HomeMy WebLinkAboutPermit Building 2002-6-27
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I Job# 02-00715-01 I
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225 Fifth Street
Springfield, OR 97477
CITY OF SPRINGFIELD, OREGON
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
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Job Number: 02-00715-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 920 Quinalt St Spr
Assessors Map#: 17032642
Lot: Block: Addition:
Owner:
Address:
Tax Lot#: 07400
Subdivision:
Mike Hagen
920 Quinalt Street
_ Phone Number: 541-741-7,776 1
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10110','/ City/Stlite/Zip:by USpli'rigfield,lq~9I477
l~oi!f;""~Hnn ('J::lltCr. Those rulss are SZ~ lel"1 ;
OARemodel'1 0010 through GValue:2_,$7\~60
n i1t:l:J~-iJv - ,-'" ....... l;......
0090. You may obtain copies 01 the rulec by
calli no tho center. (Note: the telephone
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Scope Of Work: Garage Conversion
Contractor Type
General Contr
Electrical Contr
Mechanical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Garage conversion
Contractor
'1umoer lur u It.: VIO~VII VUlll)' I ".....U........,......
CeReglstritioh~#l~-ExWation Date
Phone
541-741-7776
Mike Hagen
920 Quinalt Street, Sprin9field, OR 97477
Mike Hagen 541-741-7776
920 Quinalt Street, Springfield, OR 97477
Mike Hagen 541-741-7776
920 Quinalt Street, Springfield, ORl!lmr~~:
Mike Hagen nus PERMIY SHALL EXPIRE 541-741-7776
920 Quinalt Street, Springfield, O~~_R'~~ UNDER THIS PE=~J~~~9RK
~tr.1LI..rJ"a::U U/1 ,~ ABANOONE - un
Offic~ UIY !JAV PER/O 0 FOR
2RNW Land Use: Single Family Dwel~rig # Of Buildings: 1
Zoning Code: LDR Occupancy Group: Dwelling
(VN) Wood Frame Bedrooms: Heat Source: Wall Heat
Range: Sq. Footage: 300
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.
Foundation
Post and Beam
Floor Insulation
Ceiling Insulation
Framing
Wall Insulation
Drywall
Final Building
Required Inspections
I Buildinll I
-After forms are erected but prior to concrete placement.
- Prior to floor insulation or decking.
-Prior to decking.
- Prior to cover.
- Prior to cover.
- Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
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Rough Electrical
Final Electrical
I Job# 02-00715-01 I
Required Inspections
Electrical
- Prior to cover.
-When all electrical work is complete.
I PlumbinQ
-Prior to insulation or decking.
- Prior to cover.
-When all plumbing work is complete.
Mechanical
Underfloor Plumbing
Rough Plumbing
Final Plumbing
Rough Mechanical
Final Mechanical
- Prior to cover.
-When all mechanical work is complete.
Zoning: LDR
FloodPlain? D Wetlands? D
Journal numbers
1: 2:
Comments:
Overlay District:
# of Street Trees:
3:
Additional Requirements:
Glenwood Area? D Required Attachments:
Source Locn:
Material:
Planner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
I Main: 300 Accessory:
Fee
Residential Plan Check
Residential Plan Check
Total Plan Check
Building Permit
State Surcharge For Building Permit
8% Building Administrative Fee
Total Building
Minimum Electrical Permit Fee
Branch Circuits W/O Feeder or Service
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Flood Plain FEMA:
# Of Stories: 1
Current Units: 1
Census Code: Does not apply
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Page 2 of 3
Land Use: Single Family Dwelling
Pave Driveway? D
Height (feet):
Proposed Units:
Total:300
Paid On Receipl#
Plan Check
06/14/2002 9589
06/27/2002 9766
Value/Quantity
Buildinq
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
Electrical
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
Fee Amount
3.000
4,460
$34.32
$44.46
$78.78
7,460
$91.80
$6.43
$7.34
$105.57
1
2
$.00
$43.00
$6.00
$3.43
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Fee
8% Admin Fee - Electrical
Total Electrical
Minimum Plumbing Permit Fee
Number of Fixtures
State Surcharge - Plumbing
8% Administrative Fee - Plumbing
Total Plumbing
Minimum Mechanical Permit
8% Administrative Fee - Mechanical
Vent Fan to One Duct
Mechanical Issuance
State Surcharge - Mechanical
Total Mechanical
SDC Administrative Fee
Sanitary Sewer SDC Reimbursement
Sanitary Sewer SDC Improvement
Total System Development
Grand Total
Plan Check Type
Checked By
Initial Review-Res
Lisa Hopper
Denny Wright
Liz Miller
Tom Marx
Engineering-Res
Planning-Res
Structural-Res
Job# 02-00715-01
Paid On Receipt#
Electrical
06/27/2002 9766
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Value/Quantity Fee Amount
$3.92
$56.35
Plumbinq
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
4
$.00
$56.00
$3.92
$4.48
$64.40
Mechanical
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
1
$39.00
$3.60
$6.00
$10.00
$3.15
$61.75
System Development
06/27/2002 9766
06/27/2002 9766
06/27/2002 9766
6
6
$11.28
$128.22
$97.44
$236.94
$603.79
Date Completed
Comment
06/17/2002
06/20/2002
06/19/2002
06/26/2002
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.
