HomeMy WebLinkAboutPermit Building 1999-10-14CITY OF ONEGON
SPRIl{GF!ELD
Describe Work: S.F.RES
RESIDENTIAL PERMIT APPLTCATION
CITY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUTLDING SAFETY
Page 1
ilob Nr:rnber: 991319
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3455 PARKER LN
Assessors ttap #: L7021943
Lot : 10 Bl,ock:
OwneT: GREG LARKIN
Address : P. O. BOX 2041
Office:
Inspection Line:
7 26 -37 59
726 -37 69
Tax Lot #
Subdivision
01000
AMBLESIDE
UNDER FOB
2222
oR,97339
NEW
General:
Plumbing:
Mechanical:
Electrical:
OBIS
Cont,racEor AlN180 DAY
' Const.
Contractor #
RTVER VALLEY BU OO315O5
405 NE 152ND PORTLAND OR 9723OOOOO
MTDWAY PLUMBING OOO4587
2428 SE THREE I,AKES RD ALBA}IY OR 97
MIDWAY HEATING OO24O44
L2525 SE SHERMAN PORTLAND OR 972330
G&E ELECTRIC 0114315
529 1BTH ST ASTORTA OR 971030000
Expires
0s/12/e8
o7 /2s/e8
os/22/eB
o5/03/s8
Phone
254- 868t
928 - 7 927
252 - 4003
325 - 061,2
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
- - OFFICE USE - -
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
1
?
1 915
To request an inspection, call the 24 hour recording aL 726-37G9.
A11 inspections requested before 7:00 a.m. will be made the same working day,inspections reguested after 7:0d'a.m. will be mad.e the following work day.
--- REQUIRED TNSPECTIONS ___
FOOTING - After trenches are excavated.
FoLNDATToN - After forms are erected but prior to concrete placement.
UNDERFLOOR PLIffBING - prior to insulatlon or decking.
ITNDERFLOOR DRArN - prior to cover or placement of concrete.
ITNDERFLOOR t{EcIrANrcAL - prior to insul_ation or decking.
POST AI{D BEA.II - prior to floor insu]-ation or decking.rNsurJATroN - Floor; prior to decking wall/ceiling; prior to coverWATER LfNE - prior to fj_Iling trench.
SA.IIITARY SEWER IJfNE - pri_or to fil_Ling treneh.
STORDT SEWER LINE - prlor to filling trench.
ROUGH PLIMBING - prior to cover_
RoucH GAs - after r-ine is instarred and capped if not attached to anappliance
ROUGH MECHANfCAL - prior to cover.
ROUGH ELECTRfCAL - prior to cover.
SHEAR wALrJ NArLrNc - Before covering sheathing with finish materi_ars.FRAMING - prior to cover.
rNsurrATroN - F100r; prior to decking walI/ceiling; pri_or to coverDRYWALL - prlor to taping.
ELE.TRT.AL sERvrcE - Must be approved to obtain permanent power.GAs sERvrcE - After line is installed and line has been connected to aminimum of one appliance. pressure test done at this point.
SPRIlilcF!ELD
Job Number: 99a3a9
CITY OF SPilNGFIELT', ONEGON
Page 2
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWATK - After excavation i-s complete, forms and sub-base material-
in p1ace.
FINAL PLITMBING - When all plumbing work is compleLe.
FINAL MECHAI.IICAL - When all mechanical- work is complete.
FINAL EIJECTRICAL - When all efectrical work is complete.
FINAL BUILDING - When all required inspectj-ons have been approved and
the building i-s complete.
Lot Faces: N
Topography: 2
House
Garage
Lot Sq. Ft
Lot Tlpe:
Setbacks
swE
2795
: 5785
INTERIOR
Lot Coverage: 33 ?
N
18
ltem
Main
Garage
Total Value
Building Permit Fee
Surcharge/edmin
TOTAT FEE
--- BUII,DING PERMTT
Square Feet x
1,496
444
$,/square Feet
59 .64
18 .34
(A)
Value
104,181.00
8,143.00
1,L2 ,324 - OO
462.25
46 .23
508.48
PLI'MBING PERMIT ---
It.em
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150
t5
00
00
(c)r.75.00
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove / TnserL / Fireplace Unit
Dryer Vent
GAS PTPE W/H
Mechanlcal Permit.
