HomeMy WebLinkAboutPermit Building 1999-3-23
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990227
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 996 KINTZLEY AVE
Assessors Map #: 18020624
Lot: 166 Block:
Tax Lot #: 05500
Subdivision: HAYDEN GARDENS
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Phone #: 744-6966
City/State/zip: SPRINGFIELD, OREGON 97478
Describe Work: S,F, RESIDENCE
NEW
Canst.
Contractor Contractor # Expires Phone
General: HAYDEN ENTERPRI 0092208 07/29/99 923-6607
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: EMERALD VALLEY 0065066 05/10/99 726-9485
3856 HAYDEN BRIDGE RD SPRINGFIELD 0
Mechanical: HAYDEN ENTERPRI 0092208 07/29/99 923-6607
2622 SW GLACIER PL #110 REDMOND OR
Electrical: ELITE ELECTRIC 0099768 06/10/99 367-8260
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1520
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
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 ---
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.
UNDER FLOOR 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.
Job Number, 990227
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., 5372
Total Height, 16
Lot Type, CORNER
Setbacks
S W E
14 23
Page 2
Lot Coverage, 28 \
Setbk From NPL, 7
N
House 7
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 Bathls)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
ELECT, PERMIT
PLAN CHECK FEE
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
4,50
6,00
3,00
15,00
10.00
1. 20
26,20
0.00
13,00
14,80
2,047.09
1,000,00
124.20
80,00
3,279,09
3,900,37
Job Number: 990227
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
I 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, AL WARD Date, 03/16/99
Building Site Reviewed By, LISA HOPPER
--- ADDITIONAL COMMENTS ---
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,
I 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.
,
,~~) .#/tf~({~
3/d-3/9q
Signature
Dat~
I
"
Date Paid:
-- - VALIDATION
()?3Zl{ ')
s!:nlif
. I
if ~:Y-
Receipt Number:
t Amount Received:
Received By:
I
! '
"l
.
.
: f\Al\ , ,
.. ~t'~ 'Willamalane
~t.J,,,,!, Park & Recreation District
. (V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
)
Job. No.. C Q0Q/lf)
l <()D7Dlrl-A- r8~O
1. DEVELPPMENT TYP~ (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
,
I
I
,
,
I
I
A. Sinrjle-F::Jmilv 1M::l~hPr!
1--, Single Family home' ,
NO. OF UNITS I
Manufactured home not in a park
X $1,000 per unit = $ I fXY) {JU
B. Slngle'-Familv AttachAd
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoarfment
NO. OF UNITS
,X $692 per unit = $
D. MflnufRcturAd Home PRrk,
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
$ IOOn.CV
(%
$ \rtf) 0'
,
2. SDC CREDIT (Il applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(Il SDC reduoed for Credit)
~~
Develo~t S 'ces Department
City of Springfield
5
Date
I
2 S I 9'7
;
.
AlTACHMENT A
CITY OF SPRIN4IlELD SYSTEMS DEVELOPM~ CHARGE
WORKSHEET
~.-6A? /hv-<J
<?1'~ /ev,., Iz le.:t
Sf'D
'9'102-z. 7-
NAME OR COMPANY:
LOCATION:
DEVELOPMENT TYPE:
BUILDING SIZE: LOT SIZE SO, Ft,
1. STORM DRAINAGE ~.x28') + <?oxzo) + /f(2.0) + Z (40+<18)
IMPERVIOUS SO, FT.
-;Zo'SC"
X $0,227 PER SO. FT, $ 4fd,,7/
2, SANITARY SEWER-CITY
NO, OF PFU'S If..
(See Reverse Side)
X $47.14 PER PFU
$ 79t-,Z+
3, TRANSPORTATION
NO OF UNITS X TRIP R),TE X COST PER TRIP,
X ,"el
X $475.32
$ 4eQ, OT
X
X $475.32
$
4.. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
, NO. OF FEU'S
X 7-11,4+PER FEU
$ 2/7.44-
i B, IMPROVEMENT COST:
. NO, OF FEU'S
X Z'? 20 PER FEU
.$ Z5, zn
: MWMC CREDIT IF APPLIC.~BLE (SEE REVERSE) < $ (",4-,OC;, >
: MWMC ADMINISTRATIVE FEE $ 10,00
, TOTAL-MWMC SDC $ :2.~ 5?1
SUBTOTAL (ADD ITEMS 1.2.3 & 4) L134'1.&L
5. ADMTNISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ 17.4r
1tlPL-
., SDC Coordi nator
ATTACH'A.WPD
Date: 2/%/91
,
TOTAL SDC $ ~ 7, cR
INU I c: For remodels, calculate only the NET additional fixtures)
NUMBER OF A
FIXTURE TYPE . NEW FIXTURE.
. --,-' - -''"'''~ - ,lXlure Units
" .
UNIT
EQUIVALENT
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
liHead
2
2
1
6
4
I'
1/
II
TOTAL FIXTURE UNITS
=
FIXTURE
UNITS
4-
2-
2.
'if'
/w
CREDIT CALCULATION TABLE:
calculate credits separates.
i
Baset on assessed value, If improvements occurred after annexation date in :able,
Year
Annexed
Rate per $1,000
AssessAd VAlue
, Year
Annexed
Rate per $1 ,OOG
Assessed Value
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
4-, 2--'
=
04,05"
(~
X $
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (if afte, 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
$1.98
1.55
1.15
0.96
0.83
0,67
0.52
0,38
0.21
Ii
I
I
i
I
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.)J.f6}:f./~-:?:~~~~:: ~~, .: ....'~~,~;:.:j~i~,;:.}~:~:.;z~."'.p . _ ' Oa;e !'Circui t' . ''',~I~ ';;',~ :::~"'j .: $ ~is:oO<f tl-'~ ..:,
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,>oiIBiii~INS1'AUArl:OR)t;;;~I";L::, ' , '. or,:Peeder Per..ft,~ ,:,"; $ ,2;'00">' " ,
: ;:)?,:~~f~~vr.fi,.t" <~ _:' "!:":r:~~~_:;~~~f~~::/~;},:r', - ,\.~ ". " .,:,';.(.:r:; r:; .'_ ," "-'i ,'''~:~~~ . . ~ .
T1ie~iiiSt81ia,t ioii\~slbelIig1ude . on B. Hiscellaneous (Serncel feeder ,Dot ;;ilicluded)
prO~t1.lIi;civn 1'~i(ih,~l8}lIot::.ibtended ,~Baeh instal18tiOu(j, ;,' .' '..,:,:},'~'::,t'}>,:'j..i '
f~"'i';':::"~-<<:"l"'- ~ :," .t....,;'.'"'''--...,.'''..''','~ &- . -' , 'i '1 "I' _."'.t.,.','.'.. . $ 4O"'00~"..,...., ,1'
or,~...~~ ease~ord.-reat..:i-;~...'.ti;~~ ~ .:ruap ,or rr gat Oaf\~r ", i' -". _.:, .,,~;~j. ::' ,...
,:~~i~~,~~>,~~r':~:;~::A~:~l;~f~':~~;~~;; : \ S~iD!~utline 'Ll'~~'~,~ ; ,0' $:,~~;fOO~I' ~,. ,~
ClI"~,~'i,~,f,~ture. ..::: ::," ':.,'. Linted Energy/lle.B:, ,$ 20~00"::,,
"'.:':~;.l""""':,- , ~'".".': "..""L1nted Energyleo.., '$ 36",00",
'_.,' '-.p-~' ~)., .,'...~.. ,.~t,1T
': ,;,"~ ",' -......-- ; -t'-.j:J.... '. '~ ,~' ~ AL' OP: ADO:" 'VB'';::'':: \1t::lCV<:.'/ '
~ ~ _ s. _u_..."... " .".' \~~. ' ,.
DAiBY.''"'!:'~ { ....: ':5/]; PI 1;:- 5% StateSureJuU.ge. -'1.')'"\ ','
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"..:........I.:o.lIt: ~-!J/M1 T01'AL 161'9,!U')
LECTRICAL ,PERHlT APPLICATION
City JOb:~~'.,r16':;'2.j
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s....:..:.o.u.Jf BELOV
A.
.' , : :,: :;' ,; .';::.. '~~',;'
Nev Residential~Sirigle or
,Hulti-Family per, dvelling ,uni t.
':Service Included:: :::;'"i\',,:
.,.. .-,',. : Items'
Cost".' Sum
-L
$ 85.00
2>-5
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