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Home My WebLink AboutPermit Building 1999-3-8 . SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990143 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 6866 GLACIER DR Assessors Map #, 18020311 Lot: 25 Block: 8 -.:::-~ 718kA.<: Owner: ~O'X:':':"~......~"t(, Tax Lot #, 02100 Subdivision: CASCADE HGHT 1 Address: 36574 ALDERBRANCH Phone #: 302-4845 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F, RESIDENCE NEW Contractor Canst. Contractor # Expires Phone General: A K STICKLER 0099489 36579 ALDERBRANCH SPRINGFIELD OR 97 Plumbing, FRIDLUND 0051835 85370 DILLEY LN EUGENE OR 974050000 Mechanical: MARS HALLS 0025790 4110 OLYMPIC ST SPRINGFIELD OR 9747 Electrical: ANTONE 0082835 27514 SNYDER RD JUNCTION CITY OR 97 06/01/00 741-0132 12/14/99 746-9433 12/23/99 747-7445 05/19/99 688-4444 QUAD AREA, 4RSE # OF UNITS, 1 CONSTR. TYPE, VN SECONDARY HEAT: HP SQ FOOTAGE: 2660 OFFICE USE -- LAND USE, 1111 ZONING CODE, LDR # OF BDRMS: 3 WATER HEATER: E # 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 .-- SITE - To be made after excavation but prior to setting forms. TEMPORARY POWER FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking, UNDERFLOQR DRAIN - Prior to cover or placement of concrete. UNDERFLOOR MECHANICAL - 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. J 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. SPRINGFIELD Job Number: 990143 FINAL PLUMBING - When all plumbing work is complete, FINAL MECHANICAL - When all ~echanical 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 Topography, 2 Solar Approved: Y Lot Sq, Ft,: 6650 Total Height: 31 Lot Type: INTERIOR Setbacks S W E 000 5 5 31 Page 2 Lot Coverage: 25 % Setbk From NPL: 60 N House 45 Garage Item Main Garage UNFINISHED ROOM Total Value BUILDING PERMIT --. Square Feet x 2060 600 336 $/Square Feet 69,64 18,34 34,82 Building Permit Fee Surcharge/Admin TOTAL FEE (Al PLUMBING PERMIT Item Residential Bath(s) 3 Plumbing Permit Surcharge/Admin TOTAL CHARGE (Cl --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent 3 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut CITY SDC TEMP/ELECT PERMIT WILLAMALANE TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) Value 143,458,00 11,004,00 11,700,00 166,162,00 583.75 46.70 630,45 Fee 192.50 192,50 15,41 207,91 6,00 4.50 9.00 4,50 3,00 27,00 10,00 2.16 39.16 0,00 15.55 14_95 2,832.83 199_80 1,000_00 4,063.13 4,940,65 SPRINGFIELD Job Number: 990143 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, 361,89 Date Paid: 02/02/99 Received By: Plans Reviewed By: AL WARD Date: 03/05/99 Building Site Reviewed By, LISA HOPPER Receipt Number: 32752 --- ADDITIONAL COMMENTS --- 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. c;;:.,,,--I;-- _5;';' 3k~f Date --- VALIDATION Date Paid, 33Dc",5b ],;/~h , ~'~IJ /~I ~ ""\. Receipt Number: Amount Received: Received By: rc, a JOURNWR JOB NO. ere; 0 143 . ATTACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET 5-1--jC-~ NAME OR COMPANY: LOCATION: &RU,b 6-{~ DEVELOPMENT TYPE: -SFi,) BUILDING SIZE: 2kf.J:JO LOT SIZE SQ, Ft, 1. STORM DRAINAGE ';2.c..~o T' 31.5 (21) -I- 2( c;'?-I- 41-.7S') IMPERVIOUS SQ. FT_ 3621 X $0,227 PER SQ, FT, $1'1'LZ7 2, SANITARY SEWER-CITY NO, OF PFU'S ~ (See Reverse Side) X $47,14 PER PFU $ /225.(,,4 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X (,0 \ X $475,32 ( $ -42'0. D:+. X X $475,32 $ 4, SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO, OF FEU'S X '277.