HomeMy WebLinkAboutPermit Building 1999-9-7
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981227
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1725 FAIRHAVEN ST
Assessors Map #: 17032731
Lot: 4 Block:
Tax Lot #: 00200
Subdivision: FAIRHAVEN
Owner: SPFLD COMMUNITY DEVE
Address: 1025 G STREET
Phone #: 72~ - S'5~/
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
MElLI CONSTRUCT 0063771
10 VAN BUREN EUGENE OR 974020000
02/12/00
485-1417
QUAD AREA: lRNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 1669
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: PI
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 work day.
REQUIRED INSPECTIONS --- /
SITE - To be made after excavation but prior to setting for~s.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
SANITARY SEWER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL'ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL SITE PLAN - After all requirements have been met for Minimum
Development Standards or from the Development Agreement.
)
cover
'~
Wall/Ceiling; Prior to cover
r/
Job Number: 981227
Page 2
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 27
Lot Type: INTERIOR
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1461
264
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
r _..,.,':,.c __ ~/: ~_ _~i___
GAS LINE & W/H
3
_u_~ DRy~ Ve!/UT"
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
CITY SYS DEVEL CHGS
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
$/Square Feet
64.66
16.27
(A)
(C)
(D)
(E)
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(Excluding Electrical)
unless otherwise noted
'S/)'Ei-<..JA-L-K (S-5"~
BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Value
94,468.00
4,295.00
98,763.00 ~"\1)
,,'
(0"
430.00 ,"
34.40
464.40
Fee
160.00
<.\. VO
160.00 i'....
12.80
172.80
6.00
4.50
9.00
3.00
5.00
2;.,8 /".'-0
10.00
~ 1.33
~ Z7,!3
0.00
1,000.00
2,012.70
60.00
3,072.70
^ . "':r:-&i
'3737.71
/ E!J ::Z~
#37SS.'1f>
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, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
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~191J~'~
SPRINOFIELD
~-
Job Number: 981227
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 12/10/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS
REDUCED SETBACKS AND SOLAR EXEMPTION APPROVED
THROUGH DRC 97-12-262
ELECTRICAL PERMIT REQUIRED PRIOR TO ELECTRICAL INSTALLATION
DRIVEWAY REQUIRED TO BE PAVED
1 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.
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-- - VALIDATION
Receipt Number:
:::'> SLI'3"i
SEWERS SHALL NOT BE CONNECTED
UNTIL STREET PROJECT IS ACCEPTED
BY THE CITY OF SPRINGFIELD.
CONTACT RON SATHER AT 726-2240
PRIOR TO HOOKUP
Date Paid:
9- 'I - "'1 '\
dt 3 '6~)... '-i '6
C\'\. uJ
"-
Amount Received:
Received By:
.
. . JOURNAL~ JOB NO.02 J 7 71 (
ATIACHMENT A . .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
;.
NAME OR COMPANY:
S r7FD (',........ Dctl.
LOCATION:
1717 I---A/t>../44v5Al 'S"T'
DEVELOPMENT TYPE:
c; F f2-
BUILDING SIZE:
lOT SIZE
SO. Ft.
1. STORM DRAINAGE
IMPERVIOUS SO. FT. f.e". ~O
,
X $0.227 PER SO. FT. $ </nq. q I
2. SANITARY SEWER-CITY
NO. OF PFU'S IGo
(See Reverse Side)
X $47.14 PER PFU
$ 7~4. 2.+
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
1
X I.or X $475.32
$ 48t:IJ.07
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X ? 77. "Cc PER FEU
$ 7. .,,-7- 4'4-
B. IMPROVEMENT COST:
NO. OF FEU' S I X 2<:;. ,"0 PER FEU
$ z.s-. ZO
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ -.>
$ 10.00
TOTAL-MWMC SDC
$ ~[l.CA-
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ .j ,ollb, 86
,
$ tK.......M
Date:
SDC Coordinator
ATTACWA.WPD
TOTAL SDC $ 2 612...70
FIXTURE UNIT CALCUL~ON TABLE: Number ~f New FixtU.X Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only ~ additional fixtures) .
. NUMBER OF UNIT FIXTURE ..
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub... ...................................................................
Drinking Fountain................................................. .....
Floor Drain...........................,...........................,........
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.................................... .
Clothes washer ' 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commerciai SinkJDishwasher/Etc..
Shower, Single Stall.....: ...........................................
Shower, Gang... .......................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StalllWal1. ........... ...........................................
Wash Basin/Lavatory, Single.:................................
Toilet, Public Installation........................................
Toilet, Private. ......................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
L.
"2.
TOTAL FIXTURE UNITS
~
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2-
~
r
lb
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table.
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
L
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
"
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)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.. .... ........ ... .......... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNlT.WPD
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT
-Rate per $l'OOOl'
Assessed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.2.1
.
.
,
~ - .
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: S~?)l; ~~ Jcv.
ADDRESS: /02.-5.?1 "') T S~
Job. No.
q~ /22 7
PHONE: 72' - 55"$ /
STATE: ox. ZIP: '91477
LOCATION OF PROPOSED BUILDING SITE:
Street Address: / 725 FAtI( lf4p/a) S T
Plat Name: "FAIt<.. HAl/EU Tax. Lot Number: /10<' 273 J ~ 602-0-0
I
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A SinnIR-F::Jmilv DRt::Jr.hRQ
")<{ Single Family home
NO. OF UNITS
I
I
Manufactured home not in a park
X $1,000 per unit = $ J rJ en
B. ,SinnIR'-F::Jmilv Att::Jr.hed.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. fy1::J""f::Jr:t"ferl Hnme P::Jrt
NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SOG-payer mustfumlsh proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3.. TOTAL WILLAMALANE NET SDC ASSESSED I Ar..n .tYO
(if SDC reduced for Credit) $ / 1./
. ~~~~. 117 1/7
Development Servlce~epartment Date
City of Springfield .
.
.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
J?' 2 S /9+LJf J-b4f/bU SI;
. LEGAL DESCRIPTION
J'7/J3 2.7 "7,/ ,%AQ 2.h-D
JOB DESCRIPTION
S. F=. /'P~.
.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION O~Y B.
Electrical Contractor f<Gy~)J's 'GldJhc..
Address ':l..//r ~ 2"''J
City (U~e.. Phone '5'1~ -)217
\\
Supervisor License Number ~ 520 ~
Expi'ration Date' LO /0' J 0\
Constr Contr. Numbe: ~~- l~~
Expi'ration Date /O!&I/cra..
..
Signature of Supervising Electrician
Q -~ ,,,.&-- ./.'-:;7
..:.J ~. _J ___ .A"A!tI"_ _ _ __
owner~me ~ '~/h {n/-
Address J,A) 2.. \" LA ., T.
City
:.-'Y/FJ-
'n2~ -. (""~ /
Phone
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
'.
DATE:
~"t.HI w:
RECEIVED BY:
9 -1-"7 q
?,'St..1 S'~"
"t<MJ
ELECTRICAL PERKIT APPLICATION
.City Job Number
3.
COMPLETE FEE SCHEDULE BELOV
t}(jJ,(?- 2- 7
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
A.
Items Cos t
Sum
1000 sq.ft. or less l.--' $ 85.00 f!!,5
Each additional 500
sq. ft or portion
thereof . '2 $ 15.00 .3.Q
Each Hanuf'd Home or -----
Hodular Dwelling
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or.Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see uBIt above
New, Alteration or Extension Per Panel
Hiscellaneous (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
i',x State Surcharge
To:l'AL c/!lf~40.
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
//5:40
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/ 2b. $""0