HomeMy WebLinkAboutPermit Building 1999-8-13
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990889
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3790 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 5 Block:
Tax Lot #: 09900
Subdivision: KEARNEY ACRES
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: HAYDEN ENT 0092208 07/29/99 744-6966
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: HAREBEINTNER 13Q2,82 07/02/00 741-1766
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: HAYDEN HOMES 0092208 07/29/99 744-6966
2622 SW GLACIER PL #110 REDMOND OR
Electrical: ELITE ELECTRIC 0099768 06/10/00 367-8260
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: 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 ---
TEMPORARY POWER
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.
POST AND BEAM - p~ior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling;
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
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
prioNGT~.r
TH ....C;
's PERM,"-
AI "., . I SHALL
. 'V I r-tORIZED EXPIRE If:
COMMENCED~NDERrHIS PER;:EWORk
ANy 180DAY RISABANDQ fTlSNOr
PERIOD. NEDf:OR
Wall/Ceiling; Prior to cover
ATIENTION:Oregon law requires you to
follow rules adopted by the Oregon Utili!'
Notification Center. Those rules are set fOl
In OAR 952-001-0010 through OAR 952-00',
0090. You may obtain copies of the rules t1
calling the cenler. (Note: .t~e tel~~ho~e
number ior the Oregon Utility Notiflcatlo:
Center is 1-R(Vl_13::>-2844).
SPRINGFIELD
Job Number: 990889
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.
Page 2
Lot Faces: S
Setbk From NPL: 45
Lot Sq. Ft.: 5516
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
House
Garage
N
30
58
Setbacks
S W
18 8
19 8
E
9
29
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
(Al
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(Cl
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
, Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
(El
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, 5, 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
9.00
3.00
16.50
10.00
1.33
27.83
0.00
60.00
60.00
1,000.00
2,240.98
167.40
80.00
3,608.38
4,231.29
~
Job Number: 990889
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: AL WARD Date: 07/13/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T DEFAULT AMOUNT USED FOR CITY CREDIT PURPOSE
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 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.
rpc~AL
~/1Z~1
Signature
Date
Date Paid:
5"jG;6fboN -
__~j3' qC\ .' - ,
.\4~~\..a\\ .'
~.~~- .
Receipt Number:
Amount Received:
Received By:
JOURNAL OR JOB NO. qq08f?'1
. ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOP~NT CHARGE
WORKSHEET
NAME OR COMPANY:
4Ayrlf:'}./ L!"MC">
<.7<?n L.m.>r.., P,n,;{'; DR,
LOCATION:
DEVELOPMENT TYPE:
<f'1Z.
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE
I:...r AIl<\'''' 173"2-
D/", ....... " 'If 0
IMPERVIOUS SQ. FT.
/../71-
- .
X $0.227 PER SQ. FT. $ 4QLo'1>
2. SANITARY SEWER-CITY
NO. OF PFU' S I 9.
(See Reverse Side)
X $47.14 PER PFU
$ 8of8.5L.'
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $475.32
$ 480.07
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277.#PER FEU
$ 277.4+
B. IMPROVEMENT COST:
NO. OF FEU'S
X It;?R PER FEU
TOTAL-MWMC SDC
$' 2'>,"L.O
< $ -er- >
$ 1000
j> 31Z,~4
1...2,..." 4 . ? 7
$ 106 . 71
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (~19lAL ABOVE) X .05
~, Date: 7 -q-'7'9-
SDC Coordi nator TOTAL sac $ /,? 40. 98
AITACH" A. WPD
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only tAiET additional fixtures) .
___ . NUMBER OF' UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
Orinking Fountain................................. .....................
Floor Drain.... ..................... ..,...... ..............................
Interceptors For Grease/OiI/Solids/Etc.............. ...
Interceptors For SandlAuto Wash/Etc..................
Laundry Tub/Clotheswasher ... ................................
Clotheswasher - ~ Or More.....................................
Mobile Home Park Trap (1 Per Trailer).........:........
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.... .:. .... ......................................
Shower, Gang..... ....... ... ....:........... ...........................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StaIl/Wall... ....................................................
Wash BasinlLavatory, Single....... ...........................
Toilet, Public Installation.................................... ....
Toilet, Private..... ................ ..................................
Miscellaneous:
2-
4
2
1
2
3
6
2
6
6
1
3
2
llHead
2
2
1
6
4
'2.
"1-
2.
'2.
~
'-
TOTAL FIXTURE UNITS
IS
=
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
rCUlate cre~~:rates.
Rate per $1,000
Assessed Value
Il
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
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
Year
Annexed
Rate per $1,000
Assessed Value
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
--11
X$ =-6-.
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value) .
