Loading...
HomeMy WebLinkAboutPermit Land Drainage Alteration 1998-1-23 . "PAINQFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971619 225 North Fifth Street Springfield, OR 97477 Office, 726-3759 Inspection Line, 726-3769 Location of Proposed Work: 6737 GLACIER DR Assessors Map #, 18020311 Lot: 5 Block, 10 Tax Lot #: 04300 Subdivision, CASCADE HGHTS 1 Owner: SURELOCK HOMES Address: PO BOX 5932 Phone #, 342-4732 City/State/Zip: EUGENE, OREGON 97405 Describe Work, S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone Plumbing, SURE LOCK HOMES PO BOX 5932,EUGENE OR V-TECH 0040745 97405 0082331 08/28/98 342-4732 General, 05/18/95 522-1210 Mechanical, CRYSTAL CLEAR 0085504 10/26/95 Electrical: DOUG PALMER 0090725 PO Box 482 Junction City OR 9744800 05/03/99 998-3047 QUAD AREA: 4RSE # OF UNITS, 1 CONSTR. TYPE, VN WATER HEATER: E SQ FOOTAGE, 2750 OFFICE USE -- LAND USE, 1111 ZONING CODE: LOR # 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, FOUNDATION - After forms are erected but prior to ROUGH GAS - after line is installed and capped if appliance UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - 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. CURB CUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. concrete placement. not attached to an ~~~at\.~ CV:: ~y-~\t\.~ \f' "'i ~"'i \S ~a"'i ~O~~~t\.~\"'i S~"'~t\. "'i\\\S ~~:~tlf'at\. "'i~\S "7~tl \}~'v B",~tlO Prior ",~~e;;~tl at\. \S po: CO~~~~C ~ ~~t\.\atl. ~~ ,\v,l)OP' wall/ceiling; Prior to cover SPAINOFIELD Job Number, 971619 Page 2 PRE BACKFILL: To verify site is clean of debris prior to final grading and backfill. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. 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, N Topography, 7 Solar Approved, Y Lot Sq. Ft.' 7010 Total Height, 28,5 Lot Type: INTERIOR Setbacks S W E 17 15 Lot Coverage,. 25,8 t Setbk From NPL: 40 N House Garage 20 15 Item Main Garage Total Value BUILDING PERMIT Square Feet x 2317 757 $/Square Feet 64.66 16.27 Value 149,817.00 12,316,00 162,133.00 Building Permit Fee Surcharge/Admin 574,75 45,98 TOTAL FEE (A) 620.73 PLUMBING PERMIT --- Item Residential Bath(s) 3 Fee 192.50 Plumbing Permit surcharge/Admin 192.50 15.41 TOTAL CHARGE (Cl 207.91 --- MECHANICAL PERMIT --- Furnace' Exhaust Hood Vent Fan Dryer Vent GAS LINE I< W/H GAS F.P, 4 6.00 4.50 12.00 3.00 5.00 4.50 Mechanical Permit Issuance Surcharge/Admin 35.00 10.00 2.80 TOTAL PERMIT (D) 47.80 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE SDC PLAN REVIEW ADJUST, LAND ALTER. PERMIT 0.00 22.00 15.10 2,535.59 1,000,00 23.40 44,00 TOTAL MISCELLANEOUS PERMITS (E) 3,640.09 'SPRINOFIELD Job Number: 971619 Page 3 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE - - - (A, B, C, 0, and E combined) ~'p'~ 4,516.53 -1-3 rc 1-5'5e;.73 --- 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 350.19 Date Paid: 11/13/97 Receipt Number, 27999 MOORE Date, 12/11/97 By, LISA HOPPER - - - ADDITIONAL COMMENTS VERIFY MECH/PLMB CONTR REGISTRATION SEPARATE ELECTRICAL PERMIT IS REQUIRED; PATH 1 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 2".~'"-;'"~D~~.=",=.HO". 1/23/9P, "'~gnature ~ \ Date! / - - - - - VALIDATION Date Paid, ;2.$ 5S'n 1/2.)/,~ I I 4()*~, 73 '~~ Receipt Number: Amount Received: Received By: ,> ,. :'.0,. <" ". La~l Ahd,D~aii:1'age~'At Jration'Pernjif . . . . '". ~,' . , '. ~'!:Q~ ~ t- - ~ ~ LJ.I Q. z- o - I- < ~ LJ.I I- ...r < C Z < u.I t.j < Z - < t:t: C C Z < ....l City of Springfield 22S Fifth Slrcel, Springlield. Oregon 97477. Oevelopme,{t services Date C?~ Application II /11> / <) ., Expiration Date: , Property Owner ~ >-r>.c<, I ~d'.<2_ ~'p_c?"'" Address: RD , P-.I"l )Ci.-~~a -:z. '7_ Phone: ~4'L4..7 ~ '"t..... Clty~?-. State:.ag.zlp~-: Site Address: (n 7 ~? (!,Lr"r I e r o UGB Tall Map No: /1< r> 2 O~ II . Jo. No. of previous land us~....!.E~~~~!!Z~, . Springfield, Oregon Tax Lot:" q SO (') a FILL. Quantity 90 rcls . Source Location ~. G.or-aije... Dr, .lfIJHl'{ Supplier D,.,J~ .;:;;. 04 (,:> . Material '~/ 4'1 .-' , GRADING. Quantity t~ \, d ~ ' EXCAVATION. Quantity ~ Yds Destlnotlon: Del~ <G~ G:. Supplier: " Project Supervisor t:>o- (' rd l G, I'>:k.y Address Ro, &~ c:e.~ "J_ P'7 "J' ~ . Phone 34? Cl7 OS ? a a )iJ SITE PLAN Required Deta:Quantlty of material. Property lines and descriptions. Tax map and lot number. Site sddress. Existing contour lines, Proposed contour IInas. EXlstinR drsinage ways. Proposed drainage ways. Significant trees and foliage. Ground cover, So types. Buildings. Septic systems. Sewers. Araas subject to floodfng. Utilities. Areas subject to land slides, Proposed site Improvements. , . a CROSS SECTIONS, a SOILS & GEOLOGY PLAN, q DRAINAGE, POLLUTION AND EROSION CONTROL PLAN a REPLANTING PLAN a ADDITIONAL INFORMATION, COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: .~ ~ < it 3 J a: lJ ~ w " iil ~ i: , PHONE CITY STATE .' PHONE ,CITY STATE CONTRACTOR NAME: SV (~ (U.,("'~ Jp~a..". PROJECT SUPERVISOR: ""':r-~, r.p 1\ C, Id.....~ PHONE '?:,q'l..- ~f7 ? 'L- Registration Numbar: 1(j.t;l4-1 ~ 1 , Expiration Dste: ,=}' /Cj ~ . ADDRESS: I'(CO. P:..V'lC ~?,."'2, ~1_TY: e-t..~ . STATE: Ote . ZIP: a, 14D~ OFFICE PHONE .~"2 +1? ZFAX <A-11'1c:. MOBiLE PHONE: 9~ 4- II s:<.~ ,EMERGENCY PHONE: ::<1I/2-4-7~...z.-- BV slgnature,l atata and agraa, that I ha.a caralullv ..amlnad tha complatad application and do harabv cartlfv that all Information haraln la trua and corract. and I rurthar cartllv that anV and all work parformad shall ba dona In accordanca with lha Ordlnancaa of tha City or Sprtngflald, appllcabl. ChV Standard spaclflcatlons and Drawlnga, and tha lawa oltha Slata of Dragon partalnlng to.tha work descrlbad haroln. I furthar cortlfV thot onlv COnlrOClora and amplovaas who oro In compllanco with ORS 701.055 will ba usad on this projoct, , Tha ChV mav Inspacttha work alta descrtbad In this parmlt it anv tlmo during a ona vaar parlod fOllowing tha racalpt bV tha City 01 notlca 01 