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HomeMy WebLinkAboutPermit Building 1999-03-10OF SPruNGFIELT', , SPRI]l.GFIELD RESIDENTIAL PERMIT APPLICATION CTTY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page l- ilob Nurnber: 990059 225 North Fifth Street Springfield, OR 97477 tocaEion of Proposed Work: 3323 PARKER LN Assessors Map #: 1-7021-900 Lot : 1,7 Block: Office: Inspection Line: t 26 -37 59 725-3759 Tax Lot # Subdivision 03200 AIVIBLESIDE Owner: TOM WIRFS/COZY HOMES Address: PO BoX 237 Descri-be Work: S. F. RESIDENCE Phone #: 747-8704 Cltylstate/zip: SPRINGFIELD, oREcON 9i477 NEW ContracEor ConsE. Contractor #Expires 06/28/ee L2 /Ls / ee ),2 /23 / ee 04/28/ee Phone 7 47 -47 04 473 -2827 747 -7445 587-1851 General: Plumbing: Mechanical: Electrical: TOM WIRFS OO32947 I275 S 2ND SPRINGFIELD OR 97477OOOO B M C 0103570 648 W OREGON AVE CRESWELL OR 974250 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 BTLLS ELECTRIC 0021351 3170 I^I 11TH EUGENE OR 9'74O2O0OO QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF' BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 250)- To request. an inspection, caLl_ the 24 hour recording aL 726-3769. A11 j-nspections requested before inspections requested after 7:00 will be made t.he same workj-ng be made the following work day. 7:00 a.m. a.m. will --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ROUGH GAs - after l-ine is instal-l-ed and capped if not attached. to an appliance ITNDERFLOOR PI,ITUBING - Prior to insulation or decking TNDERFLOOR MECHANICAL - prior to insulati_on or decking POST AND BEAITI - prior to floor insulation or decking. rNsurJATroN - Floor; prior to decki-ng wal1/Ceiling; prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER LINE - prior to fi1ling trench. STORM SEWER LfNE - prior to fil_1ing trench. ROUGH PIJTIMBING - Prior to cover. ROUGH MECHANICAL - Prior To cover. ROUGH ELECTRfCAL - prior to cover. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power. SHEAR WALL NATLTNG - Before covering sheathing with finish materials. FRA.UING - Prior to cover. INSULATION - Floor,- pri_or to decking Wa11,/Ceiling; prior Lo cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. STDEWALK - After excavati-on is complete, forms and sub-base materj_a1 ,rfi\6.,.s$NL:*: .r(f, es\os tos hN' ATTENTION:Oregcn law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952'001- 0090. You may obtain copies of the rules by caltlng the center. (Note: the telephone number for the Oregon Utility Notification Center is 1 -800-332-2344). in place SPRI]tGFIELD Job Number: 990059 OF Page 2 FINAL PLITMBING - When all plumbing work is complete. FINAL IIECHAIiIICAL - When alL mechanical- work is complete. FINAL ELECTRfCAL - When all electrical work is complete. GAS SERVICE - After line is i-nstaI1ed 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: N Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5525 Total Height: 22 Lot Type: INTERIOR Setbacks swE 1585 5 Lot Coverage: 40.2 % Setbk From NPL: 30 N 18 Item Main Garage PORCH Total Va1ue Building Permit Fee Surcharge/Admi-n TOTAL FEE --- BUTLDING PERMIT --- Square Feet x 2005 528 aaaztz $/Square Feet 69 .54 18.34 15 (A) Vafue t39 ,528 . OO 9 ,684 . O0 4, 080.0o 153,392.0O 554.50 44.37 598.87 --- PLIIMBING PERMIT Item Residential Bath(s) Plumbing Permit Surcharge/admin TOTAL CHARGE 3 Fee 1,92 .50 (c)207 .91, --- MECHANICAT PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LrNE & W/H GAS F.P. Mechanical Permit Issuance Surcharge/Admin TOTAL PERMTT 4 5.00 4.50 12.00 3.00 s.00 4.50 35.00 10.00 2 .80 (D)47.80 --- MTSCELLANEOUS PERMITS Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC CTTY SDC ELECT. PERMTT TOTAL MISCELLAI{EOUS PERMITS 0.00 13.60 15.40 1, 000 . 