HomeMy WebLinkAboutPermit Building 1999-08-13SPFITIGFIELD
a
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
t
Page 1
ilob Nurnber: 990887
225 North Fifth Street
Springfield, OR 97417
Location of Proposed Work: 3801 LONG RIDGE DR
Assessors Map #: 18020613
Lot: 7 Block:
Office
Inspection Line
't26 -3'7 59
726 -31 59
Tax Lot #:
Subdivision:
09900
KEARNEY ACRES
SPruNGFIELT',
Orvner: HAYDEN HOMES
Address: 3258 PINYON STREET
Describe Work: S.F. RESIDENCE
Phone #: 744-6966
City/State/ztp: SPRINGFIELD, OREGON 97478
NEW
General:
Plumbing:
Mechanical-
El-ectrical
ConEractor
HAYDEN ENT OO922O8
2622 SW GLACIER PL #110 REDMOND OR
HAREBEINTNER L30282
6510 E STREET, SPRINGFIELD, OREGON
EFFICIENT HEATI 0117687
219001 E PERKINS RD KENNEWICK WA 99
ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
Const.
Contractor #Expires
o7/2e/ee
o7/02/00
oe/27/oo
o6/Lo/oo
Phone
7 44 - 5966
'7 41-- L7 66
693-9353
357 -8260
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L520
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
To request an inspection, call the 24 hour recording at 726-3769.
AlJ- inspections requested before 7:00 a.m. will be made the same working day,
inspectj-ons requested after 7:00 a.m. will be made the followi-ng work day.
--- REQUIRED INSPECTIONS ---
TEMPOF-ARY POWER
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 pl-acement
ITNDERFLoOR PLITMBING - Prior to insul-ation or decklng.
POST A.IID BEAI,I - Prior to f loor insulation or decking.
INSULATION - Floor; prior to decking Wa11/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 PLIIMBING . PriOr TO COVEr
ROUGH MECHA}.IICAL . PriOr TO COVCT
ROUGH ELECTRICAL - PriOr LO COVET
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
.t taw reguires you to
by the Oregon Utility
iose ruies aie set fortti
through OAR 952-001_
llpies of the rutes bytiote: the telephone
rn Utitity Notification
(1-_232-2344\"
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Ffoor; prior to decking Wa1l/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 p1ace.
NOTICE:
THIS PERMITSHALL EXPIRE IFTHEWOHK
AT'THOBIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
SPFIKIGFIELD
Job Number: 990887
SPilNGFIELT',o
Page 2
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When aIl- electrical work is complete.
FINAL BUILDING - When aJ-1 required inspections have been approved and
the building 1s complete.
Lot Faces: E
Setbk From NPL: 14
House
Garage
Lot Sq. Ft.: 5064
Solar Approved: Y
Total Height: 16
Lot Tlpe: fNTERIOR
N
1,4
l4
Setbacks
SW
18 10
38 58
E
20
1B
Item
Mai-n
Garage
Total- Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
-.. BUII,DING PERMIT
Square Feet x
112 0
400
$/Sguare Feet
69 .64
18.34
(A)
VaIue
77 ,997 .OO
7, 335.00
85, 333 .00
391.00
3L.28
422.28
PLI'MBING PERMIT ---
Item
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
1,2 .80
L7 2 .80(c)
--- MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent.
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
4.50
9.00
3.00
(D)
15. s0
10.00
1.33
27.83
--- MISCELTAI{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
CITY SDC
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
0.00
50.00
50.00
1, 000 . 0o
]-57.40
2 ,22L .92
80.00
(E)3,589.32
(Excluding EIect,rical )
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,2L2 .23
SPFI"GFIELt,
,.Iob Number: 990887
SPHNGEIELI',o
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT
Thj-s permlt is granted on the express condition that the said constructi-on
shall, in a1l- 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 violati-on
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: o7 /12/99
--- ADDITIONAI, COMMENTS ---
A & T DEFAULT AIVIOUNT USED FOR CITY CREDIT PURPOSES
DRIVEWAY REQUTRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I aEate 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
shafl be done in accordance wlth 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
wil-l remain on the site at al-f times during construction.
ef,t Itt
S j-gnature Date
Receipt Number
Date Pai-d
Amount Received
Received By
--- VALIDATION ---
s5354-a ,13.q
,&,
225 FIFTE STREET
SPRTNGFTELD, oREGON 97477
INSPECTI0N REQUESTT 726-3769
OFPICE: 726-3759
1
A
PTION S. tr,A.
