HomeMy WebLinkAboutPermit Building 1999-03-04SPRINGF!ELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUILDING SAFETY
Page 1
.fob Nr:rnber: 990051
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Workz 3357 PARKER LN
Assessors Map #: L702L900
LoL: 15 Block:
Office:
Inspection Line:
725 -37 59
7 26 -37 69
Tax Lot #:
Subdivision:
03200
AMBLESIDE
Owner: TOM WTRFS/COZY HOMES
Address: PO BOX 237
Describe Work: S.F. RESIDENCE
Phone #: 747-8704
city/state/zip: SPRINGFIELD, OREGON 9741'7
NEW
General:
Plumbing:
Mechanical
El,ecEricaI
Contractor
TOM WIRFS OO32947
l-275 S 2ND SPRINGFIELD OR 97477OOOO
B M C 0103570
648 W OREGON AVE CRESWELL OR 974260
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
BILLS 0021351
3170 W 11TH EUGENE OR 9'74020000
ConsE.
Cont,ract,or #Expires
06/28/ee
1,2/Ts/ee
L2 /23 / ee
04/28/ee
Phone
'747-8704
47 3 -2827
74'7-7445
587-1851
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
.- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: G
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
SQ FOOTAGE: 2025
To requesE an inspection, call the 24 hour recording at 726-3769.
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 INSPECTTONS ---
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking.
UNDERFLOOR PLITI,IBING - Prior to insul-ation or decking.
ITNDERFIJOOR DRAIN - Prior to cover or placement of conq(FtEl\l-iiill,i:Uriig'n,aWrequiresyOUtO
Posr AND BEA,' - Prior to floor insulation or decking'follourrulesadoplq-dbytheoi"goiutirit),
INSULATIoN - Floor; prior to deckins wa11/ceilingvofrFiC*n#genfd;Fffr&;;il#setforth
wArER r'rNE - Prior to filrins trench' inoAF952-001-00iotnrorg;d;ii=;2-oo1-
sArvrrARY sEwER LrNE - Prior to filling trench' 00g0,..YoumayobtaincopiJsoithe"rutesoy
sroRlr! sEwER LrNE - Prior to filling trench' callingthecenter.(Note:tn"i"i"inon"
RoUGH PLLI'BTNG - Prj-or to cover r^^ _-^ ^^**^r j - numberforthe-oregn"Uiiritvrv"iiication
RoucH cAs - af ter line is insralted and capped if nor arraqfgifl"frs ldld"iri:;d;i:""appliance
ROUGH MECHAI{rCAL - Pri_or to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAfIJING - Before covering sheathing with finish material_s.
FRAIIING - Prior to cover.
rNsur,ATroN - FLoor; prior to decking wall/ceiling; prior to cover
DRYI'IALI - Prior to taping.
ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.
GAs SERVICE - After line is installed and line has been connected to a
minimum of one appliance. pressure test done at this point.
NOE;
THiS i}Ei IJIILL EXPIRE IFTHE WORK
,i i-i$ii}EB THE PERMIT IS NOT
:: {,ig ig /,\BAI,IDONED FOR
xl.r3tOrli:,
SPTIIHGFIELO
.Tob Number: 990051
SPruNGFIELI',
Page 2
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavati-on is complete, forms and sub-base material
in p1ace.
FINAL PTIIMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAIJ ELECTRICAL - When all electrj-ca1 work is complete.
FINAL BUILDING - When all required inspecLions have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5525
Total Height: 19
Lot Type: TNTERTOR
Setbacks
SWE
29511
Lot Coverage: 35 Z
Setbk From NPL: 74
N
18
ftem
Main
Garage
Total- Value
Building Permit Fee
Surcharge/Admin
TOTAIJ FEE
BUILDING PERMIT .--
Square Feet x
1485
54l-
$,/square Feet
59 .64
18.34
(A)
Value
103,415. 00
9,922.OO
113, 337.00
464 .50
37 .1,7
501_ - 57
PLT'MBING PERMIT
Item
Residential Bath(s)
Plumbj-ng Permit
Surcharge/Admin
TOTAL CHARGE
2
Fee
150.00
160.00
12. B0
L7 2 .80(c)
--- MECHA}.IICAL PERMIT
Furnace
Exhaust Hood
Vent. Fan
Dryer Vent
W/H GAS PIPE
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMTT
2
6.00
4.50
5.00
3.00
s.00
(D)
24 .50
10.00
1 0?
35 .47
MISCELLANEOUS PERMITS
Surcharge/Admin
Sldewalk
Curb Cut
CITY SDC
WILLAMALANE
TEMP/ELECT PERMIT
PLAN CHECK FEE
0.00
13.75
]-5.25
2 ,349 .47
1, 000 . 00
183.50
301.93
TOTAL MTSCELLANEOUS PERMITS (E)3,854.00
SPFTNGFIELD
ilob Number: 990051
SPilNGFIELD,
Page 3
(Excluding Electrical)
unleaa otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,57 4 .94
--- BUILDTNG VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condi-tion that. the saj-d construction
shaIl, in all respects, conform to the Ordinance adopted by the City of
Springfield, includj-ng the Development Code, regulati-ng the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAI, COMMENTS ---
A & T ESTIMATE ONLY FOR CTTY SDC CREDIT PURPOSES
DRTVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signat,ure, I sEate and agree, that I have carefully examined
the completed application and do hereby certify that all information hereonis true and correct, and f further certify that any and all- work performed
shaIl 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 without permission of the
Community Services Divlsion, Building Safety. I further certify that onlycontractors and employees who are in complj-ance wit.h ORS 701.055 will be
used on this project.
r further agree to ensure that all required inspections are requested at theproper time, that each address is readabl-e 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 all times during construction.
3-1_zZ
Signature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:?
I
Date:02/03/99
-]T-T
L
225 FIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:
0FFICE: 726-3759
726-37
1
at
Pe s are non-transferable and e lre
if k is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
fElectrical Contractor
Address
Ci ty a
SPPT{GFIELO
CAL PERHIT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
Ci ty Job Nurnber
FEE SCEEDTILE BETOV
sidential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
Oate
APPLICATIONqqm{ot
3
A
Lo J3
Sum
e1
45
B. Services or Feeders
Installation, Alterations
or Relocation:
Nev, Alteration or Extension
One Circuit
Each Additional-
Circuit or vith Service
or Feeder Permit
$ 8s.00
s 1s.00
s 40.00
$
Per Panel
35.00
.
2.00
not included)
$
l,4,tc
Phone jq L/amps to 600 amps
License Number ? /O f
401
601
Over 1-000 amps/volts
amps to 1000 amps-
Expiration Date o* /-
Supervi .sor
Constr Contr. Number 7(3r/
Expiration Date /o- /-7 7
Signature of-Su s trici
Ovners
Add
cit Phone
TION
The installation is being m
property I ovn vhich is notr
for sale, Iease or rent. r, OAR gg2-001-0010
Ovners Signature:0090. You maY obtain co
calling the center. (N
number tor the Oregon
DATE:
200 amps or less
201 amps to 400 amps
-
or Feeders
ation or Relocation
40.00
55.00
80.00
Over 600 amps or 1000 -voITs ee rBtr aEve-
D. Branch Circuits
$ s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
C.
$
$
$
s
1/)
( Service/ feeder
t ion
tion $ighting- $/Res $
1-ry.('-3ffi-ff6flir. or ABovE
52 State Surcharge
32 Administrative Fee
TOTAL
40.00
40. 00
20.00
36.00
CITY OF SPR ONEGON
RECEIYED
od
r only
Ins
you to
to
ll
ATTACHMENTA l1oaG tCIW OF SPRINu, IELD SYSTEMS DEVELOPML.. I CHARGE
I^IORKSHEET
NAME OR COI',IPANY tJrm
LOCATION 7?t 1 ?*.-(c-e--Y
DEVELOP|\4ENT TYPE:zrfD
1. SToRMDRAINAGE/ d1i* r hse
-@:x Z3,s ) + 2p?b F
IMPERVi0US SQ FT. + x $0
2. SANITARY SEWER.CITY
ArLr+
@ o *ab)a-
227 PER SQ. FT. $ ?7 S/
BUILDiNG SiZE zCa OT SIZ 0Ft
$ +a, ov
s T11 ,4+
$ b,20
<$ 9,6
0. 00
NO. OF PFU'S /{X $47.14 PER PFU S F4T,'L.
(See Reverse S'ide)
3. TRANSPORTATiON
NO OF UNiTS X TRIP RI.IE X COST PER TRIP
X t,ot x $475.32
x _ x $475.32
SANITARY SEI^JER-Mt^lMC
A. REIMBURSEMENT COST:
NO. OF FTU'S I X N1.++PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S X Z?,ZO PER FEU
I4I^JMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^/MC ADMINISTRATiVE FEE
TOIAL-MWMC SDC
SUBTOIAL (ADD ITEMS 1,2,3 & 4)5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBIOIAL ABOVE) X .05
{hS t
SDC Coordinator
ATTACH 'A.I^IPD
$
4
sl
s Vn| *1
$LZ
$ ttl v?
