HomeMy WebLinkAboutPermit Building 1999-7-15
,
SPAINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990892
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3807 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 8 Block:
Tax Lot #: 09900
Subdivision: KEARNEY ACRES
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Phone #: 744-6966
CitylState/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S,F, RESIDENCE
NEW
Contractor
Const,
Contractor #
Expires
Phone
General:
Plumbing:
HAYDEN ENTER
2622 SW GLACIER
HAREBEINTNER
6510 E STREET,
EFFICIENT HEAT
0092208
PL #110 REDMOND OR
U0282
SPRINGFIELD, OREGON
0117687
07/29/99
744-6966
07/02/00
741-1766
Mechanical:
09/27/00
693-9353
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
06/10100
367-8260
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUI, 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 roquest 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.
UNDERFLOOR MECHANICAL - Prior to insulation or decking,
POST AND BEAM - Prior to floor insulation or deckingrr~NTION:Gregon law requires you to
INSULATION - Floor; prior to decking Wall ICeil i,>g,;O\l?j.q;- ;;t;,O;~C9Y~~ the Oregon Utility
WATER LINE - Prior to filling trench, Notification Ce;;ter. Those rules are set forth
SANITARY SEWER LINE - Prior to filling trench, in OAR S,,2-001-001 0 tmough OAR 952-001-
STORM SEWER LINE - Prior to filling trench, 0090, You may obtain copies of the rules by
ROUGH PLUMBING - Prior to cover. callin[ the cemer. (Note: the telephone
ROUGH MECHANICAL - Prior to cover, numb(jrforthe Oregon Utility Notification
ROUGH ELECTRICAL - Prior to cover. Center is 1-800-332-2344),
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.
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
the building is complete.
wall/ceiling; Prior to cover
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
ap~'flqc51:lIztD UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
.
SPRINGFIELD
Job Number: 990892
Lot Faces: E
Setbk From NPL: 32
House
Garage
N
32
12
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.: 6354
Solar Approved: Y
Total Height: 24
Lot Type: INTERIOR
Setbacks
S W
34 12
72 17
E
5
18
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
(Excluding Electrical)
unless otherwise noted
(E)
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
2,443,66
140.40
80.00
3,784.06
4,617.04
.
SPRINGFIELD
Job Humber: 990892
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
1 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 t:he 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.
~~~
Signature /' ,/'
-;2--/y~
Date
Date Paid:
2A<6t~N ---
'T1~.lt1 A
~ 4JO\)L1LD4-
u ,UJrl
Receipt Number:
Amount Received:
Received By:
.
.
. ~,... 'Willamalane
'-t'--~ Park & Recreation District,
fW SYSTEM DEVELOPMENT CHARGE
WORKSliEET
NAME:\ f\f\udQ~ 9:bnO[) ,
ADDRE;S: ~9--, U nl ~ ~ 00+
LOCATION OF PROPOSED B~LDING SITE:
Street Address: ~( ?{mn Rlrt~ \Jx\\J0
Plat Name: ~ ^ ffio~Qot Number: \ <Y)!:)D~~qro
1. DEVELOPMENT TYPE\tCheck appropriate dwelling(s). SOC calculations and dwelfing t
ype definitions are on the back.)
'Job. No. C\~\)~C\~
PHONE: tJ44.l.oqlo(o
STATE: [~ZIP: Q141<g
A Rinolp.-F2milv Dp.t2~hp.rl
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1.000 per unit = $ \[Y'{) [0
B, Rinolp"-F2milv Att2~hp.rl
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Ao2ltmenl
NO. OF UNITS
X $692 per unit = $
D. ManufaGfurArl HnmA Pmt
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \()Of). cf)
2. SDC CREDIT (If appficable) SOc-payer must fumlsh proof of rX
" Willamalane Credit approval. See SOC Credit Worksheet. $ }V
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOC reduced for Credit)
l.ciu" ~1\\m?_ "),
Development Servi~S\ Department
City of Springfield
$ ~DDO.OO
f! ,lCZl,QC
Date
"
,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
i
l?~mTI~~ l5
~~~~ :L.C>UL 9!-,
~ire,'~~
~t~
;~
ELECTRICAL PERKIT APPLICATION
Ci ty Job Number ~~al2,.
3.
COMPLETE FEE SCHEDULE BELOV
'3,-~.~.
A, Nev Residential-Single or
Multi-Family per dvelling uni t,
Service Included:
Items Cost Sum
1000 sq. f t. or less I $ 85.00 8'~
Each additional 500
sq, ft or portion '2 !iL
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder S 40,00
Permits are non-transferable and expire
iflwork is not started vi thin 180 days
oflissuance or if work is suspended for
180 days.
