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Home My WebLink AboutPermit Building 1999-09-10o7'r oF SF?INGFIELD a :-'i{, , :, : RESXDENTIAL PERMIT APPLICATION Cf TY OF SPRINGFIELD .7ob Nunrber: ,,. . iI . ,OqUMI'NITY SERVICES DTVISION . l 1,..\,,1 BUILDING SAFETY 225 North Fifth Street Office: Spri-ngf j-eld, OR 91411 Inspection Line: Page 1 99LL7 0 726 -37 59 726 -37 69 Locat,ion of Proposed Work: 272 SttITH LP Assessors Map #: L7023231- Lot.: Block: Tax Lot #: 01918 Subdivision: Owner: RANDY ALLEN Address : P. O. BOX 70491 Describe Work: MANUFACTURED HOME Phone #: 484-1,41,7 City/State/ Zip: EUGENE OR, 97401 NEW General: Plumbing: Electrical: Contractor GREAT WESTERN OO59O3O PO BOX 1315 NEWPORT OR 973550000 GREAT WESTERN 0069030 PO BOX 1315 NEWPORT OR 973550000 HERTTAGE ELECTR 0054954 5974 Deer Ck Rd Sel_ma OR 97538OOOO Const. Contractor #Expires 05/Ls/ee o5/1,s/eg 03/08/e3 Phone 86't -4624 867 - 4624 597 - 4507 OFT'TCE USE - - LAND USE: 1-1-20 OCCY GROUP: R3QUAD AREA: 3RNC CONSTR. TYPE: VN To request, an inspection, call Lhe 24 hour recording aL 726-3759 A11 inspections requested before 7:00inspections requested after 7:00 a.m. a.m. wil-I be made the same working d.ay, wj-11 be made the following work day. --- REQUIRED INSPECTTONS ___ }T,ANUF HOME/MOBILE HOME SET UP - WhCN A1]. b].OCKiNg iS COMPIEEE. WATER trNE - prior to filling trench. SAI{ITARY SEWER LINE - prior to filling trench. STORM SEWER LINE - prior to fil_ling trench. MANUF. HOME/MOBILE HOME ELECTRICAL - WhEN blOCKiNg, SCIUP, ANdpJ-umbing inspecti-ons have been approved. and home is connected t.o panel MH ACCESSORY STRUCTURE MANUF. HOME/MOBTTJE HoME ptIrMBrNG - After home has been connected towater and sewer. PEDESTAL - Prior to cover. cuRBcur - After forms are erected but prior to placement of concrete. STDEWALK - After excavation is complete, forms and sub-base materia1i-n pIace. FrNAL sET up - After all reguired inspections are approved and porchesskirting, decks, venti-ng, house numbers, etc. have been install_ed. Lot Faces: N Topography: 2 Lot Lot Setbackssw 10 10 Sq. Ft.: 5100 Tlpe: INTERIOR Lot Coverage: 23 Z N 10 1B E 10House Garage Item Main Garage MANU/ HOME BUTLDING PERMTT Square Feet x NOTIGE: THIS PERMIT SHATI. EXPIRE IF THE WORK AI.ITHOHIZED UNDER THIS PERIIIT IS NOT COfvIMENCED OR lS ABANDONED FOR ANY 180 DAY PERIOD. Value 0.00 0.00 27 , OOO.OO $/Square Feet SPF!lllGFIELD Job Number: 99LL70 CITY OF SPruNGFIELT',o Page 2 FTG/FDN Total- Value Building Permit Fee Surcharge/admin TOTAL FEE 2 ,000 29 , OOO 00 00 (A) 32.50 3.25 35.76 Item Sanitary Sewer Water Storm Sewer Plumbing Permit. Surcharge/admin TOTAT CHARGE PLIIMBING PERMIT --- 50 50 50 (c) Fee 25.00 25.OO 25.00 75.00 7.50 82.50 --- MISCELLAI{EOUS PERMITS Surcharge/admin Sidewafk Curb Cut CITY SDC WILLAMALANE PLAN CHECK FEE ELECT. PERMTT TOTAL MISCELLANEOUS PERMITS l4 3-lo (E) 0.00 64 .52 60. oo 1,939 .90 1, 000.00 2a.L3 88.00 3,L75.65 (Excluding Electrical) unless otherwise noted --- TOTAL A},IOI'NT DUE --- (A, B, C, D, and E combined))*'?ffi)tffi(-., 3>ttr' "l