HomeMy WebLinkAboutPermit Building 1995-08-24CITY OF
SPRINGFIELD
RESTDEMTTAI, PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NTTY SERVTCES DIVISION
BUII,DING SAFETY
t
Page 1
ilob Number: 950955
225 NorLh Fifth SEreet
Springfield, OR 97477
Location of Propoeed Work: 818 SITMMIT BIJVD
Assessors lutap #: l.7033414
Lot: 32 Block:
Office:
Inspection Line:
726 -37 59
725-3759
Tax Lot. #
Subdivision
09000
EMERALD REPLAT
Owner: GERALD SMITH Phone #: 7L4-854-8684
Address: L844L SIERRA LUNA DRMCity/State/Zip: IRVINE, CA
Descri-be Work: S.F. RESIDENCE NEW
Confractsor
Const.
Contractor #Expires
02/Ls/e6
02 /22 / e6
tL /L4 / 9s
02/1,3/e6
Phone
588-3385
588-s004
687 -1,292
&t*fua/General:
Plumbing:
Mechanical:
Electrical:
SMITH HOMEBUILD 0059135
2295 ARTHI'R CT EUGENE OR 974O4OOOO
DOUGS PLUMBING OO39O15
29503 Awbrey Ln Eugene OR 974029635
BEYMANS HEATING OOO4483
300 River Rd Eugene OR 974040000
CITY VIEW 0025518
PO BOX 70393 EUGENE OR 974010000
QUAD AREA: 1RMI
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
IIIATER HEATER: E
SQ FOOTAGE: 2595
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To requeats an inspection, call the 24 }:.our recording aL 726-3769.
AI1 inspections requested before 7:00 a.m. will be made the same working,
inspections reqluested after 7:00 a.m. wilL be made the following work day
--- REQUIRED TNSPECTIONS ---
TEMPOR.ARY POWER
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECHAT{ICAL - Prior to insulation or decking.
POST AIiID BEAII - Prior to f loor insuLation or decking.
INSUTATION - Floor; prior to decking walL/Ceiling; Prior to cover
SAI{ITARY SEWER LINE - Prior to fil-l-ing trench.
STORM SEWER LINE - Prior to fil-l-ing trench.
WATER LINE - Prior Eo filling trench.
ROUGH PIJITIIBING - Prior to cover.
ROUGH MECIIANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAffING - Prior to cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
DRYITIALL - Prior Eo Eaping.
SIDEWALK - Aft,er excavation is complete, forms and sub-base material
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHAIICAL - When aLl mechanical work is complete.
FINAL ELECTRICAI, - When all electrical work is complet.e.
FfNAL BUILDING - When all required inspections have been approved and
t,he building is complete.
d"y,
SPRINGFIELD
Job Number: 950955
OTT OF SPruNGFIELD,a
Page 2
Lot Faces: E
Topography: 39
Solar Approved: Y
House
Garage
Lot Sq. FE.: 9000
Total Height: 29
Lots Type: INTERTOR
SeEbacksswE
625
627
LoL Coverage: 14.8 ?
Setbk From NPL: 33
N
l4
IEem
Main
Garage
UNFINISHED
PORCH
Totaf Value
Building Permit Fee
Surcharge/edmin
TOTAL FEE
--- BUTLDING PER}IIT ---
Square Feet x
L7 07
482
407
L72
$/Sguare Feet
s6.2
t4.L
28.L
10. 1
Value
95,933.00
6,796.00
l_1, 437 . 00
L,737.00
115, 903 . 00
469
37
00
52
(A)506.52
--- PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI. CIIARGE
3
Fee
L92 .50
1,92 .50
15.41
207.9L(c)
--- MECIIAT{ICAIJ PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical- Permit
Issuance
Surcharge/aamin
TOTAL PERMIT
4
5.00
4.50
12.00
3.00
(D)
25.50
10.00
2.05
37.55
- - - IITISCEI,I,AI'IEOUS PER}IITS
Surcharge/admin
Sidewalk
Curb Cut
sDc
WILLi\ru\LJ\NE SDC
E/E-7r4t e*{- pts<tu t T-
TOTAI, MISCELIJAI{EOUS PERMITS
0.00
33.25
14.80
2 ,289 .25
1,000.00
156.60
(E)3,493.90
(Excluding Electrical)
unless otherwise noted
--- TOTAL AIIIOITIiI1I DUE ---
(A, B, C, D, and E combined)4 ,245 .88
--- BUILDING VALUE, PTA.I{ CHECK AI{D BUILDING PERMTT .--
This permiE is granted on the express condition that the said constructionshall, in arr respects, conform to the ordinance adopted by Ehe city ofSpringfield, including the Development code, regulaEi-ng the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of saj-d ordinances.
SPRINGFIELD
.fob Number: 950955
CITY OF a
Page 3
Pl-an Check Fee: 304.85
Received By:
Plans Reviewed By: BOB BARNHART
Bui-1ding Site Reviewed By: LISA HOPPER
Date Paid | 06 / 1,3 / 95
Date: 08/23/9s
Receipt Number:. 1-777L
--- ADDITIONAL COMMENTS
PATH 1; 25 FT. SLOPE EASEMENT AT FRONT YARD
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By eignature, f sEaEe and agree, that f have carefully examined
the completed application and do hereby certify that afl- information hereon
is true and correct, and I furt,her 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 pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure wit.hout 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 plans
wiII remain the site at all- times during construction.
ture Date
--- VATIDA,TION ---
Receipt, Number
Date Paid
Amount Received:
Received By:
S
CITY OF SPR"VGFIELD, OREGON
225 ?TYTB STREET
SPRINGETEI,D, OREGON 97477
INSPECII0N REOUEST: 726-3769
OFFICE: 726-3759
Permits are non-transferable and ex
if vork is not started vithin 180 d
oi i"turnce or if vork is susPended
1 LOCATION OF INSTATLATION
JOB DJSCRIPTION
pire
ays
for
180 days.
2. COI{I"ACTOR INSTALI,,ATION ONLY
EIectrical. Contractor Son i t ro I Secur i ty
Address P.O. Box 21 009
Ci ty Eu ene Phone 461 - 5678
Supervisor License Number tfl t Ltrr
SPFI}IGFIELD
EI,ECTRICAL PERHIT APPLICATION
City Job Nunber
3. COT{PIATB EEE SCEEDI'I^E BELOI
Nev Residential-Single or
Mu1ti-FamilY Per dvelling unit'
Service Included:Items Cost
1-000 sq. f t. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect 0nIY
TemporarY Services or Feeders
fnsiallaiion, Alteration or Relocation
200 amps or less $ 40'00
over +bt to 600 amPs -
-
S 80'00
0ver 600 .rp" ot-ibOO "oTt" see rrBrr a56E-
Branch Circuits
Nev, Alteration or Extension Per Panel
E
gne Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lightitg-
Limited EnergY/Res I
Limited EnergY/Conm
"t r oZ'
\>( (,/-----;-6
(
A
Sum
B
c
D
$ s0.00
$ 60.00
$100. 00
$130.00
$300.00
s 40.00
Expiration Date,(0- (- ?L
Constr Con tr. Number 65149
Expira tion Date 6-28-96
Siguature of
Z-
Ovners Name
Address
Ci ty Phone
INSTALI,ATION
Electrician
i
The instal-lation is being made on
;;;p;;iy r ovn vhich is not intended
tor sale, fease or rent'
Ovners Signature:
$
$
$
$
w40.00
40.00
20.00
36.00
5 SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
DATE:
)
RBCEIVED
A/,
*
TEGAL DESCRTHTION
/?222 =u'/.1 4 *
t<)
4r<-
CITY OF SPR OFEGO'V
225 FIFTE STREET
SPRINGFIELD, OREGON 97 477
INSPECTION REQUESTz 726-3769
OFPICE: 726-3759
Ci ty
1 LOCATION OP INSTALLATION
I.EGAL o
JOB
Permits are non-transferable and expire
if vork is not started vithin 1.80 days
of issuance or if vork is suspended for
180 days.
Address ?b
Phone &,/-116 /
r1)/ EI,EGTRICAL PERHIT APPLICATION
Ci ty Job Nunber A5o
3. COMPI.,ETE PBE SCEEDTII,E BELOV
Nev- Residential-Single or
MuIti-Pamily per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
0ver 1000 amps/volts
-
Reconnect 0n1Y
c Temporary Services or Feeders
Insiallation, Alteration or Relocation
l-P(L
NlI^
{'li
sPfil IELO
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAT
?)
A
Sum
2. COI\ITRACTOR INSTALI,ATTON ONLY B. SCTViCCS OT FCCdCTS
^, ^, Installation, Alterations
Electrical Contrac tot fuZZ Zfrqt@1o, Relocation:
$ s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00Supervisor License Number ,V /'
Expiration Date
Constr Contr. Number
Expiration Date
Signature of
Ovners Name
Address
Ci tv Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
a56ve
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit S 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
E. Miscellaneous (Service/feeder not included)
200 amps''or less -'-' $ 40'00
201 amps to 400 amps
-
$ 5:.00
over 4bL to 6oo am-ps
-
$ 8o.oo
Over 600 amps or 1000 voTts see itB"
-Each installation
Pump or irrigation
-
$
Sign/OutIine Lighting- q
Limi ted Energy/Res $
/a,fr
40.00
40.00
20.00
36.00
5 &
Oo
RECEIVED
J 70
sl,Rt? -tELO
Zoning, and
approval.
nol requlre spsciric hind :l:;ri
a
Deee 9,?\q
225 FIFTB STRXET
spRrNGFrELD, 0REG0* glaffn';reoi $lsnatu
INSPEC;TION REQUESTz 726-3769
OFPICE: 726-3759 .'
1. LOCATION OF INSTALLATION
I^EGAL
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrica] Con tractor C tl Lt)"#
AddressP.a,S"x f9-s
ciy .$u,r*fu Phone-to3-A77-/Z? Z',
Supervisor License Number .2/?,rf s
ELECTRICAL PERHIT APPLICATION
City Job Nurober 750186
3. COHPIJTB FEE SCEEDTTIJ BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
A
Sum
B
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
C- Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 anps or less
201 amps to 400 amps
-401 amps to. 600 amps _601 amps to 1000 amps_
Over L000 amps/voIts
Reconnect 0n1y
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular 'DvelIing
Service or Feeder
-- $ 8s.00 6S.n
Z s 1s.oo G*_-+-
a6-ve
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
200 amps"or Less S 40.00
201 amps to 400 amps
-
S 55.00
Over 4b1 to 600 amps
-
S 8O.OO
Over 600 amps or 1000-voTEs see I'8.
s 40.00
s 40.00
s 20.00
s 36.00
Expiration Date 2
Constr Contr. Number
Expiration Da re 2-nr- 9 6
Phone
S ture of Superv ising Electrician
D. Branch Circuits
Ovners Name'46a*4 Jrr,;-Nev, Alteration or Extension Per Panel
Address
Ci ty
OVNER INSTALI.-ATION
E. Miscellaneous (Service/feeder not included)The installation is being made on
property I ovn vhiih is not intended
for sale, lease or rent.
Ouners Signature:
DATE:
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
-Each installation
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
5
RECETVED BY:
q
2 t <./
WillamalanePaifa Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:NAME:
ADDRE SS:
LOCATION OF PROPOSED BUILDING S]TE:
Street Address:
srArE: (fr ,,r,
Uirr.g-.
