HomeMy WebLinkAboutPermit Building 1999-8-13
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3804 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 4 Block:
Page 1
Job Number: 990888
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #, 09900
Subdivision: KEARNEY ACRES
NEW
'*
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F, RESIDENCE
Contractor
Canst.
Contractor #
General: HAYDEN ENT 0092208
2622 SW GLACIER PL #110 REDMOND OR
PI umbing: HAREBEINTNER 130282
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: EFFICIENT HEATI 0117687
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: SGC
OFFICE USE --
LAND USE: llll
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER:.E
SQ FOOTAGE: 2416
Expires
Phone
07/29/99
744-6966
07/02/00
741-1766
09/27/00
953-3695
06/10/00
367-8260
# 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 ---
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;
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
SHEAR WALL NAILING - Before covering sheathing
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
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.
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 beenl~CPf~~ and
the building is complete.
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
PriorAtOEcover
I I I~ Ilul~:Oregon law requires you to
fD!'?w ~ules adopted by the Oregon utility
~Oltf'calton Center, Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090, ,You ,may obtain copies 01 the rules by
calling tne center, (Note: the telephone
numberfortheOregonUt'I't Nt'" ,
permanent power" II Y 0 ITICaltOn
with finish mateRWJ.t~rIS 1-800-332-2344).
SPRINGFIELD
Job Number: 990888
Lot Faces: S
Setbk From NPL: 35
House
Garage
N
20
24
Item
Main
Garage
Total Value
Building Permit, Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
HEAT PUMP
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
Page 2
Lot Sq. Ft., 8451
Solar Approved: Y
Total Height: 24
Lot Type: PANHANDLE
Setbacks
S W
28 15
24 51
E
8
28
BUILDING PERMIT
Square Feet x
2016
400
$/Square Feet
69,64
18.34
(A)
PLUMBING PERMIT ---
3
(C)
--- MECHANICAL PERMIT ---
3
(D)
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, 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
2,696.32
140.40
80,00
4,036,72
4,869.70
Job Number: 990888
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 PURPOSES
DRIVEWAY REQUIRED TO BE PAVED
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
~..4
Blts/'?,;
Date
--- VALIDATION
.... l~. ,....,
Receipt Number: ' 2> 5 cd. 00 .
Date paid:~8. \''2:) .qq
Amount Received: ~ -1' ~ ~lAq. '70",
Received By: 'Cl)~
CITY OF
JOURNAL OR JOB NO, q () ,If 8 0/
. ATTACHMENT A .
SPRINGFIELD SYSTEMS DEVELOP~NT CHARGE
WORKSHEET
NAME OR COMPANY:
I-IAYDEN
Wo,,",,€s
LOCATION:
Ll'liVr~
12/DGG DIl.
OEVELOPMENT TYPE:
~'F f2-
BUILDING SIZE:
LOT SIZE
SO Ft.
~"F AU" -= I ,"04-
1. STORM DRAINAGE I\L- :::r. -: I ~'l-O
IMPERV IOUS SO. FT. '< 0 4-4 X $0.227 PER SO. FT. $ UIIJ, "t1
2. SANITARY SEWER-CITr
NO. OF PFU'S 23
(See Reverse Side)
X $47.14 PER PFU
$ ',084.2.7-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $475.32
$ 4$lO;o7
X
X $475,32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X Z 77. 44- PER FEU
$ 2. 77. 4-4
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,~
SUBTOTAL (ADD ' ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
L9-f.
.$ 7: ,c:;c. 7. c; 2-
$ /2.R.40
Date:
7-1-1q
-
SDC Coordinator
ATTACH' A. WPD
TOTAL sac $ 2j tYIt.. ??-
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures' X Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate OnlY. NET additional fixtures) . "
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..,......,......".........,..............,.,........,..........,.... .
Orinking 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 Refrigerator/Water Station/Etc,.......
Receptor For Commercial SinklOishwasher/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
6
2
6
6
1
3
2
,l/Head
2
2
1
6
4
4-
"-
-z..
3
,'-
2~
8ased on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates.
r
I
3
'3
TOTAL FIXTURE UNITS
~
Year
Annexed
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
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
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
Credit for Parcel or Land Only If Applicable
e--
X $ ~
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (if after annexation 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
'.
9-
.
225 FIFT8 STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~t~
\J.\
ELECTRICAL PERKIT NFH",';ATION
City Job NUlIIber a~ \J~<66
1000 sq.ft. or less I $85.00 f('
Each additional 500
sq. ft or portion '1 /
, thereof ;> $ 15.00lfj
Each Hanuf'd Home, or
Modular'Dwelling
Service or Feeder ,$ 40.00
B. Services'or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~
201 amps to 400 amps ~
City~~*,- Phone ~ 82> -5'-101 401 amps to 600 amps
601 amps to' 1000 amps
Supervisol' License Number .1I./?'~ S Over 1000 amps/volts
/ Reconnect Only
Expiration Oate 10/i)/IOI
/ I C. Temporary Services or Feeders
Constr Contr. Number ~~\ -3F; ~ Installation, Alteration or Relocation
Expiration Date /b - J- 9'1 200 amps"or less $ 40.00
j NOr. 201 amps to 400 amps $ 55.00 -
Sign~r of Supervisin 4rician Ti ICE.over 401 to '600 amps $ 80.00 -
. H/SPCF/rvtHver 600 amps or 1000 volts see liB" above
~ . AliTHrlI:J,Z, ~HA f:}(t:JIC"J~
. Ill" . / . COM 1)'. t:/B '"'C1-l'!lJU~t- "
Ovners Name r::JY<fI./{Q4N tWJ4to!~r_ MCNCE:Dno TH/SPF:J:J..::VvOF/k ,
, 'vr 180DA 'W\lIS~B~'illrl\..n.Il'tllliJStWJfension Per Panel
Address :;?-~0 '"'R 1U'4(/fV YPE:F//O() 'vUUNcDFOF/
, One Circuit $ 35,00
City ~)fl."v.v.4111. Phone '7'-11..(- (;,1(PC, Each Additional
-- Circuit or vith Service
OIlNER INSTALI.ATION.n E:I' ;"'..J,,:Oregon law requires y<?'fJ t!)eeder Permi t
. " , foljow rulei' adopted by the Qregon Utilil\' .
The ins ta lla tlon is !\bv~m~,t,\'J1';~Jal'?~r Thos€rul~'are't~"~~,'i',Maneous (~ervi ce/ feeder no t i ncludec
property I ovr. VhiCh1i.s,.no t21ntendedthrough OAR r;Each ,lnS talla tion
f 1 1 II Vr\ 1;:J;,) .VV l-UU I U p"":'-.IIU -. .. $ 40 00
or Sa e, ease or rel),tt), Yo' b' . f th um!>!!r 1 rnga t ion , .
UU" '" uOIayo lamCOplesO fs'1'gtf>/dutline Lighting $ 40.00
Ovners Signa ture: calling (he cemer, (I~ote:,t~e tel~,~''i'~lted Energy/Res $ 20.00 _
rl").. numberforthe,OregonUlihtyNot1lifi'in!f.fed Energy/Comm S 36.0~ _
I .l'-' \ Centl?!'IS H'OO-332-2344). ()(.J
D^TE~q;:t;-~~-~ .5, ~~B~~;~; ~~r~~~~:e ~.
RECEIPT ,I: /~J!'~ 3% Administrative Fee . .
RECEIVED ny: Gry,,~ TOTAL !"'\O.
3 . COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
Items
II JOB DESCRIPTION
~'(~-'~
"5.~\{2...
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance o~ if work is suspended for
180 days,
2.
CONTRACTOR INSTALLATION ONLY
Address
L.j 0 <1
~)\~ €A~
(l..j v4'L- A-v ~
Electrical Contractor
Cost
Su
$ 50,00 v::
$ 60_00(=-
$100.00 -
S130.00 ---
$300.00
$ 40,00
$
2.00
.
. p.'~ Willamalane
t,,,,,!, Park & Recreation District,
,..V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\ ~lIctO~~O[) ,
ADDRE;S:~~ Unt~ S\koot
LOCATION OF PROPOSED 8~LDING SITE:
Street Address: 00'+ ~('Ul- Ri,r(Ot \).x\\10
Plat Name: ~ Y'l\O.,q A<'.l.lD Tax~ot Number: J<y)~~qaJ
1. PEVELO.PMENT TVPI;~Check appropriate dwelling(s), SOC calculations and dwelling t
ype definitions are on the back)
, .
.
, Job. No. ~_
PHONE: 'l44.toqtow
STATE: ~ZIP: Q141cg
A. SinnlA-FRmilv DAt~
- ,
'\ Single Family home
NO. OF UNITS
\
Manufactured home not in a park
X $1,000 perunit = $1C<Yl pJ,
B. SinnIA'.FRmilv AttRnhArl
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured HnmA PIlIk
NO; OF UNITS
WILLAMALANE SDC
X $699 per unIte $
$ \(')Of).dJ
2. SDC CREDIT (If appficable) SOc-payer must fufl1lsh proof of rX
Willamalane Credit approval. See SOC Credit Worksheet. $ ~
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~'-- ~)'\\'or? )
Development Servi~s\ bepartment
City of Springfield
$ \DOO.oo
'?" I l3L ;t\q '.
Date