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Home My WebLink AboutPermit Building 2001-1-18 l' ,~, 'f .. . . -;, I Job# 01-00010-01 I Page 1 of4,.. TRANS#:01-0004266 DATE:JAN 18 2001 AMT RECD:2 $ 4735.52 CHANGE: CASHIER: 059 ~ 225 North Fifth Street Springfield, OR 97477 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00010-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 3404 Falcon Dr Spr Assessors Map#: 17021943 Lot: 89 Block: Addition: 1 Address: Po Box 2041 City/State/Zip: Corvallis, OR Scope Of Work: Single Family Residence New Val;0?\$135,177 Construct Single Family Residence r,.V-:' _voll"\\:. \r\\'\: 'co NO~ ". \ \~ - SW"\..'-~' I't.\'\-'''' :,S 1"\:.\'.\'11\\" \ \\'IO\:.? \~\~r O~'C.O rO? , ....O?\L.'Registration'#.~ Expiration Date ,l,',{\ ~nO,",\""" River Valley Builders Inc '. ",..c~C1-345~~\OO. 4/15/01 PO BOX 2041, Corvallis, OR 97339 ,t;:l \.)1-\ '{ ? G & E Electric Inc 54468 Po Box 1686, Albany, OR 97321-0529 Mechanical Contr Midway Heating Co Inc 12625 Se Sherman St, Portland, OR 97233-1449 Owner: Contractor Type General Contr Electrical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Tax Lot #: 08300 Subdivision:Ambleside Meadows Greg Larkin Phone Number: 541-726-0330 Contractor Phone 541-726-0330 9/15/01 541-967-8627 c' , 3RNC 1 (VN) Wood Frame Gas 5/22/01 .~, .'J~ \'503-252-4003 ,~,: . H" " ,~,.. ,. . .;., 1.1 - ...r \'" )\,:' .' \.\-~. . -_ =.}':Jt..d ... !....., "> ~ \ ',,"\.1 -l:,. .. Op..r-- \\q5 \J \4687 :'" ~ "d' 7/25/001l\\" ')\ In'~ ('541-928-7927 >.; ll;'C:~\\u\ 1\,\..0\.)1" ....()'P\~- ..\,=,~,\(j\..... ".J\'" , L .'t..I)" :o\?..!" .(\, ,~v., 'CJ.\,O' Op..r' d.l '11'CJ." r). -1UI~' .\')\I\\C {\ "'('\ 'l'J'J' . .\\t-<l _I ,:"Y'\ \ .)V'" \'\\~.l .\'.... \1' . Office Use u~" ~ ,,,,," 'il'" . Single Fan\'i1y'b~elling LDR 3 Gas 24044 Midway Plumbing Inc 2428 Three Lakes Rd Se, Albany, OR 97321-9781 Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: 1 Occupancy Group: Private Garage/C, Heat Source: Forced Air Gas Sq. Footage: 1816 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 Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Required Inspections I Buildin~ I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i -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, 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: 00/00/00 00:00 AM Special Instructions: Other Utilities: Project Supervisor: ,. ,J" t .. Framing Wall Insulation Drywall Final Building Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Perimeter Foundation Drains Final Plumbing Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical SW-Curbside CC-Standard . . I Job# 01-00010-01 i Required Inspections Buildin~ Page 2 of 4 - Prior to cover. - Prior to Cover - Prior to taping. - When all required inspections have been approved and the building is complete. I Plumbin~ -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. Mechanical - Prior to cover. -After line is installed and line has been connected to a minimum of one appliance. Pressure tel - 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: Curbside - 5' o 8 To Curb and Gutter 6 00/00/0000:00 AM Types Of Warning Devices Reqd. f" ;........ 'I .. . I Job# 01-00010-01 I . Page 3 of4 Land Use: Single Family Dweliing Pave Driveway? 0 Zoning: LDR Overlay District: FloodPlain? 0 Wetlands? 0 # of Street Trees: 2 Journal numbers 1: 2: 3: Comments:See Permit 01-00010-03 for LDAP Permit Planner: Liz Miller Urban Growth Boundary?D Glenwood Area? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: Zone X White Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA: Construction Types:(VN) Wood Frame Occupancy Groups:Private Garage/Carp/Stor # Of Buildings: 1 # Of Stories: 2 Height (feet): 26 # Of Bedrooms: 3 Current Units: 0 Proposed Units:1 Handicap Access? 0 Census Code: New SF - attached ,Area (Sq. Feet) I Main: 1816 Accessory~75 Total:2291 Fee Paid On Receipt# Plan Check 01/03/2001 0004165 Value/Quantity Fee Amount Residential Plan Check Total Plan Check 135,178 $334,10 $334.10 Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building Buildin~ 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 135,177 $514,00 $35.98 $15.42 $565.40 Minimum Plumbing Permit Fee Three Bathrooms State Surcharge - Plumbing Administrative Fee - Plumbing Total Plumbing Plumbin~ 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 1 $,00 $192,50 $13.48 $5.78 $211,76 Hood and Exhaust One to Four Outlets Minimum Mechanical Permit Administrative Fee - Mechanical Vent Fan to One Duct UniUHeater Gas Fireplace Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical Mechanical 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 1 1 $4,50 $2.00 $,00 $.96 $12,00 $6,00 $4.50 $3.00 $10.00 $2.24 $45.20 4 1 1 1 Public Works 01/18/2001 4266 60 $60,00 New Sidewalk r ';-'" . Page 4 of 4 . .. Job# 01-00010-01 Paid On Receipt# Public Works 01/18/2001 4266 Fee Value/Quantity New Curbcut Total Public Works 1 Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Sanitary MWMC Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Total System Development System Development 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 01/18/2001 4266 1 2,124 24 1 1 1 1 S.F, Residence - Willamalane Total Willamalane SDC Grand Total Willamalane SDC 01/18/2001 4266 1 Plan Check Type Checked By Date Completed Comment Initial Review-Res Wendy Stanley 01/04/2001 Engineering-Res Planning-Res Steve Templin 01/10/2001 Liz Miller 01/11/2001 Needs to pick up LDAP Permit before issuing building permit LM Fee Amount $60.00 $120,00 $575.47 $897.60 $810,29 $285,91 $24,33 $10,00 $130,15 $-,59 $2,733.16 $1,000.00 $1,000.00 $5,009.62 Structural-Res Wendy Stanley 01/16/2001 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 dable from the e, that the permit card is located at the front of the property, and the ap rov t of plans will r~e~te at all times during construction. / -/7' --c) / Signat6/ -"- /' Date .. , . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER: 01-00010-01 ~ NAME OR COMPANY: LARKIN LOCATION: 3404 FALCON DRIVE TAX LOT NUMBER: 17-02-19-43-08900 ANNEXATION YEAR 1997 LANE COUNTY ASSESSED VALUE (LAND) $1,037 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: 1 BUILDING SIZE: 2291 SF LOT SIZE: 5989 SF 1 <;TORM DRAINAGE I IMPERVIOUS S.F. I I COST PER S,F. 1 2123.50 I' 1 $0,271 [ ITEM 1 TOTAL - STORM DRAINAGE SDC 2 SANITARY <;FWFR _ rTTY =1 $575.47 ~ =[ 5575.47 'II A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I. I COST PER DFU I I 24 I $21.25 B. IMPROVEMENT COST: I NUMBER OF DFU's II COST PER DFU J I 241 $16,15 l I ITEM 2 TOTAL - CITY SANITARY SEWER SDC " TRAN~P()QTATT()N =1 $510.00 i I =1 $387.60 , =1 5897.:6011 A, REIMBURSEMENT COST: I ADT TRIP RATE 1,1 NUMBER OF UNITS 1..1 COST PER TRIP I 9.57 I 1 $16.12 B. IMPROVEMENT COST: I ADT TRIP RATE 1.1 NUMBER OF UNITS I..l COST PER TRIP I 9.57 I 1 $68.55 I ITEM 3 TOTAL - TRANSPORTATION SDC " <;A N}IARY <;FWFR - MWMC. A. REIMBURSEMENT COST: I NUMBER OF FEU's 11 COST PER FEU I 11 $285.91 B. IMPROVEMENT COST: I NUMBER OF FEU's II COST PER FEU 1 1 '1 524.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINlSTRATNE FEE , ITEM 4 TO_TAL - MWMC SANITARY SEWER SDC ,-- SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMlNT<;TRATTVF FFF' ,INEW TRIP FACTOR I 1.00 =1 $154.27 , I NEW TRIP FACTOR I 1.00 =1 $656,02 =r 5810.29 =1 $285,91 1 1 1 =l 53t9.65 I , =1 $2,603.01l $24.33 ($0.59) $10,00 =1 =1 =1 s:t- T-r4 J..I ADM'FEERATEJ 5% 1/10101 SUBTOTAL $2.603,01 SDC COORDINATOR DATE =1 TOTAL SDC CHARGES =1 $130.15 ~ $2,733.~ . . .. DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO.OFFDOLffiES D~AGE ( # NEW # OLD ) X EO=ENT = F= (I ) X 3 3 ( ) X I 0 ( ) X 3 0 ( ) X 3 0 ( ) X 6 0 ( ) X 2 0 ( ) X 3 = 3 ( ) X 6 0 ( ) X 12 0 ( ) X I 0 ( ) X 3 0 ( ) X 2 2 ( ) X 2 0 ( ) X 3 3 ( ) X 2 0 ( ) X I 0 ( ) X 2 = 0 (4 ) X I 4 ( ) X 5 0 ( ) X 6 0 (3 ) X 3 9 FDOLffiE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. INTERCEPTORS FOR SAND / AUTO WASH / ETC. LAUNDRY TUB CLOTIffiSW ASHER / MOP SINK CLOTIffiSW ASHER - 3 OR MORE (EA) MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIG / WATER STATION / ETC. RECEPTOR FOR COM, SINK / DISHWASHER / ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: COMMERClAURESIDENTIAL KITCHEN SINK: COMMERCIAL BAR SINK: DOMESTIC BAR WASH BASIN LAVATORY URINAL, STALL / WALL TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ( ) X 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 24 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARA TEL Y YEAR CREDITRATEPER$I,OOO 'I YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE - 1990 $1.96 1979 OR BEFORE $4.74 1980 $4,65 1991 5L55 1981 $4.s9 1992 5L36 1982 $4.46 1993 5L23 1983 5430 1994 51.05 1984 54.! 4 1995 50.90 1985 53.93 1996 50.75 1986 53.63 1997 50.57 1987 53.26 1998 5035 1988 52.85 1999 50.15 1989 52.40 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDITRATE 1.037 X $0.57 =1 0.000 X $0.57 =1 TOTALMWMCC,REDIT =1 $0.59 $0.00 $0.59 . . P?.. vIt'llamillane t,"""f' Park & Recreation District Job. No. O/-OCXJ/O-O/ '. SYSTEM DEVELOPMENT CHARGE WORKSHEET , NAME: (y ^,~.-\.:>, 11',,:',,", ADDRESS: ~l ~ J CIYIAx>IL . PHONE: -jl-~~-O~ 3..0 STATE: OJ>- ZIP: Jr3.3 '1 LOCATION OF PROPOSED BUILDING SITE: 3'iOLt 'VQ,\,,<>.. br Street Address: Plat Name: ~ Tax lot Number: {?O:{ I qLJ ~ 09,300 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculalions and dwelling t ype definitions are on thc back.) A. Sjnolp.-F~milv Dp.f~r.hp.r1 Single Family home Manufactured home not in a park .1., :1. ~O, OF UNITS 11 ~. I . ',": ,I,! " ,1, :;'11'1. " ';'.1 . B. ,Sinale-Familv AI1~chp.rl , , '., X $1,000 per unit = $ ~ DOG ,cP- .-:t,., ". , NO. OF UNITS Ii ,tJ,~{,(j. :~i~.. >','-11 " I,. .II C. Ml!lli-Familv Aoartmen!L X $924 per unit = . I . , $ i! NO. OF UNITS X $692 per unit = $ D. .Marwfactllmrl Honm Pmk NO. OF UNITS WlllAMAlANE SDC X $699 per unit <= $ $ 2. SDC CREDIT (If applicablc) SDG-paycr must furnish proof of Willamalanc Credit approval. See sac Credit Worksheet. $ $ ~IOM.""; 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Crcdit) lJ.J, \:>>L Af-~ Development ServTces Q)Jpartment City of Springfield I I t.L I 01 Date' f:: , . .. I.', ~