HomeMy WebLinkAboutPermit Building 1997-2-6
SPRINGFIELD
Page
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970212
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1073 LAUREL AVE
Assessors Map #: 18020613
Lot: 2 Block:
Tax Lot #: 10202
Subdivision: P96-P0786
owner: TIM MITCHEM
Address: 483 SHELLEY STREET
Phone #: 747-0B11
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Phone
Expires
General:
OS/25/97
988-1861
0090919
974020000
0038208
FROHLICH CONSTR
3014 W 15th Eugene OR
STEVES PLUMBING
01/23/96
658-3051
Plumbing:
Mechanical: MARSHALLS 0025790
4131 E St Springfield OR 974780000
Electrical: L H MORRIS 0001838
PO Box 466 Eugene OR 974400000
12/23/97
747-7445
06/08/97
747-0811
QUAD AREA: 5RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1806
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
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 MECHANICAL - Prior to insulation or decking.
UNDERFLOOR PLUMBING - 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.
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.
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.
l
,*
SPRINGFIELD
Job Number: 970212
Page 2
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 11728
Total Height: 17
Lot Type: INTERIOR
Setbacks
S W E
5
18 5
Lot Coverage: 15.1 \
Setbk From NPL: 50
N
House 27
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1280
526
$/Square Feet
64.66
16.27
Value
82,765.00
8,558.00
91,323.00
Building Permit Fee
Surcharge/Admin
409.00
32.72
TOTAL FEE
(A)
441,72
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 1,119.05
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
-- - MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
6.00
4.50
9.00
3.00
Mechanical Permit
Issuance
surcharge/Admin
22.50
10.00
1.81
TOTAL PERMIT
(D)
34.31
--- MISCELLANEOUS PERMITS ---
surcharge/Admin
WILLAMALANE SDC
0.00
1,000.00
TOTAL MISCELLANEOUS PERMITS
(E)
1,000.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DOll
(A, B, C, D, and E combined)
2,767.88
SPRINOFIELD
Job Number: 970212
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.
Plan Check Fee: 265.85 Date Paid: 02/04/97 Receipt Number: 24484
Received By:
Plans Reviewed By: DON MOORE Date: 02/13/97
Building Site Reviewed By: LISA HOPPER
-- - ADDITIONAL COMMENTS ---
SEPARATE ELECTRICAL PERMIT IS REQUIRED
PATH 1
STORM DRAINAGE TO UNIMPROVED STREET-CULVERT REQ'D
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.
n.0fit/U(( d~ 2--{ ~--97
Date
--- VALIDATION
Receipt Number: -2.4 "0 ~
Date Paid: ~ -/ fJ. -.,?
Amount Received: '2-1/, 7. fb 7
Received By: ~~
"'- ..:"
.
.
CITY OF SPRINGFIBLD SYSTEMS DEVELOPMENT CHARGB
(RESIDENTIAL)
Name or Company: TIM MITCHEM
Location: 1073 LAUREL AVE
Developement Type: R Building Size:
Job No.: 970212
Lot Size:
1. STORK DRAINAGB
Impervious Sq Ft 2824 X 0.216 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 0 X 44.75 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X
Cost Per Trip
451. 26
X Trip Rate
1.010 X
$455.77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
20.690
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FBBS
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 02/06/97
Page 1
Sq Ft
$609.98
$0.00
$455.77
=
$0.00
$0.00
$0.00
$1,065.76
$53.29
$1,119.04
.
..
. .
~'''Willamalane
..t~ Park & Recreation District
,.. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \\ffi \\\~ ~\)ffi
ADDRESS:.,\~'2J . \\.ot ^>: ~ .
LOCATION OF PROPOSED BUIL~G SITE:
Street Address: \t)''\~ ~ 11 n, 0 g -' l c;k,e .
. -. ;ax Lot Numbe~: \ ~if)
. Job. No: Q ~ Ollt-
PHONE:1~1.n~l \
STATE: .BV'2.-zIP: j[#Y}1
Plat Name:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.}
A. Sinnlp."F8milv Detached
L Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ WXj() (XJ
B. . Binnlp.-F8milv At18ched
NO. OF UNITS
. X $924 per unit - $
C. Multi-Familv Aoartment.
NO. OF UNITS
X $692 per unit = $
D. M8nuf8cturp.d Home Paris
$
$
I [)O{) . d)
g
. dJ
$ \['00, .
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
,
2. SDC CREDIT (if applicable) SDCjlayer must furnish proof of .
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) .
\ I ~ ^ ,ql('{)1 \Qrz-- .
~t Se~ ces Departmerit
City of Springfield \ . .
L I LiLt 5'7
Date
1'7- e2t-L
..
REQUEST
FOR:
INSTALL SEPTIC SYSTEM
'""""",
.......
