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
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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:
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