HomeMy WebLinkAboutPermit Building 2001-11-29
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IJob# 01-01208~01 I,'
Page 1 of 4
TRANS#:Ol-0007370
DATE:NOl.,! 29 2001
AMT RECD:2 $ 5452,44
CHANGE:
CFiSHIE~: ; 061
RESIDENTIAL PERMIT
City Of Springfield
'Comm,uliity Services Division
, ~ Building Safety
I' ,
I
Job Number: 01-01208-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6703
, Assessors Map#:17023411
Lot: 97 ' Block:
Owner:
Address:
AaronLn Spr
Tax Lot.#: 03200
Subdivision: Levi Landing
Addition: 2:
Matt Dudley
4536 Glacier Dr
Phone Number: 541~521-7006
City/State/Zip: Springfield, OR 97478
New Value: $136,970
Scope Of Work: Single Family Residence
, , ~~ '
SFR same as 6676 Aaron Lane job # 01-01080-01...\\Jv '"
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C9ntractor Type Contractor Registration # EXP~~O~~t"\~ Phone
n~ ~~ ~'v
General Contr Matt Dudley ~~ ~~ ~~~ 541-521-7006
4536'Glacier Dr, Springfield, OR 97478 ~. r:oy.~v ({,,<(-.-<....~ ~~a
Steve Hauck Electric 6<f}..~~~ ~'0~'1/~ 541-741-1085
828 S 46th Street, Springfield, OR 9747~ ~~<{; ~1,0 ~O~ ~O~.
-<....~ ,'>..0" ()0 ~~
Mechanical Contr Matt Dudley' ~'(.. ~~~ ~S
4536 Glacier Dr, Springfield, OR 97478 OO~ CO~\)
~'\
MattDudley . ,~
4536 Glacier Dr, Springfield, OR 97478" ,,')
...\, '0- _
. ~..\"-'" 0" '-',,')
To request an inspection call the 24 hour recording at 726-3769. All inspections reque%tf(h),E;liEjr.e\0':G'0~
a.m., will be made the same working day, inspections requested after 7:00 a.m. wiIJ"b,e~r:t!.a_d~tP.~f9I1sj~ing ,
. '0>'" v' ~... ,--t: '0'1
working day. o~' ~e ~eC::> ~ ~ d':J 'roC::>
, R . d I t" . .(",\e~,,(.,. 'Q~ ~~ (s '^ O~ _",e 'I.~" ,",~e -
eqUlre nspec IO~~I)\"'" 0'Q"- ",'\'v- "!\).'!>. 0" e'Q" ~\J'
I B "Id" ...<~, "I iQ.~ e'<.' r.,.;s.'l.O ~~Ci':) _\0'1 .,~c~
. UI '"9.,: ,,: ': .\HS 0~~ ~'\~ cp'i:',. ~~:; .~'J'"'
-Install ground rod at footing, and dalkfei: inspfctidn~b,;c0r,'J'uetjQ~iwith.t.o~ting and/or foundation i
;\'- :\.'" ,,\J'" \v'" ..."..... vV' :t,..J.
-After trenches are excavated. ,~~;~c~ 9J'67; ~iQ.'; 0 ~\e.'-.. 'to~ ro'b7:
. -After forms are erected but prior tO~GO!1qf~te(p'laCEtn:1'ent'C)~e~()()~
- Prior to floor insulation or decking. \'\' ;~O':\~Q> ~~~~'5>-:~\s '\'
- Prior. to decking.' CJ c~ :.00'\ Ge~\e
- Prior to cover. (\;;:~
- Before covering sheathing with finish materials.
- Prior to cover.
- Prior to Cover
'- prior to taping.
- Before covering sheathing with finish material.
, -When all required inspections have 'been approved and the building is complete.
Electrical Contr
Plumbing Contr
541-521-7006
541-521-7006
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Roof Sheating/Nailing
Final Building
Temporary Power
Verify Ground Rod
, I Electrical I
-Approval required prior to SUB energizing pole.
-Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation i
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:
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
, 1: 2:
Comments:
Rough Electrical
Electrical Service
Final Electrical
Underfloor Plumbing
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Mechanical
Final Mechanical
SW-Curbside
CC-Standard
Project Supervisor:
I j Job# 01-01208-01
Required Inspections
Electrical,
Page 2 of 4
- Prior to cover.
