HomeMy WebLinkAboutPermit Building 1998-2-17
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980055
225 North Fifth Street
Springfield, OR 97477
Office: 726'3759
Inspection Line: 726'3769
Location of Proposed Work: 7236 GLACIER DR
Assessors Map #: 18020221
Lot: 73 Bloc~:
Tax Lot #: 02500
Subdivision: MCKENZIE HILLS 1
owner: KEVIN JONES
Address: 227 SOUTH 40TH PLACE
Phone #: 726-6979
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S,F. RESIDENCE
NEW
Const,
Contractor Contractor # Expires Phone
General: KEVIN JONES 0094455 03/07/98 726-6979
4496 HOLLY ST SPRINGFIELD OR 974780
Pl urnbing: SPECIALTY PLUMB 0102974 11/21/98 686-4191
2650 COUNTRY LANE EUGENE OR 9740100
Mechanical: ALL PRO MECHANI 0101786 09/20/98 746-9931
365 N 52ND PL SPRINGFIELD OR 974780
Electrical: ROSE CORP 0054431 09/30/98 686-0905
89976 DAY LANE EUGENE OR 974020000
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
ZONING CODE: LOR
# OF BORMS: 3
WATER HEATER: E
SQ FOOTAGE: 3364
# OF BLOGS: 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.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERGROUND PLUMBING - Prior to filling trench.
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; Prior to cover
STORM SEWER LINE - Prior to filling trench,
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover,
SHEAR WALL NAILING' Before covering sheathing with finish materials.
ROUGH ELECTRICAL' Prior to cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
/:fl'~
SPRINGFIELD
~~
Job Number: 980055
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: S
Topography: 10
Solar Approved: Y
Lot Coverage: 41 %
Setbk From NPL: 43
Lot Sq, Ft,: 6262
Total Height: 29
Lot Type: INTERIOR
Setbacks
S W E
7 5
N
House 21
Garage
18
BUILDING PERMIT ---
Item
Main
Garage
BASEMENT
Total Value
$/Square Feet
64,66
16,27
64,66
Square Feet
2036
576
752
x
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
HEAT PUMP
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
ALTERATION PERMIT
SOC
WILLAMALANE
ELECT, PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
Value
131,648.00
9,372,00
48,624.00
189,644,00
635,50
50,85
686.35
Fee
192.50
192.50
15.41
207,91
6,00
4.50
12,00
15,00
3,00
6,00
46,50
10.00
3.73
60,2)
0.00
19.30
15,40
44,00
2,710,57
1,000.00
216,00
4,005,27
4,959,76
SPRINGFIELD
Job Number: 980055
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: TOM
Building Site Reviewed
413 , 08
Date Paid: 01/14/98
Receipt Number: 28472
MARX Date: 01/30/98
By: LISA HOPPER
-- - ADDITIONAL COMMENTS ---
BhRQ~oTrnT n~m1I~~Qax~e~
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 ORB 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 r:#on Zhe s' e at all times during construction, 2-/7- "tV
~-., ~.
Signature Date
-- - VALIDATION
Receipt Number :'L:;;tS!:::E.2;:;
Date Paid: <-/:>~'7g:,
Amount Received: (/9~, ~
Received By: ~~~.
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"JJ.~.r' ,/".-
:. .' ~ i, :: \.:ity of Springfield
This Side To Be Filled Out by Applicant
=1:=....: This permit is, required for anY,site activity in the, flood ~Iain and e~erywhere. sit? a,lter~tio~ c,onsists of
.a::. fifty (50) cubic yards of matenal or more and/or If a dralnageway IS affected, within City limits and
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Date of'APplication /- It.( - 9t Permit Expiration Date:
Property Owner ~/IN ~<9-?V~S C~sr Phone: 7z..f., -(,,9,'1
Address: 2-7.-7 .so '-rD ~ ,oL City ~~ State: 67.zZip'17Q? 'i
7::2 '% ~~,,;t!5"r -:s?"".
Site Address: t!t9-?" 73 m ~./-€- ,#<<.-<..!> . Springfield, Oregon
o
UGB Tax Map No:
Journal number applicable Land Use Application
Tax Lot:
6LA-V'iA--
o tUantity" ~o - Z.OO Yo..:} Source Location,,5~ t:2 v.' c.' - ;-
plier h/~ Q.'.-. - '.' '.' ,Material @/.L/J-Y'~ "'/<:,
~ RADING, Quantity
o EXCAVATION, Quantity I ~ YO;>
Supplier:
Address
, , ro 15>:- LJ4r>.uun,;VfA> ,4r
Destination: '~'.hn~'L R;&: IL'<..CA.-VA-FY~
Project Supervisor 7?J q€. DLr~'AJC<>
, Phone
~
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, ProRosed drainage ways, Significant trees and foliaj:le, Ground cover, son types,
Buildings, Septic systems, Sewers, Areas subject .to flooding, Utilities, Areas subject to land
slides, Proposed site improvements,
o CROSS SECTIONS,
o SOILS & GEOLOGY PLAN,
~ DRAINAGE, POLLUTION AND EROSION CONTROL PLAN i7N ..5/ re. 'pL..9-N
o REPLANTING PLAN
o ADDITIONAL INFORMATION,
COMPANY NAME: &,v ~,P/5~" ~X~A-fi--', PHONE
PROJECT SUPERVISOR: 1/
ADDRESS: CITY
COMPANY NAME: .J:r ~ c:L ''''-~N ft){A;' (J"NMI , PHONE
PROJECT SUPERVISOR: /,
ADDRESS: CITY
7'1'7- Vlv.l'
STATE
3<(3, S-7~~
STATE
CONTRACTOR NAME:
PROJECT SUPERVISOR:
Registration Number:
ADDRESS: 'Z Z 7
STATE: t9/Z
MOBILE PHONE:
4""/,,,/ -Jd>-N:t'S
C ~er7>-Vc:..r......C9 A/
" PHONE 7~1.- -(,,971
Cc-S 94/'-/.:>f> ,Expiration Date: ~ -7-Q'l(
:SD yo>:t!- "'oc....CITY: 6Pr=t.o
, ZIP: '5! 7'r 7 lJ OFFICE PHONE 7~ -bQ7';l FAX
"'11 S-- S-/'-7'?o EMERGENCY PHONE: '9;!>-S-;L"'t:.
I understand that I. or my successors may have future plans for my property which may be anticipated or unanticipated at
this time. I understand that such future plans may require permits and developement approvals from the City of Springfield.
I understand that notwithstanding any approval of this Land and Drainage Alteration Permit (LDAP), that at the time of
application of future permits or approvals the City may review and reconsider all actions which I or my successors have
undertaken persuant to this LDAP. I understand that the City may as a condition of any future approval, require the
undoing, changing, or modification of any actions which I have undertaken as a result of the City's approval of this LDAP.
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 c sts will be billed to the permittee.
I further agree to ensure that all required inspecti s are requested at the proper time, that project address is readable from
the street. and the a pro set of plans will ain on the site at all times during construction.
Signature ;'~':-//t__ ,/ ..z-.?",--,--- Date /-/~.'1((
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-i-This Side To Be Filled Out By City Staff
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1/6/1998
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D DRAINAGE, 1:1 Stonn, 1:1 Ditch, 1:1 Culvert, 1:1 Natural
D ~LANDS, Description viA
D FLOOD PLAIN, Zone: ~. ,FEMA Community Panel No.: LlIS917_ ~
D FLOODWAY, FEMA Community Panel No.: , Date:
PLAN CHECK 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
$20.00
$30,00
$40.00
$40.00 ~or the first 10,000 cubic y"ards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$220.00 For the first 100,001 cubic vards. plus
$20.00 tor each additional 1 0,000 cubic yards or fraction thereof.
$340 For the first 200,001 cubic yards, plus
$6.00 for each additiona,l... 10,000 cubic yards or fraction thereof.
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
$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 tor each additional 1,000 cubic yards or fraction thereof.
$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.
1,001 TO 10,000 CUBIC YARDS
10,000 TO 100,000 CUBIC YARDS
100,001 TO 200,000
Estimated Volume:
'/_I'J() '" rJ r,
Plan Check Fee:
Receipt No:
Date:
Received By:
Date:
Grading Permit fee:
4 y,.o 0 Receipt No:
/~.~
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~~2:~ Date: 72-/? .9g
Z-/?~~
Received by:
Date:
/
[3" Planninll ~)M Date: [- z.~.qR
0 Engineering lY'^- Date:
g Building: Date: / - "5 g - 7'X
D Maintenance: Date
Permit Number 9j:l"O.t'~
Issued by:
. Date:
Rpnllirprll=in::lllnc:::npt""tinnc::'
Planning:
Date
Engineering:
6u1- /ifAr M.A~ /
drV~
v
Date / lz.-,Jf1J
Date / - J u-7J'
Building:
Maintenance:
Date:
D
o
D
Land and Drainage activity as outlined in this permit has been completed in accordance with
the provisions of this permit.
