HomeMy WebLinkAboutPermit Building 1999-9-17
-Po
.
~
... . '-....
SPRINGFIELD
Page 1
225 North Fifth
Springfield, OR
NOTIC~SIDENTIAL' PERMIT APPLICATION
,^GtT,Y; !2X ~eli!'M~W8RK
THIS PERttldz.ii.liYN'try ~~'vfck's Q!v;r;~ON
AUTHORIZED UNDfi!D,Dir'llIGPbAVtT.1S NU I
COMMENCED OR IS ABANDONED FOR
Street
97MY 180 DAY PERIOD.
Job Number: 991079
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4633 HOLLY ST
Assessors Map #: 18020512
Lot: 3 Block:
Tax Lot #: 09003
Subdivision: HAIDYN MEADOWS
Owner: JOHN/MARILYN NAGY
Address: 1060 LDNGRIDGE
Phone #: 746-1859
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
OWNEI1ITENTION' ;.J" 'gc' .
follow I .. " ,.-1\U,,(IWrtl, '()I' "
ru es ado t '-, _:v
.. .,,:. ., . P edbythe.Gre'l!)" ['1' '.
KErCCARTEJn Cer'-Gr. ThoSE n I ,0I2l387Y
Po'r:B0XP4~2-044'OEUGENE -OR d f:i"o'4'oo "0'0 IG1h
f.:!(V'It"I,~. --,"",lilvi1titIO""'M....U.'..-..._nrl
MARS~I1SJ.may o':>tair, COPies ot rog2,5:1no~ -
411 !?~!!, Y?II~ICCS,T:E.fi.P\l!-f~~F,7!tN2~Orf...~,,7~c7Y
ANT0NEI;ELECTMCJ,e~::),1 L ',"I, ,,00828,3'5
_ :-. . -..1 L,1vtJnTIC~.!'O""
27514 SNYDER' RD' JUNC'l'ION "CITY OK 9'7
- . vV'~.""vt:. .:...:J't6.(.}.
03/24/00
607-6945
General:
Mechanical:
12/23/00
747-7445
Electrical:
05/19/00
688-4444
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
SQ FOOTAGE: 2757
# 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 MECHANICAL - Prior to insulation or decking.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
UNDERFLOOR PLUMBING - 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.
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.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
v
.
-.
,-,
SPRINGFIELD
Job Number: 991079
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
Topography: 2
Solar Approved: Y
Lot Coverage: 24 %
Setbk From NPL: 42
N
Lot Sq, Ft,: 6800
Total Height: 30
Lot Type: INTERIOR
Setbacks
S W E
45 7 13
House
Garage 27
Item
Main
Garage
BONUS ROOM
Total Value
BUILDING PERMIT ---
Square Feet x
1761
470
432
$/Square Feet
69.64
18.34
34,82
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
ELECT, PERMIT
WILLAMALANE
PLAN ADJ.
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
122,636.00
8,620.00
15,042.00
146,298,00
538.75
53.87
592.62
Fee
192.50
192.50
19.26
211. 76
6.00
4.50
12.00
4.50
3.00
30,00
10,00
3.00
43.00
0.00
60.00
60.00
2,796.13
203,50
1,000.00
13 .16
4,132.79
4,980.17
r
..
.'- ...
.
.
SPRINOFIELD
,
~I
Job Number: 991079
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.
Plan Check Fee: 337.03 Date Paid: 08/11/99
Received By:
Plans Reviewed By: AL WARD Date: 09/16/99
Building Site Reviewed By: LISA HOPPER
Receipt Number: 35183
--- ADDITIONAL COMMENTS ---
RESIDENCE CANNOT EXCEED 30' IN HEIGHT.
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 ORB 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.
~'
s~gnat~
~
Y\o..ery
<1\n\QCY
Date
--- VALIDATION
Date Paid:
0'5S'S'77
..3lrJ.1'1 '1 '
~'(h
d/ tJ o..V
Receipt Number:
Amount Received:
Received By:
. JOURNe>R JOB NO. CtCt; ocr1
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
J, __I,,) 111Ad-' L l;-,..., NA/-, yo
LOCATION:
~ 3~' l!ou.-.'1'
DEVELOPMENT TYPE:
~ F ~
BUILDING SIZE:
LOT SIZE
SQ, Ft.
