Loading...
HomeMy WebLinkAboutPermit Building 1999-09-13SPiTINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nurnber: 990690 225 North Fifth Street Springfield, OR 974'77 LocaEion of Proposed Work: 3450 WATER MARK CT Assessors laap #: 1-702L943 Lot: 53 Block: Office Inspection Line 726 -3759 725-3769 Tax Lot #: 05300 Subdivision: SPruNGFIEIT', Owner: TOM WIRFS Address : P. O .BOX 237 Descri-be Work : S. F. RESIDENCE Phone #: 741 -8'704 city/state/zip: sPLFD oR, 97478 NEW ConEractor ConsE. ConEractor #Expires 06/28/OO 03/1,3/oo 1,2 /23 / ee 1,o/01,/se Phone 747 -8704 548-7510 7 47 -7 445 34L-8426 General: Plumbing: Mechanical-: El-ectrical: TOM WIRFS 0032947 1,275 S 2ND SPRINGFIELD OR 97477OOOO BMC PLUMBING O1O4BO5 PO BOX 292 TERREBONNE OR 9775OOOOO MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 BfLLS ELECTRIC 0021351 3170 W 11TH EUGENE OR 914020000 QUAD AREA: 3RNC CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2LtB OFFICE USE -- LAND USE: 1111 # OF BDRMS: 3 RANGE: G OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To request an inspection, calf the 24 hour recording aL 726-3769. A11 inspecti-ons requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will- be made the following work day. .-- REQUIRED INSPECTIONS --- TEITTPORARY POWER FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ROUGH GAS - after line is instal-Ied and capped if not attached to an appliance ITNDERFLOOR PLITMBING - Prior t.o insulaLion or decking. ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking. POST AtiID BEAII - Prior to floor insulation or decking. ffi:l":*I - Il:::'.1'iii.l:,':::i:fl wall/ceiling; Prior lfo?6Er SAIVTTARY sEwER LINE - Prior to filling trench. IH/Sf #Htiffi *I';.;;1f | "li*il-:'ri;:i:'::'"'"""**",ffi,ffiiii}*'fr *Hfr:ir,r ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathj-ng wit.h finish materiaLs. FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Pri-or to cover DRYWALL - Prior to taping. CURBCIII - After forms are erected but pri-or to placement of concrete. SIDEWALK - After excavaLion is complete, forms and sub-base material ,i,r:: VOlltO in place ti:. : ,:.1,r';(t;.-l' ,1! . ,, , !,i: r., iel lnith ,,ii. i;i;z'l:ii1 - : : 'i. )' lr't:: :i.ii89 llV ' :''', .',1,(: $i-'Cf le ,r rioiitication.. .:.\ SPRINGFIELD Job Number: 990690 Page 2 FINAL PLITMBfNG - When all plumbing work is complete. FINAT MECHANICAL - When all mechanical work j-s complete. FINAL ELECTRICAL - When afl electrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure Lest done at this point. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: W Topography: 2 House Garage Lot Sq. Ft.: Total Hej-ght 610 0 )tr, Lot Coverage: 35.6 Z Lot Type: INTERIOR EN Setbacks SW 5 18L2 Item Main Garage Total Val-ue Building Permit Fee Surcharge/Admin TOTAL FEE --- BUILDING PERMIT --- Square Feet. x 1,7 49 480 $/Square Feet 59.54 18.34 (A) Val-ue 121,800.00 8,803.00 130,503.00 502.7s 40.22 542 .97 PLIIMBING PERMIT --- Item ResidenLiaL Bath (s) Plumbing Permit Surcharge/admi-n TOTAL CHARGE 3 Fee L92 .50 1,92 .50 1,5 .41, 207.9L(c) --- MECIIANICAL PERUIT --- Furnace Exhaust Hood Vent Fan Dryer Vent. GAS LINE &W/H Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 4 6 4 L2 3 5 .00 .50 .00 .00 .00 30.50 10.00 2 .45 (D)42 .9s --- MISCEI,LANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS 0.00 50.00 50.00 365.79 1,000.00 2, 500.55 183.60 4,L70.94(E) 4,964.77(Excluding Electrical) unless oEherwise noted --- TOTAL A}'OI'NT DUE --- (A, B, C, D, and E combined) Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAI{,\LA1{E SDC CITY SDC ELECT PERMIT SPFINGFIELD Job Number: 990690 SPruNGFIELD, Page 3 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construcLion shal-l-, 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 violation of any provisions of said ordinances. Received