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Home My WebLink AboutPermit Building 1999-4-22 i Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990358 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 926 HAZELNUT LN Assessors Map #: 18020614 ATTENTION'iII3,'adt,o~ #: 13300 Lot: 19 Block: N fO!'?W rUle~&"a-ti1lW!e!lllli;ell~oflWK , O!,fICation CAn'w.-:F' y the Oreaon I 'tilitr , '" URH !f&b~1 wl1Nt:;!fSl.li3S are set forth City/s~q%q~~r:n8}P8l}Pclm~'f:Qh ~.!{iW7 ca'ling the center. (N~~~~~s of the rules by nUmber for the Oreg "NE'!I'.he telephone CentAri~. n<,~nUtl/'ty Notifi"""n_ . -'-'v""''';':-2344) --. Canst. . Contractor # Expires Owner: TOM WIRFS Address, PO BOX 237 Describe Work, S.F, RESIDENCE Contractor Phone General, TOM WIRFS 0032947 1275 S 2ND SPRINGFIELD OR 974770000 Plumbing: B M C 0103570 648 W OREGON AVE CRESWELL OR 974260 Mechanical: MARSHALLS 0025790 4110 OLYMPIC ST SPRINGFIELD OR 9747 Electrical: BILLS ELECTRIC 0021351 3170 W 11TH EUGENE OR 974020000 06/28/99 747-8704 04/15/99 473-2827 12/23/99 747-7445 04/28/99 687-1851 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER, E SQ FOOTAGE, 1735 OFFICE USE -- LAND USE, 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: PI 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. UNDERFLOQR MECHANICAL - Prior to insulation or decking. UNDERFLOOR DRAIN - Prior to cover or placement of concrete. UNDERFLOOR PLUMBING - 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. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. ;;, SPRINGFIELD Job Number: 990358 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.: 5670 Total Height: 16 Lot Type: INTERIOR Setbacks S W E 6 15 o 18 Page 2 Lot Coverage: 30 % Setbk From NPL: 6 N House 18 Garage Item Main Garage Total Value BUILDING PERMIT Square Feet x 1263 472 $/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 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 TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) Value 87,955.00 8,656,00 96,611.00 424.00 33,92 457.92 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 14.65 14,80 2,238.81 124.20 1,000,00 80.00 3,472.46 4,134.25 "- SPRINOFIELD ~- Job Number: 990358 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, 04/08/99 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- A & T NOT LISTED IN COUNTY SYSTEM 3/19/99 DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES SAME AS 4075 S,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 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~ at all times during construction, Signature J' ~~& lIe~ I Date Paid: - u VALIDATION 33{JP 4.72.QQ l.J~\ 34..25 fJi.f\tA~ Receipt Number: Amount Received: Received By: ~o <9,'.; ~ '?~ 0090 ~I'o~~~", ~.;>/ "O'~.o . 0; ~o. 019 761c. "'", ,.;> 01 is'~ "" <-6 \>~,>>,/;.. ELECTRICAL PERMITm,LICATION , /)"/"6 orQ ~Q 'if-. -?o"::..;>..,,, City Job Number 03J') ...~ ''''CSl ~ >01.1 CJ~I~E FEE SCHEDULE BELOY " rg w Residential-Single or Mu i-Family per dwelling unit. rvice Included: 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 o ';>t" ~ <-~ o~, '\>" 97477 O'u>' 726-376f".;>~ "" F IN Ttjl/~ _I VGAL Dr.SCRIPTIPft,. O' 0 1!;J() (l14 ItA'i <I J,Q]}. D~CRIPTJQN", JI ( '), \= _ t' 0 [W1JU fA .fL/ 1. \f'\ '?15 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractor~/~ ~ Address ~ 17 () }~) / I~ ' .' . Ci ty '2.........0, Phone 3 (/1 Rt/ 24 Supervisor 6cense Number q f 0 S Expiration Date 10-/- / ~~~~;~-:~-V~-~TI~~-a~~=)-=- RECEIVED BY: ,~\'\ ' 1000 sq,ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 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 Items Cost Sum $ 85.00 .B5 $ 15.00 SO $ 40.00 1 ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Constr Contr. Number 2/ j S I Expiration Date f/-;;r'1.... 0 C Signature of ~pervising El trician ~~I ~ .~' .-/ Owner~ Npe (fjfy) YJ~ In rJA-._ -t1' New, Alteration or Extension Per Panel Addre~ LJL~) , 5'10\1\0 f\f I (\ /- /1Jct '--zA,7YI..AA One Ci rq~teQ\l\te ~ \.Itlli\'} $ 35.00 Ci ty~ ..l.W.!(" .!. Phone..cr.t.U-i( J't" ~\I~Elie~fd-yt'tren'Mr?~e set i(jitI1- - "'liE: sl;.d\v@:h gg {w,iltfi' Se~.i~' OlIN OR INST 'u.L.ATION \OI~~'l>J {~I~ (,OJ1'tBe 8~oE~lii'it; {\lIeS '0'1 $ 2.00 ~ot\\lCa.\\O _001.001, ollieS 0\ t nolle The installation is being made on il\O",a.95?thM~~1m'ii~g~t\(lSi!'t~t6S't<lf.eeder not included) property I own which is not intended 0090,'{O\l-fJltcen\lim~~Mff.ll~il\1>\\ for sale, lease or rent. ca.\lillgtl~I~1fu~{agqr\~l-!llM)' $ 40.00 llU~be~Pk~tAy~mrCe~Lighting $ 40.00 O\lIlers Signa ture: m'l: ed Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 l\~~ ~.'1 ~, "5 lAG\.. U- 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL volts $ 40.00 $ 55.00 $ 80.00 see liB" above .' . .' ,JOURNAL OR JOB NO, ~!:A b "&SRI ". , ' , ATTACHMENT A A CITY OF SPRINGFIELD SYSTEMS DEVELO~NT CHARGE WORKSHEET NAME OR COMPANY: \. !.~FS. ,LOCATION: "12(, I4Q '2t"'1 Y'l1l+ 'DEVELOPMENT TYPE: SF 0 BUILDING SIZE: 1'"136 , LOT SIZE 5"'-'0 SO, F t. I. STORM DRAINAGE I,O?-/- IMPERVIOUS SO, FT. 1<((Z;'....)l" IJ~ (jO) +Z.~1) '2...+VS X $0.227 PER SO, FT. $ -'SS'5.0 2. 2, 5ANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) leg X $47,14 PER PFU $ ~~52.. 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X \.01' X $475.32 ~.OL X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 217.++ PER FEU $ 2~1 .# B. IMPROVEMENT COST: . / NO. OF FEU'S , X 2.5.20 PER FEU $ 25.20 < $ bl-.as > $ 10,00 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL-MWMC SDC $ ;{48p~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $"2. 1'3'2...'2.0 $ IOc."u,1 M"7fi-. SDC Coordinator ATTACH'A.WPD Date: ?; /rz. '5 FA , TOTAL SDC $1-"2. '3'b I~ ( .' .~ .' '\ -:-,~-'."n. .....~. '. ~..-.....,,_..,... -i~""'~-"';" _....,......f...."'....,........:\... '.......:._...~.1">~_t.,~....,....:'''''l':'.:'~.'. FIXTURE UNIT CALCULATION 'TABLE: N~,,:,be-,:~f flew Fixture_nit EqUi~a;~nt = Fix;~re Un!~s :, .. (NOTE: For remodels, calculate only ther additional fixtures) I. J .J, .. , " " . 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 Wash/Etc.................. 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/Wall,........................,..,......,........,.......... Wash Basin/Lavatory, Single.................................. Toilet. Public Inslallation...........,............................ Toilet, Private.".................................................... Miscellaneous: J 2 1 2 3 6 i 6 6 1 3 2 1/Head 2 2 1 6 4 /., "'h , " . 'Z- , '7...1 '2- 1/ JI ~ TOTAL FIXTURE UNITS , I~ = , 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 L 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 Rate per $1,000 Assessed Value '1989 1990 1991 1992 1993 1994 -,,,,.1,9a5 1996 1997 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 4-:2.'"1 X"$".:IS (Rate X Assessed Value) X ,$ (Rate X Assessed Value) CREDIT TOTAL l./t. OS = = = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Industrial:........................... 05 Governmenta!...................... 0.5 FIXUNIT,WPD IMPERVIO:JS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . . Job. No. C\q~ SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:l4l 8104- STATE: e:!L ZIP: Q71-77 NAME:tDrf\ LL)[ J\ f " ADDRESS; ~ ~ \?J(X A~r') I ~ ~ LOCATION OF PROPOSED BUILDING SITE: .0" Street Address: QR\ 0 ~ l_~ ~ (. ~ ' f1J-/ Plat Name\. ffi ~ f.J P1 J\..b:: Tax Lot Number: I R OQ. DloI4J.~?f-o 1. DEVEL9~\NT TYPE (Check appropriate dwelling(s), SOC calculations and dwelling t ype definitions are on the back.) , , A. Sinolp.-F::Jmilv Dp.t::J~ -1- Single Family home' " NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ {(JO{). CD B. Sinale"-F::Jmilv Att::Jchp.d NO, OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. JIA::JmJf::JctlJrerl Home P:ul{ 2. SDC CREDIT (It applicablel SOG-payer must furnish proof of W1Uamalane Credit approval. See sac Credit Worksheet. $ $ /000 ,CO Jf $ (()Cf),CO NO. OF UNITS X $699 per unit = WILLAMALANE SDC $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SOC reduced for Creditl t~~me~%~1g,Q,", City of Springfield 4',L.2,cff Date