1. STORM DRAINAGE
......
.... .
ja.,.<>F 2.0 ".2.8 =- 5"00
3d"~' = qqll
~D,<;.. "f.r.,. 72-
..8
'S"'
'<-'/-
;l.AY'-7 ::
13", Z7 ~
Il, ':-2.q .:"
IMPERVIOUS SQ. FT. '? ."IBS X $0.232 PER SQ. FT.
2. SANITARY SEWER-CITY
$ (,.9'2..<,-2-
NO. OF PFU'S ::2- '\
(See Reverse Side)
X $48.27 PER PFU
$ I. 7t'J("~ .7S-
,
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST'PER PM PEAK HOUR TRIP
X --L 0 I X $486.73 PER TRIP
$ 4C11.t..-o
X X $486.73 PER TRIP
s
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I
X ZH..,(;, PER FEU
.$ 24-'2... 7~
. B. IMPROVEMENT COST:
NO. OF FEU'S " X. 720"- PER FEU
$ z. 2.. oC;-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ - Z .70 >
$ 10.00
TOTAL-MWMC SDC
$ 77?1I
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$ 7/Dt'.:? 81,
$ I ~ <I,
5. ADMINISTRATIVE FEES:
BASE C~AR,.8E (SUBTOTAL ABOVE) X .05
/~ Date: ~-Lr-qq
SDC Coordinator
ATTACH'A,WPD
TOTALSDC
$ z, 7<1"'''3/'
FIXTURE UNIT CALCULATION TABLE: NwnberofNew Fixtur'iilli.Unit Equivalent = Fixture Un,its
(NOTE: For remodels, calculate only the !'!];I_tional fixtures) .
---- NUMBER OF . UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.... ................ ... ...... ................... ..........,...,.......
Drinking Fountain... ........... ................ ,.......... .....,......
Floor Drain............ ............... ......... ,............ ...... .........
Interceptors For GreaselOiVSolids/Etc.....................
Interceptors For Sand/Auto Wash/Etc......................
Laundry Tub/ClotheswasherlMop Sink...................
Clotheswasher - 3 Or More......................................
Mobile Home Park Trap (I Per Trailer)..,................
Receptor For RefrigeratorlWater Station/Etc...........
Receptor For Cornmercial SinklDishwasherlEtc......
Shower, Single StalL..............................................
Shower, Gang.......... ......... ......,..,........ ....... ....... ...,.,.,
Sink: Bar, Cornmercial, Residential Kitchen............
Urinal, StalIlW alI......................................................
Wash BasinlLavatory, Single.....................,.............
Toilet, Public InstalIation...,.............,....,..................
Toilet , Private..........................................................
MiscelIaneous:
z.
2
I
2
3
6
2
6
6
I
3
2
I/Head
2
2
I
6
4
I
:3
3
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
credits separately.
I'
2-
q.
2-
'L-
3
J'1--
zo:::-
Based on assessed value, If improvements occurred after annexation date in table, calculate
Year
Annexed
Rate per $1,000
Assessed Value
Year
Armexed
,I
!
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4.03
3.88
3,68
3.38
3,03
2.62
1989
1990
1991
1992
1993
1994
1995
1996
1997
'=----I~~ ,.
Credit for Parcel or Land Only If Applicable CJ, R X $ /<;".00
(Rate X Assessed Value)
Improvement (ifafter annexation date) X $ =
(Rate X Assessed Value)
?7iJ
CREDIT TOTAL = s
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
CommericaL...................... 0.9
IndustriaL........,.................. 0,5
GovernmentaL....,..,........... 0.5
FIXUNrr. WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Assessed Value
2.18
1.75
1.35
1.17
1.03
0.86
0.71
0.57
0.39
\J.," ....,
'J
2..7,.-,
225 FrITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
\P~CA'~~ .
ei~
~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number qq \ ()'j(1
3. COMPLETE FEE SCHEDULE BELOII
1. LO~ATIQli JJl INST<\I-tLATIQH-.L.. diATICc . -' . -
4\ ,..,-,~~ \-\0\ \\ ~ u"pp..\,,,, 111'; Nev Residential-Single or
- ~ 1HISPERMIT~iilfi13JflPUWOO!!:ling uni t.
