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Home My WebLink AboutPermit Building 2000-8-3 , J-' . .' Page 1 of4 TRANS#:01-0002756 DATE:AUG 03 2000 AMT RECD:2 $ 4387,58 CHANGE: CASHlm:059 I Job#00-o1127-01 I RESIDENTIAL PERMIT City Of Springfield J.\TTENW~rp~~\l.nity ~.fcr:=;~~~g~ 1,- fo!'~w ~ules ad~elrSY~he Oregon Utility NotifICation Center. Those ru les are settortl , In OAR 952-001-0010 through OAR 952-001. 0090. you may obtain copies of the rules by Location Of Proposed Site: ca~ttmm:mtlPr(N~ the telephone Assessors Map#: 1702194:}1mberforth~ Oregon Utility Notification CenfP.r,~ 1-~nn-'J".?"!)~dil'- Lot: 84 Block: . . . Aaaition.'1st 225 North Fifth Street Springfield, OR 97477 Owner: CITY OF SPRINGFIELD, OREGON Job Number: 00-01127-01 Office: 726-3759 Inspection Line: 726-3769 Tax Lot #: 08400 Subdivision:Ambleside Meadows River Valley Builders Inc PO BOX 2041 Phone Number: 541-726-0330 City/State/Zip: Corvallis, OR 97339 New Value: $128,273 Address: Scope Of Work: Single Family Residence same as 2267 33rd Street Contractor Type General Contr Electrical Contr Mechanical Contr Plumbing Contr Quad Area: # Of Units: Constr. Type: Water Heater: Contractor NOTICE: Registration # Exp~ion Date River Valley Builders I~c THIS PERMITg~~tt6EXPIRE IFo/~~~8~K PO BOX 2041, Corvallis, OR,L,973390RIZED UNDE U I M RTHISPERMITI~I\IOT G & E Electric Inc COMMENCED~9g ABANDONfB ~d~01 Po Box 1686, Albany, OR 97~~'1-9~3~AYPERIOD. Midway Mechanical 04687 1/24/2000 X,X,OR Phone 541-726-0330 541-967-8627 541-928-2423 Midway Plumbing Inc 2428 Three Lakes Rd Se, Albany, OR 97321-9781 4687 7/25/2000 541-928-7927 Office Use Land Use: Single Family Dwelling Zoning Code: LDR Bedrooms: 3 Range: Electric 3RSC 1 (VN) Wood Frame Gas # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Gas Sq. Footage: 1705 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 Framing Required Inspections I Buildinq 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. - Prior to cover. 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: DO/DO/DODO 00:00 AM Special Instructions: Other Utilities: Project Supervisor: Zoning: LDR FloodPlain? D Wetlands? D Journal numbers 1: 2: Comments: Planner: AI Ward Urban Growth Boundary?D Quantity Of Fill: Supplier: Drainage: Floodway FEMA: n/a , . Wall Insulation Drywall Final Building Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Gas Rough Mechanical Gas Service Final Gas Final Mechanical SW-Curbside CC-Standard -~ . . Page 2 of4 I Job# 00-01127-01 I Required Inspections Building - Prior to Cover - Prior to taping. - When all required inspections have been approved and the building is complete. I Plumbing - 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. -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 -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' D 8 To Curb and Gutter 6 DO/DO/DODO 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 1 Land Use: Single Family Dwelling Pave Driveway? 0 3: Glenwood Area? D Additional Requirements: LDAP Required Required Attachments: Source Locn: Material: Flood Plain FEMA: n/a , . ~ Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? 0 rArea (Sq. Feet) I Main: 1705 Accessory520 Fee Hourly Plan Review Total Plan Check Building Permit State Surcharge For Building Permit Building Administrative Fee Total Building 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 State Surcharge For Mechanical Permit Total Mechanical New Sidewalk New Curbcut Total Public Works Residential - Single Family - Storm Residential - Single Family - Storm Sanitary Sewer Residential Transportation Residential Transportation Residential Sanitary MWMC Residenliallmprovement MWMC MWMC Administrative Fee SDC Administrative Fee Property Annexed 1997 Job# 00-01127-01 I . Page 3 of 4 Accessory Structure # Of Stories: 1 Height (feet): 20 Current Units: Proposed Units:1 Census Code: New SF - detached Total :2225 Paid On Receipt# Plan Check 07/19/2000 2624 Buildinll 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 Plumbinll 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 Mechanical 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 Public Works 08/03/2000 2755 08/03/2000 2755 System DeveloDment 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 08/03/2000 2755 Value/Quantity I Fee Amount 2 $80.00 $80.00 128,273 $498.25 $34.88 $14.95 $548.08 1 $.00 $160.00 $11.20 $4.80 $176.00 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 $60.00 $60.00 $120.00 2,929 2,929 18 1 1 1 1 1 $702.96 $702.96 $897.48 $507.82 $507.82 $242.76 $22.05 $10.00 $119.12 $-.59 1 , . . . Job# 00-01127-01 Fee Paid On Receipt# System Development 08/03/2000 2755 Page 4 of 4 Value/Quantity Fee Amount .~ . Property Annexed 1997 Total System Development 1 $-.59 $3,711.79 SF Residence - Wi llama lane Total Willamalane SDC Grand Total Willamalane SDC 08/03/2000 2755 1 $1,000.00 $1,000.00 $5,677.77 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Steve Templin AlWard 07/21/2000 07/27/2000 07/27/2000 Engineering-Res Planning-Res Structural-Res Wendy Stanley 08/03/2000 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 rea able from the stre, the ermit card is located at the front of the property, and the approve of plans~a' onjlll! . atpll times during construction. 'U /' g-y-c70 ~siQilaturO ,/ Date ,. . . f\~ '. .. ~rlhWillamalane ~'-- "1' Park & Recreation District f. SYSTEM DEVELOPMENT CHARGE WORKSHEET .NAME: ~\~f~\~I!1G ~l.i V1V1S- PHONE:"l'l..\o 033J ADDRESS:t]~~~\ .~~STATE: CJ(L..iIP: Qlg~ , Job. No. ro.. 0\. \'L"JJj LOCATION OF PROPOSED BUILDI-lG SITE: . _YJ.Al~ ~(\li'0Y\ ~ VQ/ t ~Tax Lot Number:'1!lOiliQ4?..lYlW Plat N 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculalions and dwelling t ype definitions are on the back.) . A. Sinote-Fflmilv Detflc:hAr! Single Family home l Manufactured home not in a park X $1,000 per unit = $1000 .00 NO. OF UNITS B. .Sinale-FAmilv Attached NO. OF UNITS X $924 per unit = $ C. Multi-FAmilv Aoartment NO. OF UNITS X $692 per unit = $ D. MAnllf::)r:tIJr(~c1 Home Pm1~ NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ j[)()O .en ~ $ lODe') CO $ 2. SDC CREDIT (II applicable) SDG-payer must furnish proof ol Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (I~SDC reduced for Credit) o~s.~~'m - City of Springfield I I Date . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 00-01127-01 NAME OR COMPANY: RIVER V ALLEY BUILDERS LOCATION: 3478 FALCON DRIVE TAX LOT NUMBER 17-02-19-43-08600 (AMBLESIDE LOT 84) DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE DWELLING UNITS: BUILDING SIZE: 2225 LOT SIZE: 7352 STORM DRAINAGE IMPERVIOUS SQ. FT. 2929.00 x $0.240 PER SQ. FT. $702.96 I 2 SANITARY SFWFR-rm NUMBER OF PFU's (SEE REVERSE SIDE) 18 x $49.86 PER PFU $897.48 I 3 TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $502.79 PER TRIP x $502.79 PER TRIP $507.821 $0.00 TOTAL TRANSPORTATION SDC $507.82 I 4 SANITARY SFWFR - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's x $22.05 PER FEU $22.05 1 ($0.59)1 $10.00 I $274.22 I $2,382.48 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5 ADMINISTRATTVF FFFS' . BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $119.121 ~1~ 'svc COORDINATOR 07/25/2000 VAn, TOTAL SDC CHARGES I $2,501.60 I TOTAL PLUMBIN~ FIXTURE UNITS=I CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEl YEAR RATE PER $1,000 YEAR 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 $4.461993 $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 PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS.. CALCULATE ONLY THE NET ADDITIONAL FIXTURES> _ F1XTIJRE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASHlETC. LAUNDRY TUB/CLOTHESWASHER/MOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TIONIETC RECEPTOR FOR COMMERCIAL SINK/ DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALUWALL WASH BASIN/LA V ATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD I UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 1 6 4 2 2 $0.57 x 1.037 x ~. . ~ . - PLUMBING FIXTURE UNITS 2 o o o o 2 o o o o 2 o 2 o 2 o 8 o o o 18 $0.59 $0.00 CREDIT TOTAL $0.59 .~ tif ' , .' i8~'S#: 01-0002912 225 FIFTH STREET The following project 8S submitted has the fo~CAL PERMIT APPLICAT D~TE' AUG '15 "000 SPRINGFIELD, OREGON 97477zonm9. and does not require specific land use . ~.f) $ 445 50 :INSPECTION REQUEST: 726-mll)'al. Li)t"2- Ci ty Job Number 00- 0 I flt)i~'(!lI?'" CHANGE:' OFFICE: 726-3759 Zonrng CASHIER: 059 , Oate f<. - 1<;""- 0<> 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLAT~ON - ~ 3/1 7<'7 -c ,1 (((') ,'^ (I. tno"zed signature. ill i 1 Si 1 ~ ~ rr< r, U ~ew,~es ent a - ng e or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION 1'+0d-.. \ct4~ 09'-1.001 JOB DESCRIPTION Whnl-e: nOUS e wi f l vt a~ o Permits are non-transferable and expire 'if work is not started within 180 days of issuance or if work is suspended for 180 days. . Items Cost Sum 1000 sq.ft. or less I . $ 85.00 85.00 Each additional 500 i sq. ft or portion 3 L/S,QO ~ ,- thereof $ 15.00 Each Manuf'd Home or ! Modular Dwelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders IVYlfClE:l?fL Installation, Alterations or Electrical Contractof~~}.~~~~, Relocation: Address ~n fJot~I~~~~~~~\~PIREIf:THEt9qR~mps 9r less ~" fJ::!t1..if,J,1lr.I()R" , 'ru;)pt;RMIT?-m .amps to 400 amps Ci ty \ ,'ii"hPIfQ.ns.A6'Yl.'q.('i'7~%./o,?;.fED "40.0amps to 600 amps .. , ~~D. f:C601 amps to 1000 amps Supervisor License Number;).. qn ,') Over 1000 amps/vol ts _ - Reconnect Only 10- /-0/ Constr Contr. Numb/!ir,,5YL(03 . fOIlOwrui/i.:a"'" "!JC'. ". Expiration Da.t:@tificatil6,+'S.::.f!06~J;lt"_'-iw're, fOl' r 200 amps or less $ 40.00 nUAR952_0;)'l/er. rhose'~vregonUtiltl' 201 amps to 400 amps $ 55.00 Signature of -~!1Kft~lfa~~Sg~aresetfo~ Over 401 to 600 amps '$ 80.00 'Y F= ---------~yin~~~b}a~coi;i~sOfi4.R952-o0) Over 600 amps or 1000 volts see "B" above '\ '<'::::;, ~! t~.._. theruleSb ., L Cfl"f~~~~",rl:Jgon Utiliiy-(:.;;;",:~honf!' Y Branch Ci rcui ts Owners Name Cu\~ -ll'1!1_1')') ~~ otiftC8tion P 11 '~~"I. New, Alteration or Extension Per Panel Address f\ 0v-nl ~OL City {on.JJ.#'OdL"-^ Phone :t-~.0330 Expiration Date O\INER INSTALLATION The 'installation is being made on property lawn which is not intended for sale, lease or rent. Owners Signature: -----------T------------~------~------- DATE: q; \510 G . RECEIPT lI:i<\ \? .1 RECEIVED BY: l.V~\ VI $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation One Circuit Each Add it ional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 7~% State Surcharge , TOTAL 31'; C{~ F.(.P '[ cJ1-aJ!. $ 35.00 $ 2.00 not included) $ $ $ $ 130.0D '1./0 :~AD IV3.0() 40.00 40.00 20.00 36.00