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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.