HomeMy WebLinkAboutPermit Building 1999-11-9
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990813
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 6824 IVY ST.
Assessors Map #, 18020314
Lot: 22 Block:
Tax Lot #: 00800
Subdivision: SOUTH HILLS NO
Owner: STEVE WILLIAMS
Address: 7297 HOLLY ST.
Phone #: 726-1525
City/State/Zip, SPLFD OR,97478
Describe Work, S.F.RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: STEVE WILLIAMS 0111846
7297 HOLLY ST SPRINGFIELD OR 974780
Plumbing, CRANE 0122285
5143 E ST SPRINGFIELD OR 974780000
Mechanical, MARSHALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: HAUCK ELECTRIC 0089423
353 S 68th Place Springfield OR 974
02/27/00
726-1525
03/25/98
744-0300
12/23/99
747-7445
05/31/00
744-1165
QUAD AREA, 4RSE
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
OFFICE USE --
LAND USE, 1111
CONSTR, TYPE, VN
WATER HEATER: G
SQ FOOTAGE, 1870
# OF BLDGS, 1
# OF BDRMS: 3
RANGE: G
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
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.
UNDERFLOQR DRAIN - Prior to cover or placement of concrete.
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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
, ,I . SPRINGFIELD
~-
Job Number: 990813
Page 2
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 BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 18
Lot Sq. Ft.: 6140
Total Height: 18
Lot Coverage: 21.1 \
Lot Type: INTERIOR
N
Setbacks
S W
10 5
18
E
House
Garage
5
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1410
460
$/Square Feet
69.64
18.34
Value
98,192,00
8,436.00
106,628,00
Building Permit Fee
Surcharge/Admin
448.75
35.90
TOTAL FEE
(A)
484.65
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192.50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207.91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
3
6.00
4.50
9.00
3.00
5.00
Mechanical Permit
Issuance
Surcharge/Admin
27.50
10.00
2,21
TOTAL PERMIT
(D)
39.71
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
WILLAMALANE SDC
CITY SDC
0,00
60.00
1,000.00
2,160.26
TOTAL MISCELLANEOUS PERMITS
(El
3,220.26
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, 5, C, D, and E combined)
3.952.53
Job Number: 990813
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--- 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.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
334,10
Date Paid: 06/17/99
Receipt Number: 034500
MOORE Date: 11/09/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
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 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
~5--n on ;;;:ite~times durin~construction. / (~ '7 ~ 9
9
'Signature
Date
-- - VALIDATION
Receipt Number: ~ /7 _~
Date Paid: II- '9 -99
Amount Received: '-I127.&-:?
Received By, ~/~~
/JI<l.",j)~ 8tFC7.
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATIONjW LI
tb~::< <./ (v:~ ~'7-. l
LEGAL DESCRIPTION
/~'rI!/2~".7J1"l./ ,,,,r~
./
JOB DESCRIPIIO~
W~ -S:F.~P:;.
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ED H,A-..;'-K
Address 3/3,0 CA......", C(t;>el( f-n
Ci ty 5 Nt)
Phone 72IP. 7 Cl '"-( '0
Supervi.sor Li cense Number 3577 -- S
Expiration Date /0-1-0 I
Constr Contr. Number '2. O-L-lIS"C.
Expiration Date
5- "] \ -00
,.._.__~ignatu;;f s~::-:ectrician
O~nel-s Name_~"',ey.l= /Af;/LL(A~ D.
Address '7 .7~? ,~6<{.';" -?'r .
Ci ty ~ffl ~Phone .7 '"/~-/.,...? ~
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: J/''9''f9
RECEIPT #: ~~
RECEIVED BY: _ ~
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ELECTRICAL PERMIT APPLICATION
City Job Number94~.I-::J
3. COMPLETE FEE SCHEDULE BELOY
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less I $ 85.00 ~-
Each additional 500
sq. ft or portion ::;:>~diP
thereof '2 $ 15.00
Each Manuf'd Home. or .
ModularDI.'ellirig
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
Reconnec t Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less --1-' $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
tj~. -
above
Branch Circui ts
.'
Ne~, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or ~ith Service
or Feeder Permit
$ 35.00
$ 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 J ~ _I?
7i. State Surcharge . 14' ';1 ~
3% Administrative Fee ~.'
TOTAL J TLJ .
