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$3; ftii",i:'&?S"9ilH1f, Pl;Y,Tiii:intggTiliiiffitf,#;*i;#iiF,fltil^,
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By signature, I state and agroo, thEt ; 6sy6-.rerefully examined the comploted applicatlon and do hereby c"rtify th"t
"llinformatio^n herein ls true ind con-egt, and-.lJurther.'ceniti^itrit-anv-;a-;iiildli!;rf;il;a;i;ii Ui'iine [n accordancewith the ordinances of the clry of sfrinsfield, apptiiiuie'citvlta-iaiig iietriiil[6rii'iii-a-o-ri-vUrids]ilaiMi;;;;i;i-,6"stato.of oregon p-enainins lqlhe.wdrk oiscribeiheiein. tlnhtr,ii'iiritfy itin only contrastora and emli6yi;Ji;h;;h-i;compliance with ORS TOf.OEE will be used on thls project. . -- ' - -
The City may lnspect the work rlte described ln this permlt at any time durfutne cltv oinbii;;;i6mpiliiih dit[i-Jl"-iriui'o'*o,k and cpeciry, ",-.n. cPrrl?li"E"1"E:1i3"':H*iil$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
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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:
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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
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1/6/1998
Culvert, 0 Natural
Receipt No, 3 56 88 Date.l-Z7 -9t
t
is Side To Be Fill By City Staff
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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