HomeMy WebLinkAboutPermit Building 2001-6-21
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Job# 01-00558-01
Page 1 of 3
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
TRANS#;Ol-Q005910
DA TE ~ JUN 21 ;:001
AMT RECD:2 $ 122.71
CHANGE;
CPiSHIER; 061
Job Number: 01-00558-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1846 H St Spr
Assessors Map#: 00000000
Lot: Block: Addition:
Tax Lot #: 00000
Subdivision:
Owner:
Address:
Karrol Buchanan
1846 H Street
Phone Number: 541-747-5182
City/State/Zip: Springfield, OR 97477
Scope Of Work: Bedroom
Addition
Value:
Bedroom addition
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00558-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 1846 H St Spr
Assessors Map#: 17033621
Lot: Block:
Owner:
Address:
Karrol Buchanan
1846 H Street
Tax Lot #: 08100
Addition: NOTICE~ubdivision:
PhonlN\fn!i15~}~A1T5~~1747~f8!~E IF THE WORK
City/StJt~JZ?p~IZEq,~~IRdfi~ld~b1fm1lJ IS NOT
Addition COMMENCED OR~fu~~NE$~~5%~ FOR
ANY 180 DAY PERIOD.
Scope Of Work: Bedroom
Bedroom addition
Contractor Type
General Contr
Contractor
Holding General Contracting
1670 J Street, Springfield, OR 97477
Registration #
125268
Expiration Date
9/19/2001
Phone
541-746-9578
Quad Area: 2RNW
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
AT'Tr:=i\J"?"~_ ...
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fO!'?W niles adopt~~~ aw requires you to
!'lotlflcation (jE0fEBulldiX t~? Oregon Utilit
In OAR 952-0"" ,:, :. .v~~ rules ar." c>",'.&_ y
0090 v 0ec'tJpan.C;:Yc.,Gr.oup.;\RDwelhngih
. rOU m.';l" ",~. ,", ~~" \;}I"\ 952-001_
calling th Reat. SOUr:~Et'les of th
e ^~n"- ". " . e rules by
number fo tSq. Footage.,': th~ 1l~leOh
r h~ n~~__ . _ on~
Center is -.; -aDo' umlty Notification
-332-2344).
..
Quad Area: 2RNW
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
I Job# 01-00558-01
Office Use
Land Use:
Zoning Code: LDR
Bedrooms:
Range:
Page 2 of 3
# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage: 110
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.
Required Inspections
I Building
-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.
- Prior to cover.
- Prior to Cover
- Prior to taping.
- When all required inspections have been approved and the building is complete.
Planner: Liz Miller
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: Zone X White
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
-Area (Sq. Feet)
Main: 110 Accessory:
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1:
Comments:
2:
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
Overlay District:
# of Street Trees:
Land Use:
Pave Driveway? D
3:
Additional Requirements:
Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: Panel 1161 of 2975
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:110
Paid On Receipt#
Plan Check
05/31/2001 5625
Value/Quantity
Fee Amount
9,500
$52.33
$52.33
Building
06/21/2001 5910
06/21/2001 5910
9,500
$80.50
$5.64
~
.. .
Job# 01-00558-01
Fee
Paid On Receipt#
Building
06/21/2001 5910
Building Administrative Fee
Total Building
Residential - Single Family - Storm
SDC Administrative Fee
Total System Development
Grand Total
System Development
06/21/2001 5910
06/21/2001 5910
Plan Check Type
Date Completed
Comment
Checked By
Initial Review-Res
06/04/2001
06/07/2001
06/11/2001
06/13/2001
Bob Barnhart
Engineering-Res
Planning-Res
Structural-Res
Steve Templin
Liz Miller
Bob Barnhart
Page 3 of 3
Value/Quantity
120
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 the street, that the permit card is located at the front of the property, and the
approved set of plans will remain on the site at all times during construction.
Signature
Date
Fee Amount
$2.42
$88.56
$32.52
$1.63
$34.15
$175.04
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHI ;E WORKSHEET
JOURNAL OR JOB NUMBER: 01-00558-01
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER:
DEVELOPMENT TYPE:
NEW DWELLING UNITS:
BUCHANAN
1846 'H' STREET
17-03-36-21-08100
ADDITION
o BUILDING SIZE:
o
SF LOT SIZE:
J. STORNlDRAlliAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. COST PER S.F.
x
120.00 , $0.271 =,
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. COST PER S.F. DISCOUNT RATE
x x
0.00 $0.271
50%
ITEM 1 TOTAL - STORM DRAINAGE SDC
2 SANITARY SFWFR - cra
A. REIMBURSEMENT COST:
. NUMBER OF DFU's' I COST PER DFU
o Xl $21.25
B. IMPROVEMENT COST:
NUMBER OF DFU's COST PER DFU
X
o $16.15
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORT~TTO~
A. REIMBURSEMENT COST:
. ADT TRIP RATE . X NUMBER OF UNITS I x' COST PER TRIP . x' NEW TRIP FACTOR I
9.57 0 $16.12 1.00 =1
B. IMPROVEMENT COST:
ADT TRIP RATE NUMBER OF UNITS
9.57 0
I ITEM 3_TQTAL - TRANSPORTATION SDC
4. SANTLARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I X COST PER FEU
o $285.91
B. IMPROVEMENT COST:
NUMBER OF FEU's I COST PER FEU
X
o I $24.33
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
X
COST PER TRIP
$68.55
X
NEW TRIP FACTOR
1.00 ,=1
=/
o
SF
I./J
~
Q
o
u
~
~
~
I./J
........
o
~
1070
1091
1092
1093
l
~
1094
$32.52
=1
=,
$0.00
$32.52
=1 $0.00
=1 $0.00
=1 $0.00 1055
=1 $0.00 . 1056
=1 $0.00
=1 . $32.52
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
~DMTNTSTRA TTVF FFE:.
SUBTOTAL ADM. FEE RATE
X
$32.52 5%
=1
~T~
617/01
TOTAL SDC CHARGES =
SDC COORDINATOR DATE
=1
$0.00
=1
=1
$0.00
$0.00
$0.00
$0.00
$0.00
=,
$0.00
$1.63
$34.15
1073
DRAINAGE 1 rURE UNIT (DFU) CALCULA TIOl'l TABLE "
NUMBER OF NEW'FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS C~_~ ~l
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - UNIT FIXTURE
# OLD ) x EQtJIV ALENT =
FIXTURE TYPE 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. ( O. 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
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY
YEAR CREDIT RATE 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)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
0.000, X $0.00 =1
0.000 X $0.00 =,
TOTAL MWMC CREDIT =!
$0.00
$0.00
$0.00