HomeMy WebLinkAboutPermit Building 2002-5-23
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Job# 02-00519-01
Page 1 of 5
TRANS#:Ol-0009206
DA TE : riA Y 23 2002
AMT RECD=2 $ 5708.73
CHANGE:
CASHIEf~: 061
?:
225 Fifth Street
Springfield, OR 97477'
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00519-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 894 Mint Meadow Way Spr
Assessors Map#: - 17032343
Lot: 160 Block: Addition: 4th
Owner:
Address:
Tax Lot #: 13200
Subdivision: River Glen
Future B Inc
Phone Number: 541-744-26BQ)
City/State/Zip: E~g..\~r.le:~&~Y~~~l;):11..0017
\r"'~"{ c~eg ,.. se ...r-.")..~
New ,..\\''-''~e ~alu:e~ S~4~6.~p20
",s9{e~~o:o'} ~ e ~\}.\e'(;~~ ~ <..\)\es 1
-' ,( ,\' . ,~-ri~_""f'\S ,r:'C\ . .""e ~(\e
;,"('\~'~ ~\es '3-~~~e\' ~ 0 ~<..o~~eS 0\ ~e\e~~ '~'3-\\0\ \
y..' ~o'.\'l <",,_ ~ G~,,\.,\)~ :\\\ CO ~e"\'(\~' ~o\'\ ~
Contractor ' \0'\.~\c~'R1gistratl9'n'C# ~ExpifcitiQ~ID,ate
~o\'\ ~ <?l~"" ~'O-'1 r-,\e'1... i~(\ U _ ",,?,,j
Future B Inc ' \~O~ 3~~9~,\\ece\ O,\eQ5~~I~t2004
Po Box 7425, Eugene, OR 97401-001~O~~'~\\'(\<0'\0<..~e ,~\:!d""
\.. c'll. ""c>.<" \ ~e~, ....
Deans Electric(\~@'Sf9 Ge'f;\ 6/20/2002
P.O. Box 2585, Eugene, OR '
Jung Enterprises Inc
Po Box 66, Dexter, OR 97431
Scope Of Work: Single Family Residence
Po Box 7425
-t ~NnRv..'
Office U~e 00 . \.. t."''?\~t. W ~\ \S "0\
Land Use: \~\,~[~~ ~~ \\\~~~~lfI9fQ: 1 ",
Zoning Code: -(.'e~ ~O\\\1.r.Q ~~ \S ~'OWd~cfncy Group: Dwelling
Bedrooms: 4\\'\"\\\W\t."Ct.U O~ ~\OU.Heat Source: Forced Air Gas
Range: ~\'J\ nl'\ O~'{ \,t; Sq. Footage: 1764
'\'\" '\ nU
, f\~'
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.
,,'
Contractor Type
General Contr
.....f,;...
.......
Electrical Contr'
Mechanical Contr
, Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Phone
541-744-2660
541-935-5303
1024~5
10/4/2002
541-937 -2688
Chapin Enterprises Incorporated
3248 Kentwood Dr, Eugene, OR 97401
81994
5/6/2004
541-485-1146
2RNW
1
(VN) Wood Frame
Gas
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.
-Prior to cover.
- Prior to Cover
Drywall
Final Building
Temporary Power
Verify Ground Rod
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Backflow Device
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Setback
CC-Overwidth
.
Job# 02-00519-01 I
Required Inspections
Building
.
Page 2 of 5
- 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,
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir
- 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,
-Afterdevice is installed but before backfilling trench,
- 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/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
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: 00/0010000 00:00:00 '
Special Instructions:
Other Utilities:
Project Supervisor:
Setback - 5'
D
8
To Curb and Gutter
6
00/00/000000:00:00 '
Types Of Warning Devices Reqd.
. Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
. I Job# 02-0Q519-01
.
