HomeMy WebLinkAboutPermit Building 2000-4-28
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I Job# 00-00592-01 I
Page 1 of 4
TRANS#:Ol-0001401
DATE:APR 28 2000
AKT RECD:2 $ 4659.35
CHANGE:
CASHIER: 059
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SPRINGFIBLD
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225 North Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00592-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3423 Falcon East Spr
. Assessors Map#: 17021943
Lot: 100 Block: Addition:2
Owner:
Address:
Tax Lot #: 08300
Subdivision:Ambleside
Greg Larkin
Po Box 2041
Phone Number: 541-726-0330
City/State/Zip: Corvallis, OR
Scope Of Work: Single Family Residence
New
Value: $128,127
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Contractor 1'>- Registration #
rlllE
River Vall~\~_ BI.!~W~:.'!vIV:L 72942
PO Box 2041r".Col:V/ allls; ,0R, 97339 la
I 0 -~ I()r/~ ~l UTeOb "'~l"
G & E ElegI,981~~IS2'0;~(j'91 ; 1;(J~,tl;e a~?446,8._ .
Po Box 1666'Jf'lbanYI,OR'9732!i052911", (,01; 11,;:
.......'n(j.,.h "'YOor'=t fUUI./ 1,.,
Midway Mg6h'~riicalc cen',,: 1/, GOfJ/L.:' ,J", 04687
"ur'l; l. (". 0..,1 ..
X X OR ,., I E 0 (;. ," .
, , l. j',"". (f'o ..- _I,
. .'," UI,U/II/, '
Midway Plumbing Inc '''', '.:, ."'/f'fJ,87'"
2428 Three Lakes Rd Se, Albany, OR. -, !:il/ll
97321-9781
Expiration Date
4/15/2001
Phone
541-740-4370
9/15/1999
541-967-8627
1/24/2000
541-928-2423
7/25/2000
541-928-7927
Office Use
Quad Area: 3~r1r9"'C~. Land Use: Single Family Dwelling
# Of Units: 1 HISp",l"o, . Zoning Code: LOR
~ ' '~ c::rr/rAr,.......
Constr. Type: (VN),'J,Vood FramE/411 Bedrooms: 3
c: ""'TIZ~ ,{::'l -...
Water Heater: OIV1!'r-. r;;DUII',}.... Ranglli. Electric Sq. Footage:
1 - IVICIIJr.._ .. ~l.... ?-, ,_
....'vYl -"'uOf,,(' .,."iSt.... '''-Wn ,_
To request an inspect:m~II)~t:>24'h6i!r;rec91aii\'g\at's26~769. All inspections requested before 7:00
a.m. will be made the same WOrKlrlgl9.ay, i1l'speC!iB?-sO'rel/6'ested after 7:00 a.m. will be made the following
working day. 'A
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Gas
1695
Required Inspections
~.. Buildinll ----I
-Install ground rod at footing, and call for inspection in conjuction with footing andlor 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.
- Prior to cover.
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Wall Insulation
Drywall
Final Building
Temporary Power
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Shower Pan
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
Curbcut
Sidewalk
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I Job# 00-00592-01 I
Required Inspections
Buildin!l
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Page 2 of 4
- Prior to Cover
- Prior to taping.
- When all required inspections hav~ been approved and the building is complete.
I Electrical I
-Approval required prior to SUB energizing pole.
Plumbin!l
- 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.
I Mechanical
.Prior to insulation or decking.
. 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 ereceted but prior to placement of concrete.
Street Improvement: Fully Improved
Curb Cut?l?J Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? l?J
Special Req.:
Security Required:
Bond Begin DateTime:
Special Instructions:
Other Utilities:
Project Supervisor:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
00/00/0000 00:00 AM Bond End DateTime:
STORM DRAINS TO PRIVATE STORM SEWER STUB
Curbside - 5'
D
8
To Storm Sewer
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers.
1: 2: 3:
Comments:2 paved 9x18 off-street parking spaces are required
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I Job# 00-00592-01 I
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Page 3 of 4
Land Use: Single Family Dwelling
Pave Driveway? 0
Overlay District:
# of Street Trees:
2
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
,Area (Sq. r.-1)
I Main: 1695 Accessory50
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
One to Four Outlets
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Gas Fireplace
Dryer Vent
Mechanical Issuance
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height (feet): 23
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:1745
Paid On Receipt# Value/Quantity
Plan Check I
04/19/2000 1294 2
Fee Amount
. $80.00
$80.00
Buildinll
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
128,127
$498.25
$34.88
$14.95
$548.08
Electrical
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
1
$40.00
$2.80
$1.20
$44.00
Plumbinll
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
1
$.00
$160.00
$11.20
$4.80
$176.00
Mechanical
04/28/2000 1401
04/28/2000 1401
04/28/2000 ",1401
04/28/2000 '1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
1
1
$4.50
$2.00
$.00
$.87
$6.00
$9.00
$4.50
$3.00
$10.00
1
3
1
1
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Job# 00-00592-01
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Fee
Paid On Receipt#
Mechanical
04/28/2000 1401
Page 4 of 4
Value/Quantity Fee Amount
I
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State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Public Works
04/28/2000 1401
04/28/2000 1401
55
1
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
System Development
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
04/28/2000 1401
3,324
22
1
1
1
1
S.F. Residence - Willamalane
Total Wi llama lane SDe
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res.
Structural-Res
Willamalane SDe
04/28/2000 1401
1
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
04/24/2000
04/25/2000
04/26/2000
04/26/2000
$2.03
$41.90
$60.00
$60.00
$120.00
$771.05
$1,061.94
$491.60
$242.76
$22.05
$10.00
$129.97
$2,729.37
$1,000.00
$1,000.00
$4,739.35
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 t s reet, hat the permit card is located at the front of the property, and the
m~f plans w' re in ther-site at all times during construction. 4-- Z &_ de)
Signa~ r Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00592-01
NAME OR COMPANY: LARKIN
LOCATION: 3423 FALCON DRIVE
TAX LOT NUMBER ]7-02-19-43- PO 08300
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
LOT SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
3323.50
x
$0.232 PER SQ. FT.
$771.05 I
2. SANITARY 5BWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
22
x
$48.27 PER PFU
$1,061.94 I
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3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 ,
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
$22.05 I
$0.00 I
$10.00 I
$274.81 I
$2,599.40 I
NUMBER OF FEU's
x
$22.05
PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$129.97 I
~T~
SDC COORDINATOR
04/25/2000
DATE
TOTAL SDC CHARGES I $2.729.371
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
.frIOTE, FOR REMOOEL,. CALCULATE ONLY THE NET AODlTIONAL FIXTURE~
.
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLlDSIETC.
INTERCEPTORS FOR SANDI AUTO W ASHIETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
'MOBILE HOME PARK TRAP (] PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! D1SHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASIN/LA V ATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INST ALLA TION
TOILET, PRlV A TE INST ALLA TION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
4
o
o
o
o
2
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS~I 22
2
2
2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
]988
RATE PER $1,000
ASSESSED V AL1lli.
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
]989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF ApPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.]8
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
x
x
$0.00
$0.00
CREDIT TOTAL $0.00
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P?... Willamalane
t, ~ Park & Recreation District
f" SYSTEM DEVELOPMENT CHARGE
.u f\.. . WORKSHEET
NAME: GXW~. ~ l)UIY t nJ PHONE: ~tUo . D330
ADDRESS: ~l ~ d_ ~ I) ~.orua.llis- STATE: tw-zIP: ~
LOCATION OF PROPOSED BUILDING SITE: f\
Street Addrfss:/,_nA~..~ rnlQoo l )ri1f~
Plat N~ <X{~ g. _ Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
<
Job. No.DD .rt6q@(
g~
A Sinole-Fllmilv Detllr-her!
\ Single Family home
NO. OF UNITS \
Manufactured home not in a PCi>
X $1.000 per unit = $ WOO.
B. Sinole-Fllmilv Att8r-her!
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv AOllrtment
NO. OF UNITS
X $692 per unit = $
D. Mllnufllcfl/rAr! Home PRl1~
$
$
\Om 00
JJ
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of
Willamatane Credit approval. See sac Credif Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED I 00
\\tfu~r:W') 4 J~:'
Development se~~s Department Date
City of Springfield