HomeMy WebLinkAboutPermit 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