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HomeMy WebLinkAboutPermit Building 1999-7-15 '" , ~. 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' ,