HomeMy WebLinkAboutPermit Building 1999-11-30CITY OF ONEGON
SPFINGFIELD
IJ
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 991545
225 North Fifth Street
Springfield, oR 974'77
Location of Proposed $lork: 1858 8TH ST
Assessors tutap #: 1-703261-3
Lot: 4 Block:
office:
Inspection Line:
726 -37 59
726 -37 59
Tax Lot #:
Subdivision:
00304
.]ASPER PARK
Owner: COLBURN HOMES
Address: 1178 ECHO HOLLOW
Describe Work: CARPORT
phone #:
City/state/zip: EUG.
589 - 63'7 0
oR 97402
NEW
General:
ConCractor
COLBURN HOMES OOO8783
1178 ECHO HOLLOW RD EUGENE OR 97402
Const.
ContracEor #Expires
os /21- / oL
Phone
589 - 63'7 0
QUAD AREA: 2RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: 264
OFFICE USE
LAND USE:
OCCY GROUP
111 1
:U
FLOOD PLAIN: N
CONSTR. TYPE:
To request an inspection, cal-I the 24 lno:ur recording aL 726-3769.
A11 inspecLions requested before 7:00 a.m. will be made Ehe same working day,
inspections requested after 7:00 a.m. will- be made the following work day'
--- REQUTRED TNSPECTTONS ---
FooTING - After trenches are excavated.
FRiAIIING - Prior to cover.
FINAL BUILDING - When all required inspections have been approved and
the buifding is compfete.
Lot Faces: N
Accessory
Topography: 2 Lot Type: INTERIOR
N
18
Setbackssw
5
E
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMIT ---
Square Feet x $/Square FeeL
(A)
Value
0.00
0.00
3, 002 .00
44 .50
4 .45
48.95
MISCELLA}.IEOUS PERMITS
Surcharge/admin
CITY SDC
TOTAL MISCELLANEOUS PERMITS
0.00
64.3a
54.31
D, and E combined)
(E)
LL3.27(Excluding Electrical)
unless oEherwise noEed
TOTAL A}TOI'NT
(A, B, C,
DUE
SPBINGFIELE,
Job Number: 99L545
CITY OF SPruNGFIEI^D, ONEGON
Page 2
BUILDING VALUE, PLAN CHECK AIiID BUII.DING PERMIT
Thj-s permit i-s granted on the express condition that the said construction
shall, 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.
Plan Check Fee:- 25.03 Date Paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Building Site Revj-ewed By: DON MOORE
Ll-/oe/ee
LL/2e/ee
Receipt Number: 35139
-.- ADDITIONAL COMMENTS ---
A SEPARATE ELECTRICAL PERMIT WILL BE REQU]RED FOR ANY MODIFICATTON, EXTENSION OR
MODIFICATION TO THE ELECTRICAL SYSTEM.
By signature, I EtsaEe and agree, that I have carefully examined
the completed application and do hereby cerLify that aII 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 strucLure without permj-ssion of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 wil-1 be
used on this project.
I further agree to ensure that all required inspections are requesLed 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
wil-l remain on the site at all- times during construction.
//.%.9 q
si-gnature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
AmounL Received:
Received By:
// 7,? ?
Z-ooo-7 ,C
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
COLBURN HOMES
991545
I868 8TH ST
17032613-00304
CARPORT ONLY
BUILDING SIZE:LOT SIZE
1. STORMDRAINAGE
IMPERVIOUS SQ. FT.x $0.232 PER SQ. FT264.0 $61.25
2. SANITARY SEWER-CITY
NUMBEROF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFU0 s0.00
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x 1.01 x $486.73 PER TRIP
x x M86.73 PER TRIP
$0.00
$0.00
TOTAL TRANSPORTATION SDC $0.00
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x 5242.76 PER FEU $0.00
B. IMPROVEMENT COST
NUMBER OF FEU's x $22.05 PER FEU $0.00
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$0.00
$0.00
TOTAL MWMC SDC $0.00
$61.2sSUBToTAL (ADD ITEMS t, 2, 3 , & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $3.06
-----
--\
G-azzE?--? u
SDC COORDINAT€'R
TOTAL SDC CHARGES $64.31
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE LINITS
FIXTURES L]NIT FIXTURE
FIXTURE TYPE NEW OLD ALENT TINITS
BATHTUB
DRINKING FOLTNTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OILiSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WAS}VETC.
LATiNDRY TUB/CLOSTHSWASHER/MOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBEROF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URTNAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
TOTAL PLUMBING FIXTURE
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
2
I
2
J
6
2
6
6
I
J
2
I
2
2
I
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
$ 4.41
$ 4.38
$ 4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
$2.62
1989
1990
l99l
1992
1993
1994
1995
r996
1997
1998
$2.18
$ 1.75
$ 1.3s
$ 1.17
$ 1.03
$ 0.86
$ 0.7r
$ 0.57
$ 0.3e
$ 0.18
1979 or before
1980
1981
1982
1983
1984
r985
r986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
x
x
$0.00
$0.00
$0.00CREDIT TOTAL
CITY OF
:FIELE,
ih€ tollowing Proiect as
,-ontng, and
approval.
Date
does not req ulre specific land use
Zoning
ATTENTION:Oregcn taw requires you to
low rules adopted by the oregon Utility4- 1-_q t
STREET
INSPECf,ION REQIIEST:
OFPICE: 726-3759
,OA[1 952-001 -001 0 througn ftABts&EdtOECAL PERUIT APPLICATION
726-3T@llling the cenier. (Note:the tel@fioyreJob Nunber f1o%L
number lor the Oreqcln Utility Notif ication
centeris 1-g?o-33ryfi344T8 FBE ScEEDt LE BELoII
,TION1. LOCATION OF
A.
DEScRrPrr o* /7072'oolo(
^ LEGALfll4 /a-/(B L{,;os e.
JOB DESCRIPTION
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 B
9 pies of the rules bY
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Sum
i trpervisr:rr Lic Number
Expiration
EIec
Addr
Ci ty
trical Contractor
ess
e
Cons t r r. Number
6.76-d?os-
Ltv
or less
to 400 amps
-to 600 amps _to L000 amps
amps/volts
-0n1y
200 amps
201 amps
40L amps
601 amps
over 1000
'Reconnect
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
Expi r on Date
si ture of Supervising Electrician
T€flp€fat.y'l Services or Feeders
Installation, Alteration or Relocation
200 amps''or less /
201 amps to 400 amps *
Over 401 to 600 amps
Over 600 amps or 1000-voTEs
CAiIi IEODny PERIot
40.00
55.00
80.00
ee rrgrr "fiffi
$
$
$
s
s
s
$
$
Address ll?f EoL /b//0,/"/t/7.fY
Ovners Name
Ci ty Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for saIe, Iease or rent.
Onners Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One lCircuit S 35-OO
Each'AdditionalCircuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/OutIine Lighting_
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
5
DATE:f
RECETVED BY:
o
Center. Those rules are set forth
,
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t Vo
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