HomeMy WebLinkAboutPermit Building 1999-3-8
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990204
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6B56 HOLLY ST
Assessors Map #: 18020311
Lot: 39 Block:
Tax Lot #: 06600
Subdivision: SOUTH HILLS
Owner: KEVIN JONES CUSTOM H
Address: 227 SOUTH 40TH PLACE
Phone #: 726-6979
City/State/Zip: SPRINGFIELD, OREGON 9747B
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: KEVIN JONES 0094455 03/07/99 726-6979
4496 HOLLY ST SPRINGFIELD OR 9747BO
Plumbing: SPECIALTY PLUMB 0102974 11/21/99 686 -4191
2650 COUNTRY LANE EUGENE OR 9740100
Mechanical: ALL PRO MECHANI 0101786 09/20/99 746-9931
365 N 52ND PL SPRINGFIELD OR 974780
Electrical: ROSE CORP 0054431 09/30/99 686-0905
89976 DAY LANE EUGENE OR 974020000
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2634
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: PI
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 ---
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.
UNDER FLOOR MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNOERFLOOR DRAIN - Prior to cover or placement of concrete.
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 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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPRINGFIELD
Job Number: 990204
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.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 10
Lot Type: INTERIOR
Lot Sq. Ft.: 6240
Total Height: 27.5
Lot Coverage: 42.2 %
Solar Approved: Y
House
Garage
N
22
Setbacks
S W
12
18
E
6
6
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2058
576
$/Square Feet
69.64
18.34
Value
143,319.00
10,564.00
153,883.00
Building Permit Fee
SurchargelAdmin
554.50
44.37
TOTAL FEE
(A)
598.B7
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
SurchargelAdmin
160.00
12.80
TOTAL CHARGE
(C)
l72.BO
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & WIH
3
12.00
4.50
9.00
15.00
3.00
5.00
Mechanical Permit
Issuance
SurchargelAdmin
48.50
10.00
3.89
TOTAL PERMIT
(D)
62.39
--- MISCELLANEOUS PERMITS ---
SurchargelAdmin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
0.00
13.90
15.10
1,000.00
2,648.15
199.80
TOTAL MISCELLANEOUS PERMITS
(E)
3,B76.95
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,711.01
SPRINQFIELD
Job Number: 990204
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:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
360.43
Date Paid: 02/11/99
Receipt Number: 32047
MOORE Date: 03/05/99
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
SOLAR APPROVED BY MEL OBERST
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
3 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 rem~in on t e si~all times during construction.
..d:. ~ I #'~ .?-- 1..91
_..<T ,... V
Sign~re
Date
-- - VALIDATION
Date Paid:
~'3D'75'
0/~/"'J
47//",(J) /
,~7~,
Receipt Number:
Amount Received:
Received By:
ATIACHMENT A
CITY OF SPRI~IELD SYSTEMS DEVELOPMltT CHARGE
WORKSHEET
9<>JO~4
1. STORM DRAINAGE lib@!! ~ -f-f--) r :22.(/8')
IMPERVIOUS SQ. FT. ~~+~ X $0.227 PER SQ. FT.
- .
$ ><,{)1- .{~
2. SANITARY SEWER-CITY
NO. OF PFU'S O?n
(See Reverse Side)
X $47.14 PER PFU
$ q/-:!, 8'iJ
3.' TRA.NSPORTATION'
NO OF UNITS X TRIP R~TE X COST PER TRIP
X I. ()I X $475.32
r---.
$ 4-eQ, o-::r
X
X $475.32
$
4. SAN ITARY SEWER -MWMC .
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 211,4+PER FEU
$ 2..1"7, 44:-
B. IMPROVEMENT COST:
NO. OF FEU'S
XZ'? 20 PER FEU
$ 25.2n
< $ /0. I g' >
$ 10 00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL-MWMC SDC $ 2<7'1-.4-0
SUBTOTAL (ADD ITEMS 1.2.3 & 4) . $ 252z 05'
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ lollL>_ 1(1
I11SL Date: 2./~/~9 __
SDC Coordi nator / TOTAL sac s;;l.(P 4 8': /6
ATTACH'A.WPD
(NOTE: For remodeis, calculate only rhe NET additional fixtures)
NUMBER OF _
FIXTURE TYPE' . NEW FIXTUREsW
Bathtub.................:................................................... .
Drinking Fountain. ........................ ............................
Floor Drain........... .................,..... ................ ...............
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher...:...... ......... ................
Clorheswasher - 3 Or More.....................................
Mobiie Home Park Trap (1 Per Trailerl..................
Receptor For Refrigerator/Wate'r Station/Erc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stail.....:..................................... ......
Shower, Gang......................... ....,............................
Sink: Bar, Commercial, Residential Kitchen........................
Urinai, Stall/Wall......................................................: '
Wash Ba'sin/Lavatory, S,ingle...:...;.......... ................
Toilet, Public Instaililtion........................................
Toilet, Private.......................................................
Miscellaneous:
..--.-- q -.... _~_n"""'''t = r-fXtt..rre Units
UNIT
EQUIVALENT
II
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
FIXTURE
UNITS
~
:::l
.
