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Home My WebLink AboutPermit Building 2000-01-03CITY OF SPilNGFIELD, siPRINGFIELD TRANES:01-0000142 DffTE:JAN 0t 1000 AHT REID:Z $ 41??.J] IHANGE: IASHIER: O]2 Page 1 RESIDENTIAL PERMIT APPI,ICATION CITY OF SPRTNGFIETD COMMI'NITY SERVICES DIVISION BUILDING SAFETY .Tob Number: 991595 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 3421 WATERMARK DR Assessors Map #: 17021-943 Lot : '7 1 Block : Office: Inspection Lj-ne: Flg' 726 -3759 726 -3769 Tax Lot #: Subdivision: o7700 AMBLESIDE MEAD OwneT: GREG LARKIN Address : P. O. BOX2041 Phone #: 5417404370 CoRVALLTS Ocity/SraLe / Zip: CORVALLTS Describe Work: S.F.RES NEW General: Plumbing: Mechanical: Electrical: ContracEor RIVER VALLEY BU 0072942 PO BOX 2041 CORVALLIS OR 97339 MIDWAY PLUMBING 0004687 2428 SE THREE LAKES RD ALBANY OR 97 MTDWAY PLIIMBING 0004687 2428 SE THREE LAKES RD ALBANY OR 97 G&EELECT. 0054458 PO BOX 1585 ALBANY OR 973210000 Conet. Contractor #Expiree 04/1,s/01" 07/2s/e8 07 /2s / e8 0e/Ls/eB Phone 24W# 74o -/) 70 928 -'t 927 928 -7 92'l 967 -8527 QUAD AREA: 3RNC # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2OLO FLOOD PLAfN: N ZONING CODE: LDR # OF BDRMS: 3 RANGE: G To request an inspection, call the 24 hour recording at 726-3769. A11 inspectj-ons requested before 7:00 a.m. wj-l-l- be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED TNSPECTTONS --- SfTE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. FOTNDATION - After forms are erected but prior Lo concrete pl-acement ITNDERFLOOR PLITMBING - Prior to insulaLion or decking. ITNDERFLOOR MECHAI{fCAt - Prior to insulation or decking. ROUGH GAS - after 11ne is installed and capped if not aLtached to an appliance POST AND BEAITI - Prior to floor insuLation or decking. fNSULATION - Floor; prior to decking Wa11/Cej_1i_ng; prj_or to cower STORM SEWER LINE - Prior to filling trench. ITNDERFLOOR DRAIN - Prior to cover or placement of concrete. WATER LINE - Prior to filling trench. SAI{ITARY SEWER LINE - Prior to filling trench. ROUGH ELECTRICAL - Prior to cover. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power. ROUGH PLITMBING - Prior to cower- ROUGH MECHANICAL - Prior to cover. SHEAR WAIJIJ NAIITING - Before covering sheathing with finish material-s FRA,MING - Prior to cover- rNsuLATroN - Floor; prior to decking wall/ceiling; prior to cover DRYWAIJIJ - Pri-or to taping. CURBCUT - After forms are erected but prior to placement of concrete, srDEwArJK - After excavation is complete, forms and sub-base material in pIace. SPFII{GFIELED .fob Number: 991595 CITT OF SPruNGFIEIT', Page 2 FINAL PLITMBING - When all plumbing work is complete. FINAL MECHA"I{fCAL - When all mechani-cal work is complete. FINAL ELECTRICAT - When all efectrical work is complete. cAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: N Topography: 2 Lot Type: INTERIOR Lot Sq. Ft.: 5133 Total Height: 19 Lot Cowerage: 39.2 % Solar Approved: Y N 18 18 Setbacks s W 9 9 E 5House Garage Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE --- BUTLDING PERMIT --- Square Feet x 1500 4L0 $/Square Feet 69 .64 18.34 (A) Value 11,1, , 424 .00 7 ,5L9 . OO 118, 943 .00 475 47 75 57 s23.32 --- PIJIIMBING PERMIT Item Res j-dential Bath ( s ) Plumbing Permit Surcharge/Admin TOTAL CHARGE 2 Fee 160.00 160 L5 00 00 (c)L75.00 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 3 6.00 4.50 9.00 3.00 5.00 (D) 27.50 10.00 2.76 40.25 --- MISCELLANEOUS PERMTTS Surcharge/admin Sidewafk PLAN REVTEW FEE WJLLAIVT,\LA}IE SDC CITY SDC TOTAL MISCELIJANEOUS PERMITS 0.00 60.00 50.00 1, 000 . 00 2,3L7 .75 3,437.75 (Excluding Etect,ricat )unless otherwise noted - - - TOTAL AMOI'NT DUE -. - (A, B, C, D, and E combined) (E) 4 , L77 .33 SPFINGFIELD Job Number: 99L595 CITY OF Page 3 --- BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the sald construction shal1, in all respecLs, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulat.ing the construction and use of buiJ-dings, and may be suspended or revoked at any time upon vj-olation of any provisions of said ordinances. Plan Check Fee: 0.00 Date Paid: Received By: Plans Reviewed By: DON MOORE Date: Bui-lding Site Reviewed By: DON MOORE Receipt Number: --- ADDITTONAI, COMIIENTS --- PATH 1,. SEPARATE ELECTRICAL PERMIT TS REQUIRED. NO SEWER CONNECTIONS OR OCCUPANCY UNTTL INFRASTRUCTURE TS ACCEPTED BY CITY DRTVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUTRED By signature, I stat,e and agree, that I have carefully examinedthe completed application and do hereby certify that all information hereonis true and correct, and I further certify that any and all work performed shal-I be done in accordance with the Ordinances of the City of SpringfieJ-d., and the Laws of the State of oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure wit.hout permission of the Community Services Division, Buildj-ng Safety. f further certify that onlycontractors and employees who are in compliance with ORS ?01.055 will_ be used on t.his project. I further agree to ensure t.hat all required inspecti-ons are requested at theproper time, that each address is readable from the street, that the permitcard is l-ocaLed at the front of the property, and the approved set of plans wil-l-on the si-te 11 rl during construction. 1,1,/23/ee ),2/30/ee /A-Sa -22 Signa Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received Received By: Oooo r 7 t00 ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS CHARGE WORKSHEET JOURNAL ORJOB NUMBER NAME OR COMPANY: LOCATION: TAX LOT NUMBER DEVELOPMENT TYPE: GREG LARKIN 991595 3421 WATER MARK DRIVE 17021943-07700 SINGLE FAMILY RESIDENCE BUILDING SIZE 2OIO LOT SIZE 5 133 I. STORM DRAINAGE IMPERVIOUS SQ. FT.2494.0 x $0.232 PER SQ. FT 6l 2. SANITARY SEWER-CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFUl8 $868.86 3. TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP I x l.0l x M86.73 PER TRIP x x $486.73 PER TRIP $49 r.60 $0.00 TOTAL TRANSPORTATION SDC $491.60 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I B.IMPROVEMENT COST: NTIMBER OF FEU's I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE x $242.76 PER FEU x $22.05 PER FEU TOTAL MWMC SDC $242.76 $22.0s ($6.50) $ 10.00 $268.31 38SLIBTOTAL (ADD ITEMS 1,2,3, &4) BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $lr0.37 r/a /qt $2,317.75 DATE TOTAL SDC CHARGES PLUMBING FIXTURE LINIT (PFU) CALCULATION TABLE NUMBER OF NEW FXTURES X LTNIT EQUTVALENT = PLUMBING FIXTURE UNITS (NOTE: FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES) PLUMBTI.TG FIXTURES UNIT FIXTURE FIXTURE TYPE NEW OLD ALENT UNITS BATHTUB DRINKING FOUNTAIN FLOORDRAIN INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOSTHSWASHEPVMOP SINK CLOTHESWASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRIGERATOWWATER STATION/ETC. RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBEROF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, STALLAMALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: 2 0 0 0 0 2 0 0 0 0 2 0 2 0 2 0 8 2 1 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 1 I 2 2 0 0 0 TOTAL PLUMBING FIXTURE UNITS:18 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL YEAR ANNEXED RATE PER $1,OOO ASSESSED VALUE YEAR ANNEXED RATE PER $I,OOO ASSESSED VALUE $4.41 $ 4.38 $4.32 $ 4.20 $ 4.03 $ 3.88 $ 3.68 $ 3.38 $ 3.03 $2.62 1989 1990 1991 1992 1993 1994 1995 1996 t997 1998 $ 2.18 $ 1.75 $ l.3s $ 1.17 $ 1.03 $ 0.86 $ 0.71 $ 0.s7 $ 0.39 $ 0.18 1979 orbefore r980 1981 1982 1983 1984 1985 1986 1987 1988 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $0'18 x IMPROVEMENT (IF AFTERANNEXATION DATE) X 36.100 CREDIT TOTAL $6.50 $0.00 $6.s0 I I Willamalane Park & Recreation District Job.No. 9qrq7{ STATE: f)Y<- ze: SYSTEM DEVELOPMENT CHARGE WORKSHEET luil/*-*-, PHONE:NAME: ADDRESS:o.o LOCATION OF PROPOSED BUILDING SITE: Street Address:34>r l^)afi-an#- Plat Name:-A.nn h.t tl 3,4-- 1. DEVELOPMENT TYPE (Check ype definitions are on lhe back.) A. Single-Family Detached Single Family home NO. OF UNITS NO. OF UNITS WILLAMALA,NE SDC _ Tax Lot Number: l.1o> 19*3 appropriate dwelling(s). SDC calctrlalions and dwelling t Manufactured home not in a park X $1,000 per unit = $lffiu1 B. Single-Family Attached NO. OF UNITS X $924 per unit C. Multi-Family Apartment NO. OF UNITS X $692 per unit D. Manufac{ured Home Park $ $ $X $699 per unit 2. SDC CREDTT ([ applicable) SDOaayer must fumlsh proof of Willamalane Credit approval. See SOC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced tor Credit) $ $ $/ert:. City of Services Department I t*Lr Date OREGO'V, CITY OF The fpllowing proieci as suhmlttar{ ha 225 FIEIE STRBEf, sorirrrs arrc cloe sPRrrrcEtBu), oRBGoN ytt'81? INSPBCIION RBQIIBSf,: 726-JY6r OPEICE: 726-3759 Date 4-- l' a-o 1 LocarroN oB rNsfiffifff ;ffi nature ra'lllltul-ar:LU . th.' fotlowing tL lanc use 3. coHPLgrB Nev Residential-Single or HuItl-Famlly per dvelling unit. Servlce Included: Items Cost 0h EIIECM,ICAL PBNfiIT APPLICATION Clty Job UuqU"r m PEE S.EEDULB BELos Qa QSqSO\ g nor requtrr. Specllt(t/ 712 t W;u-t-ecrl^dtl< I.BGAL DESCRIPTTON\7 -o -lq -Da JOB DESCRTPTION5F^ OIJNER INSTAII.ATION The installation is being made on Property I ovn vhich is not intendedfor sale, lease or rent. Omers Signature: DA?E: 1000 sq.ft. or less Each additionaL 500 sq. ft or portion thereo f $ ss. oo gs -(n t,$ ls.oo 30'UA A Sum Pernits are non-transferable and expirelf vork is not started vlthin 190 diysof lssuance or if vork is suspended ior 180 days. 2. COTTTRACTOR INSTALIATION ONLY Blectrical Contractor A bt'ettric , Tn c Address 00 Box tlogb Ci ty Arb Jnrl 0 \t#:'s-qr q b't -8bL1 Supervlsor License Ndmber Cqai; A Expiration Date ,/O -/ -oo Constr Contr. Number S{qb B Expiration Date -60 ture of Supervislng Electrlcian Ovners Name Address ctty- Phone Each Manufrd Home or -Hodular Dr;elllng Service or Feeder $ 40.00 Services or Feedersfnstallation, Alterations or Reloca t ion: 200 amps or less 201 amps to 400 amps -401 amps to 500 amps -601 amps to 1000 amps- over 1000 amps/vorts -Reconnect Only B E s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ $ $ one Circuit $ 35.00Each Additional Circuit or uith Serviceor Feeder permit S Z.OO Miscellaneous (Service/feeder not included) -Each installation Pump or irrlgation Sign/0utIine Llghting- Limited Energy/Res -Limited Energy/Comm t5, 40.00 40.00 20. 00 SI,BTOTAL Or ABOVE 7IZ St"te Surcharge T0TAL 37a e&^.ort s 36.00 RECEIVED BY: 2-r -o-u 5 y,/ra,( tad,S0 I C. Temporary Servlees or Feedersfnstallatlon, Alteration or Relocation 200 amps or less S 40.00 201 amps to 400 amps - g 55.00 over 401 to 600 amps - $ go.oo Over 600 anps or 100OEfTs see ,,Bu aEiE D. Branch Circults Nev, Alteratlon or Extension per panel qq0\50l RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety SPRINGFIELD Paoe 1 of 2- TRAN$fi:01-0000422 DATE:FEE 01 1000 AHT REID:! $ ?69.50 CHAI,J6E: IASHIER:059 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3421 Watermark Dr Spr AssessorsMap#: 17021900 Lot: Block: Addition Job Number: 00-001 56-01 Office:726-3759 lnspection Line: 726-3769 Tax Lot#: 03200 Subdivision: ctTY oF SPRTNGFIELD, OREGON Owner: River Valley Builders Address: PO Box 2041 Scope Of Work: Electrical Only Phone Number: City/State/Zip: New 541-7404370 Corvallis, OR 97339 Value: $0 Contractor Type ElectricalContr Contractor G&E ELECTRIC PO BOX 1686, ALBANY, OR 97321 Registration # Expiration Date Phone 541-967-8627 Quad Area: # Of Units: Constr. Type: Water Heater: Office Use - Land Use: Zoning Code: Bedrooms: Range: # Of Buildings: Occupancy Group: Heat Source: Sq. Footage: To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the followingworking day. Rough Electrical Electrical Service Final Electrical Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (Sq. Feet) Required lnspections - Prior to cover # Of Stories: Height (feet): Gurrent Units: proposed Units: Census Code: Does not apply Main:Accessory:Total Electrical -Must be approved to obtain permanent power. -\Men all electrical work is complete. / Job# 00-00156-01 .Page 2 of 2 Fee Paid On Receipt# ValuelQuantity Fee Amount Wiring Footage 1,000 Sq Ft or Less Wring Footage Each Add'l 500 Sq Ft State Surcharge For Electrical Permit Electric Administrative Fee Total Electrical Electrical 02t01t2000 02t01t2000 02t01t2000 02t01t2000 1 2 422 422 422 422 $85 00 $30.00 $8.05 $3.45 $126.50 Grand Total $126.50 Signature Date