HomeMy WebLinkAboutPermit Building 1996-05-10CITY SPruNGFTEID,
!5PFINGFIELEl
225 North Fifth Street
Springfield, OR 97477
o
RESIDENTIAL PERMIT APPLTCATTON
CITY OF SPRTNGFTELD
COMMI'NITY SERVICES DTVISTON
BUILDING SAFETY
a
ilob Nu.nber:
Page 1
9 504 13
Office:
Inspection Lj-ne:
725 -37 59
7 26 -37 69
Location of Proposed Work: 2522 WALNTII RfDGE DR
Assessors Map #z 1_7032300 1ax Lot #: O1OO3Lot: L7 Block: Subdivision: RIVER GLEN
OIilneT: ANSLOW & DEGENEAUIJT Phone #: 484-0070Address: 55 EAST LsTH AVENLTE city/sLate/zip: EUGENE, oREGoN g74o:,
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Electrical
Cont,ractor
ANSLOW & DEGENE OO49]-59
55 E 15th Ave Eugene OR 9Z4OI_OOOO
ABSOLUTE PLI]MBI 0057664
2235 Arthur Court Eugene OR 974O5OO
BINNS ELECTRTC 0073762
210 Wa11is Str Unit #C Eugene OR 97
Const.
Contractor #Expires
ro/1,6/e5
07 / 1,1/ s6
05/06/e6
Phone
484-0070
345-3055
687 -L362
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 3540
-- oFFrcE usE --
I,AND USE: l-l-11-
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# oF er,Dcs: i-
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
To requeat an inspecEion, call_ Ehe 24 hour recording aL 72G-376g.
A11 inspections reguested before 7:00 a.m. wil-I be made Ehe same working day,inspections reqpested after 7:00 a.m. will be mad.e t,he following work day.
--- REQUIRED TNSPECTTONS ___
srrE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOITIIDATfON - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - prior to insulation or decking.
ITNDERFLOOR IrrEeIrAr{rcAL - prior to insulation or decking.
RoUGH GAs - after line is instalred and capped if not attached to an
appliance
POST AI{D BEA}I - Prior to floor insulation or decking.
rNsuLATroN - Floor,' prior to decking wall/ceiling; prior to cover
STORM SEWER LINE - Prior to fiLling trench.
SAI{ITARY SEWER LINE - Prior to filling Erench.
WATER LfNE - Prior to filling trench.
ROUGH PIJITMBING - Prior to cover.
ROUGH UECIIAI{ICAL - Prior to cover.
ROUGH ETJECTRICAL - Prior To cover.
Er,EcrRrcAL sERvreE - Must be approved to obtain permanent. power.
FRAITIING - Prior to eover.
rNsuLATroN - Floor,' prior to decking waIl/ceiring; prior to cover
DRYWALL - Prior to taping.
STDEWALK - After excavation is complete, forms and sub-base materialin p1ace.
CITRBCUT - After forms are erected but prior to placement of concrete.
FINAL PLITMBING - When all plumbing work is complet.e.
FINAT DIECIIAI{ICAL - When all mechanical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. pressure t.est done at this point.
orr SPilNGFTEI.O,
SPFIiIGFIELEl
Job Number: 950413
oo
Page 2
FINAL ELECTRICAL - When all electrieal- work is compl-ete.
FINAL BUIIJDING - When all required inspections have been approved and
the building is complete.
Lot Faces: E
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 13007
Total- Height.: 28 . 5
Lot Type: INIERIOR
Setbacks
SWE
L2 32 28
L2 62 1_8
Lot Coverage: 18 ?
Setbk From NPL: 25
N
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
- - - BUIIJDTNG PERMIT -'-
Square Feet x
231,4
876
$/Sguare Feet Val-ue
0.00
0.00
190, 000 . 00
637.75
5r-.02
TOTAL FEE (A)588.77
--- SYSTEMS DEVEI.OPMENT CIIARGE (SDC)
(B) 3,295.99
Systems Development Charge is due on all undeveloped properties within the Citylimits and the citys urban Growth Boundry which are being improved.
