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Home My WebLink AboutPermit Backflow Test 2001-5-11 ._~' , 225 North Fifth Street Springfield, OR 97477 . . I Job# 01-00329.01 I Page 1 of4 TRANS#:Ol-0005308 DATE:I'1AY 11 2001 AMT RECD:2 $ 4483.71 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-00329-01 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 972 Fuchsia St Spr Assessors Map#: 17032613 Lot: 2 Block: Addition: Owner: Tax Lot #: 04100 Subdivision: Fuchsia Gardens Edward Lohner Phone Number: 541-747-7035 City/State/Zip: Springfield, OR 97477 New Value: $108,248 Address: 473 Hayden Bridge Way Scope Of Work: Single Family Residence Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: SFR Contractor Richard Hiatt po box 173, springfield, OR 97477 Registration # Expiration Date Phone 541-746-9789 2RNW 1 (VN) Wood Frame Office Use Land Use: Zoning Code: LDR Bedrooms: Range: r'''.''''''.__ '\ MJr";', # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Sq. Footage: 1428 To request an inspection call the 24 hour recording at 726-3769. f.1I,in\iP~c;:tio!l~Jr~~~!1,~PIP,~9,rer!iQQVORK a.m. will be made the same working day, inspections requested after.7:00 a.m. willlle made the-t,01l0wiQ9,O' T working day. NIi: \?:.'I;~(!.P IJNDUR THIS F'GriMII 1::1" R . d I t.COMMENCED OR IS ABANDON!;!,) FOR equlre nspec Ions I B 'Id' ,l,"f{ 'I au 01.1 Y P!;RIQO, UI In!! . -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. . .. ATTENTION:Oregon law requires you to - Before covering sheathing With finish materrn!!'.w rules adopted by the Oregon Utility - Prior to cover. Notification Center. Those rules are set forth - Prior to Cover in OAR 952-001-001 0 through OAR 952-001- - Prior to taping. 0090. YOIl may' obtain copies of the rules by -When all required inspections have been approvedtand,the!luildin9,is,complete"ne o,:"dlllll~ II'" vO'llh..l. \1'lIV...... t 10' LII;.;.........IIV I Electrical 'I ,umber for the. Oregon Utility Notification -Approval required prior to SUB energizing pole. Center IS 1-800-332-2344). Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Shear Wall Nailing Framing Wall Insulation Drywall Final Building Temporary Power Underfloor Plumbing Underfloor Drain I Plumbin!! - Prior to insulation or decking. - Prior to cover or placement of concrete. ,- .. Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical SW.Curbside CC-Standard . I Job# 01.00329-01 I Required Inspections Plumbing . Page 2 of4 -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. -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 Zoning: LOR FloodPlain? 0 Wetlands? 0 Journal numbers 1: 2: Comments: Street Improvement: Fully Improved Curb Cut?0 Improvement Agr,?O San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req,: Security Required: Bond Begin DateTime: 00/00/000000:00 AM Special Instructions: Other Utilities: Project Supervisor: Planner: Liz Miller Urban Growth Boundary?O 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: 1428 Accessory1480 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 00:00 AM Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 2 Land Use: Pave Driveway? 0 3: Additional Requirements: Required Attachments: Source Locn: Material: Flood Plain FEMA: Panel 1134 of 2975 # Of Stories: 1 Height (feet): 20 Current Units: Proposed Units:1 Census Code: New SF - attached Total:1908 .