Issuance
Surcharge/admin
TOTAL PERMIT
)
5.00
4.50
9.00
4.50
3.00
5.00
32
10
3
00
00
20
(D)45.20
--- MISCELLAI{EOUS PERMITS ---
Surcharge/edmin
Curb Cut
Demolition
CITY SDC
WILLAMALANE
PLAN CHECK
TOTAIJ MISCEIJLAI{EOUS PERMTTS
0.00
60.00
60.00
2 ,3O]- .54
1, 000 . 00
80.00
3,501_.54(E)
4 ,23L .22(Excluding Electrical)
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)
ONEGONqTT OF SPruNGFIELD,
sPRIltlGFIELD
Job Number: 991319
--- BUILDTNG VALUE,PLAN CHECK
Received By:
P1ans Reviewed By: AL WARDBuilding Site Reviewed By: BOB BARNHART
Si-gnat
--- VALTDATION ---
05 { >e-r
tul rf /qf
L(2/J I L t-
l)
AND BUTTDING PERMTT ---
Date: t0/L2/99
Page 3
This permit is granted on the express conditi-on thaE the said constructionshal-I, in all respects, conform to the ordinance adopted by the city ofspringfield' including the Devel-opment cod.e, regulating the construction anduse of buildings' and may be suspended. or revokld at any time upon vior-ationof any provisions of said ordinances.
COMMENTS ---
1 STREET TREES REQUIRED
By signature, I st,at,e and agree, tha t I have carefullythe completed a examined
is true and co
pplication and do he reby certify that all information hereonrrect, and f further certiaccordance with the O
fy that any and al1 work perf ormedshall_ be done l-n rdi nances of the City of Slpringf ie1d,and the Laws of the State of Or egon perta inlng to the work descr ibed herein,and that NO OCCUPANCY will be made of any structure without permission of theCommunity S ervices Division Building Safe ty. I further certify that onlycontractors and e mployees who are in compliance with ORS 701.055 will beused on this proj ect
A SPERATE ELECTR]CAL PE;;; H"#ili#,DRTVEWAY REQUTRED TO BE PAVED
f further agree to ensure that al_l_proper time, that each address is rcard is located at the front of thewi-l-l- remain on the site at afi time
reguired inspect.ions are requested at the'eadable from the street, that the permitproperty, and the approved set of planss during construction.
-//-72
Date
Receipt Number
Date paid
Amount Received
Recej-ved By:
Willamalane
Park & Recreation District Job. No.\3 n
PHONE:n
C,-G
[STATE: Qn.Ztpr 1?33i
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
1
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name: tl
3.1 F c\rlJl
DEVELOPMENT fY4Fl ICh.S appropriare dwefling(s). SDC catcutarions and dweling r1pe detinitions are on tne back)
A Singte-Family Detached
b Singte Family home Manufactured home not in a park
NO. OF UNITS (
B. Single-Family Attached
NO. OF UNITS
X $t,000 per unit = $\ (.rcro @
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 = $
WILLAMALA,NE SDC $
2. SDC CREDIT
^(if
appticabte) SD0aayer must fumish proof ofwllamalane credit approvar. see sDC credit wott<sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
_f"_,
Date
OD Iq"L{<Tax Lot Number:or
q1
City of
ment
field
nt
tq
JOURNAL ( IOB NO. 7 ?/ 3 17
ATTACHMENT A
CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CHARGB
WORKSHEET
NAME OR COMPA}.|Y:
LOCATION 3 '/-Et P,cr."€n-ftd )zozn (9 -olba
DEVELOPMENT TYP F.SF rz
BLIILDING SZE:q
1. STORM DR{INAGE
/ouse/a*qf€
(# x ?z.sh ( t xt .s) +( z7 rz z)
Zzs7.s
X 5486.73 PER TRIP
X 5486.73 PER TRiP
S {7 8C
. 7c, wl4-*.4+ (Zox to.s)33e
s 551.3-7
$az.se
41/.ao
s@
S ZYZ.-7G
s Z?.of
s 10.00
S Z1Z,\\
s ztql.a'{
s /o ?. Go
Ft.
IMPERVIOUS SQ. FT.e587.5 X s0.232 PER SQ. FT.
2. SAMTARY SEWER-CITY
NO. OF PFU'S l3 X548.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF I.JNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
L x /,o/
X
4. SAMTARY SEWER-MWMC
A. REMBTIRSEMENT COST:
NO. OF FEU'S ( X ZQ,?A PER FEU
B. MPROVEMFNT COST
NO. OF FEU'S / - X zz.ot PER FEU
MWMC CREDIT iF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATIVE FEE
TOTAL-MWMC SDC
SUBToTAI (ADD ITEMS t,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .0s
SDC
ATTACH'A.WPD
o
q
q
TOTALSDC $)7or.sl
FIXTURE UNIT CALCI I{,ATION TABLE i Number of Nerv F'-'tures X Unit Equivalent = Fixnre Units
(NorE: For remodels' calculate only ti ir additional fixtures)
NUMBER oF uNrr FIxruRE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
I
--T-
2
I
2
3
6
)
6
6
Drinking Fountain..
Floor Drain..
Interceptors For Grease/OiVSolids/Etc
Interceptors For Sand/Auto Wash,/Etc.
Laundry Tub/Clotheswasher,Mop S ink...................
Clotheswasher - 3 Or More.............
Mobile Home Park Trap (l Per Trailer)..
Receptor For RefrigeratorAVater Station/Etc...........
Receptor For Commercial S ink/DishwasherlEtc......
Shorver, Single Stall..............
Shorver, Gang..
Sink: Bar, Commercial, Residential Kitchen............
Urinal, Stail,rWall.... .............................
Wash Basin/Lavatory, Single...........
Toilet, Public Installation............
Toilet, Private.........
Miscelianeous:
-,,.
I
J
2
I
2
2
I
6
ta
e
).-A{ead
l4n ,
2-
g
TOTAL FIXTL'RE TI}.IITS t8
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after anaexarion date in table, calcuiate
credits s
Credit for Parcel or Land Only If Applicable X $ /s- = z''7 o
(Rate X Assessed Value)
Improvement (if after annexation date)x$ -(Rate X Assessed Value)
CREDIT TOTAL = g Z.7o
2
Year
Annexed
Rate per S 1,000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
1989
I 990
199 I
r992
r 993
t994
l 995
t996
1997
2.18
t.75
1.35
t.l7
1.03
0.86
0.7 t
'0.57
0.39
1979 orbefore
1980
1981
1982
1983
1984
1985
1986
1987
1988
s4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
RUNOFF COEFFICIENTS FOR STORM DR{INAGE
(For Estimating Purposes OnlY)
Residential..
Govemmental..
0.4
0.9
0.5
0.5
FIXUNIT.WPD INIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
o.t6_2
OREGONCITY OF SPR
SPRr TGFIELD
COHPI,ETE PEE SCffiDULE BELOS
New Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:
I tems
1 65 4
LEGAL 000
JOB
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,ATION ONLY
Electrical Contractor
ress
Ci ty Ph
Supervisor cen ber
Expiratio te
Contr. Number
Exp iration Date
Signature of Supervising EIe ctr
/--
Owners Name Oce ^rL:V1
address p o,Bq zo4\
"rrCo.re /1: > pnon" 74 o -4 3 ?O
OgNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0wners Signature:
DATE
The following project as submitted has the tollowing
zonrng, and does not require specific land use
approval
Zoning
225 TITTE STREET DAIE
SPRINGFIELD, 0REG0lh,S7/*7Jo si
INSPECTI0N REQIESTz 726-37
OFFICE: 726-3759
c1
OOignature
69 u
3
A
Cos t
$ 8s.00
$ 1s.00
$ 40.00
Sum
B
1000 sq.ft. or less
Each additionat 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular DvelIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or
20L amps to
401 amps to
601 amps to
Over 1000
Reconnec t
Iess
600 amps
L000 amps
amps/voI ts
0n1y
s s0.00
s 60.00
$100.00
s130.00
s300.00s 40.00
c.
5. SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
aEove
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
200 amps"or less / $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTTs see I'B"
Lk);
-tz
67)
-Each installation
Pump or irrigation $
Sign/Outline Lighting- S
Limited Energy/Res
-
$
Limited Energy/Comm $
40.00
40.00
20.00
36.00
RBCETVED
(,o ci)
EI,ECTRICAL PERHIT
Ci ty Job Nunber
OREGclfY oF
SlrrilNGFrELr,
225 FIFTE STREET APPTOVAI
SPRINGFTBLD, oREGoN 97471 Zonins loL BLBC:TRICAL PERHIT APPLICATION
INSPECTI0N RBQUEST: 7
0FFICE: 726-3759
1. TOCATIONzqes
ng as
zoning. and does not require specific land use
Authorized Signature
Job Numbe, 7 /1t
3. COHPLETB TBE SCEEDULE BELOS
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
OB INSTALI,ATTONlAslQi Ln Spru-W,ta.v
LEGAL
l1o L 6TD
JOB DESCRIPTTONn,/t*.1 SL..u-t e--z--
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAII..ATION ONIY
Electrical Contractor 4
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
C
Miscell-aneous (Service/feeder
-Each installation
Pnmp or irrigation $
Sign/0utIine Lighting_ $
Limited Energy/Res _ $
Limited Energy/Comm $
r
3
$ Bs.oo Je,tO
g1s.oo %n
Sum
$ 40.00
not included)
40.00
40.00
20. o0
30. n
Address ?o box tb|b
Ci ty n
Supervisor License Number
Expiration Date tb- t- 00
ave/5-(
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
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 with Service
or Feeder Permit $ 2.00
$ s0.00
$ 60.00
$100.00
$130.00
$300. 00
$ 40.00
Constr Contr. Number
Expiration Date /0' /-00
Signature of Supervising Electrician
Owners Name
o
Ci ty
OTINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
200 amps or less $ 40.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above
Address P'o 'l-o
E
DATE:
RECETPT
-tr-Aq
5. SUBTOTAL OF ABOVE
/*Z state Surchargg- rorAl 3?a
RECEIVED BY: #,^-,/wn
pnrn" S {l - ?b1 -8 627
0 a n
tr
H
ET
6
Date:
DRAINAGE, e Storm, tr Ditch Q Culvert,0
Community pansl No,FEMAFLOOD PLAtN, Zona:,
FLOODWAY, FEMA Panel No.
