HomeMy WebLinkAboutPermit Building 1999-02-08SPRINGFIELD
225 North Fifth Street
Springfield, oR 97477
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 990049
office:
Inspection Line:
726 -37 s9
726-3769
Location of PropoEeaffifrSE4s5 WATER MARK cT
Assessors tutap # z 17O2L9OO - -- Tax Lot #
Lor : s4 'iHlS Pfzufl
"qHALL
EXptRE lF THE WQ$lfiivision
03200
AMBLESIDE
Owner: RICK MARTIN
Address: A45 W GARDEN WAY
Descri-be Work: S. F
city/srate/zip:, EUGENE, OREGON 974O2
RESIDENCE NEW
A!'l tii, i-t'N.(-,rEu(-)fi iav"y requtrei vou tu
687 -8317
General:
Plumbing:
Mechanicaf
Electrical
follow rules adopteo by the@Hgon Utility
con trac tor Notif ication Ce nter. Tlooaendesare tet fG*p i re s
'n OAR 952-001-0010 through OAR 952-001-
sAwroorH 0090. You may obtaimoqdogDf the rulesq/26 /ee
1 4 O s w r. s rH .68ifl i rqstlB@r[tBr. {tx}oD€:qheQel e phone
spECrArry purD{Bber for the oregon(lffilt$ Notificatioh]- / 21/ ee
25sO COUNTRY Uu{E(}U!@ilB 16E0@3{381ruq.
HOME COMFORT HE 0084154 06/25/99
705 OSCAR STREET EUGENE OR 97403OOO
ANTONE ELECTRTC OO8283s Os/L9/99
2751,4 SI\TYDER RD JUNCTION CITY OR 97
Phone
344 - 9L24
586 - 41,91
345-2838
5BB-4444
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2284
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
To request an inspection, call the 24 hour recording aL 726-3769.
A11 inspections requesEed before
inspections requested after 7:00
a.m. will be made the same working day,
wifl be made the following work day.
7:00
a. m.
--- REQUIRED INSPECTIONS .--
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLooR DRAIN - Prior to cover or placement of concrete -
POST AND BEA}{ - Prior to floor insulation or decking-
INSULATION - Floor; prior to deckj-ng wa11/ceili-ng; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to fil-ling trench.
ROUGH PLITIIBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAI{ING - Prior to cover.
INSULATION - Floor; pri-or to decking waIl/ceiling; Prior to cover
DRYIIIAIL - Prior to taping.
ELECTRICAL SERVICE - Must be approved Lo obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concrete '
SIDEWALK - After excavation is complete, forms and sub-base maLerial
in p1ace.
CITY OF
SPRIIIGFIELD
Job Number: 990049
CITY OF
Page 2
FfNAL PLIIMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FfNAL ELECTRICAL - When all el_ectrical work is complete.
FrNAL BUrrrDrNG - when all required inspections have been approved and
t.he building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 8198
Total Height: 24
Lot Type: INTERIOR
Setbacks
SWE
562
18
Lot Coverage: 18 ?
Setbk From NPL: 35
N
)6
Item
Main
Garage
Total- Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMTT ---
Square Feet x
1800
484
$/Square Feet
69 .64
18.34
(A)
Val-ue
1,25 ,352 . OO
8 ,87'7 .0O
L34,229 .OO
511.75
40 .94
552 .59
PLI'MBING PERMIT
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
1,92 .50
L92 .50
15.41
207.9L(c)
Furnace
Exhaust Hood
Vent. Fan
Dryer Vent
Mechanical Permit
fssuance
Surcharge/admin
TOTAIJ PERMIT
MECHANICAL PERMIT
6.00
4.50
9.00
3.00
)')
10
1
50
00
B1
(D)34.31
--- MISCELLANEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
ELECT. PERMIT
WILLAIVI'\LA]dE
TOTAL MISCELLANEOUS PERMITS
0.00
10.75
14.50
2,622.29
183.50
1, 000 . 00
(E)3,83L.1_4
(Excluding Electrical )
unless ot,herwise noted
TOTAL AMOI'NT DUE - - -
(A, B, C, D, and E combined)4 , 625 .05
!iPR!I{GFIELD
,.fob Number: 99O049
OTT OF SPruNGFIELD, ONEGON
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permj-t is granted on the express condition that the said construction
shal1, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon vi-olation
of any prowisions of sai-d ordi-nances.