-, . . . Job# 01-00329-01 I Page 3 of4 Fee Paid On Receipt# Value/Quantity Fee Amount I Plan Check Residential Plan Check 04/05/2001 4852 108,248 $294.61 Total Plan Check $294.61 Building Building Permit 05/11/2001 5308 108,248 $453.25 State Surcharge For Building Permit 05/11/2001 5308 $31.73 Building Administrative Fee 05/11/2001 5308 $13.60 Total Building $498,58 Electrical Temporary: 200 Amps or Less 05/11/2001 5308 1 $40.00 State Surcharge - Electrical 05/11/2001 5308 $2.80 Administrative Fee - Electrical 05/11/2001 5308 $1.20 Total Electrical $44.00 Plumbing Minimum Plumbing Permit Fee 05/11/2001 5308 $.00 Two Bathrooms 05/11/2001 5308 1 $160.00 State Surcharge - Plumbing 05/11/2001 5308 $11.20 Administrative Fee - Plumbing 05/11/2001 5308 $4.80 Total Plumbing $176.00 Public Works Sidewalk Repair 05/11/2001 5308 1 $10.00 New Curbcut 05/11/2001 5308 1 $65.00 Total Public Works $75.00 System Development Residential- Single Family - Storm 05/11/2001 5308 2,736 $741.46 Sanitary Sewer 05/11/2001 5308 19 $306.85 Residential Transportation 05/11/2001 5308 1 $656.02 Residential Sanitary MWMC 05/11/2001 5308 1 $285.91 Residential Improvement MWMC 05/11/2001 5308 1 $24.33 MWMC Administrative Fee 05/11/2001 5308 1 $10.00 Sanitary Sewer SDC Reimbursement 05/11/2001 5308 19 $403.75 SDC Administrative Fee 05/11/2001 5308 $128.10 Property Annexed 1979 or Before 05/11/2001 5308 4 $-20.56 Transportation SDC Reimbursement 05/11/2001 5308 1 $154.27 Total System Development $2,690.13 Willamalane SDC S.F. Residence - Willamalane 05/11/2001 5308 1 $1,000.00 Total Willamalane SDC $1,000,00 Grand Total $4,778,32 Plan Check Type Checked By Date Completed Comment Initial Review-Res Engineering-Res Planning-Res Structural-Res Bob Barnhart 04/06/2001 04/09/2001 04/26/2001 04/13/2001 Steve Templin Liz Miller Tom Marx ." .. . . I Job# 01-00329.01 I Page 4 of 4 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. '7h '7i-- ~~ C)" \ I <)0(1:) I Signature Date . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET I JOURNAL OR JOB NUMBER: 01-00329.01 NAME OR COMPANY: HIATI LOCATION: 972 FUCHSIA STREET TAX LOT NUMBER: 17-03.26-13.03800 ANNEXATION YEAR 1967 LANE COUNTY ASSESSED VALUE (LAND) $4.337 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE DWELLING UNITS: 1 BUILDING SIZE: 1908 SF LOT SIZE: SF 1 ~TORM DRAINAGE I IMPERVIOUS S.F. H COST PER S.F. 2736.00 $0.271 =1 $741.46 I r ITEM I TOTAL - STORM DRAINAGE SDC - /' =1 $741.46 ...!I (070 2 ~ANITARY ~FWFR. (TIT. A. REIMBURSEMENT COST: I NUMBE~~F DFU's II COST PER DFU / $21.25 =1 $403.75 /0"11 B. IMPROVEMENT COST: I NUMBE~ ~F DFlrs II COST PER DFU ./ $16.15 =1 $306.85 /o'1Z lITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $71 0.60 ~ 3.....IRAN~PORTATlON A. REIMBURSEMENT COST: I ADT TRIP RATE HNUMBER ~F UNITS J Xl COST PER TRIP I XINEW TRIP FACTOR I / 9.57 $16.12 1.00 1=1 $154.27 I' 1093 B. IMPROVEMENT COST: I ADT TRIP RATE HNUMBER ~F UNITS H COST PER TRIP J xlNEW TRIP FACTOR I / 9.57 $68.55 1.00 =1 $656.02 I[ (09</ lITEM 3 TOTAL - TRANSPORTATION SDC =1 $810.29 ~ 4 SANITARY ~FWFR. MWMr A. REIMBURSEMENT COST: I NUMBER OF FEU's 1..1 COST PER FEU I $285.91 B. IMPROVEMENT COST: I NUMBER OF FEU's 1..1 COST PER FEU I $24.33 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRA TNE FEE lITEM 4 TOTAL - MWMC SANITARY SEWER SDC r SUBTOTAL (ADD ITEMS I, 2, 3, & 4) ~5..j\ DMTNI,SIR A TIVF FFF. I SUBTOTAL 1..1 ADM. FEE RATE I $2,562.03 5% I Stw<- ~ 4/9/01 SDC COORDINATOR DATE =1 $285.91 7'~ " ?t. 105> =1 $24.33 I =1 ($20.56) I =1 $10.00 1 10$'" =1 $299.68 !I =1 $2,562.03 II =1 $128.10 I 107'$ TOTAL SDC CHARGES = ~2'690.13ll . . . . 