HomeMy WebLinkAboutPermit Building 1999-03-18SPRTNGF!ELE,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990228
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2810 PHEASAIiIT BLVD
Assessors Map #: l'7032242
Lot: 15 Block:
Office:
Inspection Line:
7 26 -37 59
7 26 -3'7 69
Tax Lot #:
Subdivision:
09700
OAKDALE
SPruNGFIELT',
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Describe Work: S.F. RESIDENCE
Phone #: 744-6955
City/state/zip: spRrNGFrELD, oREGoN 97478
NEW
ConEract,or
Const.
Contractor #Expires
o7/2e/ee
05/1"0/ee
o1/2e/ee
o5/1,o/ee
Phone
923 -6601
7 26 - 9485
923 -5507
357 -8260
General:
PJ-umbing:
Mechanical
Electrical
HAYDEN ENT OO922O8
2622 SW GLACTER PL #110 REDMOND OR
EMERALD VALLEY 0055056
3855 HAYDEN BRIDGE RD SPRINGFIELD O
HAYDEN ENT OO922O8
2622 SW GLACIER PL #]-10 REDMOND OR
ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L520
OFFICE USE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To request, an inspection, call the 24 lnour recording at 726-3769.
AlJ- inspect.ions requested before 7:00 a.m. will- be made the same workJ-ng,
inspecti-ons requested after 7:00 a.m. will be made the following work day
--- REQUTRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITI{BING - Prj-or to insulation or decking.
ITNDERFLOOR DRAIN - Prior Lo cover or placement. of concrete.
POST AND BEAII - Prior to floor insul-atj-on or deckj-ng.
INSULATION - FLoor; prior to decking Wa11/Ceiling; prior to cover
WATER LINE - Prior to filling trench.
SAI{ITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prj-or to filfing trench.
ROUGH PLI,MBING - Prior To cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Pri-or to cover.
SHEAR WALIJ NAILING - Before coverlng sheathing with finish material-s.
FRAMING - Prior to cover.
rNsuLATroN - Floor; prior to decking wa11/cei-1ing; prior to cover
DRYWATIJ - Pr j-or to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
STDEWALK - After excavation is compl-ete, forms and sub-base material
in p1ace.
ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.
EINAIJ PLITMBING - When all plumbing work is compl_ete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When a1l- electrical work is compl_ete.
FTNATJ BUTLDTNG - when all required inspections have been approved and
the building is complete.
day,
SPRIilGFIELD
Job Number: 990228 Page 2
Lot Faces: E
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 4930
Total- Height: 16
Lot Type: CORNER
SeEbacks
SWE
10 18
00 18
Lot Coverage: 30 ?
Setbk From NPL: 10
N
6
ILem
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUTI.DING PERMIT ---
Square Feet x
LL20
400
$/Sguare Feet.
69 .64
18.34
(A)
Value
77,997.O0
7,336.00
85, 333 .00
391.00
3a.28
422.28
PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
L2 .80
1,7 2 .80(c)
--- MECHANICAL PERMTT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
2
5.00
4.50
5.00
3.00
19.50
10.00
L .57
(D)3L .07
--- MISCELLANEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
ELECT/TEMP. PERMIT
PLAN CHECK
TOTAL MTSCELLANEOUS PERMITS
0.00
25.75
14.80
2 , L34 .83
1, 000 . 0o
167.40
254 .1,5
(E)3,595.93
(Excluding Electrical)
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,223 .09
SPFINGFIELD
Job Number: 990228
SPruNGFIELD
Page 3
--- BUILDING VALUE, PLA}I CHECK AND BUTLDING PERMIT ---
This permit is granted on the express condition that the sai-d construction
sha11, in a1l- respects, conform to the Ordinance adopted by the City of
Springfield, including the Dewel-opment Code, regulating the construction and
use of buildings, 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
Date: B/aa/99
--- ADDITIONAL COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUTRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that al-1 information hereon
is true and correct, and I further certify that any and all work performed
sha11 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
Communi-ty Servj-ces Division, Building Safety. f further certify that only
contractors and employees who are in compliance with ORS 701.055 wj-11- be
used on this project.
I further agree to ensure that all- required inspections are requested at the
proper tj-me, that each address j-s readable from the streeL, that the permit
card i-s located at the front of the property, and the approved set of plans
will remain on the site at all times durj-ng construction.
M =-r*-Usigfrr"t6;v-Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Recei-ved By:
?7tz>
7/e?o
L' ^3,D.b
,4.2-?-*//tr-"'
SPRINGFIELO
Page 1
ENGINEERING DIVISION DEVELOPMEMT PLA}I REVIEW
RESIDENTIAL IMPROVED STREET
Developer: HAYDEN HOMES Job No.
Mail- Address: 3258 PINYON STREET SPRINGFIELD, OREGON 97478Phone #:
Tax Lot #: L703224209700 Project Address: 2810 PHEASANT BLVD
Subdivision: OAKDALE Lot: 15 BLk: Eng. Rev. No.:
: 99O228
'7 44- 6955
Book:
Street Gravef
2B1O PHEASANT BLVD
Existing Curbcut: N
EXTSTING IMPROVEMENTS
Ac Mat Curb Fu11 Imp SW Wldth Curbside
5 FEET 12:1 FLAIRS 6:1 FLAIRS
Setback
Y
ENGINEERING REQUIREMENTS
Additional Right of way
fmprovement Agreement
Easements
N
N
N
SANITARY SEWER
CALL THE UTII,ITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344
Available: Y
Size of Line: 8
LocaLion From N,
Make Connecti-on:
Stubbed Out To Property Line: Y Depth: 4-6
In.
s, E, w Property Line: AS SHOIaIN ON DRAWING OR AS-BUILT
PER PLUMBING CODE
FI
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER
Pipe Parking Lot Drainage To: N/A
SIDEWAI,K AI'ID DRIVET{AY INFORMATION
New Curbcut Appr.: Y STANDARD Width: 20 Ft Flairs: 5
Sidewalk Permit: Y Width: 5 Ft Length: 105 Ft
curbcut Permit: Y width: 32 Ft
Handicap Ramp: Y SEE DRAWINGS
FT
ENCROACH}TENT AIiID ASSESSITTENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
SPECIAL NOTES AI'ID REQUIREMENTS
A]1 work within the public right of way shall- be in conformance with the City
of Springfield standard specifications for construction. A11 existing unused
curbcuts or portions thereof sha11 be restored t.o fuII curb height as directed
by the City. The owner/developer is responsible to relocate any ut.ilities and
estabfish private or public easemenLs when the utilities conflict with the
development, at their expense.
Reviewed By: MoLLY LTNDBLOM Date: 02/26/99
sEE DRAWTNGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTATiIT TNFORMATION
€$Willamalane
Park & Recreation District
NA
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
ADDRESS:
LOCATION OF PROPOSED BU SITEd
A. Single-Family Detached
\ Single Family home
Job. No.
PHONE:
STATE:
Manufactured home not in a
$1,000 per unit = $
P
Street Add
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check approprtate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
xNO. OF UNITS
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
D. Manufac{ured Home Park
$
o
3. TOTAL WILLAMALANE NET SDC ASSESSED
WILLAMALANE SDC $
2. SDC CREDff (il applicable) SDOaayer must fumish proof of
willamalane iruoit-rpptoval. See doc crea Worksheet' $
=
(&
q
a)
(if SDC reduced for Credit)
Develo Se
$
City of Springfield
=1 rt-
Date
e
(-t,
6PRINOFIE!.O
PEtsT{IT APPIJCATTOH
Clty Job ?40 zz?
PEE SCEE'gIA BET.OC
Nes Residentlal-Slngle or
Hu1tl-Faul1y per drelllng unlt.
Servlce Inc1uded3 .
#:ii,i:TX::?1ii:"",x,a,:;:j,;:[iflH''rrocrRrcal,ZZ'.EIFTE STBE8f,
$8rrexluDr.. o8BGON
Ins88C1rOtr/RmllB$f:
OPXICBT 't;126-3759-
!i
liiil.
77 ':z1nlos
,c utr,uriz€ii,s,gnature
o-
-s
,:, I
3.
A
t/;'./l f..1 .ft. o3. ]qce
ilacl: addltlonal'500'sq. ft or portlon''
thereof "- 'r"'!;r'''; '-
:'
Erch t{enuf 'd Eorc, or
5. StD[OfAt oP aEOVB
5t State Surcharge'
- 3t'Adrlnistratlve tee
TOIAL
\
ffi#ffiFA'dqrco
c 9q,ffi
Perdts lre non-tlf .rcrt ls.not
of'liiurncc or'
stsf tcdj
.:
Osneri llare
Address .?5A .4o,rz^t
OTf,BT IilSIAIJAITGI
ltc tnstrllatton
, '] :.
Ir. Eranch Clrcults ) ..
Ner, Alteratlon or Extenslon Per Panel
Bach Addtttoiral
-
-Clrcuit or vlth Senrlce
B. t{lscellaneous (Eervlce/feeder-not lncluded)
''end erplre
{{
L $ 15.@ 50
,.lOm
.rade on
-Bsch lnstalletton r
Purp or lrrlgatlon
Slgn/Outllne Llgbttqg
Ltrlted Bnergr/Rcstirtted F.rtergYfh
$ {0.00 .i
$ {0;@';
S 20.00 i
$ 36.q).
Dltrts:'
RE[8IYE)
lntended
or
or
llodular.
Scrvlce
or
to
to.
to
t!Ps
501
$
s
6
t
to
rbove
2(X) e.psr
201'ups
Ovcr-401
0vcr 60O aeea[Ps
ATTACHMENT A
CITY OF SPRII' IELD SYSTEMS DEVELOPI.,,' :T CHARGE
17o zzy
WORKSHEET
NAMT OR CO|'IPANY:
LOCATION 2* lO
DEVELOPMEiiIT IYPE:qD
BUILDING SiZE: /5 za LOT SiZ Ft
1
C)
% zp)^ 6a*zg)z-* 4o(zs)++oo
IMPERVIOUS SQ FT.
-fu5L
x $0.227 PER sQ. FT. s4/i,b,7/
2. SANITARY SEWER-CiTY
NO. OF PFU'S X $47.14 PER PFU s .{z
(See Reverse Side)
3. TRANSPORTAIiON
NO OF UNITS X IRiP P"I.IE X COST PER TRIP
ol x s475.32 q. Z-^ AA-4 lwt v I
x _ x $475.32
W
A. REIMBURSEMENT COST
NO. OF FEU'S I X N1,++PER FEU
B. IMPROVEMENT COST:
$ Tl1 ,++
NO. OF FEU'S X ZE.ZO PER FEU $ 25.20
$
A+
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^/MC ADMINISTRATIVE FEE $ 10.00
g 231 ,g
$ zosb 11
sb?
+,
TOTAL.MWMC SDC
SUBTOTAL (ADO ITEMS L,2,3 & 4)
5 ADMiNISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X
lytgt- |
05
SDC Coordinator
ATTACH'A.I^JPD
0ate z i';
TOTAL SDC sZlVf ,YE
(NorE: For remodels, carcurate onry rhe NET additional fixturesl , .srs) (Jilr( Lqurvdtenf = Fixturg Units
FIXTUBE TYPE
Bathtub.....
Drrnking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/So|idsiEtc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher... :
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 per Trailer)......
Receptor For Refrigerator/Water StarioniEtc........
Receptor For Commercial Sink/Dishwasher/Etc.-
Shower, Single Stall.....:....
Shower, Gang.
Sink: Bar, Commercial, Residential Kitc;ren.
Urinal, Stall/Walt..
Wash Basin/Lavatory, Single...
Toilet, Public lnstallation.
Toilet, Private......
Miscellaneous:
CREDIT CALCULATION TABLE Easec on assessed value. lf im
NUMBER OF
NEW FIXTURES
ll
UNIT FIXTUP:
EOUIVALENT UNITS
-
-----?^
-
-
-'1'J
Z-
T_
.-.-.-.--.-.-
Lg
?)
I
2
6
2
6
6
I
2
l illead
2
2
1
6
4
TOTAL FIXTURE UNITS
provements occurred after annexation date in ::clecalculate credits se arates.
Credit for Parcel or Land Only lf Applicabte
lmprovement (if after aanexation date)
X$/7.57_74,1?(Rate X Assesse d Value)
+.2
x$
(Rate X Assessed Value)
. CREDIT TOTAL $
Year
Annexed
Hate per $1,OO0
Assessed Value
Year
Annexed
Hate per $ 1,OCC
Assessed Value
1 979 or before
1 9BO
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1 0ao
1 00n
1 991
1 992
't oo2
1 994
1 995
1 996
1 997
$1.98
1.15
o.96
o.B3
o.67
o.52
o.3B
o.21
RUNOFF COEFFICIENTS FOR STORM OR.AINAGE
(For Estimating purposes Only)
Residential.......
Commerical.
lndustrial.....
Governmental
o.4
o.9
o5
o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
/
/t
//
SPRINGFIELO
o-o/"
225 TIFTB STREET
SPRINGFIELD, OREGON 97477
INSPECTION RDQUESTz 726-3769
OFPICE: 726-3759
1
ON
Permi ts are on- t ransferabl expi re
if vork is not started vithin 180 days
of issuance or if vork is sus
180 days.
p ended for
-tj
2.INSTALI,ATION
ELECTRICAL PBRHIT
Ci ty Job Nu.mber
tial-Single or
per dvelling uni t.
Items Cost Sunt
s 8s.00
v uded:
,lT .8. Services or Feeders
s 1s.00
$ 40.00
40.00
55;00
s 80.00
s see t'B' aEF
terations
I
EIec t r I Contractor
Address
Ci ty one
Supervi-sor Licen ber
Expiration
Constr Co r. Number
Expira on Date
s ture of Supervising EIe
C. TemporarY Services or Feeders
ns talla t i on ,Alteration or Relocation
Over 1000
Reconnec t
iaw re
T!-aeb
amps
amps
amps
amps/vo1 ts
0n1y
s s0.00
s 60.00
s100.00
s130. 00
s300.00
s 40.00
AI-TEN
rules a \s
s 10iD
amps
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
ca may obtirin
Ovners Nam
Add res s
cit Phone
INSTALLATION
The instatlation is being made on
property I ovn which is not intended
f or sale, lease or L'en t .
DATE:
,;
or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting-
Limited Energy/Res
-
s 40.00
s 40.00
$ 20.00
s 36.00
DO
RECEIVED B
a
5
FEE SCBEDI'LE BELOS
1000 sq.ft. or less
nach additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder
Ins tallat ion
tion:
601
center,rules
ls,
t on
Orners
,
)