HomeMy WebLinkAboutPermit Building 1999-05-12SPTNGFIELq
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990533
225 North Fifth street
Spri-ngfie1d, OR 97477
Location of Proposed Work: 297 SMITH Lp
Assessors Map #: 1-702323l-
LoL : 3 Bl_ock:
Office
Inspection Line
726 -37 59
7 26 -37 69
Tax Lot #
Subdivision
01903
FISHERS
Owner: RjA}iIDY ALLEN
Address : P. O. BOX 70419
Describe Work: IIANUF HOME
Phone #: 484-1-4L7
CiLylstate/ zip: EUGENE OR, 97401
NEW
Contractor
LARRY FOWLER OO4977B
355 ALT HWY 101 ASTORIA OR 971O3OOO
LARRY FOWLER 0049778
355 ALT HWY 101 ASTORIA OR 971O3OOO
HERITAGE ELECTR 0063137
1042 HARN LANE EUGENE OR 974O4OOOO
Const.
ContracEor #Expires
o4/07/eB
o4/07/e8
1-2 /27 / e7
Phone
325-1697
729-1,500
${$fi27General:
Plumbing:
ElectricaL:
R3
184 0
OCCY GROUP:
SQ FOOTAGE:
115 0
:P1
QUAD AREA: 3RNC
CONSTR. TYPE: VN
-- OFFICE USE
LAND USE:
INSUL PATH
To requeat an inspection, call the 24 hour recording aL 726-3769
E * h
A11 inspections requested. before 7:00 a.m. will be made the same working ETB,EB-gl gE
inspections requested after ?:00 a.m. will be made the following work d"yi=EHEe_E
srr' - ro be made arre' ";.":::H:ti,I;:l=-::t=".rr', rorms E*BEE;EA$
FOOTING - After trenches are excavated. I o 366:= 9!
wArER LrNE - prior to fillins trench ee$ A Bt?t
SATVITARY sEwER LINE - Prior to f illing trench E I E ! ZZ-$H,sToRM sEwER LINE - Prior to fil-ling trench. 66tY'0XPf
MAr\ruF HoME/MoBrLE HoME sEr up - when all blockins is complere HEE?EE?.9
MAIiIUF. HOME/MOBILE HoME PT.ITMBTNG - After home has been connected ro yE 5E ?lEE E
PEDEsli: : ;:i":"13'"o.,., 'rg E H E E; E
MANUF. HoME/IIoBILE HouE ELECTRTCAL - When blocking, setup, and F tEE-ts€plumbing inspections have been approved. and home is connected to pan{*Ef;88=
FRAI{rNG - prior ro cover *, E I L
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material-
i-n place.
FINAL SET UP - Aft.er all required inspections are approved and porches
skirting, decks, venting, house numlcers, etc. have been instal-Ied
FINAIJ BUILDING - When all required inspections have been approved and
the building is complete.
Lot Coverage: 27 .222
20
LoL Faces: S
Topography: 2
House
Garage
Accessory
Set.backs
JN
10
Lot Sq. Ft.: 7025
Lot T)pe: INTERIOR
w
11
E
6
6
3
SPRIIuGFTELO
SPFINGFIELD
rTob Number: 990533 Page 2
ftem
Main
earaEe cAvapd<f
MH. FTG
Total- Value
Building Permit Fee
Surcharge/admin
TOTAT FEE
BUILDING PERMTT
Square Feet x $/Square Feet
(A)
2lo e lsto
Val-ue
0.00
96A.OO
4, 900.00
8,500.00
74.50
5 .9'7
80.47
PLI'MBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE (c)
Fee
25.00
25.00
25.00
15.00
90.00
7 .20
97 .20
MISCELLANEOUS PERMITS
Mobil-e Home
State Issuance
Surcharge/admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
CTTY SDC
TOTAL MISCEIJLANEOUS PERMITS
105.00
30.00
8.40
50.00
50.00
48 .43
1,000.00
2,1,53.72
(E)3,465.55
(Excl-uding Electrical)
unlesg otherwise notsed
TOTAL AMOI'NT DUE - - -
(A, B, C, D, and E combined)3 ,643 .22
BUILDING VAI.UE, PLAI{ CHECK AIiID BUIIJDING PERMIT
This permit is granted on the express condition that the said constructi-on
shal-l-, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon violation
of any provisi-ons of said ordinances.
Receiwed By:
Plans Reviewed By: DON MOORE Date: 05/1,1,/99
Building Site Reviewed By: BOB BARNHART
M.H
--- ADDITIONAL COMMENTS
W/ FREESTANDING ALUM.MFGD CARPT.
SPRINGFIELD
Job Number: 990533 Page 3
SEPARATE ELECT. PERMIT IS REQU]RED.
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUTRED
By signaEure, I sEate and agree, that f have carefully examined
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 t.he Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wil-l be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will_ be
used on this project.
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 pl-answill r on the site at al-l times during constructi_on
s- tl -2
Signature Date
(
6e</2"
Receipt Number
Date Paid
Amount Received
Received By
--- VAIJTDATION ---
2z
7<?17
C'TY OF SPF OREGO'U
The
zoning.and does not require
apProval WD{L
Zoning
q?-cs53
rrtot'tce: -
THIS PERMITSHALL EXPIR
sPT iFIELE,
E lEflfrtffitffir'l PERHTT APPLTcATToN
specilic
tl
Date
SPRINGFIEI,D, OREGON 97 477 ATJTHORIZED UNDEB THIS PERMIT IS NOT ??o53,INSPECTI0N REQUESTz 726-
OFFICE: 726-3759
1. LOCATION INST ON
4
JOB DESCRIPTION
/7b2 iz c'/?o 3
2.COMRACTOR INSTALI,ATION ONLY B
Electrical Contractor
Address L
Ci ty E-s-*,Phone -ls 8) fol
Notifi
,uo*rrr%*.n"" ll*u",?t',- -s in
37 6egsplyENCED oH ls ABANDoGiffoA"b Number
ANY 180 DAYPERQD. COUPITTB FEE SCEEDIII,E BELOV
A. Nev Residential-Single or
MuIti-FamilY
Service Incl
er dvelling uni t.
ed:Items Cost
p
ud
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
th
Each
Mod
Home or
u Dvel1
or
Services or Feeders
InstaIlation, Alterations
or Relocation:
rt9NPSi
L g 4o.oo tro
lt
-
s 8s.00
s 1s.00
s s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.000090.
cal7 centerExpiration Date
Constr Contr. Number A n-)pc-,0 U m Wfigbth3grgln/{fltgg iU] i t Fee d e r s
r r{34atrl rit"8ft ?-'lffI'tB ihrt i on o r Re 1 o ca t i on
Expiration Date,?
Signature f Supervising Electrician
0wners
Address 0 q
Ci Phone q61-/ q / 7
OVNER INSTALLATION
The installation is being made on
piop"tty I ovn vhich is not intended
for saIe, lease or rent'
Osners Signature:
DATE:
200 amps''or lessior "*i" to 400 amps
-Over 40L to 600 amPs
Over 600 amps or 1OOO vofts
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$
s
$
s
40.00
55.00
80. oo
ee rrBr a6ove-
s 3s.00g&}2
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t /
-Each installation
Pump or irrigation
Sign/0utIine Lightitg-
Limited EnergY/Res
-
$2 00
E Miscellaneous (Service/feeder not included)
s 40.00
s 40.00
$ 20.00
s 36.00
t z4'5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAIRECEIVED
)qL oR ios Nu. 'Yo* 3
ATTACHMENT A
CITY OF
.SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
hloRKSHEET
NAME OR COMPANY:
LOCATION:
BUILDING SIZE:
DEVELOPMENT TYPE 5F
SIZ Ft.