LEGAL DESCRIe:{ION ~ ~__~ AUTHORIZED8l1IDMH~~rrPISNOT
\<6 n~()~\'d.._1 JV\( X ~ t.lnIl1MENCEDORISABANDONEDFOR Items Cost
,lQ,B...l2ESC~P1ION -r~Y~O>.Q.ft. or less -L $ 85.00
~~ \21> .!\\(lOntl"o- + \~ Each addi tional 500
. . SQ. ft or portion . ~
Permits are non-transferable and expire thereof' -r $ 15.00
if york is not started vithin 180 days Each Manuf'd Home. or
of issuance or if york is suspended for Modular 'Dvelling
180 days. Service or Feeder .$ 40.00
Sum
85
LeO
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
n A"QEONTIO~!I~lt~ll'!M;qnl"IIAl t e ra t ions
Elec trical Con trac tor 11/";"f;1n", ,~Z:r[C:rIw"rUles oroReloca tion:,res you 10 .
~'I'f; I' C""" I'1"'U (jy me u. regon Utility .
n 7 L- U 5 d ')<'lea Ion "n''''r Thf'SP' .,,1
Address ~ ,J L; n y e Y ,{'f"R952-01?Q~O~P1~~r ~~ te.sif'n~~ forth
. . / (]noi'Jixr.~mi01 ampsOtoh4001amps1Ul-
Ci ty J~ nrt r,,, C Phone~RR ~'i!(~7il'rn' ( the (Q:1?t~\iiifs')j:'toS 6oolfamps, bv
.... - 1601e&Jtp'g!(ti6'JlIOOOpamps
Supervisor License Number :J ()O t;~mberCforto~et:el000JtatiJP'SliVijk-!i$Jn
. enhReconn^ec:t3:0rilY4).
Expiration Date J -10 -0/
Constr Contr. Number ;J (') -IS '8 ~
Expira tion Da te / - J t') - 9 9
.
s:~a~. re ,Of Supervising Electrician
/LI'/Jj/'7r_.!' r/? ~ . .
OvnerrNameJ:m-\\'\\r\ r\ '\r \\~~t.
Address \?,dJ \ r<<\~'P ~ f()
Cit~~~ ~Phone~\~
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease.or rent,
Owners Signature:
-----,----.----1--r.----------------------
DATE: q!f7/11
'''''vt.J.n ll: () Jor.,"- ~ _
;1/7 (rf
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less --1- $ 40.00 4{)
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
C.
Branch Circuits
,"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t '
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~ State Surcharge
3% Administrative Fee
$ 35.00
$
2.00
not included)
$
$
$
$
I BS.ctJ
/r,/ . l.('"
.....!'".S
c90~ .~
40.00
40.00
20.00
36.00
"
.
.
flAl\.. .
~t-Y ~~ '!!)li!I~~~!~!!~ Job. No. Qo. \~
fV SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~ ~ " \\\" '!\ \ \\(\ru 1-- PHONE: ~l.o lPF9l
ADDRESS: \\)~cD C>1 ." ~ STATE: ffi'2-ZIP: Q141Z
LOCATION OF PROPOSED B LOING SITE: .
Street Add~f:: . ~\o~ t 1\0\ 1 , k ~O -t .
Plat Na~(f()..io.l~~~Qot Number: \<60~C1S.fJ.,..~
1. OEVEL9.PMENT TY~E (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A SinQI€'-F:'lmilv Dp.t::Jr.hp.Q
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $lrro.c1)
B. f>inolp"-F::Jmilv Att::Jr.hp.d
NO. OF UNITS
X $924 per unit = $
C. ,MlJlti-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ~nlJfactLJred Home Park.
NO. OF UNITS
WILLAMALANE SDe
X $699 per unit = $
$. \[no.OO
2. SDe CREDIT (If applicable) SDG-payer must furnish proof of IX
Willamalane Credit approval. See SDC Credit Worksheet. $ J{)
,
3. TOTAL WILLAMALANE NET SDe ASSESSED
(If SDC reduced for Credit)
~_~fi.partmem
City of Springfield
q I
Date
$ InnfJ. ()()
(7 I 17