00 2 , 934 .93 199.80 4,L63.73 3@,43/tLex ,qEttrEtD (E) 15 z4 -to L92 .50 15.41 SPFIilGFIELD rTob Number: 990059 OF SPI?INGFIEIT', Page 3 (Excluding Elect,rical ) unless otherwise noted --- TOTAL AT{OI'NT DUE --- (A, B, c, D, and E combined)-5.;-effi-;31-537A,4 --- BUILDING VALUE, PLAN CHECK AND BUILDTNG PERMTT --- This permit is granted on the express condition that the said construction sha11, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, reguJ-ating the construction and use of buildings, and may be suspended or revoked at any time upon vioLati-on of any provJ-sions of said ordinances. Received By: Pl-ans Reviewed By: DON MOORE Building Site Reviewed By: LISA HOppER Date: 01,/28/99 --- ADDITIONAI, COMMENTS --- A & T ESTTMATE ONLY FOR CITY SYSTEM DEVEL CREDIT PATH 1/SUPER GOOD CENTS DRIVEWAY REQU]RED TO BE PAVED 2 STREET TREES REQUTREDNq /*to /&*/f. By signaEure, I sEate and agree, that I have carefully examinedthe completed application and do hereby certify that all information hereoni-s true and correct, and I furt.her certify t.hat any and al-l- work performedshalf 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 struct.ure without. permission of the Community Services Division, Buildj-ng Safety. I furt.her certify that onlycontractors and employees who are in compliance with ORS 701.055 will- be used on this project. I further agree to ensure that all required. inspections are request.ed at theproper time, that each address is readable from the street, that the permitcard is located at the front of the property, and the approved set of planswill- remain on the site at a1l times dur ing construction. -/o-?Signature Date --- VALTDATION --- d7Rece j-pt Number: Date Paid: Amount Received , ;3 70 71 Recei-ved By ATTACHMENT A 77os? CITY OF SPRINt.. IELD SYSTEMS DEVELOPMLIIT CHARGE WORKSHEET NAME OR COI\4PANY:{ow.. lrJi LOCATION ?7zT ?rr \tt r-lJ^rr^J DEVELOPMENT TYPE efD BUILDiNG SiZE:fL IL 1 STORM DRAiNAGE,. -Azt+s,s)^r (,2) +/rt 3oz5o t f tt(z+)* 2?Co,s )+6,€ iMPERVIOUS SQ FT 3+3b x $0.227 PER SQ. Fr. $ "771 ?7 2. SANITARY SEI^/ER-CITY No. 0F pFU's 2L x $47.14 pER pFU s /Z)5,6? (See Reverse Side) TRANSPORTATION NO OF UNITS X TRIP RI.II X COST PER TRIP x ot x s475.32 $ @,OV x $475.32 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST NO. OF FIU'S I X N1.++PER FEU s T11 ,4+ B. IMPROVEMENT COST: NO. OF FEU'S X Z?,ZO PER FEU $ 25.20 t, $Y MI^/MC CREDIT iF APPLICABLE (SEE REVERSE) MI^/MC ADMINISTRATiVE FEE < $ 3,/-f , $ 10.00 s Ut,47 Lnqq, / 7 $ )7q,7C 5 ADMINISTRATiVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 fnb u TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) u SDC Coordi nator ATTACH 'A. I^/PD Date: I TOTAL spc s- i 7+,13 Lso/ Lor sizE-sQ. (NOTE: For remodels, calculate onl,, ,he NET "00,,,.'*-,It;|;";"' ur rYtsvv rrxtures x unlt equtvalent = Fixture Units FIXTURE TYPE Bathtub.. . . . Drinking Fountain......... Floor Drain....... lnterceptors For Grease/Oil/Solids/Etc................. lnterceptors For Sand/Auto Wash/Etc................. Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 per Trailer)...... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....:.... Shower, Gang.. Sink: Bar, Commercial, Residential Kitc:ren. Urinal, Stall/Wall.. Wash Basin/Lavatory, Single....... Toilet, Public lnstaltation. Toilet, Private... Miscellaneous: CREDIT CALCUL.ATION TABLE:Basec on assessed value. lf im NUMBER OF NEW FIXTURES UNIT EOUIVALENT FIXTURE UNITS --- 2 1 2 2 6 2 6 6 1 J 2 l lHead 2 2 1 6 4 -_=- z Z_ /z ....-:..- zb v- - - ///t TOTAL FIXTURE UNITS provements occurred after annexation date in taole,calculate credits se rates Credit for Parcel or Land Only lf Appticable lmprovement (if after aanexation date) x$J 3 lE (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL /,71 s Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 1 987 1 988 s4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1 989 1 990 1 991 1 992 1 993 't994 1 995 1 996 1 997 $1.98 1 trtr 1.15 o.96 0.83 o.67 o.52 o.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Ontyl Residential...o.4 Commerica1......................... O.g lndustrial......o5 Governmenta1...................... O.5 FIXUNIT.WPO IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT €6 Sr..aNGF|ELO ET,ECTRTCAL PERT{IT APPIJCAEON ty Job Numbei FEE SCEEDTII,E BELOV idential-Single or FamiIy per dvelling unit. ce rncruded: rtems cost 225 FIFTE STREEf, SPRINGFTEI,I), OREGON 97 INSPECTION REQUEST: 7 OFEICE: 726-3759 1 I,EGAL DESCRTlnh\ta(Y) 3 .B c D Sum ON I Pe its are non-transferable and expiretfvork is not started vithln 180 daysof issuance or if vork is suspended for 180 days. , 2. CONTRACTOR INSTALI,ATTON ONLT f/rl, I $ 8s.00 % l..rDL ,Electrical Contractor Add (^)e4-.4-r ci tv- Supervisor License Number ?trO .' Expi ration Date 200 amps or less S 50.00 201 amps to 400 amps - S 60.00 401 amps to.600 amps - $1OO.O0 601 anfs to'1000 ampsl $130.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less -l-_201 amps to 400 amps 0ver 401 to 600 amps Over 600 amps or tOOOEI[-ts Branch Circuits Services or Feeders Installation, Alterations or Relocation: One Circuit Each AdditionalCircuit or vith Service or Feeder Permit SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL $ 1s.00 $ 3s.00 s 2.00 nBu aEffi constr contr. Number e /3 S I Exp iration Date '-?t- Electrician Ovners Name Cl t1 Phone ( 6t[) rNSrALrnrroN The installation is being made on property I ovn vhiih is not intendedfor sale, Iease or rent. 0vnersBSignature: DATE: Nev, Alteration or Extension Per Panel $40sss $eo see .00 .o0 .00 I E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm s 40.00 $ 40.00 $ 20.00 s 36.00 RECETVED B 5 lh. fr looo sq.ft. or ress Each additional 500 . sq. ft or portion thereof Each Hanuf'd Home. or ModuIar.'Dve1ling' Sertice or Feeder Phone ture $ 40.00 .''.{.UUillamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE \ WORKSHEET NAME:PHONE: ADDRESS LOCATION OF PROPOSED BUILD SITE Stre Plat et Add Tax Lot Number: 1. DEVELOPMENT TYPE (Check ype definitions are on lhe back.) A. Single-Family Detachect ( Single Family home appropriate dwelling(s). SDC calcxllations and dwelling t C. Multi-Family Aoartment NO. OF UNITS X $692 per unit D. Manufac{ured Home Park . NO. OF UNiTS X $699 per unit WILLAMALANE SDC 2. SDC CREDTT (if applicabte) SDC4ayer must fumish proof of Willamalane Credit approval. See SOC Credit Wodaheet Manufactured home not in a park NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attached NO. OF UNITS X $924 per unit $ Iwg) $ $ l0D oo $ -L r /e r 7f $ $d)3. TOTAL WILLAMALANE (if SDC reduoed for Credit) SDC ASSESSED City of Springfield Date srArE: Wry 8PllINGFIE LO BACKFLOV PREVENTION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 FIFTH STREET SPRINGFIE.:,D OR 97477 JoB L0cAr.toN: 33 Z3 OFITICE: 726_3159 __:::nr.rroN r,rNE: 726..376e .^'1Jxu@(L a ASSESSORS MAP *:7 #t+66me-q O1INER:THISPERMI ENOT ADDRESS:ZNUS 7a CITY:NJ slYtg0 LrP 3ry71 BACKFLOTJ PERMIT IS 515.00 + $.75 (STATE SURCHARGE) + g.45 (ADMrN. FEE) = $16.20 ( ADDRESS:-13ou(Z follow rules CTTY:STATE: CONSTRUCTI CONTRACTORS REGTSTRATION *: numberfor FOR OFFICE USE BY SIGNING THIS PERHIT/APPLICATION, I AGREB TO CALL FOR AN INSPE ]TION ONCN THEBACKFLoU PREVENTI0N DEVICE HAS BBEN INSTALLED ar,rn fS VISIBLE FOn TNSpECTI()N(726-3769), r ALso srATE THAT ALL rN['ORHATrontn rnrs pERMrr/A[.,LrcATroN ISCORRECT. -21 -7 /4fDATE OF /.PPLICATION: RECEIPT I':ISSUED BY: TOTAL AH(rUNT COLLECTED , I J} ,,,tff209 7 TAX 10 through (1 I ao ility ltl Thls permit ls required for any site activity in the flood plain and everywhere elte alteratlon consists of flfty (5O) cubic yards of material or more and/or if a drainageway is affected, within City limits and This'-,de To Be Filled Out by Applicant 323 Springfield, Oregon Date of Appll catlon q - q- f ? o(,-Property Owner Address : Permlt Explratlon Date Site Address: Phone: Journal number appllcable Land Use Application I 7ooTax Lot:No: 11'oz-tq-43tr ucB Tax Map w E E} , Project Supervlsor , phone EXCAVATION, Oua GB{D!NG, Ou Destination: Source Location Matsrlal FILL, Ouantity, Supplier: Address E( tr tr tr tr tr CROSS SECTIONS, SOILS & GEOLOGY PLAN, DRAINAGE, POLLUTION AND EROSION CONTROL P STATE CITY STAT COMPANY NAME _, PHONE and n d REPLANTING PLAN COMPANY NAME: es PBOJECT SUPERVISOR ADDRESS: ADDITIONAL INFORMATION, PROJECT SUPERVISOR ADDRESS: It a7qq7 FAx7y7 r8e5' ?\ ? Expiration Date: , EME RGENCY PHONE: /Dafc<- ? Zy <77 F Registration Number: PHONE CITY:ADDRESS: STATE: PROJECT SUPERVISOR: CONTRACTOR NAME: ztP: 4'l y l-t oFFtcE pHoNE MOBILE PHONE: 5oI T3 q lunderetand that l.or mv succossora may have future plans for.my property whlch may bc antlclpatod or unanticipated atthla tlme. I underrtand that euih tuture litani -iiieq,itre per-rii'a-na tivitopemcnt approvala rrom ttI'cjili'ii"d""?i,?fia.I underetand that notwlthstandlng any !'pproval oi ttrtb t-ario and Dratnasc AtiSraiiin p-ir'nirtt-i-iOAFi,'tiiii ii'ir,i'ti,il""i"''"'applicatlon of luturo permits.o_r approvall'the City may revlew snd nCof,itiii-iiiicli6#;itEii;i'my ercceslois ira*undortrkon porruant to thls LDAP. I undorstand rhar.r.he city may as tco;oltro; oi'i.iirirtriJ'"p-jri";r, requtrb rtre - - undolng, changlng, or modlflcatlon of orry actlorrs *trict' itr,ivo uhJJn"tiiiiii riarrt bii6iLrtirr-"ppro"ot of thto LDAp. F -t M tJJo- Zo -lF M IJJFJ LLJ U Z -t --to oZ cZ 5 8y llgnaturc, I ctatc and aoroo, that I hnvo corofully exomlnod tho complotcd appllcatlon and do horoby aortify thot onlnformatlon hereln lg true and corroct, and I further.'co1tlty^t-t "1_"ny;;i"sn';;i;iiioi'ri.r'"J inirr L'i' jon" tn accordancowlth tho