HomeMy WebLinkAboutPermit Building 1999-4-22
~
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990404
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 918 HAZELNUT LN
Assessors Map #: 18020614
Lot, 20 Block,
Tax Lot #, 13300
Subdivision, JASPER PARK
Owner: JEB WIRFS
Address, 3323 JASPER ROAD
Phone #, 746-3025
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S,F, RESIDENCE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General: JEB WIRFS 0028099
392
Plumbing: B M C 0103570
648 W OREGON AVE CRESWELL OR 974260
Mechanical: MARS HALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical, BILLS 0021351
3170 W 11TH EUGENE OR 974020000
05/04/94
746-3025
12/15/99
473-2827
12/23/99
747-7445
04/28/99
687-1851
QUAD AREA, 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER, E
OFFICE USE --
LAND USE, 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
SQ FOOTAGE: 1799
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.
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: 990404
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - \;hen 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.: 5400
Total Height: 19
Lot Type: INTERIOR
Setbacks
S W E
10 18
10 21
Page 2
Lot Coverage: 33,3 \
Setbk From NPL: 23
N
House 5
Garage
BUILDING PERMIT
Item
Main
Garage
Total Value
$/Square Feet
69.64
18.34
Square Feet
1320
479
x
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
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
ELECT, PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
Value
91,925,00
8,785.00
100,710.00
435,25
34,82
470.07
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
14.05
14.95
282.91
1,000,00
2,230.94
124.20
3,667.05
4,344,23
,
,
#,
SPRINGFIELD
Job Number, 990404
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; DON MOORE Date: 04/09/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T NOT LISTED IN COUNTY SYSTEM 3/26/99
DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES
PATH 1
SUPERVISED SOIL RECOMPACTION IS REQUIRED ON THIS SITE & ENGINEER'S REPORT.
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
wilt remain on the site at all times during construction.
{II IA lJ
~ ,fJ1t2l2~
slgnature
Date
u _ VALIDATION
Date Paid:
0336 ).)-
tf!n Iff
Ij} lfi. ?: ~
~tJJ
Receipt Number:
Amount Received:
Received By:
~o &~
~~~~
~"'o ~ o~.
~I$'/C$)-?O'-a,
. ,..,..0...,
vo_ 9,'
~ -~oj' 6Io/,
~.l o?: l$)
1P o/~""''''V6' ELECTRICAL PERMIT ) ~LIC1rn-TIO
94~">~ L' JO
~..~:~~.. City Job Number ~I
0~.iSI~IT"o
'n 3. 'C'-G~LETE FEE SCHEDULE BELOII
J; '?O' ~
(I: ~.
Ne~"Risidential-Single or
ulti-Family per dvelling unit.
LEGAL DESCRIPT:uJr ' 'vice Included:
~()~()\ 0 \4. \;"r~a .,' " -. JO law, quo es you to Items Cos t
I I~ ~~ by the reg.,oo Utility \
~qll, DESCRIPTION folio 5 Jh se rulest.V9gel%i'tttt. or less $ 85.00
\-'11 Nr\t\I;\,C"L.blotilj,c 10 0 ho~jll~il1j;!lefH.tional 500
.) - -- inOAtHl:> VI-V .lhrOug s I ItJt I9r portion ~
Pe ts are non_tranSfel)~1l1\!o'3.fflI:l~\!~~COPI~SOIt~,~~iJ 1 ~ $ 15.00
if "ork is not started vj;.!lllii1gll!le(lJ:etJiWstNole..t~e~~'ilb iHluf'd Home, or
of issuance or if "ork ~rIi'i!l$l!fenll'lll!ote~n Ullhly34R \au. ar' Dvelling
180 days. Centerls 1-800-332-2 S !rVlCe or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~~_
"
2. CONTRACTOR INSTALLATION ONLY
Electrical contra'c~./I((~ ~
U) f/ 1:Y
Phone -=3 1I!'%f/2--f:,
Number 9965
)6-/<-1
Cons t r Con t r. Number ?-I ':J )' /
'1---::rr-06
Address ';?, / '70
'..
Ci ty 9__/ 0.:,
Supervisor ~cense
Expiration Date
Expiration Da,te
~a~~~an
Ovner~ Na~~~'\-
Address3~'L~~t\~ ~~a
Cit~\~ PhO~~'~
'~NSTALLATION
The installation is being made on
property I o"n vhich is not intended
for sale, lease,or rent.
Ovners Signature:
-------~--h--------------------------
DATE: 7 'l'i'f') ,
RECEIPT ~:' () J(1fJ. 'l- '2 ,
RECEIVED BY: t<-t' (.I o--A .
B.
Services or Feeders
Installation, Alterations
or Relocation:
Sum
;35
ELl
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
$ 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. SUBTOTAL OF ABOVE .JJ 5,O()
5% State Surcharge <:;,7S
3% Administrative Fee .~ :1--'
TOTAL -/.,24 . ';>"U
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'
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
. " ' JOURNAL OR JOB NO, Q'lo1o'f,
, ' ATTACHMENT A I'
CITY OF SPRINGFIELD SYSTEMS DEVELOP NT CHARGE
WORKSHEET
NAME OR COMPANY: ::l~~ c...0/ 12. F So
LOCATION: '11 e ' H1lZ.r.::~uT
'DEVELOPMENT TYPE: S1= [)
BUILDING SIZE:
15~(p
LOT SIZE
)
SQ. Ft.
IMPERVIOUS SQ. FT.
nqq + ~(4-5')t ~(4-I) + ?{ ('4.,') :=
4 7 3. ~ X $0, 227 PER SQ. FT. $,. -;;'J1-:-==tG'
MId- S4-7,~
1. STORM DRAINAGE
2, SANITARY SEWER-CITY
NO. OF, PFU'S /6
(See Reverse Side)
X $47.14 PER PFU
$ 64'i3.s2-. ole
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01' X $475.32
L480.01..
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 F.EU'S
, X 25,20 PER, ~EU" ,
. '"
$ 25.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
. . MW~_C ADMINISTRATIVE FEE
< $ &1-:0S- > "1'-
$ 10.00
TOTAL-MWMC SDC
$ "2> '7~ .~ '1 :;;J4f{. EFt
~I ~4, 70
$ 7_1 on.S:a,..~
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
I"nS L
SDC Coordinator
ATTACH' A. WPD
Date: :t?,IM /Cf"1
, J l
$~~
~~30."f-
TOTAL SDC $~
JOb. 24-
. _, ..... . '. '.' - - ~ _. - .. . . ,'.. . . '. . ..' - ,. ..n. ,,_.... ..... ~,.. .
FIXTU RE 'U N IT CAi.CUlihY6r..(;- ~BLE: Nu~ber of N~w Fixtur. Unit Equivalent ~ Fi~ture Uri~ls '
(NOTE: For remodels, calculate only .AJET additIOnal fixtures) , . ,.', ' '
, ' -y-=, , . NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
<Saw" ,h )..,..".......,....".".....,....,...................,.......".
Drinking Fountain,.,....,....,......,..........,..,...........,.......
Floor Drain....,....,........ ......,... ..:... ..... ............... ..... .....
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
!Caundrv Tub/Clotheswas~,........... .....,.. ,.... .... ,...
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
,st1ower, Sinqle StalL.).........................................:...
Shower. 'Gang......'.......................,.._. .....................
.srnk' Bar, Commercial, Residential Kitch~.......................
Urinal. Stall/Wall.,..,..,. :.,..::",. ,.....................,..........,..
~sh Basin/Lavatorv. SI"91'0...............................
Toilet. P~stallation...,.. ..... ...... ,.... ... ". ,. ,. ,., .....
ViTlet ". Priv~.. ,............. ...... ...........,..,.. ..............
Miscellaneous:
~ L 2
1
,. ' 2
3
. , . i 6
, .
A' I 2
6
, 6
, 1
.. 3
, I "
2
l/Head
A 2
2
$:- II 1
II 6
1- 4
.. '
1'2.
2.'
'L,.
2-
L.
R
TOTAL FIXTURE UNITS
/~
=
Based on assessed value. If improvements occurred after annexation date in table,
, CREDIT CALCULATION TABLE:
calculate credits separates.
r
I
Year,
Annexed
Rate per $1,000
Assessed Value
$4.27
4,18
4.12
3.99
3.83
:3.6B
3.48
3.18
2.82
2.42
l
1979 or before
1980
1981
1982
1983
1984
1985"';' ;
1986
1987
1988
. -- . ...~
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
. .-.
, Year
Annexed
Rate per $1,000
Assessed Value
'1989
1990
1991
1992
1993
1994
",,; .\995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.3B
0.21
f. 2--7 x' '~" 1'5"'
(Rate X Assessed Value)
X ,$
(Rate X Assessed Value)
CREDIT TOTAL
lP4:o5'
=
=
= $ lD 4-. 0 ~
RUNOFF COEFFICIENTS FOR STOHM 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
, "
.
.
~~~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~ili \~ \ l ~S '
ADDRESS: ,Q,,~~'21 ~M\t\~iJL.~rl
LOCATION OF PROPOSED ~ILDING SITE:
Street Address: Q\~ '~rHrl J ~ '
Plat NameJ()l)~O ~ )Q(\ 1 t ' Tax Lot Number: ,\ ~DQ11o t4 \~ 'J.[fj
1, DEVELO~ENT TYPE, (Check appropriate dwelling(s), SOC calculations and dwelling t
ype definitions are on the back.)
PHONE: 'lL\ ~O. 3Da ~
STATE: ffAlp:Qf\4f16-
A. SiIwIA-Fl'lmilv DAtl'lchAd
\ Single Family home
NO, OF UNITS \.
Manufactured home not in a park
X $1,000 per unit = $ ~ tID ,0)
B. SiIwIA'-Fl'lmilv Attached
NO. OF UNITS
X $924 per unit - $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. MaIwfaclurlild Home Pa~
NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2, SDC CREDIT (If applicablel SOc-payer must furnish proof of
, Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
\1~m\~~? Jpa"mem
City of Springfield
1(,
Date
$
~'"l, 1~