HomeMy WebLinkAboutPermit Building 2001-10-19
(\ jt i't
-,
Job# 01-00814-01
Page 1 of 4
TRANS#:Ol-0007022
DATE:OCT 19 200i
AMT RECD:2 $ 5128,08
CHANGE:
CASHIEF;: 061
225 North Fifth Street,
Springfield, OR 97477
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00814-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6720 Aaron Ln Spr
Assessors Map#: 17023411
Lot: 103 Block: Addition: 2nd
Owner:
Address:
Tax Lot #: 03200
Subdivision: Levi Landing
Dave Miller
6717 Camillia Ct.
Phone Number: 541-741-2648
City/State/Zip: Springfield, OR 97478
New Value: $145,063
. Scope Of Work: Single Family Residence
"'4ta.
Contractor Type
Gener,al Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
SFR
Contractor
Registration #
Expiration Date
Phone
Pacific Homes
3923 Jasper Rd, Springfield, OR 97478
Dave Miller ~'B~~41-2648
6717 Camillia Ct., Springfield, OR 97478 c'\~~ ~O'\
~~ \\ -r. ,c.. ~
Dave Miller . ~'f..~\ ~~~\54.~J.41-2648
6717 Camillia Ct., Springfield, OR 97478 tf\-'\\C~' -< S~~\..\.. -'\,:r\\S ~ "",\~<) rU'
\\.\'v ~~\ \ .<'\.f(-,~ \~v."
Rs Plumbing Contractor Inc 103816c 9~ ~\:V-1r/l2002~'Q~~ 541-461-4714
2234 DakotaSt, Eugene, OR 97402-1018 '\~~~~O~\~,'-':'\/)~\~r'''''''
541-746-3025
,. ~~.~...... ~~\~.
To request an inspection call the 24 hour recording at 726-3769. All in!?iftdtioo's r~qL'~Sted 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, . 'f.>'"
Verify Ground Rod
Footing
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Shear Wall Nailing
Framing
Wall Insulation
Drywall
Final Building
Temporary Power
Verify Ground Rod
Rough Electrical
Required Inspections
I Building I '\. 15\ 18\Ua() a~\llnU
-Install ground rod at footing, and call for inspection i?, COAjuctioR~~.l~6tin?f~~d/0r.~f0undation i
-After trenches are excavated. .\'V'Vt1~\~\1,~ \.10 'la),ua~ \:3\:l~;:;~ 'OSOO
- After forms are erected but prior to concrete 8.19~eRW?Rt; 6'-\1, :6\O\\i~\'e'l,~O f.ra~zr.6 'i}.\;Jf'? ~\
-Pr~or to floor .insulation or decking. ' auo,-\da~\ \0 S6\000 ).O\.Oo.\.O~ ~:Fa~\~:.:~~
- Prior to deckmg. In s€)\t\l 6 ",-' OI.,\O(\O~U;. ',\ .;,(f~U?'C).<:>\;;, fJ':'l,I-}
',"'I 96 t:''\: ...."0.. .... t"'''' (, ~.. , '
- Prior to cover. . \.OO.?, ~'ie s~'Ir.l "'.::[ ~,06{.\Q-.... ':.,,'r ;.';~~ ',.'1
- Before covering sheathing with finish materiaI81V.C~ 'l,ss 6~Ge~.O 5'-'::', \' :::/~ :.'.:'::, " j'-~
- Prior to cover. f.1,\\~'.n u~s}': ....~e~ ~!.~ . ."
- Prior to Cover 0\ \'lor. " '
:.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.
A.-
Electrical Service
Final Electrical
Underfloor Plumbing
Underfloor Drain
Rough Plumbing
Water Line
Sanitary Sewer Line
Storm Sewer Line
Final Plumbing
Underfloor Mechanical
Rough Gas
Rough Mechanical
Gas Service
Final Gas
Final Mechanical
SW-Curbside
CC-Standard
Job# 01-0081A-01
Required Inspections
I Electrical
-Must be approved to obtain permanent power.
- When all electrical work is complete.
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.
- When all plumbing work is complete.
I Mechanical
- Prior to insulation or decking.
Page 2 of 4
- Prior to cover.
