HomeMy WebLinkAboutPermit Building 1996-04-09!sPFINGF'ELD
a
RESIDENTIAL PER}TIT APPLICATION
CITY OF SPRINGFIEI.D
COMMI'NITY SERVICES DIVTSION
BUII.DING SAFETY
Page 1
ilob Number: 960342
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1809 N 17TH ST 1811
Assessors tUap #: L7032524
Lot: Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 03500
Subdivision:
SPruNGFIEID,
Owner: KEVIN iIONES
Address: 4064 HAMPSHIRE LANE
Describe Work: DUPLEX
phone #:
city/state/zip: EUGENE, oREGON 97404
NEW
Generaf:
Plumbing:
Mechanica]:
Electrical:
Contractor
HENRY DEVELOPME 0055731
PO Box 2592 Eugene OR 974O2O0OO
ABSOLUTE PLUMB] 0067664
2235 ArLhur Court Eugene OR 9740500
HENRY DEVELOPME 0055731
PO Box 2592 Eugene OR 974020000
G MILLER 0087145
3954 Hayden Bridge Rd Springfiel-d O
Const.
Contractor #Expires
01./04/e7
07 /1,1,/e6
oL/1-O/e7
LL/1,o/s6
Phone
344- 901,O
345-3055
000-0000
7 4L-2596
QUAD AREA: 2RNW
# OF UNITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 261"2
-- oFFrcE usE --
LAND USE: 1120
ZONING CODE: LDR
# OF BDRMS: 6
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
To requests an inspection, call Lhe 24 hour recording aL 726-3769.
A11 inspecEions requested before 7:00 a.m. wifl be made the same working day,
inspections requested after 7:00 a.m. wil-f be made the fol-lowing work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
TNDERFLOOR PLITMBING - Prior to insul-aEion or decking.
ITNDERFLOOR MECIIATiIICAL - Prior to insulation or decking.
POST AIiID BEAI! - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
SAT.IITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
I{ATER LINE - Prior to filling trench.
ROUGH PI,I,MBING - Prior TO COVET.
ROUGH MECIIAIiIICAL - Prior to cover.
cAS SERVICE - After fine is instaLled and line has been connected to a
minimum of one appliance. Pressure tesE done at this point.
ROUGH ELECTRICAL - Prior to cover.
FRAITIING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL GAS - When aII gas work is complete.
CITRBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base maEerial
in place.
ct|rISPFTTGFIELE'
aa
h,
Job Number: 960342 Page 2
FINAL PLUMBING - When all plumbing work is complete.
FfNAL MECIINiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When aLl- electrical- work is complete.
FINAIJ BUfIJDING - When aII required inspections have been approved and
the building is complete.
Lot Faces: W
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 8302
Total Height: 24
Lot Type: CORNER
SetbacksswE
L4 26
24
Lot Coverage: 32 t
Setbk From NPL: 25
N
25
Item
Main
Garage
Total- VaLue
Building Permit Fee
Surcharge/Admin
--- BUILDTNG PERMIT ---
Sguare Feet x
2L56
456
$/Sguare Feet
64 .66
L6.27
Value
139,407 .00
7 ,4ag . oo
L46 ,826 . OO
538.75
43.L0
TOTAL FEE (A)581.85
--- SYSTEUS DEVEIJOPITTENT CIIARGE (sDc)
(B) 3,450.95
systems Development charge is due on all undeveloped properties wighin the cityLimits and the citys urban Growth Boundry which are being i_mproved.
--- PLI'MBING PERMIT ---
It.em
Residential Bath(s)2
Plumbing permit
Surcharge/Admin
TOTAL CHARGE
Fee
320.00
320.00
25 .50
345. 50(c)
--- MECHA}IICAL PERMIT ---Exhaust Hood
Vent Fan
Dryer Vent
Mechanical permit.
fssuance
Surcharge/Admin
TOTAL PERMIT
4
27.00
10.00
2.L6
39.15(D)
-. - DTISCELI.ANEOUS PERITITSSurcharge/Admin
TEMP PERMIT ONLY
WILLAMALANE
TOTAL I{TSCELLAI{EOUS PERMITS
0.00
43.20
1, g4g . 00
L,89L.20
-. - TOTAI, A}!OT'NT DT'E - -.(Excluding Electrical)
unless otherwise noted
(4, B, c, D, and E combined)
(E)
5 ,308 .7 6
9.00
t2.oo
6.00
SPFINGF!ELE
a
h,
Job Number: 950342
SPilNGFIEI-D,
Pagre 3
--- BUII.DING VALUE, PI,A}i[ CHECK ATiID BUII.DING PER}TIT
This permit is granted on the express condition that the said construction
shall, in aff respects, conform to Lhe Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construcEion and
use of buildings, and may be suspended or revoked at any time upon vioLation
of any provisions of said ordinances.
