The URL can be used to link to this page

Home My WebLink AboutPermit Building 2001-10-23 ;'1 ,,.. .. i~" Job# 01-01080-01 Page 1 of 4 225 North Fifth Street Springfield, OR 97477 TRANS~:: 01-~0007053 nnT-t"t-ICT ~~ ~nni lin! ~_"' L~ ,uU~ AMi RECD~2 $ 5164,40 CHANGE; CASHIE~~: 061 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 01-01080-01 Office: 726-3759 Inspection Line: 726-3769 location Of Proposed Site: 6676 Aaron Ln Spr Assessors Map#: 17023411 lot: 107 . Block: Addition: Owner: Address: Tax lot #: 03200. Subdivision: Levi Landing Travis Zook 4536 Glacier St Phone Number: 541-521-7006 City/State/Zip: Springfield, OR 97478 New Value: $83,224 Scope Of Work: Single Family Residence 541-521-7006 O?-'f.. /.\N _ c,p.... ...\\j\ Office Use . ~\?-~ \\. ~\\ \'0 \" land Use: Single Fa~~~~ellinQ~~\[t&f~gUlf.~,~;) ~O~ Zoning Code: LOR ~O ~ ~?-\.t-..\\ '0 ~e9.'O~~~Q.fY:Gtoup: Dwelling Bedrooms: ,'y...\'O 9 ~t.~\) \) HeatlSource: Forced Air Gas Range: Electric \ \ ,\\y...O~ ,..-;.\} \~:""EoQtage: 1 000 ~\J .....,,\\ J~ .....0'\";"" ~~'~.. :-{ "'(",' To request an inspection call the 24 hour recording at 726-3769. All if.l~ecii9'o~~eqUested before 7:00 a.m. will be made the same working day, inspections requested after 7:p.O'-la~m, will be made the following working day. Contractor Type General Contr Quad Area: # Of Units: Constr. Type: Water Heater: Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Framing Wall Insulation Drywall Final Building Temporary Power Verify Ground Rod Rough Electrical Electrical Service Final Electrical SFR Contractor Registration # Phone Expiration Date Travis Zook 4536 Glacier St, Springfield, OR 97478 5RNE 1 (VN) Wood Frame Gas Required Inspections \0 I' Building I o..u.\~eS ':lO~,\W\.'1 ~ - After trenches are excavated, o{\ \e.,,:: ~: o~e~O~ se\ \06\ ~ -After forms are erected but prior to concrete Placeme~tO~eg <) 'Q~ _\\ u.\eS -a.~ 9~?-~() '0'1 - Prior to floor insulation or decking. ~1C.~"\\U -a.OO\?\~ "\'(\OS6 x ~'(\ o~ ~e ~u.\eS -Prior to decking. . \S- ~ ~u.\eSre{\\e\' $)\'(\~o\J;'es 0\ ~ ~e9'(\0{\~0{\ - Prior to cover. \O\~~\c-a.\\O{\ ~()o'\ ~'$'\) ~-a.\{\ CO'\>~" \'(\e ~o\\~\c-a.\\ - Prior to cover. ~o\\ \S-f(\ 9~1;. {(\-a.'I 0'0 e~' ,~O\)\\X\\'I Ii.~~' - Prior to Cover \'(\ 09'\)' ">{ou. ~e ce{\~~e~O" ?J':J?-~?-?> - Prior to taping. 00 ~X\{\~ :~O~ \'(\e ~e. ,\~coOo~ - When all required inspections have been approv~d.ar.Rf' tbe.'b'8i1Cfing is complete. {\U", \.J'" . I Electrical I -Approval required prior to SUB energizing pole. -Install ground rod atfooting, and call for inspection in conjuction with footing and/or foundation i - Prior to cover. - Must be approved to obtain permanent power. - When all electrical work is complete. 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: ~ Underfloor Plumbing Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Rough Mechanical Final Mechanical SW-Curbside CC-Standard Project Supervisor: I Job# 01-01080-01 I Required Inspections I Plumbing - Prior to insulation or decking. - Prior to cover. - Prior to filling trench. -Prior to filling trench. - Prior to filling trench. - When all plumbing work is complete. Mechanical Page 2 of 4 - 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 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 00/00/0000 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: LOR FloodPlain? D Wetlands? D Journal numbers 1 : Comments: Overlay District: # of Street Trees: Land Use: Single Family Dwelling Pave Driveway? 0 2 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 Construction Types:(VN) Wood Frame Occupancy Groups: Dwelling # Of Buildings: 1 # Of Bedrooms: Handicap Access? D -Area (Sq. Feet) Main: 1 000 Accessory~OO # Of Stories: 2 Height (feet): 23 Current Units: Proposed Units:1 Census Code: New SF - attaqhed Total:1400 ,-:0 .:. Job# 01-01080-01 I Page 3 of 4 Fee Paid On Receipt# Value/Quantity Fee Amount I Plan Check Residential Plan Check 10/02/2001 6877 82,440 $324,58 Additional Plan Check 10/23/2001 7053 3 $2.53 Total Plan Check $327.11 Building Building Permit 10/23/2001 7053 83,224 $503.25 State Surcharge For Building Permit 10/23/2001 7053 $35.23 Building Administrative Fee 10/23/2001 7053 $40.26 Total Building $578.74 Electrical Wiring Footage 1,000 Sq Ft or Less 10/23/2001 7053 1 $106.00 Wiring Footage Each Add'l 500 Sq Ft 10/23/2001 7053 1 $19.00 Temporary: 200 Amps or Less 10/23/2001 7053 1 $50.00 State Surcharge - Electrical 10/23/2001 7053 $12,25 Administrative Fee - Electrical 10/23/2001 7053 $14.00 Total Electrical $201.25 Plumbing Two Bathrooms 10/23/2001 7053 1 $254.00 State Surcharge - Plumbing 10/23/2001 7053 $17.78 Administrative Fee - Plumbing 10/23/2001 7053 $20.32 Total Plumbing $292.10 Mechanical Hood and Exhaust 10/23/2001 7053 $9.00 Minimum Mechanical Permit 10/23/2001 7053 $18.00 Administrative Fee - Mechanical 10/23/2001 7053 $3.60 Vent Fan to One Duct 10/23/2001 7053 2 $12.00 Dryer Vent 10/23/2001 7053 1 $6.00 Mechanical Issuance 10/23/2001 7053 $10.00 State Surcharge - Mechanical 10/23/2001 7053 $3.1,5 Total Mechanical $61.75 Public Works New Sidewalk 10/23/2001 7053 60 $65.00 New Curbcut 10/23/2001 7053 1 $65.00 Multiple Permit Discount - 2nd Permit 10/23/2001 7053 1 $-30.00 Total Public Works $100.00 System Development Residential - Single Family - Storm 10/23/2001 7053 2,338 $638.14 Residential Improvement MWMC 10/23/2001 7053 1 $34,83 MWMC Administrative Fee 10/23/2001 7053 1 $10.00 SDC Administrative Fee 10/23/2001 7053 $136.67 Residential Sanitary MWMC 10/23/2001 7053 1 $332,86 Residential - Improvement 10/23/2001 7053 1 $659,76 Residential - Reimbursement 10/23/2001 7053 1 $155,13 Sanitary Sewer SDC Reimbursement 10/23/2001 7053 24 $512.88 Sanitary Sewer SDC Improvement 10/23/2001 . 7053 24 $389.76 Total System Development $2,870.03 Willamalane SDC S.F. Residence - Wi llama lane 10/23/2001 7053 $1,000.00 Total Wi llama lane SDC $1,000.00 ~t:! , ., r Fee Job# 01-01080-01 Paid On Receipt# Planning 10/23/2001 7053 Page 4 of 4 Value/Quantity Fee Amount Planning Plan Review Total Planning . $50,00 $50.00 Address Assignment Total Permits w/o Srchg Grand Total Plan Check Type Permits w/o Srchg 10/23/2001 7053 $8.00 $8.00 $5,488.98 Checked By Date Completed Comment Initial Review-Res Bob Barnhart Engineering-Res Steve Templin 10/18/2001 NO OCCUPANCY PERMITS OR SEWER HOOKUP UNTIL THE CITY ACCEPTS THE INFRASTRUCTURE Planning-Res Sam Gollah 10/19/2001 Structural-Res Don Moore 10/19/2001 FEMA Elevation Certificate is required, 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 agre-eM ensurethat all required inspections are requested at the proper time, that each address-is re~&blep:JfCm he'street, that the permit card is located at the front of the property, and the appro{ed se(of ~cf/;Wi remain on the site at all times during construction. . / / -I // ( --.. /()hrr/() / Signa1&re~ V Date' b 'tted has the following . . ject as su rnl " I d..Use 225.t'lr it! STREET . 'fhetoIlOWlng:~~s not require specifiC an~.t;LECTRICAL PERMIT APPLICATION SPRINGFIELD OREGON 974?JC}I'llflg. and , " INSPECTION REQUEST: 726~1I9"\oo;Og _ . '-.Diit;,';;i N~ C) { - 0 10 8'0' - CJ I OFFICE: 726-3759 ( 0 ~ '2-? e> - , Date - 3. ~ FEP. .~(,WEDULEBELOW 1. I.:OCATION OFjJ[NSTALLAI~~rized Signature. . hb7b tt2rc~ r-.. '1.'X--V1 (: A. NewResidential-Singleor Multi-Family per dwelling unit. Service Included: P' LEGAL DESCRIPTION /70l. 5.4// o <. z..