HomeMy WebLinkAboutPermit Building 2001-10-23
;,
ob# 01-01081-01
Page 1 of 4
225 North Fifth Street
Springfield, OR 97477
TRANS#;Ol-0007052
DATE~-OGT 23 2001
AMT RECD~2 $ 5161~87
CHANGE:
CA8HIE~: ~ 061
RESIDENTIAL PERMIT
City Of Springfield
CommiJnity Services Division
Building Safety
Job Number: 01-01081-01
Office: 726-3759
Inspection Line: 726-3769
location Of Proposed Site: 6708 Aaron Ln Spr
Assessors Map#: 17023411
lot: 104 Block: Addition:
Owner:
Address:
Tax lot #: 03200
Subdivision: Levi Landing
Bill Thomas
4536 Glacier Street
Phone Number: 541-521-7006
City/State/Zip: Springfield, OR 97478
New Value: $83,224
Scope Of Work: Single Family Residence
Registration # Expiration Date
1\)\0
1>.1.e<::' 'I00\~{\.'1 ~'ft.
'<.eo..-v. r\o-r. ~ \0
.,.. \0-~ ~ 0,<e":1e '6~n~(:jOV _
, f . .......~c;9Jv' '0'1 '."- u,\e~ - ~ \d'.r \e<::' \Jl
o flce UseO:\'\:~" ,.e~ '2>e '<. O~ ,<u,' e
...\.-(\ '~cd\> :;<,\,0 ~. ,o.'ft. ,\'{\e v.:D~ .,
land Use:A~\'~SJr.lgle Far.l;lIly/,,\Dw.elling~ 0' #eQfJBUlldmgs: 1
~\ ,'V \\oc, (\\.V "",. 1\"'~ '\' ,,,c'o.'-
Zoning Co~~,\>1 tDRce A ~rJO\ \-r. cO~e' ",eo~ti:J'pancy Group: Dwelling
'to'\ ~\o O\j\ ",\'0-\ _\o'\! . .~I' ,"
Bedrooms::\.\\\c-a: 9(;:;1; '0-'10\.1 :< ~'" \)\~\ l:Ieat Source: Forced Air Gas
Water Heater: Gas Range: ~,O 0~le8trir ce'(\\eO~e~o:";:?'?Jrzls~q. Footage: 1 000
,(\ _" '\ .ne ^ n(\\)
(:jO':J" \\\-r.'lJ - \0'< '\.' '-( \<0 v....
To request an inspection call the 24 hour recording at 726'.:.'<37'\€i9,~ l\~(irfspections requested before 7:00
a.m. will be made the same working day, inspections reql!re~ted a'tter 7:00 a.m. will be made the following
working day.
Contractor Type
General Contr
Quad Area:
# Of Units:
Constr. Type:
Site
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Verify Ground Rod
Rough Electrical
Electrical Service
SFR - same as 01-01080-01 at 6676 aaron lane
Contractor
Phone
Bill Thomas
4536 Glacier Street, Springfield, OR
97478
541-521-7006
5RNE
1
(VN) Wood Frame
Required Inspections 'f(.'f..
I Building I y..<(,:~\j D~
- To be made after excavation but prior to setting form~ \~"\ ~ f:> ~
-After trenches are excavated. y.~\~ ~~~ O~
-After forms are erected but prior to~ncrete\R.faceru~..s't~ ~<::..4) ~
- Prior to floor insulation or decki~~~ ~"\ <0'(\ ...~~~ '\ tr.~\)(j-
-Prior to decking. ~\J ~~~ ~ ~\" \~ ~~
-Pr!or to cover. '\~~ ~\j~t.:'~\J r:J?' ...,,<,,':).
- Prior to cover. 't-~~ _ ,~~J"" I '~,t-:.~::'~...J
- Pr!or to Co~er tfJJ.~~'~ :~\~/?' .
-Prior to taping. .,,~ ",,'
- When all required inspections have"Been approved and the building is complete.
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
- Prior to cover.
-Must be approved to obtain permanent power.
I~,!
Final Electrical
Underfloor Plumbing
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Rough Mechanical
Final Mechanical
Curbcut
Sidewalk
Job# 01-01081-01
Required Inspections
I Electrical
- When all electrical work is complete.
I Plumbing
- Prior to insulation or decking.
- Prior to cov~r.
- Prior to filling trench.
- Prior to filling tren'ch.
- Prior to filling tren'ch.
- When all plumbing work is complete.
Mechanical
- Prior to cover.
- When all mechanical work is complete. ,
I Public Works I
-After forms are ereceted but prior to placement of concrete.
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
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:
Project Supervisor:
Page 2 of 4
Curbside - 5'
D
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 PERMITS OR SEWER HOOKUP UNTIL THE CITY AC
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Tre~s: 2
3:
Additional Requirements:
Required Attachments:
Source locn:
Material:
Planner:
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: 1166 Of 2975
Flood Plain FEMA: X-White
land Use: Single Family Dwelling
Pave Driveway? 0
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildfngs: 1
# Of Bedrooms:
Handicap Access? 0
-Area (Sq. Feet)
Main: 1000 Accessory!400
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Two 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 D(scount- 2nd Permit
Total Public Works
Residential - Single Family - Storm
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Residential Sanitary MWMC
I Job# 01-01081-01
Page 3 of 4
# Of Stories: 2 Height (feet): 23
Current Units: Proposed Units:1
Census Code: New SF - attached
Total:1400
,I.
Paid On Receipt#
Plan Check
10/02/2001 6878
2
$90.00
$90.00
Value/Quantity
Fee Amount
Building
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
83,224
$503.25
$35.23
$40.26
$578.74
Electrical
10/23/2001 7052
10/23/2001 7052
10/23/2001 ' 7052
10/23/2001 7052
10/23/2001 7052
1
1
1
$106.00
$19.00
$50.00
$12.25
$14.00
$201.25
Plumbing
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
1
$.00
$254.00
$17.78
$20.32
$292.10
Mechanical
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
, 10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
2
1
$9.00
$18.00
$3.60
$12.00
$6.00
$10.00
$3.15
$61.75
Public Works
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
60
1
1
$65.00
$65.00
$-30.00
$100.00
System Development
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
10/23/2001 7052
2,338
1
1
$638.14
$34.83
$10.00
$136.67
$332.86
Fee
I
J
IJob# 01-01081-01
I
I
I
II
r
1
1
24
24
Page 4 of 4
Paid On Receipt#
System Development
10/23/2001 7052
10/23/2001 7052
10i23/2001 7052
10/23/2001 7052
.'
Value/Quantity
Residential- Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Willamalane SDC
10/23/2001 7052
Planning Plan Review
Total Planning
Planning
10/23/2001 7052
Address Assignment
Total Permits w/o Srchg
Grand Total
Plan Check Type
Permits w/o Srchg
10/23/2001 7052
Checked By
Date Completed
Comment
Initial Review-Res
Bob Barnhart
10/04/2001
10/18/2001'
NO OCCUPANCY PERMITS OR SEWER
HOOKUP UNTIL THE CITY ACCEPTS THE
INFRASTRUCTURE
Engineering-Res
Steve Templin
Planning-Res
Sam Gollah
10/19/2001
Fee Amount
$659.76
$155.13
$512.88
$389.76
$2,870.03
1
$1,000.00
$1,000.00
1
$50.00
$50.00
1
$8.00
$8.00
$5,251.87
Structural-Res Don Moore 10/19/2001 FEMA Elevation Certificate is required prior to
Occupancy
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-~n~re thay;:af1 required inspections are requested at the proper time, that each
address i~readab~fro~1~e street, that the permit card is located at the front of the property, and the
appr~ed set of Pl//i1rre /7in on the site at all times during construction. / J
( ~//// I (}/c5/()/
Signatur' L/ D~te
(,
225 r il' n-1 STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City Job Number () {-OJ 0 ~ I ~O J
'"
3. CO:MPLETE FEE. SCHEDULE BELOW
1. LOCATION OFIN~TALLATlON,
b 708 Id-Ar~ U4t t:"
I
I
A. New Residential-Single or
Multi-Fainily per dwelling unit.
Service Included: '
LEGAL DESCRu- lION
170 z... s,Lfl[
oszo-o
Items Cost Sum
I $106.00 10 b
JOB DliSCRW!!:ON 'J _ ' 1000 sq.~. .or less
S I- v~/ l)C7V~ cJ- I Bt/V! e ' \W:Jo61nn.itinna1500
,;;t IOWjVVlll;::j ,.,1 v)"," as su~mltted ha.s rrowtntr.
