HomeMy WebLinkAboutPermit Building 1999-12-10CITY OF ONEGON
SPHINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 99L260
225 North Fifth Street
Springfield, OR 97417
tocaEion of Proposed Work: 1901 l-7TH ST 1903
Assessors Map #: 17032524
Lot : Bl-ock:
Office
Inspection Line
726 -3'1 59
7 26 -3'7 69
Tax Lot #: 03900
Subdivision:
OwneT: GREENRIDGE CONST
Address: 627 COUNTRY CLUB RD
Describe Work: DUPLEX
Phone #: 554-4270
CiLy/State/ zip: EUGENE oR, 97401
NEW
General:
Plumbing:
Electrical-
Contractor
GREERIDGE CONST 0106349
1911 LAKE ISLE DR EUGENE OR 974O1OO
CARTE PLUMBING OL2L387
PO BOX 42044 EUGENE OR 974040000
RYNOLDS ELECTRf 001.7252
21.75 W 2ND AVE EUGENE OR 974O2OOOO
Const.
ConEractor #Expires
oe/03/ot
03/24/eB
02/oB/oa
Phone
554 - 42'7 0
520 -1,228
343 -7297
QUAD AREA: 5RNW
OCCY GROUP: R3
HEAT SOURCE: WH
OFFICE USE - -
LAND USE: 1a20
CONSTR. TYPE: VN
fNSUL PATH: P1
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
l-
3
z46U
To request, an inspection, cal-l the 24 hour recording at 725-3769.
A11 inspections 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.
--- REQUTRED INSPECTIONS ---
FOOTfNG - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
UNDERFLOOR MECHAI{ICAL - Prior to insul-ation or decking.
POST AI{D BEA}I - Prior to f1oor insul-ation or decking.
INSULATION - Fl-oor; prior to decking Wa11/Ceiling; Prior to cover
WATER LINE - Prior to fil-l-ing trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prj-or to fil_ling trench.
IINDERFLOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PLIIMBING - Prior to cover.
ROUGH MECHANICAL - Prior To cover.
ROUGH ELECTRICAL - Prior To cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILTNG - Before coverj-ng sheat.hing with finish materials.
FRAMING - Prior to cover.
INSUTATION - Floor; prj-or to decking Wall/Ceiling; prior to cover
DRYWALL - Prior to taping.
FrNAL PLU{BING - When all plumbing work is complete.
FINAIJ MECHAMCAL - When all mechanical- work 1s complete.
FINAL ELECTRICAL - When all electrical work is complete.
FrNAL BUTLDTNG - when all required inspecLions have been approved and
the buil-ding is compl-ete.
Lot Faces: W Lot Sq. Ft..: 9556 Lot Coverage: 37.422
SPRIi.GFIELE,
Job Number: 99L260
ctTv oF ONEGON
Page 2
Topography: 2
House
Garage
Setbacks
s
34
Total Height:. 23.5 Lot Type: CORNER
N
t2
W
3
11
E
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
L872
588
$/Square Feet
69 .54
18.34
(A)
Value
130, 365 .00
10, 784 . oo
141, 150 . 00
527
52
50
to
580.25
--- PLIIMBING PERMIT
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
4
Fee
320.00
320.00
32.00
3s2.00(c)
--- MECHA}iIICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
6
9.00
18.00
6.00
(D)
33.00
10.00
3.30
45.30
--- MISCELLAIiIEOUS PERMITS
Surcharge/admin
PLAN REVIEW FEE
WILLAMALLANE SDC
CITY SDC
ELECT. PERMIT
TOTAI, MISCELLAI{EOUS PERMITS
0
80
7_, B4B
3 ,96s
220
00
00
00
6Z
00
(E)6,LL3 .82
(Excluding Electrical)
unless oEherwise noted
. - - TOTAT A.IIIOI,NT DUE -. -
(A, B, C, D, and E combined)7 ,092 .38
--. BUILDING VALUE, PtAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shal-l, in all respects, conform to the Ordinance adopted by the City of
Springfield, including Lhe Devel-opment 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.