PIan Check Fee; 332.54 Date Paid:
Received By:
Plans Reviewed By: AL WARD Date:
Building Site Reviewed By: LISA HOPPER
ot/L3/ee
ot/2s/ee
Receipt Number:. 32556
--- ADDITIONAI, COMMENTS .--
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PI]RPOSES
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signat,ure, I state 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 all work performed
shall 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 permi-ssion of the
Community Services Division, Building Safety. 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 requj-red i-nspections are requested at the
proper time, that each address is readable from the street, that Lhe permit
card is located at the front of the property, and the approved set of plans
wil-L rema on the taLlt during construction
ignature Date
--- VALIDATION ---
05Lc t zReceipt Number:
Date Paid:
Amount Received:
Received By:
zlrlqt
tfiz(. rf
A),
ATTACHMENT A froe4?CITY OF SPRING, IELD SYSTEMS DEVELOPML.. I CHARGE
WORKSHEET
NAME OR COMPANY . {,'CI (YI*I.h N
LOCATiON j+s6 wffi C{
DEVELOPMENT TYPE +D
SIZ Ft.
1
I'
IMPERViOUS SQ. FT.
SANIIARY SEWER-CITY
NO. OF PFU'S 25
t^*)+ Qt. zo)r,+qf* *FLo
X $0.227 PER SQ. FT $,3 a
X $47.14 PER PFU s \t77. {o
s +@, 07
s T11 ,++
$ Z5,ZO
< $ 3,t{
S lZ+,91
z)z>-
2
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRIP RI.IE X COST PER TRIP
, X r,or x 5475.32
x $475.32
4. SANITARY SEt^lER-MI^/MC
A. REIMBURSEMENT COST
5. ADMINISIRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
(hs e
SDC Coord'inator
ATTACH'A. I^JPD
$X
NO. OF FTU'S I X N1,++PER FEU
B IMPROVEMENT COST
NO. OF FEU'S X 2., ZO PER FEU
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
MI^/MC ADMINISTRATIVE FEE $ i0.00
T0TAL-MWMC SpC s i( *1
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ Z+q1,12
Date:ZI
TOIAL SDC S Z* 7 Z, Z?
BUILDINGSiZE: zZ8* rct
I
(NorE: For remoders, carculate "", ". ugr-"00,,,"'J,:t;'r;.;"'
vr rYE\N rrxlures x unrt Equtvalent = Fixturd Uniis
FIXTURE TYPE
Bathtub.....
Drinking Fountain....
Floor Drain........
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
7-
t/
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto Wash/Etc.................
Laundry Tub/Clotheswasher....
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........
Sink: Bar, Commercial, Residential Kitcnen..
Urinal, Stall/Wail..
Wash Basin/Lavatory, Single.......
Toilet, Public lnstallation.
Toilet, Private........
Miscellaneous:
CREDIT CALCULATION TABLE:Basei on assessed value. lf impro
roTAL FIXTURE UNTTS = Z,<
vements occurred after annexation date in :aole.
-
._-.--
'2
-_
U
2
1
2
o
2
6
6
1
2
l lHead
2
2
1
6
4T-/+77
--
calculate credits arates,
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
O,Z x$ /5
(Rate X Assessed Value)x$
4/g
(Rate X Assessed Value)
CREDIT TOTAL $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Onty)
Residential.....o.4Commerical ......... O.g
lndustrial..........o5
Governmenta1...................... O.s
IMPERVIOUS ARE.A = TOTAL LOT S|ZE X RUNOFF COEFFTCTENT
Year
Annexed
Rate per $1,O00
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
r 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.'15
0.96
0.83
o.67
o.52
o.3B
o.21
FIXUNIT.WPO
This permit is required for any site activity in the flood plain and everywhere site alteration consists of
fifty (50) cubic yards of material or more and/or if a drainageway is affected, within City limits and
This Side To Be Filled Out by Applicant
Date of Application '-2? - * permit Expiration Date:
lof ,s/, Oregon
City E. ',1,J ,Jrbu 7
5 (,Ig"
2/3Property Owner.