<::)"~ JOB DESCRIPTION / /) SF ~/(JbVCE:: '.p ~~ Permits are non-transferable and eXPir( if work is not started within 180 days of issuance or if work is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor S7EVE.' 1+i}IX~ Address 02B S Yb::& ~+ City Sp;'I''h~cI&t Phone 22. I - '2"5 , - v Supervisor License Number ' 351::; 5 Expiration Date J If - I - Z 065 Constr Contr, Number I LJ:t b J B Expiration Date y ~. 30 - 2.003 Signature of Supervising Electrician . c/ AJJ Z",L. (K~ q J J - b ere '-\ Owners Name ,- / 'rAJ I ':::. :;;::p)..L G-/kk-IErc 52(-700b Address '-f $""3 b City 5 P F~ Phone OWNER INSTALLATION Theinstallation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or'less , 201 amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 amps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less . 201 amps to 400 amps O,ver 40 I to 600 amps Over 600 amps or 1000 volts see liB II above ' D. Branch Circuits New Alteration or Extension Per Panel One Circuit , . Each Additional Circuit or with Service or Feeder Permit , E. Miscellaneous (Service/feeder not included) , -Each installation" Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm Items Cost Sum $106.00 lOG ) $ 19.00 II $ 50.00 .. $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50,00, I $50.00 $69.00 $100,00 s-o $43.00 $ 3.00, $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 TOTAL ,,- J7S j z ~'j, It-( ,?-O I z~ . , .;... CITY OF SPRINGFIE'~'i(;~YSTEMS DEVELOPMENT CHL ;E WORKSHEET JOURNAL OR JOB NUMBER: 01-01080-01 NAME OR COMPANY: Travis Zook LOCATION: 6676 Aaron Lane TAX LOT NUMBER: Levi Landing 2nd Add. Lot 107 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: 1 BUILDING SIZE: 1400 SF LOT SIZE: 5400 SF LS..TORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. COST PER S.F. x 2337.50 $0.273 ~ =1 $638,14 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUS S,F. x COST PER S.F, I xl DISCOUNT RATE 0.00 $0.273, 50% =1 $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC =f $638.14 2. SANITARY SEWER - cra A. REIMBURSEMENT COST: NUMBER OF DFU's COST PER DFU I x 24 $21.37 B. IMPROVEMENT COST: 1 NUMBER OFDFU's I COST PER DFU x' I 24 I $16.24 ITEM 2 TOTAL - CITY SANITARY SEWER SDC r:/l W o o u -~ w ~ r:/l ~ CI ~ 1070'/ =1 $512.88 1091"/ =1 $389,76 1092i'/ =1 $902.64 ~. TRANSPORTATION A. REIMBURSEMENT COST: / 1 ADT TRIP RATE . . NUMBER OF UNITS I COST PER TRIP NEW TRIP FACTOR I x ^ x =1 9.57 1 $16,21 1.00 $155.13 1093" B. IMPROVEMENT COST: 1094'/ I ADT TRIP RATE NUMBER OF UNITS COST PER TRIP I x NEW TRIP FACTOR I x x 9.57 1 $68.94 1.00 =1 $659.76 , ITEM 3 TOTAL - TRANSPORTATION SDC =1 $814.89 ~. SANITARY SEw.ER.=...MWMC A. REIMBURSEMENT COST: NUMBE~ OF FEU's I x' COST PER FEU $332,86 =1 $332.86 B. IMPROVEMENT COST: NUMBER OF FEU's COST PER FEU x =1 1 $34.83 $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) =1 $0.00 SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT =1 $367.69 105~/ MWMC ADMINISTRATIVE FEE =1 $10.00 1056 I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =1 $377.69 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) =1 $2,733.36 5. A DMTNISIRA TTVB..EEE;, SUBTOTAL ADM. FEE RATE x =1 $2,733,36 5% $136.67 1073 ~T~ 10/18/2001 TOT AL SDC CHARGES = $2,870.03 SDC COORDINATOR DATE ! 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 - UNIT . FIXTURE # OLD ) x EQUIVALENT = FIXTURE TYPE 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: COMMERCIALIRESIDENTIAL 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/VVALL ( 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 galIons 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 DA TE, CALCULATE CREDIT SEP ARA TEL Y 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