HomeMy WebLinkAboutPermit Building 1999-06-21SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nr:rnber: 990507
726 -37 59
726 -37 69
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3452 PARKER LN
Assessors Map #: 1-7021,943
Lot: 44 Block:
Office:
Inspection Line:
Tax Lot #: 04400
Subdivisi-on : AMBLESIDE
Ovrner: ALL BUILD CONST.
AddrCSS: 649 SHORELINE WAY
Describe Work: S.F.RESIDENCE
Phone #: 687-9L37
city/state/zip: EUGENE oR, 97401
NEW
ConEracbor
Const.
ContracEor #Expires
oe/1"2/ee
03/23/oo
03/23/oo
os/Lo/oo
Phone
687 - 9L31
93s-3253
343 - 5829
928 - 7 050
Generaf:
Plumbing:
Mechanical
Electrical
ALL BUILD CONST 0108574
2685 AGUSTA AVE EUGENE OR 974O1OOOO
FRANKS PLUMBING OO4O892
220A2 COOK RD NOTr OR 974610000
RONS HEATING 0059555
4285 W 7TH AVE STE D EUGENE OR 9740
GLEN NEAL ELECT 0113853
PO BOX 954 ALBANy OR 973210000
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2405
# OF BLDGS: 1
# OF BDRMS: 3
RANGE: G
To requeat an inspection, call the 24 hour recording aL 726-3759.
A11 inspections requested before
inspecti-ons requested after 7:00
a.m. wilf be made the same working day,
will be made the following work day.
7:00
a.m.
--- REQUIRED INSPECEIONS -.-
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECIIANICAL - Prior to insulation or decking.
ROUGH cAS - after line i-s installed and capped if not attached to an
appliance
POST AI.ID BEAM - Prior to f loor insulation or decking.
IN$ULATION - Fl-oor; prior to decking Wa11/Ceiling; Prj-or to cover
ROUGH PLI,MBING - PTiOT TO COVET.
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAT - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials
FRAITIING - Prior to cover.
TNSULATfoN - Floor; prior to decking wal-1/Ceiling; Prior to cover
DRYWALL - Prior to taping.
WATER LINE - Prior Lo filling trench.
SANITARY SEWER IJINE - Prior to filling trench.
STORM SEWER I.INE - Prior to filling trench.
ITNDERFIJOOR DRLIN - Pr j-or to cover or placement of concrete.
CURBCUT - After forms are erected but prior to placement of concrete
SIDEWALK - After excavation is complete, forms and sub-base material
in pIace.
SPRINGFIELD
Job Number: 990507 Page 2
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHAIIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When al-l electrical work is complete.
GAS SERVICE - After line 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
House
Garage
Lot Sq. Ft.:
Total Height:
5880
z3
Lot Coverag'e: 32 .1,3%
LoL Type: INTERIOR
N
Setbacks
SW
18 5
18
E
13
13
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
]-925
4BO
$/Square Feet
59 .54
18.34
(A)
Val-ue
134, 057.00
8, 803 . oo
142 ,460 .00
529.75
42.38
572.L3
--- PLIIMBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
?
Fee
L92 .50
t92 .50
15.41
207 -9L(c)
--- MECHAI{ICAIJ PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
4
6.00
4.50
12.00
3.00
5.00
4 .50
35.00
10.00
2 .80
(D)47.80
--- IdISCELLANEOUS PERMITS
Surcharge/admin
Si-dewalk
Curb Cut
WILLAMALANE SDC
CTTY SDC
TOTAL MISCELLANEOUS PERMITS
0.00
50.00
60.00
1, 000. 00
2 , 696 .87
3, 815. 87
(Excluding Electrical)
unless otherwise noted
--- TOTAL A}!OT'NT DUE ---
(A, B, C, D, and E combined)
TafdR*.f /0t e<
4 , 544 .71_
/3,'"
97,7r3oo
,/7 | 7t
LDAP.
(E)
?r
SPRI]i'GFIELD
.Tob Number: 990607
SPilNGFIELI',
Page 3
BUII.DING VALUE, PLA}iI CHECK A}iID BUILDING PERMIT
This permit is granted on the express condition that t.he said construction
shall, in all respects, conform to the Ordinance adopLed by the City of
Springfield, including the Development Code, regulating the construction and
use of buildj-ngs, and may be suspended or revoked at any tj-me upon violation
of any provisions of said ordinances.
PIan Check Fee: 345.80 Date Paid
Recei-ved By:
P1ans Reviewed By: DON MOORE Date
Building Site Reviewed By: BOB BARNHART
Recej-pt Number: 033855os/05/ee
o5/1,s/ee
--- ADDITIONAL COMMEIiI:TS ---
PATH 1; SEPARATE ELECTRICAL PERMIT TS REQUIRED
NO SEWER CONNECTION UNTIL INFRASTRUCTURE TS ACCEPTED BY THE CITY
NO OCCUPANCY UNTIL INFRASTRUCTURE IS ACCEPTED BY THE CITY.
DRTVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed appli-cation and do hereby certify that all information hereon
is t.rue and correct, and I further certify that any and all work performed
shaI1 be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertai-ning to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance wj-th ORS 701.055 wi-Il 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 focated at the front of the property, and the approved set of plans
will remaj-n on t.he sit.e at all times during construction.
Signature Dat.e
--- VALIDATION ---
?+r7Recelpt Number:
Date Paid:(u/1t
Amount Received, f 1/
Recej-ved By
CITY OF SPR
approval
225 FIFTE STREEf,
SPRTNGFTEID, oREGON 9747
TNSPECTION REQIIEST.. 726
0FFICE: 726-3759
Zoning
Authorized Signature
TJGAL DESCRIPTTON
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
rd forof issuance or if vork is suspende
180 days.
2. COMRACTOR."'INSTALI,A:TTON OT{LY
tollow
fhe loltowtng proJect e9 Bubmttted has tho tollowino
zoning, and does not require speclfic land use -
7
-ryfb
{Z* BLECIRICAL PERI{IT APPLICATION
r-n 1
A.
SPRINGFIELO
amps/voIts
Only
SCffiDI'LE BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less S 85.00
nach additional 500
Sum
Electrical
Address
Ci ty
Supervisor Lice
Expiration Date
Center" Those rute
ing centel
is1er
OAH
nse
952-001 o r Relocation:
obtain copies cl th€ rures bIZOO amps or less
201 amps to 400 amps
s s0.00
s 60.00
uti Notification 401 amps to 600 amps s100.00
601 to 1000 amps s130. 00amps
1000 $300.00
s ate se
B.S
I
E
Over
Reconnec t
so. ft or Dortion
tf{oTEE:'$ 1s.00
EXPIREIFTHEWORK
s 40.00
Constr Contr. Number
Expiration Date
Signature of Supervising trician
0vners Name
Address b41 Sttrme Ltpe lA/r+V
Ci ty Phone'he7-?/37
OVNER TNSTALI.ATION
The installation is being made on
property f ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
ell Ariil
DATE: 6
C. Temporary Services or Feeders
Installation, Alteration or Relocation
2oo amps''or less L/ S 1g.oo 4n.oo201 amps to 400 amps
-
$ :?.99 --over 401 to 600 amps
-
$ 80.00
Over 600 amps or fbOOEfts see uBu aEF
D. Branch Circui ts . .-
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting
Limited Energy/Res
-Limited Energy/Comm
s 40.00
s 40.00
$ 20.00
s 36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRSCETVED
%/Jx!L
OPEGO'U
1. LOCATION OP INSTALI,.ATTON
?4-{.,^ P+PFrc DJ,
Job Nurnbe, ? 7OO7
ORIS
Eua
ie u(ugv t ions
r lrPo, vaoL2ow
' r'rG ? * JYUl!)u1L vf\ !'vrr 'rv '
ATTACHMENT A
CITY OF
.SPRINGFIELD SYSTEMS DEVELO. .,IENT CHARGE
WORKSHETT
NAI.4E OR COMPANY:
trJ
DEVELOPMENT TYPE:
LOCATION:
3
SIZ . Fr.
BUILDING SIZE:
1. sroRN Onntuner
IMPERVIOUS SQ. FT
2. SANITARY SEhIER-CITY
1t(,L) + t?vv + 2+(4) *qm
?l;bl x $0-227 PER SQ- FT. S <q1.'Lt
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
.ot ' X $475.32
x 5475.32
SANITARY SEhIER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S x T17.44PER FEU
B. IMPROVEMENT COST:
No. oF FEU'S I x ?5.2?PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE).
MWMC ADMINISTRATIVE FEE
ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
lhs
25 X $47.14 PER PFU
s 29.20
<$
$10.0
TOTAL-MhIMC SDC $?tz.U+
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Z5bE. +{
5
NO. OF PFU'S
X
X
$
4
$/28.+Z
SDC Coordinator
TI'ACH'A. t^lPD
5
L Date:rorAl spc s zea6. X /
nlr rtL
r)
5 4tu.o-l
$ zt1 .*4
E/t//"
.:..
FlxtuRE uNlT cAEeULfrTION TABLE: Numberof Newfixtures X'Unit Equivalent p Fixture Units
(NOTE: For remodels, calculate onl. ..e NET additional fixturisl*ra*
O,
FlxruRE TYPE NEw FlxruBES
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)"""
Beceptor For RefrigeratorMater Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, .Single Stall--.-..--.-
Showei, Gang.--.--'---
Sink: Bar, Commercial, Residential Kitchen"
Urinal, StallMall...
Wash Basin/Lavatory, Single.
Toilet, Public lnstallation.
Toilet , Private.....4 -R--
Miscellaneous
TOTAL FIXTURE UNITS 2aO-t
.CREDIT CALCULATION TABLE:Based on assessed value. lf improvements occurred after annexation date in table,
calcu late credits se
UNIT
EOUIVALENT
FIXTURE
UNITS
adiHe
2
1
2
3
6
2
t)
6
1
3
2
1
2
2
1
b
)
z-z-
-
=
Credit for Parce-l-or'Land Only lf Applicable
lmprovement (if after annexation date)
xs- '
(Rate X Assessed Value)
x-$
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFTCIENTS FOR STO.RM DRAINAGE
(For Estimating PurPoses OnlY)
Residential. """"" O'4
Commerical.---..--""""""""' O'9
lndustrial:.. O 5
Governmental..o.5
s
Year
Annexed
Rate per $1,OOO
Assdssed ValueYear'.
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
-r.; .1995
1 996
i 997
$1.98
1.55
1.15
o.96
o.B3
o.67
o.52
0.38
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1985'"i 'r ' --
1 986
1 987
1 988
s4-27
4.18
4-12
3.99
3.83
:3.68
3.48
3.18
2-82
2.42
FIXUNIT.WPD IMPERV1OUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
T
6 " _$ JpuR)41 oR JoB NU-
ATTACHMENT A
CITY OF
.SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:A t €rrruD CoITST
LOCATiON HrtsZ e L-h)
E90bd|
DEVELOPMENT TYPE:str
BUILDING SIZE
J
SIZ Ft.
1. StoRu 0RntruReE KOL) + tbvV + Z4(4) *qsa
IMPERVIOUS SQ. FT.ZJzbl x $0.227 PER SQ. FT
2. SANITARY SEhIER-CITY
NO. OF PFU'S 5 X $47.i4 PER PFU
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
$1.?*
X
X
,a x $475.32
x s475.32
$. o-7
$
s zt1 44
$ 23.20
4. SANITARY SEh'ER-MWMC
A. REIMBURSEMENT COST
N0. 0F FEU'S f X 211.44'PER FEU
B. IMPROVEMENT COST:
NO. OF FEU.S I X ZS,ZOPER FEU
MhJMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^JMC ADMINISTRATiVE FEE
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 10.00
s 7tz-L+
$ z5br. +t
s /28,41
<$
TOTAL-MWMC SDC
5
14
SDC Coordinator
ATI-ACH'A.I^JPD
9l Date:
rorAl spc s zeo6. X /
s ll'?o,so
24"
....
HXTURE UNIT CAEeut 'r|ON TABLE: rul,TT_l:f NewFixt'
(NOTE: For remodels, calcutate onlftne sf additional fixtures) r .- "
NUMBER OF
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc""""""""'
Interceptors For Sand/Auto Wash/Etc"""""""""
s X'Unit Equivalent 7 Fixture Units
UNIT FIXTURE
EOUIVALENT UNITSNEW FIXTURES
F]XTURE TYPE
Laundry Tub/Clotheswasher" ""
u
2
-
a
-T-
/Head
2
1
2
3
6
2
b
6
1
3
2
1
2
2
1
6
4
Clotheswasher - 3 Or More""
Mobile Home Park Trap (1 Per Trailer)"' -""""""'
n"l"p,ot For Refrigerator/Water Station/Etc
R"""p,o, For Commercial Sink/Dishwasher/Etc"
a
Shower, Single Stall"""""
Shower, Gang.--...'"
iint , Brr, Commercial, Residential Kitchen
Urinal, StallMall..-
Wash Basin/Lavatory, Single"""'
Toilet, Public lnstallation'
Toilet , Private..--.
Miscellaneous
CREDIT CALCULATION TAB LE: Based on assessed value'
calculate credits
Credit for Parcei or'Land Only lf Applicable
lmprovement (if after annexation date)
;
TOTAL FIXTURE UNITS
lf improvements occurred
re
after annexation date in table,
x'$ '
(Rate X Assessed Value)x's-:
(Rate X Assessed Valuel
CREDIT TOTAL - $
RUNOFF COEFFTCIENTS FOR STO.RM DRAINAGE
(For Estimating PurPoses OnlY)
Residential- """"" O'4
Commerical.-.--."""""""""' O'9
lndustrial--. O 5
Governmental-.-.-.."" """""' O'5
Year
Annexed
Rate per $1,OOO
Assdssed ValueYear',
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1991
1 992
'1993
1 994
_r-; .1995
1 996
1 997
$1.98
1.55
1.15
o.96
0.83
0.67
o.52
0.38
o.21
1979 or before
1 9BO
'1981
1 982
1 983
1 984
1985'"; .' ' --
1 986
1 987
1 988
$4.2'7
4.18
4.12
3.99
3.83
13.68
3.48
3.18
2.82
2.42
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
Bathtub..-.-
Drinking Fountain.-.. '1"""""""
-
NAME:
Willamalane
Job. No. 110 !o'1
137
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
A{! K^ri\^[ Ci]^^*GPHONE:B'?
srATE: Oo. ztp'ADDRESS: GETq
LOCATION OF PROPOSED BUILDING SITE:
Street Address:j.rt!- P .rukD \*
Prar Name: \t O 5 ttt-1,3 Tax Lot Number:Octatuo
1. DEVELOPMENT TYPE (Check
ype detinitions are on the back.)
..
A. Single-Family Detached
rc Single Family homd
appropriate dwelling(s). SDC calc'ulations and dwelling t
Manufactured home not in a park
NO. OF UNITS t x $1,ooo per unit = $
B. Single-Family Aftached
NO. OF UNITS X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WLLAMALANE SDC $
2. SDC CREDff ([ applicabte) SDCaayer must fun{sh proof of
Wiltamalane Credit approval. See SOC Credit Wokshoet. $
C,O\ CruO
$
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced forCredit)
a)
$/ 00a
1BDeVdopment@
City of Springfield
Date
2r r7
t?tor