HomeMy WebLinkAboutPermit Building 1999-03-04SPRTNGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990050
225 North Fifth Street
Springfield, OR 97477
Locat,ion of Proposed Work: 3473 PARKER LN
Assessors tutap #: 17021,900
Lot: 9 Block:
Of f i-ce:
lnspection Line:
726 -37 59
726-3769
Tax Lot #:
Subdivision:
03200
AMBLESTDE
ONEGON
Owner: TOM WIRFS/COZY HOMES
Address: PO BOX 237
Phone #: 747-8704
City/State/Zi-p: SpRTNGFIELD, OREGON 97477
NEWDescribe Work: S.F. RESfDENCE
General-:
Plumbing:
Mechanical:
El-ectrical:
Contract,or
TOM WIRFS 0032947
L275 S 2ND SPRINGFIELD OR 97477OOOO
B M C 0103570
648 W OREGON AVE CRESWELL OR 974260
MARSHALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 974?
BILLS 0021351
3170 W 11TH EUGENE OR 974o2oOOO
eonst.
Contractor #Expires
05 /28 / ee
12 /15 / ee
1.2/23/ee
04 /28 / ee
Phone
74"1 -8704
473 -2827
747 -7445
687-18s1
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: L945
To request an i nspecEion, call Lhe 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,inspections requested after 7:00 a.m. will- be made the fotlowing work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FoUNDATTON - After forms are erected but prior to concrete placement.
ITNDERFLOOR MEcHANTcAt - prior to insulation or decking.
ITNDERFLooR DRArN - prior to cover or placement of concrete.
ITNDERFLOOR PLIIMBfNG - prior to j_nsulati-on or decking.
POST AND BEA.M - Prior to floor insulation or decking. j,"...:
rNsuLATroN - Floor; prior to decking wa11/Ceiling; prior t6,:.-cover
WATER LINE - Prior to fill_ing trench. :t: ";".:
sA.IvITARYsEwERLINE-Priortofi].].ingLrench.;,'l
sToRM sEwER LrNE - prj-or ro fi-I]_i_ng rrench ;,- ir'llE/FT!.t;:
,.
ROUGH PLITMBTNG - prior to cover ' ! !'!1! ,.. 't:! tii:)[]:., ,. | -ROUGH MECHAI{ICAL - prior to cover ,,i . , , '.- /i,C:ROUGHELECTRICAL-Priortocover ''" ;'.r:,
SHEAR WALL NATLTNG - Before covering sheathing with finish materi-a1s.FRAMING - pri-or to cover.
rNsuLATroN - Floor; pri-or to decki-ng wa11/Cei1i_ng,. prior to coverDRYWALL - prior to taping.
ErJEcrRrcAr, sERvrcE - Must be approved to obtain permanent power.cuRBcur - After forms are erected but prior to placement of concrete.sIDEwALK-Afterexcavationiscomp1ete,forms"""{H&
in place.
Center is :
SPRINGFIELO
rfob Number : 99006 O
SPilNGFIELD,OF
Page 2
FINAT PLITIIIBTNG - When aII plumbing work is complete.FrNAL MECHANTCAL - when all mechanical work is compreLe.FrNAL ELECTRTCAL - when all erectricar work is complete.FrNAL BUTLDTNG - when all required inspections have been approved andthe building is complete.
Lot Faces: N
Topography: 2
Solar Approved: y
Lot Sq. Ft.: 6L62
Total Height: 15
Lot Type: INTERfOR
Setbacks
SWE
40 10 5
Lot Coverage: 31 ?