Plan Check Fee: 350.19 Date Paid:
Received By:
Pl-ans Reviewed By: DUANE HUSSEY Date:
Building Site Reviewed By: LISA HOPPER
03/L4/e6
03 /2e / e5
Receipt Number 20698
--- ADDITIONAI. COI{MEIi|1TS .--
OWNER MUST PROVIDE DRAINAGE PLAN FOR DOI{NSPOUTS
OWNER TO PROVIDE DRAINAGE PLAN WITH CULVERT
NEED PERMIT FOR CULVERT AND DRAINAGE FROM ENGINEERING 726-3753
DRIVEWAY REQUIRED TO BE PAVED
4 STREET TREES REQUIRED
By signatsure, I Etate and agree, that I have carefully examined
the completed applicaEion and do hereby certify that all information hereon
is true and correct, and I further certify that any and al-I work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and Lhe Laws of the State of Oregon pertaining to Ehe work described herein,
and that NO OCCUPANCY will be made of any structure withouL permission of the
Community Services Division, Building Safety. I further certify LhaL only
conLractors and employees who are in compliance wiEh oRS 701.055 will be
used on this project.
I further agree Eo ensure that al-l required inspections are reguested at the
proper time, that each address is readable from the sEreet, that the permit
card is located at the front of the property, and the approved set of plans
wiLl- remain on the site at all times during consEruction.
*J\Y q qc
srsil;P
-Z
Date
Receipt Number
Date Paid
Amount Received:
Received By:
. -. VAI.IDATION . - -
z,/al>
1/ .?^
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arr SPNNGFTEI.O,
SPBIXGF!ELD
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Page 1
ENGINEERING DTVISION DEVEI,OPMENT PLA}I REVIEW
RESIDENTIAT I'NIITTPROVED STREET
Developer: KEVIN JONES Job No.
Mail Address: 4054 HAMPSH]RE LANE EUGENE, OREGON 97404 Phone #:
Tax Lot #: L703252403500 Project Address: 1809 N l-7TH ST 1811
Subdivision: Lot: Blk: Eng. Rev. No.:
960342
Book:
Street Gravel-
1809 N 17TH ST 1811
"Q'' STREET
EXISTING IMPROVEMEMTS
Ac Mat, Curb FulI rmp SW Width Curbside
NONE N N/A N/A
Y 5 FEET X
Setback
N/A
Y
ENGINEERING REQUIREMENTS
FOT: 17TH STREET
SAI'IITARY SEWER
CALL THE UTTLITTES NOTIFTCATION CENTER BEFORE YOU DIG 1-8OO-332 -2344
AvaiLable: Y
Size of Line: I
Location From N,
Make Connection:
Stubbed Out To Property Line: y Depth: 4-6In. Tee:5 In.
S, E, W Property Line: AS SHOiltN ON DRAWING OR AS-BUILT
PER PLI]MBING CODE
FT
STORM SEWER
Availabl-e: N
Pipe Downspouts And Drains To: owNER MUsr pRovrDE DRATNAGE PLANPipe Parking Lot Drainage To: N/A
COMMCNTS: OWNER TO PROVIDE DRATNAGE PLAN WITII CULVERT REQUIREMENTS
CONTACT I'I,ATNTENATiICE DTVISTON AT 726-376L FOR CUI,VERT SIZE A.T{D DEPTH.
STDEWALK ATiID DRTVEWAY INFORMATTON
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
Handicap Ramp: y SEE DRAWINGS
COMMCNIS : UNIMPROVED STREET
ENCROACHMENT AriID ASSESSMEIITEncroachment Permit Required: Y coMrAcr ENGTNEERTNG DrvrsroN AT 726-37s3
Sanitary Sewer In Lieu Of Assessment: N
Comments: NEED PERMIT FOR CULVERT AIID DRAINAGE (SUBMIT A DRATNAGE PLAN)
SPECIAIJ NOTES AI{D REQUIREMENTSArl- work within the public right of way shall be in conof springfield standard specifications for constructioncurbcuts or portions thereof shall- be restored to furlby the CiLy. The owner/developer is responsible to rel,establish private or public easements when the util_itierdevelopment, at their expense.
