HomeMy WebLinkAboutPermit Building 2000-10-13
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Job# 00-01354~01
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Page 1 of 4
225 North Fifth Street
Springfield, OR 97477
TRANS# ~ 01,,-0003465 .
DATE:OCT 13 2000
AMT RECD=2 $ 4419~54
CHAt'~GE ~
CASHIER~061
RESIDENTIAL PERMIT.
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01354-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 3358 Ambleside Dr Spr
,Assessors Map#: 17021943
Lot: 138 Block: Addition:
Owner:
Address:
Tax Lot #: 08300
Subdivision:Ambleside Meadows
Dukes & Dukes Construction Co
Po Box 71095
Phone Number:, 541-461-5477
City/State/Zip:' Eugene, OR 97401
New. Value: $121,631
Scope Of Work: Single Family Residence
Contractor Type
Mechanical Contr
Plumbing Contr
Contractor
Comfort Flow Heating Co
1951 Don St Ste 0, Springfield, OR
97477-1993
Don Lewis Plumbing
500 Greenfield Street, Eugene, OR
97404 '
Registration #
460
Expiration Date
6/27/2001
Phone
541-726-0100
, 33076
6/10/2001
541-688-1931
Office Use
Land Use: Single Family Dwelling # Of Buildings: 1
Zoning Code: LOR NOTICE: Occupancy Group: Dwelling
Bedrooms: 3 . , THIS PERMrrlt,'M'Aa~~RE~eCF~g~b~f(
Range: Electric Al1THORIZE.rSI9" Eo_oJaqe: 162'2
I ) Nn~R TF-lI,C:: P'::~~J1IT ~g N0T
To request an inspection call the 24 hour recording at 726-3769, All in~~~g~i1:frI~Q€~Qft~~ 1&~f~~f)h'@:D FOR
a.m. will be made the same working day, inspections requested after #M)O{a1.~ ~t(lytfeBn~~.the following,
working day. "
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
3RNC
1
(VN) Wood Frame
Gas
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. ATTEf\mON:Oregon I .
- After forms are erected but prior to concrete. r;>,lacem.. ent. d . . a,w reqUires you to
" ' H~"OItV I tJlt:l~ a opted by "he Oregon Ut"'ty
, - Prior to floor insulation or decking, ", tT t' C .' II
-Prior to decking. ':Jo~~~~on enter. Thoserulesaresetforth
-Prior to cover. ,~,' 52-001-001pthroughOAR952_001_
- Before covering sheathing with finish mat~9i~~TYOU ::ay obtam copies of therules by
_ Prior to cover. . G' I mg t e center. (Note: the telephone
_ Prior to Cover n umb\..~r for the Oregon Utility Notification
P. t t ' ,,'.',',:. ("::"'!~'\" ;.:- 'i;ll'l(l """ "'''44) .
-flor 0 aping. . ""...;: ",I ,";' l"~;',h'''')':,d..'~\~ .'
- When all required inspections have been approved and the building is complete,
.;;
Temporary Power
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Per,meter Foundation
Drains
Final Plul11bing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
I Job# 00-01354-01 I
Required Inspections
I Electrical I
'. -Approval required prior to SUB energizing pole.
I Plumbing
- 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 Mechanical
- Prior to insulation or decking.
Page 2, of 4
- Prior to cover.
-After fine is installed and line has been connected to a minimum of one appliance. Pressure te~
- When all gas work is complete.
- When all mechanical work is complete.
I Public Works I
-Aft,er forms are erected but prior to placement of concrete
-Afterforms are erected but prior to placement of concrete'
Street Improvement: Fully Improved
Curb Cut?0 Improvel1;lent Agr.?D
San Sewer Depth (Ft): 6 4
Storm Sewer Available? 0 .
Special Req.:
Security Required:
Bond Begin DateTime: 00/00/000000:00 AM
Sidewalk Type: .'
Additional ROW?'
