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: 990891
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3795 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 6 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
Contractor
Const.
Contractor #
Expires
Phone
General: HAYDEN HOMES 0092208
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: HARBEINTNER 130282
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: EFFICIENT HEATI 0117687
07/29/99
744-6966
07/02/00
741-1766
09/27/98
693-9353
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
06/10/00
367-8260
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: SGC
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER: E
SQ FOOTAGE: 2416
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
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 ---
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.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/ceiling;~~r to cover
WATER LINE - Prior to filling trench. v liCE:
SANITARY SEWER LINE - Prior to filling trench. THISPERMrr
STORM SEWER LINE - Prior to filling trench. AUTHOR SHALLEXPIRE/FTH
ROUGH PLUMBING - Prior to cover. CO IZEDUNDERTHI EWORK
ROUGH MECHANICAL - Prior to cover. MMENCED OR IS S PERMIT IS NOT
ROUGH ELECTRICAL - Prior to cover. ANY 180DAYP ABANDONED FOR
ELECTRICAL SERVICE - Must be approved to obtain permanent powerERIOD.
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
SIDEWALK - After excavation is complete, forms
in place.
wall/Ceiling; Prior to cover
AnE:rFIt"l",."._ .
placementl of concrete'.on law reqUires you to
Tot ow rplt='1" ~,..j.'I'" ::sd b th
and sub-base mater~al. y <1 Oregon Utility
,"OllllCa!lor, COn! T'
in OAR 952 0 ~ . t'r. .10SE' rules are set forth
- Dl-0010throughOAR952_001_
0090. You may obtain copies of the rules b
call,:n.~ mE: cent&r. (Note: the telephone y
numGt:rlor the. Oregon Utility Notification
Centerrs 1-800-332-2344).
Job Number: 990891
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: E
Setbk From NPL: 30
Lot Sq. Ft.: 5729
Solar Approved: Y
Total Height: 24
Lot Type: CORNER
House
Garage
N
10
54
Setbacks
S W
25 23
5 36
E
23
18
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
2016
400
$/Square Feet
69.64
18.34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
HEAT PUMP
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
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
140,394.00
7,336.00
147,730.00
541.00
43.28
584.28
Fee
192 . 50
192.50
15.41
207.91
6.00
4.50
9.00
3.00
6.00
28.50
10.00
2.29
40.79
0.00
60.00
60.00
1,000.00
2,438.89
140.40
80.00
3,779.29
4,612.27
Job Number: 990891
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: 07/12/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS
A & T DEFAULT AMOUNT FOR CITY 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 ORB 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.
~.~
el'~}CJ1
Signature
Date
- -- VALIDATION
Date Paid:
~~5aO\
:<2>, \O':'~__ t,
~ro
Receipt Number:
Amount Received:
Received By:
. .
. JOURNAL~ JOB NO. ~qOML
AlTACHMENT A . .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
i-lAV'f)F.N )~OM€S
.~_~1-a~ Do
::'f? LntJr~ K"D~G "-
NAME OR COMPANY:
LOCATION:
DEVELOPMENT TYPE:
.e::; F f2-
1. STORM DRAINAGE
LOT SIZE
~"F AU.. " I ,,"04-
])L.o ,,3CoO
SQ. Ft.
BUILDING SIZE:
IMPERVIOUS SQ. FT: J ctt:.'t
2. SANITARY SEWER-CITY
X $0227 PER SQ. FT. L44,C-n
NO. OF PFU'S 23
(See Reverse Side)
X $47.14 PER PFU
$ J, aS4-. 2.~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1,01 X $475.32
$ . AJUl;O'7
X X.$475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
x Z 77. 44. PER FEU
$ 2.17. 44
B. IMPROVEMENT' COST:
NO. OF FEU'S
X 2~. lV PER FEU
$ 2S. 20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ -e- >
$ 10.00
TOTAL-MWMC SDC $ ~ /2 .td4-
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHA~ ~TOTAL ABOVE) X .05
. ./7PO~, Date: 7-C;-CJO,
SDC Coordinator
ATTACH' A. WPD
$ 2,3Z'Z.,7c'
,
$ I/t. . 13
TOTAL SDC i..Z-43X .8"t
FIXTURE UNIT CALCULA..1I..ON TABLE: Number of New Fixtur~ Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only ~ additional fixtures) .
NUMBER OF UNIT FIXTURE .
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub......................................................................
Drinking Fountain.....................................................
Floor Orain........................... ,....................................
Interceptors For Grease/Oil/Solids/Etc.. ...............
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clatheswasher. ,".................................
Clotheswasher ".3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
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 Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private....... .:..............................................
Miscellaneous:
2-
2
1
2
"~..~,...~ 3
,... o. ...'
.,.- i 6
2
6
6
1
3
2
l/Head
2
2
1
6
4
,
4-
"-
-z..
3
1"2..
~7~
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates.
1-
3
.'3
TOTAL FIXTURE UNITS
~
Year
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
Year
Annexed
Rate per $1,000 l
Assessed Value
1989
1990
1991
1992
1993
1994
1995
1996
1997
X $ ~
(Rat~ X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL
Credit far Parcel or Land Only If Applicable
Improvement (if after annexation date)
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
e--
~ $ 9-
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
, (
.