.formance with the City
. A11 existing unused
curb height as directed
ocate any utilities ands conflict with the
Reviewed By: TROY MCALLISTER Date: 03/1"8/9G
SEE DF'A'WTNGS ON SPECIAIJ REQUTREMENTS FOR FURTHER IMpORTAIIT TNFORITATTON
Existing Curbcut,: N
Additional Right of Way: N
Improvement Agreement: Y
Easements: N
CITY SPilNGFIELI',onEGOtV
SPllI]tlGF!ELD
Page 1
CITY OF SPRINGFTELD SYSTEITIS DEVEI,OPMENT CHARGE
(RESTDENTIAL)
Name or Company: KEVIN ,JONES
Location: 1809 N 17TH ST l_811
Developement T)pe: R Building Size:
.Tob No. : 950342
Lot Size Sq Ft
1. STORM DR,A,INAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAIVSPORTATTON
Number Of Units
2X
2024
32
X Trip Rate
1.010 x
X O.2tO Per Sg Ft =
X 43.43 Per PFU =
Cost Per Trip
437.93
x
s884 .62
$42s . 04
$L,389.75
$884 .62
$610. 00
$22 .80
$s87.20
$3 ,286 .62
$154.33
Transportat.ion Total
4. SATiIITARY SEWER - MvTIt{c
Number Of pFUs
32
x
x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
MWMC CREDIT ff Applicable (see page 2)
TOTAL - MWMC SDC
SI'BTOTAL (Add Items 1, 2, 3 & 4)
5. ADMTNISTRATIVE FEES
Base Charge (Subtotal_ Above) x 0.50
TOTAL SDC
Reviewed By: TROy MCALLISTER Date: 03/1,9/96
$3,450.95
OTTOF ONEGON
SPRTNGFIELE,
'Job Number: 950342 Page 2
FIXTURE I'NIT EALEULATION TABLE
Number of
New Fixture
Unit
Equivalent
Fixture
UnitsFixture Type
Bathtub
Drinking Fountain
Floor Drai-n
Interceptors For Grease/OiI/Sol_ids/Etc
Inteceptors For Sand/Auto wash/Utc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For RefrigeraEor,/Water Station/Ute
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall-
Shower, Gang
Sink, Bar, Commercial, Residential KitchenUrinal, Sta1l/walI
Wash Basin/LavaLory, Single
water Closet, public fnstallation
Water Closet, private
Miscellaneous
TOTAL FTXTURE UNITS =
0
0
0
0
0
0
0
0
0
2
0
4
0
4
0
2
1
2
3
5
2
5
1
3
2
2
2
1
5
4
4
0
0
0
0
4
0
0
0
0
0
4
0
4
0
L6
32
CREDTT CALCULATION
Year Annexed: lg74
Credit For parcel Or Land Only ff Applicable:
Improvement (if after annexation date):
TABLE: Based on assessed vaIue. If i-mprovements occuredafter annexation date, credits are car-cur-ated separately.(calculations are by gIOOO)
6,57O x 3.47 =
0 x 3.47 =
CREDIT TOTAL =
22 .80
0.00
$22 .80(rf l-and value is multipried by 1 then the parcer-/rand credit is not accurate.)
SPBInIGFIELD
BACKFLOI{ PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 FIFTH STREET
SPRINGFIELD OR 97477
OFFICE:
INSPECTION LINE:
726-3759
726-3769
C'TY OF OREGOA'
JOB LOCATION:g r\
ASSESSORS MAP *, 1,1 rAX Lor *: 03
OI.INER:
ADDRESS:
CITY:
L
STATE:
BACI(FLOU PERMIT IS $15.00 + $.75 (STATE SURCHARGE) + 9.45 (ADMrN. FEE) = g16.20
CONTRACTOR:
ADDRESS ' €-'
PHONE *:
CTTY:STATB:ZIPz
CONSTRUCTTON CONTRACTORS REGISTRATION #:EXPIRES:
PHONE *:112- 11
ttll z:pz 41u104
-z\4
BY SIGNTNG THIS PERMIT/APPLICATION, I AGREE TO CALL FOR AN INSPECTION ONCE THEBACKFL0I'I PREVBNTION DEVICE HAS BEEN INSTAILED'ar,ro rs vISIBLE FoR INSpEcTIoN(726-3769) ' r ALSO srATE TrIAT ALL rNFoRMATroll ou rHrs pERMrr/AppLrcATroN rsCORRECT.