--- PLI'MBING PERMTT ---
Item
Fixtures
Plumbing Permit
Surcharge/Admin
TOTAIJ CHARGE
3
Fee
t92 .50
1,92 .50
15.41
207.9L(c)
--- MECIINiIICAL PERI{IT ---
Furnace
Exhaust Hood
Vent Fan
wood Stove/tnsert/Fireplace Unit
Dryer Vent
GAS LINE W/H
TOTAL PERMIT
5
5.00
4.50
15.00
15.00
3.00
6.50
50
10
4
00
00
00
(D)54 .00
--- ITTISCELIJAI{EOUS PERUITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
TOTAL MISCELLAI'IEOUS PERMITS
0.00
4L.20
16.00
1,000.00
L,057.20(E)
5,313 . 87(Excluding Electrical )
unless oEherwise not,ed
--- TOTAIJ AIIOI'MT DUE ---
(A, B, C, D, and E combined)
Mechanical Permit
Issuance
Surcharge/Admin
SPFI,tlGFIELE,
o
h,
ilob Numlcer: 950413
a
Page 3
--. BUILDING VALUE, PI,A}I CHECK AT{D BUIIJDING PER}TIT ---
This permit is granted on the express condit,ion thaL the said construction
shal1, in all respects, conform tso the ordinance adopted by the cj-ty ofSpringfield, including the Development. Code, regulating the construction and
use of buildings, and may be suspended or revoked at any tJ-me upon violation
of any provj-sions of said ordinances.
PIan Check Fee: 413.08 Date paid:
Received By: LrSA HoppER
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOppER
Receipt Number: 20830
-.. ADDITTONAL COM}IEIITS -. -
WALNIIT RTDGE IS CI'RBSTDE SIDEWALK
MCKENZIE CREST DRIVE IS SETBACK SIDEWALK
PATH1 NO OCCUPANCY I'NTIL INFRASTRUCTT'RE ACCEPTED BY CITY OR SA}IITARY CONNECTION
DRTVEWAY REQUTRED TO BE PAVED
5 STREET TREES REQUIRED
By signature, I Et,ate and agree, thaE I have carefully examined
Ehe completed application and do hereby certify that all information hereonis true and correct, and I further certify t,hat. any and all work performed
shall- be done in accordance with the ordinances of the City of Springfield,
and the Laws of the SEat,e of Oregon pertaining Eo the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. f further certify that onlycontractors and employees who are in compliance with ORS 701.055 wilt be
used on this project.
I further agree to ensure Ehat all required inspect,ions are requested at, theproper time, that each address is readabLe from the streeE, that the permit
card is located at the front of the propert,y, and Ehe approved set of plans
will- remain on the siLe at alt times during construction.
03 /26 / e5
04/oe/e6
<.=t 0
s ture
Receipt Number:
Date Paid:
Amount Received
Received By
--- VAI.IDATION ---
Da
ONEGONOTTOF
SPR!NGFIELD
Page l-
CITY OF SPRINGFIEI,D SYSTE}IS DEVELOPMENT CEARGE
(RESIDENTIAL)
Name or Company: ANSLOW & DEGENEAULT
Location: 2572 WALNUT RIDGE DR
Developement Tlpe: R Building Size
Job No. : 9604a3
Lot Size:Sq Ft
1.. STORM DR,A,INAGE
Impervious Sq Ft
2. SA}iIITARY SEWER - CITY
Number Of PFUS
(see Page 2)
3. TRAI{SPORTATION
Number Of Units
1X
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
Cost Per Trip
437.93
Y
Transportation Total
4. SAIiIITARY SEWER - MI'TMC
Number Of PFUS
31
5. ADMINTSTR.ATIVE FEES
Base Charge (Subtotal Above)
3 615
31
Trj-p Rate
1.010 x i442.3L
$7s9.1s
$1,345.33
i442 .3L
$s91.2s
$o. oo
$s91-.2s
$3, l_39.04
$1s6 . 9s
x
x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAT - MWMC SDC
SITBTOTAL - (Add ftem6 1, 2, 3 & 4)
x 0.50
TOTAI, SDC
Reviewed By: TROY MCALLISTER Date: 03/2i/96
$3,295.99
ATT OF SPruNGFIELD,ONEGON
SPRINGFIELD
Job Number: 9504a3 Page 2
FIXTT'RE I'NIT CALCULATION TABTE
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oi1/Solids/etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/CLotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Stc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wa1l
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscel-]aneous
TOTAL FTXTURE UNITS =
CREDIT CALCTLATION TABLE: Based on assessed val-ue. If improvements occured
after annexation date, credits are calculated separatety.(calculations are by 91000)
Year Annexed:
Credit For Parce1 Or Land Only If Applicable: O X 0.00 = O.OO
Improvement (if after annexation date): 0 X 0.00 = O.OO
CREDIT TOTAL = 90.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
2
1
2
3
6
2
6
1
3
2
2
1
6
4
2
0
0
0
0
1
0
0
0
1
0
1
0
5
0
4
0
4
0
0
0
0
0
0
0
a
0
2
0
5
0
5
0
31
1
SP;IINGFIELO
BACKFLOW PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFBTY DIVISION
225 FIFTH STREET
SPRINGFIELD OR 97477
OIIFICE:
INSPBCTION LINE:
726-3759
726-3769
JOB LOCATION:
ASSESSORS MAP II:
OIJNER:
ADDRESS:
o
ADDRESS:
CITY:
TAX LOT *:
q
PHONE *:
CITY:ZTP z
BACI(FLOIJ PERMIT IS $15.00 + $.75 (ST ATB SURCIIARGE) + $.45 (ADMIN. FEE) = $16.20
CONTRACTOR:o
STATE:o1 ffi/
PHoNB *: l<5 -72t5
prArlz OL zw: ?7{PT
coNsTRUcTIoN coNTRAcToRs REGISTRATIoN +z Jl ?72 EXPIRES:1/ - ?o-0 tr
BY STGNTNG TItrS PBRI,IrT/APPLTCATT0N, I AGREB T0 CALL FoR AN TNSPECTT0N ONCE THE
BACKFLOU PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE TOR INSPECTION(726_3769). I ALSO STATE TIIAT ALL INTORMATION ON TIIIS PERMIT/APPLICATION IS
CORRECT.
DATE
POR OFFICE USB
Ot q'lDATE OF APPLICATION:
RECEIPT {}:
TOTAL AMOUNT COLLECTED:
IS BY:
JOB II:b
/t-o /-fi
Z-,r*o %"-rZ
SIGNATURE r
)
)
I
llo,A1.
s;('tlrNc(:r€Lo
*(225 I.trt t t :; j
:;tlt;!!.!Gr tr l-D ( )t i
P U S Lt C t1/OIiKS D E PA Rr f,l E |q-
4DhlU'JtSl t;Al tOi{
l' t\! L; t l\t E E l; I tv(; [)/ l4s/C)/v
hl,lllil El,lAi\tcE
APPUCAT{T (PRoPERTY OvvNER),,,..,-"/y'
ADDRESS OF PROPERTY FOR DRIVETA'AY PER'.,II E 2 LU,./uy'
APPLICAI{:T'S TEI-EPIIOI\IE I.{UII BE vg (z 2 ? - ctTsg
PIease sketch tlre proposed drivltvay- lnclude (he (ollowing appticable i{ems: lrouse or building. proposed
driveway. exisling drivcrvay. and sttcet narncs. lnclude dirnensions and mcasurenrents lo propcrly lines. roadintersections and bordering driveways. (See a(achmenr for an exampre.)
Al-LAPPUCATIOI{S OUTS{DE Tl{E CtTY Ut'4lTS OF SPRIt{cFtEtO TI{ATARE \^/lTt{lt\t Tt{E URBAN
GIiOIryTI{ AOUI{DARY flIOUIRE N TAI,JE COUNTY PERI{IT.
l.lole: The Cily of Springlicld u,ill not qrant a sccond drivcway pcrmi{ on an ArlcriaJ or Coltcclor Slrccl.
APPLrCAtrOt,t FQR A SECOND DR|VEWAY / OvERWtpTr{ pRtVElVAy
ofrrl: /2 - i-/fu,
${
1. P(operty typc: Single Farnily Reside.." X Duplex O(trer
2. The proprosed drivervay will take access (rotn wlriclt stteel y'"-/
3. Tlrc distarrcc [rorn llre cdoe ol llrc drivcway to llrc nca(csl cottrcr (rrreasutcd to llre curt'' rclurn) is
, :;ronl'",'", witl sive access lo: garase- ca(port- side vard---- 6x's1 12 l/' Pc'' 'i;4
5. The distance (rom (lre lropcrly line lo llte garage. carpo(. {cncc. vrall' or otlrcr' (vrlrere llie vclricle is
to ba parl..cd) rs f f tcet.
6. \M[ tlre propbscd par.king Ltorrg" area creale a.vision obstruciion ,o :.dj':t"l L'oPcrtY
driveways or'
lo any vehicular movement on a pubfic slreet? (See vision clearance attacllcne(llJ '/,,' e
Appficn( hereby agrees lo insbtl ure requesled driveway to cily o{ sprinq(retd sbndards' Tlre applicant (ururer
agrees to have 6- of concrete in Ure side,aralk area (adjacent to ure drive way).'and to pave the area behind {rc
back edge of the sidewatk .or driveway spror\ with a mini:-num depth o{ 3- asplrattic concrete or 6- o( portland
cemen{ concre(e. T6e area behindthe sidewalk slrall be paved a min'trnum dt 18 (eel.
The appfiant agrees Ura( if he/she does not peve Ure area L)elrind Ure sidewalk within 30 days of cutting Ute
cur{: opening. the City of Springrfreld has Ore autJrority (o close the driveway access by remov-al o( Ure curb cUL
An incurred cosG sh:ll be assumed by Ure app[icant and ( unpaid. said cost shall become a f'eo o( tfre proper{'
Vtrhen {his appticalion is approved by (he city. llre applicant must oblain a curbcuu'driveway pe(rnit (rom the
Pubtic Works Department. Engineering Division-
gurUcut f Ori-'etvav
a.onaoimprovedstreet(existingcurb):slo.o0plusS.l5pertineat(ootofcutbcut.
b. On an unimproved strect (no curb): S12'O0
c.oncurren(lyunimprovedstreetsthatareunderconstruction:S12.00
*4"'4)-.8"'"t ?%
PROPERTY OWNER'S SIGI.{ATURE
APPROVED BY D/rTE
CIRAFfl IVISION
BU{LDII.IG PERIIIT NO oorE-w
TRA 9.1
ATTACI{lvlEl.lT: \4sion Clcaraoce. Exarnplc #1
4
n L 1,
Ci,TY OF SPF'INGFIELD,OREGO,U
SPRI?{GFTELO
OEETCE:
1
Permits are non-transferable and expire
lf vork is not started vithln 180 days
of lssuairce or lf vork ls suspended for
'180 days.
2. CONTRACf,OR INSTALI,ATION ONLY
doas not roquiro apecitic
PERHIT APPLICAT
ty Job Nunber 0,3
3.PEB SCffiDt[,E BBLOS
A. Nev Residentlal-Single or
HuIti-FamlIy per dvelling unit.
Serviee Included:Items Cost
h
225 gI,FI'g STREET
SPRTNGPIBLD, ORBGON 97477
INSPBCTTON iaouBsf, z 726-3769 Date
Electrlcal Contractot 5
Sum
g __,1_
!_
$ 8s.00
$ 1s.00
$ 40.00
$40
s
s
Address 2-lA (,1) *, -rS
City etu 1Z Phone t{a -t <42
Supervisor License Number
Expiration Date / D - / - 71-
Constr Contr. Number a_1112-
Expl'ra tion Date (.G -€'{
Slgna of Superv lsing Electrician
Owners
Address
ct Phone
OITNER
The lnstallatloh is belrig made on
property f own vhlch ls not intended
for sa1e, lease or rent.
Omers Slgnatures
DATE:
B. Services or Feeders
Installation, Alterations
or Relocation:
c
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
5. SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
200 amps or less
201 amps to 400 amPs
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
Temporary Services or'Feeders
Installation, Alteratlon or Relocati
$
$
$
$
50.
60.
100
130
$300
00
00
00
00
00
00
00
00
00
on
4c?200 amps or less -\-201 amps to 400 amps
-
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.
$ ss.
$ 80.
see rl Bn a56E
t
-Each lnstallation
Pump or lrrigation
Sign/OutIlne Lightlng
Llmited Enercv/Res
Limi ted Enerfr/comm .......-
$ 40.00
$ 40.00
$ 20.00
s 36.00
RECEIVED +3ob admin lt-<
q)
Nev, Alteratlon or Extension Per Panel
One Circult $ 35.00
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
r.i
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHE
sV PHONE:NAME:
ADDRESS:
LOCATION OF PROPOSED ILDING SITE:
Street Addi
Plat Name:
, 0?-,,,
DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Single-Family Detached
t. Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
velopme Se
Tax Lot Number:\
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
X $1,000 per unit = $[ulO,c
X $924 per unit $
\Q3
1
(,
X $692 per unit $
X $699 per unit $0
2. sDc CREDIT (if appricabre) sDC-payer must furnish proof of
\Mllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for
$
$
\m0D
I
City of Springfield
epartment Date
$
qb
I
I
d