HomeMy WebLinkAboutPermit Building 1999-09-01SPFT{GFIELD
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 990568
225 North Fifth Street
Springfield, OR 9'747'7
Location of Proposed Work: 243 SMITH LP
Assessors Map #: a7023237
Lot: Block:
Office
Inspection Line
725 - 37 59
'726 -37 59
Tax Lot #:
Subdivi-si-on:
01908
FISHERS PLAT
Owner: RjAIiIDY ALLEN
Address : P. O. BOX 70419
Describe Work: MA.IIUFACTURED HOME
Phone #: 484-L417
city/state/ zip: EUGENE OR, 97401
NEW
ContracEor
Const.
ConEractor #Expires
ta/a2/ee
1,2/27/00
Phone
857 -4624
365 - 944L
General
ElectricaL
GREAT WESTERN 0045472
5024 MAIN STREET SPRINGFIELD OR 974
HERITAGE ELECTR 0115058
1520 PIONEER AVE EMMETT ID 83617000
QUAD AREA: 3RNC
OCCY GROUP: R3
OFFICE USE - -
LAND USE: 1150
CONSTR. TYPE: VN
# OF BLDGS
SQ FOOTAGE
1
1,982
To requeats an inspection, cal-l the 24 hour recording at 726-3759.
A11 j-nspections reguested before 7:00 a.m. wiLl be made the same working,
inspections requested after 7:00 a.m. wi-1I be made the following work day
day,
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
MAIIUF HouE/MoBrLE HoME sET uP - when al-I bfocking is complete.
MANUF. HOIIE/ITIOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MAI{UF. HOME/}IOBILE HOITIE PLITMBING - Af ter home has been connected to
waLer and sewer.
PEDESTAL - Prior to cover.
FR.AIIING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the buifding is complete.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
i-n p1ace.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been install-ed.
Lot Faces: W
House
Garage
Topography: 2
Setbacks
svtE
513
L8
Lot Type: INTERIOR
N
a
Item
Main
Garage
MANU/HOME
BUILDING PERMIT
Square Feet x Value
0.00
0.00
35, 000.00
$/Square Feet
SPFi:{GFIELD
Job Number: 990668 Page 2
FTG/FDN
Tot.al Value
Bui-Iding Permit Fee
Surcharge/admin
TOTAL FEE
5, 500
44 ,100
00
00
(A)
80. s0
6 .45
85.9s
--- PLUUBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
50
50
50
Fee
25.00
25.00
25.00
15.00
90.00
7 .20
97 .20(c)
--- MISCELIJA.I{EOUS PERMTTS ---
Mobil-e Home
StaLe fssuance
Surcharge/Admin
Sidewalk
Curb Cut
C]TY SDC
WILLAI\4J\LANE
PLAN CHECK
TOTAL MISCELLA}IEOUS PERMITS
105.00
30.00
8.40
50.00
50.00
2,L5L.0L
1, 000 . o0
s2.33
(E)3,476.74
(Excluding Electrical )
unless otherwise not,ed
--- TOTAL AITTOI,NT DUE ---
(A, B, C, D, and E combined)3,660.89
--- BUILDING VAtUE, PLAN CHECK AI{D BUILDING PERMIT ---
This permit is grant.ed on the express condition that the said construction
shal-I, in aJ-I respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construcLion and
use of buj-ldings, and may be suspended or revoked at any time upon violation
of any provisions of saj-d ordinances.
Received By:
Plans Reviewed By: AL WARD Date: 05/28/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COUMENTS
A SEPERATE ELECTRTCAL PERMTT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I state and agree, thaL f have carefully examined
the completed applj-cation and do hereby certify that al-l- information hereonis true and correct, and I further certj-fy that any and all work performed
sha1l be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to Ehe work described herein,
and that NO OCCUPANCY wi-l1 be made of any structure without permission of the
Community Servj-ces Division, BuiJ-ding Safety. f further cert.ify that onlycontractors and employees who are in compliance with oRS 701.055 will be
used on this project.
6PfIINGFIELD
Job Number: 990658 Page 3
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of Lhe property, and the approved set of plans
will n on the site at all times during constructj-on
6alta,
Signature Date
('
SPilNGFIELT',
--- VALIDATION ---
Receipt Number
Date Paid
oiV L( c
Amount Received 0 tt-
Received By dl
t"r- 2)
CITY OF OREGON
:FTtNGFtELE,
. COHPIJTE FEE SCEEDT'LE BELOII
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-
Modular 'Dve11ing
Service or Feeder /
Services or Feeders
Installation, Alterations
or Relocation:
$ 8s.00
$ 1s.00
ELECTRICAL PERHIT APPLICATION
city Job Nvnber ?fu4?oFFrcE: 726-3759 Date
1.OF INST
LEGAL DESCRTPTION
Signature
A
c
i DESCRTPTI
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALT.ATION ONLY
Electrical Contractor {2"il;L
B
$ 40.00 ?*
s300.00s 40.00
ee t'Br aEfrE
Address 212 .44e fr--*
ci ty {rar,r."<
-
Phone 73 f - / Soc->
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/voIts
-Reconnect 0n1y
200 amps''or less $
201 amps to 400 amps
-
$
over 40L to 600 amps
-
S
Over 600 amps or L000ETfs s
-Each installation
Pump or irrigation
Sign/0u tl-ine Light ing-
Limited Energy/Res
-Limited Energy/Comm
s s0.00
$ 60.00
s100.00
s130.00-v-Supervisor License Number vf5-s
Expiration Date /Z/ o/
consrr conrr. Number 6 Zt >Z B- E
Expiration Date /L/t ?
Signaturq of Supervising Electrician
Owners Name
Address
Temporary Services or Feeders
Installation, Alteration or Relocation
40.00
55.00
80.00
Ci ne
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Miscel-Laneous (Service/feeder not includec
afl : ,,)'Z
$ 40.00
$ 40.00
$ 20.00
$ 36.00
aro,5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRBCEIVED B
726-3769
/ 7,a2'z?^a / arl?'a-
:
l!
I
JouRNA oR JoB No. fi o AG 3
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:@t uOu&er"
LOCATION
DEVELOPMENT TYPE 9F
BUILDING SiZE SIZ F SQ. Ft
1. STORM DRAINAGE
IMPERVIOUS SQ, FT
Qzx xbL)+ 6+ t
X $0.227 PER SQ
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
tg (tz)
. Fr. s 57-1.*
$ffig, io
$ toz,1l
,d +- As
zzaY
2. SANITARY SEI^JER-CiTY
NO. OF PFU'S tf, x $47.14 PER PFU s B4t .sz
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
t x l.OI x$4ts.3z
x $475.32
4. SANITARY SEWER-MI^JMC
A. REIMBURSEMENT COST
No. oF FEU's I x 211 HPER FEU ,+v
B. IMPROVEMENT COST
NO. OF FEU'S X ZS.tppeR FEU s ?5, ZD
Mt^lMC CREDIT IF APPLICABLE (SEE REVERSE)
plhll'4c ADMINISTRATIVE FEE
< $ 17D.6T,
$ 10.00
TOTAL-MI^IMC SDC $rq r.Q?
$X
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
M9u
SDC Coordinator
ATTACH'A.WPD
oate: deib l*t
TOTAL SDC sZtbl ,61
s $e.o"t
FIXTURE UNIT CALCULA-'CN TABLEI Number of New Fixture' \ Unit Equivalent : Fixture Units
(NOTE: For remodels, calculate only tt*dE[ additional t,*,rr",ilrrER OF UN'T FTXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc
lnterceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher.............
il +
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)....
Receptor For Refrigerator/Water Station/Etc......'.
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9.............
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall...
Wash Basin/Lavatory, Sin91e............
Toilet, Public lnstallation.
Toilet , Private 4 K
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits
L
,
n
/Head
2
1
2
3
6
2
b
6
1
3
2
1
2
2
1
b
7
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
4.2+ x $E?t- :zt),(
(Rate X Assessed Value)x$
\
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.83
o.67
o.52
0.38
o.21
1979 or before
1 980
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
FIXUNIT.WPD
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlY)
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
(Rate X Assessed Value)
CREDIT TOTAL : $
SPRINGF!ELD
Page 1
ENGINEERING DMSION DEVELOPMENT PLAI.I REVIEW
RESIDENTIAL IMPROVED STREET
Developer: RANDY ALLEN
Mail Address: P.O.BOX 7041,9 EUGENE OR,97401
Tax Lot # : L'1 02323L01-9Oe Proj ect Address :
Subdi-vision: FISHERS PLAT Lot: Blk:
243
Eng
Job
Phone
SM]TH LP
Rev. No.:
No.: 990658
#: 484-L4L7
Book:
Street GraveL
243 SMITH LP
Existing Curbcut: N
EXISTING IMPROVEMENTS
Ac Mat Curb Fu11 Imp SW Width Curbslde
Y 5 FEET 12:1 FLAIRS
Setback
ENGINEERING REQUIREMENTS
Additional Ri-ght of Way: N
Improvement Agreement: N
Easements: N
SAI.IITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG ]--8OO-332-2344
Available: Y Stubbed Out To Property Line: Y Depth: 4-6 FT
Location From N,
Make Connection:
S, E, W Property Line
PER PLUMBING CODE
AS SHOWN ON DRAWING OR AS-BUILT
STORM SEWER
Availabl-e: Y
Pipe Downspouts And Drains To: CURBS & GUTTER
Pipe Parking Lot Drainage To: N/a
New Curbcut Appr.:
Sidewal-k Permit: Y
Curbcut Permit: Y
Handicap Ramp: N
SIDEWALK AI{D DRIVEWAY INFOR}{ATION
Y STANDARD WidLh: 12 FI FlAirS: 5
Wi-dth: 5 Ft Length: 8 Ft
wi-dth: 24 Ft
FT
ENCROACHMENT AIiID ASSESSITTENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessm€nt: N
SPECIAL NOTES A}ID REQUIREMENTS
A11 work wj-thin the pubJ-ic right, of way shal-I be in conformance with the City
of Spri-ngfj-e1d standard specifications for construction. Al-l- existing unused
curbcuts or portj-ons thereof sha11 be restored to ful-l curb height as direct.ed
by the City. The owner/deveJ-oper j-s responsible to relocate any utilities and
establish private or public easements when the utiliti-es confl-ict wi-th the
development, at their expense.
Revi-ewed By: MOLLY LINDBLOM Date: o5/24/99
SEE DR.AWINGS ON SPECIAIJ REQUIREMENTS FOR FURTHER TMPORTAI'IT INFORMATTON
UUillamalane
Job- No. t 6Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:R.pHoNE: q,8q.* \1l ?
ADDRESS:lo E STATE:\ zlP: q110
LOCATION OF PROPOSED BUILDING SITE:
Street Address:5
Plat Name: t-1O9"3S<t Tax Lot Number:o\1C)
DEVELOPMENT TYPE (Check
ype definitions are on the back.)
..
A. Single-Family Detached
Single Family homrj
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC $
2. SDC CREDTT (lf applicable) SDOpayer must fur(sh proof of
Willamalane Credil approval. See SOC Credit Wotkshoet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduced for Credit)
-L,-L ,ff
Date
t
1 appropriate dwelling(s). SDC calctlalions and dwelling t
K Manufactured home not in a park
NO. OF UNITS ( X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
gr<,t c^D
$
$
$
$
\S-
City of Springtield
b