HomeMy WebLinkAboutPermit Building 1999-7-15
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RESIDENTIAL PERMIT APPLICATION
CITY o~ SPRING~IELD
COMMUNITY SERVICES DIVISION
BUILDING SA~ETY
225 North ~ifth Street
Springfield, OR 97477
Location of Proposed Work: 3825 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 11 Block:
Page 1
Job Number: 990890
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,~. RESIDENCE
Contractor
Cons t ,
Contractor #
General: HAYDEN ENT 0092208
2622 SW GLACIER PL #110 REDMOND OR
Plumbing: HAREBEINTNER 130282
6510 E STREET, SPRINGIEFLD, OREGON
Mechanical: EFFICIENT HEATI 0117687
219001 E PERKINS RD KENNEWICK WA 99
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1520
O~~ICE 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
09/27/00 693-9353
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
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor: prior to decking Wall/Ceiling;
ROUGH PLUMBING - 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 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.
ATTENTi'.\N' ' .
priOl! to cover ,Orr;gon law reqUires you lu
O!'?W rules adopted by the Oregon Utility
~obflcal!on Center, Those rules are set forth,
In OAR 952-001-0010 through OAR 952-001-
0090, 'you may obtain copies of ihe rules by
calling the center, (Note: Ihetelephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
Wall/Ceiling; Prior to cover
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
SPRINGFIELD
.
,
~,
Job Number: 990890
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,
Lot Faces: W
Setbk From NPL: 5
Page 2
Lot Sq. Ft.: 5234
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
House
Garage
N,
5
45
Setbacks
S W
32 20
12 18
E
19
19
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 u_
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
WILLAMALANE 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
2,231.45
167.40
80.00
3,598,85
4,221.76
SPRINGFIELD
Job Number: 990890
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 CREDIT PURPOSES
DRIVEWAY 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.
.~~~
Signature / /"
7-/~-~
Date
Date Paid:
?-A2l5.~AUON
(1'\S.q~
1 /\'11 /L...\ .'L(JJ
um~)'
Receipt Number:
Amount Received:
Received By:
. JOURNAL ~ JOB NO, qc;oRe;l)
ATIACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
I-IAY[")F:N l-!6MF:C,
LOCATION
3~ 2..'> LDI\Jt:. f2/0GG D/L, UtE;
DEVELOPMENT TYPE:
<::'fR..
BUILDING SIZE:
LOT SIZE
SO Ft.
1. STORM DRAINAGE
1:...,. AIl€'" 173'2...
DI"-' ....~ . 400_
IMPERVIOUS SO, FT.
7 }"{z,...
X $0227 PER SO. FT. $ 4~~ ,qt.
2. SANITARY SEWER-CITY
NO. OF PFU' S I 9.
(See Reverse Side)
X $47.14 PER PFU
$ 8ofILs-z...
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $475.32
$ 480.07
x
X $475.32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277.#PER FEU
$ 277.4+
B. IMPROVEMENT'COST:
NO, OF FEU'S
X _zc;?R PER FEU
TOTAL-MWMC SDC
$ zc ZO
< $ -er >
$ 10.00
$ 312..~4
$ 2.:,z".~e;
$ Ibt;,.ZG
. MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
L9i.
Date: 7-C}-Q<=r
SDC Coordinator
ATIACH'A.WPD
TOTAL SDC $ 2. z. J I. 4-S"
,
FIXTURE UNIT CALCULA ll.ON TABLE: Number of New Fixture~ Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only t~ additional fixtures). '
, NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub"........,....,.......,......."'.,.....,......,..".".,.,......... .
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, Stall/Wall............................,.....,........,.,........,
Wash 8asin/Lavatory, Single.................,................
Toilet, Public Installation......................,.......,.........
Toilet, Private. .......,........................,.........,...........
Miscellaneous:
CREDIT CALCULATION TABLE: 8ased on assessed value.
calculate credits separates,
'I
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
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
2-
4
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
2.
........
'2.
'2..
g
7...
TOTAL FIXTURE UNITS
/g
If improvements occurred after annexation date in table,
l
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
0.21
X $ ~-6-
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL ~ $ G
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL........................., 0.4
CommericaL......................., 0.9
Industrial............................ 05
GovernmentaL..................... 0.5
"
IMPERVIOUS AREA ;. TOTAL LOT SIZE X RUNOFF COEFFICIENT
FIXUNIT,WPD
Electrical Contractor '''"' ,..-k.. lU\'i.Q-;:
rz.., V <OIL -Av E...
Phone ~8 - 540\
Supervisor License Number L/l3'S'-5
Expiration Date ftJ/'{}/lo J
;r . ~; C. Temporary Services or Feeders
Constr Contr, Number dd- \ -~ S-~. Installation, Alteration or Relocation
Expiration Date 19,-;:)::-"f"'l 200 amps"or less I $ 40.00 ~
~ ' fQi1o';;''''UI\;:Ore ,_. 201 amps to 400 amps $ 55.00
S' atu e o~"superv in c~~~cfrj:Ci~Pt~~b,a~'re'9Xlt'i; 4.01 to 600 amps $ 80.00
_ . ' ] ~A~atlonCenter Th ytl.,eCOl!s5nY60.o.uamps 01' 1000 volts see "B" above
" 10~ ..952-001_n"';^ OSe rUles are ,,~I~1!r. .
I \ '.J:aliil'Ut'"'la~,Ol!!ai- '''C,?2hc!!.fi~ncnt Ciircui ts
n fk.t O~"'g !'~ ~op'es of the ::10~-OOl_
. -"'ue:rrOrtheo." ".ote:the N1i"v rUA'l,tferation or Extension Per Panel
~d- s-r6 <t>. ~ q ~~ .repon Utility N~,.f.n.one -
, - , ..'UU-33?_2349,n'e'CG!i'l1cUi t
Ci ty Sfb~ltArJ) Phone r"J4 L.f~c.. 9CR.(p Ei<ch Addi tional
\ Circuit or vith Servite
OVNER INSTALl..ATION or Feeder Permit $ 2.00
The installati~~II~~~g made on E. Miscellaneous (Service/feeder not included
property I ovp. liHl~i9EFWIli@IllA!.I!BWlRE!IFTHEWORI('Each in~ta~lat~on
for sale, leasM'IHOR\teDUNDERTHISPERMITIS 'P,:,mp or i:nga~ion, $
NO~lgn/Outline Lighting $
Ovners Signa tu'<(p'MMENCEDOR IS ABANDONED FOR Limited Energy/Res $
ANY 180 DAY PERIOD. Limi ted Energy /Comm $
~~
'-to ~~
4.\(
---Us'"'A
, ,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~C\C\
1. LOCATljON OF
~~ FlCflI I
It'! ~ft~~~.J>ESCRI~l.OJl. __"
,~~~lJ/l..J()6'L?P
,~~ION ~ ;3-~. e._
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
2.
CONTRACTOR INSTALLATION ONLY
Address
4C4
City~~'4't....
Ovners Name
Address
--------------------------r\------flr.r-
DATE: ' . \ . \'5 "'Y\
RECEIPT D: , ~I, I)...A~
RECEIVED BY: '-()\,\.i0~~
ELECTRICAL PERMIT APPLICATION
City Job NUlIIber QqOm
3. COMPUTE FEE SCHEDULE BEI.OV
A,
Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
Items
Cost
Sum
1000 sq,ft. or less
Each additional 500
sq. it or portion
, thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
I $ 85,00 fJ
.J- $ 15.00 .!Hi
$ 4b,oO
,B.
Services'or Feeders
Installation, Alterations
or Relocation:
)['
/'
$ 50;OgT
$ 60,00
$100.0 '
$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
.'
$ 35.00
40,00
40,00
20.00
36.00
5,
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
- .'
.
.
, Job. No. ..Qf!rB:\Q
, SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\~a-\r\llctO~~ '
ADDRESS: ~~ U nl JP18koof
LOCATION OF PROPOSED SO)LDING SITE:
Street Address: .J!I~D-S ~rnQ. R i.d0C'lr0 \JXhI0
Plat Name: 'J1.D, Taxctot Number: \~!J~C\qcO
1.. DEVELOPMENT TYP~ Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) .
PHONE: rr44.loqlow
STATE: ~ZIP: Q-Klcg
,
A. Sinolp.-F::Jmilv Dp.t::Jr:hp.ri
\ Single Family home
NO. OF UNITS
\
Manufactured home not in a park
X $1,000 per unit = $ \rYYl~
B. Sinolp".F::Jmilv Att::Jr:hp.Q
NO. OF UNITS
X $924 per unit = $
C, Multi-Familv Aml.ltment
NO. OF UNITS
X $692 per unlt = $
,D. Manufactured HnmR PRrt
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \()Of) . t$)
2. 'SDC CREDIT (If applicable) SDC-payer must furrtsh proof of rX
WiUamalane Credit approval. See SOC Credit Worksheet. $ }U
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~\.~1\\i)t? ") f/
Development Servi~~Department Date
City of Springfield
$ tDDO.oo
I 1~/~