HomeMy WebLinkAboutPermit Building 1999-8-24
;,
("1 ..
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD Job Number: 990814
A TTl:C:ftiiiltMJo!Nro-iY:lWER:W:\OESj UIi1l::'liiljiSirON'
follow rules admpta::N'.ay ttb~,nygon Utility
Notification Center. Those rules are set forth
225 North Flfth StreEiIl OAR 952-001-001 o through OAR 952-001- Office: 726 - 3 7 59
Springfield, OR 9747iD090. You may obtain copies of the rules by Inspection Line: 726-3769
calling the center. (Note: the telephone
Location of Proposed W6fltllrlbed(9l2t~mg<FrUtility Notification
Assessors Map #: 17033423 Center is 1-800-332-2344). Tax Lot #: 04300
Lot: 9 Block: Subdivision: RIVER TRAILS
Owner: CHRISTINE PARKER
Address: 80941 TURKEY RUN RD.
Phone #: 767-9937
City/State/Zip: CRESWELL OR,97426
Describe Work: S.F.RESIDENCE
NEW
General:
Const.
Contractor NOrlCE: Contractor # Expires
CLAS SIC s4~LS ftERM/T SHALL E5(f3'iR~ ibl-,., . 05/18/98
690 WEST 2'8WHf1RJZfml9fI3D~l=ff~00"rJff ,nEWORK
COMMF=f\lCr=D n::: _ IS PERMIT I~ Nnr
ANYf80B"FFIct' 1~~/jANDONEDFOR -
11~ITMOD. 1111
CONSTR. TYPE: VN
INSUL PATH: P1
Phone
912-5445
QUAD AREA: 5RNW
OCCY GROUP: R3
HEAT SOURCE: FG
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 1474
To request an inspection. call the 24 hour recording at 726-3769.
All inspections requested before 0:00 a.m. will be made the same working day,
inspections requested after 7:00~~~m. will be made the following work day.
REQUIRED INSPECTIONS
TEMPORARY POWER
FOOTING - After trenches are excavated,
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Cei~ing; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete,
SIDEWALK - After excavation is ~omplete, forms and sub-base material
in place.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL,PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete. '
;
'.'
Job Number: 990814
Lot Faces: S
Topography: 2
Lot
Lot
Setbacks
S W
10
Sq. Ft.: 4624
Type: CORNER
Lot Coverage: 29 %
House
Garage
N
7
E
5
18
Item
Main
Garage
GARAGE LOFT
DECK
Total Value
BUILDING PERMIT ---
Square Feet x
1048
288
168
450
$/Square Feet
69.64
18.34
15
15.
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
1
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE W/H
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D,
and E combined)
b~t:VrJ flA\~.1
Page 2
Value
72,983.00
5,282.00
2,520.00
6,750.00
87,535.00
397.00
31.76
428.76
Fee
91.20
91.20
7.30
98.50
6.00
4.50
6.00
4.50
3.00
5.00
29.00
10.00
2.32
41. 32
0.00
60.00
60.00
2,087.38
1,000.00
3,207.38
~.96
IIO.f.O
V 35.1~
.-
.... ;,
.' I
SPA'NG""'LD ~
__.JAr . '. _tJlrtI1"lf2/#.~.1r.r~.,.J~
'....- '
Job Number: 990814
Page 3
--- BUILDING VALUE, PLAN, CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, ,conform to the Ordinance adopted by the City of
Springfield, including the Development Code, re~ulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 244.40 Date Paid: 06/17/99
Received By:
Plans Reviewed By: AL WARD Date: 08/23/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 034505
--- ADDITIONAL COMMENTS
"k-OE.pEIU\T~ li:.1.EC'rRTe1-l.L l'ERrvrr ~ :::':Y-REQTTH'><'D
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES 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 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.
~f~
Signadrre
8. 24 ..q'l
Date
VALIDATION
Date Paid:
rPt-~ . > (J3~I~b
gl2q/~
? !~ r-. 1 ("
J')
d/tJ~
Receipt Number:
, '
Amount Received:
Recei ved By':
~
r
"
~.
JOURNAL OR JOB NO. t::r10 ~ I q...-
'AttAcHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET,
NAME OR COMPANY: 'PA~~E:.rL
LOCATION:
I.C:;-.q '2- C 1'0.1--' A.l,..- ~ ..
DEVELOPMENT TYPE: ~;::- n
BUILDING SIZE:
~ /=>~LOT SIZE
SQ. Ft.
1. STORM DRAINAGE1ff1fJ44~ /504 +- {?3 (52) ~ II (lS.75') -I-'
IMPERVIOUS SQ. FT.' fq4-~~<6C; X $0.227 PER SQ. FT. $ 44/.03
2. SANITARY SEWER-CITY
NO. OF PFU'S I~
(See Reverse Side)
X $47:14 PER PFU
$ 154.z.'r
3. TRANSPORTATION
NO OF UNITS, X TRIP RATE X COST PER TRIP
X I.OfX $475.32
$ 1'tO. 0':1
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
, NO. OF FEU'S
X Z -nM:PER FEU
, $ Z-Il.~
B. IMPROVEMENT COST: '
NO. OF FEU'S
X Z5z.o PER' FEU '
$ z..S.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ - >
,$ 10.00
TOTAL'-MWMC SDC
$31'2. .~4-
$ /1 ~l.q'6
$ qq.4{)
f'Yl5L-
, SDC Coordinator
AITACH' A. WPD
Date:~2'l ~
TOTAL SDC $ 2..0 ~/. ?J{
'JOUpU"L OR JOB NO. ,&r1o'{ I q-
ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS-DEVELOPMENT CHARGE
WORKSHEET
'NAME OR COMPANY: 'PA,e:~e:.~
LOCATION:
Lt:;"q 2. c..,....., A. I,.-- ~-r
DEVELOPMENT TYPE: ~\= n
BUILDING SIZE:
~ 151~LOT SIZE
SQ. Ft.
'1.,,_ STORM DRAINAGE, ~'t/ /S04+- K3(5Z)..J- II (15:75) ~
-; IMPERVIOUS SQ. FT. 'fq~~/6S X $0.227 PER SQ', FT. $ 44/.03
2. ",SANITARY SEWER-CITY
, '
NO. OF PFU'S I~
(See ~everseSide)
X $47.14 PER PFU
$ ,54.2..4--
,
3. " TRANSPORTATION
NO OF UNITS X,TRIPRATE X COST PER TRIP
. .
./
X I.Of X $475.32
$ ff:O. 0':1
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
, NO. OF FEU I S
X 'Z-l:2M:-PER FEU
$ /_11.44- '
B. IMPROVEMENT COST:
NO. OF FEU'S 1 X z.5ZO PER FEU
MWMC CREDIT IF _APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE: FEE
$ Z.S.2-Q
TOTAL-MWMC SDC
< $ >
$ 10.00
$31'2. '.~4-
'SUBTOTAL (ADD 'ITEMS 1=,2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVDX .05
$ ,q q'll1t
$' qq.4{]
TVl5L-
SDC Coordinator
ATTACH' A, WPD
Date:~2C[ ffi
TOTAL SDC $20f(,. ~
FIXTURE UNIT CALCUI A. TION TABLE: Number of New Fi~
-'
~s X Unit Equivalent = Fixture Units
.
UNIT FIXTURE
E0.UIV ALENT UNITS
2 Z-
1
~ 2
3
6
2 Z-
6
6
1
3
2
l/Head
2 z....
2
1 '"Z:-
6
4 ~
. . ;
(NOTE: For remodels, calculate o. ;1e NET additional fixtures)
~ NUMBER OF
FIXTURE TYPE ' NEW FIXTURES
Bathtub................................. '......................................
Drinkil)g Fountain.... ..................... .,...................... ....
Floor Drain.......................... ~.....................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..... ..'...........
laundry Tub/Clotheswasher...;.......... .~................:..
Clotheswasher - 3 Or More......................................
Mobile Home Park Trap (1 Per Trailer).:......,.........
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sirik/Dishwasher/Etc..
Shower, Single Stall.................. ...;......................... ...
Shower, Gang... ..........................~............................ '
Sink: Bar, Commercial,\ Re~fdentii:lI Kitchen:..:;....:;;,.~,..;:.::.:..:?:".,
Urinal, Stall/Wall................................................ .,......
Wash Basin/Layatory-, Single........ ...........................
Toilet, Public Installation~...............................:.......
Toilet, Private... ......................... ............. ................
Miscellaneous:
'.~' :
"
,
.':. I
'"
,}
1/'
I
. i ' '. . ". ~ (
TOTAL FIXTURE UNITS
=
--10
CREDIT CALCULATION TABLE: Based on assessed value.. If improvements occurred after annexation date in table,
calculate credits separates.
Yea~
Annexed
Rate per $1,000
Assessed Value
Year
Annexed' '
Rate per $1,000
Ass'essed Value
I
1979 or before
1980
1981
1982
1983
1984
198!?
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1.8
2.82
2.42
1989
1990
1991 '
1992
1993
1994
1995
., '1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67,
0.52
0.38
0.21
Credit for Parcel' or land Only If Applicable
'., 'X' $ =
(Rate X Assessed Value) ,
X $ =
(Rate X Assessed Value) ,
CREDIT TOTAL = $,
Improvement. (if after annexation date)
.,' 1 II
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
r
Residential........................... 0.4
Commerical..........:.............. 0.9
Industrial............................ 0 5
.. . ~. 0-- .~. . .
