HomeMy WebLinkAboutPermit Building 1999-12-10ctTv oF ONEGON
SP]lIIT'GFIELD
RESIDENTIAIJ PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 99L407
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3888 OSAGE ST
Assessors Map #: 18020614
Lot: 23 Block:
Office:
Inspectlon Line:
726 -37 59
726 -37 59
Tax Lot #
Subdivision
13300
.fASPER PARK
Orvner: RIDGELINE BUILDERS
Address: PO BOX 50574
Describe Work: S.F. RESIDENCE
Phone #: 554-7376
City/SLate/ztp: EUGENE, OREGON 9740s
NEW
ContracEor
Const.
Contract,or #Expiree
05/23/01,
03/24/oO
1,0/o4/oO
oB/2L/Oo
Phone
554-7376
607 - 6945
686 -4927
686 -r.628
GeneraL:
Plumbing:
Mechanical:
Electrical:
RIDGELINE BUILD 0106520
PO BOX 50574 EUGENE OR 974050000
CARTE PLUMBING OL2T387
PO BOX 42044 EUGENE OR 974040000
ROLFS 0].02455
PO BOX 55 DEXTER OR 974310000
THORNTON ELECTR OTL5329
PO BOX 5044 EUGENE OR 974050000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 4917
OFFTCE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
To request an inspection, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7
inspections requested after 7:00 a
a.m. wj-II be made the same working day,
will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement
ITNDERFLOOR PLITMBING - Prior to insulation or decking'
ITNDERFLOOR MECHNiIICAL - Prior to insulation or decking'
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BEA.M - Prior to floor insulation or decking'
INSULATION - Floor; prior to decking wa11/cei1i-ng; Prior to cover
WATER LINE - Prior to fi1l1ng trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench'
ITNDERFLOOR DF-LIN - Pr j-or to cover or placement of concrete.
ROUGH PLITMBING - Prior to cover.
ROUGH MECHANICAL _ PTiOT TO COI/ET.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power'
SHEAR WALL NAILING - Before covering sheathing with finish materials
FP-AIIING - Prior to cover.
INSULATION - Floor; 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 compleLe, forms and sub-base material
in p1ace.
SPR!NGFIELD
,.fob Number: 991-407
CITY OF SPHNGFIELI', ONEGON
Page 2
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHAIiIICAL - When aff mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After l-ine is installed and line has been connected to a
minimum 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
Solar Approved: Y
House
Garage
Lot Sq. FL.: 6229
Total Height.: 16
Type: fNTERIOR
Lot Coverage: 30.78?
Setbk From NPL: 62
N
Lot
Setbacks
SW
325
20
E
5
5
Item
Main
Garage
Tot.al Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMIT ---
Square Feet x
15 01
4L6
$/Square Feet
69 .64
18.34
(A)
Value
104, 530.00
7 ,629 .00
112, 159.00
462.25
46 .23
508.48
PLIIMBING PERMIT
Item
Residentiaf Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
160.00
160
L6
00
00
(c)1_75.00
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE &. W /H
GAS F.P.
Mechani-caf Permit
Issuance
surcharge/admin
TOTAI, PERMIT
MECHA}iIICAI, PERMIT
3
6.00
4.50
9.00
3.00
s.00
4 .50
(D)
32.00
10.00
3.20
4s.20
Surcharge/admin
Sidewalk
WILLA]V1i\LA]dE SDC
CITY SDC
TEMP POWER
TOTAL MISCELLANEOUS PERMITS
0.00
60.00
1, 0oo. oo
2 ,264 .52
44.OO
3,368.52(E)
4 ,098 .20(Excluding Electrical)
unless otherwise noted
TOTAL A}TOI'NT DUE - - -
(A, B, C, D, and E combined)
.-- MISCELLANEOUS PERMITS ---
SPRIITIGFIELD
.fob Number: 99L401
CITY OF SPilNGFIEI^O,ONEGON
Page 3
BUILDING VALUE, PLAN CHECK AND BUILDTNG PERMTT
This permit is granted on the express condition that the said construcLion
shal-I, in al-l- respects, conform to the ordi-nance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of bulldings, and may be suspended or revoked at any time upon vj-olation
of any provisions of said ordinances.