complatlon oltha daacrlbod work and spacllv~ at tha Chv's lola da..cratlon, anv additional raatoratlon work raqulrad to ratum tha Ilta to a standard accaptabla to tha City. Tha parmlttaa will ba notlflod In writing 01 anv work raqulrad and will ha.a thirty 1301 davslrom tha ta of tha notlca to complota tha work. Work not complatad ot tha and 01 tho thlrtv dIva will ba parlormad bV tha CIIV a a costs will ba blllod to tha parmlttoa. . I further agree to enlur, that ell r!~u!red action. Ira requeated at the proper time, that project address I. readable from tho .treet. e['td the approved lot C"711", remain on the lit. at all tlm.. during construction. Slg~~ L ~( - '~~y/ ,oala---L.7/rQ,/q, ~ - ~ ~ w Q.. Z o - ~ < ~ w ~ ....I < C Z < w ..tJ < z - ~ ~ c o z < ..J o DRAINAGE, 0 Storm, Q Ditch, Q Culvert, Q Natural ~ETLANDS, Description o FLOOD PLAIN, Zona: .1J;/t , FEMA Community Panel No.: ~ FLOODWAY, FEMA cZ:unlty Panel No.: L-- , Date: PLAN CHEC,K FEES: UPTO 100 CUBIC YARDS 101 TO 1,000 CUBIC YARDS 1,001 TO 10,OOO,CUBIC YARDS 10,000 TO 100,000 CUBIC YARDS 100.001 TO 200.000 200,001 CUBIC YARDS OR MORE GRADING PERMIT FEES: UP TO 100 CUBIC YARDS 101 TO 1,000 CUBIC YARDS 1,001 TO 10,000 CUBIC YARDS 10,000 TO 100,000 CUBIC YARDS 100.001 TO 20,0.000 $20.00 . $ 30.00 $40.00 $40.00 For Iho flrsl 10,000 cubic yards, plus $20.00 for oach addlUonal 10,000 cubic yards or Iractlon thorool. $220,00 For tho IIrst 100,001 cubic yards, plus $20,00 lor oach additional 1 0,000 cubic yards or fraction thoro of , $340 For tho first 200,001 cubic yards, plus $B.OO lor ooch oddltlonall0,OOO cubic yords or Iractlon thoroof, $30,00 _ $30,00 For tho IIrsl 100 cubic yards, plus $14,00 '.roach additional 100 cubic yards or fraclion thoroof, $156.00 For tho IIrst 1,000 cubloyards, plus $12.00 for oach additional 1,000 cubic yards or fraCllon Ihoroof, t264,OO For tho IIrst 10.000 cubic yards, plus $54.00 lor OIch addltlonsll 0,000 cubic yards or fraction tharaol. $750.00 For tho IIrstl00.00l cubic yards. plus $30.00 for oach addltlonoll0,OOO cubic yords or fraclion tharoof, Estimated Volume: Plan Check Fee: (J. Date: Receipt: Received By: Date: Grading Permit fee: //+, t?rO . I ~~ Date:_1/2 ~ Racelpt Date: Racelved by: ,:T!;, \T .o/Jl-lq'~ 7'0 ~ffhl:7'/F/? <?o,v'L?!7/n>.p' - Ki:;;;/ 1J.eLJJ~A-/-,/; ( CUIlA c,.'7""/~,'AJ ) HCM OA//!I?<v' '''''II<[)., C;J)LC. I Ii I " I, ~ \ W"Plannlng~;-It )}~ ~ X-f S-- Engineering ~J:;~Lj . S-Bullding: #~ J?C;~.t Date: 12 - III -'71 , J / / - :21~ --f'1 /Z-9-'7? Date: Date: o Maintenance: . Date Permit Number~ l'f Finn' Inspection.' Planning: /-/~ ( Date: 0p~ Issued by: Date Engineering: . .Date Building: Date Maintenance: Date: / . . . .. JOB NO. 971c:'/Q ~ ATTACHMENT A ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: 5UR.ELocK. !