-Must be approved to obtain permanent power.
- When all electrical work is complete. '
I Plumbing
:-Prior to insulatior;1 or decking.
- 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
"I
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
Curbside - 5'
D
8
To Curb and Gutter
San Sewer Tee (in): 6
00/00/00 00:00 AM Bond End DateTime: 00/00/00 00:00 AM
t\jO OCCUPANCY OR SEWER HOOKUP UNTIL CITY ACCEPTS INFRA~
Types Of Warning Devices Reqd.
Overlay District:
# of Street Trees: 2
land Use: Single Family Dwelling
Pave Driveway? 0
3:
Planner: Sam Gollah
Urban Growth Boundary?D
Quantity Of Fill:
Supplier: '
Drainage:
Floodway FEMA: X-White
Additional Requirements:
~Ienwood Area? D Required Attachments:
Source Locn:
Material: '
Flood Plain FEMA: 1166 of 2975
,.
Construction Types:(VN)Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
~Area (Sq. Feet)
Main: 1675 Accessory!:1-40
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Minimum Electrical Permi~ Fee
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 SqFt
Temporary: 200 Amps or Less
State Surcharge - Electrical
State Surcharge - Electrical
Administrative Fee - Electrical .
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Three Bathrooms
State Surcharge - Plumbing
Administrative Fee - Plumbing
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Administrative Fee - Mechanical
Vent Fan to One Duct,
Dryer Vent
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
New Sidewalk
New Curbcut
Multiple Permit Discount - 2nd Permit
Total Public Works
Residential- Single Family - Storm
!Job# 01-01208-01 I
Accessory Structure
# Of Stories: 2 Height (feet): 24
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2115
Page 3 of 4
,~
; Job# 01-01208-01
Paid On Receipt#
System Development
11/29/2001 7379
11/29/2001 7370
11/29/2001 7370
11/29/2001 7370
11/29/2001 7370
11/29/2001 7370
11/29/2001 7370
11/29/2001 7370
1
1
1
24
24
Page 4 of 4
Fee
ValuelQuantity
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development,
1
1
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC,
11/29/2001 7370
1
Planning Plan Review
Total Planning
Planning
11/29/2001 73.70
1
, Address Assignment
Total Permits wlo Srchg
Grand Total
Permits wlo Srchg
11/29/2001 . 7370
1
Plan Check Type
. Checked By
Date Completed
Comment
Initial Review-Res
Lisa Hopper
Steve Templin.
11/14/2001
11/26/2001
NO OCCUPANCY OR SEWER HOOKUP
UNTIL CITY ACCEPTS INFRASTRUCTURE
Engineering-Res
Planning-Res
Sam Gollah
11/19/2001
Fee Amount
$34.83
$10.00
$138.31
$332.86
$659.76
$155.13
$512.88
$389.76
$2,904.56
$1,000.00
$1,000.00
$50.00
$50.00
$8.00
$8.00
$5,599.94
Structural-Res Don Moore 11/26/2001 Special City Designated Flood Hazard Area
requires Elevation Certificate for main floor.
By signature, I sta,te 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 !9,.ens~at all equired inspections are requested at the proper time, that each
address is.reaoable jFomJbe reet, that the permit card is located at the:front of the property, and the
appro.yed/set O~~.~rin on the site at all times during construction. ". / /
/A ,11/2C;IoJ
Si9rL/. . . .. Date'
CITY OF SPRINGFI YSTEMSDEVELOPMENT CHi .....E WORKSHEET
JOURNAL OR JOB NUMBER: 01~0 08-01 I
NAME OR COMPANY: DUDLEY
LOCATION: 6703 AARON LANE
TAX LOT NUMBER: 17-02-34-11-03200 '
DEVELOPMENT TYPE: " SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE: 2115" SF LOT-SIZE: 5400 SF
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.P. COST P.ER S.P.
