HomeMy WebLinkAboutPermit Building 1999-07-15OF SPruNGFIELT',
SPFINGFTELD
RESTDENTIAL PERMIT APPLTCATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 990894
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3819 LONG RIDGE DR
Assessors fUap #: 18020513
Lot: 10 Block:
office:
Inspection Line:
725 -37 59
726 -37 69
Tax Lot #:
Subdivision:
09900
KEARNEY ACRES
Owner: HAYDEN HOMES
Addressl- 3258 PINYON STREET
Describe Work: S.F. RESIDENCE
Phone #: 744-5965
city/state/zip: SPRTNGFTELD, OREGON 97478
NEW
General:
Plumbing:
Mechanical
El-ectrical
Contractor
HAYDEN ENT OO922O8
2522 SW GLACIER PL #110 REDMOND OR
HARBEINTNER 130282
6510 E STREET, SPRINGFIELD, OREGON
EFFTCIENT HEAT 01,T7687
ELITE ELECTRIC OO99'7 68
38289 COURTNEY CREEK DR BROWNSVILLE
Const,.
ConEractor #Expires
07 /2e / ee
o7/02/oo
oe/27/oo
o6/LO/oo
Phone
74),-1,766
593-9353
367 -8260
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: 241,5
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
A11 inspections requested before 7: O0
inspections requested aft.er 7:00 a.m.
a.m. wil-l be made the same working day,
will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After Erenches are excavated.
FOITNDATTON - After forms are erected but prior Lo concrete placement.
TNDERFLOOR PLTIMBING - prior to insulation or decking.
UNDERFLOOR MECIIAI{ICAL - prior to insulation or decking.
POST A.IID BEAM - Prior to fl_oor insul_ation or decking.
rNsurJATroN - Floor; prior to decking wa11/Ceiling; prior to cover
WATER LrNE - Prior to filling trench.
sANrrARy sEwER LrNE - prior ro fj-lt-ins Erench NOTICE:
sroRM sEwER LrNE - Prior to fillins trench. THISPERMITSHALLEXPIREIFTHEWORK
Roucu PrJIruBrNc - prior ro cover. AUTHORIZEDUNDERTHISPERMITISNOTR.UGH ME.HAT{r.AL - Prior to cover'
COMMENCEDORTSABANDONEDFoBROUGH ELECTRICAL - Prior To cover.
ELECTRTCAL sERvrcE - Must be approved to obtain p".*",rAlUYJ60&4YPERIOD.
SHEAR WALL NATLTNG - Before covering sheathing with finish materials.
FF-A!{ING - Prior to cover.
rNsuLATroN - Floor; prior to decking wal1/Ceiling; prior to coverDRYWALL - Prior to taping.
cuRBcur - After forms are erected but prior to placement of concrete.
STDEWALK - After excavation is complete, forms and sub-base materialin place
FINAL PLITMBING - When a1l plumbing work is complete.. ',:' .-ii
FrNAL MECHANTCAL - when a1l- mechanical work i-s complete t,
FINALEtEcTRIcAL-Whena1]-e1ectrica1workiscomptr.e'te
FINALBUII,DING-WhenaJ.1requiredinspectionshavebeenapprovedand
the building is compl_ete. : ,, :)y
To request an inspecEion, call the 24 hour recording aL 725-3769.
tr I)
-?!
qfication
SPRINGFIELED
rfob Numlcer: 99O894
CITY OF SPilNGFIELD,
Page 3
--- BUILDTNG VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said constructionshaIl, i-n all respects, conform to the ordinance adopted by the city ofspringfield, including the Development Code, regulating the constructj_on and.use of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LfSA HOppER
Date:07/t3/99
--- ADDITIONAI, COMMENTS ---A & T DEFAULT AMOUNT USED FOR CTTY CREDIT PURPOSESDRTVEWAY REQUTRED TO BE PAVED1 STREET TREES REQUTRED
By signature, I st,ate and ag'ree, that f have carefully examinedthe completed applicat ion and do hereby certi fy that al_I information hereonis true and correct,and I further certify that any and all work performedshalf be done in ac cordance with the Ordinances of the City of Slpringf ie1d,and the Laws of the State of Oregon pertaj_ning to the work descr ibed herein,and that NO OCCUP.ANCY will be made o f any structure without permissi_on of theCommunity Service s Divisi_on, Buil ding Safety. f further ce rtify that onlycontractors and employees who are in compliance with ORS 70 1.05s wi]l beused on this project.
r further agree to ensure that all reguired inspections are reguested at theproper time' that each address is readable from the street, trrat trre permitcard is l0cated at the front of the property, and the approved set of planswil-l- remain on the site at all times during construction.
Signature
Receipt Nurnber:
Date paid:
Amount Received:
Received By:
Date
SPRINGFIELD
Job Number: 990894
SPilNGFIELT',OF
Page 2
Lot Faces: l/
Setbk From NpL: 32
Lot Sq. Ft.: 7770
Solar Approved: y Total Height: 24
Lot Type: fNTERfOR
Item
Main
Garage
Total Val_ue
Building permj-t Fee
Surcharge/admin
TOTAL FEE
ftem
Residential Bath (s)
Plumbing permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
HEAT PI.MP
Mechanical permit.
fssuance
Surcharge/Admin
TOTAL PERMIT
--- MISSurcharge/admin
Sidewalk
Curb Cut
WTLLA}{J\LA}]E SDC
CTTY SDC
ELECTR]CAL PERMTT
PLAN REVTEW FEE
TOTAL MISCELLANEOUS PERMTTS
House
Garage
(Excluding Electrical)
unless ot.herwise noted
--- BUTIJDING PERMTT ---
Square Feet x
20L6
400
PLT'MBTNG PERMTT ---
--- MECHANT CAL PERMTT ---
CELLA.I{EOUS PERMTTS
A}fOUNT DUE ---(A, B, c, D, and E combined)
Setbackssw
5sB
92 18
E
).4
't,5
3
$,/Square Feet
69 .64
18.34
Value
L40 ,394 . O0
7 ,336 . O0
L47 ,730.OO
541.00
43.28
584 .28
Fee
1,92 .50
L92 . so
15.41
207.9L
6.00
4.s0
9.00
3.00
5.00
28.50
10.00
) ao
40.79
0.00
50.00
50.00
1, 000 . 00
2 ,443 .66
1,40 .40
80.00
3,784.06
4,6L7.04
(A)
(c)
(D)
(E)
--- TOTAL
N
34
L4
225 FIFTB STREET
SPRTNGFTELD, oREGoN 97477
INSPECTION REQUEST:. 726_3769
0FFICE: 726-3759
W
'rlINGFI E L T>
ELECTRICAL
Ci ty Job Nunber
0
JOB DESCRI
Expiration Date
Constr Contr' Number a
COHPI.,ETE FEE SCMDULE BELOV
Nev Residential-Sing1e or
Multi-FamilY Per dvelling unit'
service rncluded' ,,u*" cost sumI s.oo t(1000 sq.ft. or less I S B:
sach additional 500
sq. f t -or portion 4 5.oo gS'ifrer"or ) S 1
Each Manuf'd Home or
Hodular'Dve11ins;;;i;; or FeedEr s 4o'oo
6Jtt
Supervisor License Number q[fS -S
3
A
,€,L-
Address 01
Ci tY (/?^)a Phone b88 'Sclo t
Services or Feeders
in"t.tt"tio.,, Alterations
or Relocation: /
200 amPs or less #
?01 am-Ps to 400 amPs ' -
401 amjrs to 600 amPs
-
601 amps to 1000 lmPs-
or"t fbOO amPs/vo1ts --
Reconnect OnIY
200 amPs"or less
201 ambs to 4OO amPs
over 401 to 600 3mP!--
6r"i OOO amPs or 1000 vort
Branch ciil{OEtEE:
s s0.00
s 60.00
si00.00
s130.00
s300.00
s 40.00
BO
s see
.00
ilBrr abOve
o
?-l-3 {e
TemporarY Services or Feeders .
Installation, eii"tttion or RelocatlonC
o-l -1q s
$
$
40
55IExpiration Date
S
0wners Name
Address
0vners Signature:
DATE:
The installation is
;;:;o;''tY r ovn uhich
?or'sale, Iease or r
f SuPervisi ctrician
lt)
Phone
OVNER INSTALLATION
1
made on
t inten
D
Ci tY VLt ilrttu0 lqq -(rf (r("
calltng t
numbert
c
E.
SUBTOTAL OF ABOVE
5Z State Surcharge
i7 aar:,nlstrative Fee
TOTAL
RECEIVED D
ent
ded
5.
Permits are non-transferablg "19 expire
ii-"oir. is not started vithin 180 days
of issuance oL' ' i-"oirt is suspended f or
180 daYs.
