HomeMy WebLinkAboutPermit Building 1999-7-15
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SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3813 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 9 Block:
Page 1
Job Number: 990893
Office: 726-3759
Inspection Line: 726-3769
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
Contractor
Canst.
Contractor #
General: HAYDEN HOMES 0092208
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: HAREBEINTNER 130282
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: HAYDEN HOMES 0092208
2622 SW GLACIER PL #110 REDMOND OR
Electrical: ELITE ELECTRIC 0099768
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
NEW
Expires
Phone
07/29/99
744-6966
07/02/00
741-1766
07/29/99
744-6966
06/10/00
367-8260
# 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.
POST AND BEAM - Prior to floor insulation or decking,
UNDERFLOOR PLUMBING - Prior to 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
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to
SIDEWALK - After excavation is complete, forms
in place.
Prior to cover
NO-"eE_
"TH/S PE:R -
AV"THO 'Mrr SHALL
COM RllE:D UND 8(PIRE: If:
ANI' l'ME:NCE:D OR 'SE:R 7H,s PE:R::E WORk
permanent p~Q{H.,.YPj:~ A8ANDON~ '/T'ISNO"T
with finish materia'Ts/9D. Df:OR
wall/ceiling; Prior to cover
placement of concrete.
and sub-base material
, law requires you to
AHb~, ICJN:Oregon Ore on Utility
foBow rL"<'~ edopted ,bY th~les ire set forth
Notllica'ion Center. TI,ose hOAR 952-001-
m OAH S",2-uu 1.0~~~nt~~~~s 01 the rules b~
0090, You may 0 , (N te' the telephone
calling toe cen~:~go~ Utility Notilication
numbedor the 2344)
Center is 1 -800-332- ,
Job Number: 990893
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: N
Setbk From NPL: 44
Lot Sq. Ft.: 7446
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
House
Garage
N
25
29
Setbacks
S W
25 8
24 28
E
5
45
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
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLANALANE 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
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
2,274.35
167.40
80,00
3,641.75
4,264,66
SPRINGFIELD
Job Number: 990893
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 SDC CREDITS
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 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 ~ ~
;::Z-/5?"?
Date
Date Paid:
_~ '6~ATION
i\ . \~ .~Gt
..d141U~
., \[J)J
\ ~
Receipt Number:
Amount Received:
Received By,
JOURNAL OR JOB NO, '*1DJlP!?
. AlTACHMENT A. -
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
~AYIJ~N' /.J6MF'<'
LOCATION:
< l') /7., l ~.",-,r_ 12.'Y:Jt:.{; DJ2...
DEVELOPMENT TYPE:
<:::"fR..
=
BUILDING SIZE:
I.OT SIZE
SQ. Ft.
L STORM DRAINAGE
~".F' AlZE'''' 173'2...
D I..., A'~ : Z<;yl.o ~ 5"60
IMPERVIOUS SQ. FT. 7, ~ 1"-
2. SANITARY SEWER-CITY
X $0.227 PER SQ. FT. $ c,--J4,\i2--
NO. OF PFU'S I ~
(See Reverse Side)
X $47.14 PER PFU
$ 8'48.5'2-..
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $475.32
$ 4Ro,07
X
X $475.32
.$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 2 77. 4+ PER FEU
$ 277.44-
B. IMPROVEMENT COST:
NO. OF FEU'S
X Z"Y' PER FEU
$ Z'l, z,o
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ -e:r- >
$ 10 . 00
TOTAL-MWMC SDC
$ 31'2..~4
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5, ADMINISTRATIVE FEES:
BASE CHARGE (~~AL ABOVE) X ,05
tff.?, Date: 7 -9-9"'1
SDC Coordinator
ATTACH' A. WPD
$ 7 ,'~.os-
-,
$ /0'1.. ::0
TOTAL SDC $ 2. 274.3,
,
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only t. additional fixtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
~
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4
8athtub,...........,....,...............,.................................,. .
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 Sink/Dishwasher/Etc..
Shower, Single StalL....:.......,............,..,.....,.............
Shower, Gang................,.............,.........,..,..............
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StallfWall.....................,..............,........,..,......
Wash Basin/Lavatory, Single,.....,....................".....
Toilet, Public Installation,...,........................,.....,...,
Toilet, Private...........,...........,........................,.,....
Miscellaneous:
2-
'2..
~
2.
'2..
<g
TOTAL FIXTURE UNITS
~
IS
CREDIT CALCULATION TABLE:
calculate credits separates,
I
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
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
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1,55
1,15
0,96
0,83
0,67
0,52
0.38
0,21
Improvement (if after annexation date)
X$ ~-6--
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value) ,
CREDIT TOTAL ~ $ G
Credit for Parcel or Land Only If Applicable
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL........................., 0.4
Commerical......................... 0,9
Industria!..,........................, 0 5'
Governmental...................... 0,5
FIXUNIT .WPD
IMPERVIOUS AREA ';'.TOTAL LOT SIZE X RUNOFF COEFFICIENT
, .
