HomeMy WebLinkAboutPermit Building 1999-8-13
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990885
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3818 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 3 Block:
Tax Lot #: 09900
Subdivision: KEARNEY ACRESS
'*
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Phone #: 744-6966
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S,F. RESIDENCE
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
General: HAYDEN ENTERP 0092208
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: HAREBEINTNER 130282
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: EFFICIENT HEATI 0117687
219001 E PERKINS RD KENNEWICK WA 99
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
07/29/00
744-6966
07/02/00
741-1766
09/27/00
693-9353
06/10/00
367-8260
QUAD AREA, 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: SGC
OFFICE USE u
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 request an inspection, call the 24 hour recording at 726-3769.
All inspections requested before 7:00 a.m. will be mad.,~qe sa~e working day,
inspections requested after 7:00 a,m, will be made thel~t~~g work day.
REQUIRED INSPECTIONS THIS PERMIT SHALL EXPIRE IFTHE WORK
FOOTING - After trenches are excavated, AUTHORIZED UNDER THIS PERMITIS NOT
FOUNDATION - After forms are erected but prior to concg~ItIDfilin€lSl:lSABANDONEDFOR
UNDERFLOOR PLUMBING - Prior to insulation or decking. ANY180DAYPER/OD
UNDERFLOOR MECHANICAL - Prior to insulation or decking. '
POST AND BEAM - Prior to floor insulation or decking, ATTEioJ."ION:Ore~on law requires you to
INSULATION - Floor; prior to decking Wall/Ceiling; fr~\f~'6rJltoG'coverj by the Oregon Utility
WATER LINE - Prior to filling trench. NollflcatlonCenter. Those rules are set forth
SANITARY SEWER LINE - Prior to filling trench. in OAR 952-001-0010 through OAR 952-001-
STORM SEWER LINE - Prior to filling trench. 0090. ~oumayobtaincopiesoftherulesby
ROUGH PLUMBING - Prior to cover, calling (he center, (Note: the telephone
ROUGH MECHANICAL - Prior to cover. numberforthe 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 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 been approved and
the building is complete.
Job Number: 990885
Lot Faces, S
Setbk From NPL: 30
House
Garage
N
34
60
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., 5335
Solar Approved: Y
Total Height: 24
Lot Type: INTERIOR
Setbacks
S W
38 5
18 25
E
10
15
BUILDING PERMIT
Square Feet x
2016
400
$/Square Feet
69,64
18.34
PLUMBING PERMIT ---
3
--- MECHANICAL PERMIT ---
3
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
= 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
2,448.43
140.40
80.00
3,788.83
4,621.81
(C)
(D)
(E)
Job Number: 990885
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 CREDIT PURPOSES
DRIVENAY 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.
/Pc. ~
81'~Jq,
Signature
Date
Date Paid:
--- VA~DATION
~,D6Lq~-p
" B ,/S"'4r
4lcQ\ .%\
:.
Receipt Number:
Amount Received:
Recei ved By: ';
. JOURNAL OR JOB NO, C{q() 886"
ATTACHMENT A ...
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: I-IAYDF.N ~o...,€S
LOCA T [ON: 7) R I ~ L....1o..I("1 12,0GG DIl.
DEVELOPMENT TYPE: ~F f2-
BUILDING SIZE: LOT SIZE SQ. Ft.
~"F AU.. " I ,"..4-
1. STORM DRAINAGE; J)L.. lIr.)"'w " tf()O
IMPERVIOUS SQ. FT. - '2004- X $0.227 PER SQ, FT. $ 454. q I
2. SANITARY SEWER-CITY
NO. OF PFU'S 23 X $47.14 PER PFU $ ',684.2.7-
"
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X /,01 X $475.32
$ 4$lt);07
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO, OF FEU'S
X 277. 44- PER FEU
$ 277.44
B. IMPROVEMENT'COST:
NO. OF FEU'S
X 2~, lc.J PER FEU
$ 25.2 (,)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ -e-- >
$ 10 00
TOTAL-MWMC SDC $ ~ 12. ,1D4-
$ 2:~?'1..84
$ //("..5'j
TOTAL SDC $:;7, 14~, 43
,
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only A!'!IT additional fixtures) .
.. NUM8ER 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 Sink/Dishwasher/Etc..
Shower, Single StalL....:.........,...........,.......,.............
Shower, Gang.....,....,....... ,:...,...,.,...........,................
Sink: 8ar, Commercial, Residential Kitchen..............,..,......
Urinal, Stall/Wall............,....,......,.,.,.,............,..,.,.,....
Wash 8asin/Lavatory, Single...........,.,.................,.,
Toilet, Public Installation................,.,...............,.,.,.
Toilet, Private........:,...,..........".....,......,................
Miscellaneous:
CREDIT CALCULATION TABLE:
calculate credits separates.
~
I
2-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
3
'3
TOTAL FIXTURE UNITS
~
4-
"-
-z..
3
1"2..
z.,
8ased on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
Rate per $1,000
Assessed Value
Year
Annexed
$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
X $ ~
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL
Credit for Parcel or Land Only If Applicable
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
Rate per $1,000
, Assessed Value
$1,98
1,55
1,15
0,96
0,83
0.67
0,52
0,38
0.21
"
e--
~ $
9-
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225 FIFTS STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1
~
I
-L~~ DES ,~~)
~OB DE~_PTI~ 'S. f? ~ _ eA\1!
Perm~ts are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
,
180 days,
I
2. CONTRACTOR INSTALLATION ONLY B. Services'or Feeders
1 Installation, Alterations
Electrical Contractor [Ilf'tl.,... fZ.-({c-rl.!(" or Relocation:
I ' ~
Address 40,,/ ~\IJ4Il. AlA. 200 amps or less v( $ 50,00 ()
I 201 amps to 400 amps ~ $ 60.00
City cLU~L Phone Loe'C,-S'iol 401 amps to 600 amps $100.00
I 601 amps to' 1000 amps $130,00
Supervisor License Number Gt/ ~ ~~ Over 1000 amps/volts $300.00
I / ti Reconnect Only $ 40.00
EXPi~ation Date /0/01 t'J I
1 I I '1. c;) 11 C. Temporary Services or Feeders
Constr Contr. Number ().. -;) '- Installation, Alteration or Relocation
ExpJation Date 1{/V()/rt~1 200 amps"or less ~ $ 40.00
I " ~'f1ISP -. 201 amps to 400 amps $ 55.00 -
Si(2tU e of Supervis ~~, Over 401 to 600 amps $ 80.00 -
! . a ORlZE:o uf1kLExA' Over 600 amps or 1000 volts see "8" above
. /~ . ~_ UND/:: 1REIJ:
~ I. v "'r'1811r.._,:uORl ';f:/"f"HI$lpE, tR1ii1tb~rcuits .'
Ovners Name ~ p~ (~"''''' SABANDQ RMI7'ISA,,,
I 1'1 (C() I /i7 ~"'UD. NEg~.l'II,:JH.:teration or Extension Per Panel
Address v" J 0 . r (#'I,-r..J Ury
I . One Circui t
City 5(l.~f1/Mklilphone r;!Lt./- (P9~~ Each Additional
I ATTENIION:OregoniawrequiresySb~,c;uit or vit~ Service
OVNER INSTALLATION;low rules adopted by Ihe Oregon or'l.Feeder Perm. t $ 2.00, --'--
I N I'f' Ulllfy
. .. 0 1.lcalion Cenler. Those rulEl~ are "f)tfnr:~ .
The lpstallatlon ~Sir!>~~'P'g9.'l'~-~,'ti19~)10thro h EAR H,l,~~!;]!;aneous (~ervlce/feeder not includec
property I ovr. VhlChO!Js not rlntenaea ug Uf h ~.'Eac:1i1'l.nstallatlon
for skle, lease or ;:'ent':.'vv "ayuulamcopleso I epllln'pQ)r irrigation $ 40.00
I ...allmgthecemer (Nole'lhetelers''''-o,O tl' L' ht' $ 40 00
numb f Ih 0 '. .],gn" u lne 19 lng .
Ovners Signature: er or e, regonUtilityNolif~rmilVed Energy/Res $ 20.00
I Centerrs1-800-332-2344).Limited Energy/Comm $ 36.00
: a,CA cJ)
O-A-T--E~.~ZJ- 5, SUBTOTAL OF ABOVE .
r?~ 5% State Surcharge
RECEIPT .: 3% Administrative Fee
RECEIVED ny: TOTAL
I
~~~
'\t
\Jet'
ELECTRICAL PERKIT tftl~~
Ci ty Job NUlIIber ~ \..l"h Q)
3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items
Cost
Su
1000 sq.ft, or less
Each additional 500
sq. ft or portion
, thereof
Each Hanuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
ys-
-'--
3
$ 15.00 4 {
,$ 40.00
$ 35.00
.. .'
.
.
. Job. No.
~t)~~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\ f\f\udQ ~ ~OO '
ADDRE~S: HL.~ U nl 'I!" ~ 00 t
LOCATION OF PROPOSED S0)LDING SITE:
Street Address: ~ ~mCl R~ 00\)0
Plat Name: A<'1ffi, Tax<(ot Number: D
PHONE: ti44.loqlow
STATE: ~ZIP: Q141~
C\qcd
t. DEVELPPMENT TYPG Check appropriate dwelling(s). SOC calculations and dwelfing t
ype definitions are on the back.)
A. SinoIA-F~milv DAt~r.hAri
\ Single Family home
NO, OF UNITS \
Manufactured home not in a park
X $1,000 perunit = $lC0'> pJ
S, SinoIA'-F~milv Aft~r.hAri
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
~
NO. OF UNITS
X $692 per unit = $
D. M~nl/f:l(~lwHnrnp P~rk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \()Of). ($)
2. SDC CREDIT (If appficable) SOG-payer must fumlsh proof of rX
Willamalane Credit approval. See SOC Credit Worl<sheet. $ ~
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOC reduced for Credit)
~\. ~~\'o'7_ ") '175
Development SelVide~Department Date
City of Springfield
$ \DOO.oo
I ((~ )~11 :
.