-Io MEL, LOCATION: c; 7 37 f-I LJj ("/ € /2.. DEVELOPMENT TYPE: ~.F.I< . BUILDING SIZE lOT SI1F SO Ft. 1. STORM ORA I ~IA(;F IMPERVIOUS SO. FT. 2/ b2...o X $0.226 PER SO. FT. $ t:)Q2,JZ- 2. SANITARY SFWER-rrTY NO. OF PFU'S ~~ (See Reverse Side) X $46.86 PER PFU $ IJII/' ru 3. TRANSPORTATiON ,NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01 X $47249 $ 477."2.1 x X $472. 49 $ X X $472 49 $ 4. SANITARY SFWFR-MWMr OLl NO.OF.FEln I' X 777.7bPER FEU + $10 MWMClADM FEE $ 2R7,7h MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - In, 7+ TOTAL-MWMr sor $ I 74 , 02- SUBTOTAL (ADD ITEMS 1.2.3 & 4) -- $ 24/4- .8S f 5, AOMTNTSTRATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X ,05 ' '$ /2.0, 7t j, 9-L I SDC Coordinator Da te: j 1- 14...::!l.7 TOTAL SOt;. $ '7 ,l),~ C St:.r 'I', .' '.n.' '-"~ U.. VI." vr"'\&..\JV LJ-\ . IV'" I MULL. j~umoer or New rrxtures X Unit Equivalent:;:: Fixture Units !1 (NOTE: For remodels, calculate 0.' e NET additional fixturesl. . . ' , 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/Wall.."..,..,....,.,.,......,.,.....,....,..".",.." ..., Wash Basin/Lavatory, Single......,........................,.. Toilet, Public Installation, ........"...... ,. .,................... Toilet, Private..................,......, ............................. Miscellaneous: "7 'Z 3 TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 4 '2... :2. z... ... , 2... 2-~ CREDIT CALCULATION TABLE: calculate credits separates. I Ye.ar I = Annexed I Based on assessed value. If improvements occurred after annexation date in table, Rate per $1,000 Assessed Value ~"l~ 3.89 3,83 3.70 3.55 3,39 3.20 2,91 Year Annexed ~G" 1979 or befnrA 1980,' 1981 1982 1983' 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 117,,-;74 Credit for Parcel or Land Only If Applicable 3.'1-' X $ 2~,c.~ (Rate X Assessed Value) X $ , (Rate X Assessed Value) Improvement (if after annexation date) = = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential...:..,..,...,............, 0.4 Commerical........................, 0,9 Industrial............................ 05 Governmental",.....,..,.....',..,. 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 II~,~ . . Job. No. 97/?/ S .\ \. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: :>u:,.ec= ~c/c:: ;I~~ PHONE: ?'f2-~?;SL ADDRESS: ~&/~_?'J,~ '., #t~~,' STATE:.!\tJ, ZIP: CJ 7.:ft1r LOCATION OF PROPOSED BUILDING SITE: Street Address: ? 7?'? ,,0'~&, J~ ~ v Plat Name: !J>rs ~ Tax Lot Number: leal. 0,3 II 1)4JLJ7.J , FlA.ST ~J . 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) A. iliD..QIA-FRmilv Dp.tRr.hp.ri , NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $ I c.::; b i) . y-- Single Family home B. Sinolp.~FRmilv AttRChp.ri NO. OF UNITS X $924 per unit = $ C. Multi-FRmilv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured HomA PR~ NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (if applicable) SOC-payer must furnish proof of Willamalane Credit approval. See SDc Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SOC reduced for Credit) $ . / fJ8D &0() , Development Services Department City of Springfield / I 2-:1 I , @ Date ,\ .: ,~1