Governmental...".;................ 0.5
. j ,
;. .
FIXUNITWPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INST/ili, {4T10N
1592. C(l/V~f, w~ ,
LEGAL DESCRIPTION
r71J13i{1,.3 O'rJ60
JOB DESCRIPTION
S 'pfl-
Permits are non~transferable and expire
i~ work is not started within l80.days ,
of issuance or if work is suspended for
180 days. ,
,2. ' CONTRACTOR INSTALLATION ONLY' ~
Electrical Contractor ' . '~,
/
'/'
Cityp)pne
Supervisor License~~ber
Expiration Date /
Constr co~umber.
ExpiratiGn, Date" ,
, Sign&~e of Supervising Electrici~
// , "
~wners Name (I J:z IS fiN E:
Address If'll.. Ca p,q (,
Ci ty 5pU /
.
Address
Phone
~/l.-i a
N-
1/2-,j'lV5
OVNER INSTALLATION
The installation is being made, on
property I own whi6h is not intended
for sale, lease or rent.
Ovners Signat,ure:, ",' ,
-~, t?~
-~-------;------:f:. ------~--~------------
DATE: ,S?U1. &[(:1 , , "
RECEIPT' #: /I ,,~. til ' '< J ide:,.
RECEIVED 13 Y: (;//uJ,::f ,
ELECTRICAL PERMIT APPLICATION
, Ci ty Job Number 110g / ~
3. COMPLETE FEE SCHEDULE BELOY
A.' New Residential-Single or
Multi-Family per dwelling uriit.
Service Included: '
Items Cost
Sum
, .1
S 85.00
fr-.
,/y'-:,
1000 sq.ft. or less
Each additional 500
sq. ft or portion 'J .',
AT1:IliijjftG3lJ9:0regon 1aw require~ you If$ 15.00
fol~tuIMaaddi\!l~ctnJJh~Etfi?regon uWity
Notifi~~tinwel:!Il.(iagrules are set forth
in OA~Oe1~1Eeed:eJgh OAR 952-0!'j1 ~b. 00
0090. You may obtain copies of the rules by
,B. ~~ifI'g~~@~e~~rf~~ra.e telephone '
n~!l~~gdr~lY~~iY1i'io'!it.~ation
, orRe~R~1J1>~iJO-332-2344).
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
N~TI~mporarY'Services or Feeders
TH1SPEFWI~Ar[~on, Alteration or Relocation
AUTHOR!?GiP~hJfUfR>:IRE IF THE WORK $ 40 ~ 00
COMMENlIED@JAA~ 11~ 1~~MlklS NUT $ 55.00
ANY180r9Po.=.?t.OJ~~NEfiil1p.()8 $ 80.00
, '. Ov'erE~Damps or 1000 volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extenslon Per Panel
One Circuit
Each Additional
Circuit orvith Service
or Feeder Permit
$ 35.00
$, 2 . 00
E. ~iscellaneous (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
, ,/OOu
5., SUBTOTAL OF ABOVE
19o5tate Surcharge "7 ..-
31. Administrative Fee 1 r-
TOTAL i ItJ ~
.r
,I
,
. p~'Willamalane
t'- l ,Park & Recreation District Job. No. '\. q() 2> l L..{
, f" ~ ' " SYSTEM DEVELOPMENT CHARGE,
, WORKSHEET
NAME:C~~"iLw> ~~_~~Jt,~
ADDRESS: C)()C\~\"\ ~ ~ \~
\f
LOCATION OF PROPOSED BUILDING SITE: '
~ l~
PHONE: 1~ 1-~<137
STATE: b.s~ ZIP: !t 1~(;,
Street Address: '
\Sq~
,Plat Name: \ '1 r\~~{..\~3
Tax Lot Number: (Y'i ~U)
1. ,DEVELOPMENT TYPE (Check appropriate dwelting(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinafe-Fa-milvDetached,
\ Single Family home
NO. qF UNITS ~
B. Sinafe"-Familv..AtWched
Manufactured home not in a park
'$ , r".....'" ~
X $1,000 per unit = \. '-''-'U
NO. OF UNITS
X $924 per unit =$
C. Mufti-Familv Aoartment
NO. OF UNITS
x $692 per unit = $
D. ,~anlJ.faQfured Home Paf1\ '
NO. OF UNITS
X $699 per unit c: $
J
WILLAMALANE SDC ' ,$
, '
, ,
2. SDC CREDIT (If applicable) SOC1>ayer must f~n\tSh proof of
Wiffamalane Credit approval. See SDC Credit Wori<sheet. ~$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
$
e..-
II 0 (j d --
~Th
De\klopment Services Department
City of Spri'ngfield
'~ , leI, 15
Date
\