HomeMy WebLinkAboutPermit Building 2002-2-20
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February 20, 2002 '
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(54/) 726-3753
FAX (54 /) 726-3689
www.ci.springfield.or.us
Tim Alverson
2522 161hStreet
Springfield, Oregon 97477
Dear Mr. Alverson:
Enclosed is the original temporary electrical permit for proposed construction of your
single family residence to be located at 912Mint Mcadow Way, Springfield, Oregon.
When you obtained your pemlits, we neglected to have your sign the pemlit. Please sign
the permit on the indicated line and retum it to me in the enclosed self addressed pre
stamped envelope. I am enclosing a copy of the permit for you to keep for your records.
Thank you, and if you have any questions, please feel free to phone me at 726-3790.
~~;u.
Lisa Hopper ~
Building Safety Supervisor
cc: Kaye Wilson
Enc!. '
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Job# 02-00136-01
Page 1 of 4
225 Fifth Street
Springfield, OR 97477
TRANS#~01-0008079
DATE;FEB 19 2002
AMT RECD~2 $ 5654=17
CHANGE $ 1.53
CASH ER~032
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00136-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 912 Mint Meadow Way Spr
Assessors Map#: 17032343
lot: 162 Block: Addition: 4th
Owner:
.Tax lot #: 02000
Subdivision: River Glen
Tim Alverson
Phone Number: 541-741-8484
Address: 2522 16th Street City/State/Zip: Springfield, OR 97477
Scope Of Work: Single Family Residenc~OTICE: New'.'..-- Value: $136,919
THIS PERMIT SHALL EXPIRE IFTHEWORK
SFR AUTHORIZED UNDER THIS PERMIT IS NOT
Cav'(.v.EI~I",i:u UH I~ AtjAI\JUUNt:U FOR
Contractor Type Contractor ANY WO DAY PERIOD.Registration # Expiration Date Phone
General Contr Gansen Construction 92159 7/1/2003 541-463-1000
362 Hwy 99N #2, Eugene, OR 97402
Electrical Contr Everyday Electrical Service Inc 136371 8/12/2005 541-607 -6908
Pmb #132 65 W1 Division Ave, Eugene,
OR 97404-2485
Mechanical Contr Comfort Flow 00460
1951 Don Street, Springfield, OR 97477
Plumbing Contr Chapin Enterprises Incorporated 81994
3248 Kentwood Dr, Eugene, OR 97401
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
6/27/2003
541-726-0100
5/6/2004
541-485-1146
2RNW
1
(VN) Wood Frame
Gas
Office Use
land Use: Single Family Dwelling
Zoning Code: LOR
Bedrooms: 3
Range: Gas
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Wall Heat
Sq. Footage: 1688
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
Foundation
Slab
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Required Inspections
I Building I
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
-After forms are erected but prior to concrete placement...,-, .
- To be made after all inslab building service equiPme~t;,bgnaUih,')'iPir\g;~:aM:otRef!~",yjnrn'!JeQ~ iter
. . 'U"'-i.IV rUles acio f ,-"~ \.1'('. UU to
-Prior to decking. j\'orl'I"i,.,~t' C p,ed by the Oregon Ut.,:~.
. ' , ,L;a Ion ente' Th IlIn'
- Prior to cover. in OAR () ,r. ose rules are set" '
- Before covering sheathing with finish materials. 0090 Yiv5~-OO 1-00 1 0 through OAR 952_~~~h
P . . ou may Ob'a" Vv,"
- rlor to cover. callin 'th ! In copIes of the rules b
- Prior to Cover numb 9 -, ~ center. (Note: the telepho Y
er tor the Oreg U . . ne
Center is 1-8n~~' .}'II!r Notification
, . \..,,'-Jv2-~344).
- 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.
I Plumbing
- Prior to filling the trench.
- Prior to cover.
-Prior to filling trench.
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
Mechanical
,~
I Job# 02-00136-01 I
Required Inspections
Building
Drywall
Final Building
Temporary Power
Underground Plumbing
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Page 2 of 4
- Prior to cover.
-After line is installed and line has been connected to a minimum of one appliance. Pressure te~
- 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
SW-Setback
CC-Standard
Street Improvement: Fully Improved
Curb Cut?0 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 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Setback - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR'
FloodPlain? D Wetlands? D
Journal numbers
1: 2000-03-0059 2:
Comments:
Overlay District:
# of Street Trees: 2
3:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: zone x white
Additional Requirements:
Glenwood Area? D Required Attachments:
Source locn:
Material:
land Use: Single Family Dwelling
Pave Driveway? 0
Flood Plain FEMA: panel 1134 of 2975
~
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 1688 Accessory:561
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Temporary: 200 Amps or Less
State Surcharge - Electrical
8% Admin Fee - Electrical
Total Electrical
Two Bathrooms
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
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
New Curbcut
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
Job# 02-00~ 36-01 I
Page 3 of 4
Private Garage/Carp/Stor
# Of Stories: 1 Height (feet): 26
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2249
Paid On Receipt#
Plan Check
02/05/2002 7957
Value/Quantity
136,919
Building
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
136,919
Electrical
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
Plumbing
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
Mechanical
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
1
1
1
3
1
Public Works
02/19/2002 8079
02/19/2002 8079
70
1
System Development
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
02/19/2002 8079
3,771
1
1
1
1
1
23
Fee Amount
$445.84
$445.84
$685.90
$48.01
$54.87
$788.78
$50.00
$3.50
$4.00
$57.50
$254.00
$17.78
$20.32
$292.10
$9.00
$4.00
$3.92
$12.00
$18.00
$6.00
$10.00
$3.43
$66.35
$75.00
$75.00
$150.00
$1,029.48
$34.83
$10.00
$154.35
$332.86
$659.76
$155.13
$491.51
~
Job# 02-00136-01
Fee
Paid On Receipt#
System Development
02/19/2002 8079
Sanitary Sewer SDC Improvement
Total System Development
SF Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
02/19/2002 8079
Planning Plan Review
Total Planning
Planning
02/19/2002 8079
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchg
02/19/2002 8079
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Bob Kettwig
Liz Miller
02/06/2002
02/15/2002
02/13/2002
02/13/2002
Engineering-Res
Planning-Res
Structural-Res
Tom Marx
Page 4 of 4
Value/Quantity
Fee Amount
23.
$373.52
$3,241.44
$1,000.00
$1,000.00
$50.00
$50.00
$8.00
$8.00
$6,100.01
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 fr m the street, that the permit card is located at the front of the property, and the
approved set of plan ill remain on the site at all times during construction.
\'-.
o
Signature
"2/\~ / 2-00"2-
Date
\ ~ \ D. Branch Circuits~;f:
:. i .-C\U ~ NewAltef~tion or.E~tension Per P~riel '
iXJ.~~~s~,tl~~:tj:/\, "~ wi One Circuit ,i,:
;~~~..! '~'~4\ x4~
. ~ty~.,\SJ.'-/'" " hO~~:., . "ar
>,OWNER INSTALLATION ",', "
".". The installation is bei~g made on
. . ..: '.: .'property I o}vn which is not intended
. '. . '. . . . . : . : . : . : . . . ... for sale, Jease or renC.... ' , ' ,
. .. .. .'. ......... ;",:'.,', ,,' ';',' .' ,,:,.' " ,-" :'., :',
/...::)~t:)\V~~rSSi~n::~~::;
. . . .
". . . .
:::;0.)225 FIFTHSTEEET }j:i<K\
;11;'SPRINCWrELl), OREGON 9'']477
'..)N~PECJION~QUEST::72~-3
'OFFICE:':726"3759 "
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LEGAL DESCRIPTION
\ f)09,M4?l ~C'!J.Ix:n
J<\B DESCRIPTlQN r'\
T~ \lOl~{\)~
Permits are Ilon-transferable and expire
if work is n9t,started within 180 days
of issuance Brif work is suspended for
180 days.
...;'
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>~--', -; ~::'~
'-':::'-'-. .."',
F';""
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
$ 50.00
B. Services or Feeders
Installation, Altem
Relocation:
$50.qo :.i!tto
'$69.00" ,
$100:00
EachAddit~orial Circuit or with Service
or FeederPermit
E. MisceIl:meous(Serviceffeeder not included)
-EachinstaHation
Pump'o~irrigation
Sign/Outline Ligllting
Limited EnergyfRes
~imited EnergyfComm
Minimum EleCtric Permit Inspection Fee is S45.00 + Surcharges
'--. " ,: - ~ -: ,- :'~
50.00
.~.so
4- . t:>O
~1 .so
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
. JOURNAL OR JOB NUMBER: 02-00136-01
NAME'OR COMPANY: TIM ALVERSON
LOCATION: 912 MINT MEADOWS
TAX LOT NUMBER: 17032343 TL:' 2000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2249 SF LOT SIZE:
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.P. COST PER S.P.
I 3771.00 x $0.273
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.P. COST PER S.P. DISCOUNT RATE
x x
om ~TI3 5~
. "
",..._ I
." .,~
\.J:
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
. NUMBER OF DFU's" COST PER DFU I
23 $21.37
B. IMPROVEMENT COST:
NUMBER OF .oFU'sl x COST PER DFU
23, '$16.24
ITEM 2 TOTAL - 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 NUMBER OF UNITS
I 9.57 x ,1
I ITEM 3 TOTAL - TRANSPORTATION 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
x
COST PER TRIP
$16.21
x
NEW TRIP FACTOR
1.00 , ,='
x
COST PER TRIP
$68.94
x
ITEM 4 TQTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, &4)
5. ADMINISTRATIVE FEE:
SU,BTOTAL' Ix ADM.FE~RATE
$3,085.63 " ,5%
$:tw.t- T~ 2/15/2002
SDC COORDINATOR DATE
,>,
6674
SF
=!
$1,029.48
=, $0.00 I
=, $1,029.48 l
CI)
~
o
o
u
~
u:l
~
CI)
~
d
~
~
1070
=1 $491.51 1091
=1 $373.52 l 1092
-
=, $865.03 I
$155.13
1093
I
, 1
1094
NEW TRIP FACTOR
1.00' =, -$659.76
=" $814.89
=, $332.86 ,
=1 $34.83
=1 ($1.46)
=1 $366.23 1055
=! $10.00 1056
=1 $376.23
-
=1 $3;085.63
=, $154.28
TOTAL SDC CHARGES = $3,239.91
1073
;
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,DRAINAGE FIXTURE UNIT (DFU)CALCULA TION TABLE
NUMBER OFNEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
, (NOTE: FOR REMODELS, CALCULA TEONL Y THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW> - UNIT ' FIXTURE
FIXTURE TYPE # OLD ) 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 lOlL 1 SOLIDS 1 ETC. ( 0 0 ) x 3 = 0,
INTERCEPTORS FOR SANDI AUTO WASH 1 ETC. ( 0 - 0' ) x 6 = 0
LAUNDRY TUB ( 0, 0 ) x 2 = 0
CLOTHESW ASHERI MOP,SINK , ( 1 ' 0 ' ) x 3 = ' 3
CLOTHESW ASHER -3 OR MORE (EA) ( 0 0 ) x 6 = 0
MOBILE HOMEP ARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 - 0
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC. ( 0 0 ) x 1 = 0
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 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: COMMERCIAL/RESIDENTIAL KITCHEN ( 1 0 ) x 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 3 " 0 ) x 1 = 3
URINAL, STALL 1 WALL ( 0 0 j x 5 = 0
TOILET, PUBLIC INSTALLATION ( ,0 ,0 ) x 6 = '0
TOILET, PRIVATE INSTALLATION ( , 2 0 ) x 3 = ,6 '
MISCELLANEOUS DFU TYPE NUMBER OFEDU's* '.<'-~ -~.~ '
( 0 0 ) x 20 = 0
, ' , ' . TOTAL DRAINAGE FIXTURE UNITS =1 23 I'
*EDU (Equivalent D~elling Unit) is a disc~arge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BAS;ED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR'
ANNEXED
1979 OR BEFORE
1980
1981
1982
1983
1984 '
1985
1986
1987
1988
1989
CREDIT RATE PER $1,000
ASSESSED VALUE
$4,92
$4,83
$4.77
$4,64
$4.47
$4.30
$4,09
$3,78
$3AI
$2.98
$2.52
CREDIT RATE PER $1,000
ASSESSED V ALUE
$2.06
$1.64
$1.45
, $1.31
$1.13
$0.97
$0.82
$0.63
$0.41
$0,22
$0,04
YEAR
ANNEXED
1990
J991
1992
1993
1994
1995
1996
1997
1998
1999
2000
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE 1 1000 CREDIT RATE.
3.569 X $0.41 =1
0.000 X $0.41 =1
TOTAL MWMC CREDIT, =1
, $1.46
$0.00'
$1.46
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