HomeMy WebLinkAboutPermit Building 1999-02-03CITY OF
SPRINGFIELD
General-:
Plumbing:
Mechanical_:
Electrical:
RESTDEN-TTAL PERMTT APPLTEATTON
"oo";;rY
oF SPRTNGFTELD
ITTY SERVTCES DTVTSTON
BUTLDTNG SAFETY
225 North Fifth streetSpringfield, oR s7477
I,:::Eion of proposed work:Assessors Map #: 1g020G11IJot: 15
page 1
.7ob Nnrnber: ggOO2L
Officefnspection Line
726 -37 59
725-3769
Block:
Owner:
Address
GLENN WAGNER
1205 CLEARWATER LANE
Describe Work: S.F. RESTDENCE
726 - 5560
PRTNGFTELD, OREGON 97478
NEW
3883 oSAGE sT
City/state/z
-- oFFrcE usE __
?ax Lot #:Subdivision:01200
JASPER PARK
Phone #ipr s
Con6t.Contractor
Contractor #
CLEARWATER CUST12os CLEARWAT;; 00L0223
EUGENE
""d;;;
LN SPRTNGFTELD oR e
32s DELLwooo suc oo44o72
MARSHALLS ;ENE oR 974o54gog
4110 ot,ylvlprc sT oo257go
BrNNs ELECTRTC
spRrNcFrELD oR 9747
210 wALLrs srn u: 0073752MT" #C EUGENE OR 97
Expires
0s/lL/oo
07/ 0s / es
a2/n / ss
o6/oG/ss
Phone
726 -5560
484-7 440
747 _7445
687 -a352
1
R3
FE
# OF BLDGS:
OCCY GROUP:
HEAT SOTIRCE:
RANGE: E
To reguest an in specti.on, c al,1 the 24 hour
A11 inspecti recording at 7 26 -37 59 .
inspect ions
ons reguested beforeguested after 7
re 7:00 a.m. wi lL be made the same work ing day,00 a.m. wilf be made the fo]I owing,work day
FOUNDATTON
REQUIRED INS PECTTONSFOOTTNGAfter trenches are excavatedAfter formsUI{DERFLOOR MECITAT.IICAL are erected bu t prior to concrete placementPrior to ins ulation or de ckingTINDERFLOORPLUMBTNGPrior to insul ation or deck rng
POST AND BEA.Ii{Prior to fLoor insul ation orTNSULATTONFLoor,. prior
QUAD AREA: 3RSC# or uNlTg, 1
CONSTR. ?ypE: VIrJSECONDARY HEA?: HPSQ FOOTAGE: t9O7
LAND USE: 1111
ZONTNG CODE: LDR# OF BDRMS: 4
WATER HEA?ER: E
WATER I,TNE to deck itg wat!/Prj.or to filling trenchSANTTARYSEWER LTNE Prior toSTORM S EWER LTNE filling tren chROUGH P LUMBTNG
Prior to fil ling trench
ROUGH MEC}IAI\ITEAL
Prior to co.rer
ROUGH ELECTRTEAL Prior to cover
SHEAR WALL NATLTNG
Prior to cover
FRA.}'rNG
INSULATTON
Prior to c "::::."
coverins shearhins
DRYWALL Pri ortot
Floor,. prior to
aping
l5iffi.SryIr,o^N'o-ryson raw requires you to
., l9!l9w.gev_ dddft {qeme oreson Utirity. !\oliflqation Center. Those rules ire set forthin OAR 952-001-0010 through Onn gSe.OOt _
0090..You may obtain copiJs of the rules Oycalling the center. (Note: the telephonenumber for the Oregon Utility Notiiication
,^/i r h f i n f3t,".,ijt J ;rro$ ss.2_2s44).
EI,ECTRTCAL
After forms
SERVTCE Must be approved to obtainCURBCUT
STDEWALK are erected bu
decking wall/ceiling,.Prior to cover
rn pla ceFINAL pf,UfrlBfltC When all pl umbing work is
After excav ation i= "o*pt eLe, forms
permanent powert prior to p1 acement of c oncreteand sub_base material
FTNAI,ITIECHANTCAL When aLLFTNALEI.ECTRTCAI.