FOR OPFTCE USE
DATE OF APPLICATION:JOB {I:
RECEIPT +.O }Q(,TSSUED BY:3
TOTAL AMOUNT COLLECTED:
:iI}TlIl\rGF IELc,
Ths follolvlnq
eoning, an,J e!
orc,iec't as Eubmttted h83 th€
besnot roquire spaci'iic io.nt{
225 FruTH STREET
sPRrNGFrEtD, oREGoN 97477 a''."
INSPECTTON REQUEST
OFFICE: 726-3759
z 7267},7,6,9i-,.. 1:,.i
1. LOCATION OF
I,EGAL DESCRTPTION
OB DESCRTPTION
f
Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded:
ftems Cost Sum
1000 sq. f t . or tess Z $ as. oo /ZZZ *
Each additional 500sq. ft or portionrhereof | tr '$ 15.00 V+Each Manufrd Home- or
Modular Dvelling
Service or Feeder S 40.00
EI,ECTRICAI, PERHTT APPLICATION
ob Number
COHPIJTE FEE SCMDULE BELOIT
Services or Feedersfnstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
60L amps to 1000 amps-over 1000 amps/vo1ts
-
Reconnect Only
Miscell-aneous ( Service/feeder
-Each installation
Pump or irrigation g
Sign/Outline Lighting- SLimi ted Energy,/Res
-
$Limited Energy/Comm S
approval.
3
A
Elec trical Con trac to. 6e.,.rr,rrJ tietr
Address dera
B
C
city J ld phoneTgl 2sf(
Supervisor License Number 3{S4S
Expiration Date /6^/ -7/
Constr Contr. Number 8 z4s
Expiration Date // -/O-94
Signature of Supervising Electrician
Owners
Address
Ci ty Phone
OIINER INST
The installati.on is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE:
Temporary Services or FeedersInstallation, Alteration or Relocation
$ s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
200 amps''or l-ess $ 4020i. amps to 400 amps
-
$ SSover 401 to 600 amps
-
S B00ver 600 amps or 1000-tofTs see
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
.00
.00
.00
rrBtr a6ote
not included)
40.00
40.00
20.00
36.00
.=2P-e
.47
,*a?
D. Branch Circuits
Nev, Alteration or Extension per panel
One Circui.t $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit g 2.00
E
RECETVED
5
,4?
Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTATIATTON ONIY
Th e tollowing Prolect. I
zccirrq, and does not
approval.
Zoni
225 FIFTE STREET
SPRTNGFTELD, OREGON 97 471
INSPECTION REQUEST: 726-12{Sri;scJ
OFFICE: 726-3759
0t,1. LOCATI OF INSTALLATION
I,EGAL DESCRTPTION
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.
Address
ne7//'?dP
as submitted has the
requiro sPoci{ic lano efi,
SPFlII{GFIELI'
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Dato"
usa
EI.E TRICAI PERT{IT APPTICATION
b Nnmber QPZ /2-
3. COHPLETE FEE SCEEDULE BETOIT
A. Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service Included:
B2. COIITRACTOR INSTALLATION ONLY
%contracto r/#?G .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
Items Cost
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs _
401 amps to 600 amps _
601 amps to 1000 amPs-
Over l-000 amps/voIts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less ---- $ aO-99 -%*
over 4b1 to 6oo amps
-
$ 8o.oo
Over 600 amps or 1000-tofts see rrB" above
Nev, Alteration or Extension Per Panel
Sum
Ci ty
Supervisor Lice
Expiration Date
- Pho
N r
$ s0.00
$ 60.00
$100. 00
s130.00
$300.00
s 40.00
Constr Contr. Number
Expiration Date
Signa t of
0vner
Address
Ci Phone
OVNER INST ON
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installati.on
Pump or irrigation
Sign/Out1ine Lightirg-
Limited Energy/Res
Limited Energy/Comm
/2-
C.
D
s 40.00
s 40.00
s 20.00
$ 36.00
-
2'e
RECEIVED
5
.?a
yAo ,,A i :"* - ig'
Willamalane
PaTt & Rbcreation District
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 per unit = $
Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS:TE:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:+
\\N )
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 unit = $
WILLAMALANE SDC $
2. SDC CREDIT (if appticabte) SDC-payer musr furnish proof of
\Mllamalane Credit approvat. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
_ (if SDC reduced for Credit)$
Development Se --L, -2-r 7s
\BEP
O
t
City of Springfield
s Department Date
B,