ordinances o, tho city of Sprinsfield, applic;bl;'citt-siaiodii ip.Crii"iii6iJ'.'"i-o-ri.nJridrland rhe taws of rhestato.of oregon p-ert-alnlng to_the wdrk ti'oscri6ei'hei€i". tlrhtdii"iltiiitiit onty contractors and emptoyees who are incompliance with ORS 701.O5S will be used on this project. The City may lnapec-t tho work slto doscribod ln this pormlt at sn-y time.durlng a one ycar perlod followlng lho recelpt bythe Citv of notlce of completion of the doscriboo woit< ana-sp""t1y,'rltfiitlty'a aole desecratlon. any additional rostorationwork required to r€turn tho sito to a standard ,"""ptiu6.to-thJclti. iil;p;#itt;; ;iib; ;iriir'a-l',i wririns of any workrequirod and will have thirty (3ol davs from the daie of itrJ noilco'to iiir[rit" ttre woii<. Woi['n-oi iomprotod at tho end ofthe thirtv davs will bo perfdrmed by'tho city and rhe cosrs wifl uo uirrea i5 trii i'eimitte'J. aro requostod at.tho propor tims, that projed address is roadable fromon tho sito at all tlmos durlng construclioh, Date ,-1- 2? the rematn I further agree to onsuro that Street, 0nd tho Slgnature tr UJz =o TUF U' zo G uJ 5 oz 5 a 2 IrJ =o ko UJ IE5out E, aFz E =,ozo() Go t) CE 2o() CDz 5o. UJ CE = H ul tE:, Ezg ? 7 I A/o Ar4 oo%liled 3/r/rz /hs L q1m67 dl of and @r- , v tr @ wE DRAINAGE, 0 Storm, E WETLANDS, Descri FLOOD PLAIN, Zono: Culvert, El Natural FEMA Community Panel No.: FLOODWAY, FEMA Community panel No Date $20.00 $30.o0 $40.0o 94O.OO For the first lO,OOO cubic yards, plus $20;00 for each additional IO,OOO cubic yards or fraction thereof, 922O.OO For rhe first lOO.OOl cubic yards, plus 92O,OO for each additional lO,OOO cubic yards or fraction thereof.9340 For the first 2OO,OO1 cublc yarde, plue $6.00 for each additional lO,OOO cubid yards or fraction theroof. $30.oo $3O.OO For tho flrst I OO cubic yarda, plus $14.OO for each additional 1OO cublc yards or fraction ihereof. $ 1 56-00 For the first 1,OOO cubic yards, plus $ 1 2.OO for each additional I,OOO cubic yirds or fraction theroof.$264.00 For the first lO,OO0 cubic yardi, plus $54.00 for each additionar lo,ooo cubic yirds or fraction thereof.$75O.OO For the first lOO,OOl cubic yards, plus $30'00 for each additionar ro,ooo cutic yards or fraction thereof. Received by:\r0-,, 0 ?R /'l^5 o Date: Recoivod Plan Check Fee Grading Permit 1"", # 2OO,OO1 CUBIC YARDS OR MORE 1,OO1 TO 10,OOO CUBTC YARDS lo,oo0 To 100,ooo cuBtc YARDS 100,001 To 20o,ooo Receipt No: Dato: Estimated Volume: PLAN CHECK FEES: UP TO lOO CUBIC YARDS 101 TO 1,000 cuBtc YARDS l,OOl TO 10,000 cuBtc YARDS 10,000 To 100,000 cuBtc YARDS 100,001 TO 200,000 GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO l,OOO CUBIC YARDS Receipt N.{50 4)}162 D"t". Date: 3@- 1, ng Date: Date: tr Maintenance: tr Buirding:Date: Date Dato Pprmit Number lssued by:Date: Date Date Date: Beqr rirerl Finnl lnsFpetinns. Plannlng: Enginoering: Building: Maintonance: FJ IJJ U Z -trvEtsc cZ nZ s F -l M, LIJo- Zo -tF fv -LU ifl$r9"1?"BliTPiatrX[lfl.as outlined in this permit has beon compretod in accordance with h,l#,flLdr?69i!P"S"%?tiYilJf&8YJJi"ed in this permit has not been compreted in accordance Land and Drainage activity was porformed prior to apprication for this permit. Accepted by: Date: tr o tr O rhis side To Be rift out By c a I IIJ(!l z E,o luutIL o ltJ =IIJ UJ TE ozo outo-o = IIJo2 EEutoo 1/6/1998 d ozo Fozoo