HomeMy WebLinkAboutPermit Building 1979-2-22
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990091
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 992 KINTZLEY AVE
Assessors Map #: 18020624
NOTl~9ck :
TWIt' r':f11 'IT ~' ,
Owner: HAYDEN ENTERPR'ISES'" ..mflLLtM'IHEIFT/II6<W@fllI\: 744-6966
Address: 3258 PINYO~Ug~1Bl;rED UN!:!I!iI*HIS'1lJ..~w.~fIS ~mINGFIELD, OREGON
COMMENCED OR IS ABAND
Describe Work: S, F, RESIDENCE ONED FOR
-: AIH 11:J'JI);:'Y PERIOD.
Lot: 173
Tax Lot #: 06200
Subdivision: HAYDEN GARDENS 2
97478
NEW
Contractor
Canst.
Contractor #
Phone
Expires
General:
07/29/99
923-6607
HAYDEN ENTERPRI 0092208
2622 SW GLACIER PL #110 REDMOND OR
EMERALD VALLEY 0065066
3856 HAYDEN BRIDGE RD SPRINGFIELD 0
HAYDEN ENTERPRI 0092208 iraSyeEl~&9
2622 SW GLACIER PL A~'1f~1<SlI.i~~ \a~~e6~e on Utility
ELITE ELECTRIC follow rules o.d99lAf8by les ~SJet~Glt:lh
38289 COURTNEY C~{jfifil?h\iGU'C1WNS.\llil~se ru hOAR 952-001-
,_ "p'c QC;2_001-0010 throug -tt"'~ ",I.." bv
offit~~~ay obtain ~~~~th; t~I~phone
LMffilllll@tl1eIJJI'lll~r. (on Utility Notificallu:iilF BLDGS: 1
ZOl'!ilmflel?~\1e~Wg -2344), OCCY GROUP: R3
# OF BD~nteBls 1-800-332 HEAT SOURCE: WH
RANGE: E INSUL PATH: SGC
Plumbing:
05/10/99
726-9485
Mechanical:
923-6607
Electrical:
688-5401
QUAD AREA, 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1520
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR 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/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.
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,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
Page 1
~~
Job Number: 990091
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,
Lot Faces: E
Topography: 2
Solar Approved: Y
Lot Sq, Ft,: 5359
Total Height: 14
Lot Type: CORNER
Setbacks
S W E
10 23
Page 2
Lot Coverage: 28 %
Setbk From NPL: 11
N
House 11
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1120
400
$/Square Feet
69.64
18.34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
PLAN CHECK
ELECT,PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
77,997,00
7,336,00
85,333,00
391,00
31,28
422,28
Fee
160.00
160,00
12,80
172,80
6,00
4,50
6.00
0,00
3.00
19.50
10.00
1. 57
31.07
0,00
25.00
14,80
2,146.08
1,000,00
60,00
167,40
3,413,28
4,039,43
Job Number: 990091
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: Date: 02/18/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
DRIVEWAY REQUIRED TO BE PAVED
3 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.
~~~--
Signatur~ ~-
/?- 2.-2-77
Date
-- - VALIDATION
Date Paid:
(j Sz.'f?&
?-IJ. 2-- (1)
LroFf. L(? /
~ tJtw1
Receipt Number:
Amount Received:
Received By:
~, ,
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173
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. . ," ap ,g,and pro/eCI ' ,-
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~ \' . ., '. .... ~', "al. S n lJ mitt . . .
,....el ''',,' ",'.,;V' , re i edha ......-TCAL !:MPM7
6JJ ':H.:",:...,)~auua.""".'.,:"""''''''',,,l~Z.?Zo. reSlJec'fi8th8'OII~~A.A. _ '.. .
.)lA&&"'""""O.~ORBGON 97IQi1e'"", ntng 'C/endlJ'/:lng '.', :.~'.'.;;, 1\
~>>..~oDR/RBQUBS'l'I"-" 7~3. I;i ty Job H~", \ I ,
OmCBl';,Y26-37S9'.: 'ict,'"h~t/2&d':' ,':,,:J-;'''' ' , .
, " ./ , .' '... ," S'gnet '
..' .. -,;/1 I ,'.j .. .. " -", " lIre S....:.:IW 1'...8, BELOV
Jf.~~f~N;f~~~;II;:tj~:A-\lr . A. 'Res1dentiai:~i~i~'or
"'",,''if4:r~,'''''' "'^,< )\r-~i~,~;,';'::: . , HuIt - amHy per ~vellini unit. , '
,.';/'j'. ~, "OR";~"'''::':~-:'',f":,, :,,' ',Service Includedl::,~!.:',i',:",';" " ,.;.','1'
'-"'. ~,' .,~ .' l':<' .' ",t: ,";. ;'C<:.~ ,&~l:'. .'}', ...' ;: ~ '. . .\ Items Cos'l"-,i .,. 'SUm
:!.;*;J~~~~~":;i,\'~~;w~~,f ,", \'82.0,1600;sq.ft.~~.;:~~'~/,::'I'" $ 85.,OOf)'3,
5.i.:~r('-)l,F'PAf\(;)\:.J\~j:,~,.,RE:S " 'B8C:haddit1onal.-:~,,' ". "
p~~rtt:'.r~ :non-ii~~~l~;~~l~~~ci ~xpire' -:: ::~r~f or pO~~~~~t:,t~ ~~ $ l~':06 '3") ,
if,wrlt,b,not startecl,vithin,180 days 'Bach.Hanuf'd'Bo.e.'or.-,'
of' isSuance or U"vott; iSi;ausPendecl for' , HoddaI' 'Dwelling';: : '" '"'
180'''~s' ,<" .' "::;.;,;::.;'.;,1$",,,":. Serv'ice or'Pe"::"er"; '," $ 4"0."00':, "
, ,..~r.. """. ,.' .' '- "'.~; ~tl.' :,'~:;.(.~."1,...:~' .:;:.. , c:u :
~.i,. ,V {...}'.'-.l...,f".~.. .,~.rI:".,-.}~.....':..':.,!.~t!.t1:y.~~"':\,.. ':," . . . '.'~;fir-;:,~..>. ".; ""':4'" ".'
2;',:cClOlitiAcroa:nfS'rA1i::&'I'J'0If?Om.Y, .8.: 'Services or Peeders;,,'::_;;;,;' '..:.\,~.ti~:
'.l~'1' "'-""(1'.' ~ .,. F'''~'.'''''''''~'~.-'' " ., '''\.:'..~.~
:),'--;,,~,~;,y ;i'J,:v~;",;,:;~~i,,\;.',,4.;':;:,,' 'Installation, Alterations ,:..:,
Electdc:al~Contrac'~or'F\'Yif;,~ PI" : ,or, Relocation:~;J'~'" .' , "
A~~~eS;''')4rI~ "9~~ii~.f?:"~:,~F" ' ," 2J;);~PS orl~~~;~, ;~1$()So;oci'),~'~::,(
'," \,.f ' '.,', ",.", ';'201';amps to400:i"a.ps: $~60;'Olj.;~" "
cit1~;g\t '~' ~~~i>~,::Pb~~~]f;~-s.4,o, ',401'amps to 600tiJlps'$100.OQ"
:~";:., ' "..,. .. ",,!' ,~"-\"~"i:'" ' , , "601 :,amps to:1OOO:~;UPS ", $130.00'.
superYlsor;Liceiis~;~Np~;;~'f1:;'\~~ Over 1000 ups/volts. ,$300.00,.., ..
,l< ,t,~~';,; ,c,: "",-"";',:"Jf"~':,',,,~?,~,::-,, ' " . "Re'connect Only};,",;~;' ,.f,. >,' , , '$,40,~oo" ',"', "
..'..J '.;.~':.. ..,.~, .~... "'I",",~;"'<''' J,' 1'"1 . '.'".!l;;,',"'"'' '. ~ '~ ' , '-
Explratioii1D4tEf1~~~f~lb'1~fi.:O~J~~~"i~,. . :.'. .'. .'., .,<'~''...::.. . :'::'l.~t~f.~:~:.~~',/~"", ~... ,. "~l':l,.'..'",.:' ,
"~~~,~ ,~~;{'1"..<~/ ~';.yJ-,:':tt"?:',"1:):/,;~",,;'~:h.~~~.,~t I>,. . C., . T_porary. Seryi'c~;or..'Peed~rs . ". ,:l:J:~l>f,~~; ~ '.'
COiiStr",COlitr~:::;N\D.ber:2iZli"~C.' Installadonj 'Alteration ,or Relocation: "
~~~r{:."'~~~t~;.. {(61;ot~9' , 200 amp~"Or i:;$~<;' i '. $ 40.0610.
S -,:, ".; "..oi'i~~~~;~1B':r":~'-:~~i~ian '~~~-:&~ ~~':gg,;::: ~,~~:gg:'
\",\7'.1, .. ' ~ ..,' ; ;.,"': '"(' '~;:;'.., "~,, C>!er 600 amps' o,r ;lOOV "vo~ts see -B- abOve
, ~ 6- ~y - ..'. ":,, , ';f'''' , ,
, D. Branch Circuits ~
Ovner~'~e ~~~.#'....j ::~F-C '
Address ~J zs. . A~k.~ "
Ci ~y:$J);A.d',. .' :p~o~~" /YY"- ~?6~,..
. 01lNIllI. INSTALLATION,
;.,
Nev. Alteration or'Extension Per Panel
One Circuit
Each Additional. '
Circui t or vi th' Service
or Feeder Permit,
$-35.00
$ 2.00:
DArB:'" '.,
The'installaHon is belng:'made on
property:'I' ow vljii:h.-is 'ootintended
for"siire~t leaSe,or:rent.~", '
;~,:,.. '~~;,l', "'~ '. .'. . . ". . . ",.
Ovners'iSJPature: ,,',
'.m~~h
7..!..l411
o j;{..? ~ 11
i:A {.J,.J(
E.
Hiscellaneous (Service/feeder,not included)
-Each installation ' "
Pup 'orirdgation", : $ 40.00 ';,
Sign/Outline Ligbt~ $ 40.00'
Limited Energy/Res $ 20.00 :
Limited Energy/Co_ $ 36&)
SUBTOTAL OP ABOVE, \~'3. ' ,
5% State Surcharge. _ '1.\r'I~
, 3% 'Administrative Fee 4,1'J5....
TOTAL ' .u.n' I .412....
,'~'
5.
RBCBIPr "1
RB.A.....w'IlY:
.
. ATTACHMENT A . q900q (
CITY OF SPRING11ELD SYSTEMS DEVELOPM~ CHARGE
WORKSHEET
NAME OR COMPANY: ~ E",+
,
LOCATION: QQZ KinfzJe"1
, ,
DEVELOPMENT TYPE: ~()
BUILDING SIZE:
52.0
LOT SIZE e;:B5~
SO, Ft,
1. STORM DRAINAGE
/5'2LN
IMPERVIOUS SQ, FT.
';'f(20) -r (1O-t-1-8)Z
205'G. X $0.227 PER SO. FT, $ 4~~, 7 J
2. SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse Side)
If
X $47,14 PER PFU
$ ~<<,SZ-
3, TRANSPORTATIO~
NO OF UNITS X TRIP RATE X COST PER TRIP
X LOt
X $475.32
$ 4eO. 0"T
X
X $475,32
$
4. SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S
X 211,4+PER FEU
$ '2'11.44:-
B, IMPROVEMENT COST:
,
NO, OF FEU'S
X Z~ 20 PER FEU
$ 25,20
< $ (g4;oS- >
$ 10 , DO
MWMC CREDIT IF ApPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE "
TOTAL-MWMC SDC
$ .a4i. 5cr
$ ,2ot3,E9
$ //J 2. , Ie;
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
M S t:..
SDC Coordinator
ATTACH' A. WPD
Date: ~11/'77
,
TOTAL SDG $ 2/4-&, Q8
. - - -. , . \. -. ~ .. ,-....-. I H,I1 lIUCI VI .'H::W .....IX[Ures ^ Unit t:qUlvalent ::: Fixtu~e Ur\its
(NOTE: For remodels, calculate o~e NET 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 (1 Per Trailerl..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.,..,;,....."...,.." ......,'......,.,.....,...,
Shower, Gang... ......,....",.,...,.,... .,. ....,',..,.,..........,....
Sink: Bar, Commercial, Residential Kitchen..........,.............
Urinal, Stall/Wall.,... ...................,........"....... .............
Wash Ba'sin/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
/
I
If
/1
TOTAL FIXTURE UNITS
'f-
2-
'2.
"Z.
't'
II?'
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in :able,
calculate credits separates.
Year
Annexed
"
Rate per'$l,OOO
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
L
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
$4.27
4.18
4.12
3,99
3.83
3.68 '
3.48
3.18
2.82
2.42
Credit for Parc.l or Land Only If Applicable
4. 27 X $ IS
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
= $
=
Improvement (if after armexation datel
=
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential."........................ 0.4
Commerical..,...,.......,.......... 0,9
Industrial..........................., 05
Governmental...................... 0.5
FIXUNIT.WPD.
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
$1.98
1,55
1.15
0,96
0.83
0.67
0.52
0.38
0.21
j
,/; f.a~
".
SYSTEM DEVELOPMENT CHARGE
r)\^ AI WORKSHEET
NAME\JU\, ( l PHONE: 44lAld 0.
LOCATION OF PR9\91~D SUI D!N SITf:
Street Add~S~ , ~U''- ~f\tl JfJI
Pial N~LU~O!\ Jl\.C ;ax Lot Jumber: ~4{)1o ZCfJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
.
~~'rn \
A. fiinole-FRmilv DetRehed
\ Single Family home
NO. OF UNITS (
Manufactured home not in a park
X $1,000 per unit = $ \ CXX) pO
B. fiiMle'-FRmilv AItRehen
NO. OF UNITS
X $924 per unit = $
C. Multi-FRmilv' Aoartment
NO. OF UNITS
X $692 per unit = $
,D. ManufactllrAd Home PRrk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ l(')n().OO
@
$ l[)()().OO
$
2. SDC CREDIT (If applicable) SDC;>ayer must furnish proof of
, Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~}V~~~DQm.nl
City of Springfield
I
I
Date