Site Address:
Address :
Phone:
')-'rL?2@ Tax Lot:
Journal number applicable Land Use Appl ication
tq-l'l-Dtr ucB Tax Map No:
tr
tr 1,4,,
tr
Phone
Destination
Project Supe rvrsor
FILL, Oua
RADIG NG Oua
EXCAVATION, Ouantity
Source Location
MaterialSupplier
Supplier:
Address
E(
tr
tr
tr
tr
tr
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
d
CROSS SECTIONS,
SOILS & GEOLOGY PLAN,
ADDITIONAL INFORMATION,
REPLANTING PLAN
COMPANY NAME: ,
PHONE
STATE
PHONE
STA
crw
CITY
7,r1,,COMPANY NAME:
PROJECT SUPERVISOR:
ADDRESS:
PROJECT SUPERVISOR:
ADDRESS:
U-a? zzZ
EMERGENCY PHONPHONE i,-
CITY:
Registration Number:
ADDRESS:
PROJECT SUPERVISOB:
CONTRACTOR NAME:
Expiration Date:
PHONE
ZtP Q>{OL oFFrcE pnoie ?ts.flLi ? -{ei
STATE:
MOBILE
I understand that l. or my successors may have future plans for my property which may bc anticipated or unanticipated at
this time. I understand that such future plans may require permits and developement approvals from the City of Springfield.
I understand that notwithstanding any approval of this Land and Drainage Alteration Permit (LDAP), that at tho time of
application of luture permits or approvals tho City may review and reconsider all actions which I or my successors have
undeftaken persuant to this LDAP. I understand that tho City may as a condition of any future approval. require the
undoing, changing, or modification of any actions which I have undertaken as a result of the City's approval of this LDAP.
By signature, I state and agree, that I hate carefully examined the completed application and do hereby certify that all
information herein is true and corr€ct, and I further certify that any and all work performed shall be done in accordance
with the Ordinances of th6 City of Springfield, applicable City Standard specifications and Drawings, and the laws of the
Stato of Oregon pertaining to tho work described herein, I funher certify that only contractors and employees who are in
compliance with ORS 701 .055 will be used on this project
Tha City may inspect the work sit6 doscribed in this permit at any time during a one y€ar period following the receipt by
the City of notice of completion of the described work and specify, at th6 City's sole desecration. any additional restoration
work required to return the site to a standard acceptabl€ to the City. Tho pormittoe will be notified in writing of any work
required and will have thirty (30) days from the date of the notica to comploto the work. Work not completed at tho end of
the thirty days will be performed by the City and the costs will be billed to the permittee.
I remain
are
Signature Date
I funher rgree to onsurc thrt all
the street, and
uested at tho proper timo, that projeA address is readable from
site at all times during construction,
TE
tUz
tso
ttjt
U)
zotr
E
]U
5
oz
5
a
z
uJ
Eo
E
o
tIJ
CE5olu
CE
at-z
5f
ct)zoo
!Eo
o
tf
zoo
az
5.L
lu
tEf
fll.
T'JE:fl-
zg
q)
A,,u0rl,r,* n ?or"rn;'t+ '1Q OO4Q
City of SpriIcl
and
landto
FEI
i/
-lrrI,IJo-
Zo
-rlF
M
IJJFJ
IIJ
U
Z
EI
fvIIIo
oZ
oZ
5
NG.D
tr
u
tr
tr
DRAlNAGE,EStorm,EDitch,0Culvert,oNatural
Date:
ton
FLOODWAY, FEMA Community Panel No.:
FEMA Community Panel No.:
WETLANDS, Descript
FLOOD PLAIN, Zone:
s20.o0
s30.00
$40.00
$40.00 For th6 first 10,000 cubic yards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof
$220.00 For the first 1O0,OO1 cubic yards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof
$340 For the first 2O0,0Ol cubic yards, plus
$6.00 for each additional 1O,OOO cubid yards or fraction thereof.
$30.00
$30.00 For the first 100 cubic yards, plus
$14.00 for each additional 1OO cubic yards or fraction thereof.
$156.00 For the first 1,OOO cubic yards, plus
$12.00 for each additional 1,000 cubic yards or fraction thereof.
$264.00 For the first 1O,OOO cubic yards, plus
$54.00 for each additional 10,000 cubic yards or fraction theroof
$750.00 For the first 100,001 cubic yards, plus
$30.00 for each additional 1 0,000 cubic yards or fraction thereof
Received By: Date
?t a'
Dateo 3A%l
Date:
2OO,OO1 CUBIC YARDS OR MORE
Estimated Volume:
Grading Permit fee:
Received by
PLAN CHECK FEES:
UP TO 1OO CUBIC YABDS
101 TO 1,OOO CUBIC YARDS
1,001 TO 10,000 cuBlc YARDS
10,000 To 100,000 cuBlc YARDS
100,001 To 200,000
GRADING PERMIT FEES:
UP TO 1OO CUBIC YARDS
101 TO l,OOO CUBIC YARDS
1,001 To 10,000 cuBlc YABDS
10,000 To 100,000 cuBlc YARDS
1oo,oo1 To 200,000
Plan Check Fee Receipt No:
Receipt No:
Date:
tr
tr
tr
tr
Date:
Maintenance:
Building:
Engineering
Plann
Date:
Date
Planning:
Engineering:
Building:
Maintenance:
lssued by:
Date
Date:
Date:
Date
Required Final lnspections'
Permit Number
FET
M
IJJo-
Zo
ETF
fvE-r
I.JJFJ
IJJ
L]
Z
-afvEo
oZ
nZs L.and and Drainage. activity.as outlined in this permit has been completed in accordance with
tne provlsrons oT tnrs permrt.
lqad^ild_D_1?.i!aqe qc,tlyry as_o_u^tlined in this permit has not been completed in accordancewrtn tne provrsloTls oI thrs permrt.
tr Land and Drainage activity was performed prior to application for this permit.
Accepted by:- _ Date:
tr
tr
IIJoz
(L
lIJoo
1/6/1998
Date:_
This Side To Be Fil o ut By City S
1rlullr
Drto_
UUillamalane
Park & Recreation District Job- No.
Manufactured home not in a
$
$
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
ADDRESS:STATE:ZIP:
LOCATION OF P ED BUILDING S
Street Add
Plat N Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.1b
A. Single-Family Detachecl
I\ Single Family home
NO. OF UNITS X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C- Multi-Familv Aoartment
NO. OF UNITS X $692 per unit = $
D. Manufac'tured Home Park
, NO. OF UNITS X $699 per unlt = $
WILLAMALANE SDC
2. SDC CREDTT (lf applicable) SDOaayer must furnish proof of
Wllamalane Credit approval. See SOC Credit Wotlcsheet.t.
3.TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for
o0$
City of Springfield
Credit)
ate
Y 1fl
225 TIFTB STREET
SPRTNGFTELD, oREGoN 974
INSPECTION REQTIEST.. 72
OFFrcE:. 726-3759
1
T'r r r4!6qrri;-1p orolecl as Submitted has
Zsrrlrg, an0 OO8S nOl speci,ic
approval
Zoning
SPFlINGFlELO
the following
land use
BLECTRICAI PERHIT
Job Nunber
COHPLETE FEE SCHEDI.IIJ BELOV
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
Authorized Signature
ON
ts are non-transferable and expire
rk is not started vithin 180 daYs
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
3
A
ea8+I s 8s.00
P
Ovners
Addres
Ci ty Phone
OVNER
The installation is being made on
property I ovn which is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
s 1s.00
s 40.00
on
40_
aEoE
Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2-00
E. MiscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
3_
Sum
85
4s
if vo
of issuance or if vork is suspended for
1Bo days. NOTfCE:
s s0.00
$ 60.00
s100. 00
s130.00
s300.00
s 40.00
$ 40.00
s ss.00
$ 80.00
see trBrt
rs
Reloca t i
D
$ 40.00
s 40.00
$ 20.00
s 36.00
5
RECEIVED B
d)
2. CONTRACTOR INSTALT,ATION ONLY
Electrical Contractor
Constr Contr.
Expiration Dat
B. Services or Feeders
Installation, Altera
or Relocation:
200 amps or less
201 amps to 400 amPs
tions
l\
Address
city,Tt^natin C Phone z R8 trt ,t rt 401- amps
Supervi-sor License Number 2OO C S
601 amps to
Expi ration Date Those
Number o OAR
3o-t€V @80
callinO
Signature of Supervising Electrician OvetFr
0ver 600 amps or
to 600 amps
amps
1000-voITs
lt.