HomeMy WebLinkAboutPermit Building 2001-9-24
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SPRINGFIELD
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Job# 01-00816-01
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Page 1 of 4
TRANS# ~ 01 ~-0006 782
DATE~SEP 24 2001
AMi RECD:2 $ 5377u74
CHANGE:
CASHIEF\~061
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00816-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3348 Watermark Dr Spr
Assessors Map#: 17021934
Lot: 64 Block: Addition:
Owner:
Address:
Tax Lot #: 01200
Subdivision: Ambleside
Tom Wirfs Enterprises Inc
Po Box 237
Phone Number: 541-747-8704
City/State/Zip: Springfield, OR 97477
New Value: $112,965
Scope Of Work: Single Family Residence
Bills Electric
3170 West 11th Street, Eugene, OR 0'0.\0...1
:),(es ~ '\)\~~'l ~'(\
Deans Heating 133733 2/17(2('J.00~0(\ e\\05~J-767-0626
\'3.~ - O'(.e e s ()~
PO Box 462, Cottage Grove, OR 97424 0(\ \'{\0 S '3.'(. 9'6'2: 'O~
BMC Plumbing 1 0357Q"\~P"{~z0c121/2.(i)b~'; O\X~e '(.'0.\~;4~1-895-3758
...\~\V 60>: ~ "v' 0'0.'-:J 0\" <\'(\'v'. ~
648 W Oregon Ave, Creswell, OR 97426 A~\"" ~0'?J'lj. r-\0'(.' ()~'(. \0'?J \0\0:,o,c'3.\\O
b.\' . (U: ,..16 _1"\"\ ~o() .",e . _"\'\,,
. . ~o"" 0 ;\' - ~\,,,~\,. :\.0..., \..-
To request an inspection call the 24 hour recording at 726-376~?:~U':;i~~R~e1itins:r~~u.e:st~aJief~r~b'P;oo
a.m. will be made the same working day, inspections requested~afte.r..\'7.~fm..13frlt~,w.jll{D'e"riJjia'2let:ttfi'e(following
. . Ur- '{0V" e"- 0\'<1"" Q'.;}-
working day. \'(\ 9()' ~ \~ ,<<,0 \''O()
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Required Inspection$-' ~....^'( v,.:./e
I Building '<'I
- To be made after excavation but prior to setting forms.
-Install ground rod at footing, and call for inspection in conjuction wit~'b.ting and/or foundation i
-After trenches are excavated. y..f(;. ~ K .
-After forms are erected but prior to concrete placement. ~f(;. \~ '\ o~.:fo ~rJ
- Prior to floor insulation or decking. f(;.i--~'\ ~f(;.'?'-~ ~a'?'-
- Prior to decking. K\Ci(:. Sy..~\.\. ,\y..\S C~((,\)
- Prior to cover. ~O ~,,~'\ ~\Jf(;.'?'- ~~<;J. . ,
- Before covering sheathing withfi~~I$ri1'fite~B!'S) \) R- \10 ~~ .
- Prior to cover. ~,\y..O~ ('~\) 0 \0'0'
- Prior to Cover ~ ~~\~~J :-{ y'C.~'
- Priorto taping. cp IQi0 'Ct'f.
~ When all required inspections have be~\rn~a)Jproved and the building is complete.
Contractor Type
Electrical Contr
Mechanical Contr
Plumbing Contr
Site
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Rough Electrical
Electrical Service
Final Electrical
Same as 6757 Simeon
Contractor
Registration # Expiration Date
Phone
I 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.
..
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-Standard
I Job# 01-00816-01 I
Required Inspections
I Plumbing .1
-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.
r Mechanical
- Prior to insulation or decking.
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
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?0 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 AM
Special Instructions:
Other Utilities:
Project Supervisor:
Curbside - 5'
o
8
To Curb and Gutter
6
00/00/0000 00:00 AM
no modificaiton of open drainage way permitted
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 2
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:'
3:
Land Use: Single Family Dwelling
Pave Driveway? 0
Additional Requirements: LDAP Required
Required Attachments:
Source Locn:
Material:
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage: .
Floodway FEMA: Zone X White
Flood Plain FEMA: Panel
"
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling'
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
~Area (Sq. Feet)
Main: Accessory:
Fee
Additional Plan Check
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
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
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge - Plumbing
Water Service Footage
Sanitary Sewer Footage
Storm Sewer Footage
Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 1.00,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanicalls'suance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Job# 01-00816-01
# Of Stories: Height (feet): 16
Current Units: Proposed Units:1
Census Code: New SF - attached
Total:
Paid On Receipt#
Plan Check
09/24/2001 6782
08/01/2001 6318
Value/Quantity
Building
09/24/2001 6782.
09/24/2001 6782
09/24/2001 6782
Electrical
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782 ' '.
Plumbing
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
Mechanical
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782 .
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782:'
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
Public Works.
09/24/2001 6782
09/24/2001 6782
09/24/2001 6782
Page 3 of4
Fee Amount
313
2
$313.02
$80.00
$393.02
112,965
$462.25
$32.36
$13.87
$508.48
1
2
1
$85.00
$30.00
$40.00
$10.85
$4.65
$170.50
50
50
50
$.00
$160.00
$16.45
$25.00
$25.00
$25.00
$7.05
$258.50
1
1
$4.50
$2.00
$.00
$.87
$6.00
$9.00
$4.50
$3.00
$10.00
$2.03
$41.90
1
3
1
1
60
1
1
$65.00
$65.00
$-30.00
$100.00
..
Fee
Job# 01-00816-01
Paid On Receipt#
System Development
Value/Quantity
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1997
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
. Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development.
09/24/2001
09/24/2001
09/24/2001
09/24/2001
09/24/2001
09/24/2001
. 09/24/200'1
09/24/2001
09/24/2001
09/24/2001
Page 4 of 4
6782
6782
6782,
6782
6782
.6782
6782
6782
6782
6782
2,525
1
1
28
1
1
1
24
24
S.F. Residence'- Willamalane
Total Willamalane SDC
Willamalane SDC
09/24/2001 6782
1
Planning
09/24/2001 6782
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Checked By
Date Completed
Initial Review-Res
Bob Barnhart
08/02/2001
08/17/2001
Engineering-Res
Planning-Res
Steve Templin
Liz Miller
Planning-Res
Structural-Res
Sam Gollah
09/21/2001
09/07/2001
Tom Marx
1
Comment
Fee Amount
$689.33
$34.83
$10.00
$138.35
$-17.56
$332.86
$659.76
$155.13
$512.88
$389.76
$2,905.34
$1,000.00
$1,000.00
$50.00
$50.00
$5,427.74
Left message for Tom Wirfs on 8/23 regarding
submittal of LDAP
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 o'f 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 ~~~e. et, that the permit card is located at. the front of the property, and the
approved set of PlanWn on the site at all times during construction. .
Signature
C(~</t {
Date f I
/ CITY OF SPRINGFIELlt~STEMS DEVELOPMENT CHAI ~ WORKSHEET
JOURNAL OR JOB NUMBER: 01-00816-01
NAME OR COMPANY: WIRFS
LOCATION: 3348 WATERMARK
TAX LOT NUMBER: 17-02-19-34-01200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 0 SF LOT SIZE: 0 SF
J. STORM DRA:lliAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS. S.F. COST PER S.F.
x
2525.00 $0.273 ~ =1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x COST PER S.F. I x DISCOUNT RATE I
0.00 $0.273 .50%
$689.33
ITEM 1 TOTAL - STORM DRAINAGE SDC
=r
=1
$0.00
$689.33
~NlTARYSRWBR-rIIY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's COST PER DFU
x
I 24 $21.37
B. IMPROVEMENT COST:
I NUMBER OF DFU's. COST PER DFU
x
I 24 $16.24
, ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3 TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRIP RATE NUMBER OF UNITS
x x
I 9.57 I
B. IMPROVEMENT COST:
ADT TRIP RATE I NUMBER OF UNITS
x x
. 9.57 . l'
fIT EM 3 TOTAL - TRANSPORTATION SDC
4, SANlTARY SRWER - MWMC
=1 $5.12.88
=1 $389.76
=1 $902.64
COST PER TRIP
. .$16.21
x
NEW TRIP FACTOR
1.00 =1
$155.13.
I NEW TRIP FACTOR
x
I 1.00 .=1
=!
COST PER TRIP .
$68.94
$659.76
$814.89
A. REIMBURSEMENT COST:
I NUMBER OF FEU's COST PER FEU
x
'1 ' $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's COST PER FEU
I 1 . x . $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
. MWMC ADMINISTRATIVE FEE
I ITEM 4 TO~AL - ~C SANI;ARY SEWER SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
.5. ADMTNTSTRATIVE ERE:
SUBTOTAL ADM. FEE RATE
x
$2,766.99 5%
7J)
~
o
o
u
~
~
~
7J)
~
o
~
I
1"'1070,,/
.I
109 I"(
I
,
1 092 ) "'"
1093'/
/
1094.1
=1 $332.86
=1 $34.83 ,
=1 ($17.56) l 10551'/
=1 $350.13 l
=L $10.00 1 1056
=1 $360.13 I
=1 $2,766.99 I
=1 $138.35
...-- .~-
-.., -.. -.,
>tw~ T~
SDC COORDINATOR
8/17/0 I
TOT AL SDC CHARGES = $2,905.34
DATE
1073
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT(IF AFTER ANNEXATION)
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA nON DATE, 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 $4.641993 $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
27.866 x $0.63 =1
0.000 . x $0.63 =1
TOTAL MWMC CREDIT =1
$17.56
$0,00
$17.56