-After line 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
-After forms are erected but prior to placement of concrete
-After forms are erected but prior to placement of concrete
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:
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
00/00/000000:00 AM Bond End DateTime:
NO OCCUPANCY OR SEWER HOOKUP ALLOWED UNTIL C
Curbside - 5'
D
8
6
00/00/0000 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees: 2
3:
Planner:
Urban Growth Boundary?D Glenwood Area? D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: 1166 of 2975
Additional Requirements:
Required Attachments:
Source locn:
Material:
Flood Plain FEMA: X-White
land Use: Single Family Dwelling
Pave Driveway? 0
"
-
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? D
-Area (Sq. Feet)
Main: 1944 Accessory528
Fee
Residential Plan Check
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
One to Four Outlets
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
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
Residential Improvement MWMC
MWMC Administrative Fee
Job# 01-00~14-01 I
Page 3 of 4
Accessory Structure
# Of Stories: 1 Height (feet): 24
Current Units: Proposed Units:1
Census Code: New SF - detached
Total:2472
Paid On Receipt#
Plan Check
07/31/2001 6300
Value/Quantity
Fee Amount
145,063
$348.73
$348.73
Building
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
145,063
$536.50
$37.56
$16.10
$590.16
Electrical
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
1
3
1
$85.00
$45.00
$40.00
$11.90
$5.10
$187.00
Plumbing
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
1
$.00
$160.00
$11.20
$4.80
$176.00
Mechanical
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
1
1
$4.50
$2.00
$.00
$.74
$6.00
$9.00
$3.00
$10.00
$1.72
$36.96
1
3
1
Public Works
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
75
1
1
$65.00
$65.00
$-30.00
$100.00
System Development
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
3,300
1
1
$900.90
$34.83
$10.00
.'
.,
-
Fee
SDC Administrative Fee
Residential Sanitary MWMC
Residential - Improvement
Residential - Reimbursement
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
S.F. Residence - Willamalane
Total Willamalane SDC
Planning Plan Review
Total Planning
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Steve Templin
Engineering-Res
Planning-Res
Structural-Res
Sam Gollah
Tom Marx
I .Job# 01-00814-01 I
Paid On Receipt#
System Development
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
10/19/2001 7022
Willamalane SDC
10/19/2001 7022
Planning
10/19/2001 7022
Date Completed
Comment
Page 4 of 4
Value/Quantity
1
1
1
20
20
1
1
09/24/2001
09/26/2001
Held for final plat of subdivision
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
approved set of plans will remain on the site at all times during construction.
C J)~~ .
Sign&Jre ' i
Fee Amount
$142.28
$332.86
$659.76
$155.13
$427.40
$324.80
$2,987.96
$1,000.00
$1,000.00
$50.00
$50.00
$5,476.81
NO OCCUPANCY OR SEWER HOOKUP
ALLOWED UNTIL CITY COUNCIL ACCEPTS
PUBLIC IMPROVEMENT
INFRASTRUCTURE. SEE STEVE TEMPLIN
(PW) PRIOR TO RELEASING THESE
HOLDS.
10/03/2001
09/24/2001
~flq
Date
7. ~o I
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~.
f1~'O\
~"V
$
97477
7.26-3769 .
1. \ LOCATION ,O,F INST'WTION
~ l) V'\f\ \..()(\ 011 L
LEGAL DESCRIPTION
tl(Y~..c~\\ \ i)O 03?ri)
, ,- 1
. ~I J'\~l :ESCl\lP~ION C"\ _ _ OA.-lt\
~ ~ \.) 1"t fvu.P , ~. tUU~ cs- r L-
Permi ts are n.J-transf\)rable and expire
if work is not 'started wi thin 180 days
of issuance or if work is suspended for
180 days.
CONTRACTOR INSTALLATION ONLY
Contractor
City
Supervisor
Expiration
Constr Contr.
Owner~ NameJJ\1{>, ro ,fU,D
Address ~\ \\ ~~_f'(\O~.tt.CL.. ~
Ci ty ~~~_o'M Phone ~\. ~~
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job NumberOl. oo<6\4.0r .
3. COMPLETE FEE SCHEDULE BELO~
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Cost Sum
$ 85.00 ~
$ 15.00 ~
,$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
200 amp~~T less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration 6r Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Items
1000 sq.ft. or less 1
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:
$ 40.00
$ 55.00
$ 80.00
see "B" above
~.
