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Home My WebLink AboutPermit Building 1999-9-7 rj " . SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 981226 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1717 FAIRHAVEN ST Assessors Map #: 17032731 Lot: 3 Block: Tax Lot #: 00200 Subdivision: FAIRHAVEN Owner: SPFLD COMMUNITY DEVE Address: 1025 G STREET Phone #: 1)..(p - ss~ / City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F. RESIDENCE NEW Contractor Cons t . 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: 1534 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 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 forms. 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 MECHANICAL - Prior to insulation or decking. UNDERFLOOR PLUMBING - Prior to in~ulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; 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 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 Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. ~_~:~- ~ After forms are erected but prior to placement of concrete. BIBBlffi.:bIC After excavation is complete, forms and sub-base material in place. 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. ... " SPRINGFIELD , ~, Job Number: 981226 Page 2 FINAL SITE PLAN - After all requirements have been met for Minimum Development Standards or from the Development Agreement. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: W Lot Type: INTERIOR Topography: 2 House Garage Setbacks N S W 1.512 22 o 10 E Item Main Garage Total Value BUILDING PERMIT Square Feet x 1270 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 Dryer Vent GAS LINE & W/H 3 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin WILLAMALANE SDC CITY SDC PLAN REVIEW FEE TOTAL MISCELLANEOUS PERMITS Total Height: 24 $/square Feet 64.66 16.27 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 5/ fJewklK. ( 32, ') b"Rq /~/r {l1J c.-L, Td-n/1 / = Value 82,118.00 4,295.00 86,413.00 394.00 31.52 \,\." 0 \ \ ."....... (A) 425.52 Fee 160.00 ~ 160.00 't'tl{. 12.80 (C) 172.80 6.00 4.50 9.00 3.00 5.00 (D) ~ /(.70 10.00 ~.n ,.33 , - 83 39.71 ~7, 0.00 1,000.00 1,984.70 60.00 (E) 3,044.70 ....., .;.:.~. , oJ 3'7",t$S" /5,70 1.3~7t..~5" I 7(), ~ - 731b17-tlS" ~ (~~ v SPRINQFIELD Job Number: 981226 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, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: DON MOORE Date: 11/13/98 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS REDUCED SETBACKS AND SOLAR EXEMPTION APPROVED THROUGH DRC 97-12-262 OPEN SPACE EASEMENT N. OF PROPERTY; PATH 1 SEPARATE ELECTRICAL PERMIT IS REQUIRED 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 ORB 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. -(r2/~/J S'(7--A(? Signature\.. - ~ . 9~-%/1crL VALIDATION Date Paid: 3s.l. s;s;- q-"'l_Cj'l $ :''>, ?, c_n 0 :;- cP\~\_}0 SEWERS SHALL NOT BE CONNECTED UNTIL STREET PROJECT IS ACCEPTED BY THE CITY OF SPRINGFIELD. CONTACT RON SATHER AT 726-2240 PRIOR TO HOOKUP Receipt Number: Amount Received: Received By: - - --- -.- v ,. - . flAl\ . ~t.w ~~ yy'i!I~~~!~2~ Job. No. (V SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: -'Y?~ ~/U 7"r1.J. . 9~/22G, ADDRESS: /02- L:) c::; "'il ~ v PHONE: 72c" -. ~ L) ;ri,( STATE:rV ZIP: J 11--77 LOCATION OF PROPOSED BUILDING SITE: Street Address: /1 / 7FAJ/! / //\1/EA) <)(1 Plat Name: fktt<..+fAv~ Tax Lot Number: .L71'J.? 2.:7 3 LL;YoI'J-~2.C'Jt) 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) - A. Sinole-F::!milv Det::!cheQ X Single Family home NO. OF UNITS / Manufactured home no.t in a park X $1,000 per unit = $ ) WO B. Sinale'-F::!milv Att::!ched. NO. OF UNITS X $924 per unit = $ C. Multi-Familv ADartment NO. OF UNITS X $692 per unit = $ D. 1lA::!nlJf::!cltm~d Home Pm~ NO. OF UNITS X $699 per unit c $ $ WILLAMALANE SDC 2. SDC CREDIT (If applicable) SDG-payer must furnish proof of Willamalane Credit approval. See sac Credit WorKsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED }.e\ "'.0 (If SDC reduced for Credit) $ _I_U/) () ,t./ .~~~~ 917197 Develo;he~ Services Department Date City of Springfield 02111/98 10:22 '8'503 726 3689 . SPFD DEV. SER. . I~ 1i!J00l 225 FIFTH STREET SPBIHGFIBLD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRICAL PERKlT APPLICATION Ci ty Job Number q It / 2. 2.. "" 3. COIIPLETE PEE SCHEDULE "ELOV 1. LOCATION OF INSTALLATION /7/7 ~ij'(&w~) RTI . A. . . Nev Residential-Single or Hulti-Family per dvelling unit. Se.rvice Included: LEGAL DESCRIPTION /7n 2, '2.. 7 .:::2, I A6~::2-82) JOB DESCRI.fl'ION <;", F: Alc-r f ; ; Permits are non-transferable and expire if vork is not started vithin 180 days of. issuance or if vork is suspepded for 180 days. ! Items Cos t Sum 1000 sq.ft. or less J..--" $ 85.00. ~ Each additional 500 sq. ft or portion thereof L .$ 15.00 ~l9 80 Each Hanuf'd Home. or Modular. 'Dvelling Service or. Feeder $ 40.00 I 2. ""...AACTOR INSTALLATION ONLY .8. Electrical Contractor t<-c.:-Ihc))Ji. f..ld:lhC Address 2JJ~ 1A:i 2hJ . City tS'l~},e Phone ~t.J1' 72q7 Supervisor License Number :2.526S . Expiration Date 1(')/01 Je I. i Constr Contr. Number :z.O~ I~C Expiration Date lO/D\ /qq I SerY~ces 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 $lOO.OQ $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation; Alteration or Relocation t..---' $ 40.00 4o,~ $ 55.00 $ 80.00 volts see "8" aoove 200 amps' 'QT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Signatur~f Supervising Electr~cian ~A.~. ollnera~e 5/rh. 'C~ : lvY/.. / ./ Address /02. c;- 4-..'1 T . ; City .~..!1R Phone 7..2t:/-\S~1 OVNER INSTALLATION D. Branch Circuits .' Nell, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 The installation is being. made ~n property I olin vhich is not intended for sale. lease or rent. E. Hiscellaneous (Service/feeder not included) -Each installation Pump or.irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 )55~ J 0, BS' 4.h.r /70.5""0 Ovners Signature: 5. SUBTOTAL OF ABOVE 18% :State.Surcharge 3% Administrative Fee TOTAL ---------- c;.. 'i.. "'I <J-- . -'>5 Lj c:,c::: \ "'0 DATE: . ....,........t'I .lI: RECEIVED 'BY: ., . JOURNAL OR JOB NO. "I E I 2z~ ATTACHMENT A . .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET v NAME OR COMPANY: 5 (> FO. Co'"",- () ~i/. LOCATION I f I -; C.AIL.I,J.......V~A.J DEVELOPMENT TYPE: "1IC '1L , . BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. J . "" ) -z... / 2. SANITARY SEWER-CITY NO. OF PFU'S {Co (See Reverse Side) 3. TRANSPORTATION X $0.227 PER SQ. FT. $ '< 43 , 2.4- X $47.14 PER PFU $ 7 ~4. 2.4- NO OF UNITS X TRIP RATE X COST PER TRIP I X /.0 ( X $475.32 $ 4[0.07 X X $475.32 $ 4. SANITARY SEWER-MWMG A. REIMBURSEMENT COST: NO. OF FEU;S X ?77."cPER FEU $ ;7' 77. a.4- B. IMPROVEMENT COST: NO. OF FEU'S I . X 2'~, ?.JPER FEU $ ;;-:"~)'., ~'~) MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE < $ --.>. $ 10 00 TOTAL-MWMC SDC $ ~ (Z., cA- SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: . BASE CHARGE ~U~TAL ABOVE) X .05 ~ . Date: CJ-,-q<:f SDC Coordinator ATTACWA.WPD LIMo. /'1 $ q'f;. Sf TOTAL sac $ I" H, 70 FIXTURE UNIT CALCULATION TABLE: Number of New Fixtu;&.X Unit Equivalent ~ Fixture Lt.,ils (NOTE: For remodels, calculate only ~ET additional fixtures). ... w='" NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain..................................................... Floor Drain...........................,.................................... Interceptors For Grease/Oii/Solids/Etc............ ..... Interceptors For Sand/Aulo 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 Sink/Dishwasher/Etc.. Shower, Single StalL....:........ ................................... Shower, Gang....................... ................................... Sink: Bar, Commercial, Residentiai Kifchen........................ Urinal, Stall/WaiL.............................. ........................ Wash BasinlLavatory, Single... .............................:. Toilet, Public Installation........................................ . Toilet, Private............... ........................................ Miscellaneous: -z 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 t 2- ~ -;> -:2- TOTAL FIXTURE UNiTS 1/ ,ft'.:? ~ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. I Year Annexed Rate per $1,000 Assessed Value Year .Rate per $1,000 Annexed Assessed Value 1989 $1.98 1990 1.55 1991 1.15 1992 0.96 1993 0.83 I' 1994 0.67 1995 0.52 1996 0.38 1997 0.2.1 .J 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 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) FIXUNITWPD RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL............ ..;........... 0.4 CommericaL........................ 0.9 IndustriaL.........................,. 05 GovernmentaL..:.................. 0.5 IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT / . . L\'?t Willamalane /J", /22 / '"-~ '--J Park & Recreation District. Job. No. '7 h lo . ... SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: '51~ ~/U_7'BJ. ADDRESS: -' 02- < 6 ~~. . LOCATION OF PROPOSED BUILDING SITE: Street Address: 11 / 7rAI12 / /1\1/~ l <:;(-1 Plat Name: -f ^ffZtf-;A.\I~ Tax L~t Number: .12"71?--7 3 / 1f'o/'.Te):2eJtJ PHONE: . 7;;2C:, __)"5"?:, / STATE:~ 'ZIP: /1-177 1. p!'=VEL9PMENT TYP.!;. (Check appropriale dwelfing(s). SOC ca\culallons and dwelling t ype definitions are on the back.) . . A. ~inoIA-FRmilv DetRchlll1 x Single Family home J Manufactured home not in a pari< X $1,000 per unit = $ )WO NO. OF UNITS B. SlnoIA'-FRIl1i1v AttReher! NO. OF UNITS . X $924 per unit = $ C. .Multl-Familv Aoartment NO. OF UNITS X $692 per unit = $ . D. MRntlfR':<l!.lrf'lrl HornA Pmk NO. OF UNITS WILLAMALANE SDC . X $699 per unit = $ $ 2. SDC CREDIT (If appUcable) SOG-payer must furnish prool 01 Willamalane Credit approval. See SOC credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED' ~~;;;~ Develo$e~ ~~~rtment City of Springfield 9, Date $ ){}O()pc> 7 I 9? '. ....-.......-.~n..-..........-..- . ._-'-..... ,"4.'_. ./