HomeMy WebLinkAboutPermit Building 1999-7-15
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SPRINGFIELD'
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990894
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 3819 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 10 Block:
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
NEW
Contractor
Canst.
Contractor #
Expires
Phone
Plumbing:
HAYDEN ENT
2622 SW GLACIER
HARBEINTNER
6510 E STREET,
EFFICIENT HEAT
0092208
PL #110 REDMOND OR
130282
SPRINGFIELD, OREGON
0117687
07/29/99
General:
07/02/00
741-1766
Mechanical:
09/27/00
693-9353
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
06/10/00
367-8260
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
# 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.
UNDER FLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
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 perman.&I\!YJOOJlJWPERIOD,
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 subToase material
f "-" Ureg
in place. ol/ow rUle', d on law requir
FINAL PLUMBING - When all plumbing work is complet'!"!otifiear1on;' '1 oPted by the Ore es yO~ ~O
FINAL MECHANICAL - When all mechanical work is comtll1>t'e"l9S:<_L~;ter, T/)ose ru:~~ agon UhlJty
FINAL ELECTRICAL - When all electrical work is comSl![;f::e ""0(. rna -~~1(> tl1roug" OA~~ Set forth
FINAL BUILDING - When all required inspections have 13eenoappr~$ed"~hrd'P;e< Ot'll1 52-DOl"
~. - ';t:mSr 'N - e rule b
the building is complete. nUmbeltorth 0 .( ore'l/1ete's h S Y
e regon Ut ' P Olle
Center;s 1-800. ,,~~IitYn NotWeation
'.,-2,,44).
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Wall/Ceiling; Prior to cover
.,
SPRINGFIELD
Job Number: 990894
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
- u ADDITIONAL COMMENTS _ u
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 the Laws 04 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
~r--
7~.r;;?
Date
Date Paid:
t:)4;8rJ5ION
fj.\5Q
tt\n\1
~
Receipt Number:
Amount Received:
Received By:
SPRINGFIELD
Job Number: 990894
Lot Faces: W
Setbk From NPL: 32
House
Garage
N
34
14
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.: 7770
Solar Approved: Y
Total Height: 24
Lot Type: INTERIOR
Setbacks
S W
55 8
92 18
E
14
16
BUILDING PERMIT
Square Feet x
2016
400
$/Sguare 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, D, 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
Supervisor License Number ~~.~
Expiration Date Jc;I~(/OI
C.
;:i.d--.l - ~g- e ,
Expiration Date 16 . /~'1q
Sign(51ure f superViS~' g ectrlcian
/.. .
/ I~~
\/ I 1.... , I l , , D. Branch Ci tNGll1ftCE:
Ovner~ N~me o/uq.l~ ~~( TI-II
Nev, Al ter';j, ~~gRFlMIT~~f?I~\FlIiIi\WORK
Address 3;)'{("~ ~/fV'1t7N - AUTHORIZED UNDER THIS PERMIT IS NOT
<::1/1 v oEnaechcAidrdcul' qoM~NCEDORISIl.BA~DONEISkl1,
Ci ty ~IhvIIZIIA I) phon,e, 1'-14~(, rf..,(,. t..J.9.\'1
Circuit ~~\t D~fmQD,
OIINER INSTALl..ATION ATTENT/ON or Feeder Permit $ 2,00
, . :C-c,qDn law requires you to
The installation is beih~:Orira'd~e'bfid{"o'ent>VHE,.OnM)'sc'eiJ.iJ.:~neous. (Service/feeder not included
property I OW" which ~~oii.rt':lI'i1rt'eiia"d. T:vs" rUles~Eact1!tt"'!?ltalla (ion
for sale. lease or ren~9AR952-001-U' 'i(){"'TOughOi~,u'!!Pj~oJo~rrigation" $
0090. You mac ob[aln copies of ~~:gn1i!?)! bJ.,ine Ligh t ing $
calling the cemer. (Nole: the lbt\!l~,&~g Ene r gy /Res $
number forth€ Oregon Utility l\~tmta{f8n Energy /Comm $
Centeri~ 1-AnTl-33?-2344\
~~~E~-~-----------------~:~~~'-- 5, ;~B~~;~~ ~~r~~~~:e
RECEIPT ft: ~ \ I 11I\l ,a~ 37. Administrative Fee
RECEIVED BY: U~ '--I \ TOTAL ,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~'
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~
~\~C _.~N O~&t~
~\~S :~r,..LQ~
JOB DESCRIPTIO~\~ . ~, e... .
Lo~ .0 . . t&A.-......~ ./~.-~ -
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance or if work is suspended for
180 days,
2.