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. JOURN.R JOB NO. 9..90813
ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
?7r,~vc: WI '-~/4 M$
LOCATION:
6821- TI/Y
C;. Po IZ .
DEVELOPMENT TYPE:
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1, STORM DRAINAGE
r?...~ 16..... z.8.f."1
IB.'f'< J2-.or
2.D~"'"
0''''' " vz..(.)
_ ";4.1'-1
: ~o,
. ~1-U
~ ,1.0
,,.",
IMPERVIOUS SQ. FT. ~~ II
2, SANITARY SEWER-CITY
X $0.227 PER SQ. FT. U-~<:.II) "
NO. OF PFU'S/8
(See Reverse Side)
X $47.14 PER PFU
L.L48 . sz-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X I, tJ 1 X $475,32
$ 4!lJO,o7
X
X $475.32
$ .
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4, SANITARY SEWER-MWMC
A: REIMBURSEMENT COST:
NO, OF FEU'S I
X Z77'#' PER FEU
$ 277,44-
B. IMPROVEMENT COST:
TOTAL-MWMC SDC
$ 7./;, 20
< $ - 17,"'''' >
$ 10 00
$ 294. 9.s-
$ 7.057.3"
$ 102, :3./
NO, OF FEU'S
X 2<".~PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5, 'ADMINTSTRATTVF FFF,:
BASE CHA~~TOTAL ABOVE) X .05
i~.. Date: &-2..,-9'7
SDC Coordi nator TOTAL sac $ 2. 1tf.0 .2<:'..
ATIACH'A.WPD
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FIXTURE UNIT CALCUL_ON TABLE: Number of New FixtU. Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only WNET 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......,..,..............."..,.,...
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap 11 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL,...,......,..........,....,..,...."..,.,."...
Shower, Gang.,...."..........,:"..,..,.,........."..,."..,.,."..,
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/WaiL.,.....,..,..".,...,.,..,....,..,..,..,..........,...
Wash BasinlLavatory, Single.......................,.,..".,.,
Toilet, Public Installation....."..,....,..........,."..,."....,
Toilet , Private,.......".".................,..,..,.,..,..,..,.,..,..
Miscellaneous:
-z..
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'Z--
'2-
z-
'7-
-z.-
f(
I~
Based on assessed value. If improvements occurred after annexation date in table,
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CREDIT CALCULATION TABLE:
calculate credits separates,
'1
Rate per $1,000
Assessed Value
Year
Annexed
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
"2-
TOTAL FIXTURE UNITS
=
Year
Annexed
1989
1990
1991
1992
1993
E'!:9flA
1995
1996
1997
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
o.~ 7 X $ 2.&..f-ocJ
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
, Residential........................... 0.4
CommericaL,.....,...............,. 0.9
Industrial............................ 05
Governmental...................... 0.5
F1XUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per, $1 ,000
Assessed Value
$1,98
1.55
1.15,
0.96
:.83
().6;~
0,52
0,38
0.21
17,'-or
= $ /7,C.cr
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. p'", Willamalane
t,"f" Park & Recreation District Job. No. '1'1 'DBl ~
fV SYSTEM DEVELOPMENT CHARGE
~ WORKSHEET
NAME: ~~W~\.~ PHONE: {~b-lC:;6)S
ADDRESS: l ~9.7 \\;~ ~~ STATE:fu, ZIP:Qtlt78
. ....
LOCATION OF PROPOSED BUILDING SITE:
Street Address: '"' ~~ L\ \ T~ ~ ~ h ~
. .~
Plat Name: \ ~rof)~l '-/ . Tax Lot Number: oa'd 00
1. DEVELPPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelfing t
ype definitions are on the back.) .
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A. lliM1R-FRmilv OetR~herl
><= Single Family home "
NO. OF UNITS \
Manufactured home not in a park
$ I rt'"> _, <:.!!:l
X $1,000 per unit = \ UUU
B. lliMfe'.FRmllv AttR~hed.
NO. OF UNITS
X $924 per unit = $
C. Mufti-Familv Aoartment
NO. OF UNITS
X $692 per unit <= $
D. ~n\Jfactured Home PRr:!s.
NO. OF UNITS
X $699 per unit <= $
WILLAMALANE SDC $
2. sec CREDIT (II appncable) SDC-payer must IUrtqSh proof of
Willamalane Credit approval See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced lor Credit) $
~ment Servic~s Department
City of Springfield
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Date
9 199
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