SPRIItlGFIELD
.fob Number: 99L260
CITY OF SPruNGFIELD, ONEGON
Page 3
Receiwed By:
Plans Reviewed By: DON MOORE Date: 1,L/23/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
DRIVEWAY REQUIRED TO BE PAVED
STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that alf information hereon
is true and correct, and I furt.her certify that any and all- work performed
shalI be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertai-ning to the work described herein,
and that NO OCCUPANCY will be made of any sLructure without permission of the
Community Services Division, Bui-1ding Safet.y. I further certify t.hat 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
will truction.n t.he site at all
/")ohailaz
--- VALIDATION ---
3b+bzReceipt Number
Date Paid
Amount Received
Received By
12 -/o - ?7
/h,.^K.
ASSESSOBS MAP:
LOT
JOB NUMBER ?9tzaa
225 Fllth Street
Sprlngfleld, Oregon 97477
*
'? €7'24^7? rAx Lor a??eZ
BLOCK:SUBDIVISION:
PHONE:
eu-STATE:ZlPiCITY:
ADDRESS:
OWNER;
ADDIT]ON DEMOLISH OTHER
ELECTBICAL;
ADDRESS exptHes
77to/
I (, PHONECONTRACTOR'S NAME
MECHANICAL:
PLUMBING:
GENERAL:
- OFFICE USE -
LAND USE:
WATER HEAf,ER:
ZONING CODE:* OF UNITS:
RANGE:
OUAD AREA:
r OF BLDGS:
SECONDARY HEAT
SOUARE FOOTAGE:
,r OF BDRMS:
-
OCCI/ GROUP:
* OF STORIES:
CONSTR. WPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspectlons reguested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED TNSPECTIONS
I remRorary Erectrrc fI :;'I"T Mechanrcar - Prror to E 5iffi1.?[Tl?fl,;#,ffitil:
E
tl
E
E
w
m
Slte lnspectlon - To be mado
after excavatlon, but prlor to
settlng forms.
Underslab Plumblng/ Electrlcal I
Mechanlcal - Prlor to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - Aftdr forms are
erected but prlor to concrete
placemont.
Underground Plumblng - Prlor
to fllllng trench.
Underlloor Plumblng I Mechanlcal
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to lloor
lnsulatlon or decklng.
Floor lnsulallon - Prlor to
decklng.
Sanltary Sewer - Prlor to fllllng
trench.
Storm Sewer - Prlor to fl'lllng
trench.
Water Llne - Prlor to fllllng
trench.
Rough Plumblng - Prlor to
cover.
E
n Drywall - Prlor to taplng
Wood Stovo - Aftor lnstallatlon.
tl
Rough Electrlcal - Prlor to
cover,
Electrlcal Servlce - Must be
approved to obtaln permanent
olectrlcal power.
Flreplaco - Prlor to faclng
malerlals and framlng Insp.
Framlng - Prlor to cover.
WalllCeltlng lnsulatlon - Prlor to
cover,
Flnal Electrlcal - When alt
electrlcal work ls complete.
Flnal Mechanlcal - When all
mechanlcal work ls complete.
l-l Curbctrt & Approach - AfterlJ forms ar6 erocted but prlor to
placomont o( concrete.
tnaerl - After flreplace approval
and lnstallatlon of unlt.
Sldewalk & Drlveway - After
excavatlon ls comploto, forms
and sub-base materlal ln place.
[--l Fence - When colilpleted.
Slreet Trees - When all roqulred
trees are planted.
Flnal Bulldlng - When all
requlred lnspectlons have been
approved and bulldlng ls
completecl.
Other
MOBILE HOME INSPECTTONS
tl
l-l etocklng and Ser.Up - When ailH blocklng ls complete.
l-l Ptumblng Connectlone - Whenu homo has been connected lp
water and sewer;
Electrlcal Connectlon - When
blocklng, set.up, and plumblng
lnspectlons have been approved
and the homE ls connected to
the servlce panel.
E Flnal - After atl requlred '
lnspectlons are approved andporchos, sklrtlng, decks, and
venilng. have been lnstallect,
RESIDENTIAL
PERMIT APPLICATION
lnspectlons: 726-3769
Offlce: 728.3759
LOCATION OF PROPOSED VVORK:
,T/4
FLOOD PLAIN:
E fl
( .,Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot 1;, .r
-
lnterlor
-
Corner
-
Panhandle !
-
Cul-de-sas
P,L.HSE GAR ACC
N
S
W
E
IS THE PROPOSED WORK TN THE.
HrsToRlcAL DtsTRlGT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls applloatlon must be slgned
arrd approved by the Hlstorlcal
Coordlnator prlor to permlt lssuance.
APPROVED:
BUILDING
AND BUIL
LUE,
GPE
LAN CHECK
DIN HMIT
Thls permlt is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordlnance
adopted by the Clty of Sprlngfleld, lncludlng the
Dovelopment Code, regulatlng the constructlon and use of
bulldlngs, and may be suspended or revoked at any tlme
upon violatlon of any provlslons of sald ordlnances.
Plan Check Fee:
Date Pald:
Receipt Numbe
Received By:
Plans Beviewed Date
Systems Development Charge ls due on all undeveloped
properties withln the City limits which are belng lmproved.
ADDITIONAL COMMENTS
By slgnature, I state and agree, that I have caref ully examlned
the completed appllcatlon and do hereby certlfy that all
lnformatlon hereon ls true and correct, and I f urther certlfy
that any and all work performed shall be done in accordance
wlth the Ordinanccs of the Clty of Sprlngfield, and the Laws
of the State of Oregon perlalnlng to the work descrlbed
hereln, and that NO OCCUPANGY will be made of any
structure wlthout permlssion of the Bulldlng Safety Dlvislon.
I further certify that only contractors and employees who
are In compllance wlth ORS 701.055 wlll be used on thls
prolect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the Street, that the permlt oard ls located at the front
of the property, and approved set of plans wlll remaln
on the slte at
Slgnature
VALUE
(A)
SQ. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
)i r
X $/SQ. FT.
BUILDTNG PrRr$Ir .i
ITEM
Main
Garage
Carport
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
eq
/?
(c)
N.
FT.
tqz3----4-.la
/'?a/ry.*
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
7)
. FT.
Wood Stove/ lnsert/ Flreplace Unlt
Dryer Vent
MECHANICAL PERMIT
(D)
N0
Mechanical Permlt
lssuance
State Surcharge
Total Permlt
Furnace
Exhaust Hood
Vent Fan
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
lt
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneoug Permlts (E)AraDATE PAII)
AMOUNT RECEIVED
RECEIVED BY
VALIDATION;
BECEIPT NUMBEB
TOTAL AMOUNT
(A. B, C, D, and E
DUE (excludl
Comblned)
ng electrlcal)
--
Date .-/
ng constructlon.
, :, il.
7ffi
o2/lt/98 10:22 6SoS 726 3689 SPFD DEY. SER
The following.proiect as submitted has the lollowing
zonrng, and does not require specific land use
approval i Lo(LZonlng
A
.8.
@ oor
225 rffra srREEr
sPBrilcEEr.D, onscoil gt*ff
of lssuance or if vork is suspepde
180 days i
INSPBCI[QN RBQ[B$I: 7if,iU,$lg Sisnature
Q??lCEz 726-3759
I
I,EGAL 25 O,2-
Penaits are non-tr expireif eork is not sta days
d for
L- to -qq BLECTRTCAL PEM{TT APPTJCATTONd
"tr,Job [unber
3. COI{PI.ETE PEE SCEEDT'I8 BBIOU
Nev Residential-Single orl{ulti-Pamily per dvelling unit.service rncruded: rtems cost
1000 sq.ft. or less U
Each additional 500
sq. ft or portionthereof Z
Each Hanuf'd Houe. or
-Hodular 'Dvelling
Sertice or Peeder
SPRINGFIELE,
Serv.i.ces or FeedersInstallation, Alterationsor Relocation:
200 anps'G less
201 aups to 400
Over 401 to 600
0ver 600 anps or
aaps
1000-i6l?s see t'B' affi
o
$ 8s.oo '7
$ ls.oo 30_
$ 40.00
$ ao.
o0
00
oo
Sum
2. COI{IRACf,OR T}TSTALT.AIION
Electrical Contractor
lddressJt I ti> >--\>;S"1r<
Ci ty Ph
I Supervisor
I
cense Number
Expiration Date
Constr Contr. Nuraber
Expiration Date
Signa of Supervi Bleetrlcian
Name
Address
C. Temporary Services or Feedersfnstallation, Alteration or Relocation
lc_
200 arnps or less
?91'-p" to 199 anps
-401 anps to 600 anps
60tr anps to 100O anps-
0ver 1000 anps/volts
-Reconnect Only
00
00
00
00
00
00
s 40.00
$ 40.00
$ 20.00
$ 36.00
'Pn'#ffi
$50
s60
$100
s130
$300
atrps
s 40.
S ss.
$ so.
D. Branch Circuits
Nev, Alteration or Extension Per PaneL
ict tv-Ph*"_5f{: /L7o
i
OgNER INSTAIIATTON ;
The installation is beingproperty I oyn vhich is nofor sale, lease or rent.
Onners Signature:
DATE:
5. SUBTOTAL OF ABOVE
5Z State Sureharge
32 adninistrative Pee
ToTAL
$ 3s.00
s 2.00
One Circuit
Each AdditlonalCircuit or vith Servieeor Feeder Pernit
:
made ont intended
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrlgation
Sign./0utline Lightir
Limited Energy/Res
Limi ted Energy/Courm
ng-
CITY OFSPF OREGON
RECEIIIED
- /cs-w
ATTACHMENT A
YSTEMS DEVELOPMENT CHARGE WCITY OF
JOURNAL ORJOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOTNUMBER
DEVELOPMENT TYPE:
I
GRENRIDGE CONSTRUCTION
S
I
DUPLEX
BUILDING SIZE 2460 LOT SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
NUMBER OF PFU's
(SEE REVERSE SIDE)
3058.3 x $0.232 PER SQ. FT
x 548.21 PER PFU
$709.s 1
2. SANITARY SEWER-CITY
$1,544.6432
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE X COST PER PM PEAK HOUR TRIP
2 x l.0l x $486.73 PER TzuP
x x $486.73 PER TRIP
$983. l9
$0.00
TOTAL TRANSPORTATION SDC $983. I 9
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's 2
B. IMPROVEMENT COST:
NUMBER OF FEU's 2 x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
x 5242,76 PER FEU
$22,05 PER FEU
TOTAL MWMC SDC
$48s.52
$44. l0
$0.00
$10.00
$539.62
776.91SUBTOTAL (ADD ITEMS 1,2,3, &4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $ 188.85
$3,965.82TOTAL SDC CHARGESw t4,42ffi DTT_
PLUMBING FIXTURE TINIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x I.INIT EQUIVALENT = PLUMBING FIXTURE LINITS
(NOTE: FOR . CALCULATE ONLY THE NET ADDITIONA L FIXTURES)
FIXTURES
NEW OLD
2
LINIT
PLUMBING
FIXTURE
LTNITSFIXTURE TYPE
BATHTUB
DRINKING FOIINTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
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 (NUMBER OF HEADS)
SNK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL,ryVALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
ALENT
2
1
2
J
6
2
6
6
I
3
2
I
2
2
I
6
4
4
0
0
0
0
t6
o
0
0
TOTAL PLUMBING FIXTURE LINITS:32
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCLIRRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
0
4
0
0
0
0
0
0
4
0
2
4
4
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
$4.47
$ 4.38
$4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
$2.62
1989
1990
1991
1992
1993
t994
t99s
1996
l99l
1998
$ 2.18
$ l.7s
$ 1.35
$ 1.17
$ 1.03
$ 0.86
$ 0.71
$ 0.57
$ 0.39
$ 0.18
1979 or before
1980
t98l
1982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE- x
IMPROVEMENT (IF AFTER ANNEXATION DATE) x
$0.00
$0.00
$0.00CREDIT TOTAL
2
4
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:G PHONE:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
$<t
Plat Name:[10 3u5u+ Tax Lot Number:
Willamalane
Park & Recreation District Job. No.\
o
STATE: S.,t ZP: IIq()T
ost
appropriate dwelling(s). SDC calculations and dwelling t
c.ls
1.
are on the
(Check
back)ype
A Singte-Family Detached
Single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $tB{b
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
O. Manufactured Home Paft
WLLAMALANE SDC $
2. SDC CREDff (if applicable) SDCaayer must (umish proof of
Willamatane ireoit'approval. See doc creat Wottcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
lopment
City of Springfield
Department
/2r'ot7q
Date
1 o