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HomeMy WebLinkAboutPermit Building 1999-10-14siPRTIi.GFIELD 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work z 3447 Assessors Map #: 1-702L943 Lot: 7B 81 RESIDENTIAI, PERMIT APPI,ICATION CITY OF SPRINGFIEI.D COMMT'NITY SERVICES DIVISION BUTI.DING SAFETY sT. Page 1 ilob Number: 99L267 Office: Inspection Line: 7800 LESIDE 126 -37 59 726-3769 PERMIT .arrr?E[).^nrrttrl'l EOB CITY OF SPruNGFIEIT', ONEGON Owner: GREG LARKIN Address : P. O .BOX 2041- Describe Work: S.F.RESIDENCE fffieuEffi,,,, NEW General: Plumbing: Mechanical Electrical- Contractor Const. Contractor #Expires o4/a2/00 o1 /25/0O o7 /2s/oo oe/1,5/ee Phone '7)C _)))) 928 -'t 92'7 928 - 7 927 961 - I O45 QUAD AREA: 3RNC OCCY GROUP: R3 HEAT SOURCE: FG - - OFFICE USE - - LAND USE: 1111 CONSTR. TYPE: VN INSUL PATH: P1 # OF BLDGS # OF BDRMS SQ FOOTAGE 1 3 l.940 To request an inspection, call the 24 hour recording aL 726-3769 A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wi-l-l- be made t.he following work day. --- REQUIRED INSPECTIONS --- FooTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFLOOR PLIIMBING - Prior to insufation or decking. ITNDERFLOOR DRAIN - Prior to cover or placement of concrete. ITNDERFIJOOR MECHAIIICAL - Prior to insulation or decking. POST AI$D BEAI{ - Prior to floor insulation or decking. INSULATION - Fl-oor; prior to decking Wa11/CeiJ-ing; Prior to cover WATER LINE - Prior to filling Lrench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH PLTIMBING - Prior To COvEr. ROUGH GAS - after line is instalfed and capped if not attached to an appl iance ROUGH MECHAIIICAL - Prior to cover. ROUGH ELECTRICAL - Prior TO COvEr. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior t.o cover. INSULATION - Floor; pri-or to decking Wa11/Ceiling; Prior to cover DRYWALL - Prior to taping. ELECTRICAL SERVICE - Must be approved to obtain permanent power. cAS SERVICE - After l-ine is installed and fine has been connected to a minimum of one appliance. Pressure test done at thj-s point. tU L2/+P GREG LARKIN 0063361 36952 coats Rd Springfj-e1d OR 97478 MIDVALLEY PLUMB 0004687 2428 SE THREE LAKES RD ALBANY OR 97 MIDWAY PLUMBING OOO4587 2428 SE THREE LAKES RD ALBANY OR 97 G&E ELECTRIC 0054468 PO BOX 1685. ALBANY OR 973210000 SPRI]IIGFIELD Job Number: 99L25'7 CITY OF SPilNGFIELT', ONEGON Page 2 CURBCUT - After forms are erected but prior to placement of concreLe. SIDEWALK - After excavatj-on is compleLe, forms and sub-base material in place. FINAL PIJIT!,IBING - When all plumbing work is complete. FINAL MECHANICAL - When al-l- mechanical work is complete. FINAL ELECTRICAL - When all electrical work j-s complete. FINAL BUILDfNG - When all required inspections have been approved and the bull-ding is comp1ete. Lot Faces: S Topography: 2 House Garage Lot. Sq. Ft Lot Type: Setbacks swE r_8 5 18 : 5L32 INTERIOR Lot Coverage: 31 Z N 20 Item Main Garage Total Val-ue Building Permit Fee Surcharge/admin TOTAI, FEE --- BUILDING PERMIT --- Square Feet. x 1-496 444 $/Square Feet 69 .64 18.34 (A) VaIue 104, 181.00 8, 143 .00 1,1,2 ,324 . OO 462.25 46.23 s08 .48 PLIIMBING PERMIT -. - Item Residential- Bath (s) Plumbing Permit Surcharge/admin TOTAIJ C}IARGE 2 Fee 150.00 160.00 15.00 (c)175.00 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/ tnsert /Fireplace Unit Dryer Vent GAS PIPE W/H Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT ) 6.00 4 .50 9.00 4.50 3.00 s.00 (D) 32 .00 10.00 3.20 45.20 --- MISCELLANEOUS PERMITS Surcharge/admin Sidewalk Curb Cut CITY SDC WILLA]VIALANE TOTAL MISCELLANEOUS PERMITS 0.00 60.00 60.00 2 ,203 . O6 1, 000 . 00 3 ,323 .06(E) 4,052 .7 4(Excluding Electrical ) unless otherwise noted --- TOTAL AMOUNT DUE --- (A, B, C, D, and E combined) SPR!NGFIELD rfob Number: 991-267 CITY OF SPilNGFIEI"D, ONEGON Page 3 --- BUILDING VALUE, PLAN CHECK A.I{D BUITDING PERMIT --- This permit is granted on the express condition that the said construction shal1, in all respects, conform to the Ordinance adopted by Ehe City of Springfield, including the Development Code, regulaLing the constructi-on and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. PIan Check Fee: 300.45 Date Paid Received By: Plans Reviewed By: AL WARD Date Building Site Reviewed By: BOB BARNHART oe/L5/ee to/L2/ee Receipt Number: 355'7'7 --- ADDITIONAI, COMMENTS A&T VALUE IS DEFAULT A SEPERATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED By eignature, I Btate and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and al-I work performed shal-l- 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 permission of the Community Services Division, Building SafeLy. 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 inspections are requested at the proper time, that each address is readable from lhe street, that the permit card is located at the front of the property, and the approved set of plans wi-If remain on the sit aL aIl times during consEruction I 2-k7? S Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: 0 iS Stvl lo tf q 612,'77 J u^/ ADDRESS: P srArE: o* zP:31363. LOCATION OF PROPOSED BUILDTNG SITE: Street Address: Plat Name:L'tOAt1{ a , rax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype detinitio* l* on the baclc) A Single-Family Detached 5 Single Family home Manufactured home not in a park X $1,000 per unit = $ \ CfuD q NAME: tlu _lD r Date Willamalane Job. No.11 &7 =$ =$ Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:1 NO. OF UNITS B. Single-Family Attaehed NO. OF UNITS X $924 Per unit C. Multi-Family Apartment O. Manutaaurea Home Pa* NO. OF UNITS X $699 per unlt = $ WILLAMALA,NE SDC 2. SDC CREDTT (tt appncaOte) SDO+ayermust furnish proof of Wllamalane Credit approval. See SOC Credit Wotksheet 3. TOTAL WILLAMALANE NET SDC ASSESSED (it SDC reduced forCredit) $ $ $ { D ment City of Springfield Department IL &6- O?8il) ! ctrv oF ST'IITNGFIELc, 225 FIFTE STREBT SPRINGFTELD, ORBGO* rr4rroo,ou"' rNspEcrroN RBQtEsr z 726-3769 zonins h PERHIT APPLICATION Job Numbe, qq / 7d 7OFFICE: 726-3759 L- Date Stgnature1. LOCATION OP I,EGAL DESSRIPTION/f o Z rq 47o 7ffi) JOB DESCRIPTION n/LLa SeL."