HomeMy WebLinkAboutPermit Building 1998-10-13CITY OF
-SPR!]{GFtELD
ATTENTION:Oregon law requires you to
lollow rules adopted by the Oregon Utility
Notification Center. Those
in OAR 952-001-0010 through
0090. You may obtain copies
calling the center. (Note: the
PERMIT APPLICATION
SPRINGFIELD
ERVICES DIVISION
ING SAFETY
Page 1
ilob Number: 98L223
C o
Office:
Inspection Line:
726-3759
7 26 -37 69
number for the Oregon Utility Notifi
2 2 5 Norrh ftffifi sJ6ggQ-p32-23M).
Spri-ngfie1d, OR 97477
Location of Proposed Work: 5857 SIMEON DR
Assessors Map #: 1-702341L
Lot: 24 Block:
Tax Lot #
Subdivision
05500
LEVT LANDING
Owner: QUALITY HOMESS
Address: PO BOX 2220L
Describe Work: S.F. RESIDENCE
phone #:
City/State/zip: EUGENE, oREGoN 97402
NEW
General:
Contractor
ConsE.
Cont,ractor #Expires
05/ot/ee
Phone
543-5333
QUAD AREA: 4RNE
# oF uNrTs: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 1898
-- oFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
rNSUL PATH: P1
To request, an inspecEion, call_Lhe 24 hour recording aL 72G-3759
A11 inspections requested before 7:00 a.m. will be made the same working day,inspecti-ons requested after 7:00 a.m. will be made the following work day.
--- REQUTRED INSPECTIONS ___
FOOTfNG - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR MECIIANTCAL - prior to insulation or decking.
ITNDERFLOOR PLIIMBING - prior to insul-ation or decking.
POST AI{D BEA.II - prior to floor insu]_ation or decking.
WATER LINE - prior to fil]ing trench.
SAIiIITARY SEWER LINE - prior to filling trench.
STORM SEWER LINE - prior to filling trench.
rNsurJATroN - Floor; prior to decking wa1I/ceiling; prior to coverRoucH GAs - after line is instarled and capped if not attached. to anappliance
ROUGH MECIIANICAT - prior to cover.
ROUGH PLITIIBING - prior to cover.
ROUGH ELECTRICAL - Prior Io cover.
SHEAR WALL NAU,ING - Before covering sheathing with fi-nish materials -FR.A,MING - Prior to cover.
rNsuLATroN - Floor; prior to decking wa1l/ceiling; prior to coverDRYWALIJ - Prior to taping.
GAs sERvrCE - A'fter line is installed and line has been connected to aminimum of one appliance. pressure test done at this point.
FTNATJ PLITMBTNG - when all plumbing work is complete.FrNAL MECHANTCAL - when ar-r mechanical work is complete.FrNAL ELECTRTCAL - when all e]ectrical work is compr_ete.cuRBcur - After forms are erected but prior to placement of concrete.STDEWALK - After excavation is complete, forms and sub-base materiali-n p1ace.
"-*o".i3-llil3';r.i:".:iir::::"'u'1v,?tcE:' have been approved and
TH'S PEBI,IITSHALL
Au THo R,zEr, -ffiT35ffir: yflil
::l/llfNcEo on rs nanNDoNED FoRtt.t,t 1?n f)a,l plR,On
QUALITY HOMES 0056307
PO BOX 22201_ EUGENE OR 97402oOOO
SP]III\lIiF!ELD
.lob Number: 98L223
CITY OF o
Page 2
Lot Faces: W
Total Height: 26
Lot Type: INTERIOR
N
House
Garage
Lot Sq. Ft.: 5300
Setbk From NPL: 29
Lot Coverage: 30 ?
Solar Approved: Y
10
Setbackssw
20
18
E
4L
ltem
Mai-n
Garage
Total Value
Buildi-ng Permit Fee
Surcharge/admin
TOTAL FEE
--- BUII,DING PERMIT ---
Square Feet x
L49B
400
$/Square Feet
54 .66
1_6.27
(A)
Value
96, 851. 00
5, 508 .00
103,359.00
442 .00
3s.35
477 .36
PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
1,92 .50
t92 . so
L5 .41
207.9L(c)
--- MECHAIiIICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove/InserL/Fireplace Unit
Dryer Vent
GAS PIPE/ W\H
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PERMIT
3
6.00
4.50
9.00
4.50
3.00
4 .50
31.50
10.00
2 .53
(D)44.03
--- MISCEI,I.ANEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
WTLLAMALANE
TEMP. ELECT.
TOTAL MISCELLA.I{EOUS PERMITS
0.00
].4.20
L4 .95
2 , L40 .85
1,000.00
43.20
(E)3 ,2L3 .20
(Excluding EIect,rical )
unless otherwise noEed
--- TOTAIJ AIIIOI'NT DUE ---
(A, B, C, D, and E combined)3,942.50
.SPFINGFIELD
Job Number: 98L223
CITY OF SPruNGflEA',
Page 3
--- BUILDING VALUE, PI,A}iI CHECK AIiID BUILDING PERMIT ---
This permit j-s granted on the express condj-tion that the saj-d construction
shal-I, i-n all respects, conform to the Ordinance adopted by the City of
Springfj-e1d, includi-ng the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provi-sions of said ordinances.
Plan Check Fee: 287-30 Date Paid:
Received By: AL WARD
Plans Reviewed By: AL WARD DaLe:
Buj-Iding Site Revi-ewed By: LISA HOPPER
oe/30/e8
to/L2/e8
Receipt Number: 31,602
--- ADDITIONAI, COMMENTS
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
SEPERATE ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signat,ure, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certi-fy that any and all- work performed
shaIl be done i-n accordance with the Ordinances of the City of Sprlngfield,
and the Laws of t.he State of Oregon pertai-ning to the work described herein,
and that NO OCCUPANCY wil-I be made of any structure without permission of the
Community Services Divisj-on, Building Safety. I further certify that only
contracLors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that al-I required inspectj-ons are requested at the
proper ti-me, that each address is readable from the street, that the permi-t
card is located at the front of the property, and the approved set. of plans
will remain on the siLe at all- times during construction.
le YS €8
Signa Date
--- VALIDATION ---
Recei-pt Number:
Date Pai-d:
Amount Received
Recei-ved By:
U /i 8
< c qt - f o1
^I/trt
O4r m/r7
0311L?
CITY OF
225 FIFTE STREBT L
INSPECTION
JOB
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. COITTRACTOR INSTALI..ATION ONLY
Electrical Contractor ,&,5/<-{1,'c
Address ('O Bot ?aao ( Q?
Ci ty €r,ttC,nL, dqHA
--t_____r
Phone 59?.6371
Supervisor License Number 3aJ L/.5
Expiration Date
Constr Contr. Number 7s?/c
Exp iration Date 6
Signatrrre of SuPervis ing Electrician
Ovners
Address
ci Phone
INSTALI,,ATION
rach additional 500
-sq. ft or Portionthereof .?- s 15.00
Each Hanuf 'd tiome. or
-Modular Dvelling
Service or Feeder $ 40.00
B. Servi.ces or Feeders
Installation, Alterations
or Relocation:
200 amps or 1
201 amps to 4
401 amps to 6
601 amps to 1
SI IGFIELD
l49A
BLBCTRTCAL PERHIT APPLICATION
amps _000 amps_130
Itr lqt"rt?S.prclecr aa abmlncd hes th6zoilng, and cbs nd rBqu*Ewfrc hndapprdaL
Sum
fuo
Ze@
Over 1000
Reconnect
/volts $300.s 40.amPs
Only
00
00
00.
00
00
00
50.
60.
100.
psam
ess
00
00
s
s
$
$
$
s
$
s
c.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amps or 1000 volts
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
40.00
55.00
80.00
ee rrB. a66
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E Miscellaneous (Service/feeder not included)The installation is being made on
property I ovn vhiih is not intended
for sa1e, lease or rent.
Ovners Signature:
$ 40.00
s 40.00
$ 20.00
$ 36.00
,/
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
DATE
RECEIVED
o f
SPRINGFIELD, OREGON
A. Nev
Mu1
I tems
PERMIT IS NOT
SPRINGFIELD, OREGON 9747
INSPECTION RBQTIEST.. 726
OFFICE: 726-3759 SHAIt
1.0 UNOEA IH/S
l, FEBlon
Permi ts are non-transferable explre
0 daysif vork is not started vithin
of issuance or if vork is suspended for
days
2.INSTALLATION ONLY B
Elec t r I Contractor
Address
Ci ty
ln
FlINGFIELE,
BLE TRICAL PERHIT CATI
Ci ty Job Nurnber
SCEEDTILE BELOI{
tial-Single or
ily per dvelling unit.
Included:
Items Cost
$ 8s.00
Serv
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
talIat i
D. Branch Circuits
Dclr
225 FITTE STREET
1#,&1,,.#;,
Sum
-a0t
or less
400 amps
600 amps
1000 amps
p.rnps/vo1ts _
n1y
Services or Feeders
ort, Alteration or Relocation
s 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
s 40.00
s 40.00
$ 20.00
$ 36. O0
aSove
Supervisor Licen
Expiration Date
Constr Contr. N
tsI
Expiration
Signat ClEIN
Ovners
Address
Ci ty Phone
OVNER STALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
2oo amps''or less L $ 4o.oo
201 amps to 400 amps
: $ 55.00
over 4b1 to 600 amps
-
$ Bo.0o
Over 600 amps or 1000 voTts see rrB*
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
0
0
Phon
Numb
of Supervising EIec
te
r
RECETVED B
5
?l]o0n0-
\.ruunlIl1L tJn \/UO iIU
AITACHMENT A
CITY OF SPK.I'IGFIELD SYSTEMS DEVELC
WORKSHEET
lg tZzZ
.ENT CHARGE
NAME OR CO|'4PANY
LOCATION
DEVEL0Pl'1Ei\lr IYPt
BUiLDING SiZi
]. . STORM DRA iNAGI
SiZ -LI U.
x tr\ +1b4 -+ COr So+4n
x $0.227 PER SQ. Fr. s 32o,30IMPERViOUS SQ
2. SANI rARY SErltR-CITY
NC. OF PFU'S zl X S47. 14 PER PFU s 93?,7*
(See Reverse S'iie)
3. TRANSPORNIION
NO OF UNiTS X TP,IP R,I.IE X COST PER, TRIP
,ol v tAlc 1)A 4'1t e) . OL
x _ x s475.32
SANITARY SIWER-MI,,JMC
A. REIIIBURSIMENT COST:
N0, 0F F[U'S r X 211,4* PER FEU
B. iMPROVEMENT COST:
NO. OF FEU'S X zs.zO PtR FEU
MI^/MC CREDII IF APPLICABLE (SEE REVERSE)
MI^/MC ADMINISTRATIVE FEE
TOTAL-MI^/MC SDC
SUBIOIAL (ADD ITEMS 1,2.3 & 4)5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
(.
Fl.
S #o, ca
$ Zll ,4*
SB,
< $ o4,o5 >
00
S
!.
s1
Msv
$ z+6,9t
$ zoSe,qD
$ lot,q5
SDC Coordinator
AITACH'A.I^JPD
Oate: tolt lqt
TOTAL SDC $ 2-l +o't5
^oir'i or remodels,
FIXTUBE TYPE
Barhrub......
Drinking Fountain....
Floor Drain.
lnterceprors For Grease/Oil/Solids/Erc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 per Trailer.)......
Receptor For Hefrigerator/Water Starjon/Erc........
Receptor For Commercial Sink/Dishwasaer/Etc..
Shourer, Single Stall.....:....
Shower,, Gang........
Sink: Bar, Commercial, Residential Kiicren..
Urinai, Stall/Wall...
Wash Basin lLavatory, Single.......
Toilet. Public Instailation.
Toilet, Private........
Miscellaneous:
CREDIT CALCULATION TABLE:Easec on assessed value. lf im
v^Lvv'r-''1 I r\r,.\' I /tDLE,. Number of Ne'ar Fixtures X Unit Equivalent = Fixtur.e Unitscalculate only the NET additional fixturesl
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTUPE
UNITS
2
I
L
A
2
o
A
1
J
2
l lhead
2
2
1
6
4
L
-1L_
.2
TOTAL FIXTURE UNITS zl
provennents occurred after annexation date ir::;oie.
2/
calcuiate creCits se rdtu5.
Credit for Parcel or Land Onty lf Applicable
lmprovement (if after aBnexation date)
/-s 4,2 I
(Rate X Assessed Value)
lo4,as
X$
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per $1,0O0
Assessed Value
Year
Annexed
Hate per Sl,OOC
Assessed Vaiue
1 979 or before
1 980
'r 981
1 982
1 983
1 984
1 985
1 986
1987
1 988
$4.27
4.18
4.12
'l oo
3.83
3.68
J.+t,
3.1 I
2.82
2.42
1 0po
1 00n
1 001
1 00,
, oo2
100,1
1 995
1 996
1 997
$1.98
1.15
0.96
AOa
0.6 7
n tr,
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential.
Commerical
lndustrial. . . .
Governmental.
0.4
o.9
o5
o.5
FIXUNIT.WPO lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
)
X$
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Add
Plat Name:Tax Lot Number:
PHONE: -
STATE:IP:
ate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a
X $1,000 per unit = $
Job. No. q$tttb
.t
(.
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Single-Family Detached
II\ Single Family home
NO. OF UNITS
NO. OF UNITS
WILLAMALANE SDC
(if SDC reduced for Credit)
If
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
X $699 per unit = $
2. SDC CREDff (af applicable) SDOaayer must fumish proof of
Witlamatane Credit approvat. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
$
$
il
tooO ,ad
-(l) ,--, \ ?f
Date
City of Springfield
I
I
I