Perroi ts are non-transferable
if vork is not started vithin
of issuance ot' if uork is sus
180 days
2. CONTRACf,OR INSTALI^ATION oHs
Electrical Con trac tor-(-1,.TIL
Address 4 1o1 k o+*Aru<-
Ci ty Lo G<-,t<- Phone G A8 - E'{ot
Supervisor License Number 4/7fs
Expiration Date
c
Constr Contr. Numtrer ,r -j e
Exp
of Supervi trician
PA'TT'GTIGLO
EI.ACf,RICAL
Ci ty Job Nunber
3. COHPLETE FEE SCEEDUI,E BELOV
Neu Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
looo sq.ft. or less
-L
S 85.00
Each addi tional 500
sq. ft or portion
thereof
Each Hanuf 'd Hoate. or
Iar'Dwe1ling
$^
\
JJ,tls.oo
Su
&tr*
30X*
*
={.
or Re
over 401 to 600
Over 600 amps or
D. Branch Circuits
5. SUBTOTAL OF ADOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
200 amps or less {
201 amps to 40O anps ---r
401 amps to 6O0 anps _501 amps to 1O00 anps_
0ver 1000 amps/volts
Reconnect OnIy
rYije r Feed
WORK
s 40.00
00
00
00
er
ers
terations
s
i cel feeder
sng- s
s
2.OO
not inc
s 50.00
s 50.00
s100.00
s130.00
s300.00s 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
irationDare l(>- l-17 200 amps"or less ^lt
201 amps to 4o0 anps
-
$
s
$
s
40.
55.
80.anDs
1000 volts ee nBt affi
Ovners Name S.Z"a._)t \
Address ba-(Z P. .-r 1 ox)
Ci ty Aktr-(rt arw Phone r7L4LI_ 6qqa
DAIE:
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each AdditionalCircuit or vith Service
OUNER INSTALTATION i,:.:i,ot';',.F6€:der Permit
The installation is being made on E- Hiseellaneous (Serv
property I otrn r.rhich is not intended -Each,.ins:tallation
tor'sale, Iease 05 rent. ,.,, , BuEp o,r itr'rigation
. : Sign/OYqlihe Lighti
Ouners Signature: !"imi te4,Slrergy/Res
L,imf ted EnergY/Comm
40.00
40.00
20.o0
36.00
lude<
RBCEIVED B
s
J0URNAL 0R JoB No. qQoA?7
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMTNT CHARGE
WORKSHEET
NAME OR COMPANY Hrv DeN Llo E5
LOCATiON SEal Lax)aPLaa,* Dr>
DEVELOPI'tINT TYPE
BUILDING SIZE SIZ a. Ft
1. STORM DRAINAGE
Eoof Aq.€t ' l13L
P /a2 A,eet ' tAYze: 3r.o
2 ]TARY
N0. oF PFU'S _ ls X $47.14 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X l,ot X$475.32
x $475.32
x $0.227 PER SQ. FT. $ 4-4 8g
$ 818 ,tL
S 48o. ot
(
J
$ 21t&l
$zr>
IMPERVIOUS SQ
X
FT. z, b? z-
4. SANITARY SEl^lER-MI^JMC
A. REIMBURSEMENT COST
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
N0. 0F FEU'S I X 277,4+PER FEU
B. IMPROVEMENT COST
N0. 0F FEU'S r X 25.4 PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^lMC ADMINISTRATIVI FEE
SUBTOTAL (ADD ITEMS i,2,3 & 4)
$ rof.tt
$1 .00
,(q4,
SDC Coordinator
ATTACH'A.I,{PD
Date:7 -7-7e
TOTAL SDC $ z,zzt .?z
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent : Fixture Units
(NOTE: For remodels, calculate only tr tET additional fixtures)
NUMBER OF .- UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solidsi Etc. ....... - -.. -....
lnterceptors For Sand/Auto Wash/Etc.. -. -... -..' -.....
Clotheswasher - 3 Or More.'...
Receptor For Refrigerator/Water Station/Etc....-...
Receptor For Commercial Sink/Dishwasher/Etc..
Z 4
Shower, Single Stall
Shower, Gan9........
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet, Private.......
-
Miscellaneous
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
1/H
2
2
1
6
4
ead
s
z
2_
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,
calculate credits rates.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$-6
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL
X$
$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.1 B
4.12
3.99
3.83
3.68
3.48
3.1 B
2.82
2.42
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1 .15
o.96
o.B3
o.67
o.52
o.38
o.21
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlYl
Residential.
Commerical
o.4
o.9
o5
o.5
FIXUNIT.WPD TMPERVTOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
tg
a
€$UUillamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:NAME:
ADDRESS:
LOCATION OF PROPOSED B ING SITE:
Street Address:
srArE: &Krzre'8
Plat Name:
StOl Am
1.
ype are on the
A. Single-Family Detachect
t Single Family home
NO. OF UNITS
Tax
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
\X $1,000 per unit = $\DCO.O
X $924 per unit = $
X $692 per unit = $
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufac.tured Home Park
NO. OF UNITS
WILLA,MALANE SDC
Development
X $699 per unit = $
$@
2. SDC CREDIT (if appncable) SDOpayer must fumish proof of
Witlamatane Credit approval. See SOC Credit Wotlcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
6
City of Springfield
nt Date -t3,r
oc)