HomeMy WebLinkAboutPermit Building 1999-06-18!sPRINGFIELO
a
LocaEion of Proposed Work: 1172 DELROSE DR
Assessors uap #: 17032344
Lot : 15 Bl-ock:
NOTICE: pEqrD.ELr
mrs PERMff sHALt ExP rREIP ffHum[ : XHi:"i:P
L r cAr r oN
AITHORIZED UNDER THIS PffiIAftISN{I S ERVI CE S D IVI S I ON
coururerrrcED OR ls ABANDoNED Foft LDrNG SAFETY
zzs *bUr18@AYFfl9&.
Springfield, OR 97477
J
Page 1
ilob Number: 990642
office:
Inspection Line:
726 -37 59
726 -37 59
Tax Lot #:
Subdivision:
09700
ORCHARD VIEW
SPilNGFIEL4
Ordner: KEN SCOTT
Address: 2742
ioDescribe Wor
ST ciLy /
Phone #: 746-8555
SLaLe/Zip: SPLFD OF', 97477
NEWlaw r*qr,,
the
1l{.VN
U
013
# OF BLDGS: 1
# OF BDRMS: 2
RANGE: Gre
4
To requests an inspection, call- the 24 hour recording aL 726-3769.
A11 inspections requested before 7:OO 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.
FOITNDATION - After forms are erected but prior to concrete placement.
UNDERFIJOOR PLITMBING - Prior to insulati-on or decki-ng.
TNDERFLOOR MECHANICAL - Prior to j-nsulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BEAII - Prior Lo floor insulation or decking.
INSUT,ATION - Floor; prior to decking wafl/celfing; Prior to cover
WATER LINE - Prior to filling trench.
SAI'IITARY SEWER LINE - Prior to filli-ng trench.
STORM SEWER LINE - Prior to fllIing trench.
ITNDERFLOOR DRLIN - Prior to cover or placement of concrete.
ROUGH PLIIMBING - Prior to cover.
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Pri-or to cover.
ELECTRICAT SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking waIl/ceiling; Prior to cover
DRYWALL - Prior to taPing.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is comp]ete, forms and sub-base materj-a1
in p1ace.
FINAL PLITMBING - When aI1 plumbing work is compleEe.
FINAL MECHA.I{ICAL - When aI1 mechanical work is complete '
FINAL ELECTRICAL - When all electricaf work is complete '
cAS SERVICE - After fine is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building i-s comPlete.
Lot Faces: S
Topography: 3
Lot Sq. Ft.: L22L2
Total Height: 26
Lot Coverage: 28.5 Z
Lot T).pe: INTERIOR
'AAt
QUAD AREA:
OCCY GROUP
HEAT SOIIRCE:
INSUL PATH: P1
SPRTNGFIELD
rlob Number: 990642
a SPruNGFIELI',
Page 2
N E
L4
1-4
Setbacks
SW
10House
Garage 24
ftem
Main
Garage
BONUS ROOM
Totaf Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDTNG PERMIT ---
Square Feet x
251,5
970
528
$/Square Feet.
69 .64
18.34
55.7a
(A)
Value
175, 145.00
L7,790.00
29 ,4L5 . O0
222,350 .OO
709.75
56.78
7 66 .53
--- PLIIMBING PERMIT ---
Item
Residential- Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
Fee
]-92 .50
L92 .50
15.41
(c)207.9L
--. MECHAI{ICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LTNE & W/H
GAS F. P.
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
4
6
4
L2
?
5
4
.00
.50
.00
.00
.00
.50
35.00
10.00
2 .80
(D)47.80
Surcharge/edmin
Sidewalk
Curb Cut.
WTLLAMALANE SDC
C]TY SDC
PEI'iHOifERel^eT P&til/r
TOTAL MTSCELLA.I{EOUS PERMITS
0.00
60.00
50.00
1,000.00
3 ,484 .99
a*F?#.4P
(E)
(Excluding Elect,rical )
unless otherwise noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)#1H+
5,t7 S{
4
.-- MISCEI,LANEOUS PERMITS ---
SPRINGFIELD
Job Number: 990542
a
Page 3
--- BUILDING VALUE, PIJAN CHECK A.I{D BUILDING PERMIT
This permit is granted on the express conditj-on that the sai-d construction
shal-I, in all respects, conform to the Ordj-nance 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 Feel. 445.25 Date Paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Bui-1ding Site Reviewed By: BOB BARNHART
os/1-3/ee
06/1,6/ee
Receipt Number: 033990
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
ELEVATION CERTIFICAT REQUIRED BEFORE OCCUPANCY;
ENGINEER APPROVAL OF EXCAVATED AREA IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I statse and agree, that I have carefully examined
t.he completed applicati-on and do hereby certify that all information hereon
i-s true and correct, and I furLher 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 i-n compliance with oRS 701.055 will be
used on this project.
I further agree to ensure that all required inspectj-ons are reguesEed at the
proper time, that each address is readable from the street, that the permit
card is tocated at the front of the property, and the approved set of plans
will- remain on the site at all times during construction.
€-/t47
5a gnature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
6
qr/q
(f fg
l'7.
Park & Recreation DistrictWillamalane
Job. No.qq
PHONE: -1
f\D
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
\
ADDRESs: J-tatl tn.r.^,"S Ah STATE: OO ,,,'Q J.t
NAME
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
1. DEVELOPMENT TYPE
ype definitions are on the
Tax Lot Number:o tzoo
(Check appropriate dwelling(s). SDC calculations and dwetling t
back.)
7
A. Single-Family Detached
)c Single Family home Manufactured home not in a park' c'(J
NO. OF UNITS X $1,000 per unit = $TULD
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
NO. OF UNTTS X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDTT (tt appncaOte! SDC4ayer nust tunfush proof of
Wiltamatane Credit approval. See SOC Credit Workshoot. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduoed for Credit) $
}N 't
DateDeVblopment Services Department
City of Sprihgfield
ctl
OFEGO'VCITY OF
The following prolect as submitted has the lollowing
iJning, ano-ooei not require specific land use
SPRT{GFIELI,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home' or
Modular 'Dve1ling
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
or lessto 400 amps
tS.Ar
201 amps to 400 amps _0ver 401 to 600 amps _0ver 600 amps or 1000 volt
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
t
apProval
Zoning o{1-l
2. CONTRACTOR INSTALI,ATION ONLT
Erec tricar con trac ftfPTlCE:THIffiIFTHEWORK
Address
^uTHeRtrEp
uNpERrHts PERMr q$p{frBs
COlffiffif$CED OR lS ABANDONED FOhArepisiCi ty
ANY 180 DAY PERIOD.Supervisor License Number
225 FIFTE STREET
sPRrNcFrELD, oREGoN gPfl?t
II{SPECTION REQUEST: }?r6reBffiSisnature
0FFICE: 726-3759
1. LOCATION ON
LEGAL DESCN,IFTION
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Signature of Supervising Electrician
0wners Name
Address
Cl ty WH), Phone 7/b-Ff56
-(OIINER INSTALT,ATTON
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners
DATE:
to., t('4 €t BLEGIPJCAL PBRHIT APPLICATION
ty Job Nunber
3. COHPT,ETE FEE SCBEDTILE BBLOV
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
.-22
Items Cost Sum
/ s Bs.oo A<@.TV
a $ 1s.oo M.Po
$ 40.00
s see uBu aE66
$ 3s.00
$ 2.00
00
00
00
00
50
60
$ 40.00
$ ss.00
$ 80.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
$
s
leqlllrcs
6QSr
Expi ration Date C throLigi*?*rfl
C les by
Constr Contr. Number I cation
on
Expiration Date z oo amp 9e8{9 riEt5e00-33 2 -2344}.fuoo
D. Branch Circuits
Nev, Alteration or Extension Per Panel
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited EnergY/Comm
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALFSCEIVED
ture:
44ng
-4-fn----.+Fa,art,-ffib,@
JOURNI'.OR JOB NO. qYAC4Z.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
l^I0RKSHEET
NAME OR COMPANY ( e xtxte TH L *,o.77
LOCATION tl-z i)u.po <€l-)f2 t 0 e
DEVELOPMENT TYPE:
BUILDING SIZE LOT SIZ Ft
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
2. SANITARY SEWER-CITY
NO. OF PFU'S Z'
(See Reverse Side)
3. TMNSPoRTATToN
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO OF UNITS X TRIP RATE X COST PER TRIP
X r,ot X$475.32
x $475.32
s 460, ot
S 277,4+
$ zs, zrt
< $ - 23.2{ >
$ 10.00
T0TAL-MWMC SDC $ zAq.3q
$+-r+l*<--a+
$ te{
Dts+ (e+ns)z'r z+(*)+ ft(e)
+b73
X $47. 14 PER PFU $ l, tt4 -qc)
$X
N0. 0F FEU'S I X Z?7,14 PER FEU
B. IMPROVEMENT COST:
NO. OF FEU,S I X z5,zo PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MhJMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS i,2,3 & 4)
5. ADMiNISTRATIVE FEES
BASE ABOVE) X .05
SDC Coord'inator
ATTACH'A.I'IPD
(
nAb.o1
t+b :lt
?o8 Z3o
T0TAL SDC S =f<+<+*t
Date: S- Za Vl
FIXTURE UNIT CALCULATION TABLEI Number of New Fixtr'-^s X Unit Equivatent : Fixture Units(NorE: For remodels, calculate only _: NET additional fixtures)
FrxruRE rYPE il:,\x?]Elrffi.. ,o,Y,YIr.,,r, i,,il;:-.
Bathtub..... ....1...........
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher...... .....t.....
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.....:.... ..........1.......
Shower, Gang.........
Sink: Bar, Commercial, Residential Kitchen.... .1.......
Urinal, Stall/Wall...
Wash Basin/Lavatory, singte......... ..1.......i'Lil.'...'
4
7
Toilet, Public lnstallation.
I
Toilet, Private......
Miscellaneous:
.*
e..
.,ry
J........ti.t..... ..un =
z-
TOTAL FIXTURE UNITS
4-
7-
2-:-
z
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
2-
t2-
2<--
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,calculate credits rates
Credit for Parcel or Land Onty lf Applicable
lmprovement (if after annexation date)
I'rr x $tf,r>az,,
(Rate X Assessed Valuelx$ -(Rate X Assessed Value)
. CREDIT TOTAL
Z<.2<
$e ,a<
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1988,
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1 991
1 992
1 993
1 994
1 995
1 996
1 997
1 .15
o.96
o.83
0.67
o.52
o.38
o.21
1 989 98
RUNOFF COEFFICTENTS FOR STORM DRATNAGE
(For Estimating purposes Onlyl
Residential.
Commerical
lndustrial...
Governmental............
o.4
o.9
o5
o.5
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT