HomeMy WebLinkAboutPermit Building 1999-08-30SPFINGFIELO
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 991073
225 North Fifth Stsreet
Springfield, OR 97477
Location of Propoeed Work: 855 MCKENZIE CREST DR
Assessors tutap #: 17032343 Tax Lot #
Lot: 85 Block: Subdivision
of f ice
Inspection Line
726 -37 59
725 -37 69
05900
RIVER GLEN 2
SPruNGFIELD,
OWNET : ANSLOW/DEGENEAUI,T
AddrESS: 1953 GARDEN AVENUE
Describe Work: S.F. RESIDENCE
Phone #: 484-0070
cit.y/state/zip: EUGENE, OREGON
NEW
General:
Plumbing:
Mechanical
Electrical
Contractor
ANSLOW & DEGENE OO49L69
55 E 15th Ave Eugene OR 974010000
ABSOLUTE PLUMBI 0067654
2487 PARK FOREST DRIVE EUGENE OR 97
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
BINNS ELECTRIC OO'737 52
210 WALLIS STR UNIT #C EUGENE OR 97
Const.
ContracEor #Expiree
LO/L6/ee
o7 /rL/oo
12/23/ee
o6/05/oo
Phone
484 - 0070
345-3055
7 47 -7 445
68'7 -L362
QUAD AREA: 2RMI
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 3654
OFFICE USE -.
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
To requeets an insPection, call-L}:e 24 hour recording at 726-3769.
AII inspections requested before 7:00 a.m. wi-II be made the same working day,
inspections requested after ?:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insul-ation or decking'
ITNDERFLOOR MECIIANICAL - Prior to insul-ation or decking.
ROUGH GAS - after tine is instaLfed and capped if noL attached to an
appliance
POST AND BEAII - Prior to ffoor insulation or decking '
INSULATION - Fl_oor/; prior to decking wall/Ceiling; Prior to cover
WATER LINE - Prior to fil1j-ng trench.
SANITARY SEWER LINE - Prior to filling trench'
STORM SEWER LINE - Prior to filling trench'
ITNDERFTOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PL,ITMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover'
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL 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 Wall/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 materj-al
in pIace.
SPFINGF!ELD
Job Number: 99L073 Page 2
FINAL PLUIIBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrj-cal work is complete.
GAS SERVICE - After line is installed and l-ine has been connected to a
mini-mum of one appliance. Pressure test done at this point .
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Sol-ar Approved: Y
House
Garage
Lot Sg. Ft.: L26L2
Total- Height: 25
Lot Coverag'e : 3L.67%
Setbk From NPL: 100
N
Lot Type
Setbacks
SW
20
INTERTOR
E
5
7
6
Item
Main
Garage
PORCHES
Total Value
Building Permit Fee
surcharge/admi-n
TOTAL FEE
--- BUII.DING PERMIT ---
Square Feet x
297 5
589
330
$/Square Feet
69 .64
18.34
15
(A)
Val-ue
2O7 ,1-79.O0
1-2 ,535 . OO
4, 950.00
224,765.OO
7L4.25
7l .43
785.58
--- PLU}IBING PERMIT ---
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
191.50
191.50
19.L6
210 -66(c)
--- MECIIANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F. P.
Mechanical Permit
Issuance
Surcharge/admin
TOTAT PERMIT
4
6.00
4.50
12.00
3.00
s.00
4.50
35
10
3
00
00
50
(D)48. s0
--- MISCETLANEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
PLAN REVIEW AD.fUST
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
0.00
60.00
50.00
8.77
1, 000 . 0o
3 , 5l.5 .69
235.50
TOTAL MISCELIJANEOUS PERMITS (E)4,880.95
Item
Residential Bath(s)
SPFINGFIELD
Job Nurnber: 99L073
CITY OF SPilNGFIEI-D, ONEGON
Page 3
(Excluding Electrical)
unless otherwise noted
--- TOTAL AMOI'NT DUE .--
(A, B, c, D, and E combined)5, 925 . 80
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit j-s granted on the express condition that the said construction
shaI1, in all respects, conform to Lhe 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 saj-d ordinances.
P]an Check Fee : 455 .49
Received By:
Plans Reviewed By: DON MOORE
Dare Paidt O8/Os/99
Date: o8/29/99
Receipt Number: 35120
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1; STORAGE AREA ABOVE GARAGE IS STRUCTURALLY INADEQUATE FOR HABITATION
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signatsure, I stsaEe and agree, that I have carefully examined
the compleLed applicat.ion and do hereby certify that all information hereon
is true and correct, and I further certify that any and al-I work performed
shall be done in accordance with the ordinances of the City of Springfleld,
and the Laws of the State of Oregon pertsaining to the work descrj-bed 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 complj-ance with oRS 701.055 will be
used on this project.
I further agree to ensure that afl required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is LocaLed at the front of the property, and the approved set of plans
will remain on the si-te at all times during construction.
