HomeMy WebLinkAboutPermit Building 1999-8-13
v
I- SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990887
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3801 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 7 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
Canst.
Contractor Contractor # Expires Phone
General: HAYDEN ENT 0092208 07/29/99 744-6966
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: HAREBEINTNER 130282 07/02/00 741-1766
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: EFFICIENT HEATI 0117687 09/27/00 693-9353
219001 E PERKINS RD KENNEWICK WA 99
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 - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Priorj-'to',icove"O I
., ,-" ..",,,, regon aw re '
WATER LINE - Prior to fill ing trench, follow rUlZs adopted b qUires yo~ ~O
SANITARY SEWER LINE - Prior to fill ing trench, NotificatIon Cente' Th y the Oregon Utrhty
STORM SEWER LINE - Prior to filling trench. inOARg52_001_0010t~~oeuru~esaresetforth
ROUGH PLUMBING - Prior to cover. 0090 You may obta' . g OAR 952-001-
ROUGH MECHANICAL - Prior to cover. Cailin!; the cenier InNcoi',es of the rules by
ROUGH ELECTRICAL - Prior to cover. numbertortheOr~(o~~/hetel~~ho~e
ELECTRICAL SERVICE - Must be approved to obtain permanent poweS:lnteriE l-Rg(l(l-3 II~ty Notification
SHEAR WALL NAILING - Before covering sheathing with finish materials. - 322344).
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
,- SPRINaFIELD
Job Number: 990887
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: 14
Lot Sq. Ft.: 5064
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
House
Garage
N
1:4
14
Setbacks
,S W
18 10
38 58
E
20
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
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
CITY SDC
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
(A)
= 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
167.40
2,221.92
80.00
3,589.32
4,212.23
(C)
(D)
(E)
.. SPRINGFIELD
Job Number: 990887
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 USED FOR CITY CREDIT PURPOSES
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.
~.c.~
g /c ~ 1"1<;
Signature
Date
Date Paid:
- -- VALIDATION
, 3~()\
~evl~.}"GfI ,-
~~~~
~~~,
Receipt Number,
Amount Received:
Received By:
.
. .
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
~~~
~~
~
~.
Ovners Signature:
~j~~
RECEIVED BY:
. V:y..}---/
ELE~CAL PERKIT APPLI~~~
Ci ty Job NUlIIber C\Cl.t) ~
COMPLETE FEE SCHEDULE BELOV
3.
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
l.~~
l'6..D.m () ~ _ CRIPTI
\ !OJ ~SWPT~. 1000 sq. ft, or less
~ ~ :s. ~ I~_ Each additional 500
, , , sq. ft or portion ;. ~
Permits are non-transferable a~p! . thereof ~$
if vork is not started vithin +~['d~: Each Manuf'd Home, or
of issuance or if work is susP~~~~SHA Modular-'Dwelling
180 days. AUTHORllED LL~iP1H.Dr Feeder
,ff,nM UNDE_ cWORK
2. CONTRACTOR INSTALLATION OAitT.MENCEDOFits J~~rrQSflbf.ders
L NY 180.!)A,Ypl ef;:i1w, Alterations
Electrical Contractor lL-1. 'TlL (i.XE:t....'Ef#DD. or Relocat'ibn:
Address ,,'-(O~ fG.. ~ A-v"L.. 200 amps or less )(. $ 50,00
201 amps to 400 amps $ 60.00
Ci ty f.l.l ~~ Phone G, 2>8 - S 40 \ 401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisol- License Number 4/ ~< s Over 1000 amps/volts $300.00
~0 Reconnect Only $ 40.00
Expiration Date /8 01 ~ /
C. Temporary Services or Feeders
Cons t r Con tr. Numbel' d ~ 1 - ~ S- <!. Ins talla t ion, Al tera t ion or Reloca t ion
Expiration Date \0 - ( - '14' 200 amps"or less "i-. $ 40.00 40 ...
, 201 amps to 400 amps $ 55.00
~~_o,::u~erv~~Electrician g~:~ :g~ ~~p~o~ra~g~o volts ~e:O~~? above
~-. (/ .fr' D Branch Circuits
Ovner~ Name J~ "'D~ l~"'<;" .
Address -;~~ ~,r--> '1 ~ '
Ci ty ~ft.J~" 4..w Phone '7Y 1../ - , '14?G.
uni t.
Items
Cost Su
85.00 F$'~
JO
15.00 ~e
I
$
.$ 40.00
~
.'
Nev, Alteration or Extension Per Panel
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL .
One Circuit
Each Addi tional
Circuit or with Service
OIlNER INSTALLATION ATTENTiOI"Oregon law reQI6i.'JSF.ee<ier Permi t
follow rules adopted by the Oregon Utility
The ins talla t ion is beingJ'!lia9,eiton::;enter. ThO!E~ruIIMiscel.'l::in:eous (Service/ feeder
property low/'! which is i1'!0_~Il,I~~t~n9~~0010through~EaclJ5.!rtSJ~al1a.tion
for sale. lease 01' ren t '0090. You may obtain copies Bl;'!'1PJ .<1.refi.~riga ~ion.
calling the cemer, (Note: th~tg~6R!!i\elne Llgh Ung
number lor the Oregon Utilit!-Neti~~t1ti~ergy /Res
Center i~,l-800-332-t,~}.te(l Energy/Comm
S 35.00
$
2.00
not includec
$ 40.00
S 40.00
S 20.00
$ 36.00
\~~~
._~:~~
'\a~' ~rJ
JOURNAL OR JOB NO, qQo to g 7
. ATIACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOP~NT CHARGE
WORKSHEET
NAME OR COMPANY:
W.r..vnF^, t..!"MF"i
LOCATION:
:s ~ Q I / ~~ 1 L 12 u:\ r~6- D n-
DEVELOPMENT TYPE:
.c:.f'R....
BUILDING SIZE:
lOT SIZE
SQ. Ft.
1. STORM DRAINAGE
i:...r AJ!(4 r 173'2...
D /4,; A"~ ~ I(J.,..ZOa. .s~Q
IMPERVIOUS SQ. FT.
7 . r~q Z-
X $0.227 PER SQ. FT. $ 474,9'J
2. SANITARY SEWER-CITY
NO. OF PFU'S J ~
(See Reverse Side)
X $47.14 PER PFU
$ 84&.5"2.....
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X "Of X $475.32
$ 480.07'
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277.#PER FEU
$ 277.44-
B. IMPROVEMENT COST:
NO. OF FEU'S
X l"Y' PER FEU
TOTAL-MWMC SDG
$ Z<". ti>
< $ -er- >
$ 1000
$ 312..~4
$ 21/("...1/
,
$ lo.,>,~1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
~~
Date: 7-9-99
SDC Coordinator
ATTACH' A. WPD
TOTAL SDC $ 7. 77 J~Z-
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only t_ET additional fixtureS). . " '.
__ NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub......................... ..............,......,............,.......... '
Drinking Fountain.................,.......,..,.........,.........,..,..
Floor Drain...........................,.......... ,'.,.............,.........
Interceptors For Grease/Oil/Solids/Etc.........,.......
Interceptors For Sand/Auto Wash/Etc......,..........,
Laundry Tub/Clotheswasher......., :..,.,.....,..,............
Clotheswasher - :? Or More...........................,.........
Mobile Home Park Trap (1 Per Trailer).........:........
Receptor For Refrigerator/Water Station/Etc.......,
Receptor For Commercial SinkfDishwasher/Etc..
Shower, Single Stall.....,........,....,,:...........................
Shower, Gang................... :..,......... ..........,...,..........,
Sink: Bar, Commercial, Residential Kitchen...........,..,.........
Urinal, Stall/WaiL.........,.........,.............,......,...,.........
Wash Basin/Lavatory, Single.........................."......
Toilet, Public Installation.......,..,......,.,..........,.,......,
Toilet, Private....,...........................,.................,....
Miscellaneous:
2-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4
'2..
">-
'2..
~
1~
8ased on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
rCUlate cre:~~~~:rates.
I
Rate per $1,000
Assessed Value
$4,27
4,18
4,12
3.99
3.83
3,68
3.48
3,18
2.82
2.42
I
l
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
2.
"2..
TOTAL FIXTURE UNITS
~
Year
Annexed
1989
1990
1991
1992
1993
1994
1995
1996
1997
Rate per $1,000
Assessed Value
$1,98
1,55
1.15
0,96
0,83
0,67
0,52
0,38
0.21
j
X $ ~-t:r'
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value) ,
CREDIT TOTAL ~ $ e
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 1<0EFFICIENT
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\_~nt~O[) ,
ADDRESS: ~~ U n\}(..1l ~ 00 t
-LOCATION OF PROPOSED B~LDING SITE:
::::a::'''''' A9f\\ ~~O~~:b~lL- \m\J~
.
~C\ TJ ~'67
PHONE: rJ44.loqlow'
STATE: oc.,ZIP: Q141<6
1.. DEVELOPMENT TYPE Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
A SinolA-F8milv DAt8r:~
\ Single Family home
NO. OF UNITS
\
Manufactured home not in a park
X $1,000 per unit = $ \D'Yl p:>
B, SinoIA'-F8milv Atf8r:hArl
NO, OF UNITS
X $924 per unit = $
c, Multi-Familv A08rtment
NO. OF UNITS
X $692 per unit = $
D.Manufactured Home PR~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c, $
$ \()OfJ.oO
2. SDC CREDIT (It appficable) SOc.payer must luflllsh proolof rX
Willamalane Credit approval. See SOO Oredit WoiKsheet. . $ , JU
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced lor Credit)
~\. ~~\'ot? )
Development SelVi~&\bepartment
City of Springfield
$ ~DDO.OO
\_r) I !l~U gqLi
Date -