-; &,-c- Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONIRACTOR INSTAII..ATION ONLY Electrical Contrac r", 11 fE AUr{-t- ?o bor I bsb Phone 5W -Qt l'9bZl Supervisor License Ntimber S Expiration Date t0-t -0 aLt 2 t]C Nev Residential-Sing1e or MuIti-FamiIy per dvelling unit. Serviee Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dr^rel1ing Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -40L amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reeonnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation I gBs.oo U-FO 3 $ 1s.ooY€[0 Address Ci ty B c SCBEDULE BELOS "d"fuPq Sum above not included) 40.00 40. o0 20.00 $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number lb-t- 00 fle e-\- t>- LE Expiration Date Signature of Supervising Electrician \---J Ovners Name lltr-,r,tt*-*- Address 7.o. Pz*-t Jn 4 t Ci ty t-!)n < Phone OIINER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: RECEIPT or less $ 40.00 to 4oo amps - g 55.00 to 6oo amps - $ 8o.oo amps or 1000 volts see rrBrr 200 amps 20L amps Over 401 0ver 600 ----- o. Branch Circuits New, Alteration or Extension Per Panel One Ci.rcuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Ptrmp or irrigation $ Sign/0ut1ine Lighting_ $ Limi ted Energy/Res _ $ Limited Energy/Comm $ 5. SUBTOTAL OF ABOVE State SurchargerorAl 3?aRECEIVED BY: -qq -pz Wa& /v3'trd 'le-U -,+>a.>-' B0.m---a,3?0 Slde To of Filled Out by This tsermit up torired sitereqany activity cubic50)ot materialtiwyards or amore tEity of Springfield Permit Expiration Date: " . Phone: '.1,, Dato of Appli Property Sito Address : .l-3 Tax Lot: Journal number appllcable Land Use NOzLtr uGB Tax Map tr tr tr Source LocatioFILL, Destination Project RADItJ NG, EXCAVATION, Supplier: Address E( tr tr tr tr tr DRAINAGE, POLLUTION AND EROSION CONTROL PIAN number, CBOSS SECTIONS, SOILS & GEOLOGY PLAN, REPIANTING PLAN ADDITIONAL INFORMATION, PHONE PHONE ctw STAT crw COMPANY NAME COMPANY NAM PROJECT SUPERVISOR: ADDRESS: PROJECT SUPEBVISOR: ADDRESS: oFFlcE PHoNEfS,'l5da__ FAx , EMEBGENCY PHONE: GmU^ MOBILE PHONE: ot1 lbll0n SrArE: |fL , z Registration N ADDRESS: PH CONTRACTOR NAME: PROJECT SU Expiratlon , CITY: I undorstand that l or mv succepsgrc may. have future plane for.my property whlch may bc antlclpatcd or unrntlciprtod rtthie time' I understand thaf iuctr-tutuililtiiri mlirequhe permitiaha tivitopemcnt_apprgyqrq trom tiri'iiiii"i-i6ii,?a'"iaI understand that notwithEtandlns any q'pplova-l.oi ttrii tario ana oiainasc {tfifiiiil-ptrfiffi:tt oAFi,:tl.,it ai-irre'uifii't?"-'-application of lulure permitc.ol.alnroiralb'the clty may iovtew ino re.Cofiitiriiiriiltili'dilicT'ibi.rfri iu-ccetiori'6j,ie xl!3il',:"JlH!ffi::lttl?'H$3; ftii",i:'&?S"9ilH1f, Pl;Y,Tiii:intggTiliiiffitf,#;*i;#iiF,fltil^, F -t i/ --!IJJo- Zo -lF fv --iLUFJ LLJ U Z tsl rvE-rc oZ oZ 5 By signature, I state and agroo, thEt ; 6sy6-.rerefully examined the comploted applicatlon and do hereby c"rtify th"t "llinformatio^n herein ls true ind con-egt, and-.lJurther.'ceniti^itrit-anv-;a-;iiildli!;rf;il;a;i;ii Ui'iine [n accordancewith the ordinances of the clry of sfrinsfield, apptiiiuie'citvlta-iaiig iietriiil[6rii'iii-a-o-ri-vUrids]ilaiMi;;;;i;i-,6"stato.of oregon p-enainins lqlhe.wdrk oiscribeiheiein. tlnhtr,ii'iiritfy itin only contrastora and emli6yi;Ji;h;;h-i;compliance with ORS TOf.OEE will be used on thls project. . -- ' - - The City may lnspect the work rlte described ln this permlt at any time durfutne cltv oinbii;;;i6mpiliiih dit[i-Jl"-iriui'o'*o,k and cpeciry, ",-.n. cPrrl?li"E"1"E:1i3"':H*iil$ffi"r3'&l?J,;"" H!'t :ii{i:}I'fi ii.yJtB,i5,bj?!fj!ui,t^""T;.tJ"#i!TB:.."'