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE \~.a)
7% State Surcharge -6.. . \0-
3% Administrative Fee ~.~i)
TOTAL \~~ .!:;()
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
\SJ~D~
(\~.
~
97477
7.26-3769 .
1.\ _' LOCATION ~F _ INSTALLAg:{\N
ui' fU) \ <N})Jm ruL.
- - - r -
LEGAL DESCRIPTION "tV"\
~ tlD~~ \ J{1D'&lJJV
L _~JO!l DESCRIP,TIO, N tf\
~\) ~r lV^~. .
Permlts are non-transferable ~d explre
if work is not 'started within 180 days
of issuance or if work is suspended for
180-days.
CONTRACTOR INSTALLATION ONLY /
Contractor
/
Address
Ci ty p~
Supervisor Li~e Nuyroer
Expiration Date X
umbet- ~
Date ~
of Supervising Ele~ian
~n~e~_~.\~i)~ .
Address P:A~~R, POXl.d..
- \
Ci ty ~ Phone l.4\o.~
OVNER INSTALLATION
The installation is being made on
property I owp- which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
Rr.l-t;J.iii #:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number' 0\ - 0 0 <6,~ - OJ
3. COMPLETE FEE SCHEDULE BELO~
A. New Residential-Single or
Multi-Family per dwelling unit.
Service 'Included:
Items Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder ,$ 40.00
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.
$ 50.00
$ 60.00
$100.00
$130.00
$ 300";00",
$ 40.00~
Temporary Services or Feeders
Installation, Alteration or Relocation
J
200 amp~~T less l
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 ~
$ 55.00
$ 80.00
see UB" above
,.
New, Alteration or Extension Per Panel
Miscellaneous {Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00,
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~.~
1__ .9-J)
\oW
4~ - CtJ
('; .
CITY OF SPRINGFIE SYSTEMS DEVELOPMENT CH, ';E WORKSHEET
JOURNAL OR JOB NUMBER: 01-00814-01
NAME OR COMPANY: MILLER
LOCATION: 6720 AARON LANE'
TAX LOT NUMBER: 17-02-34-11-03200
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 1 BUILDING SIZE:
50%
A: REIMBURSEMENT COST:
I ADT TRIP RATE I NUMBER OF UNITS COST PER TRIP
x x x
I 9.57, 1 >0. $16.21
B. IMPROVEMENT COST:
I ADT TRIP RATE NUMBER OF UNITS
x
I 9.57 1
I ITEM 3 TOTAL - TRANSPORTATION SDC
~NlT ARY 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.....An~TRATTVE FEE:
SUBTOTAL ADM. FEE RATE
x
$2,845.68
x
COST PER TRIP
$68.94
5%
~T~
9/26/2001
o
SF LOT SIZE:
o
$900.90
=1
=1
$0.00 ,
$900.90 ~
NEW TRIP FACTOR
1.00 1=1
x
NEW TRIP FACTOR
1.00 =1
=1
=1 ' $427.40
=1
=,
$324.80
$752.20
$155.13
$659.76
$814.89
=1
$332.86
=1
=1
=1
=1
=1
=1
$34.83
$0.00
$367.69
$10.00
$377.69
-
$2,845.68
=1
$142.28
SDC COORDINATOR
DATE
TOTAL SDC CHARGES = $2,987.96
SF
r./)
~
Q
o
u
~
~
E-;
r./)
~
CI
~
1070"/
1 1091 ~ /'
, 1092~/
I r
/
1093'
,
II
1094-- /
I
I
l
I
I I
II
1055"/ '
1056
1073
DRAINAGE Fl URE UNIT (DFU) CALCULATIO. ABLE (P
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULA TE-ONL Y THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( # NEW - UNIT FIXTURE
# OLD ) x EQUIVALENT =
FIXTURE TYPE UNITS
BATHTUB ( 1 0 ) x 3 3
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 TIJB ( 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 ( 1 0 ) x 2 2
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/WALL ( 0 0 ) x 5 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0
TOlf.i;ET, PRIVATE INSTALLATION ( 2 0 ) x 3 6
MIS'CELLANEOUS DFU TYPE NUMBER OF EDU's*
( 0 0 ) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 20
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, 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
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / 1000 CREDIT RATE
0.000 X $0.00 =1 $0.00 l
0.000 X $0.00 =1 $0.00 I
TOTAL MWMC CREDIT =1 $0.00 ,I