2. CONTRACAOR INSTALT'ATION ONLY B
Electrical con tracror @'ltVfi-- t47z*-
(/_,
Nev, AI
0ne Ci
Each Addi
Circui t
or Feede r Permit
-Each
EnergY/Comm
NOT
FGruOD s 2.oo
(Service/feeder not included
t ion
s 40 .00
ing..-.--s 40.00
20.00$
'l,rY iequires you to
s 36.00
JoURNAL oR JoB No. 44ogq+
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY lJ ov DEtt oa€5)l
LOCATION SAtcr Ln xtr. P, Dac
DEVELOPMENT TYPE:<F v
1. STORM DRAINAGE
IMPERVIOUS SQ FT. Iq
2. SANITARY SEWER-CITY
BUILDING SIZE:
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATION
X $0.227 PER SQ. FT 4So
X $47. 14 PER PFU
SIZ F SQ Ft
?oof Ae€+ =
Dl-
4
I 6o4
33c)
z3 o 22-
$ 48o, o-7
(
$ 277.+1
$ 25,2o
<$ -e-
NO OF UNIIS X TRIP RATE X COST PER TRIP
I x t,ot x $475.32
x $475.32X
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
N0. 0F FEU'S I X ZZ7,++ PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X ZC.ZOPER FEU
MWI',IC CREDIT IF APPLICABLE (SEE REVERSE)
t.,ll^lMc ADMINISTRATIVE FEE
5. ADMINISTRATIVE FEES
BASE
SDC Coordi nator
ATTACH'A.I^IPD
$ 10.00
TOTAL-MWI'1C SDC $ 3IZ ,6*
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ z zzt.sa
(SUBTOTAL ABOVE) X .05
Date: 7 -44q
TOTAL SDC
G
+
lrt\J I tr: l-or remodels
FIXTURE TYPE
IT CALCU LATION
calcurate onrv rh;'G'"j*T*;[,,.}|"r or New Fixtures X Unit Equivarent = Fixr
NUMBEI F
NEW FIXiURES UNIT
EOUIVALENT FIXTURE
UNITS
Bathtub.....
Drinking Forntri.," "'
Floor Drain..-_.
lnterceptors frr C """"":""".....
Interceptors ao,. ar'"utu'oil/Solids/Et;"Laundry Tuolctotr,lld/Auto wasrrletc. .
clotheswasher _ 3
eswasher................
Mobile Home prrt 9t More.................
Recepror ror Rerriolll? fi..!.tt rtairert...
Receptor ro,. cori11 torlwater st"tioniei"........
Shower, sr;;; ;;:il"rciar
Sink/Dishwasher/Etc..
Shower, G;;:"
statl""':""
Sink: Bar, C";;;;;.'
Urinal. Stall/Watr ial, Residentiat fitcfren............
I:,:l t::,:zr_u,uto,.v, s,.,;;;.................
I otret, public lnstallation
I oilet , private_. tlon"'
Miscellaneous:
.)
1
2
6
2
6
6
1
3
2
1/Hea
2
2
1
C)
^
---:___
-
---.--
__
2^-_
3-_
---
d
Credit for parcel or Land Only lf Applicable
lmprovement (if after annexation date)
TABLE Based onarates
RUN
3
TOTAL FIXTURE UNITS
lf impro vements o ccurred after a
x$
2_
nnexation da
-o--
z<
te in table,
calcul ate cre dits se assessed value
(Rate X
(Rate X
Assessedx$
Assessed V,
Value)
alue)
CREDIT TOTAL $G
OFF COEFFICIENTS FOR STORM DRAINAGE(For Estimating purposes Only)
Residential.
uommerical............
lndustrial...
uovernmental......
- -
Annexe d
Value
Year
Rate per $ 1,OOO
Anne xed
Value
Year Rate per $1,OOO1979 or before
1 9BO
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1 989
1 990
1991
1 992
1 993
1 994
1 995
'1996
1 997
$1.98
1.55
1.15
o.96
0.83
o.67
o.52
o.38
o.21
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL tOT SIZE X RUNOFF COEFFTCTENT
Z_-----.
€$Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUI ING S
Job. No.
PHONE:
STATE:ztP
a
Street Address
Plat Name:
1 DEVELOPMENT TYPE
ype definitions are on the
eve
A. Single-Family Detached
\ Single Family home
ax Num
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a Park
=$
=$
$
$
NO. OF UNITS t X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
go
C. Multi-Family APartment
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDCpayer must tumish proof ot
Wiltamalane Credit approval. See SDC Credit Wottcsheet'
3. TOTAL WILLAMALANE NET SDC ASSESSED
' (if
d
&$
I-,15,
City of
SDC reduced for Credit)
Date
a