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Home My WebLink AboutPermit Building 2001-6-26 .-;. i/ I. .. ... ~. " I Job# 01-00581-01 I Page 1 of 4 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety TRANS#:01-0005973 DATE;;JUN 26 2001 AMi RECD:2 $ 4729.74 CHANGE: CASHIER:061 CITY OF SPRINGFIELD, OREGON Job Number: 01-00581-01 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3420 Watermark Dr Spr Assessors Map#: 17021943 Lot: 57 Block: Addition: Tax lot #: 05700 Subdivision: Ambleside Meadows Owner: Address: Greg Larkin Po Box 2041 Phone Number: 541-726-0330 City/State/Zip: Corvallis, OR New Value: $163,116 Scope Of Work: Single Family Residence Contractor G & E Plumbing pPO Box 1686, Albany, OR 97321 Mechanical Contr Haima 4195 Se 40Th, Albany, OR 97321 Contractor Type Electrical Contr Registration # Expiration Date Phone 541-967-8627 4687 7/25/2002 Plumbing Contr Haima 4195 Se 40Th, Albany, OR 97321 4687 7/25/2002 Office Use land Use: # Of Buildings: 1 ' Zoning Code: LDR Occupancy Group: Dwelling Bedrooms: ATTENTt!I~~~@ource!aw requires you to Range: follow rU!Sq.GFB8tSad:Y trio&4egon Utility "'~"~;~~+;....,., ('onter "I hnC::A rllIA~ ~re set forth . . . , ;~~~8Q~?-r;01-0010thrnll"hOAR952-001- To request an mspectlon call the 24 hour recordmg at 726-3769. All Inspections reque'stedhDefore 7:00 f th les by a.m. will be made the same working day, inspections requested after 7:0019%'." ~i1ILbgtffi'c38etmg f&i6'~ft,8t I e ~ working day. calling the center. (Note. tht:: e ep one number for the Oregon Utility Notification ~t::IILvl ;~ ;-CC~-:~;:-::~,~). Quad Area: # Of Units: Constr. Type: Water Heater: 3RNC 1 (VN) Wood Frame Temporary Power Required Inspections I Electrical I ~Approval required prior to SUB energizing pole, SW-Curbside I CC-Standard I Public Wolj1S$')TICrl:: -After forms are erected but pr~or t5- 3rcpgwIQj"p1s~A.C[~PIRE IF THE WORK -After forms are erected but prior to )1~cemenI of concreTe' OT AUTHORIZED UNDER THIS PERMIT IS N COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 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: 00/00/000000:00 AM Speciallnstructio'ns: Other Utilities: I Job# 01-00581-01 I Sidewalk Type: Additional ROW? Page 2 of 4 Curbside - 5' Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: D 8 To Curb and Gutter . 6. 00/00/0000 00:00 AM Types Of Warning Devices Reqd. Project Supervisor: Zoning: LOR FloodPlain? D Wetlands? D Journal numbers 1: 99-09-250 2: Comments:Finaled LDAP Overlay District: # of Street Trees: land Use: Pave Driveway? D 3: . Planner: Liz Miller Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a Construction Type~:(VN) WoOd Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: 2004 Accessory~40 Glenwood Area? D Additional Requirements: LDAP Required Required Attachments: Source locn: Material: Flood Plain FEMA: n/a # Of Stories: 2 Height (feet): 26 Current Units: Proposed Units:1 Census Code: New SF - attached Total:2444 Fee Paid On Receipt# Plan Check 06/07/2001 5723 Value/Quantity Fee Amount Hourly Plan Review Total Plan Check 2 $80.00 $80.00 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Building 06/26/2001 5973 06/26/2001 5973 06/26/2001 5973 163,116 $577.00 $40.39 $17.31 $634.70 Temporary: 200 Amps or Less State Surcharge - Electric_al Administrative Fee - Electrical Total Electrical Electrical 06/07/2001 5723 06/07/2001 .5723 06/07/2001 5723 $40.00 $2.80 $1.20 $44.00 Minimum Plumbing Permit Fee Plumbing 06/26/2001 5973 $.00 ~o- Job# 01-00581-01 Page 4 of 4 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 furt.her agree to ensure that all req~ired in ections are requested at the proper time, that each . address is reada~le f[' the street, tha e ermit c a is located at the front of the property, and the approved set of p. will remain on t s' at all r es during construction. ~rAL(I (/j c:-.. c;:>6ZbC3/ ~natur~- ~ / Date DRAINA~-~;XTUREUNIT (DFU) CALCULA'J;i, . TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE F . RE UNITS. (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE ) . UNIT FIXTURE ( # NEW - # OLD x EQUIVALENT = UNITS (2 O)x 3 6 (0 0) x 1 0 (0 O! x 3 - '0 (0 O)x 3 0 (0 0 )x' 6 0 (0 O)x 2,0 .( I O)x 3 3 ( . 0 -, O)x 6 0 (0 0) x 12 0 (0 -0) x 1 0 (0 0 )x' 3 0 (0 O)x 2 0 (0 O)x 2 0 (1 0) x.3 3 (0 0 ).x 2 0 (0 O)x I 0 (0 O)x 2 0 (4 O)x 1 4 (0 O)x 5 0 (0 0) x 6 .0 (3 O)x 3 9 . . . FIXTURE TYPE BATHTUB DRiNKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE I OIL I SOLIDS I ETC. INTERCEPTORS FOR SAND I AUTO WASH I ETC. LAUNDRY TUB CLOTHESW ASHER I MOP SINK CLOTHES WASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FORREFRIG I WATER STATION / ETC. RECEPTOR FOR COM. SINK I DISHWASHER I ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERCIALIRESIDENTIAL KITCHEN - SINK: COMMERCIAL BAR SINK.: DOMESTIC BAR WASH BASIN LAYATORY URINAL, STALL I WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDU's* (0 0) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 25 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFD's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE, CALCULATE CREDIT SEP ARA TEL Y YEAR' CREDITRATE PER $1,000 YEAR CREDIT RATE PER $1,000 . ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE 1979 OR BEFORE $4.74 1990 $1.96 1980 $4.65 1991 $1.55 1981 $4.59 1992 $1.36 1982 $4.46 1993 $1.23 1983 $4.30 1994 $1.05 1984 $4.14 1995 $0.90 1985 .$3.93 1996 $0.75 .. 1986, $3.63 1997 $0.57 1987 $3.26 1998 $0.35 1988 $2.85 1999$0.15 1989 $2.40 CREDIT FOR LAND (IF APPLICABLE) CREDITFO~ IMPROVEMENT (!F AFTER ANNEXATION) VALUE I 1000 CREDIT RATE 29.079 X $0.57 =1 0.000 X $0.57 =, , TOTAL MWMC CREDIT ~l $16.58 $0.00 $16.58 CITY OF SPRINGFIELIlSTEMS D~VELOPMENT CHAR, WORKSHEET JOURNAL OR JOB NUMBER: 01-00581-01 NAME OR COMPANY: L~ LOCATION: 3420 WATERMARK DRIVE TAX LOT NUMBER: 17-02-19-43-01600 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: 1 BUILDING SIZE: 2722 SF LOT SIZE: 5799 SF 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F,' COST PER S.F. x 2036.50 $0.271. = I $551.89 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S.F. COST PER S.F. DISCOUNT RATE x ^ 0.00 $0.271 50% =\ $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC =1 $551.89 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: \ NUMBER OF DFU's I x COST PER DFU I 25 $21.25 B. IMPROVEMENT COST: \ NUMBER OF DFU's COST PER DFU x I 25 $16.15 ITEM 2 TOTAL - CiTY SANITARY SEWER SDC f. .. r./l .~ o o u .~ ~ ~ r./l ~ tI ~ I l 1070/ =1 ./ $531.25 1091 =/ $403.75 ,/ 1092 =1 $935.00 .3.....IRANSPORT A nON A. REIMBURSEMENT COST: I ADT TRIP RATE NUMBER OF UNITS x I 9.57 I B. IMPROVEMENT COST: ADT TRIP RATE I' NUMBER OF UNITS x x 9.57 .: 1 I ITEM 3 TOTAL - TRANSPORTATION SDC I 4. SANITARY SEWER - MWMC I A. REIMBURSEMENT COST: I NUMBER OF FEU's COST PER FEU x I 1 $285.91 B. IMPROVEMENT COST: NUMBER OF FEU's COST PER FEU x 1 . $24.33 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 ADMTNTSTRA TIVE FEE: SUBTOTAL I ADM. FEE RATE $2,600.84 . x I 5% x COST PER TRIP I x NEW TRIP FACTOR' $16.12 1.00 =1 $154.27 COST PER TRIP $68.55 I NEW TRIP FACTOR x I 1.00 =1 =1 $656.02 $810.29 =1 $285.91 =1 $24.33 =1 ($16.58) =1 $293.66 =1 $10.00 =r $303.66 =! $2,600.84 =, $130.04 ~T~ 6/18/01 TOT AL SDC CHARGES = $2,730.88 SDC COORDINATOR DATE 1093 ,/ 1094 J I I 1055 / l I 1056 lJ I.] J073 ./ I " DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET tne following Sp submitted haS d use RINGFIELD, OR 97477 ihe following proie~~~~eQuire specific Ian (541) 726-3753 225 FIFTH STREET zoning and does ..... n . ~. CAL PERMIT APPLICATt6N'541) 726-3689 SPRINGFIELD, OREGON 97477approva\. L~- . INSPECTION REQUEST: 726-3769 zon\~::-?f~ (5' \ ei"fy" Job Number !)j- ~f}~-O( OFFICE: 726-3759 Date _ ~ ~ .' . ' nature ~LETE FEE SCHEDULE BELOY" 1. LOCATION OF INSTALLATLGNhorized ~ . . '-:2'AZ6 VV",-~j/'VVf.a..v K- L/ v,. A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION /782 /1 ~S . , 057CJ1) JOB DESCRIPTION ,~L7. A1V./~,,- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 'LAddress ':,,~. . / ...- .// Ci ty_ Phone Supervisor License / Number // / / Expiration Date .I' ~onstr Contr. Number Expiration Date Signature of Supervising Electrician Owners NameG;-~ J-er..flc..)V\.. Address :Pi [) I \=5 oX 2' 04 ( Ci tfD'l)(V ~ I ((\<; Phone?4(-74a- <t 570 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. '~U-O'>-L:JTI-!nl-!" ~ ~. L. "-wnerS s.',k. ture: - . : 39N\:1H /i _ (" 00'87 ~ 6:08 \ ~ v -, r-7 ....,.d :.. -Ii f" '.' ~OUw ~-~~1-~=~ ----- ------------------- ~ZLSOO~rEB:#SN~~l RECEIPT :jj:: RECEIVED BY: It ems Cost Sum 1000 sq.ft. or'less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Altetation or Relocation 200 amps or less ~ 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit $ 40. 00 ~f') 0Jt) $ 55.00 -:p.L1 $ 80.00 see "B" above $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting' Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 36.00 4n.OO . 2.SlP J ,J... () -f<-!t01:L 40.00 40.00 20.00