1
Plat Name:
pment
Tax Lot Number
eck appropriate dwelling(s)SDC calculations and dwelling t
ype definitions are on the
A. Single-Family Detached
__l- Single Family home Manufactured home not in a park
NO. OF UNITS t OO
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit = $
DDD.OO
)
WILLAMALANE SDC $
2. SDC CREDTT (if applicable) SDC-payer must lurnish proof ol
\Mllamalane ireOit'approval. See SDC Credit Worksheet' $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced lor Credit)
6
$t oo
Se
City of Springfield
partment #AL,q3
q$qilr
X $1,000 per unit = $
CITY OF SPRTNGFTEIJD SYSTEMS DEVEI,OPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
NAME OR COI,IPANY
DEVELOPMENT TYPEl. LO& _ NEN 5re
BUILDING SIZE:
1. STORM DRAINAGE
TMPERVIoUS SQ. FT.
?. SANITARY S Et,IER-C ITY
NO. OF PFU'S
(See Reverse)
OT SIZ
X $43.26 PER PFU
. Ft.
Zo4o X $0.209 PER SQ. FT.
Zb
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
/X lrol X$436.19
x x $436. 19
x _ x $436.19
4. SANITARY SEWER-MWMC
N0. 0F PFU'S x $17.19 PER PFU + $10 Mt.lMC ADM FEE
(Use PFU Total From Item 2 Above)
MI.IMC CREDIT IF APPLTCABLE (SEE REVERSE)
TOTAL-MI,IMC SDC
SUBToTAL (ADD ITEMS 1,2,3 & 4)
5 ADMINISTRATIVE FEES
BASE CHARGE (SUBToTAL ABoVE) X .os
$
$
v1$ 4oa
o2
sA@4
S^J-
K p Burd
vb
SDC Coordinator
Date:a/za /qE_1-T--
TOTAL SDC s 7?o+3
fB No. 15o15A
CFRer od Np.pun Sur
LocATIoN : g l9 SuMn,,r l7 - oz - i4 - t4 - ?o oo
FIXTURE UNIT CALCULATION TABLE: NUNIbCT Of NCW FiXtUTCS - UNit EqUiVA[CNt :'FiXIUTC UNit:;
(NOTE: For rcmodels, calcutatc onty tl'
FIXTURE TYPE
Bathtub.--.-
Drinking Fountain..
Floor Drain-
tnterceptors For Grease/Oil/Sotids/Etc- " " " " - " " "'
lnterceptors For Sand/Auto Wash/Etc'-""""""""
Laundry Tub/Clothesr'vasher.. - "'
Clotheswasher - 3 Or More. - - --. - -. - --" - "' -': " " " "'."." "'
Mobite Home Park Trap (1 Per Traiter)
Receptor For Refrigerator/lvater Station/Etc
Receptor For Commercial Sink/Distrwasher/Etc"
Shower. Single Stall------.-..
Sink: Bar. Commercial. Residential Kitchen""""""""""'
Urinal, StallAffall...
Wash Basin/Lavatory. Single.
Toilet, Public lnstallation.
Toilet , Private..--.
EI additional fixturcsl
. NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE -
UNITS
CREDIT CALCULATION TABLE: Based on assessed
calculate credits seParates
Credit for-P^arcel or Land Only lf Applicable
lmpro.vqment (it after annexation date)
L
L
q
b
TOTAL FIXTURE UNITS Zb
value. lf imProveme nts occurred after annexation date in table.
E.4b x $ 25.t5 a103.
(Rate X Assessed Valuel
2
I
2
a
6
2
6
6
I
,)
2
1
2
2
1
6
(
/Head L
w4
a
x $-
(Rate X Assessed Value)
0z
CREDIT TOTAL - $7
Year
Annexed
Rate per $1.OOO
Assessed Value
Year
Annexed
Rate per $ 1,OOO
Assessed Value
1 979 or before
19BO
1 981
1 982
.1983
1984
1985
s3.46
3-38
3-32
3-21
3.06
2-92
2.73
Miscellaneous:
."t :
\
1 985
1986
1 987
1 9BB
1 989
1990
1 991
1 993
$2.46
2-14
1.77
1-37
o-97
0.61
o.44
o-15