HomeMy WebLinkAboutPermit Building 2000-5-3
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Job# 00-00549-01
Page 1 of 4
TRANS#:01-0001492
DATE:MAY 03 2000
AMT RECD:2 $ 4964.52
CHANGE:
CASHIER:059
225 North Fifth Street
Springfield; OR 97477
CITY OF SPRINGFIELD? OREGON
RESIDENTIAL PERMIT '
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-00549-01
Office: 726-3759
Inspection Line: 726-3769
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3411 Ambleside Dr SprC';:i'V.oQ
, ,.' '..' ,-",(,," .' -: -- ~ qWOb.- l t # 14600
.' vv" ,:', ,:;': ':, \1\.'::' (1 ;l\l) 101 Ja 1 ax 0 :
"O\l-e~\~~O\\~XWH-:.', ,~~lli~j:~D':;'~; .;11;1 fiiJ'\\~l~~division: Ambleside Meadows
UOU08\t::lI';..... i-!"" .\i"c. ' 01'\
Shawn Smith a \'u aUI ~i: :;<';100' '~\, ~~~~~!Number.: 541-746-0081
, ^q sa\ f \ I ,nn\)lLl, 'i' \ I, 'lot\8:J\jnON ,
Address: 2421 Dornoch S!r~~~-(,S6 tl~. ." .' .. "IJ'-. \City/Sta,~e/~jlMo\loppringfield, OR 97477
I" I")} WS 3 II-' -,,",, , . .v'cHOUiJl::. ."e\1 '1
Scope Of Work: Single Family Resiaenceuo'DElJO 'a\..ill\l~~W::: ,(,\,,\\~C'\ tt-,.r3L\:' Value: $160,294
\1I\\~\ I '0"" ~i\r.::' I ~._,'- ~',-
, [cellIlO;'"'
. '\. (10" '" ^. .
location Of Proposed Site:
Assessors Map#: 17021943
lot: 146 Block:
Owner:
Contractor Type
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Registration #
Expiration Date
Phone
541-746-0081
Shawn Smith
2421 DornochStreet, Springfield, OR
97477 ' r~' WORK
~.. ~Th 'r:;. ,lOr.:" 11= TI-IE , ' '
Comfort ~Io~ ~[~mg'~ol~~ I ~"Pc r -RI\~~~N01
1951 Dorl 'St~Ste PZSp~I09!L~d~, (\)~'- Pc FOR
97477-19p),3',l'r\On\ t:... ' Ie.; ~\BANDONED
Crane PIu'mfjMtf~~:E; ~~\;D. 122285
5143 E St,pSp'fin~fjet'&'OR"97478
6/27/99
541-726-0100
3/25/00
541-744-0300
3RNC
1
(VN) Wood Frame
Gas
Office Use
land Use: Single Family Dwelling
ZO'1ing Code: LOR
Bedrooms: 3
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Gas
Sq. Footage: 2065
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
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
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.
-Prior to decking.
- Prior to cover.
- Before covering sheathing with finish materials:
- Prior to cover.
- Prior to Cover
-Prior to taping,
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Final Building
Temporary Power
Rough Electrical
Electrical ,Service
Final Electrical
Underfloor Plumbing
Underfloor Drain '
Rough Plum~ing
Shower Pan
Water Line
Sanitary Sewer Line
Storm Sewer Line
Perimeter Foundation
Drains
, Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
Curbcut
Sidewalk
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Job# 00-00549-01 I,
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i Required Inspections
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I i Building I
- When all required [inspections have been approved and the building is complete,
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I I' Electrical I
-Approval requiredtprior to SUB energizing pole.
- Prior to cover. '
- Must be approved to obtain permanent power,
- When all electrical work is complete:
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I I Plumbing I,
- Prior to insulation :or decking.
:- Prior to cover or placement of concrete.
- Prior to cover.
- Prior to filling trench:
- Prior to filling trench.
- Prior to filling trench,
-After gravel and filter cloth is installed, but prior to backfill.
- When all plumbing work is complete.
I Mechanic,al
-Prior to insulation or decking,
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Page 2 of 4
- Prior to cover,
-After line is installed and line has been connecte9 to a minimum of one appliance. Pressure te!
- When all gas work is complete.
- When all mechanical work is complete,
r Public Works I
-After forms are ereceted but prior to placement of concrete,
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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: 00/00/00 00:00 AM
Special Instructions:
Other Utilities:
Project Supervisor:
/ '
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime: '
Curbside - 5'
D
8
To Storm Sewer
.6
00/00/00 00:00 AM
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Types Of Warning Devices Reqd.
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Zoning: LOR
FloodPlain? D Wetlands? D
Journal' numbers
1: 2:
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I Job# 00-00549-01 '
Ove~lay District:
# oflStreet Trees: 3
Page 3 of 4
land Use: Single Family Dwelling
Pave Driveway? 0
Comments:2 paved 9x18 off-street parking spaces are required
3:
Planner,:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:, n/a
Glenwood Area? D
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Additional Requirements: LDAP Required
Required Attachments:
, Source locn:
Material:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: ,1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 2065 AccessoryB99
Fee
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Buildin'g 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 For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
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
Gas Fireplace
Flood Plain FEMA: n/a
Accessory Structure
# Of Stories: 1 Height (feet): 23
Current Units: Proposed Units:1
'Census Code: New SF - detached
Total:2964
Paid On Receipt#
Plan Check
04/11/2000 1198
Value/Quantity
160,284
Building
05/03/2000 1492
05/03/2000, 1492
05/03/2000 1492
160,294
Electrical
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
05/03/20001492
05/03/2000 1492
1
4
1
I
Plumbing
05/03/2000 1492
05/03/2000 '1492
05/03/20'00 1492
05/03/2000 " 1492
1
Mechanical
05/03/2000 1492
05/03/2000 1492 .
05/03/2000 1492 '
05/03/2000 ' 1492
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
1
1
1
3
1
Fee Amount
$370.66
$370.66
$570,25
$39.92
$17.11
$627.28
$85.00
$60,00
$40,00
$12.95
$5.55
$203.50
$,00 ,
$160.00
$11.20
$4.80
$176.00
$4.50
$2.00
$,00
$.87 .
$6.00
$9.00
$4.50
r
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Fee
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
,Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Property Annexed 1979 or Before
Property Annexed 1997
Total System Development
S,F. Residence - Willamalane
Total Willamalane SDC
Grand Total
Plan Check Type
Initial Review-Res
Engineering-Res
Planning-Res
Structural-Res
Checked By
Lisa Hopper
Steve Templin
AI Ward
'. Wendy Stanley
r
Job# 00-00549-01 I.
Paid On Receipt#
'Mechanical
05/03/2000 1492
05/03/2000 ' 1492
05/03/2000 1492
Page 4 of 4
Value/Quantity
Public Works
05/03/2000 1492
05/03/2000 1492
98
1
I
System Development
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492
05/03/2000 1492 '
05/03/2000 1492
15
4,036
20
1
1
1
1
Willamalane SDC
05/03/2000 1492
1
Date Completed
04/18/2000
04/19/2000
04/20/2000
05/03/2000
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 Cor:nmunity 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.
Signature
Date
Fee Amount
$3.00
$10.00
$2.03
$41.90
$60.48
$60.00
$120.48
$936.29
$965.40
$491.60
$242.76
. $22.05
$10.00
$133.11
$,00
$-5,85
$2,795.36
$1,000,00
$1,000.00
$5,3~5.18
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! ATTACHMENT A
, r
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-00549-01 '
NAME OR COMPANY: SMITH
LOCATION: 3411 AMBLESIDE DR
TAX LOT NUMBER 17-02-19-43-08300
DEVELOPMENT TYPE: SINGLE F }\MIL Y RESIDENCE
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DWELLING UNITS: BUILDING SIZE: 2964 LOT SIZE: 11910
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1. STORM DRAINAGE
IMPERVIOUS SQ. FT,
4035.75
IX
$0,232 PER SQ. FT.
$936.29 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
X
X
1.01
X $486.73 PER TRIP
X $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60
$0.00
$491.60 ,
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
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$22.05 l
($5.85)1
$10.00 ,
$268.96 l
$2,662.25 I
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
$133.11 I
5tw~ 1~
SDC COORDINATOR
04/19/2000
DATE
TOT AL SDC CHARGES I $2,795.36
PLUMBING FIXTURE UNIT (PFU) CALCULA TION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
,CNOTE: FOR REMODELS. CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SANDI AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESW ASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLANALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION,
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
2
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
~
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
2
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 20
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $4.47 1989 $2.18
1980 $4.38 1990 $ 1.75
1981, $4.32 1991 $1.35
1982 $4.20 1992 $1.17
1983 $4,03 1993 $ 1.03
1984 $3.88 1994 $0,86
1985 $3.68 1995 $ 0.71
1986 $3.38 1996 $0,57
1987 $3.03 1997 $0.39
1988 $2.62 1998 $0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0,39 x 15.000 $5.85
IMPROVEMENT (IF AFTER ANNEXATION DATE) x $0,00
CREDIT TOTAL $5.85
..
p~Willamaliine
t, ~ Park & Recreation listrict Job., No. 00. OO~'OI
(., SYSTEM DEVELOPMENT CHARGE
, ' " I WORK'SHEET
, !'lAME: ~1)f) ~(~th-- ' PHONE: V'J4lo .OOPJ
ADDRESS: ~~ l Do0to(l}L,~ STATE: ~ZIP: il1t2'7
,
LOCATION OF PROPOSED ~UILDING SITE;. '
Street Addr,\ss: ~%ll \.C/\l'C\.b\..u\1 d9J Dn ~
PIal Na~c&.~iciL' _ Tax Lot Number: \'lO~G\4~~~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.) ,
~
,. \'.
A. Sinale-Familv Detached.
\ Single Family home
NO. OF UNITS' \
_,IJ
Manufactured home not in a park
X $1,000 per unit = $ \000.00
B. .s.inale-Familv Attached. ~ ;'"i~,-'
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufa.ctured Home Par1\
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \DOO.oQ
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of ,H
Willamalane Credit approval. See SDC Credit Worksheet. $ ~
, ,
3. TOTAL WILLAMALANE NET SDC ASSESSED
~S~~cldfO~;J
Dev~!opment gelV~\Department
City ~of Spri'ngfield :
$ lOOO'. 00
I
I
Date
.
, 0
. ~~ c}~
",,~'iJV'~0,
\.
. '0v, t\
~O" <:'
~ 'iJ '
I ~~<:-~ 000, , ·
~O ' ~O I.,
,0 "" /'\:
o ~'~, '~<:-'<J
97~7J:..'<:'~0~"" 1,0<:' ,
726~~69 ,....<:-
c;,''''
, 0
~0, j,0
~ 0<'"
1. . ~\~00K.~~~\1,9/
"LEGAL DE~PTION Q.. '.J./""V"l
, \l l ()~Q. -f?) () bliJl J\. J '
~~u\{m+-(~1
Permits are n:~~able and expire',
if work is not started within 180 days
9f issuance or if work is suspended' for
180 days.
225 FIFTH STREET
'SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
2. CONTRACTOR INSTALLATION
ONLY/
/
Contractor
City
Supervisor
Expira tion.
~
~
of Supervisi"" Elect~
Owners Nam~\'ful~ ~U~ ~
Address~~ \'ttffiOQt\ ~ .
. Git~Qtla.Phon~.W6\
, OVNER INST~~TION '
The installation is being made on
property I own which is not intended
for ~ale, lease or rent.
Owners Signature:
---------------------------------------
,
pATE:
'RECEIPT #:
RECEIVED BY:
ELECTRICAL PERHITAPPLICATION
" Ci ty Job NumberID.()~q .0\
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Mul ti-Family per dwelling uni t.
Service Included:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less \ $ 40.00 4-0
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over600.ampsor 1000 volts see "B" above
Branch Circuits
1000 sq.ft. or less
Each additional 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
C.
D.
Items Cost
Sum
\
4
f?5
Loa
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,.
New, Alteration or Extension PerPanel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Se~vite/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
$
$
$
$
J&~~
~:~~
QlO'!1. 5,~
40.00
40.00
20.00
36.00