HomeMy WebLinkAboutPermit Building 2001-12-10
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Job# 01-01272-01
Page 1 of 3,
TRANS#:Ol-0007463
DATE:DEC 10 2001
AMT RECD:2 $ 293.87
CHANGE:
CASHIER:003
225 North Fifth Street
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-01272-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 1792 I St Spr
Assessors Map#: 17033621
lot: Block: Addition:
Owner:
Address:
Tax lot #: 02200
Subdivision:
Anna Lind
1792 I Street
Phone Number: 541- -
City/State/Zip: Springfield, OR 97477
Addition Value: $11,000
Scope Of Work: Family Room
Contractor Type
General Contr
Family room
Contractor
Rad Construction
PO Box 1445, Springfield, OR 97477
Registration #
110291,
Expiration Date
12/5/2002
Phone
541-744-2233
Office Use
land Use:
Zoning Code: LOR
Bedrooms:
Range:
Quad Area: 2RNW
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Wall Heat
Sq. Footage: 168
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,
Footing
Foundation
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Final Electrical
. Required Inspections
I Building
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
- Prior to decking.
- Prior to cover.
- Prior to cover.
- Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
- When all electrical work is complete.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journal numbers
1: 2:
Comments:
I Job# 01-01272_.01
Overlay District:
# of Street Trees:
3:
Additional Requirements:
Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary?D Glenwood Area? 0
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X white
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: 168 Accessory:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Residential- Single Family - Storm
SDC Administrative Fee
Total System Development
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Steve Templin
Engineering-Res
Page 2 of 3
land Use:
Pave Driveway? 0
Flood Plain FEMA: Panel 1161 of 2975
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet): 11
Proposed Units:
Total:168
Paid On Receipt#
Plan Check
11/16/2001 7272
Building
12/10/2001 7463
12/10/2001 7463
12/10/2001 7463
Electrical
12/10/2001 7463
12/10/2001 7463
12/10/2001 7463
12/10/2001 7463
System Development
12/10/2001 7463
12/10/2001 7463
Planning
12/10/2001 7463
Date Completed
Comment
11/27/2001
11/29/2001
Value/Quantity
11,000
11,000
3
192
1
Fee Amount
$74.88
$74.88
$115.20
$8.06
$9.22
$132.48
$.00
$49.00
$3.43
$3.92
$56.35
$52.42
$2.62
$55.04
$50.00
$50.00
$368.75
...:.
Plan Check Type
Checked By
Planning-Res
Liz Miller
Planning-Res
Liz Miller
Structural-Res Tom Marx
"'
ILIA M....J{ jfY'v. ~
Signature
-
Job# 01-01272-()1
Date Completed
12/05/2001
Comment
Page 3 of 3
Called and left message for contractor for rear
setback of addition since not listed and plot
plan not to scale. '
/rJ--/O -0 /
Date
=1 $0.00
=, $0.00 I
=1 $0.00 ,
=1 $0.00 I 1055
=1 $0.00 I 1056
=1 $0.00 II
=1 $52.42 l :1
. . ~ ...
CITY OF SPRINGFIELD ~ fEMS DEVELOPMENT CHARG' -'ORKSHEET
JOURNAL OR JOB NUMBER: 01-01272-01
NAME OR COMPANY: LIND
LOCATION: 1792'1' STREET
TAX LOT NUMBER: 17-03-36-21-02200
DEVELOPMENT TYPE: ADDITION
NEW DWELLING UNITS: 0
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. - - COST PER S.F.
x
192.00 $0.273 , =,
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. COST PER S.F. DISCOUNT RATE
x x
0.00 $0.273 50%
BUILDING SIZE:
o
SF
LOT SIZE:
o
, SF
$52.42
=1 $0.00
=, $52.4~:,._._,1
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's COST PER DFU
x
o $21.37
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
x
o $16.24 .