CONTRACTOR INSTALl..ATION ONLY
City
Lio"1
~&w'L
t.l, TJL., ~u..r-_
tfZ., v<VL ~
Phone ,,~~-Sl.lol
Electrical Contractor
Address
Constr Contr. Number
Owners Signature:
3.
ELECTRICAL PERKI'f1XPLICAT:5\JN
City Job Number ~,~~
COMPLETE FEE 'SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items
Cost
Sum:
ts:'
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
$ 85,00
~
Ilr/
$ 15.00 f':;
,$ 40,00
B.
Services or Feeders
Installation, Alterations
or Relocation:
~
{
-f
$ 50,00
$ 60,00
$100.00
$130.00
$300.00
$ 40,00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40,00
$ 55,00
$ 80,00
volts see "B"
above
JOURNAJ..OR JOB NO. qqo~
. ATIACHMENT A . '
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
J-IAVf)l"N )~OM€S
NAME OR COMPANY:
LOCATION
~P,10
L,., oJ r~
12'0~G DR.
DEVELOPMENT TYPE:
.<::, F f2-.
BUILDING SIZE:
1. STORM DRAINAGE
LOT SIZE
~"F A~E" .. I ,,"04-
IlL- -: ><!c)
SQ. Ft.
IMPERVIOUS SQ, FT.
10PJ~
X $0.227 PER SQ. FT. $ 45"0, ';;(7
2. SANITARY SEWER-CITY
NO. OF PFU'S 23
(See Reverse Side)
X $47.14 PER PFU
$ J,084,2."2....
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X /.01 X $475.32
$ 4SlO;07
x
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277. 44 PER FEU
$ 2. 77~
B. IMPROVEMENT' COST:
NO. OF FEU'S
X 2<$". lu PER FEU
$ 25,2.0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ -e- >
$ 10 00
TOTAL - MW~1C SDC. $ ~ I Z .!df-
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CH~E)SUBTOTAL ABOVE) X ,05
~ Date: 7-qJ1q
SDC Coordinator
ATIACH'A.WPD
$ ? ":\ 2"7, ~c)
$ ,/(.., ""-
TOTALSOC $7.1-f3.C<,
, ,
,- . q....LL:. Number of New Fixtures X Unit Equivalent = Fix! .
".~, c. rur remOdels, calculate only the NET additional fixtures) .
. NUMBE UNIT FIXTURE
FIXTURE TYPE , NEW FIXTURES EQUIVALENT UNITS
Bathtub.,.................................,...,...,..,....,..,...,...,.,.... .
Drinking FOuntain..........................................,..........
Floor Drain.............,. .',......... .,..........,..........,..,..,........
Interceptors For Grease/OiI/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 Basin/Lavatory, Single.....,................,.....,..,:,
Toilet, Public Installation.................,...,.................,
Toilet, priVate.......,:...,........,..,..........,...................
Miscellaneous:
CREDIT CALCULATION TABLE:
calculate credits separates.
I
r
I
I
2..
3
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
17-
4-
"-
-z..
3
'3
TOTAL FIXTURE UNITS
~
2">;
'8ased On assessed value, If improvements occurred after annexation date in table,
Rate per $1,000 Year
Assessed Value Annexed
$4,27 I 1989
4,18 1990
4,12 1991
3.99 1992
3,83 1993
3,68 1994
3.48 1995
3.18 1996
2,82 1997
2.42
-'
X $ ~
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL
Year
, Annexed
I
L
1979 Or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
Credit for Parcel or land Only If Applicable
Improvement (if after annexation date)
Rate per $1,000
' Assessed Value
)1
$1. 98
1.55
1.15
0.96
0,83'
0,67
0,52
0,38
0.21
/I
/
--,
e-
~$ 9
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
FIXUNIT.wPO
Residential....,...................... 0,4
Commerical....,...............,..., 0,9
Industrial..........................., 05
GovernmentaL..................... 0,5
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUN,OFF COEFFICIENT
,
'~ .'
.
Job. No.
c\~t)<zAt
LOCATION OF PROPOSED BUIL111NG SITE~ .' '
Street Address' ~\C\ ~C\ lv..(\()Q., \:1,( ,
P'a' Nam, ~flm~axlot~":J,,~o:1qlXJ
1. ,DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.) .
,
A. SlwIA-F8milv DAt8ched
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ J!)(j) .OC?
B. SlwlA'-F8milv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured HOfl1A PI1di
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ J.OO() ~
ff
$ \Dt6 90
f [Sf Qq
$
2. SDC CREDIT (If appficable) SOCopayer must furnish proof of
Winamalane Credit approval. See SOC Credit Worksheet,
'3. TOTAL WlllAMALANE NET SDC ASSESSED
~ (if SOC reduced for Credit)
~~~~ent
City of Springfield
'11
Date