HomeMy WebLinkAboutPermit Building 2002-9-17
I Job# 02-00992-01 I
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of 5
TRANS#~Ol-0010642
DATE:8EP 17 2002
AMT RECD:2 $ 6361.44
CHANGE:
CASHIEP: 011
CITY OF SPRINGFIELD, OREGON
Job Number: 02-00992-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 3688 Osprey Dr Spr
Assessors Map#: 17021943
lot: 165 Block: Addition: 1 st
Tax lot #: 09700
Subdivision: Ambleside
Owner:
River Valley Builders Inc
Phone Number: 541-726-0330
Address:
PO Box 2041
City/State/Zip: Corvallis, OR 97339
~e.w~. ' << , Value: $266,911
, I t:.NIION-Ore
fOllol1lll""""" _ " gon law reOlllr~f' }\:,
!'lotlficatlon-C;~t;/~~ OYthe Oreg~~ U~/;~
In OA~ 9S!:).Of.l'l f'In" ose rules rw~ t
Contractor 0090 'rIo RegistFafit:fntWrol..!;f~a ori~E)atimh Phone
. -. (J mav nbta' . f\ 952-001
River Valley Builders Inc e~//fng tPI~4J>~~te In COPi4/61Q/f2@PJru/es b - 541-726-0330
PO Box 2041, Corvallis, OR 97339umOCl:ir for the 0 r. (Note: the telephone Y
, C. regon Uti.lih~ "W' - . .
G & E Electric, Inc E5~4683 1-800-33!J:r B/:t\1~atlon 541-967 -8627
PO Box 1686, Albany, OR 97321 . . -2344).
Midway Plumbing Inc 4687 7/25/2004
2428 Three Lakes Rd SE, Albany, OR
97321
541-928-7927
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RNC
1
(VN) Wood Frame
Gas
Midway Plumbing Inc
2428 Three Lakes Rd SE, Albany, OR
97321 Nn
nor
OffidelJ8;PtHMIT '
land use:AUTHnR1!lFif8~~RIEBUildings: 1
Zoning cCdlMMf1/icED ER THIS p: ~~oup: Dwelling
Bedroom4NY l~O DAY ~R IS ABANDD & g~ Forced Air Gas
Range: Gas R/DD. . fQRage: 3461
4687
7/25/2004
541-918-7927
Plumbing Contr
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.
Site
Verify Ground Rod
Footing
Foundation
Post ~nd Beam
Floor Insulation
Ceiling Insulation
Required Inspections
I Building I
- To be made after excavation but prior to setting forms.
-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.
Street Improvement: Fully Improved
Curb Cut?0 Improvement Agr.?D
San Sewer Depth (Ft): 5 3
Storm Sewer Available? D
SpeCial Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00:00'
Special Instructions:
Other Utilities:
Project Supervisor:
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
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 Gas
Final Mechanical
SW-Curbside
CC-Overwidth
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Job# 02-00992-01 I
Required Inspections
r. Building I
- Before covering sheathing with finish materials.
- Prior to cover. .
- Prior to Cover
-Prior to taping.
- When all required inspections have been approved and the building is complete.
Page 2 of 5
I Electrical I
-Approval required prior to SUB energizing pole.
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.
-After gravel and filter cloth is installed, but prior to backfill.
- When all plumbing work is complete.
I Mechanical
-Prior to insulation or decking.
-After line is installed and capped if not attached to an appliance.
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure tes
. 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/Drai.ns:
, Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
D
8
To Curb and Gutter
6
00100/0000 00:00:00 '
Types Of Warning Devices Reqd.
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I Job# 02-00992-01 I
Overlay District: Hillside Development
# of Street Trees: 3
Zoning: LOR
FloodPlain? 0 Wetlands? D
Journal numbers
1: 02-00992-03 2:
Comments House lies outside of slope esmnt.
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 2
Handicap Access? D
-Area (Sq. Feet)
Main: 3461 Accessory:936
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit ,
8% Administrative Fee - Mechanical
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Flood Plain FEMA:
Page 3 of 5
land Use: Single Family Dwelling
Pave Driveway? 0
Private Garage/Carp/Stor
# Of Stories: 2 Height (feet): 26
Current Units: ' Proposed Units:1
Census Code: New SF - detached
Total:4397
Paid On Receipt#
Plan Check
09/05/2002 10528
Building
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
Elect~ical
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
Plumbing
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
Mechanical
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
Value/Quantity
266,911
266,911
1
1
1
1
3
1
1 '
Fee Amount
$720.46
$720.46
$1,108.40
$77.59
$88.67
$1,274.66
$,00
$50.00
$3,50
$4.00
$57.50
$,00
$254.00
$17,78
$20.32
$292.10
$9.00
$4,00
$.00
$4.64
$12.00
$18,00
$9.00
$6.00
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Fee
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
. 2nd Driveway/Overwidth Appl Fee
, Multiple Permit Discount - 2nd Permit
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
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
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Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Virginia Jurasevich
Ashley Deforest
Engineering-Res
Planning-Res
Structural-Res
Don Moore
..