BUTI,DING When al1 re
completemechanicaLwork is completeWhen alf e.l,ectrical work is completeguired insp
FTNAL
the building is comp.Iet e
ections frave leen approved and
SPRINGFIELD
.fob Number: 99002L
CITY OF SPilNGFIELD,
Page 2
Lot. Faces: N
Topography: 2
Solar Approved: y
Lot Sg. Ft.: 7OL2
Total- Height: 21
Lot Type: CORNER
Setbacks
SWE
27139
Lot Coverage: 27 Z
Setbk From NpL: 47
N
House
Garage ))
ftem
Main
Garage
Total Value
Building permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent. Fan
Dryer Vent
Mechanical permit
Issuance
Surcharge/Admin
TOTAL PERMTT
(Excluding Electrical)
unless otherwise noted
--- BUILDING PERMIT ---
Square Feet x
l,495
41_2
$/Square Feet
69 .54
18.34
2
(A)
(c)
Value
104, 112.00
7 ,556 . OO
111, 658 . 00
450.00
35.80
496.80
Fee
150.00
160.00
12.80
L7 2 .80
--- PLI'MBING PERMIT ---
--- MECHANICAL PERMIT ---
--- MTSCELLANEOUS PERMTTS
- - - ToTAL AIIToI,NT DUE(A, B, c, D,
2
5.00
4.50
6.00
3.00
19.50
10.00
1, .57
(D)3L.07
Surcharge/admin
Sidewalk
Curb Cut
CTTY SDC
ELECT/TEMP
WTLLAIVIALANE
PLAN CHECK
TOTAL MTSCELLANEOUS PERMITS
0.00
29.20
14.50
2,302.1,3
1,67 .40
1, 000. 00
80.00
and E combined)
3,593.23
4 ,293 .90
(E)
SPFINGFIELD
.Tob Number: 99OO2L
CITY OF SPilNGFIEIT',
Page 3
--. BUII,DING VALUE, PI,AN CHECK AND BUILDTNG PERMIT
Thj-s permi-t is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulatlng the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Revj-ewed By: LISA HOPPER
Date: oL/L9/99
--- ADDITIONAL COMMEMTS
A & T ESTIMATE ONLY FOR CTTY SDC CREDIT PI'RPOSES
DRTVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that atI information hereon
is true and correct, and I further certify that any and all work performed
sha11 be done in accordance with the ordinances of the City of Springfield,
and the Laws of the SEate of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will- be made of any structure wj-thout permissi-on of the
Community Servj-ces Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 wil-l be
used on this project.
I further agree to ensure Lhat al-1 required i-nspections are requested at the
proper time, that each address is readable from the street, that the permit
card is locat.ed at the front of the property, and t.he approved set of plans
wif emaln on site at al-l times during construction.
2-a-
s ture Date
--- VALIDATION ---
0 327 7tReceipt Number
Date Paid
Amount Recei-ved:
Received By
3
Qo
Willamal
Park & Recreation qqmLaneDistrictJob. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
1. DEVELOPMENT TYPE (check
ype definitions are on the back.)
A. Single-Family Detached
( Single Family home
NO. OF UNITS
Develo
City of
U
SrArE: V'-, rrr,
Tax Lot Number:
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
X $1,000 per unit = $.cto
B. Single-Family Attached
X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 Per unit
D. Manufac{ured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (r appticable) SDCaayer must funrish proof of
Wiflamalane Credit approval. See SOC Credit Worlcsheel
3. TOTAL NET SDC ASSESSED
(if SDC reduced for
$
$
$
rooo
/
----3 ' 7f
$
$
$\oo
Se Department Date
NO. OF UNITS
Qs
225 FIFTE STREET
SPRINGFTELD, oR-EGON 9
INSPECTION REQIIEST:
l
726-3
726-3759
JOB PTION
Permits are non-transferab pi re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
LBO days.
2 CONTRACTOR INSTALI..ATION ONLY
S TGFIELD
LICATION
FEE SCMDULE BELOI{
N idential-Single or
amily per dvelling unit.t i-F
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
SerVice or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
Ins tallation, Alterations
or Relocation:
o*u
1
Sum
B
EIec
Addr
Ci ty
Supe
Expi
Cons
Expi
Signa
t caI Contractor
ess
rvi-sor Li c
ration Date
tr Contr.
ration
Ovners Name
Add
200 amps or less
201 amps to 400 amps __40L amps to 600 amps _
601- amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
-Each installation
Pump or irrigation
Sign/Outtine Lighting-
Limi ted Energy/Res
Limi ted Energy/Comm
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
2oo amps''or ress -J* $201 amps to 400 amps S
over 401 to 600 amps
-
S
Over 600 amps or 1000-voFs se
4r)
Ci ty
OIINER INST TION
The installation is being made on
proper ty I ovn r.rhi ch is no t in tended
for saIe, lease or rent.
