HomeMy WebLinkAboutPermit Building 1999-4-5
"
\\1f"'Y"C:;::
:,r:RMIT SHALL EXPIRE IF THE WORK
- .,rCl 'JI'.lnE\' THIS PERMIREsI\S'lNTIAL PERMIT APPLICATION
<11 ,
AN::lONEO \=OR CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
1\\1\ HIQOA\ r'6.RIOC, BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Page 1
Job Number: 990210
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 963 HAZELNUT LN
Assessors Map #: 18020614
Lot, 8 Block,
Tax Lot #: 13300
Subdivision: JASPER PARK
Owner: TUMALO HEIGHTS Phone #: 501-1150
Address: C/O 2541 LILLY STREET City/State/Zip: EUGENE, OREGON
ATTENTION'Opgon I ' ,
Describe Work: S. F. RESi8ENCE I d'" aw requires you to NEW
~In';;;~.':::~ e~ ~ _ ~pt~ by the Oregon Uliiity
. H...~r.-..........r'~I. IIIV~~ruCob:stgsetforth
In OAR 952-001-0010 th'"""h n~Q 05- 00' ,
Contracto!1090 You may bt' Contractor #- 'Exp1res
. , 0 am copies of the rules by
calling the center (N,,'''' 'h . I
RUHOFF HOMfi!JHiUerforthe Or' .?TfiiF~.j) ~~hone 04/01/00
2541 LILLY STREET, riiUGl=:rnP<'97~'08ty Notification
EUGENE PLUMBING v6n I IS 1./jOUb1;t?4a~4). 01/01/00
325 DELLWOOD EUGENE OR 974054909
Mechanical: ROLFS HEATING 0102455
PO BOX 66 DEXTER OR 974310000
Electrical: BINNS ELECTRIC 0073762
210 WALLIS STR UNIT #C EUGENE OR 97
97408
Phone
General:
501-1150
Plumbing:
484-7440
10/04/99
686-4927
06/06/99
687-1362
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE, VN
WATER HEATER, E
SQ FOOTAGE: 1915
OFFICE USE --
LAND USE: 1111
ZONING CODE, LDR
# OF BDRMS: 3
RANGE, E
# OF BLDGS, 1
OCCY GROUP, R3
HEAT SOURCE, FE
INSUL PATH, SGC
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 ---
FOOTING - After trenches are excavated,
FOUNDATION - After forms are erected but prior to concrete placement,
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
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
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 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.
Job Number: 990210
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, W
Topography: 2
Solar Approved: Y
Lot Sq, Ft,: 6060
Total Height: 17,5
Lot Type: CORNER
Setbacks
S W E
5 15 12
Page 2
Lot Coverage: 31,6 %
Setbk From NPL: 18
N
House
Garage 18
Item
Main
Garage
PORCH
Total Value
BUILDING PERMIT ---
Square Feet x
1323
484
108
$/Square Feet
69.64
18,34
15
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
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
92,134,00
8,877,00
1,620.00
102,631. 00
439,75
35.18
474.93
Fee
160.00
160,00
12,80
172.80
6.00
4.50
9,00
3,00
22,50
10,00
1. 81
34.31
0.00
23,05
14.50
1,000.00
2,375,10
124.20
3,536.85
4,218.89
Job Number: 990210
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: DON
Building Site Reviewed
285,84
Date Paid: 02/12/99
Receipt Number: 32860
MOORE Date: 03/18/99
By, LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
ADDRESS CHANGED TO HAZELNUT FROM PINYON/LH 2/19/99
PATH 1 (SGC)
DRIVEWAY REQUIRED TO BE PAVED
3 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 remain on the site at all times during construction.
//7~';:
Sign'ature
----
...-'
7/f-/?c;
Date (
--- VALIDATION
Date Paid:
()53311-
Lf/f/71
, I
'i 2-/ 6' fC;
J t-J'J
Receipt Number:
Amount Received:
Received By:
.
f\1i . '
IfItW ~,... 'WlOlamalane
'"t,,,,,!, Park & Recreation District,
iI'. SYSTEM DEVELOPMENT CHARGE
"1.\ WORKSHEET
NAME: \~ Vcwinlh-LS PHONE:
ADDRESS: (j, STATE:
.
Job. No. (\C\~~JD
5~\ .\\~D
, -
ZIP:
LOCATION OF PROPOSED BUI'ftNG SITE~, ",'
5,,,,,, AddIT '" Q l 0 'Q \ m ~ L(\\ It 4-
Pial Namk ,)~()lliV ) \fa f r /fax Lol Number: \ <zmOlol I.~
1. DEVEL!PMEN~ ;yp!" (Check appropriate d~elling{S). SDC calculations and dwelling t
ype ~ilions are on the back.1 ' ,
A. SlIlrlp.-Fl'lmilv Dp.tl'lr:hp.Q
\ Single Family home
NO. OF UNITS
l
Manufactured home not in a park d)
X $1,000 per unit = $ l Dr{). .
B. Sinnlp"-Fl'lmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
,D. Ml'lntJfactured Home Padi
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \.\J('{).oo
Ci
$ \.DOD rjJ
$
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE-fIET SDC ASSESSED
(If SDC reduced for Creditl
~mkse )
City of Springfield
4- ,
Date
'S,
q9
,
q'6 <-
"9 Ol)l
~'OTICE: "'~or;<,;
~ ,,.. r'lr:RMIT SHALL EXPIRE IFTH~~6@~
,nl7l:n liMnsi=' THIS PERMIT IS N(1tp'6
225 FIFTH STREET
SPRINGFIELD, OREGON ~9ihWNED FOR
INSPECTIONM~9L~ST-i 726-3769
OFFi'CE ~Il" 72'6-37S9't
'" "
1)0/ OS'~
"8 "6'J;1: I
9,,/;; ;lire.