CREDIT TOTAL = $ G
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimatin9 Purposes Only)
Residential......... .................. 0.4
Commerical......................... 0.9
Industrial._.......................... 05
Governmental...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA;' TOTAL LOT SIZE X RUNOFF COEFFICIENT
- .
.
225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
~q
~
ELECTRICAL PERKIT ){,PI.ICATIOh
Ci ty Job Number V\q~~~lJ!'
COMPLETE FEE SCHEDULE BELOII
3.
. A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Se~viee Ineluded:
/'~
Permits are non-transferable and expire
if york is not sta~ted vithin 180 days
of issuanee o~ if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t:.../.<n'L 6-lE.cr:
Address YO"} 14 V'WI. ~
Ci ty k...u ~L Phone G. g a - S4tJ (
Supervisor License Number t/j? 55'
Expiration Date /0//0/
Constr Contr. Numb~~ ~ , - ,") 5 Q....
Ci ty SfLJ /o.J(,A.uo.
OWNER INSTALLATION
Ovners Signature:
DATE:
RECEI!' ( II:
RECEIVED 8Y:
Items Cost Su
( S 85.00 8'b
, ga~
~S 15.~ ~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
. thereof
Eaeh Manuf'd Home. or
Hodular'Dvelling
Service or Feeder
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
Reconnect Only
S 40.00
$ 50;00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
)(
L-
C.
Temporary Serviees or Feeders
Installation, Alteration or Reloeation
$ 40.00 '-to
$ 55.00 -
$ 80.00 -
see "B" above
.'
$ 35.00
$
2.00
Expiration Date /6-/--'1 f1.e 200 amps"or less ;<
~ q) ICE. 201 amps to 400 amps
4hi u of Supervi' Electri~~ER' Over 401 to 600 amps
. AUTiy MfiSHALP~~r 600 amps or 1000 volts
~ f ~- ORIZED/J^' t=)(PIREIF=7l.I~,
v . - ;...-. \ ~v,vIMENC u:DEBlrlfflslp..citt:1lWORk
Ovners Name ~~ ~f.i1r:J..=.... EDORIS~A^, l::RMITis'Nnr
~YPERlocre~:D~A6~on or Extension Per Panel
Address 1:,;)?8 7, N-;ON . Ii
Phone '7LfY-(. 7~Cr,
One Circuit
Each Additional
Cireuit or vith Service
ATTE:NTION:Oregon law rec.~r::ef~~!!e_r Permi t
follow rules adopled bv the Oregon I Jtilily
The ins talla t ion is b~ingJc.!\%~,~liSn r,enter. Tho~'; ru~tlt.~!lH\'nl~1?~s (~erviee/ feeder not includec
property I ovr. vh1eh 1S no,I'A,n!ended OD1Dthroug"-.Eacli,,,ns,tallatlon
Illv .I"'\oJ'~"::::-U\JI- :1:.'...J'l"i.nO~~-I.'UI-..
for sale, lease or renl'0090 Youma obtaincop'el.l,lmp.f'C?rlc~.rngat10n S 40.00 ~
'. y. I 'SilgiJ~OUtTi1l'e Lighting $ 40.00
calling ~he cemer. (NOle:.lr~i'rii'il"t'lrdlrE'nergy/Res $ 20.00
numbenorthe Oregon UllliiYil)'\'itt'lfd1t'fRergy/Comm $ 36.00
Center is 1-800-332-2344). ~-
---------- 5. SUBTOTAL OF ABOVE
5% State Sureharge _
3% Administrative Fee .. ~.~
TOTAL ~
.
f\.Ai\ _ .
/IItW ~"... 'Wlllamalane
~,-"1' Park & Recreation District.
(V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\ f\f\udQ~~O[) .
ADDRE;S:~~ Unl~~ot
'LOCATION OF PROPOSE~ So)LDIN; SITE:
Street Address: --ffiQD ;{mn R trt~ \lx\,10
Plat Name: ~!\ Y\\o.~ ~Qot Number: m~Dl~C\qcO
1. DEVELOPMENT TYPI;~Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Binalp.-F::Jmilv Dp.t::J~hp.rl
\ Single Family home
NO. OF UNITS
.
. Job. No. ~cm~q
PHONE: '144. lag low
STATE: ~ZIP: Q-Kl<g
Manufactured home not in a park
X $1,000 per unit = $ \(YY) ~
\
S. l'>inalp"oF::Jmilv Att::J~hp.rl
NO. OF UNITS
X $924 per unit = $
C. MlJlti-F::Jmilv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Homp. P::Jrk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \()Of).cO
2. SDC CREDIT (If applicable) SDC;>ayer must furplsh proof of rX
WiUamalane Credit approval. SeeSDC Credit Worksheet. $ }U
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~'- ~~\'of? )
Development Servi~~ Department
City of Springfield
$ \DOO.oo
i
.'_" '-1
. . I )
Date -
'1_- _,_