Loading...
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 + $.7S 1 ZTP ttsl t ADDRESS:7-a You maY0090 uti 1CITY:2344)' zrPz CONSTRUCT CONTRACTORS REGISTRATION *:13 EXPIRES:3 )6s BY SIGNING THIS PERMIT/APPLICATIoN, I AGRBB T0 CALL FoR AN INSPEITIoN oNCD THE BACKFLOV PREVENTION DEVICE HAS BEBN INSTALLED A}ID IS VISIBLE FOB INSPECTION(726-3769). I ALSo STATE THAT ALL INFoRMATIoN 0N THIS PERMIT/AP:'LICATI0N IS CORRECT. -21-7 FOR OFPICE USE DATE OF /,PPLICATI0N: € I RBcEIPT t,, 035355 ISSUED BY: TOTAL AH(IUNT COLLECTED:I l- sts 'Ju''7Qnob6 IFTT{E WORK NOT --INE: L1 11 Tlrls Sl,. To Be Fiiled Ottt by Apltlicant s permit is required for a ny site activity in the flood plain and everywhere site alteration consists offty (SOl cubic yards of material or tnore and/or if a drainage way is affected, within City limits and -tilNo?taLo 7 4 F - M LLI o_ Zo -tF M LUFJ LIJ U Z - M,o oZ<l oZ 5 {b St eld, Oregon o a--qa-bL*t/^- 3 +?3Slto Address: Pormit Expiration Date:Dato of Application Proporty Owner Address :City, Phono: Tax Lot:Journal number epplicablo Land Use Application .4 lootr UGB Tax Map No: a- E E 0 L Projoct GRADING, Destination: Phone Source Location Material FILL, Ouantity, Supplier EXCAVATION, Ouantity Supplier: Address tr tr tr tr tr tr ADDITIONAL SOILS & GEOLOGY PLAN, CROSS SECTIONS, erlggertV lines e^,r .- r DRAINAGE, POLLUTION AND EROSION CONTRO BEPLANTTNG PLAN s, Tax mao andng draina$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 o*" J-?- ti? /qq q all Snco of tlro Itr lno -3 lltl-l-o 2o Elu5 tl2s in H E E E k EIE =fiE ]t,l-2 E =ozoo trol-t E 2o(, ozslrl ruE!, Etd Ez E L/nt,/ lo' Lil.ul ./q /qt q q o-obD ^bL-l es slides, rPntraorlu Qi trwtr 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: t M IJJ o_ Zo -rF fv --IIIFJ [I U Z -t M,c oZ nZ 5 tr o tr Accep ,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 uloz Ea H 31,zo tsazol) aE u.t Etr azo t) H 11,z Uz:: EutIJ()