Job# 02-00992-01 I
Paid On Receipt#
Mechanical
09/17/2002 10642
09/17/2002 10642
Page 4 of 5
Value/Quantity Fee Amount
$10,00
$4,06
$76.70
Public Works
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
65
1
1
1
$75,00
$75.00
$35.00
$-30,00
$155.00
System Development
09/17/2002 10642
09/17/2002 10642 '
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
09/17/2002 10642
4,872
1
1
$1,373,90
$34,83
$10,00
$163.93
$-160.20
$332,86
$709.81
$160,87
$463.89
$352,59
$3,442.48
33
1
1
1
21
21
Willamalane SDC
09/17/2002 10642
1
$1,000.00
$1,000.00
Planning
09/17/2002 10642
$55.00
$55.00
Permits w/o Srchg
09/17/2002 10642
$8,00
$8.00
$7,081.90
Date Completed
C,omment
09/06/2002
09/12/2002
09/10/2002
Overwidth approved for 30 ft throat.
\
Called applicant 9/10/02 to request revised site
plan w/ house positioned correctly on lot.
09/16/2002
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I Job# 02-00992-01 I Page 5 of 5
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 nsure that all required' ections are requested at the proper time, that each
address is r ad Ie from the street, at the ermit card is located at the front of the property, and the
approv lans will re' the site at times during construction.
r
~-/ 7-08--
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Date
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FIFTH STREET ),' ~ ,";";)",
': SPRlNGFIELD~ OREGON 97407.7 N
r:,;, INSPECTION REQUEST: 72673 ;,.;,
;!'}'O FFICE :"726 - 375 9,;,;:?'; ,Li,};;;)
,'. > ;-'(<i'~':':;': ~,::,':::%(; ",-' ,<" 'l.i.i"9 i.:
i-' , :,.~,q '(">:~s~ C-_',.: ?:~;"'_ _>.:",.
1. LQCATION OFINSTALI.iATI~; t';!,;'i
3(jj <g~ D <Sytrej'; U'nI';^"':"
LEGAL DESCRIPTION
.CAL,PERMIT ApPLI,CATION
';' ':',''''''"". .-,.' ,:' , ;, " '"
;::';"'<~:'):;>f':::.' -;:" ;>'.;,.1;
Number";'
lh:;',;,'"
'- 1"..
;,:";/+;::,;;':
NewResidenti:l.I..:Sing or'
Multi-Family per dwelling unit.
Service Included:
Items Cost SUJ:n
""--:';';.'
JOB DESCRIPTION
$106,00
2,
, ' ',. ,. ~':';
P, < $ 63,Qq
;:$ 75.00
_$125~QQ ,
~$163.00
,. '_:-:-- ;, ~'" - <
OWNER INSTALLATION
TheiA~tanation is being made on .
property I o~vn which is not intended
for sale, lease 0 rent.
~% "
E. Miscellaneous (Service/feeder not include~l)
~Each installation
Pump 'orirrigation
Sign/Outline Lighting
Limited EnergylRes
, Limited Energy/Comm
,,/ .
$50,00
$50.00
$25.00
$45.00
Minimum Electric PumitInspectioll Fee is S45.00 + Surcharges
TOTAL
60.bi)
'5 . S(')
4-.0Cl
G"1.S0
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT C E WORKSHEET
JOURNAL OR JOB NUMBER: 02-00992-01
NAME OR COMPANY: River Valley Builders Inc.
LOCATION: i 3688 Osprey Drive
TAX LOT NUMBER: 17021943 tl9700
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2816 SF LOT SIZE: 10038 SF
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.P. COST P~R S.P. .
x
4872.00 $0.282
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.P. COST PER S.P. DISCOUNT RATE
x x
'0.00 $0.282 50%
I ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMB URSEMENT COST:
NUMBER OF DFU's COST PER DFU
x
21 $22.09
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
x
21 '. $16.79
I ITEM 2 TOTA~ city SANITARY SEWER SDC
3, TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
x
9.57 1
B. IMPROVEMENT COST:
. ADT TRIP RATE I x' NUMBER OF UNITSI x' COST PER TRIP I x . NEW TRIP FACTOR
9.57 1 $74.17 1.00 =, $709.81
I ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's ' COST PER FEU
x
1 $332,86
B. IMPROVEMENT COST:
NUMBER OF FEU's COST PER FEU
x
1 $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:
SUBTOTAL ADM. FEE RATE
. x
$3,278,55
=,
$1,373.90'
CZl
I:il
Cl
o
u
~
I:il
~
CZl
~
d
I:il
~
11070
=/ $463,89 1091
=1 $352,59 l 1092
=1 $816.48 l I
,,~~s:
x
COST PER TRIP
$16.81
x NEW TRIP FACTOR I
1.00 =,
=1
=1
$0,00
$1,373.90
1093
1094
I
=,
=,
=/
=1
=1
=r
5%
=/
TOTAL SANITARY ADMINISTRATION FEE: I
TOTAL TRANS~_~~TATION ADMINISTRATION FEE~J
Steve Templin
SDC COORDINATOR
9/12/2002
$160.87
=,
$870.68
=1
$332,86
II
$34,83 I
($160,20) I
$207.49 I 1055
$10,00 I 1056
$217.49 Jl
$3,278.55, 11
$163.93
117.30
$46.63
TOTAL SDC CHARGES = $3,442.48
DATE
I
I 1979
L 1078
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BATHTUB ( 1 0 ) x 3 = 3
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 ( 1 0 ) x 3 = 3.
CLOTHESW ASHER. 3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 1 0 ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIALIRESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 -' 0
~~*t SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 4 0 ) x 1 = 4
URINAL, STALL / WALL ( 0, 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION -( 0 0 ) x 6 = 0
TOILET, PRIVATE INST ALLA TION ( 2 0 ) x 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 21
*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
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXATION)
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, 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
32.561 X $4.92 =1
0.000 X $4.92 =1
TOTAL MWMC CREDIT =1
$160.20
$0.00
$160.20