HomeMy WebLinkAboutPermit Building 1999-8-13
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990886
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3832 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 2 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
Canst,
Contractor Contractor # Expires Phone
General: HAYDEN ENT 0092208 07/29/99 744-6966
2622 SW GLACIER PL #llO REDMOND OR
Plumbing: HAREBEINTNER 130282 07/02/00 741-1766
6510 E STREET, SPRINGFIELD, OREGON
Mechanical: HAYDEN ENT 0092208 07/29/99 744-6966
2622 SW GLACIER PL #110 REDMOND OR
Electrical: ELITE ELECTRIC 0099768 06/10/00 367-8260
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1520
OFFICE USE --
LAND USE: llll
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# 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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor 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 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.
ATTENTION:Oregonlaw requires you iu
Prio101f81V9B~'<.'3dopted by the Olegon Utility
Notification Center, Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the centel. (Note: the telephone
numbelforthe Oregon Utility Notification
Center is 1-ROO-332-2344),
Wall/Ceiling; Prior to cover
NOTICE':
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
SPRINGFIELD
Job Number: 990886
Page 2
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: S
Setbk From NPL: 35
Lot Sq, Ft.: 5159
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
House
Garage
N
22
50
Setbacks
S W
35 5,5
18 25
E
10
10
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
BUILDING PERMIT
Square Feet x
1120
400
$/Square Feet
69,64
18,34
(A)
PLUMBING PERMIT
2
(C)
MECHANICAL PERMIT - --
3
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
CITY SDC
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
167.40
2,221.92
80.00
3.589,32
4.212.23
SPRINOFIELD
Job Number: 990886
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: 07/12/99
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.
.rp C- ...4-..
8ft'!>/.,.,
Signature
Date
-- - VALIDATION
Receipt Number ,,35~b~
Date Paid: -:<5~ \'~. ~q,
Amount Received: -~ ,~\.9.,' Q.~
Received By: ~~-
, .
JOURNAL OR JOB NO. E2.tJ 8 S-c;,
. ATIACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMtNT CHARGE
WORKSHEET
NAME OR COMPANY: ~AYfJE:^, I-!"Mf".'i
LOCATION': cS~ ~ 2- I """,,/'_ ~~6 ,DR..
DEVELOPMENT TYPE: .(, fR..
-
BUILDING SIZE: LOT SIZE
1::001' AIZ~'" < 173'2...
l. STORM DRAINAGE D /4.> A."" < 3"'"0
SQ. Ft,
IMPERVIOUS SQ. FT. --.2. oq?_ X $0227 PER SQ. FT. $ 474, ~?
2. SANITARY SEWER-CITY
NO. OF PFU'S I'll
(See Reverse Side)
X $47.14 PER PFU
$ 848.5'2....,
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
$ Z 77.4+
B. IMPROVEMENT COST:
NO. OF FEU'S
X Jt;?P PER FEU
TOTAL-MWMC SDC
$
< $ .er- . >
$ 10,00
$ 312..~1-
$ ?; 1/(;',11
$ /0<:;" ~ I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5, ADMINISTRATIVE FEES:
BASE CHAR~~UBTOTAL ABOVE) X ,05
I~ Date: 7-9-'19'
SDC Coordi nator TOTAL SDC $;:; 22/. 92..-
ATTACH' A. WPD
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent ~ Fixture Units
(NOTE: For remodels, calculate only tI_IET additional fixtures) .
___ NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
8athtu b.....,.....,... ...,...........,.,.".,.. .. ....,..........,.........,..
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 11 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/WaiL,..........,.............,.......,.,......,.,........,
Wash Basin/Lavatory, Single.................,................
Toilet, Public Installation,.........,.........,.,................,
Toilet , Private.......,...,...........,.....,..,........,............,
Miscellaneous:
2-
4
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'2.
"1..
2.
'Z.
'&
~
TOTAL FIXTURE UNITS
IS
~
Based on assessed value. If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE:
calculate credits separates,
r--- Year
I Annexed
Rate per $1,000
Assessed Value
II
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)
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 $
(Rate X Assessed Value)
X$
(Rate X Assessed Value) ,
CREDIT TOTAL
-6-
~
~
$ e-
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL........................., 0.4
Commerical............,.....,....., 0,9
Industria!............................ 05
Governmental...............,...... 0,5
FIXUNIT,WPD
IMPERVIOUS AREA';' TOTAL LOT SIZE X RUNOFF COEFFICIENT
..:
~&~<}J .2e...,
\rJ...IIA 1000 sQ.ft, or less I $ 85.00 tr
'O'~) Each addi tional 500 ' ~
, ~I it:I~TIQN:Oregoniawrt~QI;re~yogl[oportion 1(',;);;' i) ,~J;O :,-,
Perm s al'e non-transferab1,'el,(and,~iexRl:z:.~ledbYlhe~;I~$5$,9Bli~'y ,,... 1;1:' ~ 15~ .! '
if ,:,ork is no t ~ tarted ,:,iltM;tid!l!>.1 <!~y,liar, Those rfr~~~'Ir!:!~'J,~m'rH, H~me. or
of lssuance 01: 1 f work lSirsu, spendedofo!:\10IhrougtModular2 Dwelhng
._.' ........."-v ,'vv "JM~.t10 "11111' .