Received By:
PLans Reviewed By: DON MOORE
Bullding Site Reviewed By: LISA HOPPER
Date: t2/08/99
--- ADDTTIONAL COMMENTS
DEFAULT AMOUNT USED FOR A & T FOR CITY CREDIT
PURPOSES ONLY. INDIVIDUAL LOTS NOT ON CfTY MAP
PATH 1
SEPARATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I Etate and agree, that f have carefully examined
the completed appJ-icatlon and do hereby certify that al-l- information hereon
is true and correct, and f further certify that any and al-l- work performed
sha11 be done j-n accordance with the Ordinances of the City of Springfield,
and the Laws of the St.ate 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, Buil-ding 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 al-l 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-I remain on the site at al-l- times during construction.
ClZlv ,zl"h?
i-gnature Date
VALIDATION
Receipt Number:
Date Paid
Amount Recei-ved
Received By
%7?a
11^/d-? ?
CITY OF OREGO'V
SP. -GFIELD
8r 4 ? ? - /'/ O!fle tolowing project as submitted has the
zoning, and does not require specific land use
approval
Df;TE:
AI"IT RTID
PERI{IT APPLICATION
JAN 0l !0ri0i:I $ i10.00
IHftNGE:
[flSl-iiER: ?]!
Zoning
(?-
.n225 TIFTE STREET
SPRINGFTELD, oREGoN 97477 Date L-
INSPECTION REQUEST z 726-3P1frlbrized Sisnature
OFFICE: 726-3759
LEGAL DESCRIPTION
JOB DESCRIPTION
lle*z fuzzge /t)i r,,a<.T
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. COI{TRACTOR INSTALI.,ATTON ONLY B.
Electri cal contrac tofkKelle> x: 4Ez7;
Address /.d - $ey gaciE
Ci &-?Phone ?rz"eoe7
Supe rvisor License Number 'jotZS
Expiration Date
c
Constr Contr. Number )-
Exp iration Date
Signature of Supervi clarn
0vners Name >
Address
Ci t O-O -r-eJ Yhone .5 51 - B/Q_---_T-/
OVNEI( INSTALT,ATI
The installation is
property I ovn vhich
for sale, Iease or r
0vners Signature:
DATE:
oo *,*ru-W/flQ1
3
A
J
COHPI,ETB FEE SCEEDULE BELOS
Nev Residential-Single or
Mu1ti-Family per dvelling unit.
Service fncluded:Items Cost Sum
$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
| $ Bs.oo W
( $ 1s.oo 15:
ee rrBtr aE6ve
s s0.00
$ 60.00
$100. 00
s130. 00
$300.00
$ 40.00
40.00
ss.00
80.00
$
$
$
s
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or 1000EfTs
ON
being made on
, is not intended
'ent.
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. MisceLlaneous (Service/feeder not included)
-Each installation
Pump or irrigation S
sign/outline Lighting- $
l,iili ted Energy/Res
-
$
40.00
40.00
20.00
35.00
6D
RBCBTVED B
5
-7
di'r>
1. I.OCATION OP INSTALLATIQN A .3ffil Os'+ae sf SPt-l -
ATTACHMENT A
CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
BUILDING SIZE:I9I7 LOT SIZE 6229
1. STORM DRAINAGE
INPERVIOUS SQ. FT.2s36.s x $0.232 PER SQ. FT $588.47
NUMBER OF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFUl8 $868.86
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
I x 1.01 x $486.73 PER TRIP
x _ x M86.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60
$0.00
s49l.60
4. SANITARY SEWER- MV/MC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I
B.IMPROVEMENT COST:
NUMBER OF FEU's 1 22.05 PER FEU
TOTAL MV/MC SDC
x
x
s242.t6
$22.0s
($67.05)
$10.00
s207.76
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
156.69SUBTOTAL (ADD ITEMS 1,2,3, &4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $107.83
$2,264.52art,hrDTF_TOTAL SDC CHARGES
RIDGELINE BUILDERS INC
3888
I 80206 14- I 3300
SINGLE FAMILY RESIDENCE
2. SANITARY SEWER.CITY
242.76 PER FEU
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES X LINIT EQUTVALENT = PLUMBING FIXTURE UNITS
fNOrB, POn ngUOOEl,S
PLUMBING
FIXTURES UNIT FIXTURE
FIXTURE TYPE NEW OLD ALENT LNITS
BATHTUB
DRINKING FOUNTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OIL/SOILDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOSTHESWASHER/MOP SINK
CLOTHESWAHER - 3 ORMORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTER FOR COMMERICAL SINK/ DISHWASHER/ETC.
SHOWER, SIGNLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANIOUS:
0
0
0
TOTAL PLUMBING FIXTURE UNITS:18
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERATELY
2
0
o
0
0
2
0
0
0
0
2
0
2
0
2
0
8
2
I
2
J
6
2
6
6
I
J
2
I
2
2
I
6
4
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
s 4.47
$ 4.38
$ 4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
$2.62
1989
1990
t99t
1992
1993
1994
199s
r996
1997
1998
$ 2.18
$ 1.75
$ 1.35
$ 1.17
$ 1.03
$ 0.86
$ 0.71
$ 0.s7
$ 0.39
$ 0.r8
l9l9 or before
1980
1981
t982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47 x
IMPROVEMENT (IF AFTER ANNEXATION DATE) x
_15.999__$67.05
$0.00
$67.05CREDIT TOTAL
1
1
I
1
2
The tollowing project as submitted has the rollowing
zoning, and does not require specilic land use
9 'INGFIELE,
CAL PBRUIT APPLICATIONL(z-
225 TIFTS STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
approval
Zoning
eMw
726-3769Authoflzec stgnatrJre
qqHo,]
1 INST
JOB PTION
Permi ts re non-transferable and expi re
Ci ty Job Nunber
3. COHPLETE FEE SCEEDI'LE BELOV
New Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular 'DveIIing
Sertice or Feeder
$ 8s.00
s 1s.00
$ 40.00
.8. Services or Feeders
Installation, Alterations
or Relocation:
A
Sum
if vork is not started vithin 180 days
of issuance or if vork is suspended for
LBO days.
2 COI{TRACTOR INSTALI..ATION
EIect cal Contractor
Address
Ci ty
Supervisor Lic Number
Expiration Da
Constr Cgn
Expi ra t
Owners
Addre
Ci ty Phsn
OVNER ALI.J\TION
s Signature:
PATE:
200 amps or less
20L amps to 400 amPs
--
40L amps to 600 amPs
-
601 amps to 1000 amPs
Over 1000 amps/voIts
-
Reconnect OnIY
C. TemporarY Services or Feed'
Installation, Alteration o
200 amps''or Iess I
201 amis to 4oO amps
-Over 401 to 600 amps' 0ver 600 amps or tOO0-Foft
D. Branch Circuits
$ s0.00
s 60.00
sr00.00
$130.00
s300.00
s 40.00
ersr Relocation
s 4o.oo Dd)s ss.00
s 80.00
s see rrgrr "ffi
Nev, Alteration or Extension Per Panel
One CircuitbEaoh Additional
Cibcuit or with Service
or Feeder Permit $ 2.00 '_
It Miscellaneous (Service/feeder not included)The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
5. SUBTOTAL OF ABOVE
?oz state surcharge
3Z Administrative Fee
TOTAL
of Supervising EIec
Da te
Number
RECEIVED B
-z-
/"h
A - {b ^1*l
Willamalane
Park & Recreation District Job. No.
X $1,000 per unit = $
NAME
ADDRES
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
1
ype ns are on the
A. Single-Family Detached
t Single Family home
NO. OF UNITS I
_ (if SDC reduced for Credit)
Development
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:
!
Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
IP:
Manufactured home not in a park
lffnf " ,'firt
toD CD
I
B. Single-Family Attaehed
NO. OF UNITS X $924 per unit $
C. Multi-Family Aoartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLA,MALANE SDC
2. SDC CREDIT (it applicable) SDOpayer must fumish proof of
Wllamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
$
$
I oo
$
$
$
a
6
P
/Z t /2 taa
u-ile
City of Springfield
ment
I