Overlay District:
# of Street Trees:
Page 3 of 5
land Use: Single Family Dwelling
Pave Driveway? 0
2
3:
Additional Requirements:
Required Attachments:
, Source locn:
Material:
Planner:
Urban Growth Boundary? D Glenwood Area? D
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? D
-Area (Sq. Feet)
Main: 1764 Accessory:736
Fee
Residential Plan Check
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 Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing'
Backflow Prevention Device
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
Flood Plain FEMA: Panel 1134 of 2975
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 23
Current Units: Proposed Units:1
Census Code: New SF ~detached
Total:2500
Paid On Receipt# Value/Quantity
Plan Check ' I
05/06/2002 8890 146,020
Building
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
146,020
Electrical
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
1
3
1
Plumbing
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
1
Mechanical'
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002' 9206
OS/23/2002 9206
OS/23/2002 9206,
1
1
Fee Amount'
$466,96
$466.96
$718.40
$50.29
$57.47
$826.16
$,00
$106,00
$57,00
$50,00
$14,91
$17,04
$244.95
$.00
$254.00
$18,76
$14,00
$21.44
$308.20
$9,00
$4,00
$,00
$5,36
$12,00
-I
Fee
Vent Fan to One Duct
ApplianceVent (Not Covered in Schedule
Gas Fireplace
Dryer Vent
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
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
SF Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Denny Wright
Liz Miller
Engineering-Res
Planning-Res
Structural-Res
Don Moore
Job# 02-00519-01 1
Paid On Receipt#
Mechanical
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
Public Works
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
System Development
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 9206
OS/23/2002 ' 9206
Willamalane SDC
OS/23/2002 9206
Planning
OS/23/2002 9206
Permits w/o Srchg
OS/23/2002 9206
Date Completed
Comment
05/07/2002
05/09/2002
05/08/2002
OS/22/2002
.
Page 4 of 5
, Value/Quantity Fee Amount
3
1
1
1
135
1
1
1
3,416
1
1
1
1
1
20
20
1
$18,00
$9,00
$9.00
$6.00
$10,00
$4,69
$87.05
$78,15
$75.00
$35.00
$-30,00
$158.15
$932,57
$34,83
$10.00
$143,87
$332,86
$659,76
$155,13
$427.40
$324,80
$3,021.22
$1,000,00
$1,000.00
$55,00
$55.00
$8.00
$8.00
$6,175.69
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 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 . ans will remain on the site at all times during construction. 'S-h3 /
?\ ~\,}hr (Z: /(!)1
s , natur _\.j (j Date
. I Job# 02-00519-01
.
LEGAL DESCRIPTION 4") e:l~
'\\.D~1:?A~~~~ .
{qI!' Il.E~C!liPTI N .t~.. ~', 1000 sq.ft. orless
~ q " \~' . . Each additional 500
, . ~ . ' ,sq. ft or portion
Pemuts are non-tran rable and expIre thereof
if work is n tarted within 180 days Each Manufd Home or
of issuance . work is suspended for Modular Dwelling
180 days, Service or Feeder
ob
.
TALLATION O~ ' . B. Services or Fe.eders
, .~ \ ,,'t 't __. InstallatIOn, Alter,
eo.,\J ~ (..\I!C. , VVc.. Relocation:
l..~t~
TOTAL
A~~, j
-, -K4"""'l.@\."~"','
::i?_ .-~:.
.,
~ Ill''';'',
\\ Uo~,.. .
',Q4A,qs
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
... --
JOURNAL OR JOB NUMBER: 02-00519-01
NAME OR COMPANY: Future B
LOCATION: 894 Mint Meadow Way
TAX LOT NUMBER: 17 -03-23-43 Tax Lot # 02102
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2500 SF LOT SIZE:
._- ._~
-"-' .,
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I COST PER S.F. I
, x
3416.00 I $0.273 I
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S.F. . COST PER S.F. 'I DISCOUNT RATE I
I x XI
0.00 . $0.273 I 50% I
. ---_..-~......
ITEM 1 TOTAL - STORM DRAINAGE SDC
.- -- ~
. 2. SANITARY SEWER - CITY - -
A. REIMBURSEMENT COST:
NUMBER OF DFU's I x I COST PER DFU .
20 I $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I COST PER DFU
II 20 ,xI $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
13. TRANSPORTATION
A. REIMBURSEMENT COST:
!i I ADT TRIP RATE I I NUMBER OF UNITS
j' x x
r / 9.57 I I 1
B. IMPROVEMENT COST:
I ADT TRIP RATE I NUMBER OF UNITS
x x
I 9.57 , 1
r ITEM 3 TOTAL - TRANSPORTATJON-SDC"--'
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
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:
I SUBTOTAL ADM. FEE RATE
x
I $2,877.35 5%
Steve Templin 5/9/2002
SDC COORDINA TOR DATE
7289
SF
=1
$932.57
r:/1
~
Q
o
u
~
~
~
r:/1
~
d
~
\ /'
, 11070'
=, $427.40 1091 /'
=L $324.80 l /
1092< '
=1 $752.20 II
COST PER TRIP
$16.21
I NEW TRIP FACTOR
x
, 1.00 =1
COST PER TRIP
$68.94
I NEW TRIP FACTOR
x
I 1.00 =1
=1
~I
=1
$0.00
$932.57
/
1093'
/'
, 1094"1
I I
=1
__.__ =1
=1
=1
=1
=1
$155.13
$659.76
$814.89
=1
$332.86
$34.83 I
$0.00 , 1055 /
$367.69 I
$10.00 I 1056
, $377.69 1-1
$2,877 .35 II
=1
$143.87
TOT AL SDC CHARGES = $3,021.22
, 1073
- I
.
.
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
( ) UNIT FIXTURE
# NEW - # OLD x EQUIVALENT = UNITS
(1 O)x 3 3
(0 O)x 1 0
(0 O)x 3 0
(0 O)x 3 0
(0 O)x 6 0
(0 O)x 2 0
(1 O)x 3 3
(0 O)x 6 0
(0 0) x 12 0
(0 O)x 1 0
(0 O)x 3 0
(1 O)x 2 2
(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
(3 O)x 1 3
(0 O)x 5 0
(0 O)x 6 0
(2 O)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 STA nON / ETC.
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL/RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL/WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLA nON
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 DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR
ANNEXED
1979 OR BEFORE
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
CREDIT RATE PER $1,000
ASSES~;n~2VALUE _'
$4,83
$4,77
$4,64
$4.47 I'
$4.30
$4,09
$3.78
$3.41
$2,98
$2.52
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON)
YEAR
ANNEXED
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT RATE PER $1,000
ASSESSED VALUE
$2.06
$1.64
$1.45
$1.31
$1.13
$0.97
$0,82
$0.63
$0.41
$0.22
----------.--.-..
$0,04
II
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
.
P.~Willamal~ne
. J, j . Park & Recreation District Job. No.ffi; OCXs \~ .01
~. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~ t~.~\)\ON\..<1C)
ADDRESS!. _ '? (~-~W. ,..-tAlJ.~S
.'
PHONE: (44. Dt\ to
STATE: OCZIP:C\1A()\
LOCATION OF PROPOSED BUILDING SITE:
, Street Address: ~_ \..Thj~J\t 01\,~)
Plat Name~\.\')()( (~\fJ\4~ax Lot Number: \\Da'2..~4~ \
1 ~DEVELOPMENT TYPE (Check appropriate dwelling(s). sec calculations and dwelling t
ype definitions are on the back.)
A S.in<)IA-Famlly Oetach.ill1
NO. OF UNITS
\
Manufactured home not in a park
X $1,000 per unit =$ \ (:00 .. t:X:I
, \; Single Family home
B. llin.Qle-Family Attached.
NO.,OF UNITS
X $924 per unit
$
C. Mt,llti~Famlly ApaJtment .
NO. OF UNITS
X.$692 pe~ unit = $,
l? 1$mufactl)red Home Park
NO. OF UNITS
WILLAMALANE SDO
, ,X $699 per unit = $
$ \000,06
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamatane Credit approval. See sac Credit Worksheet. ,$
~
/
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC,reduced for Credit)
\ l ~t<r\1)Do.i)
Development Service!ti ~epartment
City of Springfield
$ \OM.OO
5" I ? ~ I Ol-
Date