I
2. SANITARY SEWER-CITY
NO. OF PFU'S /r
(See Reverse Side)
3 TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
o8r BGo) * /a(2s)
bgg x $0.227 PER sQ. FT '+7?3Y
X $47.14 PER PFU s 8+3 ,s7
W,,
IMPERVIOUS SQ. FT.
4. SANITARY SE|^JER-MbJMC
A. REIMBURSEMENT COST:
.o x $475.32
x s475.32
s 4*1.01
s ztl .44
$20
< $ fu4,o{ '$ 10.00
$ 7-OS l, /b
s /o2, fu
X
X $
N0. 0F FEU',S I X n1.#PER FEU
B. IMPROVEMENT COST:
SDC Coordinator
ATI-ACH'A.t^lPD
TOTAL-MWMC SDC
NO. OF FEU.S I X 75,2OPER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MhJMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
(--Date
TOTAL SDC $zt' 3,72
(
FIXTURE UNIT CAEEul TI
(NOTE: For remodels, calculate onlF<ne
FIXTURE TYPE
Bathtub.....-
Drinking Fountain.." ' ."""""""
oN TABLE: mumuer of New Fix' .s X'Unit Equivalent 7 Fixture Units
NET additionat fixtur&Lrrra* or-- - uNtr FlxruRE
NEW FIXTURES EOUIVALENT UNITS
l/+
L
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc""""""""'
lnterceptors For Sand/Auto Wash/Etc"""""""""
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
Laundry Tub/Clotheswasher" " "
Clotheswasher - 3 Or More""
Mobile Home Park Trap (1 Per Trailer)"'.:""""""'
n"""p,or. For Refrigerator/Water Station/Etc
Receptor For Commercial Sink/Dishwasher/Etc"
Shower, .single Stall"""" "
Showei, Gang.-..--..'
iinf, grr, Commercial, Residential Kitchen""'T_
T_
T-
K
Urinal, StallMall..'
Wash Basin/Lavatory, Single"""'
Toilet, Public lnstallation'
Toilet, Private-..----
Miscellaneous
on assessed value. lf imProveme
TOTAL FIXTURE UNITS
nts occurred after annexation date in table,
.CREDIT CALCULATION
calcu late credits
TABLE: Based
Credit for Parcei'or'Land Only lf Applicable
lmprovement (if after annexation date)
4 e I I x '$-'l€.=d4,o{
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICTENTS FOR STO'RM DRAINAGE
(For Estimating PurPoses OnlY)
Year
Annexed
Rate per $1,OOO
Asse'ssed ValueYear'.
Annexed
Rate per S1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
-t.; jLgg5
1 996
1 997
$1.98
1.55
1.15
o.96
0.83
0.67
o.52
o-38
o.21
1979 or before
i 9BO
1 981
1 982
1 983
1 984
1985',
1 986
1 987
1 988
$4.21
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
FIXUNIT.WPD IMPEBVIOUS AREA : TOTAL LoT SIZE X RUNOFF COEFFICIENT
I
-71-fr-
€$UUillamalane
Park & Recreation District
offiiSFment Seruices Department
City of Sprihgfield
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
PHONE 'a{tsr 1
STATE: C''ZIP:
53
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
I
1
Street Address:
Prar Name: \lOA3Sfft Tax Lot Number: Ott-S':(
DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.-
A. Single-Family Dptaehed
Single Family homd X Manufactured home not in a park
NO. OF UNITS X $1,000 Per unit = $_l cxrl GO
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufac'tured Home Park
NO. OF UNITS X $699 per unit $
$
WILLAMALANE SDC
2. SDC CREDTT ([ applicable) SD0aayer must funfusn proof of
Wiltamalane Credit approval. See SOC Credit Wotkshoet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
0f SDC reduced (or Credit)
\}K
$
$
$
-5 t* ?,
Date
,@