HomeMy WebLinkAboutPermit Building 1999-03-15SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OE SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nr:mber: 9902L7
225 Nort.h Fifth Street
Springfield, OR 97477
LocaUion of Proposed Work: 3889 OSAGE ST
Assessors tiap #: L80206L4
Lot : 1-4 Block:
Office:
Inspection Line:
725 -3't 59
726 -31 59
Tax Lot #:
Subdivision:
13300
.fASPER PARK
SPruNGFIELD,
OwneT: DENNIS MINII,M
Address: 8745 THURSTON ROAD
Describe Work: S.F. RESIDENCE
Phone #: 747-8495
City/State/zip: SPRINGFIELD, OREGON 97478
NEW
ContracUor
Const.
Contractor #Expires
1,2/1,L/ee
06/1,o/ee
1,2/23/ee
o5/1,e/ee
Phone
1 41 - 8495
688-1931
747-7445
6BB - 4444
General:
Plumbi-ng:
Mechanical
Electrical
MINIUM 0062682
8745 THURSTON RD SPR]NGFIELD OR 974
DON LEWIS 0033076
5OO GREENFIELD ST EUGENE OR 974041,6
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
ANTONE OO82B35
2751.4 SNYDER RD .]UNCTfON CITY OR 97
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 1,91,6
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
To request an inspection, cal-l- the 24 hour recording aL 725-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. 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 PLtIIBING - Prior to insulation or decking.
ITNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking.
POST AIiID BEAI,I - Pri-or to f loor insulation or decking.
INSUIJATION - Floor; prior to decking Wa11/Ceiling; Prior Lo cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to fifling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLIruBING - Prior To cover.
ROUGH cAS - after fine is instal-led and capped if not attached to an
appliance
ROUGH MECHANICAL _ PriOr IO COVET.
ROUGH ELECTR]CAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materiaLs.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
DRYWALL - Prior to taping.
GAS SERVICE - After line is install-ed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
SPRINGFIELD
Job Number: 9902L7 Page 2
ETECTRICAIJ SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When afl mechanical work 1s complete.
FINAL ELECTRICAL - When al-l- electrical work is complete.
FINAT BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5800
Total Height: 30
Lot T)pe: INTERIOR
Setbacks
SWE
44 18 6
Lot Coverage: 26 *
Setbk From NPL: 45
N
30
Item
Main
Garage
UNFINISHED BONUS RM
Total Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMTT ---
Square Feet x
15 51
480
289
$/Square Feet
69 .64
18.34
52 .23
Value
108, 012.00
8, 803 .00
15, 094.00
131, 909.00
505.00
40 .40
545 .40(A)
PLIIMBING PERMIT
ftem
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
)
Fee
1-92 .50
L92 - 50
15.41
207.9L(c)
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS PIPING & APPL
Mechanical- Permit
Issuance
Surcharge/admin
TOTAL PERMIT
MECHA.}IICAL PERMIT
3
5.00
4 .50
9.00
3.00
2 .50
25
10
2
00
00
00
(D)37.00
--- MISCELLAI.IEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CTTY SDC
WILLAMALANE
ELECT. PERMIT
PLAN CHECK
0.00
15.40
14.80
2,439 .23
1,000.00
L24.20
328.25
TOTAL MISCELLA"I{EOUS PERMITS (E)3 , 921 .88
SPRINGFIELD
ilob Number: 990217
SPilNGFIELT',
Page 3
(Excluding Electrical )
unlegs otherwise noted
TOTAI. A}IOUNT DUE
(A, B, C, D,and E combined)4,7L2.L9
BUILDING VALUE, PLAN CIIECK AI{D BUILDING PERMIT
This permit is granted on the express condition that the said construction
shal1, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or rewoked at any time upon vi-olation
of any provi-sions of said ordinances.
Received By:
Pl-ans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: 03/1,1,/99
By signature, I state and agree, that f have carefully examined
the completed application and do hereby certify Lhat 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 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 withouL permi-ssion of the
Community Services Division, Building Safety. I further certify that only
conLractors and employees who are in compliance with ORS 701.055 will be
used on this project.
f further ag'ree to ensure that a1l 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
wl_in on the site at afl times during construction
) -/s1 72
J ture Date
VALIDATION
Receipt Number:
Date Paid:
Amount Received:
Received By:
24/f3
7
--- ADDITTONAL COMMENTS ---
A & T ESTTMATE ONLY FOR CITY SDC CREDIT PURPOSES
DR]VEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
ATTACHMENT A
CITY OF SPRIN--IELD SYSTEMS DEVELOPM T CHARGE
q70R/7
t^/ORKSHEET
NAME OR CO|.4PANY
LOCATION
I 1
s+
DEVELOPMETIIT IYPE:5trD
i. STORM DRAINAGE
@u,i r 3s5)a
IMPERVIOUS SQ FT r8 ba.7
2, SANITARY SEI,.iER-CITY
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORIATiON
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
fiA-
+ ffi(til r @zs x ve.s) 1
X $0.227 PER SQ. FT. S 415,12
e+* =p)
'/5 X $47.14 PER PFU $ rr lt,So
NO OF UNITS X TRIP RI.IE X COST PER TRIP
I X t,or X5475.32
x $475.32
SANITARY SEIdER-MWMC
A. RTIMBURSEMENT COST
NO. OF FEU'S I X fr1l+PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S X ZA,ZO PER FEU
MI^/MC CREDIT IF APPLICABLE (SEE REVERSE)
MI,JMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
TOIAL-MWMC SDC s z+9.5?
$ 2-3"3.o9
5 r l(a,/5
5Y
s @,o7
$ T11 ,++
$ 25,20
. s /e4. 6,
$ 10.00
4
0ate
SDC Coordinator
ATTACH 'A. l^lPD
'r'l@
TOTAL SDC S H4, 73.
BUILDING SiZE: LOT SiZE_SQ. Ft.
(NorE: For remoders, carculate onry the NET additionar fixturesr ,^rvreJ /\ v,L Lraurvdren[ = Fixturg Units
FIXTURE TYPE
CREDIT CALCULATION TABLE:
NUMEER OF
NEW FIXTURE!-
UNIT
EOUI\/ALENT
FIXTURE
UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Erc.......,.........
lnterceptors For Sand/Auto Wash/Etc..................
Laundry TubiClotheswasher... :
Clotheswasher - 3 Or More..
Mobile Home park Trap (1 per Trailer)......
Beceptor For Refrigerator/Water StarioniErc........
Recepror For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gang........
Sink: Bar, Commercial, Residential Kirc,ren.
Wash Basin/Lavatory, Single......
Toilet, Public lnstaltarion.
Toilet, Private......
Miscellaneous:
2
I
2
6
2
6
6
I
2
1il{ead
2
2
1
6
4-/lt-
t tl
TOTAL FIXTURE UNTTS = Z 5
lf improvements occurred afteBasec on assessed valuecaicuiate cre dits ra tes
Credit for Parcel or Land Only lf Applicabte
lmprovement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
4";ly $/
r annexation date in :acle,
(A,c5
(Rate X Assessed Value)x$
(Ra te X Assessed Value)
CREDIT TOTAL $
Residential. .......... O.4
Commerical .... o.9
lndustrial........o5
Governmenta1...................... O.5
Year
Annexed
Rate per $,1,O00
Assessed Value
Year
Annexed
Rate per St,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
?oo
3.83
3.68
3.48
3.18
2.82
2.42
1 989
19rQ0
1 991
't oo,
1002
100,.t
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.B3
o.67
o.52
0.38
o.21
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor srzE x RUN.FF coEFFrcrENT
+
-
-
-
4
-
-
2_
-
<__
I"tt C"o
-
I
CITY OF OFEGO'V
Zoning
5-rf -?q
OFPICE: 726-3759
1
Pe rted vithin 180 days
vork is suspended for
2. CONTRACf,OR INSTALI"ATION ONLY B.
Electrical con ,r^"rorflnhn. €/..7
Address
ciry JLt n(*;4 e Phone {
Supervisor License Number ,? OO 63
Expiration Date c-
c.
Constr contr. Nu^aer 2 O-/584-
Expiration Date
Signa of Superv ing Electrician
D.
Address
Ci Phone
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
IHGFIELO
BIJ TRICAT PERHIT
City Job Nunber
3. COHPIJTE FEE SCEEDTII^E BELOS
Neu Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:Items Cost
I
ltre tollowtng prorect as 8t.
"n-i,; ;il'#X";;i tif [' :;: l,H,lH f H:, *
225
A
I
€o
Sum
if vork is not sta
of issuance or if
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular DveIIing
Sertice or Feeder
l- $ Bs.oo W
2_s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 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"ot Iess S 40.00
201 amis to 400 amps
-
S 55.00
over 4b1 to 6oo amps
-
S 8o.oo
Over 600 amps or tbOO vofts see uBu aE6E
Branch Circui ts ; ..
New, Alteration or Extension Per Panel
$
s
s
s
60
100
130
00
00
00
00
00
00
50.
s300
s40
One Circuit S 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Outline Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OT ABOVE
5Z State Surcharge
32 Administrative Fee
s 40.00
$ 40.00
s 20.00
s 36.00
OO
I
DATE:
5
lo
are non-transferable and exPire
1-
UUillamalane
Park & Recreation District Job. No.q n
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:f4-tNAM
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:ax Numbe
I
appropriate dwelting(s). SDC calculations and dwelling t
srArE: Ef,l- r,o'
r: tq,mfldtlDf
Manufactured home not in a Park
g1,ooo per unit = $ lCm'q'
1
are on the
(Check
back.)ype
A. Single-Family Detached
l\ Single FamilY home
NO. OF UNITS t x
B. Single-Family Attached
C. Multi-Family APartment
D. Manufac-tured Home Park
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDOaayormust-lumlsh proot o[
Willamatane ituOii"pptoval' See SDC Credt Wotksheet'
3. TOTAL WILLAMALANE NET SDC ASSESSED
(i( SDC reduced tor Credit)
Development Services
$
$
$6)
$
$
$
d
City of SPringfie td
Department Date
/5 ?7