WETLANDS, Description
:19.99 For the first 10,000 cubic yards, ptus$20.00 for each additionat-tO,OOO';;ic i.ij. o, fraction thereof .il?0:99 For the f,rst lOo,oOi "ril" ,"ral. "riJ'
'
$20.00 for each additionai tb,ood;H;;;, fraaion thereof.!!+e-f9r the first 2OO,OO1
"r'Ol" V"rA.,-pi;- "' '
96.00 for each additionsl 10,006;;blJ;*d" or fraction thereof.
$30.00
Recelpt No:
ff$e,rc b Date:
50
Date
plus
plus
3D It z'rtEstimated Votume
Recelvod
$30.00 For the first 1 OO ctblc yards,914.O0 for each additlon.l l0O cubic yards or fraction thereofI 1 56.00 For the first l,OOO cublc yards, plus$1 2.00 for each addltionat 1,000 cubic yards or fraction th€reot,9264.00 For the first 10,000 cublc yards,$54.00 for each additional 1 0,000 cublc yards or fraction thereof$750.00 For the first 10O001 cublc yards, plus930,00 for each additlonrl 10,OOO ctblc yards or fraction theroof
2o.oz
Recolved by:
Receipt
Date:
Grading permit fee:
$20.00
930.00
$40.00
GRADTNG PERMTT FEES:
UP TO .tOO CUBIC YARDS10t To 1,000 cuBtc YARDS
1,001 TO 10,ooo cuBtc YARDS' lo,ooo TO 100,ooo cuBtc YARDS
-roo,oo1
TO 2oo,ooo
PLAN ChEC( rees:
UP TO lOO CUBIC YARDS
!0t To 1,000 cuBtc YARDS
!49! TO t0,ooo cuBtc YARoS10,000 To 10o,ooo cuBtc YARDS
,00,ool TO 2oo,ooo
2OO,OO1 CUBIC YARDS OR MORE
Plan Check
so.oc:41f,$,
tr
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e
Date
Date
Plannin
Englheerlng
Bullding
Date
{
Er-
lssued by:Date:
Date
Date
Date:
Date
Pprmit Number
Englneering:
Building:
Malntenance:
Ifgu+qdfinaLlnsp e r.tin., s .
rtanning:
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.,i:
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LUFJ
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in this permit has been completed in accordance with
,T, B,,Xl,'- BliTf ,if l XlH.€€ o utr i n e d
hiihd,?BdpD,6gl3ft frtg?ityiil[',gyp,nu,in this permit has not been completed in accordance
Date
tr
tr
tr
Accepted
Land and Drainage activity was performed prior to application for this permit
1/6/1998
a'/
Malntenance:
Cnis Side To Be
q
ut By City Staff
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ThIs Slde To Be Out by Appllcant'-i!.:'
consists ofeverywhere'sThir it tsperm tor site tnrequired8ny the flood and slteactlvityplaln
5 cubic0)materlalof of ayards istiw affested,more drainagewayand/or{f and
,bG;ty of Springfield
raxLot l?OO
Journal number applicable Land Use
No: l1.oL,l9-+tr uGB Tax Mai
dl,
Source Locati
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FILL,
ouantltv lOab
-
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EXCAVATION,
Project
GRADING,Oua
Address
Destinatlon
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DHAINAGE, POLLUTION AND EROSION CONTROL PLAN
lot
SOILS & GEOLOGY PLAN,
ADDITIONAL INFORMATION,
REPLANTING PLAN
slides,
Bu
i ': )ii
ADDRESS:
COMPANY NAME: , PHON
PROJECT SUPERVISOR:ctw'rADDRESS:
STATECITY
COMPAMY NAME
PROJECT SUPEBVISOR:
'J
EMERGENCY PHONE:
OFFIC E PHONE
Registration
ADDRESS:
Number:
TtAt(b
MOB]LE PHONE:
STATE:D{L
. PROJECT SUPERVISOR:
CONTRACTOR NAME:
Expiratlon
, CITY:
lHoN
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5q
Signature
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Date of Application_ Permit Expiration
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Address
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