.4,,-
Expira 'on Date ?J - /-fO/'iCP\,;. - 200 amps' 'or less X.
~' ' ~'VOlif;-'lIrlJ/e ~/\':Ot. 201 amps to 400 amps
S' atu e Of, Superv' ng Elg~rii~A~q~op eOOhl. Over 401 to 600 amps
/ ,00.90. ~9S<'o.c..ehle 'ect61.q~0'Ler. 600 amps or 1000
-- . '0 '0, r. 'l"/- .Y II} 'fUtre
_ - ~-. C,r,h. u_ ..n" 1/0.9 eO,., S'yp
- Li A, 1~lJrnb"/~ 06,,-'v Il}p.e r~B~ra1""th'8~'iicui ts
Ovnel-s Name n""'1 P4Ti.N EI...,.: .~I^ q/f/Co O'!!JI}()~qres",/f/ity
, f Ce~,"'e o. '. rtv.o'iO/€s ,Nev'Js.Al t~l'a tion or Extension Per Panel
dd -?,..., ,~a "'."_' 'e" 'e.. ~/lJ. ~<'o. ..,
Aress ,JO'd 0 .N'1t)'v0../.., "Of/u:,'l}e" 'IEir/11 '0,.
. .., n(ln'3" 'f/ity 1It6{..-e1f,CiFr,c1Ji t
Ci ty ~fl-Jf'Jf..Icjp,1"? Phone /44 '""'" '7~r?'<3<1l,ar;.h~~ad{tional
NOr/CE' ~,Ciflt(i.i t or vi th Service
OVNER INSTALLATION THI' or Feeder Permit . $ 2.00
S PEAMIT SHAll
The installation is being ma~U!~9~'7EDU '~E1R/~~~rmservice/feeder not included
pl'openy I OWl'! which is not iCt5~a NDEA~fll~~~R ion
for sale, lease or ren t, NCEDOA/SASR/1JIfW-,.9:Cil::r ~'tion $
ANY 180DAYPE 'Slg'tr'}'(ltlU~ Lighting $
Ovners Signature: A/OD, Limited Energy/Res $
Limited Energy/Comm $
\~'5~
~"l~
-\ld\ ~~
225 FIFTS STREET ~~~C\
SPRINGFIELD, OREGON 97477 ~~.
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
f:~./.
Ot'rL,~
. e-
JOB ~;:.R!~ \<o~~. fl.-.
Permits are no~ferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days,
2. 'CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~\,'l""1t. 1[1"-1:......,
Address l-fD'1 (t..VVL ~.
Ci ty ~, U (, E-.--> I'L- Phone G. ~fb - !>L(6(
SupeL'visor License Number tI/?S' S
Expiration Date /o~//o I
Constr Contr, Number ~~\ -~~ ~
-----'-~-----------~,--- - 5 -----
DATE: . _ ./
RECEI PT #: t oc=:,. ')('
RECEIVED BY: C?)~l ()~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number QCW,).89,~
, '-
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost Sum
1000 sq,ft, or less 1/ $ 85,00 8{"
Each additional 500
sq. ft or portion ~ 3!2
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder ,$ 40,00
,B.
Services'or Feeders
Installation, Alterations ~
or Relocation: ~
200 amps or less ,$ 50.00
201 amps to 400 amps $ 60,00
401 amps to 600 amps $100.00
601 amps to'1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00 4/./
$ 55.00
$ 80.00
volts see "B" above
"
$ 35.00
40.00
40.00
20,00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.
. p,.... Willamalane
j""l...""'f' Park & Recreation District
.,. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\_f\~nt~[) ,
ADDRESS: ~~ ~ ru.p1 ~ o.ot
LOCATION OF PROPOSED B~LDING SITE:
Street Address: t~\2> ~OOQ R~ \).x\\J0
Plat Name: ~D-W ~ Tax'tot Number: W'>!JD(~~qa:J
1,. DEVELOPMENT TYPE~Check appropriate dwelling(s), SDC calculations and dwelling t
ype definilions are on the back.)
, .
A SinolA-F8milv DAt8chAO
\ Single Family home
NO. OF UNITS \
.
. Job. No. (\CtbeA'i
PHONE: 'l44.loqlow
STATE: ~ZIP: Q141<g
Manufactured home not in a park ,
X $1,000 perunit= $ \(XX)~
B. SinoIA'-Fl'lmilv Atfl'lchAO
NO. OF UNITS
X $924 per unit = ,$
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manuf8cturAO HomA Pmk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \()Of).oO
2. SDC CREDIT (If appficable) SDC-payer must furnish proof of rX
, . WiUamalane Credit approval. See SOO credit Worksheet. $ JO
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~'- ~'f\\))\? )
Development Servi~S\Department
City of Springfield
$
~DOO .00
l, J5J $
Date' ,