0vners Signature:
DATE:
s s0.00
s 60.00
$100.00
$130. 00
s300.00
s 40.00
r
C
trician
40. 00
55.00
60ve
80.00
e ttBtt a
Ph""" JZ6'SY{rC\
E. Miscellaneous (Service/feeder not included)
s
s
$
$
40.00
40.00
20.00
36.00
5 SUBTOTAL OF ABOVE
5% State Surcharge
3Z Admini.strative Fee
TOTAL
Phone
e Num
of Supervising
er
e
RECEIVED B
@
CITY OF SPB/,fiI lA FflELD, (},RF.GO'V
SPT .FIELO
Zoning
specific ,and use
-q
B
c
E
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAI
$ Bs.oo 6
srs.oo @
Sum
not included)
40.00
40.00
20.00
Date
225 FrFTE
'TREET
'rutho,Z€d signature
SPRINGFTELD, OREGON 97477
INSPECf,ION REQTEST: 726-3769
OFFICE: 726-3759
ON
U
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALTATION ONLY
Ele ctricaf contracto, B tct tstr EcecqUc
Address ZIO lJ)+ctts #
Ci ty €u u *rt g Phone 6 s1-t 3 Lz
Supervisor License Number I
Expiration Date /o-l- 2oo(
Constr Contr. Number -731 O7-
Expiration Date a_-b-a1
ELECTRICAL PERHIT
City Job Number
COUPI,BTE FEE SCffiDT'LE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
3
A
-Lf,//
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPs _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'"or less $ 40.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1OO0 voITs see 'Bu aEiiil
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
ci
OVNER
The installatlon is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
s s0.00
s 60.00
$100.00
s130.00
$300.00
s 40.00
Signature
Ovners Name
Address
*?,EIe clan
D
,r,on"IZIoSSD
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation S
Sign/Out1ine Lightire S
Limited Energy/Res
-
$
Limited Energy/Comm S
5q
RBCEIVED B
or)
1
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
ATTACHMENT A
CIry OF SP, .'IGFIELD SYSTEMS DEVEL(
WORKSHEET .
?ccz
1ENT CHARGE
LOCATION
DEVTLOPI\4EIII TYPI 5FO
BUILDING SiZE
1
IMPERViOUS
ax
. FT.
2. SANIIARY SEI^/ER-CiTY
NO. OF PFU'S
(See Reverse Sice)
3. TRANSPORTATION
ir):/u: i- +s)> * /QoJ=25b3 x'$0. zz7 pER sQ.FT S 5e& ,t K
x s47.i4 PER PFU s ?QS.ao
5 4X),o+
s z-tt 4*
$ 25."t)
s H.O5s 10.00
s &+8 ,sc
s 3 /?J, 5r)
s to? bz
SiZ F SQ Fi
N0 0F UNITS X TRIP Rr r i X COST PER IRIP
X t,cr x 54i5.32
x _ x $475.32
SAN iTARY SEI^/ER -MI'MC
A. REiMBURSEMENT COST
NO. OF FIU'S X 21'7,4+PER FEU
B. IMPROVEMENT COST
NO. OF F[U'S , X 75,?-D PER FEU
M[^/MC CREDIT IF APPLiC,{8LE (SEE REVIRSE)
MI^/MC ADMINISTRATIVE FEE
TOTAL-MWMC SDC
SUBTOTAL (ADO ITEMS 1,2.3 & 4)
ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOIAL ABOVE) X .05
s
4
SDC Coordinator
ATTACH'A.I^/PD
(
Date: I
TOTAL SDC s 230a,/3
NAME OR COI,IPANY:
/q
I
r-ur rcrnooels, carcurate only the NEr additionar fixturest _, - griltS
FIXTURE TYPE
8athtub.....
Drinking Fountain........
Floor Drain.
lnterceptors For Grease /Oili Solidsi Erc
lnterceptors For Sand/Auto Wash/Etc................
Laundry Iub/Clotheswasher..
Ciotheswasher - 3 Or More...
Wash Basin/Lavatory, Sing|e.........
Toilet, Public lnstallation.
Toilet, Private........
Miscellaneous:
Mobile Home park Trap fi per Trailer)......
Fleceptor For Refrigeraror/Water Station/Etc........
Receptor For Commercial Sink/Dishv,rasher/Erc..
Shower, Single Stall.....:....
Shower, Gang........
Sink: Bar, Commercial, Residential Kiic;.len..
Urinal, Stall/Wait..
NUMEER OF
NEW FIXTURES.-
cbI
TOTAL FIXTURE UNITS
UI.JIT
EOUIVALENT
-_---.*-
2+
ad
2
1
)
6
2
6
6
1
2
1tH
2
2
1
6
4
-
FIXTUPE
UNITS
"1
--E-
,1
d-
-7-
/?
CREDIT CALCUL,ATION TABLE:Easec on assessed value. lf i rnprovemenis occurred after. annexation date ir:-^::^calcuiate credits arates,
Credit for Parcel or Land Only lf Appticabte
lmprovement (if after aprnexation date)
4, za /q o{X$
(Rate X Assessed Value)x$ -(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rare per $1,OOO
Assessed Value
Year
Annexed
Rate per' $ 1,00C
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1987
1 988
$4.27
4.18
4.12
200
3.83
3.68
3.48
3.1 B
2.82
2.42
1 0ao
1 00n
'l 991
1 00,
100?
1 00,.1
1 00c
1 996
1 007
$1.98
1.15
o.96
o.B3
o.67
o.52
o.38
o.21
RUNOFF COEFFICTENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential. ..........0.4
Commerical ...... 0.9
lndustrial.......
Governmental
05
o.5
FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCTENT
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