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HomeMy WebLinkAboutPermit Building 1998-01-14gTT OF SPilNGFIEI-O, SPNII|.GFIELEl ;h, RESIDENTIAL PERMIT APPLICATION CTTY OF SPRINGFIELD COMMT'NITY SERVICES DIVISION BUILDING SAFETY t Page 1 Job Nurnber: 97L755 Location of Propoeed Work: 1530 WALNUT RD Assessors l,tap #; L7032423 LoL: 36 Block: Office: Inspection Line: 725-37 59 726 - 37 59 Tax Lot #: Subdivision: 010 01 RIVERTRAILS Owner: BAILEY-iIACOBS HOMES Address: PO BOX 4L407 Describe Work: S.F. RESIDENCE Phone #: 431--0550 city/state/zip: EUGENE, OREGON 97404 NEW General Contractor BAILEY-.]ACOBS O1O4O15 PO BOX 4L407, EUGENE, OREGON 97404 Const. Cont,ract.or #Expires Lo/2L/e8 Phone 431- 0550 QUAD AREA: ].RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2093 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To reguegt an inepection, call_ the 24 hour recording at 726-3769. A11 inspect,ions requested before 7:00 a.m. wilt be made the same working day,inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTTONS --- FOOTING - After trenches are excavated. FoIrl{DATIoN - After forms are erected but prior to concrete placement. IrI{DERFLOOR PLII}IBING - Prior to insulation or decking. ITNDERFLOOR MECIIAI.IICAL - Prior Eo insul-at,ion or decking. ROUGH GAs - after line is installed and capped if not aEtached Lo anappliance POST AI\ID BEAM - Prior t,o floor insulation or decking. rNsuLATroN - Floor; prior to decking wa1l/ceiling; prior to cover WATER IJfNE - Prior to filling trench. SAI.IITARY SEWER LINE - Prior to filLing trench. STOR!! SEWER IJINE - Prior to filling trench. ROUGH PLITMBfNG - Prior Lo cover_ ROUGH MECHAMCAL - prior to cover. GAs SERVfCE - After line is instal-]ed. and line has been connected. to a minimum of one appl5-ance. pressure lest done at this point. SHEAR WALL NAILING - Before covering sheathing with finish materials. ROUGH ELECTRICAL - prior to cover. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power. FRAIIING - Prior to cover. rNsuLATroN - Floor,' prior to decking walr/ceil-ing; prior to cover DRYWALIJ - Prior to taping. clrRBcur - After forms are erected but prior to placement of concrete. STDEWALK - After excavation is complete, forms and sub-base materialin place. FINAL PLtMBING - When all plumbing work is complete. FrNAL IrlEclIANrc.A,L - when af 1 mechanical work is complete.FrNAr, ELECTRTCAL - when aIr erectrical work is complete.FrNAL BurLDrNe - when all reguired inspections have been approved andthe building is complete. 225 North Fifth Street Springfield, OR 97477 gPFIilGFIELD .Tob Number: 97]-756 qTT OF SPilNGFIELD, Page 2 Lot Faces: N Topography: 2 Solar Approved: Y House Lots Sg. Ft.: 5097 Total Height: 19 Lot Type: INTERIOR SetbacksswE 10 5 5 Lot Coverag'e: 30 t Setbk From NPL: 37 N 1,6 Item Main Garage Total Value Building Permit. Fee Surcharge/edmin TOTAL FEE --- BUIIJDING PERMIT --- Square Feet x L562 531 $/Sguare Feet 64 .55 L6.27 (A) VaIue 100, 999 . 00 8, 539.00 109, 538 . 00 455.50 36 .45 491. 95 PI.I'}!BTNG PERMIT -. - Item ResidentiaL Bath(s) Plumbing Permj-t Surcharge/admin TOTAL CTIARGE 2 Fee 150.00 r_50.00 12.80 L7 2 .80(c) - - - MECIIA}iITCAIJ PER}IIT '- - Furnace Exhaust Hood Vent Fan Dryer Vent GAS LTNE/ W/H GAS FP Mechanical Permit Issuance Surcharge/admin TOTAI, PERMIT 3 6.00 4.50 9.00 3.00 5.00 4.50 32 .00 10.00 2 .56 (D)44.55 - - - I{ISCELI.ANEOUS PERMITS Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE SDC WILLAMALANE TEMP ELECT. TOTAL MISCEIJLAI.IEOUS PERMITS (E) 0.00 l_9 . 15 L4.20 80.00 2 , 534 .30 1, 000 . 00 43.20 3, 590 . 85 (Excluding Electrical ) unless otherwise not,ed --- TOTAI. NIOI'NT DUE --- (A, B, C, D, and E cornbined)4,400 .L6 SpnrxGFlELEt Job Number: 97L756 ATTOF Page 3 --- BUII.DING VAI.UE, PI.NiI CHECK AI{D BUUJDING PERMIT --- This permit is granEed on the express condit.ion that the said construction sha11, in all respects, conform to the Ordinance adopt,ed by the CiEy of Springfield, including tshe 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. Recei-ved By: Plans Reviewed By: TOM MARX Building Site Reviewed By: LISA HOPPER Date: 01,/o7 /98 --- ADDITIONAL COUUENTS --- ELECTRICAL PERMIT REQUIRED DRTVEWAY REQUTRED TO BE PAVED 1 STREET TREES REQUIRED By signature, I stat,e and agree, that I have carefully examined the completed application and do hereby certify thats 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 Lhe City of Springfield, and the Laws of the State of Oregon pertaining to Lhe work described herein, and that NO OCCUPANCY wil-I be made of any structure without permission of the Community Services Division, Building Safet.y. 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 inspect.ions are requested at the proper Lime, that each address is readabLe from the street, that the permit card j-s located at the front of the property, and the approved set of plans will site 1 times during consEruction l^-tv-q g s ture Date --- VALIDATTON --- )11.{ -7 6Receipt Number Date Paid Amount Received Received By: t- trl- 7 < 4 /vO _ JoB No. qry 7G ATTACHMENT A CiTY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I^JORKSHEET NAME OR COMPANY Ea,tar- fo.oo.,l /Ja tvl e< -/- ntt LOCATICN { 1o L)or DDT Z,a.an BUILDING SIZE OT SIZ 0. Ft 1 . STORM DRAIIJAGI IMPERVIOUS SO F I 3.1 4K x $0.225 PER SQ. FT. $ a tt,4r 2. SANIIARY SE'IrER-C ITY NO. OF PFU'S ZO (See ReversJ Side) 3. IRANSP0RIAi i0N NO OF UNIIS X TRIP RATE X COST PER IRIP X 5r6.8b PtR PfU s a 37, zc: $ 47a, zl s + $iO [{|,,]MC/ADM FEE $ 287,76 $lZo .b b X I x $472 49 X x $472 49 x _ x $472.49 5 4. SANiTARY ST./ER-MhJMC - - ,d DdN0. 0F FfU'S I x Z7Z7€7ER ffU Mt^ll'1c CREDIT IF APPLICABLI (SIE REVERST) 5. ADMiNiSTRAIIVE FEES BASE CHARGE (SUBIOIAL ABOVE) X .05 $ TOIAL-MWMC SDC $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2, 413 , EZ_- SDC Coord i na tor" Date: lz_zj_g 7 T0rAL SDC $ 2,534 . 3o DEVELOPMENT TYPE 3 r.B , I rlz\ I UnC, LrlUl I UALtTtJLA t ltJlV"'l'AOaJE:"Nu-mb6rbf-New'Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate onl. :t,e fVET additional fixtures, NUMBER oF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtuo...... Drinking Fountain.... Floor Drain.................. lnterceptors For Grease/Oil/So1idsiEtc................. lnterceptors For Sand/Auto WashiEtc.................. Laundry TuoiClotheswasher Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer) ........r......! Receptor For RefrigeratorAy'y'ater Station/Etc........ Receptor For Commercial SinkiDishwasher/Etc.. Shower, Single Stall...J_ Shower, Gan9......... Sink: Bar, Commercial, Residerrtial Kitchen........ Urinal, Stalliwall... Wash Basinilavatory, Single... Toiiet. Pubiic lnstallation. Toilet, Privare....... Misceilaneous: TOTAL F|XTURE UNITS ZO 2^ ---- 2 1 2 3 b 2 b 6 1 3 2 'ilHead 2 2 1 6 4z^ CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable, calculate credits se arates Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) XS (Rate X Assessed Value) XS (Rate X Assessed Value) CREDIT TOTAL $ Y ear Annexed Rate per $ 1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1 979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 $3.97 s.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1 988 1 989 1 990 1 991 1992 1 993 1 994 1 995 1 996 $2.56 2.'.t7 1.73 1.31 o.92 o.74 0.61 o.45 o.31 o.1 7 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) --t. fiesrden iiai.... Commerical... lndustrial......, Governmental 0.4 o.9 05 0.5 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT SPF!tNGFtELD \t PREVENTION DEVICB PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 JOB L()CATi )N: ASSESSORS ],IAP *: OVNER /- oi;c ADDRESS: 477 OFFICE: INSPECTION LINE: 726-3759 726-3769 TAX LOT *: PHoNE t: 4 st o#v 3@CITY:STATE:ZTP: BACI$L0I.I PSRMIT IS $15.00 + $.75 (STATB SURCHARGE) + $.45 (ADMIN. FEE) = $16.20 CONTRACT0I. r S.,L'r-,A,5{a7z- t-h,tD s r-*p ADDRESS , @ .tal, ,-43otc0 Ru,tu tt b CITY:-bKLM PHONB #:a?8-zo'>( STATE: BY SIGNINC THIS PERMIT/APPLICATION, I AGREB TO CALL FOR AN INSPECTION ONCE THE BACKFLOV I,RBVBNTION DEVICE HAS BBBN INSTALLED AND IS VISIBLE FOR INSPECTION (726- 3769). r ALSo STArE APPLICATION IS CORRICT q- CONSTRUCTJON CONTRACTORS REGISTRATION *: caltin9 ZTP:Qrlr EXPTRDS z-27 -?cl /tr ?3 torthe Genternumber,is1 FOR OFPICE USE DATB OF AI]PLICATION: RECE,-PT Ii TOTA, AMO INT COLLECTED:,Lff'BY: JOB {I:t5r, r( Ar ,: ..,Y\ i /t (03 A< OREGO'UctTv cF strFfrf , t uvai, INSPEGTION REQIIEST: 7 OFPICE: 726-3759 1.0r 80 DAY PERIOD ,&114L AUTHORIZED SPRINGFIELD OREGON 97 SPFI. /FIELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL NOTICE: THIS PERMIT SHALL EXPTRE IF THE UNDER THIS PERMIT IS NOT OR lS ABANDONED FQff,,scat.rcAl, PERHTT Ci ty Job Nurnber 3 COHPIATE FEE SCffiDtILE BELOV Nev Residential-Single or Multi-Family Per dvelling unit. Service Included:Items Cost\\Do I A Sum 31 6r 9 s are non-transferable and exPire jL s 8s.00 $ 1s.00 $ 40.00 if vork is not started vithin of issuance or if vork is sus 1B0 days pended for 180 days. 2. CONlts,ACf,OR INSTATI,ATION ONLY Electrical Contractor Address Citv Phone Supervisor License Number 4s B. Services or Feeders InstaIlation, 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/voIts - Reconnect 0n1Y $ s0.00 s 60.00 $100.00 s130.00 $300.00 $ 40.00 Expiration Dat c 200 amps"or less 201 amps to 400 amPs - Over 401 to 600 am Over 600 amps or 1 ee Bu a56lE D Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3s.oo $ 2.00 E. Miscellaneous (Service/feeder not included) Temporary Services or Feeders Installaiion, Alteration or Relocation"/a Expiration Date Signature of SuPe ing Electrician Add Ci ty ^Wns- Phone \ OIINER INSTALI,ATION The installation is being made on property I oun vhich is not intended for sale, Iease or rent. Omers Signature: DATE: -Each installation Pump or irrigation - $ SigirZoutline Lighting- $Llilited Energy/Res - $ rps _000 volts $ s $ S 00 00 00 40 55 80 ll 40.00 40.00 20.00 36.00 RECETVED 5 a constr contr . nunber 20 */f FC- 200 amps or 201 amps to 401 amps to 601 amps to Over 1000 Reconnec t SPfiI IELO amps OnIy /voI ts less 600 amps @ir, z-25 FrFTE 'TREET Authorized SPRINGFIELD, OREGON 97 477 INSPECTI0N REOUEST: 126-3769 oFPICE: 726-3759 OP JOB Permits are non-transferable and pire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2.CONTRACf,OR INSTALI.ATION ONLY APqPERHITPLICATION Ci ty Job Nunber \UKM 3. COHPLETE FEE SCEEDUI,E BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or ModuIar.'Dwe1ling' Service or Feeder s 1s.00 s 40.00 .B Services or Feeders fnstallation, Alterations or Relocation: ON A Sum a_ Elec Addr Ci ty Supe ExpL Cons Expi t ca1 Contractor ess rvisor Lic ration Date tr contt :' Number rat Date Phone r s s0.00s 60.00 s100.00 s130.00 s300.00s 40.00 s ure of Supervising Electri c 0vne rs Address Ci ty Phone 0 OLNER The installation is being made on proDerty I ovn vhich is not intended lor safe, lease or rent. ovners;$igIlature: DATE: C D Branch Circuits New, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith-Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) Temporary Services or Feeders Installation, Alteration or Relocation 2oo amps"or ress I $ 4o.oo Ar0 201 amps to 400 amps - $ 55.00 ovei 600 amps or rbOO voT[s see "Bu a6618 -Each installation P'ump or irrigation $ sign/outline t,ighting- S l,imi ted EnergY/Res - $ Limited Energy/Comm S 40.00 40.00 20.00 36.00 DO5SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTALRNCETVED B €e Willamalane Park & Recreation District Job. No. 0'\\ttno SYSTEM DEVELOPMENT CHARGE RKSHEET NA ADDRESS: LOCATION OF PROPOSED BUILDING SITE: ,/rt \ D55D srArE: UR- r't PHONE Street Address:UJ00n"L J*/\5i2D Plat Name DEVELOPMENT TYPE ype definitions are on the Tax Lot Number: (Check appropriate dwelling(s). SDC calculations and dwelling t back.) a3 Manufactured home not in a Park $ 1 A. Single-Family Detached t Single Family home NO. OF UNITS X $1,000 Per unit = $\000,c 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 WILLAMALANE SDC 2. SDC CREDIT (if applicable) SD0-payer must lumish proof of Willamalane Credit approval. See SDC Credit Worksheet. I,MD PD Se $ $ $ tn0D o ,U 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) JLr City of Springfield ent Date (. \1 tco