t --- BUII,DING VAIUE, PLA.I{ CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shal-l, in all respect.s, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received By: Plans Reviewed By: AL WARD Date: O9/i.O/99 Building Site Reviewed By: BOB BARNHART --- ADDITIONAL COMMENTS --- DRTVEWAY REQUIRED TO BE PAVED 5 STREET TREES REQUIRED By signat,ure, I state and agree, that f have carefulty examinedthe completed application and do hereby certify that all information hereonis true and correct, and I further certify that any and all work performedshaI1 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 theCommunity Services Division, Building Safety. r further certify that onlycontractors and employees who are in compliance with oRs 701.055 will_ beused on this project. CITY OF SPilNGFIELT', SPFITGFIELD Job Number: 99aa70 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 the property, and the approved set of plans wi-Il remain on the site at all times during construction. ?-zo 1/ Signa Date --- VALIDATTON --- Receipt Number: Date Paid: Amount Received: Received By: 3 SSr 5 q ff 3Zs t-X ttilJ ctTv oF ONEGON SPGl!Ir.GFIELD IJocation of Proposed Work: 272 SNIITH LP Assessors Map #: L702323:. Lot: Block: RESIDENTTAL PERMIT APPLICATION CITY OF SPRINGFIELD i COMMI'NITY SERVICES DIVISION 1.. BUILDING SAFETY 225 North Flfth Street Springfield, OR 9741'7 Page 1 'Job Number: 991170A Office: fnspection Line: 726-3159 7 26 -37 69 Tax Lot #: 01918 Subdivi-sion: Owner: GREAT WESTERN Address: P.O.BOX 70491 Describe Work Phone #: 484-L4t7 city/state/zip: EUGENE OR, 97401 NEW General: Cont,ractor GREAT WESTERN OO59O3O PO BOX 1315 NEWPORT OR 973650000 Const. ConEracEor #Expires 06/ts/eB Phone 857 -4524 QUAD AREA: 3RNC OFFICE USE - - LAND USE: 1.111 To request an inspection, calf the 24 hour recording at 726_3769. A11 inspections requested before 7 inspections requested after 7:00 a 00 a.m. will be made the same working day, m. will- be made the following work d.ay. --- REQUTRED INSPECTTONS ___ FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. FRAMfNG - Prior to cover. FINAIJ BUIIJDING - When all required inspections have been approved andthe building is complete. Item Main Garage Total Val-ue Building permit Fee Surcharge/Admin TOTAL FEE BUILDING PERMIT --- Square Feet x $/Square Feet NOTICE: i*i"tt**tr sHALL EXPIRE IFTHE woll n.IiHO*.ZED UNDERTHIS PERIuIT IS NOT COlr ttr tef-f CED OR lS ABANDONED FOR ANYIEODAYPERIoD' (A) Value 0.00 0.00 3,500.00 44 .50 4 .45 48 .96 MISCELLANEOUS PERMITS Surcharge/Admi_n CTTY SDC PLAN CHECK FEE TOTAL MTSCELLA.T{EOUS PERMITS (E) 0.00 58 .45 28 .93 87 .39 (Excluding Electrical) unless otherwise noted TOTAL AIITOI,NT DUE (A, B, C, D,and E combined)135.35 SFINGFIELD Job Number: 991170A CITY OF SPruNGFIEI^D, ONEGON Page 2 --- BUILDING VALUE, PLAN CHECK AND BUIIJDING PERMIT --- This permit is granted on the express condition that the said construction sha11, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon vi-olation of any provisions of said ordinances. - - - ADDITIONAIJ COU}TENTS By signat,ure, I state and agree, that I have carefully examined the completed application and do hereby certify that all- informatj-on hereon is true and correct, and I further certify that any and al-l- 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 Community Services Division, Building Safety. I furt.her certify that only contractors and employees who are in compliance wi-th oRs 701.055 wj-ll be used on this project. I further agree to ensure that al-l required inspections are requested at. the proper tj-me, that each address is readable from the street, that the permit card j-s 1ocated at Ehe front of the property, and the approved seE of plans will remain on the site at al-I times during construction. ^10 -/(-? Signature Date --- VALIDATION --- 03ts* tReceipt Number: Date Paid: Amount Received Received By: lo r"r (11 l3(, 3 r ,/lJ^/ ATTACHMENT A CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: LOCATIONT & lz 6m trN Loo? DEVELOPMENT TYPE BLIILDING SZE:L-ta SIE'E l. sToRM DRAINAGE QQ;we"'txn C.vtr*-rz-c66 o n-1 19 t t r o IMPERVIOUS SQ. FT.xs0.232 PER SQ. FT. 2. SAMTARY SEWER-CITY NO. OF PFU'S X 548.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF T]-NITS X TRiP RATE X COST PER PM PEAK HOUR TRIP x_ x s486.73 PER TRIP x _ x s486.73 PER TRIP 4. SAMTARY SEWER-MWMC A. REMBURSEMENT COST: NO. OF FEU'S X _ PER FEU Q.Ft. s 5s,G8 S S S S s 10.00 S E-s-G& s z.1a '-*-- B. IMPROVEMENT COST: NO. OF FEU'S X _ PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATIVE FEE TOTAL-MWMC SDC S SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMIMSTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 SDC Coordinator ATTACH'A.WPD S TOTAL SDC S 6S4L rouRNAL r roB NO. ?q I l?o A q-'1o Date:_ FIXTURE UNIT CALCULATION TABLE3 Number of Nerv F:-'wes X Unit Equivatent: Fixnre Units (NorE: For remodels' calculate only tt :T additional fixrures) NUMBER oF ,NIT FIxruREFIXTURETYPE NEW FIXTURES EQUIVALENT UNITS Drinliing Fountain...... Floor Drain.. interceptors For Grease/OiVSolids/Etc Interceptors For Sand/Auto Wash./Etc. Laundry Tub/Clotheswasher,Mop S ink.................. Clotheswasher - 3 Or More............. Mobile Home Park Trap (1 Per Trailer).. Receptor For RefrigeratorAVater Station/Etc........... Receptor For Commercial SinI/Dishwasher/Etc...... Shorver, Single Stal1.............. Shorver, Gang............ Sink: Bar, Commercial, Residential Kitchen............ Urinal, Stall.rWall.... ......-..................... Wash Basin/Lavatory, Single..........- Toilel Public Installation... Toiiet , Private ivliscellaneous: TOTAL FIXTURE LJN'ITS CR-EDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexarion date in table, calculrte creotis Credit for Parcel or l.and Only If Applicable X $ _ = (Rate X Assessed Value) Improvement (if after annexation date)x $_ = (Rate X Assessed Value) CREDIT TOTAL = $ 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 ,4{ead ,vaL aLa t Year Annexed Rate per $ 1,000 Assessed Value Year Anaexed Rate per $ 1,000 Assessed Value I 979 or before 1980 1981 1982 1 983 1984 1985 1986 1987 1988 $4.47 4.38 +.)z 4.20 4.03 3.88 3.68 3.3 8 3.03 2.62 1989 1 990 i99 1 1992 r 993 1994 I 995 1996 r997 I 998 2.r8 t.75 1.35 t.t7 1.03 0.86 0.7 | '0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DR{INAGE (For Estimating Purposes Only) Residential... Commerical.. Indusu-ia1...... Govemmental.. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IIvIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT C'TY OF Electrical Contractor {e"ffu, Address Z Ci ty JOB DESCRIPTION a Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALI..ATTON OIILY A?{usaDAY PERIoD Constr conrr. Number 6 7/>7 B- @ Expiration Date Signaturg of Supervisins Electrician 0wners Name 1r^A d/4"^ Address 2 A.'A *' ,o qq/ Ci ty Phone ffL( -/q/i' OVNER INSTALIJTTION The installation is being made onproperty I own vhich is not intendedfor sale, Iease or rent. Onners Signature: DATE: -PRINGFIELcl BLBCTRICAL PERHIT APPLICATION Ci ty ?%7Job Nuruber 3. COHPI,ETE PEE SCEEDULE BELOIT A. Nev Residential-Single orMulti-Family per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home. or - $ 8s.00 $ 1s.00 Hodular 'Dvelling SerVice or Feeder B. IFTHE '&$h,fil ps to 400 amps ps or less Su i\ L s 4o.oo P t600Im ps to 600 amps s s0.00 s 60.00 $100.00 s 130. 00 s300.00s 40.00 Supervtsor License Expiration Date 5}nUOOtltEO amps to 1000 amps '6$:,Recon 1000 amps/vo1ts nect 0n1y c Temporary Services or FeedersInstalIation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not includet 200 amps"or less S201 amps to 400 amps - $ Over 401 to 600 amps - $ Over 600 amps or 1000T6f[s s -Each installation Pump or irrigation $Sign/0utIine Lighting- S Limited Energy/Res - SLimited Energy/Comm S SUBTOTAL OF ABOVE /8/" State Surcharge 3Z Administrative Fee TOTAL 00 00 ee trBr aEffi 5. Oo Z-'(o 00 40 55 80 .00 .00 .00 .00 40 40 20 36 5 7cs u RBCEIVED B ( ?.otv 225 FIFTB STBGET SPRINGFTELD, OREGON 97477 INSPECf,ION REQUESTT 726-3769 OFFICE: 726-3759 : 1. LOCATION OF INSTALLATION2? 2 S,w"cz/ tor*t IJGAL DESCRIPTION/Z623z3/ 6/q/? I i tilrr Services or FeedersInstallation, Alterationsor Relocation: : .l I I I I : Willamalane Park & Recreation District roo. ruo. 11 rl.' I o SYSTEM DEVELOPMENT CHARGE WORKSHEET Bcr^dr, \h J\o,^PHoNE: t8tt-t7\NAME 7T ADDRESS:-t LOCATION OF PROPOSED BUILDING SITE: STATE Tax Lot Number:e)tnt . ztP ,tt {()t Street Address: Plat Name: \1 1 1. DEVEL9PMENT TYPE (Check appropriate dwetling(s). SDC calculations and dwetfing rype detln[tions are on the back] A Singte-Family Qetached Single Family homd Y Manufactured home not in a park qs NO. OF UNITS \X $1,000 per unit = $ B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unlt = $ D. Manufac{ured Home Park NO. OF UNiTS X $699 per unlt = $ c-t<-x-t WILLAMALANE SDC $ 2. SDC CREDTT (r appncaOte) SDC+ayermust furrtstr proof of Wltamalane Credit approval See SOC Credit Wortcshoet. $ 3. TOTAL WILT.AMALANE NET SDC ASSESSED (lf SDC reduced (or Credit) $ ment Se Date City of Springfield s Department I, JOURI\IAI - JoB No' ffi// 7a ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:Zeppy / ue,rt LOCATION 2 7 L 4n , -, L.o^o DEVELOPMENT TYPE M - Ll,". BUILDING SZE 1. STORM DRAINAGE Z8*1-+ -tz Jz tz7 t8 _1:9 x$0.232 PER SQ. FT X$48.27 PER PFU (o"€ D/b) Fr. s 335, q4IMPERVIOUS SQ. FT l,++% 2. SAMTARY SEWER-CITY NO. OF PFU'S t %S R68 .8G s 4Q I ,ao S 2+2, ze S zz'< <$ - tzc,r+ ) s 10.00 t4E S t t41 ,67 $ ?2, z:< (See Reverse Side) 3. TRANSPORTATION NO OF LTNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP X I,X $486.73 PER TRIP x _ x s486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMB{.IRSEMENT COST: NO. OF FEU'S X Z4z,7L PER FEU B. IMPROVEMENT COST: NO. OF FEU'S I \ zz,o{ PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE TOTAL-MWMC SDC SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMIMSTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .0s SDC Coordinator ATTACH'A.WPD -q TOTAL SpC S h a: ?o I q FIXT U RE U N lT CALC ULATIOI\ TABLE I Number of New Fixtures X Unit Equivatent : Fixrure Units (NOTE: For remodels, calculate only the I.t' lditional fixtues) FIXTURE TYPE NUMBER OF NEW FIXTURES LTNIT EQUryALENT FIXTURE LINITS .L Drinking Fountain...... Floor Drain.. Interceptors For Grease/OiVSolids/Etc Interceptors For Sand/Auto Wash/Etc. Laundry Tub/Clotheswasher/Ivlop Sink................... Clotheswasher - 3 Or More.. Mobile Home Park Trap (1 Per Trailer).. Receptor For Refrigerator^Vater S tatior/Etc........... Receptor For Commercial S inVDishwasher,Etc...... Shorver, Single Stall.. Shower, Gang............ Sink: B ar, Commercial, Residential Kitchen.......... Unnal, Stall/Wall Wash Basir/Lavatory, Single........... Toilet, Public Installation.. Toilet , Private. Miscellaneous: TOTAL FIXTURE UNITS '7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexarion date in table, calculate credits icable 4, +7 + LI 2 I 2 ) 6 2 6 6 I 3 2 I 2 2 I 6 4 /Head 2 2l-' 'z- -E--4 Credit for Parcel or Land Only If Applr Improvement (if after annexation date) X $ z6,rro :/2c,5+ (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDITTOTAL :$ rzr-.rL Year Annexed Rate per S 1,000 *'Urr.".gd*Vatge Year Annexed Rate per $ 1,000 Assessed Value 1 980 198 I 1982 l 983 1984 1985 1986 1987 I 988 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1979 or before 1 989 I 990 r 991 1992 I 993 1994 l 995 t996 1997 1998 2.18 1.7 5 1.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential. Commerical.. Industrial. Governmenta1....................-. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA: TOTAL LOT SIZE X RUNOFF COEFFICIENT Cit,y of Spr'ingfie).d EEE Frit,h St,r.eet, $p'r'ingf ieLrJ, 0R 3?4?7 ( 5tl3 ) 7eb-3753 Tr.ansact, it:rr nrtnrber' 035538 $ept,enrber' 131 1999 l. t :51 AH Received frrinr: GREAT i'li5TEItN H0Ht!; Con'Lr'act/0rgn : F0R e?e SI{ITH L0CIF d.r.ess: 5BI4 HAIN 9T f,ity: SFFLT'St: 0R ZiP: 57478 -Eu i id ing- -1olr *r 59Ii70 lte**r'i pt i on Mobile Honre MH 5t,at,e Silr'char'ge HH Issuance 3X A,Jnrin Fee tlii Tutal: An t. Flece i ved : Clrerh {.1 450t 8 Tharrir yor"i I A1 i4, r E|:l t05.ui:i F -,f JU,LIU $ {ri 143 . 4{1 1rr3.4il [-:lr*e[r '1