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Home My WebLink AboutPermit Building 1999-12-27SPRINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIEI,D COMMI'NITY SERVICES DIVISION BUITDING SAFETY Page 1 ilob Nurnber: 99L57 4 225 North Fifth Street Springfield, OR 97477 Location of Proposed Workz 3321 WATERI{ARK DR Assessors Uap #: L7O2L943 Lot: 69 Block: office: Inspection Line: 126 -37 59 726 -37 69 Tax Lot #: Subdi-vision: 05900 AMBELSlDE CITY OF SPruNGFIEI^O, ONEGON O\,vner: ELLISON & PLAT Address: lB20 HAPPY LN Describe Work: S.F.RESIDENCE Phone #: 3454347 ci-tylstate/ zip: EUGENE OR, 97401 NEW General: Plumbing: Mechanical: Electrical: ContracEor Const. Contractor #Expires o7 /23 / Ot 05/L0/oO 02/L7/01, o5/Le/oo Phone 345 - 4347 588-1931 484-2286 688 - 4444 QUAD AREA: 3RNC OCCY GROUP: R3 HEAT SOURCE: FG OFFICE USE -- LAND USE: 1111 CONSTR. TYPB: VN INSUL PATH: P1 1 3 226L To request an inspection, call the 24 i:rowr recording aL 725-3759. A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- SITE - To be made after excavation but prior Lo settj-ng forms. FOITNDATION - After forms are erected but prior to concrete placement ITNDERFLOOR PLITMBING - Prior to insul-ation or decki-ng. ITNDERFLOOR MECHAI.IICAL - Prior to insul-ation or decking. ROUGH GAS - after }ine is instal-l-ed and capped if not attached Lo an appliance SUB WEATHERIZATION INSULATIQN - Floor; prior to decking Wa]l/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SAI'IITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to fill-ing trench. ITNDERFLOOR DR.AIN - Prior to cower or placement of concrete. ROUGH PLITMBING - Pri-or to cover. RoUGH MECHAMCAL - Prior to cover. ROUGH ELECTRICAL - PT1OT LO COVET. ELECTRICAL SERVICE - MusL be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materiafs FRAITIING - Prior to cover. INSULATION - Floor; prior to decking Wa]I/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete SIDEWALK - After excavation is complete, forms and sub-base material in place. ELLISON & PLAT OOO5O34 1820 HAPPY LANE EUGENE OR 974O1OOOO DON LEWIS PLUMB 0033076 5OO GREENFIELD ST EUGENE OR 9740415 CRYSTAL CLEAN OO95B78 1978 WALLIS EUGENE OR 97402OOOO ANTONE ELECTRIC OO82B35 2751,4 SNYDER RD ,IIINCTION CITY OR 97 # OF BLDGS: # OF BDRMS: SQ FOOTAGE: SPRINGFIELD Job Number: 991574 CITY OF ONEGON Page 2 FINAL PLITMBING - When all plumbing work is complete. FINAL MECHANICAL - When all- mechanical- work is complete. FINAL ELECTRICAL - When aIl- efectrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appli-ance. Pressure test done at this point. FINAL BUILDING - When all required inspections have been approved and the building i-s complete. Lot Faces: S Topography: 2 House Garage Lot Sq. Ft.: Total Height: 5552 26 Lot Coverag'e: 40 .7 Z Lot Type: CORNER N 26 Setbacks SW 15 15 18 E 6 Item Main Garage Total- Value Bui-Iding Permit Fee Surcharge/admin TOTAL FEE --- BUII,DING PERMIT --- Square Feet x 1802 459 $/Square Feet 69 .64 18.34 (A) Value 1,25 ,49l- . OO 8,418.00 133, 909. 00 s09 50 50 96 550 .45 --- PLI'MBING PERMIT --- Item Residential eath(s)/g.<r-&N) JFflA Plumbing Permit Surcharge/admin TOTAI, CHARGE 3 Fee L92 .50lo- ++ffif @z,so ,qlt a6o0 *HG zA,Zb zz;tL,7b(c)*1*=45- --- MECHAI.IICAL PERMIT Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F.P. Mechanical Permi-t Issuance Surcharge/admin TOTAI, PERMIT 4 6.00 4.50 L2.OO 3.00 5.00 4.50 (D) 35.00 10.00 3.50 48.50 --- MISCELLAI{EOUS PERMITS --- Surcharge/admin Sidewalk WILLAMALANE SDC CITY SDC ELECT. PERMIT TOTAL MISCELLATiIEOUS PERMITS 0.00 59.00 1, 000.00 2,455 .73 187.00 3,7LL.73(E) f5(3,4s (Excludj-ng Electrical) unless otherwise noted --- TOTAL AMOI'NT DUE --- (A, B, C, D, and E combined)+-#+H- SPPINGFIELD .fob Number : 99157 4 cfir oF SPTNGFIELq OnEGON Page 3 --- BUILDING VAI,UE, PI.AN CHECK AIiID BUILDING PERMIT --- This permit is granted on the express condition that the sai-d construction shaI1, in all respects, conform to the Ordinance adopted by the City of Springfield, i-ncluding the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: 331.18 Date Paid Received By: Plans Reviewed By: DON MOORE Date Building Site Reviewed By: BOB BARNHART Receipt Number: 0362L'7fi,/a1 / ee 1,2/22/ee --- ADDITIONAL COMMENTS --- PATH 1; ENGINEER'S APPROVAL OF SOIL/FDN,BASE ]S REQ'D NO SEWER CONNECTIONS OR OCCUPANCY UNTIL TNFRASTRUCTURE DRIVEWAY REQUIRED TO BE PAVED 5 STREET TREES REQU]RED ]S ACCEPTED BY CITY By signaEure, I state and agree, thaL I have carefully examined the completed application and do hereby certify that all information hereon j-s true and correct, and I further certlfy that any and a1l- work performed sha1l 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 thaL NO OCCUPANCY will- be made of any structure without permission of the Community Services Dj-vision, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 wifl be used on this project. I further agree to ensure that all required inspecti-ons are requested at the proper time, that each address is readabl-e from the street, that the permit card j-s l-ocated at the front of the property, and the approved set of plans wil-l- remain on the te at all times during construction. e1-1 ignature Date Receipt Number: Date Paid: Amount Recei-ved Received By --- VALIDATION --- b'6--ffi qL lA-A-7 - q ? ,_-{5,1 3 4s ( ATTACHMENT A CITY OF CHARGE WORKSHEET JOURNAL OR JOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: ELLISON & PLAT CONSTRUCTION 991514 332I WATERMARKDRIVE 17021943-06900 SINGLE FAMILY RESIDNCE BUILDNG SIZE:2261 LOT SIZE 5552 1. STORM DRAINAGE IMPERVIOUS SQ. FT.2019.8 x $0.232 PER SQ. FT $468.s8 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x x $486.73 PER TRIP x 548.27 PER PFU 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE X COST PER PM PEAK HOUR TRIP I x l.0l x $486.73 PER TRIP 23 $l,l10.21 $491.60 s0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's 1 B. IMPROVEMENT COST: NUMBEROF FEU's I x x $242.76 PER FEU $22,05 PER FEU TOTAL MWMC SDC $242.16 s22.0s ($6.41) $ 10.00 $268.40 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMNISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $ l 16.94 /z/21,,$2,455.73 DTTE TOTAL SDC CHARGES I $2,338.7e I - >E-/aarz*-- SDC COORDIN.{TOR PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE UNITS fNOff: rOn nEUOOgl,S PLUMBING FIXTURES UNIT FIXTURE FIXTI]RE TYPE NEW LNITS BATHTUB DRINKING FOLTNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LALTNDRY TUB/CLOSTHSWASHER/MOP SINK 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, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALL/WALL WASH BASIN/LAVATORY, SINGLE OR DOLIBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 0 t2 0 0 0 TOTAL PLUMBING FIXTURE LINITS:23 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL 2 1 2 3 6 2 6 6 I J 2 I 2 2 I 6 4 I 2 0 0 0 0 2 0 0 0 0 2 0 2 0 33 3 YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE $4.41 $ 4.38 $4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1 990 1991 1992 1993 1994 1995 1996 1997 1998 $ 2.18 $ 1.75 $ 1.35 $ Ll7 $ 1.03 $ 0.86 $ 0.71 $ 0.57 $ 0.39 $ 0.18 1979 orbefore 1980 1981 t982 1983 1984 1985 1986 t987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0.18 IMPROVEMENT (IF AFTER ANNEXATION DATE) 35.620 $6.41 $0.00 $6.41 x x CREDIT TOTAL 1 CITY OF SPB"UGFIELD, OFEGO'U 