HomeMy WebLinkAboutPermit Building 1998-04-15qTTOFSPFINGFIELC,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISTON
BUII,DING SAFETY
Page 1
ilob Nr:rnber: 980285
225 North Fifth Street
Springfield, OR 97477
Office:
Inspection Lj-ne:
726 -37 59
726 - 37 69
Tax Lot #: 03503
Subdivision:
OwNer: RON HOLLAND
Address: 1"220 MARSH STREET
Describe Work: S.F. RESIDENCE
Phone #: 805-543-4O7L
city/state/zip: sAN LUrs oBrsPo, cA
NEW
General
Electrical :
Contractor
R NEUHARTH OO55O19
6343 C STREET SPRTNGFTELD OR 974780
BINNS 0073762
210 WALLIS STR UNIT #C EUGENE OR 97
Const.
Cont,ractor #Expiree
o5/1,e/e8
06/06/e8
Phone
747 -3846
687 -1,362
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1700
OFFICE USE - -
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
rNSUL PATH: P1
To request an inepecEion, call- the 24 lnour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. wil-l- be made the same working day,
inspections requested after 7:00 a.m. wil-l be made the fol-lowing work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insul-ation or decking.
ITNDERFLOOR MECHAIIICAL - Prior to insulati-on or decking.
POST NiID BEAIr{ - Prior to fl-oor insulati-on or decking.
fNSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
SAIiIITARY SEWER LINE - Prior to fifling trench.
STORM SEWER LINE - Prior to fj-11i-ng trench.
WATER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior To cover.
ROUGH PLIIMBING - Prior To cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH EIJECTRfCAL - Prior to cover.
ELECTRICAIJ SERVICE - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
fNSULATION - Fl-oori prior to decking Wa11/Ceiling; Prior to cover
DRYWAIJL - Prior to taping.
cURBcuT - After forms are erected but prior t.o placement of concreLe.
srDEwArJK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When a1l- mechanicaL work is complete.
FINAL ELECTRICAL - When all electrical_ work is complete.
FrNAL BUTLDTNG - when al1 required inspections have been approved and
the buil-ding is complet,e.
Location of Proposed Work: 4140 VIRGINIA ST
Assessors Map #: L7023233
Lot : Bl-ock:
SPFIr.GFIELD
Job Number: 980285
qTT OF SPilNGFTEI.D,
Page 2
Lot Faces: S
Total Height: 26
Lot Type: INTERTOR
Lot Sq. Ft.: 3624
SeLbk From NPL: 23
Lot Coverage: 2L
Solar Approved: Y
z
House
N
23
Setbacks
SW
205
E
5
Item
Main
Garage
Total Value
Bui-Iding Permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUIIJDING PERMIT ---
Square Feet x
1,290
410
$/Sguare Feet
64 .56
L5.27
(A)
Value
83,411. 00
5 ,571, . OO
90, 082 .00
405.00
32 -48
438 .48
.-- PLIIMBING PERMIT
ftem
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
L92.50
192 .50
L5 .41,
207.9L(c)
--- MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer VenL
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
3
4.50
9.00
3.00
(D)
15. s0
10.00
1.33
27.83
--- MISCELTA}.IEOUS PERMITS
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE
SDC
ELECT.
TOTAL MISCELLANEOUS PERMITS
0.00
15.15
14.80
1,000.00
2 ,224 . LO
t57.40
(E)3 , 422 .45
(Excluding Electrical)
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,096 .67
--- BUTLDTNG VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that Ehe said construction
shall-, in a1I respects, conform to the Ordinance adopt.ed 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 viol-ation
of any provisions of said ordinances.
SPF'r.GFIELE
Job Number: 980285
OTT OF SPMNGFTEID,
Page 3
Recei-ved By:
Plans Reviewed By: TOM MARX
Buj-lding Sj-te Revlewed By:
Plan Check Fee:263 .90
LTSA HOPPER
Date Paid: o3/o9/98
Date: 04/09/98
Receipt Number: 29040
--- ADDITIONAL COMMENTS
LAND PARTITION 97 -1.O-224
DRIVEWAY REQUTRED TO BE PAVED
2 STREET TREES REQUIRED
By eignature, I 6t,ate and agree, that f have carefully examinedthe completed application and do hereby certify that al-1, information hereonis true and correct, and r further certify that any and all work performedsha1l be done in accordance wj-th 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 Servi-ces Division, Buildi-ng Safety. r further certj-fy that onlycontractors and employees who are in compliance with oRs 701.055 wi1l beused on this project.
I further agree to ensure that al-l required inspect.ions are requested at theproper time, that each address is readable from the street, that the permitcard is located at the front of the property, and the approved set of planswill remain on the site at arl- times during construction.
We./AJJ 4-/s-"F
Signature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By:
?u/r?
a
ATTACHMENT A
JoB No ' qSoz.f
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY ,?onr ,4o rro^, o
LOCAIION 4 t 44 l/ p6,-rn 3r
DIVEI-OPMENT TYPE 1.E8.
BUILDING SIZE CT SIZ 0. Ft
1 STORM DRAI []AG[
IMPERVIOUS SO FT z4 X $0.225 PER SQ FT. L367, Lz-
2. SANITARY Sii^]ER-CITY
NO OF PFU'S 23 x $.16.86 PtR PFU $ /,,o-- -g
(See Reverse Side)
3. TRANSPORIAi I0N
NO OF UNITS X TRIP RATE X COST PER TRIP
lx /., o x $4i2 49I $ 477.2t
x _ x $472.49
x $472.49
4 . SAN iTARY SE.,ER - MI,jMC
Do' 'N0. 0F ft{#s / x z?7,7e PER FEU + $10 Mt^Jl4C/ADl',1 FEE $ 287,7C
l',lWMC CREDII IF APPLiCABLE (SEE REVERSE)s-t/+,lE
TOTAL-MWMC SDC $ / 73 ,.<8
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ Z,I I6 ,I?
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBIOTAL ABOVE) X .05 $ toS,71
$
X $
SDC Coordi nator
Date,3-zo-16
T0TAL SDC $ ZrZ21. t6
/.7
a a/\ t rr, I tt- rrraYl I tvHl-ts\rLr{ I liJlu I ADLc'. Number ot New Frxt'-cs X Unit Equivalent = Fixture Units(NOTE: For remodels, catcuiate or re NET additional fixtures)
NUMBER OF UNIT FIXTURE
. NEW FIXTURES EOUIVALENT UNITSFIXTURE TYPE
Bathtub......
Drinking Fountain.
Floor Drain..
lnterceptors For GreaseiOil/Solids,,Etc
lnterceptors For Sand/Auto WashrEtc
Laundry TubiClotheswasher.
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 Per Trailer)
Receptor For Refrigerator/Water Station/Etc....
Receptor For Commercial Sink,,DishwasheriEtc
Shower, Single Stall...
Shower, Gang....
Sink: Bar, Commercial, Residerrtial Kitchen......
Urinal, Stall/Wall...
Wash Basinilavatory, Single.
Toiiet, Pubiic lnstailation..
Toiler, Privare.......
Miscellaneous:
3
3
TOTAL FIXTURE UNITS
2
1
2
3
o
2
6
6
1I
3
2
i /Head
2
2
1
6
4
L
2_
3
t 2--
2-:(
L
2-_
CREDIT CALCUL.ATION TABLE: Based on assessed value lf improvements occurred after annexation date in rable,calculate credits s rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x s 2a,-71 //4 :/ 8'.
(Rate X Assessed Value)x $_
(Rate X Assessed Value)
s / /+. /8
3,q 7
CREDIT TOTAL
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per S'1 ,COO
Assessed Value
1 980
1 981
1 982
1 983
1 984
1 985
1 986
3.89
3.83
3.70
3.55
3.39
3.20
2.91
979 or before 't987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
vz.co
2.17
1.73
1.31
o.92
o.74
0.61
0.45
o.31
o.17
RUNOFF COEFFICIENTS FOR STOBM DRAINAGE
(For Estimating Purposes Only)
Fesroeniiai.....
Commerical....
lndustrial........
Governmental.
........ 0.4
... o.9
o5
o.5
lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
Willamalane
Park & Recreation District
A. Single-Family Detached
I Single Family home
NO. OF UNITS
Job. No.
NAME:
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:L-
.t
ADDRESS:ztP
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:Tax Lot Number: 11D
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
Manufactured home not in a park
X $1,000 per unit = $rD00p
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 CREDff (if applicable) SDO-payer must tumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED ID 0D 9c(if SDC reduced for Credit)
$
1),f
$
$
$
$
l|)c,o?o
6
nt
City of Springfield
s Department
z/t
DAG-
q(Utcb
l
,,S FITTII STREBf,
ilil,sffir,p-sFiil
sl![? rr6'gi'-""o
180 daYs
2. CONTRACTOR INSTALI'ATION ONLY
Electrlcal Con tractor BI NNS ELECTRI C CO.
Address 2l o WALLIS sT. #c
EUEENE Phone 6 -t)62
SPF1lNGFre'l'D
0n
BBCTTTICAL PERHIT
CitY Job Number
3. COHPIJ,TB FEB SCMDUI^E' BELOV
A Nev Resldent 1al-Single or
Hul t t-FamllY dvelling unit.
Service IncI
1.OP
I,EGAL
CI
are non-trans ferable and exp lre
1f vork ls not started vlthln 18 0 daYs
of lssuance or lf vork it tutPundetl for
per
uded:
t1P looo sq.ft.ffi_or less / s Bs.oo
Each addi ti onal 500
I tems Cost Sum
sq. ft or por t lon L $ 1s.oothereof
Each Hanuf'd Home or
Hodular Dvel}ing $ 40.00Servlee or Feeder
Services or Feeders
installation, Alterations
or Relocation:
200 amPs or less
201 amPs to 400 amps
-
401 amPs to 600 amps
-
601 amPs to 1000 SmPs-
over 1000 amPs/volts
-
Reconnect 0nIY
Temporary Services or'Feeders -ffi[;ii;iion, ert"ratlon or Rerocation
Cl tY
Supervlsor Llcense Number 1 r-s
Expiration Date t0/0 t 198
Constr Con tr. Number 73762
Expi ratlon Date 06t06l98
Slgnature triclan
Ovners
Address
87
B.
c
JJL
L
00
00
00
00
00
00
50
60
100
30
00
40
1
3
$
$
$
$
$
$
2oo amps or rees -1- q t9'00ioi ;;; i" aoo amPs
- $ l?'oo
o;;r-46i to 6oo amPs T $ 80'oo
Over 600 amps or tbOO-6Es see fiB'l
Branch Circults
-Bach lnstallation
Pump or irrigation
Slgn/0u tltnb Ligh tlng-
Ltmited EnergY/Res
-
"#
-
i D.
B.
Phone 3rB
Nev, Alteratlon or Extension Per Panel
One Circul t
Each Addi tional-circuit or vith Service
or Feeder Permi t
-
$ 35.00
$ 2.00
Hiscellaneous (Servlce/feeder not included)
cl
OVNBR INSTALI,ATION 1frl1
The.lnstallatloh ls belrig made on
;;;p;;ti-i--o*n vhlch 1s not intended
for iale, Iease or rent'
orners Slgnature:
$
$
,$
$
40
40
00
00
00
00
,20
DATB:
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
RECBTVED
5
+3ob ndsnin tr-<-
36 .al
t
,:1