By: Plans Reviewed By: DON MOORE Date: 07/27/99 Building Site Reviewed By: BOB BARNHART --- ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED ENGTNEER REQ'D FOR SITE SOILS DETERMINATION. DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED By signaEure, f atate and agree, that f have carefully examined the completed application and do hereby certify that al-1 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 herei-n, and that NO OCCUPANCY will be made of any sEructure without permission of the Community Services Division, Bullding Safety. I further certify that onlycontractors and employees who are in compliance with ORS 701.055 wil_l_ be used on this project. I further agree to ensure that all required inspections are requested at theproper time, that each address is readable from the streeL, that the permit card is located at the front of the property, and the approved set of plans wiLl- remain on the site al-l- times during construction. Signature Da oN --- Receipt Number: Date Paid: Amount Received: Received By: 225 FIFTE STREET SPRINGFTELD, OREGON 97 477 INSPECTION REQLTEST: 726-3769 OFPICE z 726-3759 L TION OF INSTAII,ATION LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable if vork is not started vit of issuance or if vork is 180 days.4NY 2. CONTRACTOR INSTALI.,ATION Electrical Contractor Address 3t'ZA U/, //d Expiration Date /0-- / - ?7 ture of S sing Electrician 0vners Name SPFrINGFIELE) ELECIRICAL PERHIT APPLICATION Ci ty Job Number COHPLETE FEE SCEEDTILE BELOV Nev Residential-Single or Mul"ti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less L'?' $ 85.00 nach additional 500 sq. ft or portion thereof Each Manuf'd Home or s 1s.00 Modular Dve 1ling Feeder $ 40.00 Feeders , Alterations Service or 4 49? 'Tkqo \N3 Y, A C Sum a_Le (,I pnonx?l/-f,y'?_! Expiration Date //4- ad consrr conrr. Number ,9/3 g/Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201" amps to 400 amps __ 401- amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect OnIy L/ s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 200 amps'"or I 201 amps to 4 0ver 40L to 6 Over 600 amps rps 000or1 -vofEs se ses 00 00 s $ $ 40. 00 g aSove amps am 55.00 80.00 e ilBil Add cir r S Phone STALLATION The installation is being made on property I olrn r.rhich is not intended for saIe, lease or rent. 0vners Signature: DATE: Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service'itr' Feeder Permi t $ 2.00 E. Misceflaneous (Service/feeder not included) -Eaeh lnstallation D. Branch Circuits SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAI Pump or irrigation _ $ Sign/0ut1ine Lighting- $ Li.mi ted Energy/Res $ Limited Energy/Comm $ 40.00 40.00 20.00 36.00 RECETVED n 5 dD a ,urJrri(r License Number ! qO S t JOURI lR JOB NO.av)tt o ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY NI IZF S LOCATION: DEVELOPMENT TYPE SF'D BUILDING SIZE SI SQ. Ft $ 211 ,4 $ 25.20 i STORM DRAINAGE -------=-::(m IMPERViOUS SQ. FT. n 28,5)2- + g*o+ A z" 6 x $o.zzl zo+ *b) PER sQ. FT. s 45?.41 -i 2. SANITARY SEWER-CITY NO. OF PFU'S at x $47.14 PER PFU s ttbl .3L (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PIR TRiP x t.6t x $475.32 s #,-o*' x _ x $475.32 \$ 4. SANITARY SEWER-MI^IMC A. REIMBURSEMENT COST: N0. 0F FEU'S ( X 277,4,+PER FEU B. IMPROVEMENT COST: NO. OF FEU'S I X ZS,ZOPER FEU MI^JMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATiVE FEE 5. ADMINISTRATIVI FEES : BASE CHARGE (SUBTOTAL ABOVE) X .05 lAA5t-- SDC Coordinator ATTACH'A. [^JPD TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) <$ $ 10.00 s 3t2.6+ s 239 I .f? TOTAL SDC o^tr,b{qffi s ?-5OO'5E FIXTURE UNIT CALCULf JN TABLE: uumuer of New Fixtu (NOTE: For remodels, calculate only tir6 NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub..... Drinking Fountain.......... Floor Drain 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 Sta|1.......... Shower, Gan9......'.. Sink: Bar, Commercial, Residential Kitchen...- Urinal, Stall/VVall Wash Basin/Lavatory, Single........ -Toilet, Public lnstallation.__TTI-- Toilet, Private...... Miscellaneous TOTAL FIXTURE UNITS l . Unit Equivalent = Fixture Units UNIT FIXTURE EOUIVALENT UNITS v-/-* -.L\ ]T Z- -> 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 Z+ CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table, calculate credits Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL - $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating PurPoses OnlY) Residential 0.4 Commerical 0.9 lndustrial.... O 5 Governmental....0.5 Year Annexed Rate per $1,OOO Assessed Value Year, Annexed Rate per $1,000 Assessed Value 1 989 1 990 1 991 1992 1 993 1 994 .. ., r 995 1 996 1 997 s1.98 1.55 1.15 0.96 o.83 o.67 o.52 o.38 o.21 1979 or before 1 980 1 981 1982 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 3.1 8 2.82 2.42 FIXUNIT.WPD IMPERVTOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT --T--- I I x $- = Willamalane Job. No.q 0Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:PHONE: *1.I -8t LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat Name:Tax Lot Number: OSSUtl 1. DEVELOFMENT TYPE (Ct.u$ appropriate dwelling(s). SDC calculations and dwetting r 1pe definitions are on the back) A. Single-Family Qetachect 13 Single Family homd Manufactured home not in a park NO. OF UNITS \X $1,000 per unit = $ cJ?_ B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park NO. OF UNiTS X $699 per untt WILLA,MALANE SDC $ 2. SDC CREDff (r appncable) SDCaayormust rurr{str proof of Willamalane Credit approval. See SOC Credit Wotkshoet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced forCredit) $ D nt Services De \ oo City of pringfield partment Date _LA, { ADDRESS: LO L.\ t G srATE: C!- zrP: t'I'Qb 'PRINOAI1II Side To Be Filled Out by Applicant This permit is required for any site activity in the flood plain and everywhere site alteration consists of fifty (50) cublc yards of material or more and/or if a dralnageway is affected, wlthin City limits and (r- ( -?? Phone:7qZ SZac/lJornn.t ho?Sprlngfield, Oregono Permit Expiratlon Dato State: -zip-- Property Owner Data of Appllcatlon Sito Address: Address : Journal number appllcable Land Use Applicati 7pcnoz l1-A7-\q--4 7 Tax Lottr uGB Tax Map tr tr BxLlU Phone *rL o{e Project Supe rvisor EXCAVATION, Materlal RADING G o Source Location 3O u.a-zat Destination: Supplier: Address tr FILL, ou E( tr tr tr u tr DRAINAGE,POLLUTION AND EROSION CONTROL PLAN and dn CROSS SECTIONS, SOILS & GEOLOGY PLAN, es ADDITIONAL INFORMATION, REPLANTING PLAN ADDBESS: COMPANY NAME: , PROJECT SUPERVISOR: PHONECOMPANY NAME: STATE STATE CITY PROJECT SUPERV]SOR: CITY STATE: @r , ZIP: Q ZlZ 7 OFFICE PHONE 7C(7 E MOBILEPHONE: 7' T 3?7 E, EMERGENCYPHONE: o/7r at2 7 q e nRegistratlo o ,RADD SS:E .2 Z PHON _, clTY: CONTRACTOR NAME: PROJECT SUPERVISOR: l-understand that I or my auccessors may have future plans for my property whlch may bc entlclpated or unantlcloated atthls tlme. I undorstand that 6uc^h futuro plans may requlre pormlts and dovelopement approvals fiom thc Clty of S'prlnglleld.I undarstand that notwithEtandlng any approval of this Land and Drainage Altbratlon Pirmlt (LDAPI, that at ine trire oiapplication of future parmits.o_r€pprovalb'the City may rwiew and recoislder all actlona whi:tr toi'mi iuilisidii-iririeundertaken persulnt to thls LDAP, I understand that tho 9!ty may Es r conditlon of any future approvll, requke theundolng, changlng, or modiflcatlon of any actions whlch I hive uhdertaken Es ! resuft bf the City's appiova-l of tttti pep. By slgnaturo., t stat-e and ogroe, that I hate carefully examined the completed applicatlon and do hereby certify that alllnformatlon herein ls true and corr-ect, and.lfurther.'c6rtify_that any ana-att*o;li;;rf-;fi;a;h;ll6';';;i"-il;;c;;;;;;"with tho ordlnances of the clty of Springfield, applicable'City Standard speCiiici[ioii-ina-oil*tns1, ini ine fiwi oi ttrestato.of oreson p_ert_ainins to_ the wdrk described'herein. I fuither co.ttiy itral ontiiJ"iiiaoli iiiiiinpioveei'*h;;;e"i;compliance wlth ORS 7Ol .056 will be used on this prolect. The Qity may lnspect th€ work cite doscribed in this pormit at an-y time.during ! one ygar perlod fonowing the recaipt bythe Cltv of notice of completion of the described woik ana specify, ag_thiCit'v,-i;;t"'d;J;;tlJn,'Jnv aa?iiionatieirbijtionwork required to roturn the site to a standard sccoptable.to ih€ Ctti. taitper-rirlnEi wltib;;;iliil,;b l;';ritl;;;i;;;;;;i-"raquired and will h.8vc thiryy (3ol daya from the daie of ttre notice i'o cimfrste tfie-w;;i.. w;;i-;;i iomptetid-at inb CriJbrthe thirtv davs wifl be perfdrmed by the ctty and the costs witi ui unliJ'i5lti; ilmift;. Lq 7t)7 all required inspections aro r€quested ot sot of plans will remain on thi site at all the proper tlmo, that project address ls readable fromtlmos durlng construction.- 0,," [ 4 -7? bvilki,t4?u,^,rt+ %owy s /t-ls c7 Z and ADDRESS: PHONE Explratlon atu TE5aUI TE cco b TEFzo C) Eutz =o ulF aD zo EElu h ctzs ll:' UI TEf,kzg vt -r DRAINAGE, 0 Storm, O Ditch, B Culvert, O Natural EfEtr tr Date: FEMA Community Paner No.:4t05?C) 15 7 ,F FLOODWAY, FEMA Community Panel No.: FLOOD PLAIN, Zonez WETLANDS, Description l.btrl $20.00 $30.00 $40.00 $40.00 For tho first 10,000 cubic yards, plus $20.00 for oach additional 10,000 cubic yards or fraction theroof. $220.00 For the first 100,001 cublc yards, plus 920.00 for each additional 10,000 cubic yards or fraction thereof. $340 For the first 200,001 cubic yards, pfus $6.00 for each additional 10,000 cubic yards or fraction thereof. $30.00 930.Op For the first 1 0O cubic yards, plus $ 1 4.O0 for each additional 1 0O cubic yards or fraction thereof. $ 1 56.00 For tho first 1,000 cubic yards, plus $ 1 2.00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For ths first 10,000 cubic yards, plus $54.00 for each additional 10,000 cubic yards or fraction thereof. $750.00 For the first 100,001 cubic yards, plus $30.00 for each additional 1 0,000 cubic yards or fraction thoreof. t1'r-{r#u F Datelula'r Receipt No,356?5bfl,LReceived ,^r", QllrlqclGrading Permit fee: Received by: Receipt No: Date: PLAN CHECK FEES: UP TO lOO CUBIC YARDS 101 TO l,OOO CUBIC YARDS 1,001 TO 10,000 cuBlc YARDS 10,000 To 100,000 cuBlc YARDS 100,001 To 200,000 2OO,OO1 CUBIC YARDS OB MORE GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO l,OOO CUBIC YARDS 1,001 TO 10,000 cuBlc YARDS 1o,ooo To loo,ooo cuBlc YARDS 1oo,oo1 To 2oo,ooo Estimated Volumo: Plan Chock Foe: AMBLESIDE MEADOWS SUBD. This property is locntcd in an arca o[hcavy clay soils (cxpansive clays). A licensed cnginccr shall verify thc stability ol'the soils in thc proposed building arca and make any reconrmen<tations nccsssary to assurc thc continued stability ol'thc soil. A copy of the cngincer's rcport slrall bc subnritted to ths Building Oflicial prior to bcginning construction of the structurc. ts E EI tr Malntonance: Plannln Englneorlng Date: Date Date- Date - Date: Date:lssued by:Permit Number RerIrired Final lnsfrections' Malntenance: DatePlanning: Engrneenng: Building: tl i#ir11?.BtfJTpi.trH;,#.a€ outlinod in this permit has been completed ln accordance with tr h,1m,111dp?5318fo%"r%?,lYllyf&ffY.li"ed in this permit has not been completed in accordance tr Land and Drainago activity was performed prior to application for this permit. Date:Accepted by: F EI rv --aIJJo- Zo -rF rv -IiIJJFJ IJJtl Z -r rVI-ao oZ nZ s 1/6/1998 , Dil,,/zlfu t/+17 City staifBy r,,:. r.,. i lrjutIL t cDzo Eozoo o tU =lrt utE CI'zo t)trlo- 3r, = t