* ri.;8,:,,rlk"#[ii,aii,x* sH[,,:t3,":,.fl1l;[ll;;'the thirtv days wilt bc perfd,rmod byihe city and the ioitJ *irfue 6lttic'i'5ltii pii;lne;. Sig J;o I th!taro requested at on the tlte'rt all further agree the Datc that all addrcr.b readable from (E tr,z =o trlE ct, zo E CE TU5 oz 5 cnFz TU =() t- otrl CE5a TU(E CI'Fz 53azoo (Eot-o Et-zo C) oz, 5o. luEfF:) TL IU otr =,kz. CIo Pt,,rrZ+ 93J3g q7tLal 6zo RB Be Oregon andot w% Date: C:R munitil Panel No. E. tr.- DRAINAGE, E Stonn, B WETLANDS, FLOOD PLAIN, Zone:-\( , FEMA Com tr FLOODWAY, FEMA Community panet No.: $20.00 $30.00 $40.00 940.00 For the first 10,000 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof. 9220.00 For the fhst 100,001 cublc yards, plus $20.00 for each additional 10,000 ctbic yards or fraction thereof. $340 For the first 200,001 cublc yards, plus $6.00 for oach additional 10,000 cubid yards or fraction thereof. 930.00 $3O.OO For the first lOO cubic yards, plus $14.00 for each additional lOO cublc yarda or traction thereof. $156.00 Foi the first 1,000 cublc yards, plus $ 1 2.00 for oach addltional 1 ,000 cubic yards or fraciion thereor. $264.00 For the first 10,000 cublc yards, plus $54.00 for each additlonal 10,000 cublc yards or fraction th6reof. $750.00 For the first 100,001 cublc yards, plus $30.00 for each additional 10,000 cublc yards or fraction thereof. 55 Date: rql' ra Date: X.Zh)>tL#3o,oo 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE Received By: Grading Permit fee: Received by: Receipt No: Date: PL.AN CHECK FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 To 10,000 cuBrc YARDS ':10,000 To 100,000 cuBlc YARDS GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS $+o.bPlan Check Fee 1,001 TO 10,000 cuBtc YABos 1o,ooo To loo,ooo cuBtc YARDS 1oo,oo1 To 2o0,ooo Estlmated Volume:& 50 AMBLESIDD MEADOWS SUBD. Thls propcrty is locatcd in an arca ofhcavy clny soils(expansive clays). A liccnscd cnginecr slrall- vcrify the stability ofthe soils in thc proposed building arca and nrake any rccommenrlations ncccsssry to assurc thc continued stability ofllre' soil. A copy oflhe cnginccr's report shall be submittcd to thc Building Ollicial prior to .- "trcginning construction ofthc structure. Plannin 7d ineering tr Matntenance: tr Buitding: Date: Date: Date: Date {--e,,s Date Pgrmit Number Date: Date lssued Reqrrlred Flnal lnsfreetions: Maintenanc'e: Date Date: Plannlng: Engineering: Builcting: FEI, M, LUo- Zo EIF fv --rIJJFJ LU U Z -rrvI-ro oZ nZ s !.StO__q19,-Ptuin^apre-gctjyity.as outlined in this permit has been compteted in accordance withrno provrsrons ot this permit. hf,N,?