Setbk From NpL: 38
N
House
Garag,e 1B
ftem
Main
Garage
Total Value
Building permj_t Fee
Surcharge/admin
TOTAL FEE
--- BUTLDTNG PERMIT
Square Feet x
1_491,
454
$/Square Feet
69 .64
1,9 .34
(A)
Val_ue
103,833.00
B, 790.00
LL2 ,6]-3 . o0
462
36
,tr
9B
499.23
ftem
Residential Bath(s)
Plumbing permit
Surcharge/admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical_ permit
fssuance
Surcharge/Admin
TOTAT PERMTT
PL UMBING PERMTT ---
--- MECHANICAL PERMTT ---
--- MTSCELLANEOUS
2
(c)
(D)
(E)
Fee
160.00
160.00
12.80
L7 2 .80
5.00
4 .50
5.00
3.00
2
Surcharge/admin
Sidewalk
Curb Cut
CTTY SDC
WTLLAIVIALANE
ELECT. PERMTT
PLAN CHECK FEE
TOTAL MISCELLANEOUS PERMTTS
(Excluding Electrical)
unless oEherwise noted
--- TOTAL
PERMTTS ---
AMOUNT DUE ---
19.50
10.00
1.57
3L.07
3,939.88
0.00
13.45
14.80
2 , 443 .77
1, 000.00
1"67 .40
300.46
(A, B, c, D, and E combined)4 ,542 .98
SPIIIl{GFIELEI
.fob Number: 990060
ONEGONSPruNGFIELD,
Page 3
--- BUILDING VALUE,PLAN CHECK A.I{D BUILDING PERMIT - - -
Thj-s permlt is grant.ed on the express condition that the said constructionshaII, in all respects, conform to the ordlnance adopted by the City ofspringfield, including the Development code, regulating the constructj-on anduse of buildings, and may be suspended or revoked at any time upon violationof any provlsions of said ordj_nances.
Received By:
Pl-ans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOppER
Date: 01,/29/99
--- ADDTTTONAL COUMENTS ---A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSESDRTVEWAY REQUIRED TO BE PAVED2 STREET TREES REQUIRED
By signature, f stat,e and agree, that I have carefully examj_nedthe completed applica tion and do hereby certi fy t.hat. all informat.ion hereonis true and correct,and I further certify that any and a1l work performedshaIl be done i_n acc ordance with the ord inances of the City of Springfield,and the Laws of the State of Oregon pert aining to the work desc ribed herein,and that NO OC CUPANCY will be made of any structure without pe rmission of theCommunity Serv ices Division, Building Saf ety. f further certi fy that onlycontractorsand employees who are in compliance with ORS 701. O 55 wil_I beused on this pro3ect.
Si-gnature 3 -./*?
Date
r further agree to ensure that al-1 required inspections are requested at theproper time' that each address is readable from the street, tnat trre permitcard i-s l0cated at the front of the property, and .he approved set of planswill remain on the site at ar-1 times during construction.
--- VALIDATTON ---3 30Receipt. Number:
Date paid:
Amount Received:
Received By:
7
AITACHMENT A
CITY OF SPRII'i*. IELD SYSTEMS DEVELOPMTIIT CHAR
nq oobo
GE
WORKSHEET
NAME OR COI'iPANY:-fowr w);r I S
LOCATION +13 Pu-b,"
DEVELOPMENT TYPE:.fD
BUILDING SiZE: I4E LOT SIZ 0Ft
rolzs) + q @)
z ,ltr
1
IMPERVIOUS SQ. FT. Z8?1 X $0.227 PER SQ. FT
2 . SAN ITARY SEI^JER - C iTY
sroRM DRAINAGE nl? * .ffi1 * qz?il r
$
NO. OF PFU'S /q x $47. 14 PER PFU s 84€. (*
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RI.IE X COST PER TRiP
x r,or x5475.32 s 1@, oV
x _ x $475.32
4. SANITARY SEWER-MI^JMC
A. REIMBURSEMENT COSI:
NO. OF FEU'S I X N1,++PER FEU
B. IMPROVEMENT COST:
s T11 ,++
NO. OF FEU'S X Z?,ZO PER FEU $ 25,20
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
Mh/MC ADMINISTRATIVE FEE
< $ ?,1{
$ 10.00
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
s b1,*1
$ 73L1 ,4O5. ADMiNiSTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
{YtSt-
SDC Coordi nator
ATTACH 'A.I^JPD
$
s*r, t {u lQ7
TOTAL SDC z**3,t
s I1b,21
I
(NorE: For remoders, carcurate "", "" **-r00,,,"',.L-r;'#";"'
ur rYEw rrxtures x unrt Equtvalent = Fixture Units
FIXTURE TYPE
Bathtub.....
Drinking Fountain....
Floor Drain..
FIXTURE
UNITS
/tl
-
-)
7-
TOTAL FIXTURE UNITS /?
ents occurred after annexation date in laole,
NUMBER OF
NEW FIXTURES -
//
UNIT
EQUIVALENT
2
I
2
2
6
2
6
6
1
2
l iHead
2
2
1
6
4
-
r
-_-
-
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......
Recaptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gang........
Sink: Bar, Commercial, Residential Kitchen........
Urinal, StalUwail...
Wash Ba'sin lLavatory, Single.......
Toilet, Public lnstallation.
Toilet , Private...
Miscellaneous:
CREDIT CALCULATION TABLE:Basei on assessed value. lf improvemcalculate credits SC arates
Credit for Parcel or Land Only tf Applicable
lmprovement (if after aprnexation date)
Azt X$/-{3,/{
(Rate X Assessed Value)x$
(Rate X Assessed
-
Value)
CREDIT TOTAL s_
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1987
1 988
$4.27
4.18
4.12
QOO
3.83
3.68
3.48
3.'r B
2.82
2.42
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
'1997
$1.98
1.55
1.15
0.96
0.83
0.67
o.52
0.38
o.21
RUNOFF COEFFTCIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential. .......... O.4Commerical ......... O.g
lndustrial o5
Governmental..... o.5
IMPERVTOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
_T-
/t
FIXUNIT.WPD
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:rl0+
srnre:D(z zrp:7ADDRESS:
LOCATION OF PROPOSED BUI SITE
Street SS:
Plat Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
It Single Family home Manufactured home not in a
NO. OF UNITS I x $1,ooo per unit = $
B. Single-Family Aftached
X $924 per unit = $
NAME:
Se S
d
C. Multi-Family Apartment
D. Manufac{ured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC $
2. SDC CREDTT (if applicable) SDOaayer must fumish proof of
Willamalane ituoiirpptoval. See doc creat Wodaheet' $
3. TOTAL WILLAMALANE
(it SDC reduced for Credit)
NET SDC ASSESSED
$
=$
=$
.@
c)
City of ringfield
epartment
3,3,W1
Date
NO. OF UNITS
INSPECTION REQ{IEST:
OFEICE: 726-3759
1 OF
are non-transferable and exPtfis not started vithin 180 daYs
of issuance or if vork is suspended for
180 days. ,
2. CONTRACTOR INSTALI,ATION ONLT
New Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
HoduIar.'Dvelling'
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
s 40.
SP. .GFTELO
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
&3D
The following project as submitted has the followinozoning. and does not require specific funJuse'
'-
approval.
225 FIFTE SI?,EEf, F)ara
SPRINGFTELD, OREGON 97477"
Zoning
PERHIT
TZ$n$fl$$ Sisnature 4r^)City Job Nunber
3. COHPT,ETE FEE SCEEDUI.E BELOV
A
.B
Sum
see (Brr aEove-
b
f/rff,Electrical Contractor
Addr r t4)2
city- Phone
Supervisor License Number ?trO .s
DATE:
200 amps or less
201 amps to 400 amps _401 amps to.600 amps
-
501 anfs to 1000 amps-
0ver 1000 amps/volts
Reconnect Oniy
s
s
s1
$r
00
00
00
00
00
00
$ 40.00
$ ss.00
$ 80.00
50
60
00
30
s300
Exp iration oare /O - I q -
Constr Contr. Number
Expiration Date -?f-
c.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less I
201 anps to 400 amps
._
Over 401 to 600 amPs
Over 600 amps or lOoO-v-rfs
4L
Signa ture of sing Electrician
for sale, Iease or rent.calting th
numberfo
Ovnersit5ignature:
[Mi"r s
D.
Orners Name Nev, Alteration or Extension
Add
$One Circuit
ci Phone Service
INSTALTI\TION t $
Notifica
The installation ls being madnffi 9s2-00 1 -0010 tfieuercmftgftfuQo (servi cel f eeder
property I ovn vhiLh is not ifffiiMl may obtai n cq&*rotthp(tsEDAYion
Branch Circuits
e center. (t{Btfi Pha reldPffigu t i on
r the Oreg oE lgitilpUo[ficdioDi gh t ing
,nrer is r -gnrLtmt{a844pnergy/Res
Limited EnergY/Comm
Per Panel
3s.00
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECETVED
Ce
5
q)
follsw rules adoPted
Center. Thbse ate
SPrlINGFIELE,
BACKFLOIJ PREVENTION DBVICE PERHIT APPLICATION
225 FIFTH STREET
SPRINGFIE::,0 OR 97477
726-3759
726.3769
JoB LocArroN: 3tl z PnruzUtl
. AssESSoRS MAP S: lToz / E 00 TAX Lor *: o JZo O
O1INER:{L
ADDRESS:IZ19 S L NJD
PHONE #:6
= $16.20
crrY: Sp,e,ll..:G-R Efr srArE: O{L
I
BACKFLOI PBRHIT Is 515.00 + $.7S 1
ZTP ttsl
t
ADDRESS:7-a You maY0090
uti
1CITY:2344)' zrPz
CONSTRUCT CONTRACTORS REGISTRATION *:13 EXPIRES:3 )6s
BY SIGNING THIS PERMIT/APPLICATIoN, I AGRBB T0 CALL FoR AN INSPEITIoN oNCD THE
BACKFLOV PREVENTION DEVICE HAS BEBN INSTALLED A}ID IS VISIBLE FOB INSPECTION(726-3769). I ALSo STATE THAT ALL INFoRMATIoN 0N THIS PERMIT/AP:'LICATI0N IS
CORRECT.
-21-7
FOR OFPICE USE
DATE OF /,PPLICATI0N: € I
RBcEIPT t,, 035355 ISSUED BY:
TOTAL AH(IUNT COLLECTED:I l- sts
'Ju''7Qnob6
IFTT{E WORK
NOT
--INE:
L1 11
Tlrls Sl,. To Be Fiiled Ottt by Apltlicant
s permit is required for a ny site activity in the flood plain and everywhere site alteration consists offty (SOl cubic yards of material or tnore and/or if a drainage way is affected, within City limits and
-tilNo?taLo
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St
eld, Oregon
o
a--qa-bL*t/^- 3 +?3Slto Address:
Pormit Expiration Date:Dato of Application
Proporty Owner
Address :City,
Phono:
Tax Lot:Journal number epplicablo Land Use Application
.4 lootr UGB Tax Map No:
a-
E
E
0
L
Projoct
GRADING,
Destination:
Phone
Source Location
Material
FILL, Ouantity,
Supplier
EXCAVATION, Ouantity
Supplier:
Address
tr
tr
tr
tr
tr
tr ADDITIONAL
SOILS & GEOLOGY PLAN,
CROSS SECTIONS,
erlggertV lines e^,r .-
r
DRAINAGE, POLLUTION AND EROSION CONTRO
BEPLANTTNG PLAN
s, Tax mao andng draina$e)il types,
ubject to land
PHONE
CITY STATE
CITY STATE
PHON E
COMPANY NAME:
COMPANY NAME:
PROJECT SUPERVISOR
ADDRESS:
PROJECT SUPERVISOR:
ADDRESS:
t\lr C'
v
o
/afr.- Z'at <Z'r,5'ZIP: rJ l Yt't
Reglstration Number
FAXT q 7rx
Explratlon Date
CITY:
ADDRESS:
MOB]LE PHONE:
STATE:l.-
EMERGENCY PHONE:
OFFICE PHONE
PHONE
PROJECT SUPERVTSOR:
CONTRACTOR NAME:
idl fiy flilli:T:f
,"ll:,'i::ij..:.i,flffi
;3;j.,::,,J1'",'n"t #work requhed to roturn rtie silo^ro a iir-n"o"rij"r'"""lprrrrro rorequirod and wifl have rhirty tsoi-,J"y.ii;;ir,'u"jlt" or 1,,utho thirty rtays wi, bo porfdrriroi b;ii;'c;i;.;;,iir,n co.r.
Bt any timo durlng a on6.y€ar p_6rl-od followlng the receipt by'fl:,".^t',.r.'ilr"',XiU:'1f, ii:*il,,",,?ti}_',r,.lil"ii:i15,#"T""
,lfi l,f B ll,,SlTj,,t3 n?#,1:1. woi[ nii ;;;;r. i"i a t rhr c nu
.o
r
Slgnature
I lurtlror og
lho strsot,
roo lo onsuro tltst a ections aro r oquostod otond the the propor. timo, that project address is roadable fromtlmos durlng construitloh.romoin on tho site at ail
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DRAINAGE, O Stonn, e Ditch, O Culve rt, O Natural
WETLANDS, Doscription
FLOOD PLAIN, Zono:
tr FLOODWAY, FEMA Community panet No.:
PLAN CHECK FEES:
UP TO IOO CUBIC YARDSIOl TO I,OOO CUBIC YARDS,l.OO1 TO IO,OOO CUBIC YARDS
10,000 To lo0,o00 cuBtc YARDS
100,001 To 200.000
2OO,OOI CUBIC YARDS OR MORE
GRADING PERMTT FEES:
UP TO IOO CUBIC YARDSlOI TO I,OOO CUBIC YARDS
l.OOt To I o,ooo cuBtc YARDS
1o.ooo To loo,ooo cuBtc YARDS
100,001 TO 200,ooo
$20.0o
$30.oo
940.oo
i1O.0O For rhe firsr IO.OOO cubic yards, plus
$20'00 for each additionar 1o,000 cubic yards or fraction rhoreof,$22O.OO For rhe first lOO.0Ol cubic yardi, plus
$20.OO for each additlonal IO,OOO "ubi" y"rO, or fraction thsroof.
l11O_F_., rho lirst 2OO,OOl cublc yards, pius
$6.O0 for oach additional IO,OOO cubic'yards or lracrion rheroof.
$30.oo
$3O.OO For rho first lOO cublc yards, plus
$ 1 4.OO lor oach additional 1 OO cublc yards or fractlon thoroof.
I ] 16:99 For rho first l.0OO cubic yards, pir, --
$12.OO for oaclr additional 1,OOO cubic yards or fraction thoroof.
i39a:99 For rho tirst tO,OoO cubic yards, plus
$54.00 for sach additlonal IO,OOO clblc yar,ls or lraction thereof.$75O.OO For the first lOO,OOl cublc yards, plus
$30.OO lor oach addirional IO,OOO "rbf" yuru, o, lractlon thoroof.
FEMA Community panet No.4i 55'.i2- O
Dato:
tr'r^irEstimated Volume:,
Plan Check Foe:
3o
M
Beceived By:
Grading Permit foo:0
Beceipt No:
Date:
Rocoipt Norl?')51 s4u.
Dato:
Received by:lLh Date:
tr
tr
tr
Maintenance:
Building:
Dato:
Plannin Dato:
Date:
Dato
El2 engtneerlng
lssued by Date:
Date:
Pprmit Number
Date
Dato
Dats
Feqr rired Flnal lnsfrpetions.
Plannlng:
Englneoring:
Building:
Malntonance:
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,tfJ",il,f"Bt*Tflini""X|ltv.a.s outlincd in tlris pormir rras besn comprorod in accordanco wirrr
h,lihd,?ildf.,J0l3P"g..trXTiYil'Jf8,gYfli^ed in this permit has not beon compretod rn accordance
Land and Drarnage sctrvrty was performed prior to apprication for this pormit.
ted by:
Dato:
1/6/1998
This Side
i'
To Be ed Out
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