x
2458.00 ~' $0.273 =, $671.03
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.P. COST PER S.F. DISCOUNT RATE
x x'
0.00 $0.273 50%
ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFU's COST PER DFU
x
24 $21.37
B. IMPROVEMENT COST:
. NUMBER OF DFU's I COST PER DFU
x '
24 '$16.24
=,
~l
$0.00
$671.03
=1
$512.88
,;,
=1
$389.76
$902.64
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
. ADT TRIP RATE . . NuMBER OF UNITS' . COST PER TRIP I . NEW TRIP FACTOR'
x x x
9.57 1. $16.21 ' 1.00 =,
B. IMPROVEMENT COST:
ADT TRIP RATE NUMBER OF u:NITS
x x
9.57 1 '
$155.13
COST PER TRIP
$68.94
NEW TRIP FACTOR
1.00 =1 $659.76 l
=1 $814.89~
x
ITEM 3 TOTAL- TRANSPORTATIONSDC
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's COST PER FEU
x
1 ' $332.86
B. IMPROVEMENT COST:. "
NUMBER OF FEU's COST PER FEU
x
1 $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC R.EIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
CZJ
~
Q
o
U
~
~
f-4
CZJ
~
d
~
,
l
,/
1070"
1091"/'
1092' ".....
/
I, 1093"
10940 /
=, $332.86
=, $34.83 I
=, $0.00 I
=, $367.69 I 1055-'/
=, $10.00 I 1056
=, $377.69 l
=1 $2,766.25 1
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL ADM.FEERA TE
x
$2,766.25 5%
=1 $138.31
TOTAL SDC CHARGES = $2,904.56
~T~
SDC COORDINATOR
11/26/2001
DATE
1073
DRAINAGE F ~URE UNIT (DFU) CALCULATIC ~ABLE
NUMBER OF NE\V rIXTURES x UNIT EQUN ALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - # OLD ) UNIT FIXTURE
FIXTURE TYPE x EQUIVALENT = UNITS
BATHTUB ( 2, 0 ) x 3 = 6
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 ( 1 0 ) x 3 = 3
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 ( 1 0 ) X 3 = 3
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 3 0 ) x 1 = 3
URINAL, STALL / WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INSTALLATION ( 3, 0 ) x 3 = 9
MISCELLANEOUS DFU TYPE NUMBER OFEDU's*
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 24
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
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 $4,92 1990 $2.06 ,
1980 $4,83 1991 $1.64
. 1981 $4.77 1992 . $1.45
1982 $4,64 1993 $1.31
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 =1
0.000 X $0.00 =1
TOTAL MWMC CREDIT =1
$0.00
$0.00
$0.00.
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: : ~ 3. COMPLE1E FEE SCH:EDULE BELOW
1. LOCATION OF~STALLAT~...~ N , '_. ~
lJL9 03 \ _t1\1'\.)Dc'\ c:ron<L A. New Residential-Single or
, - ,
Multi-Family per dwelling unit.
Setvice Included:'
225 FIFrH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRlCAL PERMIT APPLICATION
City Job Number 0 \. 0 \ Q1)~ . 01
LEGALj)m;ClUPTION 0' ~~
,,()6J.:'tA\ \ ''('f1 'vA J...J
X
~'QJ)
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each ManUf'd Home or
Modular Dwelling
Service or Feeder
Items Cost Sum
\ $106.00 IDto fIJ
5 $19.00 .52.DO
Pennits are non-tran erab1e and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 50.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor STEVE IfAud<'
Address ~~B 5 ~"l!:l.5-+
, Cio/2Pr\l'fid.t Phone A?l - ~~bS
Supervisor License Number 35'=!-:::j S
ExpirationDate If).... (,- 2003
Constr Contr. Number IIPI " J g
ExpirationDate 'I ~ 30 - 2603
B. Services or Feeders
In~ation, 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
$ 63.00
$ 75.00
$125.00
$163.00 '
$37~.00
$ 50.00
C. temporaxy Setvices or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
200 amps or less
201 amps to 400 amps
Oyer 401 to 600 amps
Over 600 amps or 1000 volts see
liB" above
$50.00
$69.00
$100.00
7~ ~~" 113". /;~gLf '
v .
oWnersN~~.l '
Address 41S~ G\r\ Wf'tJ(
Ci~~ tl Phone t:1L\'.llUo
~~TALLATION
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with. Service
or Feeder Pennit
$ 3.00
The, installation is being made on
property.I own which is not intended
for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Setvice/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 Electric Permit Inspection Fee is $45.00 + Surcharges
TOTAL
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5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee