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Home My WebLink AboutPermit Building 1999-09-13SPRIITGFIELD 225 North Fifth Street Springfield, OR 97477 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Nr:rnber: 990691 Office: Inspection Line: 7 26 -37 59 '726 -37 69 Location of Proposed $lork: 3484 WATERMARK ,*&1, Assessors Map #: L7O2L943 Tax Lot #: 05100 Lot: 51 Block: Subdivision: AMBLESIDE SPMNGFIELI', Owner: TOM WIRFS A.ddress: P. O .BOX237 Describe Work: S.F.RESIDENCE Phone #: 747-8704 City/state/zip: SPLFD oR, NEW General: Plumbing: Mechanicaf: ElectricaL: Con6t. Contractor Contractor # TOM WIRFS 0032947 1.275 S 2ND SPRINGFIELD OR 97477OOOO BMC PLI.]MBING O1O48O5 PO BOX 292 TERREBONNE OR 9775OOOOO MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 BILLS ELECTRIC 0073462 1195 Crowley Ave SE Salem OR 973020 Expires 05/28/eB 03 /L3 / OO 1.2/23/ee to/04/ee Phone 747-4704 548-7510 '741 -7445 362 -7 ]_59 QUAD AREA: 3RNC OCCY GROUP: R3 HEAT SOIIRCE: FE INSUL PATH: P1 -- OFFICE USE -. LAND USE: 1111 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: L979 # OF BLDGS: 1 # OF BDRMS: 3 RANGE: E To requesE an inspecEion, call the 24 howr recording aL '126-3769 A11 i-nspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. wi-1l be made the following work day. --- REQUIRED INSPECTIONS --- SITE - To be made after excavation but pri-or to setting forms. FoOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement ITNDERFLOOR PLITMBING - Prior to insufation or decking. ITNDERFIJOOR MECIIANICAL - Prior to insulation or decking. ROUGH GAS - after line is installed and capped if not att.ached to an appliance POST A}iID BEAM Prior to floor insulation or decking INSUTATION Floor; prior to decking Wall/Ceiling; Prior WATER LINE Prior to filling trench SANITARY SEWER LINE Prior to fj-Iling trench STORM SEWER LINE Prior to filling trench UNDERFI,OOR DRAIN Prior to cover or placement of concrete leo ROUGH PLT'MBING Prior to cover. ROUGH MECHANICAL Prior to cover ROUGH EI,ECTRICAL Prior to cover ELECTRICAT SERVICE Must be approved to obtain permanent power SHEAR WALL NAILING - Before covering sheathing with finj-sh materials FRAIIING - Prior to cover. INSULATION - Floor; prior to deckin9,,,,,,-,WaIl-/Ceiting; Prior to cover DRYWALL - Prior to taping CURBCUT - After forms are erected but prior to placernent of concrete SIDEWALK - After excavation is complete, forms and sub-base material in place oo lt Dy SPHII{GF!ELD .Tob Number: 99069L SPHNGFIELD, Page 2 FINAL PLIIMBING - When all plumbing work is complete. FINAL MECHAIiIICAL - When aff mechanical- work is complete. FINAL ETECTRICAL - When all efectrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL BUILDING - When all required inspections have been approved and the building 1s complete. Lot Faces: S Topography: 2 House Garage Lot Sq. Ft.: Total Height 6110 1,7 Lot Coverage: 32.4 Z Lot Type: INTERIOR N Setbacks SW 5 18 E 5 5 Item Main Garage ToLal Value Building Permit Fee Surcharge/admin TOTAL FEE --- BUILDING PERMIT --- Square Feet x 1519 460 $/Square Feet 69 .64 18.34 (A) Value 10s,783.00 8,435.00 LL4 ,2]-9 . OO 466 .7 5 37.34 s04.09 PLIIMBING PERMIT --- Item Residential- Bath(s) Plumbing Permlt Surcharge/admin TOTAL CHARGE 2 Fee 160.00 160.00 t2 .80 L7 2 .80(c) --- MECHAT{ICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F.P. Mechanical Permit fssuance Surcharge/admin TOTAL PERMIT a 5.00 4.50 9.00 3.00 5.00 4 .50 (D) 32.00 10.00 2.s6 44.55 --- MISCETLANEOUS PERMITS Surcharge/admin Sidewalk Curb Cut W]LLA]VI'\LA]{E SDC CITY SDC TEMP POWER TOTAL MISCEI,LANEOUS PERMITS 0.00 50.00 60.00 1, 000 . 00 2,395.L2 43 .20 (E)3,558.32 (Excluding Elect,rical) unless otherwise noued --- TOTAL AMOI'NT DUE --- (A, B, C, D, and E combined) &^r + 4,279.77_ w,1/) SPFINGFIELD Job Number: 990591 SPruNGFIELT',o Page 3 This permit is granted on the express condition that the said construction sha11, 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 prowisions of said ordinances. Received By: Plans Reviewed By: DON MOORE Date: 07/22/99 Building Site Reviewed By: BOB BARNHART --- ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED. DR]VEWAY REQU]RED TO BE PAVED 1 STREET TREES REQUIRED By signature, I 6taEe 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 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 wil-l be made of any sLructure without permission of the Community Services Di-vision, 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 required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wiff remain on the site at a1l- times during construction. ?-t 3 *"7 Signature Date TION Receipt Number Date Paid Amount Received Received By q] --- BUII,DING VALUE, PI.A.IV CHECK AI.ID BUILDING PERMIT --- I NGFIELc, L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular 'DveIIing Service or Feeder t-- $ 8s. oo e5 Z $ ls.oo 3C $ 40.00 .o$ 225 FIFTS STP&ET sPRrNGrrELD, oREGoN 97 477 INSPECTI0N RBQTESTz 726-3769 OFPICE: 726-3759 LEGAL SCRI JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALLATION ONLY Electrical contrac@ Address 7 l7 O lil l/r Ci ty a-uo,pno""3 // 7/21 -( Supervisor License Number o Expiration Date / a-*/ Constr Contr. Number Expiration Date r*> ? -o 6 Signature of S ing EIe trician Ovners Name Address city- Phr".747-gq OVNER INSTALI.ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent Ovners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -_l 401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only One Circuit Each Additional Circuit or vith Service or Feeder Permit ELE TRTCAL PERHIT APPLICATION City Job Nunber. 3. COHPI,ETE FEE SCEEDULE BBLOIJ New Residential-Sing1e or MuIti-Family per dvelling unit. Service Included:Items Cost A Sum B i I s s0.00 s 60.00 $100.00 s 130. 00 s300.00 s 40.00 .00 .00 c 200 amps"or less _t/ $ 40.00 201 amps to 400 amps - S 55.00 Over 401 to 600 amps S 80.00 0ver 600 amps or 1000 voTts see trB. M a66ve D. Branch Circuits Nev, Alteration or Extension Per Panel $ 3s.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each instal-Iation Pump or irrigation _Sign/Out1ine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL s40 $40 $20 $36 00 00 RECEIVED 5 @ 1. LOCATTON.OF INSTALLATION'' "?*?"';'):;*Tii1i k >/3 I , Job. No.q c SYSTEM DEVELOPMENT CHARGE WORKSHEET ( PHONE: 1NAME: ADDRESs' -?OBc>r.5El So\LA STATE:ZIP: \ LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat Name:.(Tax Lot Number:s((^) 1. DEVEL9PMENT TYPE (Check appropriate dwetling(s). SDC calculations and dwetting r ype dellnitions are on the back) A. Single-Family Detached )C Singte Family homd Manufactured home not in a park NO. OF UNITS X $1,000 per uflit = $ q!3- B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS D. Manufactured Home Park NO. OF UNITS X $692 per unlt = $ X $699 per unlt E $ WLLA.MALANE SDC $ 2. SDC CREDIT (lf appncable) SDC+ayor must tun[str proof of Witlamatane Credit approvat. See SDC Credit Workshoet. $0 )\1 DGiFIo p rne nt Se rvice s D e partrne il City of Springfietd --r-o'I 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced forCredit)$ Date _\ 3_, Willamalane Park & Recreation District o I u- a This 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) cubic yards of material or more and/or if a drainageway is affected, within City limits and 1o-C-? ? Springfield, Oregon c zip-Statdc- Permit Expiration Dato:Date of Application Site Address: wner Phone:7 q-? ZZd UProperty O Address : Tax Lot:l-J4?