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Home My WebLink AboutPermit Building 1999-4-5 . r ';PRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990338 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4691 HAILEY CT Assessors Map #: 18020512 Lot: 14 Block: Tax Lot #: 10500 Subdivision: HAIDYN MEADOWS Owner: MARK ALLEN Address: 527 SOUTH 49TH PLACE Phone #: 747-7310 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW Coos t . Contractor Contractor # Expires Phone Plumbing: JOHN THE PLUMBE 0065387 04/30/98 281-0011 Mechanical: MARSHALLS 0025790 12/23/99 747-7445 4110 OLYMPIC ST SPRINGFIELD OR 9747 Electrical: L & E 0083195 06/17/93 480-7989 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 1972 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG 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 TEMPORARY POWER FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR 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 GAS - after line is installed and capped if not attached to an appliance ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - 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. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. 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. Job Number: 990338 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: 14 % Setbk From NPL: 41 N Lot Sq. Ft.: 10500 Total Height: 21 Lot Type: CORNER Setbacks S W E 27 8 21 27 House Garage 20 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1468 502 $/Square Feet 69,64 18.34 Building Permit Fee Surcharge/Admin TOTAL FEE (A) PLUMBING PERMIT --- Item Residential Bath(s) 2 Plumbing Permit Surcharge/Admin TOTAL CHARGE (C) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent GAS PIPE W/H 2 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut CITY SDC TEMP. ELECT. WILLAMALANE TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) Value 102,232.00 9,207.00 111,439.00 460,00 36.80 496.80 Fee 160.00 160.00 12.80 172.80 6,00 4,50 6.00 4.50 3.00 5.00 29.00 10.00 2.32 41. 32 0.00 68.22 60,00 2,424.44 43,20 1,000.00 3,595.86 4,306.78 . SPRINOFIELD Job Number, 990338 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, 299,00 Date Paid, 03/15/99 Received By: Plans Reviewed By' AL WARD Date: 04/05/99 Building Site Reviewed By, LISA HOPPER Receipt Number, 33155 --- ADDITIONAL COMMENTS --- A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/18/99 DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES A SEPERATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 5 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. i!fJ / JL 1~-q9 Signature Date - -- VALIDATION Date Paid, 6'JJ'-(bl 1{/5/77 '1701" 7 f NCJJ Receipt Number: Amount Received: Received By: . .. fIl" . ~t~~ yy'i!I~!!!~!~~~ Job. No. f" . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAMLffii\ fiJ ,cN\Oft } .' PHONE:14ll3\O . ADDRESS:~I+hL\Q.~Q. STATE:~ZIP:~ LOCATION OF PROPOSED BUILDING SITE: fl Street Address: 4\ cA \ l air) I OD 1 }( ~CUJ\ t- Plat Nam : . (\ \fIOf\.J:ax Lot N~ber: J <(.n:J.CftFJ /()'5aJ ~ Qq()~3<6 1. DEVELOPMENT TV E (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) o A. Sinnle-F::Jmilv Det::Jr:her! \ . Single Family home' .. NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ I (X:{),~cJ B. ,Sinoleo-F::Jmilv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartmen~ NO. OF UNITS X $692 per unit = $ D. Manufacturer! Home P::Jlli NO. OF UNITS WILLAMALANE SDC X $699 per unit c $ $ \OrJO.oO f/ $ 2. SDC CREDIT (If applicable) SOc-payer must furnish proof 01 Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SOC reduced for Credit) ~0~~2ment City of Springfield 'f I S Date $ I nOO .ou /f JOURNAL OR JOB NO. Q'16 s~ I . . . ATTACHMENT A ... CITY OF SPR~GFIELD SYSTEMSDEVELO~NT CHARGE WORKSHEET NAME OR COMPANY: ~ \ V VI LOCATION: 4-ld1\ ~lA.~ l.on C.:;\- \ . DEVELOPMENT TYPE: SF D BUILDING SIZE: I 'iq 7.... LOT SIZE 850(,., SQ. Ft. 1. STORM DRAINAGE \ . /4't2--+- 2-l Ct~ J+ IMPERVIOUS SQ. FT. "2.-1'3'1- qg'C2. ) -4- 14- (f2.) X $0.227 PER SQ. FT. $ (/20, &, z. 2. SANITARY SEWER-CITY NO. OF PFU'S 19 (See Reverse Side) X $47.14 PER PFU $ ~6ddo 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01. X $475.32 L48o.07_ X X $475.32 $ 4. SAN!TARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 211.+4- PER FEU , $ 2..,.44 B. IMPROVEMENT COST: . i NO. OF FEU'S . X 2.6. ~o PER FEU $ 25. 