<i4PER FEU $ 2.f7A'+- B_ IMPROVEMENT COST: ' I NO, OF FEU'S X Z-S,70PER FEU $ 25.'2.0 MWMC CREDIT IF APPLICABLE (SEE REVERSE) < UICl,,",c, > MWMC ADMINISTRATIVE FEE $ 10.00 TOTAL-MWMC SDC $ A'Z. ~5 SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ 2(/1 7 q 3 5, ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $ J ~4 ,"10 W75L--- SDC Coordinator ATTACH' A, WPD Date: -2ftlln TOTAL SDC $ ::2'?'32.K3 '\ FIXTURE UNIT CALCUL_ON TABLE: Number of New FixltA<Unit Equivalent = Fixture Units (NOTE: For remodels, calculate onlyW'NET 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 - 3 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/WaIL_,,,,,,,,,,,,,,,,.,., ""'"'''''' ,,,,,,..,, '"'' ,,,., Wash Basin/Lavatory, Single",,,,,,.,,,,,,,.,,,,,,,,,,,,,,,,, Toilet, Public Installation",,,,,,,,,,,,,.,,:,....,,,,,,,,,,,,,,,, Toilet, Private",,,,,,,,.,,,,,,,,,,,,,,,,,,,,.,.,,,,,,,,,,,,,,,,,',,,, Miscellaneous: CREDIT CALCULATION TABLE: Based on assessed value, ,calculate credits separates, I~ Year Annexed tl 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 1- ':).. 2- ~ 4- I;).. ~(o If improvements occurred after annexation date in table, , Year Annexed 1989 1990 1991 1992 1993 ,1994 1995 1996 1997 4,2-1 X $ 2.~,O2., (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) -J /1/1 III TOTAL FIXTURE UNITS = 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 Rateper $1,000 Assessed Value $1,98 1,55 1.15 0,96 0.83 0.67 0,52 " 0,38 I 0,21~ Credit for Parcel or Land Only If Applicable I f<1.(_9 Improvement (if after annexation date) ResidentiaL""""""."",,_,,_,,_ 0.4 Commerical""."".""""_"",, 0,9 Industrial""",,,,,,,,,,,,,,,.,,,,,, 0 5 GovernmentaL"""""""""", 0,5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT = $ ,.",,{, ~o", 0110." l1tJ '''9. ~/" :0'0'- l1"fl'lJ tJ,oj. aI, (1068 8efits 225 FIFTH STREET 0'1 <'0 "0/ '" 8/J611/11t. ELECTRICAL PERHITdCPUCATION SPRINGFIELD, OREGON ~74'1 "Ill ~ 8 "fl1>118 ' INSPECTION REQUEST: ~-3 'tJ"CIf.c:I>"fOII. City Job Number On14::) OFFICE: 726-3759 ~"flSi l1"fl 0""11 'lJ"l1//J,,, . COH'ift.i& FEE SCHEDULE BELOII 1 \ W~ATION f)P INSTA,LLATIO~ . o KLo\ () h \() ~ IJ.. X\\'l ~....~SGRIFTION . \ \ ~U'L.U2lt I Ol)jO() ),1 J~O_m~N, d\:g~~~&O per~ts are non-transferable 'and expire if work is not started within 180 days of issuance or if work is suspended for 180 days, , . 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractorll110J1P 1!:1e.c..t Address..2-'7 .~-LJ 5n..yd p y Rd . CitylTi4....rft;.." c.. Phone~RR t:LJf1 Supervisor License Number .::J 00 ~ '} Expiration Date 1-10 -0/ Constr Contr. Number :? t') -IS f1 ~ , Expiration Date /- J (')- 99 . ~~e of Supervising Electri~ian ?//vU' /4A.J'~ Owner~ttkme A\L ~~ Address 3lo'2l~ 5k\ri~ Ci t~ Lf\2tn~ Phonej:f) Acg,~ \ .". OIlNER INST LATION The installation is being made on property I own which is not intended for sale. lease,or rent. Owners Signature: ----------------T-~-- ----------------- DATE: ':J /'1 J J' RECEIPT II:; :K:J ~ Z> esidential-Single or ti-Family per dwelling unit. ervice Included: 1000 sq.ft. or less Each additional 500 . sq. ft or portion thereof Each Hanuf'd Home, or Modular 'Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 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' Items Cost Sum --L 4- 65 $ 85.00 $ 15.00 Lon ,$ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation ,{ $ 40.00 40 $ 55.00 $ 80.00 see "B" above C. 200 amps"OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits " New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Cemm One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee S 35.00 $ 2.00 not included) $ 40.00 S 40.00 $ 20.00 S 36.00 -'~.;~ ,qq . ~O " . Job. No. QqD\4~_ .\ LOCATION OF PROPOSED BUILDING SITE: Street Add ess: ~ nh Colo h $) r LO? \ tJ0.. $...9J Plat Name. . . -- Tax Lot Num;er: \9tf)1::L~\\ f''/2.rrJ S-t. . ' 1. DEVELOPMENT TYPE (Check ~prOPriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) \. A. SinolA-FRmilv DAt:>Jili.eQ \ Single Family home NO. OF UNITS I Manufactured home not in a park X $1.000 per unit = $ \lY'n ~ B. SinoIA.-FRmilv AttRchAri NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ \ rrtJ,ciJ $)'J $ 1rj'f).W 2. SDC CREDIT (If applicable) SOG-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED \. (If SOC reduced for Credit) \~~~artment 01. I City o~f~eld :hI ~5'