225 FIFTE SIts,EET Date S uperv Expiration Date Constr Contr. Numbe ,7EJ o/ Expiration Date Si of Supervi st .atGFtELo land use -q PERHIT APPLICATION City Job Nunber 3. COHPI,ETE FEE SCEEDTII,E BELOS A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items CostIJGAL DESCRTPTION JOB DESCts,IPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor Address Ci ty c :\ Phone Zoning L -v1 SPRINGI'IEIJ T OREGON 97 47 7^,,,r,o.zed Signalure INSPECTION REQUESTz 726:3769 OFFICE: 726-3759 isor License Numbe, J S 1 S Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home' or Modular Dvelling Service or Feeder B c 5. SUBTOTAL OF ABOVE 7% State Surcharge 32 Administrative Fee TOTAT 3 $ 1s.oo 6 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps _ 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts Reconnect OniY s s0.00 s 60.00 $100.00 s130.00 s300.00s 40.00 r<-Temporary Services or Feeders Installalion, Alteration or Relocation t an 200 amps"or less l-'- $ 40 201 amps to 400 amps - E :lover 4b1 to 600 amps - $ 80 Over 600 amps or 1000ToTts see 44+-.00 .00 .00 Ovne Name Address ^o Ci ty Ezrc ?Zbt phone ? l<-/3/7 OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE: uB' aE6Til D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - S 2'00 E. Hiscel-Ianeous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm I $ 40.00 s 40.00 $ 20.00 $ 36.00 l/2 -|_.trh_FECETVED l>- 7T/t - sPeciltc 1. LOCATION OT INSTALI,ATION-- Z<ir W 3qM 7)" , 4'T " ( Willamalane Park & Recreation District Job. No. ADDRESS: LOCATION OF PROPOSED BU ING SITE: NAME: 1 3E SYSTEM DEVELOPMENT CHARGE WORKSHEET t R$..S, PHONE 3l{_S q srArE:&- zP: tlqpl Manufactured home no! in a Park X $1,000 Per unit = $\ Cx-r)ero Street Address: Ptar Name: \1o &tt ype are on the A Single-Family Detached p Single Family home Tax Lot Number: (Check appropriate dwelting(s). SDC calculations and dwelling t baclc) NO. OF UNITS B. Single-Family Aftached NO. OF UNITS X $924 Per unit C. Multi-Familv Aoartment - NO. OF UNITS X $692 per unit D. Manufactured Home Paft NO. OF UNITS X $699 Per unit WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC+ayer must (umish proof of Witlamalane Credit approval. See SOC Credit Wottcsheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) pment Services Department Springfield $ $ $ $ $ $ -l.a-t &rl q7 Date City of \q tsrq €$ \, ar Llctvr \\e'r\* \* O6t (D This permit is required for any site activity in the.flood plain and eve fifty (5O) cubic yards of material or more and/or if a drainageway is I This Side To Be Filled Out by Applicant n City limits and consists of Qtity of spri ngfieldt L.-**a' l,--b-1"(Permit Expiration Date: e"e 315- Y 3 Ll7 Site Address :V3al lil Springfield, Oregon Pho City Owner ,\,1^J- 04 Date of Application Stata: OL Zip Property Address tr uGB Tax Map r.ro: l7-Oz-lq -{r" a{oo Journal number applicable Land Use Applicatio Tax Lot: r.l tr tr Sou Locationtr Su Oua EXCAV Suppl ter: Destination: Project Supervisor PhoneAddress FEI rvEII lJJo- Z tr tr tr tr ? CROSS SECTIONS, SOILS & GEOLOGY PLAN, ADDTTIONAL INFORMATION, DRAINAGE, POLLUTION AND ERO SION CONTROL PLAN dan nd REPLANTING PLAN PHO COMPANY NAME: , PROJECT SUPERVISOR: ADDRESS: CITY STATECITY STATE w,g#,- FAXl-l&l€D- oFFlcE ADDRESS: IAO6 O^L 'tr C!TY: Registration Number:,fq t1a ADDRESS: \l 7fa z- PROJECT SUPEBVISOR: COMPANY NAME: Expiration PHONEPBQJEGT SUPERVISOR: -I MOBILE PHONE:-, STATE: 0r.rfrr- , ZIP. CONTBACTOR NAME I und€rstand thst l.or my succo6sors may- have future plans for-my property which may be anticipated or unanticipatod at Etupi4[]$11:ttrt1l;1i;i{r:,J:'g ffi fffis*rrg$ifi "g,,jidlifl $fi,l$ffiffi undoins, changing, o, .oiiti-"-"iii;;i';;V;;ii""I *rt'i6tr r ii6"i irhoertaken ai a result bf the chv's approval of thls LDAP' -rF M, LJJ =' tIJ U Z EI M,o oZ oZs p^i"",fl1'll.Ll"tJ,:H1?i*""ffi";#Sil,x?,ii,1"..fil',JiHi1llffi"',]}fr":#'l',li"'"i,?'Jir:i""1":is^:fi i:'::x"T{l?;?i:ix" [;:#:?!#i#;:ixffi.9?^s'-'ft+i:li;ii?lt',:'#i,'til:t'"*gc*il':""llt]xiJ]L3H1{..:','jg'ir"'x}f"""li'l:iiniitiahii-fiiitrbh5 7oi.oss will be used on this proiect. , The city may ine pect th€ work site described in this permit 8t an-y tim6.durl4g a one year period followins the receipt by th€ city of notice ot "ojip'ii,iiin-6itr,i:J"i"riueo *oik ino specily, at ttre citVc sole'desicration, anv additional regtoration work required to ,"trrn'iiiJiffi'fi.;';i";l""i. i,i"ii,i'"'tr-J t"-t'ff6ity. Tilpii-ririttei witiue noiitieb in'wrhins of anv work , reouired and wil r,ar" triiiiv-iibii;y;i;;; ine iiid * itri noiice to.comilete the work. work not completed at the ond of iilih-i'iv-lilvi;ii 5; i6'rtrirmeri biihe citv and the costs will be billed to the permittee' aro requested at the proper time, that project address is readable from on thd site at all times during construction. n4? Date abI t?--v "1"1 I further agree to on8uro that all 116, tq Signature r6malntho str€ot,- rnd TT TUz =o TUF U' zotr E ltJ5 oz 5 a ztlj =o l-l- oul Efa tIJ [E a z 5fozoo cco o E,Fzoo CDz 5+ lUE:) f,tL Lrl cc) kz.o -u) I 1o*c GRADING, FILL, andof to EMERGENCY PHONE: Cfo f,"'&fi'a**'qtf"" tr E.tr E Culvert, O Natural Date: nity Panel No.FLOOD PLAIN,zone: X ,FEMACommu tr FLoODWAY, FEMA Community Panel No..: DRAINAGE, E Storm, El WETLANDS, Descrlptlon $30.o0 $30,00 For the first 1 0O cubic yards, plus $14.00 for each additional 100 cubic yards or fraction thereof. $156.00 For the first 1,000 cubic yards, plus $12.00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For the.first 10,000 cubic yards, plus $54.00 for each additional 1 O,O0O cubic yards or fraction thereof $750.00 For the first 100,001 cubic yards, plus $30.00 for each additional 1 0,000 cubic yards or fraction thereof ,-/rfr7 //4 ?- .,. }r''.'r Date: Receipt Receipt ttl Noz ()3 Ln e Date: I '1/ l? No,36+bl oate: /&-/5 -q? PLAN CHECK FEES: 100,001 To 200,ooo 2OO,OO1 CUBIC YARDS OR MORE Received by: Grading Permit fee:+@.OO Received By t0 c* ,o,,-/ 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 cuBrc YARDS 10,000 To 100,000 cuBtc YABDS GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO 1,000 C_UBIC YARDS 1,0O1 TO 10,000 CUBTC YARDS " 10,ooo To 1.oo,ooo cuBtc YABDS 1oo,oo1 To 2oo,ooo Estimated Volume: Plan Check Fee: *€ Date: Date: Date: Date tr tr I W Engineering w ?Y Maintenance: Building: {r,,nn Planning: Engineoring: Building: Maintenance: Date- Date Permit Number lssued by:Date: Date Date RerU rired Final lnspections-' FEI M IJJo- Zo ETF rvIr- IJJFJ IIJ U Z EI rvEo oZ nZ s Land and Drainage. activity.as outlined in this permit has been completed in accordance withtne provrsrons ot tnts permtt. Irqn(.ErlO-Ug.ilaqe^qc,tlylty3r^s_gu1lined in this permit has not been completed in accordancewrln Ine provrsroTls oI tnls permtt. tr Land and Drainage activity was performed prior to application for this permit Accepted by: _ Date: tr tr uJ() z, s(L ]U C)o 1/6/1998 $30.00 $40.oo $40.00 For the first 10,000 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof. $220.00 For the first lOO,OOI cubic yards, plus $20,00 for each additional 1 0,000 cubic yards or fraction thereof. $340 For the first 200,001 cubic yards, plus $6.00 for each additional 10,000 cubic yards or fraction thereof. Date: v This Side To Be fill our By ciry SAif rIJa z tto l.U tJ.lIL U)zo F-ozoo o trJ =t! lU TE U)zo o UJ TL U'z