HomeMy WebLinkAboutPermit Building 1999-07-02qTT OF SPruNGFIEI.O,ONEGON
siPRI]{GFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COUMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990859
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 301 SMITH LP
Assessors t"tap #: 17023031
Lot: 2 Block:
Office:
Inspection Line:
1 26 -37 59
1 26 -37 69
Tax Lot #: OL9O2
Subdivision:
Owner: iIILL ALLARD
Address: 507 PANDA LP
Describe Work: MAI{UFACTURED HOME
Phone #: 686-1487
city/state/ zip: EUGENE oR, 97401
NEW
General
EIect.ricaI
Contractor Expires
tt//{??a434/40
t2 /27 / ee
GREAT WESTERN 0046472
5024 MAIN STREET SPR]NGFIELD OR 974
HERITAGE ELECTR 0053137
1042 HARN LANE EUGENE OR 974O4OOOO
Const.
Contractor #Phone
726-vt7 /
a€T=-4624
'729 - L500
QUAD AREA: 3RNC
OCCY GROUP: R3
OFFICE USE - -
LAND USE: 1150
CONSTR. TYPE: VN
# OF BLDGS:
SQ FOOTAGE:
1
1,7 07
To request an inspection, call the 24 }:rour recording aL 725-3769.
A1t inspections requested before 7:00 a.m. wil-f be made the same worklng.',6gy',' :r;'.'iic-? O"
.,r;"inspections requested after 7:00 a.m. will be made the folforying, work day. t , ",1,
.,.,. ,
'.1---REQUIREDINSPECTIONS--- iij j ..;: f)1,
FOOTING - After trenches are excavated. r
FOTNDATION - After forms are erected but prior to concrete placement'. ,: : i: '-
M,ANUF HoME/MoBrr,E HoME sET uP - when all blocki-ng is comple-te.'.
-"1:"';'1.rol'
RoUGH ELECTRICAL - Prior to cover
. -:r.':'"o:'arl;i
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materj-aIs.
FRAIIING - Pri-or to cover.
DRYWALL - Prior to taping.
MANUF. HOME/MOBILE HOME ETECTRICAT - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLITMBING - After home has been connected to
water and sewer.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER IINE - Prior to fj-lling trench.
UNDERFLOOR DRAIN - Prior Lo cover or placement of concrete.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
FINAT BUILDING - When all required inspections have been approwed and
the building is complete.
Lot Faces: SE
House
Garage
Topography: 2 NOTICEgt rype: coRNER
THIS PERMTT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
N
Setbacks
SW
a9 10
E
5
13
$/Square Feet
Lt,co.00
BUILDING PERMIT ---
Square Feet xItem
Main
VaIue
SPFINGFIELD
Job Number: 990859
CITY OF ONEGON
Page 2
Garage
M. H. FOUNDATION
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
32U 18.34 5, 859. 00
5, 600 . 00
11, 459 . 00
92 .50
7 .4L
99.91-(A)
--- PLT'MBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/edmin
TOTAL CHARGE (c)
Fee
25.00
25.00
25 .00
15.00
90.00
7 .20
97 .20
--- MISCELLANEOUS PERMITS
Mobile Home
State Issuance
Surcharge/edmin
Sidewafk
Curb Cut
WILLAMALANE SDC
CITY SDC
PLAN REVIEW FEE
TOTAL MISCEI,I.ANEOUS PERMITS
105.00
30.00
8.40
75.00
60.00
1,000.00
2 , O03 .45
50.13
(E)3,341.98
(Excluding Electrical)
unless otherwise noted
--- TOTAL A.IIOI'NT DUE ---
(A, B, C, D, and E combined)3,539.09
--- BUILDING VAI,UE, PLAIiI CHECK AI{D BUILDING PERMIT ---
This permi-t is granted on the express condition that Lhe said construction
shal-l-, in all- respecLs, conform to the Ordinance adopEed by the City of
Springfield, including the Development Code, regulating the construcLion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
P1ans Reviewed By: DON MOORE Date: O7/O7/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS
DRTVEWAY REQUIRED TO BE PAVED
5 STREET TREES REQUIRED
By signature, I aLate and agree, that I have carefully examj-ned
the completed applicaLion and do hereby certj-fy 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 State of Oregon pertaini-ng 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 further certify that only
congractors and employees who are in complj.ance with ORS 701.055 will be
used on this project.
CITY OF SPruNGFIELD,ONEGON
SPRIltlGFIELEl
Job Number: 990859 Page 3
I further agree to ensure that al-l required inspections are requested at the
proper ti-me, that each address is readable from the streeL, that t.he permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
\-{,Q,-,-,.7-7-72
Signature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
-t\
2
r/s t,o7
dpiroval
Zoning LDQ-
L)ate
n.r(tiuriico Signature
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97477
INSPECIION REQIESTz 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALI,ATION
IJGAL DESCRIPTION
r?o z
PR!NGFIELE,
r dvelli ng uni t.
Service Inc
Items Cost Su
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home. or
-Modular 'Dve1ling
Sertice or Feeder J. $ 40.00
Center
/
i
\
JOB DESCRIPTIONti;;;--'/L; f 9ttuu
t
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 ONLI
Electrical Contractor
Address L ,4e
{.4*P Phone 73f-/So 180
K)
Ci ty
ices or Feedersallation, Alterations
,FIHP wonx
to
to 1000 amps
License Number ?f5-S
$ s0.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
Supervi-sor 0ver 1000
Reconnec t
amps/vo1ts _0n1y
Expirat ion oar.e / Z/ a /
consrr Conrr. Number 6 Zt=Z *- @
Expiration Date lzltt_
Signaturg of Supervising /tectrician
th8'-" -
A /k/4"/
Temporary Services or Feeders
Installation, Alteration or Relocation
c
200 amps"or less $ 40.00
0ver 600 amps or rbOOETts see "Bu a56TE
-a
Ovners Name J; /t
Address 5A 7
Ci ty Eh Phone 0il - /'f €7
OVNER INSTALI.ATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
0vners Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
one circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not includer
-Each installation
Pump or irrigation
sign/outline Lighting-
Limi ted Energy/Res
Limi ted Energy/Comm
s 40.00
$ 40.00
$ 20.00
s 36.00
?u-
DATE:7
5. SUBTOTAL OF ABOVE'l/Z State Surcharge'32 Administrative Fee
TOTAL
-9,0az.'( ,t
?6,ooRECEIVED
ATTEN llUl\:LrruYut'r
follow rules adopted
Notificatiorr Center.
in OAR 952-001-0010
0090. You EAY
calling the
IL
APPLICATION
0
BELOII
or
I
t
I
I
I
i
:
601
JouRNAr -.rR JoB No. ryo ftry
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY T, cc AL L ttP.-f)
LOCATION -3ot 6n,r# Laap
DEVELOPMENT TYPE HfC //o,,-.<
BUiLDiNG SlZE:OT SiZ Ft
1. STORM DRAINAGE
][.4PERVIOUS SQ. FT
2 SANITARY SEWER-CITY
NO. OF PFU'S IB
X $0.227 PER SQ. FT. $ 3R-?,44
X $47.14 PER PFU $ 84E, rz-
$ 4Bo, a7
$
$ 2-'4-{-
$ 2f Zct
$ 10.00
TOTAL-MWMC SDC $ lqt,q7
$ lrn oE q<
$ qS.Q
hFB '-D/* =
t sE7
16*?r= J ?<)
a
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNiTS X TRIP RATE X COST PER TRIP
X t,o( X$475.32
x $475.32
4. SANITARY SEt^lER-Mi^lMC
A. REIMBURSEMENT COST
N0. 0F FEU'S , X Zzt,* PER FEU
B. IMPROVEMENT COST:
N0. 0F FEU'S I X zs,z4ER FEU
Ml^llt,lc CREDIT IF APPLiCABLE (SEE REVERSE)
MWMC ADMiNISTRATIVE FEE
SUBTOTAL (ADD ITEMS i,2,3 & 4)5. ADMINISTRATIVE FEES
BASE (SU ABOVE) X .05
/
SDC Coordi nator"
ATTACH'A. t^lPD
X
Date: e- zq -7?
ToTAL SDC $ 2,oo3.49
FIXTURE UNIT CALCULATION TABLET Number of New Fixtr,'^s X Unit Equivalent : Fixture units
(NOTE: For remodels, calculate only -e NET additional fixturesl *
NUMBER OF UNIT FIXTURE
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......
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 Stall.....:....
Shower, Gan9.........
Sink: Bar, Commercial. Residential Kitchen........
Urinal, Stall/Wall...
Toilet, Public lnstallation.
Toilet, Private.......
a 2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
L 4-
----r
Miscellaneous
TOTAL FIXTURE UNITS tg
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
1,L7 X $2A.zbo
(Rate X Assessed Value)
)za e,7
(Rate X Assessed Value)
CREDIT TOTAL $
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
i 997
$1.98
1.55
1.15
o.96
o.83
0.67
o.52
o.38
o.21
1 979 or before
1 980
1 981
1982
'1983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlY)
Residential.
Commerical.........
lndustrial...
Governmental......
o.4
o.9
o5
o.5
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
+
1
Willamalane
Park & Recreation District Job. No.5 t
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE: (8r
ADDRESS:STATE: Ot. .,,''tol
LOCATION OF PROPOSED BUTLDING SITE:
Street Address: 3
Plat Name:Tax Lot Number:o \no9-
DEVELOPMENT TYPE (Check
1pe detinitions are on the back.)
:
A. Single-Family Detaehecl
Single Family home
NO. OF UNITS
appropriate dwelling(s). SDC calculations and dwelling t
Y Manufactured home not in a park
X $1,000 per unit = $1(xl5
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
WILLAMALANE SDC
2. SDC CREDIT (r appncabte) SD0aayer musr runhstr proot of
Wiltamalane Credil approval. See SOC Credit Wodahoot.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduoed forCredit)Do
nt
@\
$
X $699 per unlt $
$
$
$
:Lt-Z r ?2Date
City of Springfield
Department
6,D
o 'lt
rt An t