I
2.' CONTRACTOR INSTALLATION ONLY
,B. Services' or Feeders
Installation, Alterations
Electrical Contractor tL\.~ ~~. or Relocation:
1
Address Ll.D'f 1..JJ'ofl.. 4\1""-.. 200 amps or less V S 50;00
I .... 201 amps to 400 amps I~ s 60.00
City '-A_:{~"""t2.... Phone c.~l;, - .....,0\ 401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Supel'visor Li cense Number l./-/ "35'5 Over 1000 amps/vol ts $300,00
. / ) Reconnect Only $ 40.00
EX~iration Date /'fJjO/ 01
, I C. Temporary Services or Feeders
Co~str Conte. Number dd-- \ - ~, Installation, Alteration or Relocation
Ex~iration Date ! (:) -1-'''14HISP/::'....~: 200 amps"or less S 40.00
, .. .
~ ~ "o/l"ti," "VirrSJ-t 201 amps to 400 amps $ 55.00
Si tu e of Super i 1n Elec\J(:}Al!QRl.2'E-o ~ll.G1!:~r 401 to 600 amps $ 80.00
, / /. A.IV 'fv1fNC€ UIVO~R'W".JeE4f)Q amps or 1000 vol ts see "B" above
. ~(/ ( Y'Rr", DORic:! 'TI-tISp--,;:n:~W()1:>
~ / ~'iYp D:~i\.tJ)cm'.QJl7~SU'1'~~
Ovnel's Name ~ n4A.:> I~~.:~>RIOD. OIV~fJt:. IVO.,..
I 3' t""'D :u Nev, Arr~tion or Extension Per Panel
Address 01- .) V T , "" '1 D-.....J
,
cdy :1'f-IM:rI-,.f..J 0
~
I
.'
One Circuit
Phone 14L.4 - (., 9~Co Each Addi tional
\, Circui t or vi th Service
I OVNER INSTALLATION or Feeder Permi t
ATTENTION'Oregon law requires you 10
The; installation is b,:in!hIWit~:",g~'d"Ptedby!iieC~.iJv<;!'i!;t.i!}}eous (~ervice/feeder not included
property I OWl'! VhICh ISNnot Intended Those rUle<.Eache1ns,tallatlon
f ' 1 1 OUJlCallOn velller. Q10 ~ llV; Ll... $ 0 00
01'1 sa e, ease or rent" OAR9-2_001"0010IhroughlP,~,'I!P:1J.\l!-O.~f-nga~10n, 4 .
I In 0 " Slgnl0u t1ine L1gh tlng $ 40.00
Ovners Signa ture: 0090. You may oblain copies 1!iliri'i'{~a'''EnVergy/Res $ 20,00
I calling the center. (lIIole: ihrCilJtiPt'li'd1E'Energy /Comm $ 36,00
: numbe:f~~~~~.?:~go~ ~~il~ty~~~:lflcatiOn CO
O;Tk;---------~ct-";;'lc;r''()'.2 ~~'i:::; ::,::::::, ~ t-
RECEIPT *: ' . ,-_ ~Tht91 37. Administrative Fee ,.
RECfIVED BY: '~J TOTAL' .
I .
$ 35.00
$
2.00
. JOURNAL OR JOB NO, qq(')~z-.
ATTACHMENT A . '
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: i-JA V f)FN WOMES
LOCA nON: "5?< 0 7 L~iVr~ 'i2,OGG D.e.
DEVELOPMENT TYPE: ~F f2-
BUILDING SIZE: LOT SIZE SQ. Ft.
~"F AU... " I 1;,04-
1. STORM DRAINAGE DL.> :- 3iO
IMPERVIOUS SQ. FT.
I Of 1Ft-
!
X $0.227 PER SQ. FT. $ 4."0."37
2. SANITARY SEWER-CITY
NO. OF PFU'S 23
(See Reverse Side)
X $47.14 PER PFU
$ " oR4-. 2.7-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST' PER TRIP
X /.01 X $475,32
$ ~O;'07
X
X $475.32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277. 44- PER FEU
$ 2. 77.4-4
B, IMPROVEMENT COST:
TOTAL-MWMC SDC;
$ 25.2.0
< $ 4- >
$ 1000
$ 3/2. .r;A-
$ ? '~30
$ 1J.(,zJ&
NO. OF FEU'S
X 2~, 1cJ PER FEU
MWMC CREDIT IF 'APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE C~R~ (SUBTOTAL ABOVE) X .05
L'11:.-- . Date: 7 - q - q.<>-;
SDC Coordinator TOTAL SDC 12,4'1-3, t.e,.
ATTACH' A. WPD
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
8athtub......,...................,.,................,."....,..."."..,.... .
. Drinking 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 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
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4-
"-
-z..
3
1"2..
z"'>
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
:alculate credits separa!.es.
3
'3
TOTAL FIXTURE UNITS
~
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
;986
1987
1988
$4,27
4,18
4.12
3,99
3,83
3,68
3.48
3.18
2,82
2.42
1
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 ' II
0.21,~
e--
-
Credit for Parcel or land Only If Applicable
X $ ~
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (if after annexation date)
~$ 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