Size Of Line.(in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Special Instructions:
Other Utilities:
Project S,upervisor:
Curbside - 5'
D
8
To Storm Sewer
6
00/00/0000 00:00 AM
connect roof & footing drains to storm stub provided
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D . Wetlands?D
Journal numbers
1:
Comments:
Overlay District:
# of Street Trees:
2
2:
3:
Additional Requirement~:
G,Ienwood Area? D Required Attachments:
Source Locn:
1
Material:
Planner: Ruth Klein
Urban Growth Boundary?D
Quantity, Of Fill:
~upplier:
Drainage:
Floodway FEMA: n/a
Flood PlainFEMA: nfa
Land Use: Single Family Dwelling
Pave Driveway? 0
'. Job# 00-01354-01 Page 3 of 4
/
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling Accessory Structure
# Of Buildings: ,,1 #.Of Stories: '1 Height (feet): 22
# Of Bedrooms: 3 Current Units: Proposed Units:1
Handicap Access? D Census Code: New SF - detached
-Area (Sq. Feet) ,
Main: 1622 Acces~ory!4 73 Total:2095
Fee Paid On Receipt# Value/Quantity Fee Amount
Plan Check
Residential Plan'Check 09/06/2000 3133 121,631 $313,63
Total Plan Check $313.63
Building
Building Permit 10/13/2000 3465 121,631 $482.50
State Surcharge For Building Permit 10/13/2000 , 3465 $33.78
Building Administrative Fee 10/13/2000 3465 $14.48
TotalBLiilding $530.76
I Electrical
Temporary: 200 Amps or Less 10/13/2000 3465 1 $40,00
State Surcharge For Electrical Permit 10/13/2000 3465 $2.80
Electric Administrative Fee '10/13/2000 3465 $1.20
Total Electrical $44.00
Plumbing
Minimum Plumbing Permit Fee 10/13/2000 3465' $.00
Two Bathrooms 10/13/2000 3465 1 $160.00
State Surcharge For Plumbing Permit 10/13/2000 3465 $11,20
Plumbing Administrative Fee 10/13/2000 3465 $4,80
Total Plumbing $176.00
Mechanical
Hood and Exhaust 10/13/2000 3465 ' 1 $4.50
One to Four Outlets 10/13/2000 . 3465 1 $2.00
Minimum Mechanical Permit 10/13/2000 3465 $.00
Mechanical Administrative Fee 10/13/2000 3465 $~74
Less than 100,000 BTU 10/13/2000 3465 " 1 $6,00
Vent Fan to One Duct 10/13/2000 3465 3 $9.00
Dryer Vent 10/13/2000 3465 1 $3.00
Mechanical Issuance 10/13/2000 3465 $10.00
State Surcharge For Mechanical Permit 10/13/2000 3465 $1.72
Total Mechanical $36.96
Public Works
New Sidewalk 10/13/2000 3465 55 $60,00
New Curbcut 10/13/2000 3465' 1 $60.00
Total Public Works $120.00
System Development
Residential- Single FamiJy- Storm 10/13/2000 3465 2,780 $667,26
Sanitary Sewer 10/13/2000 3465 18 ' $897.48
Residential Tral'1sportation 10/13/2000 ' ,3465' 1 $507.82
Residential Sanitary MWMC 10/13/2000 3465 1 $285,91
Hesidentiallmprovement MWMC ' ...... 10/13/2000 3465 1 $24,33
MWMC Administrative Fee 10/13/2000 3465 1 ' $10,00
. ...
Job# 00-01354-01
Paid On Receipt#
System Development
10/13/2000 3465 '
10/13/2000 ,3465
Page 4 of 4
Fee
Value/Quantity
Fee Amount
SDC Administrative Fee
Property Annexed 1997
Total System Development
$119.61
$-,59
$2,511.82
S.F. Residence - Willamalane,
Total Willamalane SDC
Grand Total
Willamalane SDC
10/13/2000 3465
1
$1,000.00
$1,000.00
$4,733.17
Plan Check Type
Checked By
Date Completed Comment
Initial Review-Res
, Lisa Hopper
Steve Templin
Ruth Klein
09/11/2000
09/14/2000
09/19/2000
no occupancy until city accepts infrastructure
Engineering-Res
Planning-Res
Structural-Res \
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 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
appro:::'l~~SdUringGOnstruction. ~Ag
Signatore . Date /
~f\~~ W' -II "I"
, ~r . lama ane .
~ '- l Park & Recreation District , Job. No. ro. () \~ ~()\
~- SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~-\-tJ_J.)._Q_11 PHONE:\~\'D\~
ADDRESS~~ ~_ "Y'lo..~TATE~~IP:. Qrtol
LOCATION OF PROPOSED BUILDING S TE:
Street Address: ~& ~~ .. ~
Plat N~ ~ Tax lot Number: \~~lQ4B -pCi3J?:Ji)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
~
c
A. Sinole-Famil{Oetached
l Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ \000 pi)
B. ,Sinole-Familv Attached.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X '$692 per unit = $
D. /v1anu'fa&tured Home Part
NO. OF UNITS
WILLAMAlANE SDC
X $699 per unIt c $
$ t. mo ;::0,
o
, <<:)
$ lCCO'
$
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Wo~sheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduce edit)
~'
'~-
~ evelopment Sees Department,
City of Springfield
I
I
Date'
'\
ATTACHMENT A,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 00-01354-01
NAME OR COMPANY: DUKES & DUKES
LOCATION: 3358 AMBLESIDE nRIVE
TAX LOT NUMBER 17-02-19-43-08300
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
DWEI,.LING UNITS:
BUILDING SIZE:
2095
LOT SIZE:
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. . 2780.25
x
$0.240 PER ~Q. FT.
2. SANITARY SEWER-CITY ,
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x ' $49.86 PER PFU
3. TRANSPORTA.T~ON
~BER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $502.79 PER TRIP
x $502.79 PER TRIP
TOTAL TRANSPORTATION SDC
4, SANITARY SEWER - MWMG
A. REI~URSEMENT. COST:
NUMBER OF FEU's
$285.91
PER FEU
x
B. IMPROVEMENT COST:
NUMBER OF FEU's
$24.33 PER FEU I
I
I
TOTAL MWMC SDC ,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) I
x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
6254
$667.26 ,
$897.48 l
$507.82
, $0.00
, $507.82 I
$285.91 l
$24.33 ,
($0.59)1
$10.00 I
$319.65 ,
$2,392.21 l
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
,I
$119.61 ,
~~1~
SDC COORDINATOR
09/14/2000
DATE
TOTALSDC CHARGES
$2,511.82
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 ANNEXATION DATE)
'0''':11 .
.~. I " ' .
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXT~RES x UNIT EQUIVAL~NT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODELS, eALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC,
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOT~ESW ASHER - 3 OR MORE
MOBILE HOME P A.RK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHW ASHER/ETC.
SHQWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URJNAL,STALL~ALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
F;tXTURES
NEW OLD
1
1 '
2,
2
, . $0,57
x
x
UNIT
EQUlVALENT
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
1.037
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
2
o
o
o
o
2
o
2
o
2
o
8
o
o
o
18
.= 1
$0.59 '
$0.00
CREDIT TOTAL $0.59
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ' ~\\},et \...\ r'l"\ ,.. A "
INSPECTION REQUEST: t)~~6-,~l~?~{\ V' City Job Number_u__.rf)\?'~.( .A-
OFFICE: 726-3759 p..\}\'{\o"
3. COMPLETE FEE SCHEDULE BELOV
.' 1. .~~~~)OF ~~
\ }fahe~~~ION c.- 8&:0
, JOB DES~TION tr\ (\ ~
+~ ){o.l'~'~.
Permits are non-transferable and ex~e
if work is not started within 180 days '
of issuance or if work is suspended for
180 days.
CONTRACTOR INSTALLATION ONLY /
Elec ical Contractor ~
/
Ci ty .
Supervisor
Expiration
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Hems, Cost
Sum
loon sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Ser~ice or Feeder $ 40.00
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
-Each Additional
Circuit or with Service
or Feeder Permit
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40;00
C. Temporary Services ~r Feeders
Installation, Alteration or Relocation
200 amps"oT less \ $ 40.00 4(,
201 amps to 400 amps $ 55.00
of Supervising Ele Over 401 to 600 amps $ 80.00
Over 600.amps or 1000 volts see "B" above
The installation is being made on
property I own whi~h is pot intended
for ~ale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT tj::
, RECEIVED BY:
B.
Services or Feeders
Installation, Alterations
or Relocation:
- " ,
Owners Name~'\-~'JJ
Addre~t>(Q'~. tt\~S ~,
City_ft~. -' Phone"1\\.&\~
OVNER &sTALLATION
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
,.
$ 2.00
not included)
Miscellaneous (Service/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
$
$
$
$
11
40.00
40.00
20.00
36.00