HomeMy WebLinkAboutPermit Building 1998-09-16CITY OF
SPFINGFIELD
RESTDENTIAL PERMIT APPLTCATION
CITY OF SPRINGFIELD
COMMI'NTTY SERVICES DIVISION
BUTLDING SAFETY
Page 1
ilob Nurnber: 980959
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: L550 WALNUT RD
Assessors Map #: 1-7033423
Lot: 34 Block:
Office:
Inspection Line:
7 26 -3'7 s9
725-3759
Tax Lot #
Subdi-vision
03000
RIVER TRAILS
Owner: SUSA}iI HAYES
Address: PO BOX 50955
Describe Work: S.F. RESIDENCE
Phone #: 431-0150
City/state/zip: EUGENE, OREGON 974os
NEW
General:
Plumbing:
Mechani-caL:
El-ectrical:
ConEract,or
FOIIR SEASONS
8BB CREST DR EUGENE OR 9740
ANKENY
91585 N COBURG RD EUGENE OR
HOME COMFORT HE
705 OSCAR STREET EUGENE OR
L H MORRIS
483 SHELLEY ST SPRINGFIELD ,
Con
011
500
001
97
Er
52
00
6L
40
0 084 164
97403000
0001838
oR 97477
law res you to
06/2s/99 34s-2838
05 / oB / 99 747 -osLL
- - OFFICE USE
euAD AREA lf-{lQrRrnurT SHALL rXnrnffipffiffi 1ir*
# oF uNrrflulHoHlzED UNDEB IHts ffgMtEffihtrcgr sfiilil.;,IFEfu nrffilc'o o n rs nenN-D'fuon
sQ FoorAc$lllYrt?6:4 A Y PFHIOO.
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
To requeEt an inspection, call- the 24 ]nour recording aL 726-3769.
A11 inspections requested before 7:OO a.m. will- be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavatsed.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PIJITMBING - Prior to insulat.ion or decking.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prj-or to filling trench.
ITNDERFITOOR MECIIAITICAL - Prior to insulation or decking.
POST AIID BEAM - Prior to ffoor insul,ation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH MECHAI{ICAL . Prior To cover.
ROUGH PIJI,}TBING - Prior To cover.
ROUGH ELECTRICAL - Prior Io cover.
SHEAR WALL NAILING - Before covering sheathing wit.h finish materials.
FR.tr!{ING - Prior to cover.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point .
INSULATION - Floori prior to decking Wa11/Ceiling; prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWAIJK - Aft.er excavatj-on is complete, forms and sub-base material
i-n pIace.
ISPRINGFIELE,
.fob Number: 980969
qTT OF SPilNGFIELT',
Page 2
FINAL PLWBING - When all plumbing work is complete.
FINAL IdECHAI{ICAt - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrica1 work is complete.
FfNAL BUILDING - When all requj-red inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 4507
Total Height: 21
Lot. Tlpe: INTERIOR
Lot Coverage: 38 ?
Setbk From NPL: 40
N
47.
Setbacks
SW
7
18
E
7
ftem
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
1384
400
$/Square Feet
64 .66
l-6.27
(A)
Value
89, 489 . 00
5, 508. oo
95 , 997 .00
42L . O0
33.58
4s4.58
PLIN{BING PERMIT
ftem
Res j-dential Bath (s )
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
2
Fee
150.00
150.00
12.80
L7 2 .80(c)
--- MECHANICAL PERMIT
Furnace
Exhaust. Hood
Vent Fan
Wood Stove / Insert /FirepJ_ace Unit
Dryer VenE
GAS LINE
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PERMIT
2
5.00
4.50
5.00
4.50
3.00
2 .00
25
10
2
00
00
08
(D)38.08
--- MISCELLAI{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CTTY SDC
TEMP ELECT.
WILLAIVIi\LANE
PLAN REVIEW FEE
TOTAL MTSCEIJLANEOUS PERMITS
0.00
18.25
L4 .95
2 , 331_ .33
43.20
1, 000 . 00
50.00
3,467.73
(Excluding Electrical)
unless otherwise not,ed
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)
(E)
4 , L33 .29
SPRINGFIELE'
Job Number: 980969
OTTOF
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construct.ion
shal-l, in a1l- respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the constructj-on and
use of buildi-ngs, and may be suspended or revoked at any time upon violationof any provisions of said ordj_nances.