180 days. 0090, You may oblain COPiesSol'~eTcrlegbleeder ,$ 40,00
callinn the cenler, (1\10Ie: Ihl'1 tl'1\'>l'\hrmo
2. CONTRACTOR INSTALLATIONuONLY'!'Orlhe OregoB'UI'S, ervl'ces ,0'1: Feeders
II IIIUC:1 n IIr\lI\lnt,1:o,r"3+'ElS Al '
,. , Ce" ,-; 000 33" ns.ta'~:.:an n, teratlons
Electrical Contractor L-\'<J"'f'L: 4Eflr!'<'::r, - ~6'f3'R'lJlocation:
One Circuit
Each Additional
'. Cil:cuit 01: with Service
OVNER INSTALLATIOtQ\lOTICE: or Feeder Permit $ 2.00
The ins talla t ion is be 1~l? ~~~~'b~HALL EXPIPf'.IFl1ifsWm~neous (Servi cel feeder no t included
property low" which i~if.tblORIil'EeHdtl!lBiERTHISPERMElaS/lllGl1istallation
for sale, lease or rel1(l;E)MMENCEDORISABANDONEl'l:Wfficor i,:riga~ion. $ 40.00
~lgn'IOutllne Llghtlng $ 40.00
ANY 180 DAY PERIOD, Limi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
~.f~
-!-La'1 ..cw
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
'l~
'j\
1.
~
.-/"
y 0"'1 (4'u '-l. ~
Phone (, $3.1S - 5<-to(
II/?~ S'
Expiration Date I~~C>J
Constr Contr, Number ~;2. J-~S-e...
{ 0. - , - '1'1
Address
City
q;;_lS::r
Supervisor License Number
Expiration Date
Si~re ~f SUP~~i~lectrician
vi /~,~ (/ 41
ov:er: Name I-I-fMtJ4,.v r-ltw!S
3). ~i 't7, IV '-( oY0
.
City -:51. ftlJ. Phone 14,-{-G.q~(p
Address
Ovners Signature:
~~TE~-"9;~\?;~cr~---_
RECEIPT fi:
RECEIVED BY:
3.
ELECTRICAL PERKlrfi~fATION .
City Job Number ~'\\~
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
Items
Cost
Sum
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
~
f
$ 50;00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C.
Temporal:Y Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 01: 1000
x
'10 ..,
$ 40.00
$ 55.00
$ 80.00
see UBIt
above
volts
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
$ 35.00
5, SUBTOTAL OF ABOVE
57. State SUl:charge
- 37. Administrative Fee
LO~TAL
.. . . ~
.
f\Al\ ' ,
. ~tW ~91!)li!l!m2!~2~ . Job. No.
fV SYSTEM DEVELOPMENT CHARGE
WORKSHEET
t~O[)
ADDRESS: ~ nlJP! ~oot
LOCATION OF PROPOSED SO}LDING SITE:
Street Address:_,~~~ry/", ?{mn R irtOf:: \m.,10
Plat Name: ~ ^ ;no ,.L,! A<'~Qot Number: J <6()!:lD~~C\OC)
1. DEVELPPMENT TYPE~Check appropriale dwelling(s), SOC calculalions and dwelling l
ype definitions are on the back.)
.
(Xl)<t ~lo
PHONE: rJ44.loqlow
STATE: ~ZIP: Q141~
A BinolA-FRmilv DAtR~hAO
I Single Family home
NO. OF UNITS
\
Manufactured home not in a park
X $1.000 per unit = $ \[YY) ~
S, BinoIA'-FRmilv Aff;'mhAO
NO, OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufacturAd HomA PRlk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \t)Of). cf)
2. SDC CREDIT (II appficable) SOG-payer must fumlsh proof of rX
, Willamalane Credil approval. See SOO Credit Worksheet. $ }U
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~'- ~'f\\Pt? )
Development Servide5\Department
City of Springfield
$
tDDO ,00
~ 11~_;(~fE
Date