HomeMy WebLinkAboutPermit Building 1999-4-22
"SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990406
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 948 HAZELNUT LN
Assessors Map #: 18020614
Lot: 16 Block:
Tax Lot #: 13300
Subdivision: JASPER PARK
Owner: COZY HOMES-TOM WIRFS
Address: PO BOX 237
Phone #, 747-8704
City/State/zip: SPRINGFIELD, OREGON 97477
quires you to
Describe Work, S. F, RESIDENCEEN110N:Olagon law ra Ut'l'nEW
All -"'bvtheOregon IIY
iulluv\ ;~,I-:,: onn!"'tMU aT'=' ~'C::ll. t~;1r.
Notification Center. ThO:=&fil952i201:
Con trac tor in OAR 952-001-0~=oPies of the rule~BVes
OO~~il~ii~e~tetl ~~0~~~~ ~~~i~~~g~~2 8 /99
SPRrN~6 t~~~m~~VUl
nu Center is 1GIM)(}-sm5'-2344l, 12/15/99
AVE CRESWELL OR 974260
0025790
ST SPRINGFIELD OR 9747
0021351
EUGENE OR 974020000
Phone
General,
PI mooing:
TOM WIRFS
1275 S 2ND
B M C
648 W OREGON
MARSHALLS
4110 OLYMPIC
BILLS
3170 W 11TH
747-8704
473-2827
Mechanical:
12/23/99
747-7445
Electrical:
04/28/99
687-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE, VN
WATER HEATER, E
OFFICE USE u
LAND USE: 1111
ZONING CODE, LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
SQ FOOTAGE: 1804
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 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.
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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
.
..
Job Number: 990406
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: E
Topography: 2
Solar Approved, Y
Lot Sq, Ft., 6782
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
20 20
Page 2
Lot Coverage, 26 %
Setbk From NPL, 6
N
House 6
Garage
20
BUILDING PERMIT
Item
Main
Garage
Total Value
$/Square Feet
69,64
18,34
Square Feet
1286
518
x
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT u_
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
ELECT, PERMIT
WILLAMALANE
PLAN CHECK FEE
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
89,557,00
9,500,00
99,057,00
433.00
34.64
467,64
Fee
160,00
160,00
12,80
172.80
6.00
4.50
6,00
3.00
19.50
10,00
1. 57
31. 07
0,00
32,95
14,80
2,134,17
124,20
1,000.00
281. 45
3,587.57
4,259,08
.
~
..
. SPRINGFIELD
Job Number: 990406
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.
Received By:
Plans Reviewed By, AL WARD Date, 04/13/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/26/99
DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES
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 cer~ify 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~Site at all times during construction,
Signature
!;~fr
"o"::,~:::' ~li??~=}
Amount Received: n ~~c:s~ .00
Received By: \0\l(6~
, . . JOURNAL OR JOB NO.
, AlTACHMENT A .'
CITY OF SPRINGFIELD SYSTEMS DEVELO~NT CHARGE
WORKSHEET
NAME OR COMPANY: COz..y HOt-AE.,?
LOCATION: '14tt3 I-tAz..G.u..\U'I
'DEVELOPMENT TYPE: S1= n
BUILDING SIZE: 1'004
LOT SIZE
J
SQ, Ft.
1. STORM DRAINAGE
IMPERVIOUSSQ, FT. 20D&:;
"
X $0.227 PER SQ, FT. $ 45's' 3l..P
2, SANITARY SEWER-CITY
NO. OF PFU' siB
(See Reverse Side)
X $47,14 PER PFU
$ 64-B,5'2-
~
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01' X $475.32
L4eL:>.07-
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF, FEU'S
X 211.++ PER FEU
,
$ 2..1.#
B, IMPROVEMENT COST: .
i
NO. OF. FEU'S
, X 2.6, ~o PER F~U." '.
$ 25. ~o
< $ 1~4-,oS' >
$ 10,00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
. '. I
TOTAL-MWMC SDC
$~;~.~.~.sJ
~ c9.05~.sq.
$ ~.O'~ 101,b3
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
(VlSL
SDC Coordinator
ATTACH'A.WPD
Date:a( 30/<A
,
TOTAL SDC
$ .?13\-. / 7
FIXTURE UNIT cAL.dJLATION: TABLE: N~mbe! of N~w Fixtur.' 'Unit Equivalent = Fixture Un~ts
(NOTE: For remodels, calculate only t.A=T additional fixtures) ',', ". , " .
.-=-, NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
~athtub'.)...,.. ,...,..... ,.... .,. ... ..... ,........... "..... ,.. ...... ... ,..
unnKlng Fountain.....................................................
Floor Drain......... ,.,...... ,.... ,.,.. ,.:... ,.... .... ,.. ........, .........
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc...........,......
LaundWTub/tjo'iheswa~........... ,..,... ...., .........
.~lOtneswasner - J Ur More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratoriWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc.. ,
~wer. ,~'ngle ::;t~......................,................,......
Snower, (jang...,..,.............:,., .::....... ',: .:.:..................'
,..si1'i1(:Bar. Commerc'al. Resiaent,al "'tcnen.;:!.................,...
Urinal, Sta .........,...",....,.....,........................
eh Rod'1ll.avatorV. Singre::-:),......................,.....
Toi stallation. .~. ,.. ,....... ..... ,........ ,. ,. ,. .....
nilet . Priva~. ..................................................
Miscellaneous,
I
, "
fo._'
I
", J ,
,
I
2-
""2
TOTAL FIXTURE UNITS
2
1
2
3
i\; , 6 ...,
2
6
6
1
"3
2
l/Head
2
2
1
6
4
2..,
'Z..
~
-z..
"2-
f3
=
,po,
, CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year",
Annexed
Rate per $1,000
Assessed Value
IL
1979 or before
1980
1981
1982
1983
1984
1985".;' .
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
'3.68
3.48
3.18
2.82
2.42
..' .....
Credit for Parcel or land Only If Applicable
Improvement (if after annexation date)
~
, Year
Annexed
, 1989
1990
1991
1992
1993
1994
';'.;.1,995
1996
1997
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
,
(For Estimating Purposes Only)
4.t..7 X "$:' /S
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL
ResidentiaL.......................... 0.4
Commerical......................... 0.9
Industrial:........................... 05
Governmental...................... 0.5
Rate per $1,000
Assessed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0,52
0.38
0.21
=
(p4-.0-:;'-
=
= $lA',O ,("'
FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT
The following projecles submitted has lhe following
zoning, and does nol require specific land use
approval, Lf"\ (2-
225 FIITH STREET Zomng
SPRINGFIELD. OREGON 98\4 T' U -a, ~ 7"\
INSPECTION REQUEST: Adtft8rrzadf!;l!lnaIUrf ~
OFFICE: 726-3759
~ JQll DE~quPTION 1i"lP"v\ 1000 sq, ft. or less
~ \-l 0 ~~ (') C\('\n.... \T"1-..l\ Each add i t i onal 500
'. - sq. ft 'or portion
Per 'ts are non-transferable 'and expire thereof
if york is not started vithin 180 day~~ Each Manuf'd Home or
of issuance or if york is suspen~~'~8r~tVh Modu~ar'Dvelling
180 days. I~ 0~~6 ~I'VI. 10iV SerVIce or Feeder
00 0,,/.(( <1~o \9.s~ ''Q.
2. CONTRACTOR INSTALLATION ONLy:9l? Yo B.s~ "q~9'O,of6\:)xices or Feeders
~ ( //(1} ~/h '00" "/\91' ~f~l;lation, Alterations
Electrical Contractor G' /(f:S"" 'Y"OO,,' ~'R:%6~.ion:
-" Cl oo/. O/~ is'\9 a 11'(2
h) / I' ~Ce~I'I~",\9I'JI&/'~c6~.J~;~~iS'{~~ $ 50.00
'- t- '''1'/ ol'12'(tVo~@.s'affiii?I'(t~~ Oamps $ 60,00
Phone ,1 Y'I KC/"i.Zl'CJgol'Ju'4Q);ta1rt.~~~/GJ5(}- amps $100.00
nO (1 ~z~~ ~~~'600 amps $130.00
Number '7 Lj 0 oJ ~"Q ~b, ",~m'6's/vol ts $300.00
~ n~~)vQV~y $ 40.00
J D - /'- I ' ""~/OI'J
C. Temporary Services or Feeders
Constr Contr. Number :J-/ =3 ~ I Installation, Alteration or Relocation
Expiration Date C/-- 5. X'-tJO
1. C\~OeID INST~~~~N~
~6~~ -
"
Address 3./ ,/ D
City ~e,'
supervisorl'License
Expiration Date
s~e ~t&~is~ician
Ovner~ -Name~\C'-l\'L~ ~ ~~ D.
Addr~~:~:\( . ...D-.~ \)\j ,
Ci ~.~ ('l . 01C\).phon0.-\'"""P51N\
~ INST LATION
The installation is being made on
property.I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DA~E~---------~-~~-c:tC5t-------
RECEIPT lI:, . 7 L\ I
RECEIVED BY: -/I' \ ~ '
v
ELECTRICAL PERMIT M~!CATION
City Job Number ~\)\t)(n
3. COMPLETE FEE SCHEDULE BELOII
,A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
It ems
Cost Sum
85.00 8:5
15.00 ~b
40.00 .,
I
6)
$
$
$
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
8ranch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00'
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. I/(~'"
SUBTOTAL OF ABOVE v
5% State Surcharge -S' 7:5
3% Administrative Fee J.II S
TOTAL! /..-'1, 2.tJ
.
.
~[)l ()
SYSTEM DEVELOpraENT CHARGE
WORKSHEET
NAME, ~~~nD,,-~\~~~PHONE:~\81rA _
ADDRESS~_~ I~I ~~~STATE~IP~-n
LOCATION OF PROPOSED BUILDING SITE:
Street Address: o...~ \ ~ A')f\ (\ \.l.~ 80M.-
Plat Name~o f ,~ X ./ - Tax'to; Number: . \ <d)Q.D O~ \ 3?-{'{)
1. DEVELO~~~i TYPE (Check appropriate d~elling(S), SDC calculations and dwelfing t
ype definitions are on the back.)
A ililli'1p;-FRmilv Det;Jr.heQ
l Single Family home
NO, OF UNITS
\
Manufactured home not in a park
X $1,000 per unit = $ \O([).CO
B. SinQlei.F;Jmilv AIt;Jr.heQ
NO, OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
,D. fVIanufaQlured Home Part
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \ cx::o . CO
2, SDC CREDIT (If applicable) SDG-payer must furrtsh proof of r;(
Willamalane Credit approval. See SOC Credit Worksheet. $ \.U
/
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Creditl
~~~Umern
City of Springfield '
$ \rY1J (XJ
4 /22- lopJ
Date