HomeMy WebLinkAboutPermit Building 1999-3-31
A''1TICE:
"':RMIT SHALL EXPIRE IFTHE WORK
""''''n'II\
'n".... THIS PEP~lis:tDENT)AL PERMIT APPLICATION
-t\i\:JONED Fco/1TY OF SPRINGFIELD
AI~1 HilWAI t-t::RIOD, COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 990298
ATTENTION:OregOnl ,_ Office: 726-3759
fo!,ow rules adopted b at~ requ~ii'sp'ecti~on Line: 726 -3 769
NOllflcation Cente Th Y e Oregon Utility
In "_I!..n <1- - r. ose rules a
Location of Proposed Work: 999 K7N'EZLI!:Y-(ll,'lE.)010Ih re set forth
Assessors Map #: 18020624 0090. YoumaYObtain/oi{{!\1:C"L~9i,2.(CU;,!i00
Lot: 167 Block, calling the center. (Nge~ll~i Wc\;'1ttm1ie:JmYOEN GARDENS 2
, number for thA (),o "'_ ~~',!.he telephone
Owner: HAYDEN ENTERPRISES Center is lJ<1fone,';,W!'Y-j4'41ltis.9116Jn
vvv~, ,":?a?'JA A.J
Address: 3258 PINYON STREET City/State/Zip: SPRINGFTELD, OREGON 97478
225 North Fifth Street
Springfield, OR 97477
Contractor
Canst.
Contractor #
NEW
Expires Phone
07/29/99 923-6607
05/10/99 726-9485
07/29/99 923-6607
06/10/99 367-8260
~
Describe Work: S,F, RESIDENCE
General: HAYDEN ENTERPRI 0092208
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: EMERALD VALLEY 0065066
3856 HAYDEN BRIDGE RD SPRINGFIELD 0
Mechanical: HAYDEN ENTERPRI 0092208
2622 SW GLACIER PL #110 REDMOND OR
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1533
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS, 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
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.
UNDER FLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
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.
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.
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.
Job Number: 990298
Lot Faces: W
Topography: 2
Solar Approved: Y
Lot Sq, Ft,: 6025
Total Height: 12
Lot Type: CORNER
Setbacks
S W E
31 14
18
Page 2
Lot Coverage: 24 %
Setbk From NPL: 7
N
House 07
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1133
400
$/square Feet
69.64
18,34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
MECHANICAL PERMIT - --
Exhaust Hood
Vent Fan
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
,.
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
TEMP/ELECT, PERMIT
PLAN CHECK
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
(A)
= Value
78,902,00
7,336.00
86,238.00
394,00
31,52
425,52
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
16,60
14.80
2,147.04
1,000.00
167,40
60.00
3,405,84
4,030,36
(C)
(D)
(E)
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.
,
Job Number: 990298
Page 3
Received By:
Plans Reviewed By: AL WARD Date: 03/24/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/5/99
DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES
BAY WINDOW ADDITION REQUIRED HARDWARE AT WINDOW LOCATION
DRIVEWAY REQUIRED TO BE PAVED
4 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,
~~~
Signature/ ~. /
5 - ~/'- :?7'
Date
-- - VALIDATION
Date Paid:
333>3("
~ -51-7 "7
$ '10 )p, Jf,
c:Kt.U
Receipt Number:
Amount Received:
Received By:
~
.
.
f\' ' '
~t'-~ .YY}!I!!n!!!~!!~ Job. No. Qq~
f'V SYSTEM DEVELOPMENT CHARGE
~\, ~I~~^WORKSHEET
NAMEl ~ ~~ \ ~ ~l\\ 10 f:J PHONE, --r\ 1\ rRl do
ADDRESS: Q Nlt'l("\ STATE: D'e.-ZIP: ~
LOCATION OF PROPOSED B~qING SITE: 1
Street Address: Qqq CP\lill~leJyls&v
Pial Name:fuUr\~G_Tax Lol N~ber: \ ~r'{}fj()14()~
1. DEVELO~Y~E (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinole-F::Jmilv Det::Jcheq
~ Single Family home
NO. OF UNITS I
Manufactured home not in a park
X $1,000 per unit = $ I rfY) (XJ
B. Sinale'-F::Jmilv Att::Jcherf
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M::Jnllf::Jr:tllrerf Home Pm'k.
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ lOon po
Ji
$
2. SDC CREDIT (II applicable) SOc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
~SDC r~duced for Credit)
D,,,:opm~~~~artme", D~e I
City of SpringfielCl .
$ \OnO pO
} I / 77
NAME OR COMPANY:
ATTACHMENT A <1 '1 0 2.. o,\?
CITY OF SP~GFIELD SYSTEMS DEVEL~ENT CHARGE
WORKSHEET .
~~~ ~0I'v\.Q./.)
'CJct0 KiFl-!z I.., u
J
"
LOCATION
DEVELOPMENT TYPE: SF'f)
BUILDING SIZE: 153'3
I nT SIZE (&'05
SQ. Ft,
1. STORM DRA.!NAGE IZI(;
G 2 X '2."1) ..,..
IMPERVIOUS SQ, FT. 20&0
2Z-(2.I)+- 'I'dzo) 1 7.0
X $0.227 PER SQ, FT, $4{.1,hZ
2, SANITARY SEWER-CITY
NO, OF PFU' S It"
(See Reverse Side)
X $47 ,14 PER PFU
$ li'4-X.!;2
3, TRANSPORTATION
NO OF UNITS X TRIP R"TE X COST PER TRIP
X \.01
X $475,32
$ 49Q,o+-
x
X $475.32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 2/7.44 PER FEU
$, ZT74C!-
B, IMPROVEMENT COST:
NO, OF FEU'S
X 1-5,?D PER FEU
$ -:l-5,ZO
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ (Ptf.,oK' >
MWMC ADMINISTRATIVE FEE $ 10,00
TOTAL-MWMC SDC $ 2,48.S"1
SUBTOTAL (ADD ITEMS 1.2,3 & 4) '$ 2044-,~()
5. ADMINISTRATIVE F~~~:
BASE CHARGE (SUBTOTAL ABOVE) X ,05$ lOt. 24-
I11Sr.--
SDC Coordinator
ATTACH'A.WPD
Date: 'O,/rlCJ(
TOTAL sac $...).14-7.tJ1-
-- - - -- . . . -. ~ .. ,,--_. 1'4UIIIU-C:;;1 VI 1'lt:''N irXlureS ^ Unit !:qUlvalent = Fixture Units
(NOTE: For remodels, calculate only the NET additional fixtures)
. NUMBER OF .
FIXTURE TYPE NEW FIXTURES
UNIT
EQUIVALENT
FIXTUAE ~
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 Aefrigerator/Water Station/Etc,.......
Aeceptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall,....:,..... ......, ......................, .......
Shower, Gang,...,... .........,....",...,'.., ........".....,.........
Sink: Bar, Commercial, Aesidential Kitchen,....,..................
Urinal, Stall/Wall,....."............,......, ....................,......
Wash Basin/Lavatory, Single........................,.........
Toilet, Public Installation....... ,..."..."..,....,..,.,....."..
Toilet, Private,....,.. ..............."..."", ,..,".."............
Miscellaneous:
II
2
4--
I
2
3
6
2
6
6
"Z-
I
3
2
l/Head
2
2
'2-
//
'2-
,-
II
6
<l
~
TOTAL FIXTUAE UNITS
=
/rt'
CAEDIT CALCULATION TABLE:
calculate credits seoarates,
I
I
i
Basee on assessed value. If improvements occurred after annexation date in table,
Year
Annexprj
,;
Rate per $1,000
Assessed Value
Vear
Annexed
Rate per $1,000
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
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
II
I
I'
Credit for Parcel or Land Only If Applicable
4,27 X $ /S
(Aate X Assessed Value)
X $
(Rate X Assessed Value!
CREDIT TOTAL
=
(A,o~
Improvement (if afte, armexation date)
=
= $
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
,~ ."
<': :,~~:~~~~j:.;::': ~~',' :' ,'. ',': ':"
. .' ..'~... '.
-,.-,,-','.
.,,;..,~,>,
""'"-".:'i,",
. ..'..", ",'
.
ICn7 ~S
.. ',-
~\. '~"1~;1"'''', ,><
;'ofJ>~" ' ,
;.~' ;;'lj ""'""P'i-;~ifj'
~~~~~~~
ia~li;g;;~T;:~Jii;?i;,;,
.;.~1-;:~ntt~f..~::~~. .,' . -: ',..~.~.::.::...~~'...~:.::..,., .
\ dttf~~../.I';;~iiJPb~jJ~'7t'~0-i:G?6h'
X,i~~rnA~,1~~~1i;t:;i;.{,' ," :
thli;t~ti,~!:tcii!; Is.t~lilgJliade on
r~"'''',,;' ,',<(~..!~A~~f,~'~~.~i~tended
os: ease"or........t'..''""",,, '
~~~" ,',,'::~~~;".I&!,"i~:1..8,}:~,h, '
~~~""', '!11 ~7~__
omii:""c:, 513111''7''
....wwT,..I' oJ,HJ(.. /1
"",~.....1l1: i-f I-/~
6'
~ ""
''% : :'.
US'mmsrBrzr/,: "...;r%,:
......._~;':ORBGON 97477'(,"<i"
IRSl'BCl'IOB REQUBSTl',' 72~376t
.. v ,"
.,'''......fr),J26-37S9:i ',' ..,', :t'?"'~",
:.-:...~~~~. " . .
...
.~.
.
,
:~::~:+7qcf&q~
...',....', :
" '.:
", ..,' St!~
~ R5.00 85
D., 'Branch Circuits"" '
. ."
,". :':'~" .
New; Alteration or Bxtension PerPiu14!l "
.,( .' . ,"'-".:'" i ":f.'".-:;::;.-\::: ,';:-:;,.<
ODe"Circuit ",", $'3500':: ,"','
\ '~~c:::i~~O::~h:t~i~e{~~;r'~:,;':;:"
, or;Peeder Perlllft,;;' $ , _..'
.' , ' .'.' ") "~"'.:
.. ~:'" ,-. . . ., . j '. :~'r:'
B. Hiscellaneous .. (sen!cel feeder '1!~,F!~~lIded)
"-Bach installaticM(',,' " ,<.~";:;,:,::~,;;(,:,;;,,,',
,>1'UIqiorirdptJODY'~": , $,M~'OO''2;'i'Y<
:Sf.iDlOUtline,Ll~,~b1g' ,,' $ ,~~,OO.i.f';""
Liated Energy/B.es:' , $ 20,.00:;; "
Liated Energy/eo. $ 36~00.~. '
S. ..~~~".AL OF'~~ ',' (~r<aJ;':':",
, Sf State Surcharge. /, ./,....,
, 3%:Ad.inistratlve Fee 4. jo",
'1'OrAL ' ' .J1/1'J A~