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. OF FIXTURES DRAINAGE ' ( # NEW UNIT FIXTURE FIXTURE TYPE # OLD ) x EQUIV ALENT ~ UNITS BATHTIJB ( I ) x 3 3 DRINKING FOUNTAIN ( ) x 1 0 FLOOR DRAIN ( ) x 3 0 INTERCEPTORS FOR GREASE / OIL I SOLIDS / ETe. ( ) x 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( ) x 6 0 LAUNDRY TIJB ( ) x 2 0 CLOTHESW ASHER / MOP SINK ( ) x 3 3 CLOTHESW ASHER. 3 OR MORE (EA) ( ) x 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( ) x 12 0 RECEPTOR FOR REFRlG / WATER STATION I ETe. ( ) x 1 0 RECEPTOR FOR COM. SINK / DISHWASHER I ETC. ( ) x 3 0 SHOWER, SINGLE STALL ( ) x 2 2 SHOWER, GANG (NUMBER OF HEADS) ( ) x 2 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( ) x 3 3 SINK: COMMERCIAL BAR ( . ) x 2 0 SINK: DOMESTIC BAR ( ) x 1 0 WASH BASIN ( ) x 2 0 LAVATORY ( 2 ) x 1 2 URINAL, STALL / WALL ( ) x 5 0 TOILET, PUBLIC INSTALLATION ( ) x 6 0 TOILET, PRIVATE INSTALLATION ( 2 ) x 3 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ( ) x 20 0 TOTAL DRAINAGE F1XTURE UNITS =1 19 *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 TION 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 S4.65 1991 SI.55 1981 $4.59 1992 SI.36 1982 S4.46 1993 SI.23 1983 $4.30 1994 SI.05 1984 S4.14 1995 SO.90 1985 S3.93 1996 SO.75 1986 S3.63 1997 $0.57 1987 S3.26 1998 $0.35 1988 S2.85 1999 SO.15 1989 S2.40 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE 11000 CREDIT RATE 4.337 X $4.74 =1 $20.56 II 0.000 X $4.74 =1 $0.00 1 TOTAL MWMC CREDIT ~I $20,56 1 .tted has the following . act 85 5ubml d use The tollOwing prol t require specific 'an zorHng, and does nO 225 FIFTH STREET approval.. Cb r"--::. SPRINGFIELD, OREGON 97477 Zoning- '5 ~ I \~ 0.1 INSPECTION REQUEST: rll(~-:Jl69 - ~ OFFICE: 726-3759 d S' nalure ~\i.j{tlonze 19 3. 1. LJl.CATION OF INSTALLATION C-j 72 FLJcHs/A 'STI . A. LEGAL DESCRIPTION /7tJ3 -z.t'",,/.S (,:)4/ 07J JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Address Electrical Contractor City Supervisor Expiration Date Con~tr con~umber Expiration Date . Signature of Supervising Electrician Owners Name @Jk/,Ad). 19~ Address_i/~ t/zitrA&],(//f. ~ Gi ty 1<).R'j']J" Phone .2i7"- 112< ) , . OYNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Signature: ;x --------------------------------------- DATE: RECEIPT 11: RECEIVED BY: ELECTRICAL PERMIT APPLICATION - City Job Number O/~OtJ329-c)/ COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dvelling Service Included: 1000 sq.ft. or less . Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only unit. Items Cost Sum $ 85.00 $ 15.00 .$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or vith Service or Feeder Permit ~ $ 40.00 .4-o,(X). $ 55.00 $ 80.00 volts ~ee "B" above .' $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 S 36.00 ./J/l oD . T' ';.,'J, 0 J. ;l..O 11,hn