HomeMy WebLinkAboutPermit Building 1998-03-26qTT OF SPRNGFIEI-O,
SPFINGF!ELCl
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFTELD
COMMI'NTTY SERVICES DIVISTON
BUTLDING SAFETY
a
Page 1
ilob Nnmber: 97L415
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work z L432 WIMBLEDON pL
Assessors Map #: :-.7033422
LoL: 8 Block:
Office:
fnspection Line:
726 -37 s9
725 -37 69
Tax Lot #
Subdivision
00810
OAKTREE
Owner: SOVEREIGN BUILDERS
Address: 1318 WIMBLEDON PLACE
Describe Work: S.F. RESfDENCE
Phone #: 744-09L6
ciry/stare/zip: spRrNGFrELD, OREGON 97477
NEW
General:
Plumbing:
Mechanical:
Electrical:
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
Contract,or
SOVEREIGN BUILD 0085477
1318 Wimbledon Place Springfield OR
CUSTOM PLI]MBING 0081994
3248 Kentwood Dr Eugene OR 974O1OOO
HOME COMFORT HE OO84L64
85252 Peaceful Va11ey Rd Eugene OR
L H MORRIS 0001838
PO Box 455 Eugene OR 97440OOOO
-- OFFICE USE
LAND US
ZONING
Const.
ContracEor #Expires
oe /23 / 98
os/06/e8
06 /2s / e8
06/08/e8
Phone
7 44 - 09L6
485-L1,45
34s-2838
7 47 - 08Ll-
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
# OF BDRMS
WATER HEA
SQ FOOTAGE: 2
To request, an inspect,ion, call the 24 hour rec 4 769.
A11 inspections reguested before 7:00 a.m. wil-l- be workinspections requested after 7:00 a.m. will be made the I
--- REQUTRED INSPECTTONS ___
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
RoucH cAs - after line is installed and capped if not attached. to anappliance
ITNDBRFLooR [rEcHNIrcAL - prior to insulation or d.ecking.
ITNDERFTJOOR PLITMBTNG - prior to i-nsuration or decking.
POST AIID BEAII - prior to fLoor insulation or decking.
rNsuLATroN - Floor; prior to decking wall/ceiling; pri-or to cover
WATER LINE - prior to fiLling t,rench.
SATiIITARY SEWER LINE - prior to filling trench.
STORM SEWER LINE - prior to fil-l_ing trench.
ROUGH PLITMBING - prior to cover.
ROUGH MECI{AMCAL - prior to cover.
ROUGH ELECTRICAL - prior to cover.
Er,EcrRrcArJ sERvrcE - Must be approved to obtain permanenE power.
SHEAR WALrJ NArLrNc - Before covering sheathing with finish materials.FRN{ING - prior to cover.
rNsuLATroN - Floor; prior to decking wa11/ceiling; prior Lo coverDRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to pracement of concret.e.FINAL PLUI{BfNG - When all plumbing work j_s complete.FrNAL MECITATITCAL - when all mechanicaL work is complete.
FTNATJ Er,EcrRrcAL - when a1r erectrical work is complete.GAs sERvrcE - After line i-s install-ed and line has been connected. to aminimum of one appriance. pressure test done at this point.
ing day,
day.
SPFINGFIELE,
'fob Number: 9714:.5
ATTOF t
Page 2
FINAL BUIIJDING - When all reguired inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft. : l-1990
Total HeighE: 28
Lot Type: INTERIOR
W
19
Lot Coverage: 22 Z
Setbk From NPL: 45
Lot Type: CORNER
Setbacks
N
2t
s
7
7
E
Item
Main
Garage
DETACHED GARAGE
Total Value
Building Permit Fee
Surcharge/admi-n
TOTAL FEE
--- BUII.DING PERI{IT
Square Feet x
2049
500
550
$/Sguare Feet
64 .66
1,6 .27
L6.27
(A)
VaIue
132,488.00
9,762.OO
10,575.00
L52 ,826 . OO
552.25
44 .1,8
596.43
--- PLI'}IBING PERMIT
Item
Residential- Bath (s)
Sanit,ary Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/Admin
TOTAI. CIIARGE
3
50
50
50
Fee
192 .50
15.00
15.00
15.00
237.50
19.01
256.5L(c)
--- MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent, Fan
Dryer Vent,
GAS LrNE & W/H
GAS F. P.
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PERITTIT
5
4
1,2
3
5
4
4
.00
.50
.00
.00
.00
.50
35.00
10.00
2.80
(D)47.80
-- - MISCELI,ANEOUS PER}TITS
Surcharge/Admin
Curb Cut
WTLLAMALANE SDC
CITY SDC
ADDTL PLAN REVIEW
TOTAL MISCELIJAI{EOUS PERMITS
0.00
13.60
1, 000 . 00
3 , 440 .89
56.23
4 ,5lO .7 2(E)
5,4LL.46(Excluding Elect,rical )
unlees otherwise not,ed
--- TOTAL AITTOI'NT DUE ---
(A, B, C, D, and E combined)
SPFIi.GFIELD
.Tob Number: 97L41-5
qTTOF
Page 3
--- BUILDING VALUE, PLAIiI CHECK At{D BUILDING PERI{IT ---
This permit is granted on the express condition that the said constructj-on
shal], in aII respecLs, conform to the ordinance adopted by the City of
Springfield, j-ncluding 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.
PIan Check Fee: 344.34 Date Paid
Received By:
Plans Revj-ewed By: DON MOORE Date
Bui-lding Site Reviewed By: LISA HOPPER
oe /23 / e7
Lo /2L/ e7
ReceipL Number: 27488
--- ADDITTONAI. COMMENTS ---
SEPARATE ELECTRICAL PERMIT IS REQUIRED
PATH 1
DRTVEWAY REQUIRED TO BE PAVED
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify EhaE 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 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 permissi-on of the
Community Services Division, Building Safety. 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 inspecEions are requested at the
proper time, that each address is readable from the street, that the permit
card is Located at the front of the property, and the approved set of plans
wi-Ll- remain on the site aL all times during construction.
3-"(-?Y
ture
Receipt Number:
Date Paid:
Amount Received:
Received By:
Date
TION ---
&q t
.a?--
JOB NO.q7t +/5
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY /ER. E I GN BttrcOe3
LOCATION L
DEVELOPMENT TYPE 1 tr, R
BUILDING SIZT
1 STORI"l DRAIIiAGi
iMPERVIOUS SO FT
2. SANIiARY SE,^/ER-CITY
x $0.225 PER SQ. FT $ 1, 54C,27
$
LOT SIZ Ft
<q
NC OF PFU'S Z<X $.i6.96 pER pFU $,, /7r.So
(See Reverse Side)
3. TRANSPORIAIION
NO OF UNITS X TRIP RATE X COST PER TRIP
I x t,or x $472 49
x $472 49
x $472.49
X
X
5
4 . SANiTARY SE,ilER -MI/{MC
Dirs DU
No. oF rutrs _J_x 277,7c PER fEU + $10 MI,JMC/ADM FEE $ 287,7C
Mt^ll.,1c CREDIT IF APPLICABLE (SEE REVERSE)$
TOTAL-MI^JMC SDC $
SUBT0TAL (ADD ITEMS 1,2.3 & 4) $ 3*zEL.7f
5. ADMiNISTRAIIVE FEES
BASE CHARGI (SUBIOIAL ABOVE) X .05 $ /a4, 1 1
SDC Coordi nator
967s. 3- zo46
rorAl spc $ "/440.87
$ +7t.zl
I .n I rv'lll- \., lYl I UHLUIJLA I llJlY I AI)Ltr. Number of New Fixtures X Unit Equivalenr : Fixture Units(NOTE: For remodels, calculate.or' the NET additional fixtures)
FIXTURE TYPE
NUMBER OF UNIT FIXTURE
NEW FIXTURES EOUIVALENT UNITS
Bathtub......
Drinking Fountain.
Floor Drain..,........
lnterceptors For GreaselOil/So1idsiEtc..............
lnterceptors For Sand/Auto WashiEtc..............
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 Stall....
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen.......
Urinal, Stall/Wall..
Wash Basin/Lavatory. Single..
Toilet, Pubiic lnstallation.
Toiler, Private,......
Miscellaneous:
Z-
3
?-)
TOTAL FIXTURE UNITS
2
1
2
3
b
2
6
6
1I
3
2
i iHead
2
2
'l
6
4
A
Z<
L
z_
3
l2_
CBEDIT CALCULATION TABLE: Based on assessed vatue lf improvements occurred after annexation date in rable,calculate credits rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x s_
(Rate X Assessed Value)
(Rate X ,Assessed Value)
sCREDIT TOTAL
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Flate per s1,COO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
202
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
)z.co
2"17
1.73
1.31
0.92
o.74
0.61
o.45
0.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRATNAGE
(For Estimating Purposes Only)
Hesroeniiai. .......... O.+
Commerica|......................... O.glndustrial.... O s
Governmenta1...................... 0.5
lMPERVlous AREA = TorAL Lor slzE x RUNOFF coEFFtctENT
Willamalane
Park & Recreation District Job- No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:NAME:
ADDRE W 1
(
SS:STATE:ZIP:
LOCATION OF PROPOSED BUILDING SITE:
Street Addre
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Manufactured home not in a Park
X $1,000 per unit = $00
(.
t0
Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
C. Multi-Familv Aoartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLA,MALANE SDC
2. SDC CREDIT (if applicable) SDCjayer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
eve lopment
$
$
o0
$
$
$
6
City of Springfield
Department Date
&
SPINI,t.GFIELE,
OFPICE:
INSPECTION LINE:
726-3759
726-3769
225 FITTH STREET
SPRINGFIETD OR 97477
JOB LOCATION:,{
ASSESSORS HAP T:
OTINER:b "- C(zig
ADDRESS:
CITY:
BACKFLOII
DATE OP APPLICATION:
RECEIPT S:
TOTAL AI{OMTT COLLECTED:
tu o/o*t
TAX LOT *:
t5
PII0NE l: 87572 s ,/
STATE: O Q zr,Pz ?77 77
+ $.75 (STATE SURCITARGE) + $.45 (FEE) - $16.20
4
CONTRACTOR:c /44
ADDRESS:O
CITY:STATE: aV-
ON COIII?RASTORS REGI *:
BY SIGNING THIS PERUIT/APPLICATION I AGREE TO CALL FOR ANBACKFLOU PREVEMION DEVICE HAS BEEN INSTALLED A}ID IS VISIBLE(726-3769). r ALSo STATE THAT ALL INFORI{ATION ON TTTIS PERHITCORRECT
(
roR OPTICE USE
q'
jUO
b3
v
,t-
6J.
JOB f:
6
I
CITY OF SPBINGFIELD, OREGOA'
BY:
BACKFLOY PREIIEMION DE'YICE PERilIT APPLICATION
CITY OT SP&INGFIELD
BUII.OI}re SAPEf,Y DIWSION
,
SPFINGFIELO
.:pprgval.
oa44eK_
zzs FrFrE srffi
SPRTNGFTELD, oREGoN 97 477
INSPECTION REQT,EST: 726-3769
OFPICE: 726-3759 1\\\9
1 ,TION
3/a
DESCRIPTIONJOB
w,E lvev 3e
Pernits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days. ,
2. COI.ITRACTOR INSTALI,ATION OIitLT
Electrical Contrac tor L 'A' /ill6e6
dential-Single
MuIti-Family per dvell
Service Included:I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Hodular.'Dve1ling'
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
_l_
L
s 85.00 (s*
@fi,
\f \5
200 amps or
201 amps to
401 amps to
601 amps to
1$e No1
PERHIT APPLICATION
Job Nunber 11t+t 9
m
FEE SCEEDUIJ
arnps/vo
Only
BELOV
or
ing unit.
tems Cost Sum
$ 15.00 b,o
$ 40.00
$ 50.00
s 60.00
s100.00
$130.00
s300.00s 40.00
&
tt
.B
D.
Address 13 |ho w.
Ci ty SPro Phone ?*7- ogll
Supervisor License Number ,? O a L- 3
Expi ration Date I o-t -"*
Constr Contr. Number O/ ?K
Expi ration Date b-3 -1k
Signa of sing Electrician
c.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
201 amis to 400 "tp" -
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or f0OOEfts see (8.
less
500 amps
1000 amps_
0ver 1000
Reconnect
lts
-
ci in 14d -(/
OVNER
The installation is being made on
property I ovn vhiih is not intended
for sale, Iease or rent.
Osner*Sigpature:
DATE:
aEffi
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
g""h aaaitional
Circuit or vith Service
or Feeder Permit
-
S 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Ovners
Address
n
0n
A
r,
5
.00
.00
.00
.00
&
$40
s40
$20
s36
4S
RECETVED B
\5
u"'\ -Tl4'[-
2?5
SPRINGFIELD ,oREGON 97477
INSPECf,ION REetEST: 726-3OFEICE: 726-3759
1 OP INST,,ALIATION
M
JOB DESCRTPTTON
SPFINGFIE,LO
3. COHPI,ETE FEE SCEEDT'LE BELOV
A
apptoval.
{
Permits a,re non_transferable and expirelf vork is not started "ittiin-ig0 daysof-issuance or if voi[ i;-;;;;"ded for180 days
2. COI{IRACTOR TNSTALI,ATION ONLY
Nev Residential-Single orHulti-Family per avelling unit.Service fncluded:
ftems Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanufrd Home. or
-
ModuIar.'Dve1ling'
Service or FeedEr
Sum
$ 8s.00
s 1s.00
$ 40.00
Electrical Contrac $, l.//,/hp/6 fur
Services or Feedersfnstallation, Alterationsor Rel.ocation:
.B
Address
Ci ty CPro Phone -*//
Supervisor License Number r -s
Expiration Date /o-71.
Constr Contr. Number O/rB g/c.
Expiration Date L*k
Signa of ising Electrician
200 amps
201 amps
401 amps
601 anps
Over 1000
Reconnec t
or less
:. 199 amps
-to.600 ampsto 1000 amps-anps/volts
-
Only
Tempo_rary Services or Feedersrnstallation, Alterari;; oi-ietocation
200 amps'.or less I201 amps to 400 amps +
over 401 to 600 amps
-
over 600 amps or fbOOToIts
Branch Circuits
s s0.00s 50.00
$100.00
s130.00
s300.00
s 40.00
$ 40.00
$ ss.00
$ 80.00
@
n affiFsee rB
Ovners
Address
ci
OSNER
DATE
D.
D
e
n CL(LNev, Alteration or Extension per panel
a One Circui t
Each AdditionalCircuit or vith Serviceor Feeder permi t
$ 3s.00
$ 2.00
er not i
The installatiorproperty r ovn Xniinoil"fl"T.fi.lXo"ofor sale, Iease or rent.
Ovners;lsignature:
Hiscellaneous (Service/feed
-Each installation
Pump or irrigation
lignl0u tline Ligh ting-Limited Energy/[es e-
rrmrted Energy/Comm
SUBTOTAL OF ABOVE52 State Surcharge
3Z Admini.strative Fee
TOTAL
s 40.00
$ 40.00
$ 20.00
s 36.00
ncluded)
4o:_
-:t-E
1
RECETVED B
5.
7 49 L9
,