(l~~~~ f.p -1.- '7 -O"L--
Signature Date
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER: 02-00715-01
NAME OR COMPANY: Mike Hagen
LOCATION: 920 Ouinalt SI.
TAX LOT NUMBER: 17-03-26-42 Tax Lot # 07400
, DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 0 BUILDING SIZE:
r L STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I x I COST PER S.F. I
0.00 I 1 $0.273 = 1
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.E Ixl COSTPERS.F. 1 I DISCOUNTRATE I
0.00 $0.273 I x 50%
I' ITEM 1 TOTAL - STORM DRAINAGE SDC
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SF
LOT SIZE:
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SF
$0.00
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=1
$0.00
$0.00
1070
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DPU's 1..1 COST PER DFU
6 I $2L37
B. IMPROVEMENT COST:
I NUMBER OF DFU's I 'I COST PER DFU
6 $16.24
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
1. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE IxlNUMBER OF UNITS I xl
1 9.57 0
B. IMPROVEMENT COST:
1 ADT TRIP RATE JxlNUMBEROFUNITSJxl
1 9.57 0
I ITEM 3 TOTAL - TRANSPORTATION SDC
=1 $128.22 1091 /
=1 $97.44 I 1092- /
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=[ $225.66 I
COST PER TRIP I xl NEW TRIP FACTOR I
$16.21 LOO =1
$0.00
1093
Ixl NEW TRIP FACTOR I
Loo =[
=1
COST PER TRIP
$68.94
---1 , 1094
Ij
$0.00
$0.00
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
1 NUMBER OF FEU's I ,I COST PER FEU
I 0 $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I ,I COST PER FEU
I 0 $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)
15. ADMINISTRATIVE FEE:
I SUBTOTAL 1,1 ADM. FEE RATE I
$225.66 5%-.J
L Steve Templin 6/20/2002
SIX COORDINATOR DATE
=1 $0.00
=1 $0.00 I
=1 $0.00 1
=1 $0.00 I 1055
=1 $0.00 I 1056
=[ $0.00 I
=1 $225.66 II
=1
TOTAL SDC CHARGES =1
$1 L28 , 1073
$236.94 =rll
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DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = 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. ( 0 0 ) x 3 = 0
DRINKING FOUNTAIN ( 0 0 ) x 1 = 0
FLOOR DRAIN ( 0 0 .) x 3 = 0
INfERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 = 0
INfERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 = 0
LAUNDRY.TUB ( 0 0 ) x 2 = 0
CLOTHESW ASHER / MOP SINK ( 0 0 ) x 3 = 0
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 I = 0
RECEPTOR FOR COM. SINK I DISHWASHER I ETC. ( 0 0 ) x 3 = 0
SHOWER, SINGLE STALL ( I 0 ) x 2 = 2
SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0
SINK: COMMERCIAURESIDENTlAL KITCHEN ( 0 0 ) x 3 = 0
SINK: COMMERCIAL BAR ( 0 0 ) x 2 = 0
SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0
WASH BASIN ( 0 0 ) x 2 = 0
LAVATORY ( 1 0 ) x 1 = I
URINAL, STALL/WALL ( 0 0 ) x 5 = 0
TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 = 0
TOILET, PRIVATE INST ALLA TION ( 1 0 ) x 3 = 3
MISCELLANEOUS DFU TYPE NUMBER OF EDU's.
( 0 0 ) x 20 = 0
TOTAL DRAINAGE FIXTURE UNITS =1 6
-EOU (Equiv~ent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFrER ANNEXATION DA TE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $ I ,000
ANNEXED ASSESSED V ALOE ANNEXED ASSESSED V ALOE
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
V ALOE /1000 CREDIT RATE
0.000 X $0.00 =,
0.000 X $0.00 =1
TOTAL MWMC CREDIT =,
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFrER ANNEXATION)
$0.00
$0.00
$0.00
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