Land and Dralnalle ac.tivitv as outlined in this permit has not been completed in accordance
wltn tne provlslllnS ot tnis permit,
Land and Drainage activity was performed prior to application for this permit,
Accepted by:
Date:
'.l'" ,.. ,.-'
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Job. No.
~~[)m
,\
SYSTEM DEVELOPMENT CHARGE
\L ^ - \_ A WORKSHEET .
NAME: '\~\l\f\ ,~\\Q~ . PHONE: lVUn.\Mft ,
ADDRESS: ~~\ OO\~ ~m vJ/ STATE: Jl)t.ZIP: '~141't
LOCATION OF PROPOSED BUILDING SITE: . ~ .
Street Address: ~Il.fu C")~~~(o 0\ tjn V -
Plat Name:~~Q~i\J, W \\~ \~ Tax L~t Number: \~D'd.b~~\ oa@
. . )
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
,.
A. Sinolp.-F::lmilv Dp.t::lc:hp.d
\. Single Family home
. NO. OF UNITS
l
Manufactured home not in a park
'dJ
X $1.000 per unit = $ \ t'fD .
B, ,Sinolp"-F::lmilv Attached
NO. OF UNITS
X $924 per unit = $
C, Multi-Family Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manuf::lCWred Home P::lrk
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,
$
$
\ (){1J ~
y
l ty)() !fJ
WILLAMALANE SDC
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
D~:~,~,oertm'",
City of Springfield
$
"2
Date
/ /7/ ~
. JOB NO, q/foo.:;,.::>
ATTACHMENT A ....
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
j( ev' N ,T:.,'1Vc<,
723b (:;LACIE/Z
~ F R.....
LOCATION:
OEVELOPMENT TYPE:
BUILDING SIZE
lOT SIZE
SQ. Ft.
1. <;TORM flRATNftGF
IMPERV IOUS SO. FT. 3547
2. <;ANTTARY <;FWFR-r.TTY
NO. OF PFU'S 2-4-
(See Revecse Side)
3. TRANSPORT;l.TiON
x $0.226 PER SQ, FT. $ iSOI,62-
x $46.86 PER PFU
$ ',/2.4,~
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.0 ( X $472.49
$ 4- 77, 2.1
X
X $472. 49
$
X
X $472.49
$
4. SANTTARY SFWFR-MWMr.
Dr)
NO, OF ffij'S
DrJ
. X 271. 7' PER FB:t + $10 MWMCI ADM FEE $ 28 7. 7~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $- Joc,. 7-:>,.
TOTAl -MWMr. SOr. $ 178, O~.
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ z..~8ISo
5. ADMTNTSTRATlVE Fill
BASE CHARGE (SUBTOTAL ABOVE) X ,05
. $ /2Pf.07
'L~.
Date: I-IS-erg
SDC Coordinator
,TOTAl snr. $ '2j1/0. 57
..
-
.. '^' VI u... vn.. I "'ML\"UL.~ IIUI'\I I HOLe: Number of New Fiaes X Unit Equivalent::: Fixture Units'
(NOTE: For remodels, calculate o.'he 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 WashiEtc............,....,
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:
.2-
'3
.3
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
=
4-
2...
2.
.3
12.
z...'7-
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Year
Annexed
Rate per $1,000
Assessed Value
I
$3,!).V
3,89
3,83
3,70
3,55
3,39
3.20
2,91
~1979 or before
- .
1980
1981
1982
1983'
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or Land Only If Applicable
3,Q7 X $ ZZ,";"D
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
Improvement (if after annexation date)
~
=
=
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
100,7'\
CREDIT TOTAL = $ 1 oq, 7~
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL..:.".."........,....... 0.4
Commerical..,........".."..,...., 0.9
Industrial.......................,.... 0 5
Governmental...................... 0,5
IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT