HomeMy WebLinkAboutPermit Building 1999-05-17-A'PRIIIrGFIELD
RESIDENTIAI, PERMIT APPI,ICATION
CITY OF SPRINGFTELD
COMMI'NITY SERVICES DIVISION
BUTLDING SAFETY
Page 1
ilob Nr:mber: 990510
225 North Fifth Street
Springfield, OR 9147'7
Location of Proposed Work: 26L SMITH tP.
Assessors Map #: 7702323L
LoL: Block:
office:
Inspection Line:
726 -37 59
7 26 -37 59
Tax Lot #:
Subdivision:
019 06
FISHERS PLAT
OwneT: RANDY ALLEN
Address : P. O. BOx 70491
Phone #: 484-141,7
City/State/ Zrp: EUGENE OR, 97401-
NEWDescribe Work: I{A.MFACTURED HOME/CARPORT
Contract,or
Const.
Contractor #Expires Phone
867 -4524
325 - 7 697
729 -L500
General:
Plumbing:
Electrical-
GREAT WESTERN 0045472 LL/T2/OO
5024 MAIN STREET SPR]NGFIELD OR 974
LARRY FowLER cO ATTENTlOlUOregon rav, iequlroqlQglOo
3oes E BARNETT RD fuHrmoBboed@ed&UtheOreEon Utility
HERr rAGE ELECTR NotifioatiOn cOrOtru.lTl'|ose ru les a9 fghtp$r
1042 HARN LANE El!s0#l€62frb00606hrough OAR 952'001 "
0090. You m obtain ol the rules bY
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FE
To request an inepection, call- the 24 howr recording at 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspectj,ons requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
SLAB - To be made afLer alL inslab building service equi-pment, conduit
piping, and other equipmenE it.ems are in place but prior to concrete
M,AI{UF HOME/MOBILE HoME SET UP - When alL blocking is complete.
MANUF. HOITTE/MOBILE HO!{E ELECTRICAL - WhEN blOCKiNg, SEI1rP, ANd
plumbing inspections have been approved and home is connecEed to panel
MANUF. HOME/MOBIITE HOME PLITMBING - After home has been connected to
water and sewer.
PEDESTAIJ - Prior to cover.
WATER LINE - Prior to filling trench.
SA.I{ITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
FRAIIING - Prior to cover.
CURBCUT - After forms are erected but prior to placement of concrete.
SfDEWALK - After excavation is complete, forms and sub-base material
in pIace.
FINAL BUILDING - When all requj-red inspections have been approved and
the building is complete.
FINAT SET UP - After all required inspectj-ons are approved and porches
skirting, decks, vent.ing, house numbers, etc. have been install-ed.
Lot Faces: S
Topography: 2
House
Garage
Lot Sq.
Lot, Type
Setbackssw
Ft. : 7342
: INTERIOR
EN
25
20
7 L2
Lot Coverage: 23 %
-- orrcEdEngglp
rllmbosfftrthe®on Utility Notificatip4rF uNrrs : 1
coNsrR CqttefiS t/ft00'332-2344). # oF BDRMS : 3
SQ FOOTAGE: L575
.+PRINGFIELD
Job Number: 990510
a
Page 2
Item
Main
Garage
MANU HOME
FTG/FDN
Total Value
Building Permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUTLDING PERMIT
Square Feet x $/Square Feet
(A)
74.50
5 .97
80.47
Item
Sanitary Sewer
Water
Storm Sewer
Mobi-le Home
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
.-- PLIIMBING PERMIT ---
50
50
50
(c)
Fee
25.OO
25 .00
25 .0O
15.00
90.00
7.20
97.20
--- MTSCELLANEOUS PERMITS ---
Mobil-e Home
State Issuance
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
WTLLAIVIi\LA}IE
PLAN CHECK FEE
TOTAL MISCEI,LANEOUS PERMITS (E)
105.00
30.00
8.40
50.00
50.00
2 , 048 .57
1, 000 . 00
48 .43
3, 350 .40
(Excluding Electrical )
unless otherwise noted
--- TOTAL A}IOI'NT DUE ---
(A, B, c, D, and E combined)3,538.07
BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the saj-d constructionshal-l-, in all respecLs, conform to the ordinance adopt.ed by the City ofSpringfield, including the Development Code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Received By:
Plans Revj-ewed By: AL WARD Date : 05 / 1,5 / 99Building Site Reviewed By: BoB BARNIaRT
--- ADDTTTONAL COMMENTS
A SEPERATE ELECTRTCAL PERMIT IS REQUIRED
Val-ue
0.00
0.00
35, 000 . 00
4, 500 . 00
43,100. 00
JPFINGFIELD
,Job Number: 990610
OF SPruNGFIELT',
Page 3
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I atate and agree, that I have carefully exami-ned
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed.
shall- be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the Stat.e of Oregon pertaining to the work described herej-n,
and that NO OCCUPANCY will be made of any structure without permission of t.he
Community Services Divisi-on, Building Safety. f further certify that. only
cont.ractors and employees who are in compliance wit.h ORS 701. 055 wil-l be
used on this project.
I further ag'ree Lo 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 the property, and the approved set of plans
wil-L remain on the site at aII times during construction../l )t"ffi,*L
Signature
5'rz- f/
Date
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By:
A 1{04 ul
ff
3 a
_t-h6 tottowing prqect as submitt€d has the rollowin,
zz5 FrFTE srREEr;;l;?aand
does not require specitic ianJ'u"se"'u
PFIINGFIELE,
ELE TRICAL PERT{IT APPLICATION
FEE SCEEDIILE BELOTI
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home. or
-
s 8s.00
s 1s.00
Modular Dvelling
SerVice or Feeder
city Job nu u", ??242
SPRINGFTELD, OREGON
INSPECf,ION REQUEST
OFFICE: 7264759te
rl.utnOflZeO 3.
1.TION
A
DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR TNSTALI,ATTON ONLY
Electrical Contractor TZ"Z;.
Services or Feeders
Installation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to L000 amps
over 1000 amps/volts
-Reconnect 0nty
Temporary Services or FeedersInstallation, Alteration or Relocation
/ $ 40.00
B
I
I
I
Address 2f L ,4e
Phon.Z_f -f$oo
s s0.00
$ 60.00
s 100. 00
s130.00
$300.00s 40.00
Supervi.sor License Number
Expiration Date 1t/ ol
constr contr. Number 6 Zt=Z B- E
Expiration Date /L/t ?/
Signaturq of Supervising Electrician
Ovners Name
Address
?€? -:'/?
Ci ty
Ci ty one
OVNER INST
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
200 amps"or less $ 40.00
Over 40L to 600 amps S 80.00
0ver 600 amps or 1OOO voTTs see uB" aE66
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not includei
-Each installation
Pump or irrigation
Sign/outline Ligh t ing-
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTAL
s40
S40
S20
$36
.00
.oo
.oo
P/25
RECEIVED B
I,EGAI DESCRIPTION
Su
i
\
I
;
vf5-s
'rrBs JpuB$AL oR JoB No- 44Ob t7
ATTACHMENT A
CITY OF
ISPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY (e.lo.r <-t-)
LOCATION:I 6n rru leo?
DEVELOPMENT TYPE:StrD
BUiLDING SIZE: tr t&S LOT SI
1. STORM DRAINAGE d9. zo+ 12ft-t)
Ft.
iMPERVIOUS SQ. FT.
2. SANITARY SEI^IER-CITY
3
4
8Qz X $0.227 PER SQ. FT s Hq ,48
NO. OF PFU'S
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I X t.ol Xs475.32
x $475.32
SANITARY SEWER-MI^IMC
A. REIMBURSEMENT COST:
NO. OF FEU'S 211.++PER FEU
I x 547.14 PtR PFU t gt6.5Z
$ 4tu.o1
$ 211 .4
s 2b.20
(q.6q
5X
X
B. iMPROVEMENT COST:
NO. OF FEU'S I X Z5.ZO PER FEU
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE).
Mt^lMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
<$
5
TOTAL-MhIMC SDC
$ 10.00
$ n2fl5
$ p.51 .6L
$q1 .s5
SDC Coordi nator
ATI-ACH'A.t^lPD
L Date:
TorALSpc s' 516lrt i
FlxTuRE UNIT CAeeuL -r1op TABLE: NuTlg-::f New Fixt' s
(NoTE:Forremodels,calculateonlr<neNETadditionalfixturesL,".*o,. NEW FIXTURES
FlxruRE TYPE
I t
Bathtub..-.-
Drinking Fountain."' '.."""""""
X'Unit Equivalent ; Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
annexation date in table,
Floor Drain-
lnterceptors For Grease/Oil/Solids/Etc"
tnterceptors For Sand/Auto Wash/Etc"
ead
2
1
2
3
6
2
6
6
1
3
2
1/H
2
2
1
o
4
+
/-
Laundry Tub/Clotheswasher" " "
Clotheswasher
Mobile Home Park TraP (1 Per Trailer)
Receptor For Refrigerator /Water Station/Etc" " "'
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, Single Stall"""""
Shower, Gang.--..':"
iinr.t aur, Commercial, Residential Kitchen"""
Urinal, Stalt/}Vall..'
Wash Basin/Lavatory, Single"""'
Toilet, Public lnstallation'
Toilet , Private-
Miscellaneous:
. CREDIT CA LCULATION TABLE: Based on assessed value. lf imP
calculate credits
.-_T-
TOTAL FIXTURE UNITS
rovements occurred after
4,L,1 x' 's.'3.
(Rate X Assessed Value)
i
vA:/\V
lfi,bqCredit for Parcei'or'Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STO.RM DRAINAGE
(For Estimating PurPoses OnlYl
Residential. -.."""' O'4
Commerical--..-.--.--.""""""' O'9
lndustrial.-.. O 5
Governmental..-----.--."""""' O'5
$
Year
Annexed
Rate per $1,OOO
Assdssed ValueYear .
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
i 992
1 993
1 994
.i"; .19.95
1 996
1 997
s1.98
1.55
1.i 5
o.96
0.83
o.67
o.52
o.3B
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1985'"i " ' '-
1 986
1987
1 9BB
$4.27
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
FIXUNIT.WPD IMPERVIOUS AREA : TOTI\L LOT SIZE X RUNOFF COEFFICIENT
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.t 0
PHONE: .l{{3t\111
srArE: -O\"ztP: q1{o t
NAME:
ADDRESS:?oqtr €
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Ptat Name: \ ?OA3S.3\
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
..
A. Single-Family Detached
Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
Tax Lot Number:
appropriate dwelling(s). SDC calculations and dwetling t
f Manufactured home not in a park
$1,000 per unit = $\c/U)E
X $924 per unit
\x
$
$
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufac'tured Home Park
NO. OF UNITS X $699 per unlt $
WLLAMALANE SDC
'l
2. SDC CREDIT (tt appncaOtel SDC+ayer must fuot[sh proot of
Wiltamalane Credit approval. See SOC Credit Wodahoot
3. TOTAL WILLAMALANE NET SDC ASSESSED
0f SDC reduced for Credit)
\}R
Date
$
$
$
oeEIo
City of
pment Services Department
Springfield
6
o(qo 6