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