HomeMy WebLinkAboutPermit Building 1997-10-27
..
SPRINOFIELD
/:tl'~
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971231
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 7216 HOLLY ST
Assessors Map #: 18020204
Lot: 121 Block:
Tax Lot #: 00400
Subdivision: MCKENZIE HILLS 1
Owner: MASOOD MIRZA
Address: 6996 BLUEBELLE
Phone #: 747-4496
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General:
JOKINEN 0021372
28120 Royal Ave Eugene OR 974020000
10/14/97
687-7819
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2536
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
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.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SLAB - TO be made after all ins lab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
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.
Perimeter Foundation Drains: After gravel and filter cloth is
installed, but prior to backfill.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL PLUMBING - When all plumbing work is complete.
PRE BACKFILL: To verify site is clean of debris prior to final grading
and backfill.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPRINQFIELD
Job Number: 971231
Page 2
Lot Faces: S
Topography: 13
Solar Approved: Y
N
Lot Sq. Ft.: 6000
Total Height: 30
Lot Type: INTERIOR
Setbacks
S W E
10 25 5
14 25 5
Lot Coverage: 15.6 %
Setbk From NPL: 49
House
Garage
Plumbing Permit
Surcharge/Admin
BUILDING PERMIT ---
Square Feet x $/Square Feet = Value
1600 64.66 103,456.00
936 16.27 15,229.00
118,685.00
475.75
38.06
(A) 513.81
PLUMBING PERMIT - --
Fee
2 160.00
160.00
12.80
(C) 172.80
MECHANICAL PERMIT ---
4.50
2 6.00
3.00
15.00
10.00
1. 20
(D) 26.20
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
TOTAL CHARGE
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
LAND ALT/GRADING
CITY SDC
0.00
19.90
13.60
1,000.00
)7"'f'....-<=JO ..90 .",.. .1t,
- ~ ~ St1ll"',~!
2,001.37 ~
TOTAL MISCELLANEOUS PERMITS
(E)
3,064.87
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D,
and E combined)
~ :,1::?-;-6-V
",' ~. Jl ",,"_
nrM,/ e-t:<:tr 4-"&.J:.!L
BUILDING PERMIT -- - 3 ~ 20 ,-&-8
--- BUILDING VALUE, PLAN CHECK AND
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.
SPAINOFIELD
/~I'~
Job Number: 971231
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
307.24
Date Paid: 08/15/97
Receipt Number: 27100
MOORE Date: 09/15/97
By: LISA HOPPER
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
INSULATED SLAB AT STAIRWELL REQUIRED
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.
>>_~LIL-
Signature
(O~'2..lZ-q7
Date
--- VALIDATION
Date Paid:
27 ~.'S 5'
/0/.2. (;,/5' 7
\ 9'b;2.0 , 'be
t/~
Receipt Number:
Amount Received:
Received By:
--;;
,
,
SPRINQFIELD
1
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: MASOOD MIRZA
Mail Address: 6996 BLUEBELLE
Tax Lot #: 1802020400400
Subdivision: MCKENZIE HILLS
Job No.: 971231
SPRINGFIELD, OREGON 97478 Phone #: 747-4496
Project Address: 7216 HOLLY ST
1 Lot: 121 Blk: Eng. Rev. No.: Book:
Street Gravel Ac Mat
7216 HOLLY ST
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y
Size of Line: 8
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee: 6 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
Ft
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: STORM DRAIN LINE IN REAR OF LOT
Pipe Parking Lot Drainage To: N/A
Comments: SEE AS - BUILTS
New Curbcut Appr. :
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
Width:
SIDEWALK AND
STANDARD
5 Ft
24 Ft
DRIVEWAY INFORMATION
Width: 12Ft Flairs: 6
Length: 66 Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 08/25/97
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
:' - '," Lani',And Drainage" AI" -';ration' Permit
, ' . ','" :
P!:O~ ~ .
~
-
~
~
L.U
C.
Z
0
~
<
~
u.I
~
-J
<
0
~ Z
<
L.U
~
<
Z
-
<
~
,Q
0
Z
<
...I
City of Springfield
22S Fifth Street, Springfield, Oregon 97477 - Development services
J
Date ?( Application ~ - , C"
Ci ~_
Expiration Date:
Property Owner~ <n,,",^ t:jJf/~Z(i<
Address: -~'= ~\.I,.J4;'" \\ ,~II.
Site Address:
o UGB
o
o
o
o
o
o
o
o
Phone:
City SpC IL.State:tl..Zip~
72/{P
tIoL/ -'-'
/6~2.J 02..
='-
4-
,Springfield, Oregon
Tax Lot: c:o~n
Tax Map No:
ic;;)
FILL, Quantity
Supplier D" _ ....
GRADING, Quantity
, Source Location S .:>~' rl. <j u" v, r
~ I ., I
L"L.t/~~~j ,Material.~ ~......h.'I:.
10 (""\'. .. t"\''-'''?fI"J.~
I
)
uo. ,,} Destination:
I
~/._ ^""""tllr\ ,,5
EXCAVATION, Quantity (S a
Supplier: r., fCl \J(lC\...~ 'OC ,
Address '14"'Of~,,"\r ,~.I\ R.u
r-..Lc...lt....
v
Project Supervisor
, Phone
~,,_~ <Srn.UQ\
.stuc. ~"l.!..V"'CA...
c.~J:::jklq
SITE PLAN Required Data:Quantity of material, Property lines and descriptions, Tax map and
lot number, Site address, Existing contour lines, Proposed contour lines, Existing drainage
ways, Proposed drainage ways, Significant trees and folialle, Ground cover, Soil types,
Buildings, Septic systems, Sewers, Areas subject to flooding, Utilities, Areas subject to land
slides, Proposed site improvements. . r-
CROSS SECTIONS,
SOILS & GEOLOGY PLAN,
....
z
<:
.0
~
<:
~
....
::>
v
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
REPLANTING PLAN
ADDITIONAL INFORMATION,
J
Ii:
Jj
f.
w
.'
. ",,-
. " PHONE
COMPANY NAME:
PROJECT SUPERVISOR:
ADDRESS:
COMPANY NAME:
PROJECT SUPERVISOR:
ADDRESS:
v
iij
'(1)
r
(
CITY
STATE
CONTRACTOR NAME:
PROJECT SUPERVISOR:
Registration Number:
ADDRESS:
STATE: , ZIP:
MOBILE PHONE:
, PHONE
CITY
STATE
PHONE
.' Expiration Date:
, CITY:
OFFICE PHONE
EMERGENCY PHONE:
FAX
By signature. I state and agree, that I have carefully examined the completed application and do hereby certify that all
information herein 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, applicable City Standard specifications and Drawings, and the laws of the State of
Oregon pertaining to the work described herein. I further certify that only contractors and employees who are in compliance
with ORS 701.055 will be used on this project.
The City may inspect the work site described in this permit at any time during a one year period following the receipt by the
City of notice of completion of the described work and specify, at the City's sole desecration, any additional restoration work
required to return the site to a standard acceptable to the City. The permittee will be notified in writing of any work required
and will have thIrty (30) days from the date of the notice to complete the work. Work not completed at the end of the thirty
days will be performed by the City and the costs will be billed to the permittee.
.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable from
the street, and the approved ~et of plans will remain on the site at all times during construction.
Slgnatur. ~ 'ol-- . . Oat. 10 - '2.. 7 -1(& 7
. La..d . J\nd.' Dr~i~ag~:':J\lieration ,Per,mit'!
, ., .' 1 . " ." ,,' I. '".~ ,...,' , . I
. " . ~ . . ." " ,'.', " ., ., . ,
.
~
t-
-
~
~
LJ.I
C.
Z
0
-
I-
-(
~
LJ.I
'--, t-
....I
-(
C
Z
-(
u.I
.tJ
-(
Z
-
-(
~
C
C
Z
-(
....I
o
o
o
o
~orm, 0 Ditch, 0 Culvert, 0 Natural
DRAINAGE,
WETLANDS, Description
FLOOD PLAIN, Zone:
, FEMA Community Panel No.:
\ \
FLOODWAY, FEMA Community Panel No.: .
, Date:
PLAN CHECK FEES:
UP TO 100 CU81C YARDS
101 TO 1,000 CUBIC YARDS
1,001 TO 10,000 CU81C YARDS
10,000 TO 100,000 CU81C YARDS
100.001 TO 200,000
200,001 CUBIC YARDS OR MORE
$20.00
. $30.00
$40.00
$40.00 For the first 10,000 cubic yards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$220.00 For the first 100,001 cubic yards. plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$340 For the first 200,001 cubic yards, plus
$6.09 for each additional 10,000 cubic yards or fraction thereof.
GRADING PERMIT FEES:
UP TO 100 CU81C YARDS
101 TO 1,000 CUBIC YARDS
1.001 TO 10,000 CU81C YARDS
10.000 TO 100,000 CU81C YARDS
$30.00
$30.00 For the first 100 cubic yards. plus
$14.00 for each additional 100 cubic yards or fraction thereof.
$156.00 For the first 1,000 cubic yards, plus
$12.00 for each additional 1,000 cubic yards or fraction thereot.
$264.00 For the first 10,000 cubic yards, plus
$54.00 for each additional 10,000 cubic yards or fraction thereof.
$750.00 For the first 100,001 cubic yards, plus
$30.00 for each additional 10,000 cubic yards or fraction thereof.
100,001 TO 200.000
Estimated Volume:
/fZ>>:J Cr'
Plan Check Fee:
Receipt:
Date:
Received By:
Date:
Grading Permit fee:
2,0 . c-o
Date:
Receipt
Received by:
Date:
.'
I
Oa.'P'''C" 12....> ~Lo06 fC.eo;-''''~l ?'~"'''''r. - r="-:::>a-"""" =P ,,/,d~i
4t,/ r7''''ta,?P'.eD' ..<;;".Q/L iklOIZ -:h"" /p..k;.,... <lkA7"IIr=z.. '
r~'1~~T ~-;j.c ~+,..~r
.ell' )..d~hJ Jz jO _
~t,~
'5'~~ !,t!Jtil/lW
-"~")
.."....,
.
......
,;
,:
I
~Planni~,m- ~h
ill' ""'''';'''- f;t'. g/jd,
S- Building: /# A 7r'/tfJy'\o(
o Maintenance:
Date: 9~'.3 - 71
Date: 9-..7, -97
Date: 9- //;).-P] 7
Date
Permit Number 97/2-3 L Issued by:
#dh
Date: /0r)
,
EinAI Inc::npf"finnc::.
Planning:
Date
Engineering:
.Date
Building:
Date
Maintenance:
Date:
CITY
JOB NO. 9.212'" I
. ATTACHMENT A. -
OF SPRINGFIELD SYSTEMS DEVEL~ENT CHARGE
WORKSHEET
, .
NAME OR COMPANY:
M A SooD tv! I e -= A.
LOCATION
72 /(n i-lnLLY
DEVELOPMENT TYPE.
':;) FR-
BUILDING SIZE
LOT SIZE
~O. Ft.
1. ~TORM DRATNAGE
IMPERVIOUS SO. FT. 1.73(;
2. SANTTARY ~FWFR-CTTY
NO. OF PFU'S 18
(See Reverse Side)
3. TRANSPORTATTON
X $0.226 PER SO. FT. $ 3Q].?"f
X $46.86 PER PFU
$ 843.#5
'NO OF UNITS X TRIP RATE X COST PER TRIP
'\
X 1,01 X $472.49
$ 4;77, z/
x
X $472.49
$
X
X $472.49
$
4. SANITARY ~FWFR-MWMC
DO Dd'
NO. OF FEtJ-'S X 277.7bPER fttI + $10 MWMC/ADM FEE $ 2e7,7f:>
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - q4. 72-
TOTAL-MWMC SDC 1-1-"1"2, .01-
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ //10(", ,07
5. ~DMINISTRATTVF FFFS
BASE CHA(\E ~SUBTOTAL ABOVE) X .05
L~. Date: 8-z-C:--1-7
SDC Coordinator
$
9,"'1:<:(')
TOTAl SOt;.
$ 200/.37
/
. .-.^ I vnc VI"" VJ-\J...\"'U LM . IUI\I: I MDLe. Number or New rlxtures x unit Equivalent = Fixture. Units
(NOTE: For remodels. calculate on.' e NET additional fixtureS). . . .
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE . NEW FIXTURES EOUIVALENT UNITS
Bathtub.. ...... ....... ............................. ........ ............ ......
Drinking. Fountain.. ... ........................ ........... .... ..... ....
Floor Drain.................................................................
Interceptors For Grease/OiIlSolidsiEtc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher............ ........ ...............
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Traile(I..............,...
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 Basin/Lavatory. Single........................ ..... .....
Toilet. Pubiic Installation. ....... ........ ........................
Toilet, Private...................... .................................
Miscellaneous:
2.
2..
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
2-
-;z.....
2-.
2-
2-.
R
If/-
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table.
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
~r ~efore
1980
1981
1982
19B3'
1984
1985
1986
$~.97)
3.89
3.83
3.70
3.55
3.39
3.20
2.91
19B7
1988
1989
1990
1991
1992
1993'
1994
1995
1996
Credit for Parcel or Land Only If Applicable
3. "17 X $ ~(.,7)
(Rate X Assessed Value I
X $
. (Rate X Assessed Value)
Improvement (if after annexation date)
=
=
Rate per $1 ,000
Assessed Value
r
I
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
q 4.....:ll- .
CREDIT TOTAL = $ Q4,7Z-
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fiesidential...:.......................O.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
,.
'.
.
(\~\~~\
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\ffit\~ ~'(1~ .
ADDRESS: \cA<\\] \~h
PHONE: l~l'~~(a
STATE: ~~IP: ~W1 '6
.,
LOCATION OF PROPOSED BUILDING S~ .
Street Address: ~\\Q \ ~\\Uv- ~ooj:
Plat Name:~Q ~~\~r~~x Lot Number: ~o~~tyym
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
\.
A. Sinolp.-F8milv Detached
~ Single Family home Manufactured home not in a park
NO. OF UNITS \ X $1,000 per unit = $ JDtD pO .
'.
B. .sinole'-F8milv Att8ched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M8nuf3r.111red Hnmp. Pmk.
WILLAMALANE SDC
$
$
vro p0
J?f
lOm~
NO. OF UNITS
X $699 per unit =
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
$
3. TOTAL WILlAMAlANE NET SDC ASSESSED
(if SDC reduced for Credit)
~mk~cefo;.-rtmem
City of SPrin~~
.$
It) I 2) I j)
Date