~6..f1<
:0 "q
60, "',,, .
"~c "6
1",,:01/0 ,
~WRICAL PERMIT c\~~r\D
l.Qlg~o~_ ,
I~~ES~I ('4~(y)
- ~ ' ~ -- .
) JO~D~S~PTl.Ptiv, I'n Ibl.. 1000 sq.ft. or less I
',~ (0,1)[ IOUl {L. ~ Each additional 500
, ' sq. ft or portion fl
Pe c ts are non-J;;f~!!.l'j,Elfj~'R~eei!-ndlrexp:irrereS you,t~, thereof rl
if work is no t ':'lMl5~~'T!l'f!'!;i.;li!ti:~l1e",8Q tilays"egon UtlhtE\l,ch Manu f' d Home or
of issuance or ~JtiflH&I(}bni.381~,~-?p~ndedrlforare set for-Modular Dwelling
180 days. . OAR 952-001-0010 through OAR 952-00 Service or Feeder
In VC':l' m"V obtain copies of the rules by
2. CONTRACTOR ~~LATI~~nflm.J.lote: the telelB\OnfServices or Feeders
Call~y" ~r' 1.u~i,\ityNotificatioInstallation, Alterations
Electrical Contni'e1flCR 0'1'\'\ ~XW'~h@. or Relocation:
Address;J/() nnllis~((-'
CitY~U3pl\P PhonehR~-I~ad '
Supervisor License Number.~LfI ~
Expiration Date /() - 1- :;JfYJL
Constr Conu', Number~?->~(nQ C.
Expiration Date (n-' Co - q q
, A.
Signa~r;"of SUy,?rvisjngye, ctrician
~_/~,_."'~
Owners Name\0vroaD l..(J\O lrJ'\~
Address ~ '
Phone to 0 [ . n Sf)
City
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE~---"-'71~;r~-----------------------
RECEtPT II: f/ 1/5 J ~ 1--/
RECEIVED BY: ~ JI !AI,vf
"'
TE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
It ems
Cost Sum
$ 85.00 .RS
$ 15.00 30
,$ 40.00
$ 50,00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'aT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not 'included)
$ 40.00
$ 40.00
$ 20.00
$ 3(t5
\\~,
'.~
-' tJ 4' . d,:f
ATIACHMENT A
CITY OF SPRI.IELD SYSTEMS DEVELOP.T CHARGE q 0.,02/0
" WORKSHEET
NAME OR COMPANY: Tuf'Y1o..Qo Itts.
LOCATroN: 1~ 3 WfYlJ
DEVELOPMENT TYPE: ~[)
BUILDING SIZE:
LOT SIZE
SO, Ft,
1. STORM DRAINAGE /8 (:;zz,) +
IMPERV IOUS SQ, FT. ~5 'Z-1
2( u,'t r44) -r , g I 5
X $0.227 PER SQ. FT, $ S73.C:?3
2, SANfTARY SEWER-CITY
NO. OF PFU'S Iq
(See Reverse Side)
/(.,8<(,37
X $47,14 PER PFU
$ g'7~(,,&
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X I. '>1
X 5475.32
$ 4e'J,O"':f-
X
X $475,32
, $
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 2.11,4+PER FEU
$ 2.1L.1:t
B, IMPROVEMENT COST:
NO. OF FEU'S
X 2'5, 20 PER FEU
$ '25.2n
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ - '>
$ 10,00
TOTAL -MWMC SDC $ '3\ 2.,(., 4-
SUBTOTAL (ADO ITEMS 1.2.3 & 4) $ 22/;;2, eo
5, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 L.P 3, If)
rl1SL
SDC Coordinator
ATTACH' A. WPD
Date: ~/d--3 /!l!j
~ ,
TOTAL sac $ "2-'?:>1<J. I{)
(NUTE; For remodels, calculate only the NET additional fixturesl
NUMBER OF
'FIXTURE TYPE . NEW FIXTURES.
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 TrailerJ..................
Receptor For Refrigerator/Water Station/Etc........
Recaptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall....:,............ ......................., .......
Shower, Gang".....,..,.....",."....,., ,..".."....,...............
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall,..,. ......,.......,...". ..............,.............,
Wash Basin/Lavatory, Single..................................
Toiler. Public Installation......,... ..........,,'.............,. ,.
Toilet, Private::,... ................,'.... ......"...,....~.......,..
Miscellaneous:
.~ - I IJ\lure units
UNIT
EQUIVALENT
FIXTURE
UNITS
~ . . .
/
"2-
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
?,
~
I
-<L
/
-:::2-.
I
Z-
//1
/,
TOTAL FIXTURE UNITS
R
=
CREDIT CALCULATION TABLE; Basee on assessed value, If improvements occurred after annexation date in :aole.
calculate credits separates.
Year
Annexed
Rate per $1,000
Assessed Value
I
1979 or before
1980
1981
1982
19B3
19B4
1985
1986
1987
1988
$4,27
4,18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
Credit for Parcel or Land Only If Applicable
Year Rate per $1 ,ooe II
Annexed Assessed Value
1989 $1,98
1990 1.55
1991 1.15
1992 0.96
1993 0.83
1994 0.67
1995 0.52
1996 0.38
1997 0.21
..- ..
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after armexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.......................... 0.4
CommericaL........................ 0,9
IndustriaL........................... 05
GovernmentaL..................... 0.5
FIXUNIT.WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT