HomeMy WebLinkAboutPermit Building 1999-08-13SPFINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990891
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 3795 tONG RIDGE DR
Assessors Map #: 18020513
Lot: 6 Block:
Of f i-ce
Inspection Line
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
09900
KEARNEY ACRES
SPilNGFIELI',
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Describe Work: S.F. RESIDENCE
Phone #: 744-6956
city/state/zip: SPRTNGFTELD, OREGON 97478
NEW
ContracUor
Const.
ContracEor #Expires
07 /2e / ee
07/02/oo
oe /27 / ee
06/L0/oo
Phone
7 44 - 6965
7 4L-L7 66
693-9353
367 -8260
General:
Plumbing:
Mechanical
ElecLrical
HAYDEN HOMES OO922O8
2622 SW GLACTER PL #110 REDMOND OR
HARBEINTNER 130282
5510 E STREET, SPRINGFIELD, OREGON
EFF'ICIENT HEATI 0l.1.7687
ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: SGC
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER: E
SQ FOOTAGE: 241,6
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To request an inspection, call the 24 hour recordi-ng at 726'3769.
A11 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.
--- REQUTRED TNSPECTTONS ---
SITE - To be made after excavation buL prior to setting forms.
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erected but prior to concrete placement.
TNDERFLOOR PLUUBfNG - Prior to insulation or decking.
ITIIDERFLOOR MECHATiIICAL - Prior to insulation or decking.
POST AND BEAU - Prior to floor insulation or decking.
INSULATIoN - Floor; prior to decking Wa11/CeilinS;11|61p;..to cover
WATER LINE - Prior to filling trench. -'-rrtvE.'
ffi fl,ffi :ll
"
:'
i':iil i::*: lll ] : l' :: : :, " M,ffiiiir1ffi*ffiw,'
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decklng waI1/ceiling; Prior to cover
DRYWALL - Prior to taPj-ng.
CURBCUT - After forms are erected but prior to placemen! of 'condrete. .'li, :c'-ii;rlt;r .f:.)i.r j ,
SIDE6AT,K - After excavation is complete, forms and suh-bise material .i,,j?!
in place
009C
ca
l1-
by
SPRINGFIELD
,.fob Number : 9908 91
SPruNGFIEIT',a
Page 2
FINAL PLITMBING - When all plumbing work is complete.
FfNAL 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
Setbk From NPL: 30
House
Garage
Lot Sq. Ft.: 5729
Solar Approved: Y
Total Height: 24
Lot Tlpe: CORNER
N
10
54
E
23
1B
Setbackssw
25 23
5 35
Item
Main
Garage
Total- Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
2016
400
$/Square Feet
59 .64
18.34
(A)
Val-ue
L40,3 94.00
7, 335.00
L47 ,730.0O
541.00
43.28
s84.28
--- PLIIMBING PERMIT ---
Item
ResidenLial Bath (s)
Plumbing Permit
surcharge/admin
TOTAI, CHARGE
3
Fee
]-92 .50
t92 .50
15.41
207.9L(c)
--- MECIIANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
HEAT PUMP
Mechanlcal Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
5.00
4.50
9.00
3.00
5.00
(D)
28.50
10.00
2.29
40.79
--- MISCELLANEOUS PERMITS ---
surcharge/admin
Sidewalk
Curb Cut
WILLAIVIALANE SDC
CTTY SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAL MISCEI,I,ANEOUS PERMITS
0.00
50.00
60.00
1, 000 . 00
2 ,438 .89
L40.40
80.00
3,779.29(E)
4,6L2 .27(Excluding Electrical)
unless oEherwise noted
--- TOTAL A.MOI'NT DUE ---
(A, B, C, D, and E combined)
SPRINGFIELD
.Tob Number: 990891
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Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT ---
This permit is granted on the express condition that the said constructi-on
shall-, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: 07 /L2/99
--- ADDITIONAI, COIOTEMTS ---
A & T DEFAULT AMOUNT FOR CITY CREDIT PI'RPOSES
DRTVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I slate and agree, that I have carefully examined
the completed applicaLion and do hereby certify that aff information hereon
is true and correct, and I further certify that any and all work performed
shal1 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 permj-ssion 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 l-ocated aL the front of t.he properEy, and the approved set of plans
will remain on the site at all times duri-ng construction.
.aZ.lL I rS )n7I
Signature Date
--- VALIDATION ---
Receipr Number' -3baqt
Dare Paid, -6' \3-q
--Amount Received:
--rReceived By:
3n
JOURNAL OR JOB NO. lqo8qI
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY H avDrr'r ll o - ,s
LOCATION ELE Lo *c'PtD6c Dr
DEVELOPI.,IENT TYPE <F IL
BUILDING SIZE OT SIZE SQ. Ft
NO. OF PFU'S Z3
I Go4
3aa
-
X $47. 14 PER PFU
TOTAL-MhlMC SDC
$/,o61 ,zL
$ 4o,o7
$
$ 277.++
$ 2s ,Zo
<$ 4-
3oo€ Ac-et, =tu1. STORM DRAINAGE
TMPERVi0US SQ. Fr. l?6+ x $0.227 PER SQ. FT. $ 44{.t,3
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRiP RATE X COST PER TRIP
X l,ot X $475.32
x $475.32
SANiTARY SEI^IER-|'4IalMC
A. REIMBURSEMENT COST
N0. 0F FEU'S t X zzz.+aPER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X Z€.ZOPER FEU
MI^IMC CREDIT IF APPLiCABLE (SEE REVERSE)
MI^IMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEES
BASE AL ABOVE) X .05
X
4
(
$ 10.00
$
=
rz ,ut-
$ z,szz zG
$ t/6, t3
SDC Coordinaton
ATTACH'A.l^lPD
Date: 7
TorAL SpC $ 7t4$.8q
2. SANITARY SEWER-CITY
FIXTURE UNIT CALCULATION TABLE: ruumoer of New Fixturec X Unit Equivalent : Fixture Units
(NOTE: For remodels. calculate only I
FIXTURE TYPE
rlET additional fixtures)
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/E1c................,
lnterceptors For Sand/Auto Wash/Etc................,
Laundry Tub/Clotheswasher......
Clotheswasher --3 Or More.....
Mobile Home Park Trap (1 Per Trailer) ......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen.........
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Miscellaneous:
2
3
l2-
TOTAL FIXTURE UNITS Z<
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits s rates
a
1
2
J
6
2
6
6
1
3
2
1
2
2
1
6
4
dlHea
3
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
e*
(Rate X Assessed Value)
CREDIT TOTAL O$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.B3
0.67
o.52
o.38
o.21
1979 or before
1 980
198'.r
1982
1 983
1 984
1 985
1 986
't987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.........
Commerical........
lndustrial...
Governmental.....
o.4
o.9
o5
o.5
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
,':' ' ' jr
+
2
W
SP'l'I\lGFt€,LI)
ET.ECTRICI\L PEru{TT APPLICATION225 FTTTA STREEf,
SPRINGFIELD, OREGON 97477
INSPEcf,IoN REOITESTz 726-3769
0FPICE: 726-3759
OF ON
tt
Expiration Date o/
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf 'd tlone or
-
Hodular 'Dwe11ing
SerVice or Feeder
Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
3 s 1s. oo ?,f &u
s 40.00
ee rr8tr a56E
Services or Feeders
Installation, Alterations
or Relocation:
\,/
200 amps or less \l/
201 amps to 400 amps \
4O1 amps to 6O0 aaps _601 amps to 1O00 amps_
Over 1000 amps/volts
Reconnect Ooly
ga t ion
Ligh t ing_
gylRes
eq08q ICity Job Nuober
COHPI.ETE FEE SCEEDI'I,E BELOIJ
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
I tems
I^EGAL ON
R?=
DESCRIPTION 3. €,A
Perrnirs are non-transferable and expire
if vork is not started sithin 18O days
of issuance ot' if vork is suspended for
180 days.
2. CONTR/\Cf,OR INST'ILISTION ONLY
3
A
/
Cos t
s 8s.00
Su
trro
Electrical Contractor Ll.Q,le*
Address q,Dq lJL A..l a-
UA
B
c
THIS
=
Ci ty €-u (?-- Phone Gfu -5t"to(
Supervisor License Number ,/Ds^ I
s 50.00
s 50.00
s100.00
s130.00
s300.00s 40.00
/
Constr Contr. Number e--ar
ExP iration Date lD'l-
Temporary Services or Feeders
Installation, Alteration or Relocation
of Superv EIec tri cian
Ovners Name l-trYrf.
Address 32 ez ?."1cr^-:
Ci ty SGbpG4ra phone '7 L4q -6"aG
ON{ER INSTALI.ATION
The installation is bei
property I otn r.,hich is
for sale, Iease or rent
Ovners Signature:COMMENCEDOR'S
DATE
200 ampq"or less
201 anpi' t'6" 4O0. aups
-Over 401 to 600.anps
600 anps oir,lbooT6lf[s
D. Branch Circui ts ''
-)r
Ner, {1tet3.ti-o.-n or Extensio..,,h
s
s
$
s
40.00
55.00
80.00
One Circui t
Each AdditionalCircuit or vith Serviceor Feeder Perrit
n Per Panel
s 3s.00
s 2.oo
E- Hiscellaneous (Service/feeder not includet
-Each installation s 40.00
s 40.00
s 20.00
s 36.00
d
RBCEIVED B
ANY lsODAYPERIOD.
5
Willamalane
Park & Recreation District Job. No.
NAME:
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
ADDRESS:
LOCATION OF PROPOSED tNG SITE:
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
WILLAMALANE SDC $
2. SDC CREDIT (r appncaOte) SDCaayer must fumish proof of
Willamalane iredt rpptoval. See dOC CreAt WodaheeL $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced forCredit)
Development Se
srArE: N(rzrn,8
I a)Street Address:
Plat Name:Tax Numbe
1. DEVELOPMENT TYPE appropriate dwelling(s). SDC calcttlations and dwelling t
1pe detinitions are on the
A Single-Family Detached
t Single Family home
NO. OF UNITS
Manufactured home not in a park
\X $1,000 Per unit = $\DCO,O
$
$
$
@
6
e)$
Date
City of Springfield
De ment
t3
t