HomeMy WebLinkAboutPermit Building 2000-3-23
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828 RO'y'O/'(I7'D,~I' LIN' e'lO ,pf'b.u"
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0090 I. 9S:?-Qoenfef, .,.~ by tll 'e9Ulf,&ax Lot #: 00000
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Block: nee'll/inn ~ fl]e'lP..c!pltll?l)i,~Jd' fu/",'.:eOf1H'IJ:ivision: River Gien
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Anslow & Degeneault Inc effortll enfer. /J~'O?feJju(ri6~B%.~84-0070
C"'n e Ofe !!?r.' Of ~I)", ~~.
1953 Garden Avenue - '''''(01 'BQ.i,'lfJ;}(Bte!~lp: rUIf!S~ ~me, OR 97403
-I<'')f) ti/lfy ^, t:!Pllo :y
Scope Of Work: Single Family Residence Nei:h~_';)~'vOlifi,.-".?e Value: $170,227
"'441 ~QlfO
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SPRINGPIELD
~.
225 North Fifth Street
Springfield, OR 97477
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I Job# 00-00007-01 I
Page 1 of 3
TRANS#:01-0001025
DATE:MAR 23 2000
AMT RECD:2 $ 4880.89
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00007-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site:
Assessors Map#: 00000000
Lot: 133
Owner:
Address:
Contractor Type
General Contr
Eiectrical Contr
Mechanical Contr
Plumbing Contr
Includes Quick Start under job # 00-00007-02
Contractor
Registration #
49169
Expiration Date
10/16/2000
Phone
503-484-0070
Anslow & DegeneaUIt I~
1953 Garden Avenue, :Y~~(.~B.
97403 ~SP€ .
Binns Electric Co IlU7'HOA.Alvtll SI--f/jL 73762 6/6/1999
210 Wallis St Unit C~IfUg,~,'l:~ ~RD UND l ~>rO!9f: If:
97402-5328 /jNY7 C~DO'''' 'fA ,,-(!.S """~'A'
80D rr!." P~f' vVOA
Marshalls Oil and Insulation ~YP~R( '-'/jOAND rI/vttI/S"" 'I(
4110 Olympic Street, Springfield, ORaD. ON~Df:QJ:> 0.,.
97478 rr
541-687-1362
Absolute Plumbing Inc
2487 Park Forest Dr, Eugene, OR
97405-1292
67664
7/11/1999
541-345-3055
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
Temporary Power
Underfloor Plumbing
Underfloor Drain
Required Inspections
r-- ,-- Buildiri~. - -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,
1-- - Electrical I
-Approval required prior to SUB energizing pole.
I Plumbing-'--I
- Prior to insulation or decking.
- Prior to cover or placement of concrete.
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I Job# 00-00007-01 I
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Page 2 of 3
Underfloor Mechanical
Rough Gas
Required Inspections
I Plumbinii' '-I
- Prior to filling trench.
- Prior to filling trench,
- Prior to filling trench,
[' Mechanical"-l
- Prior to insulation or decking,
Water Line
Sanitary Sewer Line
Storm Sewer Line
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:
Special Instructions:
Other Utilities:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Curbside - 5'
o
8
To Curb and Gutter
San Sewer Tee (in): 6
00/00/0000 00:00 AM Bond End DateTime: 00/00/0000 00:00 AM
NO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRA~
Types Of Warning Devices Reqd.
Project Supervisor:
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
,Area (Sq, Feet)
I Main: 2279 Accessory528
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet): 23
Proposed Units:1
Total:2807
Fee
Paid On Receipt#
r Plan Check
01/05/2000 165
Value/Quantity
Fee Amount
Residential Plan Check
Total Plan Check
168,393
$382,36
$382.36
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Building
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
170,227
$592,75
$41.49
$17,78
$652.02
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
1
4
1
$85.00
$60,00
$40,00
$12,95
$5,55
$203,50
Minimum Plumbing Permit Fee
Two Bathrooms
Plumbing
03/23/2000 1025
03/23/2000 1025
1
$.00
$160,00
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/
Fee
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
ApplianceVent (Not Covered in SchedulE
Gas Fireplace
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1990
Total System Development
S,F, Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Quick Start-Structural
Quick Start-Engineering
Checked By
Don Moore
Steve Templin
Job# 00-00007 -01 I
Paid On Receipt#
Plumbinll
03/23/2000 1025
03/23/2000 1025
Mechanical
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
System Development
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
03/23/2000 1025
Willamalane SDC
03/23/2000 1025
Date Completed
02/01/2000
01/25/2000
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Page 3 of 3
Value/Quantity Fee Amount
1
1
1
3
1
1
1
4,153
20
1
1
1
1
15
1
$11,20
$4,80
$176.00
$4,50
$2.00
$,00
$1.01
$6.00
$9,00
$4,50
$4,50
$3,00
$10,00
$2,35
$46.86
$963.50
$965.40
$491,60
$242,76
$22.05
$10.00
$133.45
$-26,25
$2,802.51
$1,000,00
$1,000.00
$5,263,25
By signature, I state and agree, that I have carefully examined the completed appiication 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 wili 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
a~pro ed set of plans will remain on the site at all times during construction.
( 1/ (J /C{J 3/d-s/OO
, iI,-~, I pIa L / ~e{'h1
Signaturu U f
Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00007-01
NAME OR COMPANY: Anstow & DegeneauIt Inc
LOCATION: 828 ROYAL DEL LANE
TAX LOT NUMBER 17-03-23-43-02102
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWELLING UNITS:
BUILDING SIZE:
2807
LOT SIZE:
10350
1. STORM DRAINAGE
IMPERVIOUS SQ, FT.
4153.0
x
$0.232 PER SQ. FT.
$963.50 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
20
x
$48.27 PER PFU
$965.40 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 I
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER, 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 I
($26,25) I
$10,00 I
$248.56 I
$2.669,061
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3,&4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0,05
$133.45 I
~
, L-- '
~\50ilii'JHfoR-
...dIrk
DAl'E
TOTAL SDC CHARGES I $2,802.51 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODEL~, CALCULATE ONLY TH~ NET ADDITIONAL FIXTURES\
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDSIETC
INTERCEPTORS FOR SAND/AUTO WASHlETC
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A nONIETC
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALUWALL
WASH BASINILA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA nON
MISCELLANEOUS:
FIXTURES
NEW OLD
1
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
4
o
o
o
o
2
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS~I 20
2
2
2
CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED YM-UE
$4.47
$4.38
$4.32
$4.20
$4,03
$3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75
IMPROVEMENT (IF AFTER ANNEXA TION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$1.75
$ 1.35
$1.17
$ 1.03
$0.86
$0.71
$0.57
$0.39
$0.18
:r- .'
x
15.000
$26.25
$0.00
CREDIT TOTAL $26.25