{}dfr5?l3pd.,"r%?,i.yil,Jf;,,i,yfiin"d in this permit has not been compteted in accbrdance tr Land and Drainage activitv was performed prior to applicatlon for this permit. (Aic'epteo B B TUoz F(L ulo() 1/6/1998 Culvert, 0 Natural Receipt No, 3 56 88 Date.l-Z7 -9t t is Side To Be Fill By City Staff lrl CI z, Eo lU IUlr. oIUEtrl ul CE Date: 3qq? WctlZ no,( JOURNAL f IOB XO. ??TZOZ ATTACHMENT A CITY OF SPRTNGFIELD SYSTBMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:L t^) LOCATION Anna r l-\C P Lkn< a lC Tu $ t-l o"- l14z - a?8o o DEVELOPMENT TYPE 5trra (See Reverse Side) 3. TRANSPORTATION NO OF LINITS X TRIP RATE X COST PER PM PEAK HOUR TRIP a (.ot xs486.73PERTRIP x _ x s486.73 PER TRIP 4. SAMTARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S x z'+2 -1b PER FEU B. IMPROVEMENT COST: NO. OF FEU'S X 2z . o{PER FEU MWMC CREDIT IF APPLiCABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE BLIILDING SZE:114o MPERVIOUS SQ .FT. Z€SZ 2. SAMTARY SEWER-CITY NO. OF PFU'S I I 5. ADMINISTRATTVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 SDC t-bug DflrrrEuJ*+,r l. STORM DRAttvAGE f(+t'a.,) +(zoxza) +(e.s .r"[ + (zo * rs) ' LOT 5t3 Ft. Z\qL + 3GO x$0.232 PER SQ. FT.s snz.o G X548.27 PER PFU s 968,86 s 41l.too S-a S z*2. zc S 2z.oS s 10.00 TOTAL-MWMC SDC s l'lS cz SUBToTAL (ADD ITEMS 1,2,3 & 4) S Z 018. rs S ro+.q( ATTACH'A.WPD Date: z/zt/ca TOTAL SDC Z?a3,o I FIXTURE UNIT CALCI II,ATION TABLE] NumberofNervE'*turesXUnitEquivatent:FixrureUnits (NOTE; For remodels, calculate only t ET additional fixturcs) FI,\TURE ryPE Drinliing Fountain.. Floor Drain.. Interceptors For Grease/OiUSolids/Etc. Interceptors For Sand/Auto Wash./Etc Laundry Tub/CIotheswasherfiVlop Sink................... Clotheswasher - 3 Or More............. Mobiie Home Park Trap (l Per Trailer).. Receptor For Refrigerator/Water StationrEtc........... Receptor For Commercial S ink/DishwashevEtc...... Sho*'er, Single StaI1.............. Sho*'er, Gang... Sial: Bar, Commercial, Residential Kitchen.......... Unnai. Stail/Wall.. Wash Basin/Lavatory Single........-.. Toilel, Public Installation... Toilet, Private......... Ivliscellaneous: z2 I 2 3 6 2 6 6 tt I 3 2 I 2 2 I 6 ia /- z ') 8 /FIead - ') NUMBER OF NEW FIXTURES TOTAL FIXTL;RE LN.JITS UNIT EQUTVALENT FIXTUR.E UNITS z It CREDIT CALCULATIO\ TABLE: Based on assessed value. If improvements occurred after amexarion date in tabie, calculate creolis Credit for Parcel or Land Only If Applicable 1,1t x S ZE,1 lza.ts (Rate X Assessed Value) Improvement (if after annexation date)x$ (Rate X Assessed Value) CREDITTOTAL =$ IZ1.IL Year Annexed Rate per S 1,000 Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 1980 1981 1982 r 983 1984 1 985 I 986 1987 r 988 s4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.3 8 3.03 2.62 lrzrqletia>r 9E9 I 990 1991 1992 r 993 I 994 r 995 l 996 1997 l 998 2.t8 t.75 r.35 t.t7 i.03 0.86 0.t1 '0.57 0.39 0.r8 RUNOFF COEFFICIENTS FOR STORM DR{INAGE (For Estimating Purposes Only) Residential... Commerical.. Indusu-ia1.........................:... Govemmenta1.................-.... 0.4 0.9 0.5 0.5 FIXUNTT.WPD IIUPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT