HomeMy WebLinkAboutPermit Building 2000-7-26
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Job# 00-01084-01
Page 1 of 3
TRANS#:Ol-0002680
DATE:JUL 26 2000
AMT RECD:2 $ 328.26
, CHANGE:
CASHIER: 061
SPRINGFIELD
~.
CITY OF'SPRINGFIELD, OREGON
d.,
RESIDENTIAL PERMIT
City.Of Springfield
Community Services Division
Building Safety
Job Number: 00-01084-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 12200 St Spr
Assessors Map#: 17032614
Lot: Block: Addition:
Tax Lot #: 03500
Subdivision:
, Owner:
Address:
S & H Ventures.
1441 HWY 99 North
Phone Number: 541-302-4845
City/State/Zip: Eugene, OR 97402
Alteration Value: $8,425
Scope Of Work: Single Family Residence
I'
relocate residence on same lot and construct new garage
Contractor Type
General Contr
Contractor
A K Stickler Construction Co
36579 Alderbranch, Springfield, OR
97478
Registration #
99489
Expiration Date
6/1/2000
Phone
541-741~0132
Verify Ground Rod
Footing
Foundation
'Post and Beam
Framing
Firewall,
Final Building
Office Use
Quad Area: 2RNW Land Use: Single Family Dwelling # Qf ftWlR;rnwte~u'resy()UL
# Of Units: Zoning Code: MDR ATIEN~~I~~~~GtOreQW)~~t
Constr. Type: (VN) Wood Frame Bedrooms: fO"OW~U M~ru'esareset rt
Water Heater: Range: ~otKiOA~R9~~' 'M"'U9tlOARh95u2le~s~"
In "'. ~ _ _ 1_ ","'''''\()I',,)ft er J
~VoU may CUltl"l vvt' . - telephone
To request an inspection call the 24 hour recording at 726-3769. All ins ~"ftM.ft~eb~~:~NotKicat\Ofl
a.m. will be made the same working day, inspections requested after 7:00 uWditiY~bA~~~44)
working day. n Cenmri~,1-f'M"\~. .'. .
Required Inspections
I Building 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. NOTICE: f
-Prior to cover., T SHALL EXPIRE IF THE WORK
- Located and constructed according to plans. THIS PERMI PERMIT IS NOT
- When all required inspections have been approv~ff~~M~~~f?:Jh\~ete. FOR
COMMENCED OR IS ABANDONED
ANY 180 DAY PERIOD.
Plumbing
Rough Plumbing
. Water Line
Sanitary Sewer Line
Final Plumbing
- Prior to cover.
- Prior to filling trench.
- Prior to filling trench.
- When all plumbing work is complete.
i'
1 Job# 00.01084-01 I
Sidewalk Type:
Additional ROW?
Street Improvement: Fully Improved
Curb Cut?~ Improvement Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/0000 00:00 AM
Special Instructions:
Other Utilities:
Size Of Line (in):
Downspouts/Drains: '
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Page 2 of 3
Curbside - 5'
D
8
To Curb and Gutter
6
00/00/0000 00:00 AM
Project Supervisor:
Types Of Warning Devices Reqd.
Zoning:MDR
FloodPlain? [] Wetlands? D
Journal numbers
Overlay District:
# of Street Trees:
3
Land Use: Single Family Dwelling
Pave Driveway? 0
1 :
Comments:
2:
3:
Planner: AI Ward
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:,",
'Drainage: " ::. '.
Floodway FEMA: n/a
.~ ','~ <
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: n/a
Constructio'n"Types:(VN) Wood Frame
Occupancy G~oups: Dwelling
# Of Building~: 1
# Of Bedrooms:
Ha'ridlcap A:ccess? D
-Area (Sq. Fe'et)
Main: Accessory:
Accessory Structure
# Of Stories: 1 Height (feet): 17
Current Units: 1 Proposed Units:
Census Code: Does not apply
Total:
Fee
Paid On Receipt#
Plan Check
07/12/2000 2540
I.
Value/Quantity
ResidentiaiPii:m Check
," "
'" ._\
Total Plan Check
Building Pe[8:li.t, .
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
07/26/2000 2680
07/26/2000 2680
07/26/2000 2680
Mini~um Plumbing Permit Fee
State' Surcharge For Plumbing Permit
Water Service Footage
Sanitary Sewer Footage
Storm Sew.er Footage
Plumbing
07/26/2000 2680
07/26/2000 2680
07/26/2000 2680
07/26/2000 2680
07/26/2000 2680
;'j
t ~!
8,245
8,425
30
30
30
Fee Amount
$48.43
$48.43
$74.50
$5.22
$2.24
$81.96
$.00
$5.25
$25.00
$25.00
$25.00
i.
Fee
I Job# 00.01084.01
Paid On Receipt#
Plumbing
07/26/2000 2680
Value/Quantity
Page 3 of 3
Plumbing Administrative Fee
Total Plumbillg
Residential -Single Family - Storm
Residential - Single Family- Storm
SDC Administrative Fee
Total System Development
Grand Total
System Development
07/26/2000 2680
07/26/2000 2680
07/26/2000 2680
650
650
Plan Check Type
Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin
07/14/2000
07/24/2000
07/25/2000
Engineering-Res
Planning-Res,
, AI Ward
Fee Amount
$2.25
$82.50
$156.00
$156.00
$7.80
$319.80
$532.69
Structural-Res Wendy Stanley 07/20/2000
By signature, I" state and agree that I have carefully examined the completed application and do
hereby certify "that all information herein 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. I further state 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 the project 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. .
'fLJ~AA~ 7 -26-00
Signature Date
t.
"
,
'/:.
,'.
" ,.. ...
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01084-01
NAME OR COMPANY: S&H VENTURES
LOCATION: 1220 'Q' STREET
TAX LOT NUMBER 17-03-26-14-03501 (98-PI199 PARCEL 1)
DEVELOPMENT TYPE: RELOCATION ON SITE OF EXISTING HOME & NEW GARAGE
DWELLING UNITS:
BUILDING SIZE:
LOT SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
650.00
x
$0.240 PER SQ. FT.
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
o
x
$49.86 PER PFU
(/
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP,RATE x COST PER PM PEAK HOUR TRIP
o
1.01
x $502.79 PER TRIP
x $502.79 PER TRIP
x
x
TOTAL TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
o
$242.76
PER FEU
r
x
B. IMPROVEMENT COST:
NUMBER OF FEU's
o
$22.05 PER FEU
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTALMWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$163.80
~~1~
SDC COORDINATOR
TOTAL SDC CHARGES I
07/24/2000
DATE
$156.00 I
$0.00 I
$0.00
$0.00
$0.00 I
$0.00 I
$0.00 I
$0.00 I
$0.00 I
$0.00 I
$156.00 l
$7.80 I
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)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OILlSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK. TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAWALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
i
2
2
1
6
4
TOTAL PLUMBING FIXTURE UNITS=1
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEI
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 $ 4.46 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 PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXA TlON DATE)
FIXTURES
NEW OLD
x
x
PLUMBING
FIXTURE
UNITS
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
$0.00
$0.00
CREDIT TOTAL $0.00
. j........