Date:2t
ToTAL spc $ 2 \+1, +1
-{,
I
(NorE: For remoders, carcurat" ;; "; *ET-Jo;;;;,r*:;'' "' rYcw rrxrures x un't tsqurvalent = Fixture Units
NUMBER OF
FIXTURE TYPE NEW FIXTURES -
UNIT
EOUIVALENT
FIXTURE
UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc
lnterceptors For Sand/Auto Wash/Etc,
Laundry TubiClotheswasher....
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 Kitclren..
Urinal, Stall/Wall...
Wash Basin lLav atory, Single..........
Toilet, Public lnstallation
Toilet , Private..
Miscellaneous:
CREDIT CALCULATION TABLE:Basei on assessed value. lf
2
1
2
6
2
6
6
1
2
l lHead
2
2
1
6
4
/t
-
7
-
-
---=--./-
Z-
4Z-
T
--eTOTAL FIXTURE UNITS
rrnprovements occurred after annexation date in raole,calculate credits se rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after arrrnexatlon date)
(Rate X Assessed Value)x$ -(Rate X Assessed Value)
. CREDIT TOT.AL = g
d-zt X$/{3, /s
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 9BO
1 981
1982
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 00n
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1 trtr
1.15
0.96
o.83
o.67
o.52
o.3B
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Onlyl
Residential..o.4Commerical ......... O.g
lndustrial.......
Governmental
o5
... o.5
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor slzE x RUNOFF coEFFrctENT
I
WillamalanePart & Recreation District
A. Single-Family Detached
lt Single Family home
NO. OF UNITS
Job. No.
q 0
NAME:
ADDRE
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:IP
LOCATION OF PROPOSED BU SITE
Street Ad S:
Plat Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
Manufactured home not in a Park
X $1,000 Per unit = $tDoo.oc)
X $699 per unit = $
@
, NO. OF UNITS
WLLA,MALANE SDC
B. Singte-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS X $692 per unit = $
D. Manufac{ured Home Park
$
2. SDC CREDTT (if appticabte) SDC4ayer must fun{sh proof of
Wllamalane Credit approvat. See SDC Credit Wottcsheel $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $.oc)3,-{
City of td
Date
a
Tltis Side i - Be Filled Out by Apltlicant
llood plaln and evorywhere slte alteratlon conslsts olif a drainagoway is affected, within City limits and
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Permit Expiration Date:
Phono: 7t 7 LZA(
Slte Address:
Address :
Date of Application
Property Owner
tr UGB Tax Map No:
Journal numbor oppli
Tax Lot: lSOOl1- o ?-tq-+i
cablo Lond Uso Application
EXCAVATION, Ouantity_ Dostination:
tr
tr
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SOILS & GEOLOGY PLAN,
DRAINAGE, POLLUTION AND ERr-,oruN CONTROL PLAN
Phone
o
a
a-
a
E
FILL, Ouantit
Suppl ler
G GDIN tRA v
REPLANTING PLAN
ADDITION
Projoct Supervlsor
Source Location
Matorlal
, and doscriptlons, Tax map and
rtour llnes, Exlstlng drainage
Ground cdver, Soi[ types.Utilities, Areas subjoct to lan<J
wtlys, Proposcd droinoge ways,Btrikiirrgs,'Scptic systerirs, Sdwtslidcs, I'ropoicd siic inrprovcrrre
CROSS SECTIONS,
Supplier
Address
Reouired Data:Ouar
, Sltri addrsss, Existir
es
It),t4
?/
L]r'
t-i
-Ja5
PHONE
STATE
PHONE
STATE
ClTY
CITY
COMPANY NAME:
COMPANY NAME:
PROJECT SUPERVISOR:
ADDRESS:
PROJECT SUPERVISOR
ADDRESS:
CONTBACTOR NAME:
l\
FAX7V7 r7e5'
fR:Jt
A ?q tl 1
b-STATE:
HONE
ration Dsts:
Ztp: /11 y -7I oFFtCE pHoNE
CITY: -f
!,
L
tt
IT
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Dtl
I underetand thot I oi mY Euccosaore may havo [uturo plane (or rny proporty whlch may bc antlclpated or un6ntlclpatod at
lhls tlmo, I undere tand thst such futuro plans may requiro pormits and dovelopomont opprovals from tho City of Springlield
I understond thst notwlthstanding any approval ol this Land and Drainage Alteratlon Permlt (LDAP), that at the time of
opplication of luture pormits or approvals tho City nray reviow and roconsidsr all actions whlch I or my ouccsssors have
undsrtaken porsuant to thls LDAP. I understand tlrat tlro City may as a condition of ony futuro approval, require the
undoing. changing. or modification of any actiorrs which I havo undertakon as a rosult of the City's approval of this LDAP.