.
SPRINGFIELD
"
. .
'ttl1
225 FIFTS STREET IoN
SPRINGFIELD, OREGON 97477 ~'
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERKIT APPLICATION
Ci ty Job NUlIIber aqD81 f
A.
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
l.ECAL DES
~
() 6-'i. (,m,.
~4 ,lOB DESCRIPTION
I\n &. .:...
.. '
Items Cos t Su
'I $ 85.00 t~'"
'3 $ 15.00 7'S-~
2. CONTRACTOR INSTALLATION ONLY B. Services'or Feeders
Installation, Alterations
Electrical Contractor ,--\,'i""I'L IZALc..r- 01' Relocation:
f.J.tJ4./t. A-v<L 200 amps or less V
201 amps to 400 amps ~
Phone u.~ -'5401 401 amps to 600 amps
601 amps to' 1000 amps
Supel'visol' License Number t//ls s: Over 1000 amps/volts
/ / Reconnect Only
Expiration Date IO/OIIO)
/ I C, Temporary Services or Feeders
Constr Contr. Number :J.;;t \-~Sifr~'t... Installation, Alteration or Relocation
'. " _ IOI/OIly ~ JufV:Orer._ ,
ExpIration Date lD'" / ('!t'f'fi,.",...~/esadOfJt.~901'amp~~~u?l: less
" ~ "'UAA9 -,I Center ~OlYall!Ps to'S~Ogtamps
Si~,tu e, of S upe~, vi Electf-i'Ct~b,~2'007'00;p~er~.4.o:~:efb')r,6Qgif~mps
. Callin maYobt .0ver!J&~?0 'ampl1Jtpr 1000 volts
...---,.......----: nUIh"_ 9 Ihe Cent am cOPie UAA 952 Orth
1.- - - "- I -, lurch De'-(B'r h-s oc' '" - ,'001.
'. , , A fA ~ ev" ranc lrcU'l.tSb
Ovnel's Name ~p......., 1~'SJ.nteriS7~~90nUtili;:~,~:~~Ph~;::V
"7"'1 ri:;; ,..-;) ONevi' .Alter,aJ[l,\,n or Extension Per Panel
Address .J",<,') C,..) -r, ~"1o-J ~~'<;j44). - 'un
One Circuit
City S~l.lId,.4. ND Phone '744 -c; 9Ce(;' Each Addi tional
Circuit or vith Service
OVNER INSTALLATION or Feeder Permit $ 2,00
The installation is being fl&Qt/66:: E, Hiscellaneous (Service/feeder not includec
property low" which is nqfj'~~ffls -Each installation
for sale. lease or rent, AUT HALLEXPIREfflIl1!1>jewfm' igation '
HOR'ZEDUNDERTHIS~/.(l\I. lne Lighting
Owers Signature: COMMENCEDORISABAN 'L'1'aJ~IWtt ;trgy/Res
ANY 180D D(j)J)JIiiIDfi8l:jEnergy/Comm
AYPERIOD,
5.
s. ~,cz..
1000 sq. ft. or less
Each additional 500
sq. ft or portion
, thereof
Each Hanuf'd Home. or
Modular 'Dvelling
Service or Feeder
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
Address 40"'1
C i t y .(. u G-t...ufL..
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL'
DATE6T2;~~ ~-----
RECEIPT i: .~' 'd- .
RECEIVED ny: el)\J.Y.
,$ 40.00
$ 50;00
$ 60.00
$100.00
$130.00
$300.00
$ /'0.00
~
$ 40.00
$ 55.00 -
$ 80.00 -
see "B" above
"
$ 35.00
S 40.00
$ 40.00
S 20.00
S 36.00
~
.
~4-
, ' .,
.
.
.. fl~ '
. ... ~"... 'Willamalane
~,-""f' Park & Recreation District
f" . SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\ a1f\udQ..n t 9:b:nO[) ,
ADDRE~S: l1A~~ \) (\1 rn ~oot
LOCATION OF PROPOSE~ B~LD!N; SITE:
Stre'et Address: _ ~",q!1 ~m(l R idot \)x\ \10
Plat Name: ~ ffio-w ~~Qot Number: ~f:lDl~l\qcO
1. DEVELOPMENT TYPE~Check appropriate dwelling(s), SOC calculations and dwelling t
ype definitions are on the back.)
. Job. No. Qq111~ \
PHONE: rr44.toqlow
STATE: ~ZIP: Q-K.l<6
,
A Binolp.-FAmilv Dp.Il'l~hp.rf
\ _ Single Family home
NO. OF UNITS
\
Manufactured home not in a park
X $1,000 perunit = $ \(YY)!U
B, Binolp"-FAmilv Atfl'l~hp.rf
NO, OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufl'lcturArf Homp. PArk
NO. OF UNITS
WILLAMALANE SDC
X $699 perun!t' = $,
$ \t)Of).d)
2. SDC CREDIT (it appficable) SOc.payer must furnish proof of n(
Willamalane Credit approval. See SDO Oredit Worksheet.' $ JO
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced for Credit)
lciu '- ~'f\\'pr; ")
Development Servi~&\ Department
City of Springfield
$
~DDO .00
-
8i ,13 (!~qq/
Date ,-