS
WlLLAMALANE SOC.
X $699 per unit c $
$ \CCO,d)
o
$ \CCO p:)
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of
Willamalane Credit'approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
~)~~ 5 I
Development Services\Ovpartment Date.
City of Springfield
-::Sf
() "2--