'&\-*)1'otDates
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
3S3 eo
Ao
JOURNAL OP JOB NO.Qat 073
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMBNT CHARGE
WORKSHEET
NAME OR COMPANY A -< Lad,)4 Da G t-unt-t, T T^t
LOCATION 85G l\1 a/rnt E f ep<-*
DEVELOPMENT TYPE .Z- t= t7
--) , I . l\-- ,
BLIILDING SZE SIE.E
1. STORM DRAINAGE
\ 1q"z_tq 4451zatt4a-50
'+GO
IMPERVIOUS SQ FT. -=.oq t x $0.232 PER SQ. FT
2. SANITARY SEWER-CITY
NO. OF PFU'S zq X$48.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF LTNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
X l.o X 5486.73 PER TRIP
s Q.Ft.
s t, tnz .4
s / I 3q4'F3
$ 4?t,&
S 2+u74
$ zz,o{
<s>
s 10.00
TOTAL-MWMC SDC $ 27+.61
Ro.F z$* 4(
S.t t Za, Y '6' 8Yot3v 4'zv34
Dd alvzo
I
X 5486.73 PER TRIP
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I X Z4Z,ZE PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X zz,o{ PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBToTAL (ADD ITEMS t,2,3 & 4)
5. ADMINISTRATTVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .0s
SDC Coordinator
ATTACH'A.WPD
L /a7 ,4(
sX
+g 8
Date *- to-?1
TOTAL SDC $ _<75/f aq
I
FIXTURE UNIT CALCULATION TABLE! NumberofNewFixruresXUnitEquivatent=FixnreUnits
(NOTE: For remodels, calculate only the NEf additional fixrures)
FIXTURE ryPE
NUMBER OF
NEW FIXTURES
Z
2_
TOTAL FIXTURE LTNITS
UNIT
EQUIVALENT
FIXTURE
TINITS
z{
?4
L 2
I
2
J
6
2
6
6
I
3
2
I
2
2
1
6
4
Drinking Fountain..
Floor Drain.
Interceptors For Grease/OiVSolids/Etc.
Interceptors For Sand/Auto Wash.iEtc.
Laundry Tub/Clotheswasher/}r4op Sink.
Clotheswasher - 3 Or More............
Mobile Home Park Trap (l Per Trailer)..
Receptor For Refri geratorAVater S tation/Etc...........
Receptor For Commercial SinkDishwasherEtc......
Shorver, Single Stall..
Shower, Gang............
Sink: Bar, Commercial, Residential Kitchen............
Urinal, StallaVall.....
Wash Basin/Lavatory, Single...........
Toilet, Public Installation............
Toilet , Private.
Miscellaneous:
+
a
--z--
--4-
,
/z
/Head
3
CREDIT CALCULATION T ABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits
Credit for Parcel or Land Only If Applicable x $_
(Rate X Assessed Value)
Improvement (if after annexation date)x$
(Rate X Assessed Value)
CREDIT TOTAL :$ _A
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1 985
1986
1981
l 988
I 989
1990
1991
1992
1993
t994
1995
t996
1997
I 998
2.18
1.75
r.35
t.t7
1.03
0.86
0.71
0.57
0.39
0.18
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...
Commerical.,
Industrial..
Govemmental.
0.4
0.9
0.5
0.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
s4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
!TINGFIELO
Qfr,
225 FIFTE STREET
SPRINGFIELD, oREGoN 97477
INSPECf,ION REQIIEST.. 72
OFPICE: 726-3759
BLE TRICAL P&RHTT
Ci ty Job Nurnber
COHPI,ETB FEE SCESDLILE BELOV
Nev Residential-Sing1e or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1 dqil\s-tqt:ffiffirUe*
3
A
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATTON ONLY
s 8s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less S
201 amps to 400 amps
-
S
401 amps to. 600 amps
--
S
601 amps to 1000 amps- S
0ver 1000 amps/volrs
-
s
Reconnect Onty S
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Electrical Con u^"rc@
Address fut O Ud*cl t s sr& +{_
ciw eubaue Phone Gt 7-tse
Supervi-sor License Number 3 Oq l--g
Expiration Dare lO*l- fl.OOl
Constr Contr. Number 7 3 7 bL
Expiration Date - b- Looo
Signature of pervisi trician
Ovners N
Address
Ci ty Phone
OgNER
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
200 amps"or less \ S 4o.OO
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
$ B0.oo
0ver 600 amps or 1000 voTTs see rrB"
4D_
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular'Dve).1ing
SerVice or Feeder
D. Branch Circuits
I o $ ls.oo
w
qu
s0.00
60. 00
100. 00
130.00
300.00
40. 00
Sum
aEiTe
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.OO
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation
Sign/0utIine Lighting
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
* state Surcharge
32 Administrative Fee
TOTAL
s 40.00
s 40.00
$ 20.00
s 36.00
5
RECEIVED
,l
d)
UI:'
Willamalane
Park & Recreation District
NAME:
ADDRESS:
LOCATION OF P
Street Add
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Single-Family Detached
\ Single Family home
NO. OF UNITS \
SYSTEM DEVELOPMENT CHARGE
RKSHEET
PHONE:
STATE:
DBU
q\
Job. No.
a
P
\
Tax Lot Number:
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
x $1,000 per unit = $a
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 UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDff (if applicable) SDC+ayer must furnish proof of
Wiltamalane Credit approval. See SOC Credit Wodaheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
Deve
$
$
$
$
t DDD oo
&
City of
(if sDc
eld
for
nt Date