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE I x NUMBER OF UNITS x COST PER TRIP x NEW TRIP FACTOR
9.57 0 $16.21 1.00 =1
B. IMPROVEMENT COST:
I ADT TRIP RATE I x NUMBER OF UNITS I x COST PER TRIP
9.57 0 $68.94
I ITEM 3 TOTAL - TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's COST PER FEU
x
o $332.86
B. IMPROVEMENT COST:
NUMBER OF FEU's COST PER FEU
x
o $34.83
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. ADMINISTRATIVE FEE:
SUBTOTAL ADM. FEE RATE
x
$52.42 5%
=1
$0.00
=1
=r
$0.00
$0.00
$0.00
Ix NEW TRIP FACTOR
1.00 =1
=,
$0.00
$0.00
=1
$2.62
~T~
SDC COORDINATOR
11/2912001
TOTAL SDC CHARGES =
$55.04
DATE
Con
~
Cl
o
U
~
~
~
Con
~
~
~
II
1070
.
1091
I
l
1092
1093
,
I"'
1094
1073
~' .. , ~.
DRAINAGE Fl. UNIT (DFU) CALCULATION 3LE
"
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - . UNIT FIXTURE
FIXTURE TYPE # OLD ) x EQUIVALENT = UNITS
BATHTUB ( 0 0 )x 3 = 0
DRINKING FOUNTAIN ( 0' 0 ) x 1 = 0
FLOOR DRAIN ( 0 0 ) x 3 = 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0
LAUNDRY TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER / MOP SINK ( 0 0 ) x 3 = 0
CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 ' - 0
MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12, = 0
RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( 0 0 ) x 2 = 0
'" SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( 0 0 ) x 3 = 0
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 0 0 ) x 1 = 0
URINAL, STALL / WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 0 0 ) x 3 = 0
MISCELLANEOUS DFU TYPE NUMBER OF EDU's*
(. 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 0
*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 CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFfER ANNEXA TIO-N)
IF IMPROVEMENTS OCCURRED AFfER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
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 $4.64 1993 $\.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
0.000 X $0.00 =!
0.000 X $0.00 =!
TOTAL MWMC CREDIT =!
$0.00
$0.00
$0.00
, 'h th.... ~_f"dl"'\!'.."r,~
. _ The \ollowing project aE submitted as 'v.." "
22) FIFTH, STREE,T "~" does no. t, req""u" ire speCIfic land uSE, ELECUtiCAL, "PERMI, ' TAP, PL,I, C,'. AT, ION
SPRINGFIELD, ORE~~~II' " '., ,
INSPECTION REQUE, ' ~'f:,,: 726-,3,76, c), ',",,' t>.~" ,', (,ih' J-G-b Number 'fl-Ol d-rd---e,
ZOOlflg .1/" "" ..
OFFICE: 726-3759 ' \>iLlW~rd I ,.
Date <7\ ,',', '.,',..~I\ ii.. Cc,OMPLETE FEE SCHEDULE BELOW
1. LO~ATlON OF IN~Jt~~D~ture " ,.~, -^
/1"1 J-- T ~ r ( A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/7.f?S ~?0 2-!
JOB DESCRIPTI<W
J 2., X l,4 . A'l.lI?/:'/1 AJ) /17M!
Items Cost
Sm,ll
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
$ 50.00
2. CONTRACTOR INST ALLA TION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical' Contractor
Address
City
Phone
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000aIl1ps
Over 1000 amps/volts
Reconnect Only
$ 63.00
,$ 75.00
$125.00
$163.00
$375.00
$ 50,00
.' Expiration Date
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps '
Over 600 amps or 1000 volts see
"B" above
~~, :L
Address ) ':f'q ;;.:. Sf '
City ~Uf~1.iphone Ill/- / .g 0 d- <.t
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
for sale, lease or rent.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
I $43,00 _~~ O-.@
Each Additional Circuit or with Service
or Feeder Permit '1-- $ 3.00 1$ d cJ
Owners Signature: '1\
~lt-J~
r~J~rRl(} 74~2
/~ /2/1(ar ,2..1.1. f,?
/l~7 !
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
Minimum Electl"ic Permit Inspection Fee is S45.00 + Surcharges
4. SUBTOTAL OF ABOVE
7% State SUI"charge
8% Administrative Fee
---//-. <J tJ
-rv!.'~3
3,
'5: '72.
TOTAL
5b /'?)-