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II.SECTlON
06.1. 3
TA,l(LOT I&UlDMSICHIPARllTION WT/PARCB. ElLOCK
~ /(J 2l!lO f~roJ,d .:l PQ;hI,~.
SPRINGFIELD. OR 97478
_lB .. ,02
Lc....."......"lJu..=:O
10 7..3 LAUREL
8TRucnJAES NOW Q\I PROPEATY
.,,- Po 78t.
AVE.
JillNF
I'ROl'OSEllUSE
W'TC Ns-rALW)
WAlERMTAl.LED
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NO OF""'""'"
a::HSmucra.l CClSTNAlUi
~~~~U:;Tq7-nnn1) tHLL/\.IR'l''l'R N:l\.T.RR
-.lNST/\ LL STANDARD--.S.Et~/\GR SYSTEM
0lAEC1l0NS TOSfTE FRar.l NEAREST l.lAIN NTEA$iC1lCIN
":\ "'Tn ~O LAURRT. l\VENUE RIGHT ON LAUREL.
OF 1 n71 T./\lIRRL 1\VRNTl~
APf'UCofrHT NAME.. AnDRESa
NOOF""""",,,
LOCATION RIGHT BEHIND(EAST)
'NO'"
-L.I.NDA....FR()RUT.T..c.E. ln71 LAUREL AVE_. SPRINGFIELD. OR 97478
CM'NERS NAME" ADORESS
988-1861
PHONE
CCB'
.PHQNS.
988-1861
"(
1071 LAUREL AVE.. SPRINGFIELD. OR 97478
STREET
aN
...
"(
$
APPROVED BY:
DATE
.-
, . . . . .
(' ..... '"11111'''''''_"''''''
CALL FOR INSPECTIONS (SEE BACK OF FORM FOR INSTRUCTIONS) 687-4065
SEPTIC permIts are good for one year. ALL other permits expIre efter 180 days unless Inspecrtons are current.
LMD 040 Rev. 6192
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SBTBACXS AND allIER ......_.......... OF APPROVAL MUST BE S1R.IC1L Y OBSERVED. VIOLATION CAN RESULT m RBVOCA11ON oPnns PBRMrr.
CITATIONS MAY DB ISSUED UNDER. nm PROVISIONS OP LANB CQUNI'Y'S INFRACTION ORDINANCE AND/OR onmR RBMEDIBS AlLOWED BY LAW.
VIOLA nONS
A MINlMUM OF AT LEAST 24 HOURS ADVANCE NOTICE MUST BE GIVEN FOR INSPECfION REQUESTS
Have the following information ready when you call: 687-4065
. "
P'';;''''it illlJhber '.. - lob address .c:.TYPe ofirtspection required -. 'When it will be ready
Your name and phone number - Any special dirc:ctions to the sit~
PUBLIC omCIAL RICHT 1'0 TRESPASS ON PRIVATE PROPERTY OKS n5.CIO
POWBR TO BN1ER UPON LAND. nm COMMISSION; AND ANY OP ITS MBMBFRS, QIlflI(EU AND EMPLOYES, IN nm PBRPORMANC3: OPnmIRPUNCIlONS, MAY
ENTER UPON ANY LAND AND MAKE EXAMINATIONS AND SURVEYS AND PLACB AND MAINTAIN nm NBCBSSARY MONUMBNTS AND MARKERS nunmi:)N,
REQUIRED INSPEcnONS'
FOUNDATION INSPEcnON: To be made after excavations for footings are complete and any required reinforcing steel is in place.
UNDERGROUND PIPING INSPEcnON: To be made after all underground piping has been installed, prior to any backfill.
CONCRETE SLAB OR UNDER-FLOOR INSPECfION: To be made after all in-slab or under-floor building service equipmen~ condui~ piping
accessories and other ancillary equipment items are in place but before any ..._.._ is placed or floor sheathing installed, including the subfloor.
ROUGH MECHANICAL INSPEcnON: To be made after all ducting and gas piping has been installed and prior to being covered.
ROUGH PLUMBING INSPEcnON: To be made after all plumbing rough-in is in place, prior to being covered.
FRAMING INSPEcnON: To be made after the all framing, fire blocking, bracing and roof are in place and all pipes, chimneys and vents are complete
and the rough electrical, plumbing, and mechanical inspections have been made and approved.
INSULATION INSPEcnON: To be made after all insulation and vapor barrieIS are in place, prior to covering.
LATH AND/OR GYPSUM BOARD INSPEcnON: To be made after all lathing and gypsum board, interior and exterior, is in place but before any
plastering is applied or before gypsum board joints and fasteners are taped and fmished_
ADDITIONAL INSPECTIONS MAY BE REQUIRED, such as but not limited to;
BLOCK WALL: To be made after reinforcing is in place, but before any grout is poured. The inspection is requirad for each bond beam pour., There
will be no approval until the plumbing and electrical inspections have been made and approved.