~
';,L...
.:2-
5(
dJ
CREDIT CALCULATION TABLE:
calcwiate credits separates.
I
I
I
I
1/
(I
.........
Basec on assessed value. It improvements occurred after annexation date in :aole.
TOTAL FiXTURE UNITS
=
Year
Annexed
Rete per $1,000
Assessed Value
I
~
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
Year
Annexed
Rate per $1,000
Assessed Value
,I
I
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83,
g':~fl I
0.38
0.21
Irs. If!
Credit for Parcel or Land Only If Applicable
0."'7 X $ Zl ,I 3 =
(Rate X Assessed Value!
X $ =
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (if after arH~e.xati~n date)
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.......................... 0.4
CommericaL........................ 0.9
IndustriaL............................ 05
GovernmentaL..~.........:........ '0.5
fIXUNIT.WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. .
:0;'] C9 01..
0' "'IX
"4',..4',,- ~
. O'^"~"'"
Vo o.
~ .."..
0,,-.;. "'''0'',...... 1~1.1,:CTlnCAI, PERMIT X~CATIUN
~ l~~~~ City Jub Number GtYOQ[~
'K- ~ 0'1
:J. "~J~J.I(TR I'lm SCIlRUUl.E nE1.U1/
1s! &~
~Obo~ld . 1 S' 1
New ~~~ entIa - lng e or
ulti~Fiill1ily per dwelling unit.
S 'vice Included:
0..
'9. /"
~~
0".
'JIl,n ~..O'
126-3769 Il'~,,-
i$>~
~..
1. I ~~to (I' ltir~A[l~~
~~\\C~PT0n~~
~~~:~;~:"~:,~~.
if wurk is nul started wi thin 180 days
uf issuance ur if work is suspended for
180 days.
225 FIFTII STl{1mT
SPRINGFmLlJ, URF:l;UN
lNSPECTlON HROllEST:
OFFICE: 126-3159
2. CONTRACTOR INSTALl.ATION ONLY n.
Electrical COlltractor#QS~ C:Orpol"abiO'1\...
Mldress 8'9 q 7C'o J)a..J...I Lo...n~
<.J
Ci ty E:UCJe.Me Phone ~ -O'f05
~
Supervisur Li cense Number E" p, .5
Expiratiun lJate /oj 1/00
Cuns t r Cunl r. Number 5lf.t.J.3/
000 sq.ft. or l.ss
Each addi tiunal 500
sq. ft or portiun
thereof
Each Malluf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation. Alterations
or Relocation:
200 amps ur less
201 amps to 1,00 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost Sum
$ B5.00 85
$ 15.00 fjJ
$ 40.00
L
4
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C, Temporary Services or Feeders
Installation, Alteration or Relocation
Expiratiun lJate
9/3-0/00
Signa luri9~~;~tricirol
Owners NalJ~O ~ ~OJJ (\~.
Address cC~ ~ ~ ~ \&C\J'~
Ci ty~~\('tp 0 \~hone\11o' ~11
Ol/NER INSTAL~:'I'IUN
The installation is being made on
property 1 uwn which is not intended
for sale, lease or ren t.
Owners Signature:
~~~~~~-----=-~-~~-~c:r~--------~---
RECEIPT ff: -'. IlG...l'VO('
RECEIVEIJ IIY: UOr\ ~~
200 amps
201 amps
Over 401
Over 600
or less --1--
to 1,00 amps
10 600 amps
amps or 1000 voJ.ts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
40
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative F.ee
TOTAL
$
$
$
$
lP,~~
,"'i.~
1'14 . x()
40.00
40.00
20.00
36.00
. '
.
.
Job. No. ~O mt
SYSTEM DEVELOPMENT CHARGE
..J. . WORKSHEET
NAME: ~p f\ ~(J\\QD PHONE;-\ QJ 0 tcAlq
ADDRESS: d--J~ ~ro ~ \XL STATE:L \}L,ZIP: Ql415
LOCATION OF PROPOSED BUIL~~: SITE: rt \"... + .
51"" M~ Lc0i(i () I \Dol \ Li-<'*It 00
Pial Nam ,*,.'A\\\ R ~) Tax~1 Number: \<;<D'd..D~\ \ r:Ao\r{f)
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calcUlations and dwelling t
ype definitions are on the back.)
A. f'inolp.-Fflmilv Dp.tflchp.d
~ Single FamilY home' ..
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ toCO CO
B. ,Sinalp"-Fflmilv AttflChp.d
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv A.!1artl'l't:lnt
NO. OF UNITS
X $692 per unit = $
D. ,MantJfacttJrAd Homp. PRrk
2. SDC CREDIT (it applicable) SDG-payer must furnish proof of
WiUamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WIL~LANE N SDC ASSESSED
L~~~md ood~'M]
Develop ent e Department
City of Spr field
X $699 per unit = $
$ , \ \)00 .DO
f5
$ \0'00 ~
I h /lCl
Date
$
NO. OF UNITS
WILLAMALANE SDC
j