20 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE - < $ > $ 10.00 TOTAL-MWMC SOC $~IZI(01. $ 2 3d?,9' '1 $ t/~, tf-S" SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ~L- SDC Coordinator ATTACH' A. WPD Date:?/'J.?/Ci4 TOTAL SDC $ ::242.4,++ . , r ,... .'~." .,-;...' ,,".' \.. . -, ~'~',""r >:>'-" FIXTURE UNIT CALCULA~N TABLE: Nu,,:,be! of .!'lew Fixture':.i,.Unit Equivalent = Fixt~re Un~ts (NOTE: For remodels, calculate only t~ additional fixtures) '.. ,', .. ., NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..............."....,...,...................,....................... . Drinking Fountain,...,....".......................................... Floor Drain............................. u.................................. Interceptors For Grease/Oil/Solids/Etcu. u u.......... Interceptors For Sand/Auto Wash/Etc.............u... Laundry Tub/Clotheswasher..:................................ Clothes washer . 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......,.................. u............................... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall....,.......,........................,................. Wash Basin/Lavatory, Single.. ......... .... .......... ......... Toilet, Public Installation. '" ... ... ...... ..... ....... ....... ...... Toilet, Private...... ........................... .... ... ..... ....u,'" Miscellaneous: /1 +- " , 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 -? 'i( I ?- J ?- III II TOTAL FIXTURE UNITS jq = Based on assessed value. If improvements occurred after annexation date in table, . CREDIT CALCULATION TABLE: cialCUlate credits separa;.es. Yea(l 4._ Annexed 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 'I Year Annexed Rate per $1,000 Assessed Value 1989 1990 1991 1992 1993 1994 ';":.\9~5 1996 1997 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 .... .,. Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) ..-- -x- '$:" .,---, = (Rate X Assessed Value) X .$ = (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STO.RM DRAINAGE (For Estimating Purposes Onlyl ResidentiaL.......................... 0.4 Commerica!......................... 0.9 Industria!............................ 0 5 Governmenta!...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT , rile . ~O". 10110... e '''g 'fIg '/)/JrOIl.' iJ/J(/ Pro; <II 0'0 ,eCI 225 FIFTH STREET .D..;' es "OI~sSlJb", ELECTRICAL PERMIT APPLICATION SPRINGFIELD, O~GON 974rl'Ie o"i" eQlJlre'lteO'II<1 (}{} /) ";}-:Jt(!J INSPECTION REQUEST: 7'l1f11!,~7 $PeCil/llle1. Ci ty Job Number~{ J...jn7J OFFICE: 726-3759 'i~90'S: Cle"O'Ollo"ifl . - ~,,~ COMP~~EE SCHEDULE BELOV 1. ~1~tf1 ,~~TIrrDUJL+9 LEG~ DESCRI~J;{lJ:i- 0 I (,({)(..l/)5!<J... IU-oOO khfOB ES,CRih~O{i /II? /tk/1/J . ~ . 1000 sq. ft. or less -f'~AJLI~ ~L16e/1 Each additional 500 I sq. f t or portion Permits are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home. or of issuance or if work is suspended for Modular .Dwelling 180 days. /.OTICEferVice or Feeder 2. CONTRACTOR INSTALLATION ONLY ~. 'B~!CRW. r6th'd.S-. Wlfil&JlilfiEWORK . ",~~\t'~.e~~~'iT:ffiS !1ERM\ifa~i'Oi'is Elec tIcal Con trac tor or Reloca tlOn'''ONED FOR /TEN / .FlNu Addres$al ".,.:'ON:Oregont",,,__ . \" lBO?QP ,a~p.:;JLor less Notifica'N;;~-~ QUOPted by th.e8'''oa yOU to I"" 201 amps to 400 amps Ci ty in OLIO ::::r Center. TJ,ibg r .oregon Uti/itv 401 amps to. 600 amps 0090 y.'-"- v1-00101 0 "v"",reSeltOrlh 601 amps to 1000 amps supervb~ffl.oi!rce e'l~ q;lbeggh OAR 952_0/'\. Over 1000 amps/vol ts , nIl mg !he cen . (N p~e" vr Ine rules b. Reconnec t Only. Expua t rlftf.TlDillteJe ,~" Ole. Ihe lelennn~~ y Cent is l_FtOs.'.VlJl/ly NOliticali - Constr Contr. umlier'O~2-23441 on ~ " Supervising Ele~an t Owners N n) q~V~ Ph~ne "l4tJ3\Q The installation is being made on property I own which is not intended for sale, lease or rent. ovni!17~1 --------t-/'-------.-------------------- D(\TE: L{/,11 . RECEIPT Hi. 0 ~3 L(l/A RECEIVED BY: .t./' W IN-f - Items uni t. Cost Sum $ 85.00 $ 15.00 . $ '40.00 $ 50.00 S 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation '\ C. 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm .One Circui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL volts 41L $ 40.00 $ 55.00 $ 80.00 .see liB" above " $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4noa ~