FINAL MECHANICAL INSPEcnON: To be made just prior to the structure or remodeled area being occupied and prior to operating any equipment
FINAL PLUMBING INSPEcnON: To be made just prior to the huilding, slnlcture or reniodeled area being oc<:upied.
FINAL BUILDING INSPECTION: To be mad<, after finish grading and the building, slructure or remodeled area is completed and ready for oc<:upancy.
MOBILE/MANUFACfURED HOMES: An inspection is required after the mobile home is connected to an approved sewer or septic
system. prior to covering sewer or water lines, for setback requirements, blocking, tiedowns and plumbing connections.
Footings and piers to comply with State foundation requirements for mobile homes or as recommended by the manufacturer.
Minimum fmished 1100r elevation shall be certified when required by FloOOplain Management
Tiedowns, if required, shall be installed and ready for inspectinn within 30 days after occupancy. Tiedowns shall be installed per enclosure.
APPROVED PLANS MUST BB ON TIlB JOB SITH AT Au.. TIMBS DURING WORKING HOURS.
TIllS PERMIT WIu.. HXPIRE IF WORK DOHS NOT BHGIN WITIllN 180 DAYS, OR IF WORK IS ~ ,vrr~ OR ABANDONED FOR MORE TIlAN, 180 DAYS.
SUSPHNSION OR REVOCATION MAY OCCUR IF TIllS ~HRMIT WAS ISSUHD ON TIlB BASIS OF INCOMPLETE OR BRRONEOUS,INFORMATION.
ANYONE PROCEEDING PAST THE I'OINT OF REQVI~En INSPEC:IpNS \YILL DO SO A1'.:r':IEIR OWN RISK. .
Your signature on th~ front of this fonn verifies the follo";in~: I HAVE CAREfuLLY EXAMINED THIS CPMPLETIiD AI'PUCATION, ~d do.'
hereby certify that all information hereon is true'and correct, and that I have a l~gannterest in the t'."'!'....'H) as owner ofrecord or authorized agent. I
further cenify that any and all work perfonned shall be done in accordance with tIu; Oidinances of Lane County and the laws of the State of Oregon per-
taining to the work deserihed herein. I funher certify that ifl am not the owner of the ....rm.' my registration with the Builders Board is in full force
and effect as required by ORS 701.055, and that if exempt the hasis for the, exemption is noted hereon, and that only subcontractors and employees who
are in compliance with ORS 701.005 will be used on the job. . 1 '..,',
SUBSURFACE & ALTERNATIVE SEW AGE DISPOSAL SYSTEMS:
When subsurface construction is complete. the permit holder shall notify the County Land Management Division by submitting the installation record
fonn. An inspection will be made by a qualified sanitarian. If co~truction complies with all rules a certificate of completion will be issued to the permit
holder. If conslnlction does not comply with rules, the permit holder will be notified, and all corrections shall be made before a certificate of completion
will be issued. Failure to ~cct satisfactory completion within the allol!ed time constitutes a violation of ORS 454.605 to 454.745 and this rule.
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SUBSURFACE SEW AGE DISPOSAL SETBACKS SEPTIC TANK
From: Interior t'...y......;lines 10'
Edge of road right-of-way 10'
Building foundation 5'
Wells or other water sources 50'
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Your Name /7 _ .
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SEPTIC INSTAllED? .
- Ves ::sz:97-00c
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Directions to site from
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MAP, PARCEL NUMBER
(FCK.n:t on to ~ In the Auoument. TauUon Dept)
/.f' ~ 1:5;6 I. -5', 9?OZJ
To........ ...... _on ,,,, SectIon Tn Lot
10_ 1linjjO llidJOi1 . 114 SectIon TaIlLot .
To........ lliiijjO ........ 1f4Sltct1on TuLot
Site Address
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LMD staff can NOT be held
responsible for evaluations or'
recommendations based on
false, Inaccurate or Incom-
.plete Information.
LCPW 148
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For Mobile Home
Placement Only
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No. of Bedrms
License' (No. always ~tarts with Xl
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· W: 3 '" (\j N. \ LANE COUNTY DEPT ENV MG T RECE I PT t.
! flHH:\ APF'LIC~~IrCHUM' TIM AD DR 1071 LAUREL AVE;.
. TL 180206130 700 SUBDIV
NE~ BLDG TYPE '\ USE R BDRMS 0
OWNER NME MITCHUM, TIM
. CODE APPL NO ACTION DESCRIPTION
BP
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28897 DATE 0123~'h
SPRINGFIELD. OREG~~O
LOT BLK.
UNITS 001 STORIES IBLDGS 001 PHONE 988 1861.
ADDR 1071 LAlJf(EL AVE., SPF(INGFIELD, OREr..:JN;:
SQ FT UNIT COST VALUATION F,EE D~ '.~.
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