-- lrt - Journal number appl Land Use Application tr ucB Tax Map No: Source c 5ooMatorla tr tr Phone tr nttvS@EXCAVATION, Oua Supplier: GRADING, OU FILL, Oua Suppller Project Supe Destination: E( tr tr tr u tr DRAINAGE,POLLUTION AND EROSION CONTROL PLAN and n d ADDITIONAL INFORMAT]ON, REPLANTING PLAN PROJECT SUPEBVISOR: ADDRESS: CIfr ADDRESS: clrY- PHONE STATE PHON STA COMPANY NAME COMPANY NAM PROJECT SUPERVISOR: MOBILE PHONE:-, EMERGENCY PHONE: OFFICE PHONEZlPz o Registration Num o, Explration Date: CITY: L-/ CONTRACTOR NAME: ADDRESS: STATE: PROJECT SUPERVISOR:t- I understand that l. or my succoEsora may have future plans for my property whlch may bc antlc-ipatcd or qnrntlcipatod-at . thls tlmo. I undarstand that such future ilans may requlre permlts and dovolopement approvals frgm thc Clty of Sprlng-fleld. I understand that notwithstanding any a'pproval of this Land and Drainage Alteratlon. Permlt {LDAP), that at th€ time of application of fulure permits or approvals'the City may review and reconslder all actione whlch I or my^succossor-s have uhdertaken persuant to this LDAP. I understand that th6 City may as a conditlon of any -future^.approval, requk-e the . _ - _undoing, chbnging, or modification of any actions which I havo undertaken as a rosult of the City's approval of this LDAP, o -rF M, I.LJ = IJJ U Z -l M,o oZ oZ 5 FEI rl -lIJJo- Z By signature, I state and 8gre6, that I hate carefully examined the completed application and do hereby cortify that sll iniormation herein ig true and correct, and I further csrtify that any and all work performed shall be done ln accordance with the Ordinances of the Clty of Springfield, applicable City Standard specifications and Drawlngs, and the laws of the Stat6 of Oregon portaining to the work doscribed herein, I further certify that only contractors and employees who are ln compliance with ORS 701.055 will be used on this project. The City may lnspect the work site described in this permit at any timo during a one yoar perlod following the receipt by the City of notice of completion of the described work and specify, at the City's sole desecration, any additional restoration work requirad to return the site to a standard acceptable to the City. The permlttee will be notlfied in writing of any work required and will have thirty (301 daye from the date of the notice to complots the work. Work not completed at the end of the thirty days will be performed by the City and the costs will be billed to tho permittee. address ls readable from Date I ? bfru. thatare requested at tho on the site at all tlm ihNa, pqq{1-al Signature I furthor agre€ to 6nsuro the street, and the E lrJz =o ult- iD zo EElrl 5 clz 5 aFzlu =JIo ko UJ CE5ollJE a,Fz Ep n,zoo Eot-o CEFzoo az5o- ul TE)F =IL ?u,rrn^,L * 1lobqt '1.'" i' \ and to e-q of to 3 7 ,i.' tr tr tr tr DRAINAGE, E Storm, Q Ditch, 0 Cutvert, Cl Natural WETLANDS, Description FEMA Community Panel No.: Date:FLOODWAY, FEMA Community Panel No.: FLOOD PLAIN, Zone $20.00 $30.00 $40.00 $4O.OO For the first 10,000 cubic yards, plus $20.0O for oach additional 10.000 cubic yards or fraction thereof. $220.00 For the first 100,001 cubic yards, plus 920,00 for each additional 1 0,000 cubic yards or fraction thereof. $340 For tho first 2OO,0O1 cubic yards, plus $6.OO for each additional 10,OOO cubid yards or fraction th€reof. $30.00 S3O.OO For the first 1OO cubic yards, plus $14.00 for each additional 100 cubic yards or fraction thereof. $156.00 For the first 1,000 cubic yards, plus $12.00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For the first 10,000 cubic yards, plus $54.00 for each additional 1 0,000 cubic yards or fraction thereof. $750.00 For the first 100,001 cubic yards, plus $30.00 for oach additional 1 0,000 cubic yards or fraction thereof. Received By: Date: l\ c,l*l .?oo t(ffi DateReceipt No0b. s 35'lL5 D^r", qlttq 100,001 To 200,000 2OO.OO1 CUBIC YARDS OR MORE 1,001 TO 10,000 cuBrc YARDS 10,000 To 100,000 cuBtc YARDS *f0 Grading Permit fee:Recoipt No PLAN CHECK FEES: UP TO 1OO CUBIC YARDS 1O.I TO 1,OOO CUBIC YARDS 1,001 TO 10,000 cuBrc YARDS 10,000 To 100,000 cuBtc YARDS GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 10o,oo1 To 2oo,ooo Estimated Volume: Plan Check Fee: Received by:Date: AMBLESIDE, MI,ADOWS SUIJD. 'l'his property is located in an area of heavy clay soils (expansive clays). A Iiccnsed cnginecr shall verify the stability olthe soils in thc proposed building arca and make any rccommendations necessary to assure the continued stability ofthe soil. A copy ofthe engineer's report shall be submitted to the Building OfficiaI prior to bcginning construction of the structure. EI m ts tr Maintenance: Building: Date: DateEngineering Plann Date: Date Permit Number.lssued by Date: Reqrrired Final lnsppetions-' Maintenance: Date Date: Date Date F -l rvEtt IJJo- Zo EIF rvlr-a IJJFJ IJI U Z -l fvtr-ac cZ nZ s n L,and and Drainage. activity.as outlined in this permit has been completed in accordance withthe provisions ofthis perrhit. tr Land and Drairwrth tne provr3flo$estTiy|lJf&SrY{tin.d in this permit has not been completed in accordance tr Land and Drainage activity was performed prior to application for this permit. Accepted by: ' __ Date: 1/6/1998 ':1 is To Be By City staif:.'. ulat z Eo ,, a,zo clzoo o ltJ =IrJ =lrJG ,:' .. a,zo ti ttJo-o, = Planning: Engrneenng: Building: ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:N t2.F LOCATION 3+q+t^1fu-r^"^,L DEVELOPMENT TYPE StrD BUILDING SIZE i. STORM DRAINAGE tsra 7 4Lo IMPERVIOUS SQ. FT Lt@l.l 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) TRANSPORTATION r L(anr5t)+ X $0.227 PER SQ. LOT SIZ F S 0 Ft. FT. 8(A s az:?O J NO OF UNITS X TRiP RATE X COST PER TRIP x r.ol x$475.32 x s475.32 X $47.14 PER PFU $ \15,10b $ 4ec,cl \$ s2 .1+ $ 2'9.20 a X 4. SANITARY SEWER-MI^'MC A. REIMBURSEMENT COST NO. OF FEU'S X 271I+PER FEU B. IMPROVEMENT COST: N0. 0F Ftu's I x 25.20 PER FEU MI^JMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 E, TOTAL-|-4I^JMC SDC $ 10.00 $ Z',- c+ $ zzg I ,o1 $ tl4.oS SDC Coordi nator ATTACH 'A. I^JPD 6L- Date TOTAL SDC s 231€. tZ Jou 0R JOB NO. qqo6q / -t ofzl, ', FIXTURE UNIT CALCULA' -.tl TABLE: Number of New Fixtur (NOTE: For remodels, calculate only th>:'lET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub tl 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 Trai1er1............. Receptor For RefrigeratorMater Station/Etc Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11............ Shower, Gan9......'... Sink: Bar, Commercial, Residential Kitchen....... Urinal, Stall/Wall.. Wash Basin lLavatory, Single -Toilet. Public lnstallation. Toilet , Private - nit Equivalent = Fixture Units UNIT FIXTURE EOUIVALENT UNITS T- T-,_3- -7- I L 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 dlHea I Miscellaneous TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvdments occurred after annexation date in table, calculate credits rates. Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$- (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL Year Annexed Rate per $ 1,O00 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1985 " 1 986 1987 1 988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.1 B 2.82 2.42 1 989 1 990 1 991 1 992 1 993 1 994 .. ., r 995 1 996 1 997 $1.98 1.55 1.15 o.96 o.83 o.67 o.52 0.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential., Commerical o.4 0.9 05 o.5 lndustrial Governmental FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -Tn- -_ -A- Y-