By slgnature, I etato end agroo, llrat I hate carolully oxaminod the completed applicatlon and do horeby cortify that all
lnformotion hereln ls true and corroct, and I furtlrer cortify that any and all work porformod ahall be dono ln aicordanco
with the Ordinancos of tho City of Springtield, applicablo City Standard specificotions and Drewings. and ths laws of the
Stato of Orogon portoining to tlro work doscribod horoirr. I furtlror cortily that only controctors ond employoes who are in
compliance with ORS 701.055 will bs ussd on this proiect,
The Qity may lnspect tlre work alte dsscribed in this permit at any timo during a ono yest perlod lollowing th€ rocoipt by
tho Clty of notlce of completlon of the described work and specify. at tho City'E cole dosicration, any additional reitordtionwork required to roturn the site to a standard acceptablo to the City. The permlttee will be notified ln'writing of any work
required end will h.ave thirty (3ol days from tho date of the notics to cornplote tho work. Work not complotCd at tho end o,the thirty days will bo porlornrod by tho City and tho costs will bo billod to tho pormltteo.
ns aro roquosted at the proper tlme, that proioct addross is roadable frorn
ain on tho sito at all times durlng construction,
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M ,fr-Co//ur& d /t'tst- 3/n /q qq 6Dbl
MOBILE eHoNE: Sot /3 Vf EMERGENCY PHONE: /Daf u- 3 et \77 F
ADDRESS:?-o - .tz -7
CEol-t
E
Eo(,
Slgnaturo
$ 20.00
$30.oo
$40.oo
$4O.Oo For tho first lO,O0O cubic yatds, plus
$20,OO for oach additional 1O,OOO cubic yards or lraction thorool.
$220.00 For the first 100,001 cublc yarde, plus
$2O.OO for each additional lO,OOO cubic yards or fraction thoreof .
934O For tho firot 2OO,OO1 cublc yardc, plue
$6,OO lor oach additional 'lO,OOO cubld yards o. lrsction thoreol.
$30.o0
$3O.OO For ths flrst IOO cublc yards, plus
$ I 4.OO for oach additlonal I OO cublc yards or fraction thoroof.
$156.00 For tlro lirst 1,OO0 cubic yards, plus
$ I 2.OO for oach additional 1,00O cubic yards or fraction thersol.
$264.0O For tho flrst lO,OO0 cublc yards, plua
$54,0O lor oach additlonal lO,OOO cublc yards or lraction thereof.
$760.00 For the lirst 10O,OOI cublc yards, plus
$3O.OO lor oach additional lO,OOO cublc yards or fractlon lhoreol.
W)
r\ /'r^L0
b D
[D
Dato:_
Receivod
100,001 To 200,000
Recelpt N
Grading Pormit feo:
Received by:
Estimated
Plan Check Fee:
PLAN CHECK FEES:
UP TO 1OO CUBIC YARDS
IOI TO I,OOO CUBIC YARDS
I.OO1 TO 1O,OOO CUBIC YARDS
10,000 To loo,000 cuBlc YARDS
2OO,OO1 CUBIC YARDS OR MORE
'I
GRADING PEBMIT FEES:
UP TO IOO CUBIC YARDS
1OI TO l,OOO CUBIC YARDS
1,O01 TO t0,ooo cuBlc YARDS
1o.oo0 To 100,000 cuBlc YARDS
'too,ool To 200,ooo
Recolpt No:
Date:
Dato:
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This Side To Be Filled Out By
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clzo
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6
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t)ltlo.U'
=
PittloTlIl.
DRAlNAGE,0Stontt,QDitch,0Culvort,0Natural
WETLANDS, Description
FLOOD PLAIN, Zono:FEMA Community Panol No.z +15r12- 037oL.
FLOODWAY, FEMA Community Panel No.:Date:
Planni Date:
Dato:Englnoorlng
Building:Date:
DatsMaintonanco:
lssuod by Date:
Reqrrlred Flnal lnsFectiods'
tr
E?
wa
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tr
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Pprmit Number
Planning:
Engineering:
Building:
Date
Dato
Malntonance:
Dato
Date:
n Land ond Dralrrago activity as outlined in tlris ponnit lras bson cotnplotod ln accordanco witlt
the provisions ofthis Perrhit'U h,16d,1{}dp,Jglgf"q.,"r%TiYllyfS,S$]i"ed
in this permit has not boen comploted in accordance
B Land and Dralnago activity was performed prior to applicatlon for this permit.
1/6/1998
Accepted by:- Dato:-
........:.,i;:;ffi*?t1