Received By:
Plans Reviewed By: AL WARD
Building Si-te Reviewed By: LISA HOppER
Date: 09/01,/98
--- ADDITIONAL COMMENTS
SEPERATE ELECTRICAL REQUIRED
DRTVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUTRED
By signa t,ure, I state and agree, that I have carefully examinedthe completed application and do hereby certify t.hat al-1 information hereonis true and correct, and T further certify that any and al-I work performedsha]I be done in accordance with the ord.inances of the City of Springfleld,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 theCommunity Services Division, Building Safety. I further certify that onlycontractors and employees who are in compli-ance with ORS 701.055 wil_l beused on this project.
I further agree t.o ensure that all reguired inspections are requested at theproper time, that each address is readable from the street, that the permj_tcard is located at the front of the property, and the approved set of pranswill remain on the site at all times duri-ng construction.
7 -/r-ff
Signature Date
--- VALIDATION ---
Rece j-pt Number:
Date Paid:
Amount Received:
Received By:
JouRI"
- oR JoB no' ?7a?6?
ATTACHMENT A a,rh,nr-
CITY OF SPRINGFIELD SVSiEUS DEVELOPMENT CHARGT
hIORKSHEET
NAME OR COMPANY:
LOCATiON
4/
DEVELOPMENT TYPE S7/<L-
2. SANITARY SEWER-CITY
NO. OF PFU'S /tr X $47.14 PER PFU $ Fffi5"
(See Reverse Side)
3. TRANSPORTATION
NO OF UNiTS X TRIP RATE X COST PER TRIP
I x /, cL x $475.32 $ y't?.07
x $475.32
4. SANITARY SEI,,IER-MWMC
A. REiMBURSEMENT COST
NO. OF FEU'S x A77.4-I+ER FEU $ 111.4t
B. II"IPROVEMENT COST
NO. OF FEU,S / X z5,zO PER FEU $ zg.'z)
BUILDiNG SIZE: r77? LOT SIZ
1. STORM DRAiNAGE
14t
IMPERVIOUS }0.
rzz)+ @ t vfuD +@ rzt)
E5I X $0.227 PER SQ Fr . $ 5'74,0{
Ft
$ //1,0L
FT
MWMC CREDIT IF APPLJCABLE (SEE REVERSE)
MI,JMC ADMINISTRATIVE FEE
t
JJX
<$
TOTAL_I',lhlMC SDC
$ 10.00
$ 112, b4
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ zzz),v/
BASE CHARGE (SUBTOTAL ABOVE) X ,05
SDC Coo
ATTACH 'A. [^JPD
i nator
Date:8
TOTAL SDC $ 233t. 33
'Arts-
FIXTURE UNIT CALCUI TION TABLE: Number or New Fix
(NOTE: For remodels, calculate only-the NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub.....
Drinking Fountain....
//
Floor Drain.
lnterceptors For Grease/Oil/SolidsiEtc'...."""""
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 Sta11.......".
Shower, Gan9......'..
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall.'.'....
Wash Basin/LavatorY, Single
Toilet, Public lnstallation IrToilet, Private......'.
Miscellaneous:
TOTAL FIXTURE UNITS
ad/He
2
1
2
3
6
2
6
b
1
3
2
1
2
2
1
s X Unit Equivalent = Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
4
a\
I
-1-
<*
a{-
s
/F
6
4
TABLE: Base d on assessed value. lf imP rovements occurred after annexation date in table,
CREDIT CALCULATTON
calcu late credits
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
X$
s
(Rate X Assessed
CR
Value)
EDIT TOTAL $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses OnlY)
.......... o.4
.......... 0.9
05
.......... o.5
Residential.
Commerical......" " " "'
lndustrial...
Governmental..... " ""'
Year
Annexed Asses sed Value
Rate per $1,OOO
Year
Annexed Assessed Value
RatePer $1,OOO
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.83
0.67
o.52
0.38
o.21
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.1 8
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1979 or before
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
/
/
_7-
trtr12 D?U)
Nev
M t
I
Notilicati
Each Ma
Modular Dvelling
Servlce or Ieeder
B. Services or Feeders
ofl, Alterations
10n :
S+EBITIT
se GFTELE,
ELECTRICAL PERHTT APPLICATION
City Job Number
FEE SCBXDI'LE BELOV
the te
UtilitY Notification
i1,me. or
s 1s.00
JOB DESCRIPTION
s 40.00
Sum
ry
/i s
Erectrical contrac rorEZ,,^7C *,r S/, :t."d#ffit
RE IF THE WORK
Address /(0 2
2
ciry EZzy'bO, e*- Phone 92'/a g-4
6
Supe rvi.sor License Number ,fi c-=<2c-S-0
Expiration Darc /D - / ! 7 7
C
Cons tr Con tr. Number ,/O rt ./ 6 ,/
ExpirationDate 6 - 22
Signa reofS ng Electrician
Permits are non-transferable and expireif vork is not started vithin 1B0 days
of issuance or if work is suspended for
180 days.
2. COMRACTOR INSTALI-ATTON ONLY
Ovners Name r
OIINER INSTALTATION
Temporary Services or Feeders
Installation, Alteration or Relocation
$ t$or
$d3:F
00
00
00
00
00
00
.00rrB. aEEv€
s130.
$300.
$ 40.Reconnect 0n1y
D. Branch Circuits
200 amps''or Less
201 amps to 400 amps
-Over 401 to 600 amps
-Over 600 amps or 1000-7ofTs
s40
$ss
$80
see
00
00
Add ress 4 ia f/r+zta*- fu g lic Nev, Alteration or Extension Per Panel
Ciy.fftrrnrr.-.., n vhone ai *y'- 29,*One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit S 2.00
The installation is being made on
property I ovn ruhich is not intended
for sale, lease or rent.
0vners Signature:
E. MisceLlaneous (Service/feeder not included)
DATE:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limi ted Energy/Re s -7- S
Limited Energy/Comm $
40.00
40. 00
20.00
36.00
5 o
RECETVED BY:
225 FIFTH STREET
SPRINGFIELD, OREGON 97 477i''
INSPECTION REQI.IEST: 7
OFPICE: 126-3759
1 OF TNSTALLATION
q
JPFlINGFIELO
CITY OF OREGOA'
ir" r !.wilg HaFc.rubmlt€dhaethc
:,,,. ,;i."ino do.r nil,iqdrc rliliiritiiil use
ELECTRICAL PERMIT APPLICATION225 FITTB STREET
SPRINGFIELD, OREGON 97477 0-t
INSPECf,ION REQT EST z 726-frfut
OFPICE: 726-3759
1. LOCATION OF INSTALLATIONtJ
JOB DESCRIPTIONuh^/H,,DvS €.
Permits are,non-transferable and expire
if vcrk is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALTATION ONLY
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
rs
era t ions
1ts
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
a?
| $ Bs.oo
I S Is.oo
$ 40.00
{)Ci ty Job Nunber
COMPI,ETE SCMDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
3
A
Sumsr
JT:
Electrieal con tractor L,ll,YhLOil E(E-f
Address L.tl .
city 9 eraD Phone 1 *1 - 8ll
Supervisor License Number oob-
Exp iration Date -{
Constr Contr. Number Cr | (2 l t
Exp iration Date 1 -8- 11
Signa of ising Electrician
Ovners Nam
Addre
Ci Phone
OIJNER STALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orr'ners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00
over 4bl-to-.6Q0^.*bs S 80.00
o, ;
"fi
g',.+tFlg )$1 ggqffi ffi ;,*,1I, "*
,'
" #B lff t t8-ffi".'SJili ; il",'#"3fl"r'r1f"Ji :,
n.v .0 Qflft Jp# tr1 6U obla inpru[Ba shtrpdu I ehr r' calling the center. (Note: the telephone
gne Cil{rpbglfor the Oregon Utility Ngti06at0frr
Each Add i t fienHf is 1-B00BE-23aa). ,Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation - S 40.00
iieizouttine Lightins- $ 40.gq
-:Liilited Energy/Res
-
$ 20.00
B
D.
$
30.
$300.s 40.
00
00
00
00
00
00
50
c
E
RECEIVED
5 ,72 4
tion:
0ver
Reconnec t2s
to-l
€e
NAME:
Willamalqrqg-F"?f & a-""reation D i strtct Job. No-
PHONE:
srArE:0O ,'t,
ETfl
Manufactured home not in a
=$
=$
tt'(]O @
a
\DCO ,OO
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
(.
ADDRESS:
LOCATION OF PRO POSED BUILDING SITE:
Street Address:
Plat Name:Tax Lot Number:t/)
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
f 1,,
eve pment
1. DEVELOPMENT TYPE (Ch.eS appropriate dwelling(s). sDC calculations and dwelling t
YPe definitions are on the back')
A. Single-Family Detached
l- Single Family home
NO. OF UNITS X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 Per unit
C. Multi-Familv Aoartment
-
NO. OF UNITS X $692 Per unit
D. Manufac{ured Home Park
NO. OF UNITS X $699 per unit = $
WILLAMALA,NE SDC
2. SDC CREDTT (if applicable) SDOaayer must fumlsh proof of
Willamalane Credit approval. See SOC Credit Worksheet.
$
$
$
1t
City of Springfield
Department Date