. zOrllng. a':ld does not reqUire speclflcSl}lrfl OBf(!>ortion
Perrmts are non-transferablea~~~1fe ' thereof
if work is not started within 180 daYSzoning L..i)v2---' P"l.I"h u.axmf'd Home or
of issuance or if work is sus:Rended for 'to 1"7-'" {o , J' Modular Dwelling
180 days. Date l J cf(i Service or Feeder
Authorized Signature .'
2. CONTRACTORINSTALLA.TlONONLY B. Services or Feeders '
Installation, Alterations or
Relocation:
1$19.00 JDr
$ 50.00
Electrical Contractor SmUt
ItfJlX.J:.
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
$375.00
$ 50.00
dR~'
. v-
Owners Name r-g Jl (
1/3-6'184
C. Temporary Services or Feeders
, Installation; Alteration or Relocation
200 amps or less , . J
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
, "B" above
~o
Signature of Supervising Electrician
$50.00
$69.00
$100.00
ThD yV\,4-"~
D. Branch Circuits
New Alteration or Extension Per Panel
Address L{S"3 b" G/k/f:-c(L
City '5 P.r (J . Phone 52 ( - 700b
OWNER INSTALLATION
One Circuit $43.00
Each Additional Circuit or with Service
or Feeder Permit $ 3.00
Theinstallation is being made on '
property I own which is not intended
for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Service/feeder not included) "
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Corom
$50.00
$50.00
$25.00
$45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
J7~
I 'Z- 'Z- s-
I '-f a-o
TOTAL
-
2-0(2- ~
CITY OF SPRINGFIE
I
I
. I
I
SYSTEMS DEVELOPMENT CH1 ;E WORKSHEET
JOURNAL OR JOB NUMBER: 01-01081-01
NAME OR COMPANY: Bill Thomas:
LOCATION: 6708 Aaron Lane
TAX LOT NUMBER: Levi Landing 2rtd Add. Lot 104
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS:. 1 BUILDING SIZE:
I
1400
LOT SIZE:
SF
5400
SF
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. _I x' COST PER S.F.
'2337.50 $0.273 =1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F.. COST PER S.F. DISCOUNT RATE
x x
0.00 $0.273
I ITEM! TOTAL - STORM DIUINAGE SDC
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's ' COST PER DFU
x
I 24 $21.37
B. IMPROVEMENT COST:
NUMBER OF DFU's I x COST PER DFU
24 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
.3.JRA NSPORT A nON
$638.14
V1
~
Q
o
u
~
~
~
V1
~
d
~
=1 $0.00' ,
=~638.14 , 1107~ /
50%
=1
$512.88
"
=1
=1
, $389.76
$902.64
A. REIMBURSEMENT COST:
ADT TRIP RATE NUMBER OF UNITS I
x x
9.57 1 I
B. IMPROVEMENT COST:
I ADTTRIPRATE NUMBER OF UNITS
x x
I 9.57 1
I ITEM 3 TOTAL - TRANSPORTATION SDC
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 REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER'SDC
I SUBTOTAL (ADD ITEMS 1,2,3, & 4)
.'5 ADtvUNTSTRATTVF FEE:
SUBTOTAL ADM. FEE RATE
x
$2,733.36
COST PER TRIP
$16.21
x
NEW TRIP FACTOR
1.00 =1
$155.13
COST PER TRIP
$68.94
NEW TRIP FACTORl
x , 1.00' =1
=1
$659.76
$814.89
=1 $332.86
=, $34.83 ,
=1 $0.00 I
=1 $367.69 I
=1 $10.00 ,+
=/ $377.69 'I
=r ,$2,733.361 i!
=1 $136.67
5%
5:Uv~ T~
SDC COORDINATOR
10/18/2001
TOTAL SDC CHARGES = ,$2,870.03
DATE
./
1091
/'
1092;
1093~/
1094"/
1055'/
1056
1073
DRAINAGE F URE UNIT (DFU) CALCULA TIO ABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = 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
WASHBASIN ( 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 OF EDU'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 <;REDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DA TE, 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 =,
$0.00
$0.00
$0.00