HomeMy WebLinkAboutPermit Building 1999-11-23!tPFINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUTLDING SAFETY
Page 1
ilob Number: 99L26L
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 1905 LTTH ST
Assessors Map #: 17032524
Lot: Block:
Office
Inspection Line
726 -37 59
726 -37 69
Tax Lot #: O39O2
Subdivision:
CITY OF SPruNGFIET*D, ONEGON
Owner: GREENRIDGE CONST. Phone #: 554-42"70
Address: 627 COUNTRY CLUB RD. City/State/Zip: EUGENE OR,97401
Describe Work: DUPLEX NEW
General:
Plumbing:
Electri-ca1
ConEractor
GREENRIDGE CONS 0105349
1911 LAKE ISLE DR EUGENE OR 974O1OO
CARTE PLUMBING 01,21,387
PO BOX 42044 EUGENE OR 974040000
REYNOLDS ELECTR 001.7252
2L75 W 2ND AVE EUGENE OR 974O2OOOO
Const.
Contractor #Expires
oe/03/0L
03/24/e8
1,0/o1,/oa
Phone
484-0635
520-1228
343 -7297
QUAD AREA: 5RNW
OCCY GROUP: R3
HEAT SOTIRCE: WH
OFFICE USE --
LAND USE: L1,20
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
1
3
2455
To request an inspection, call the 24 hour recording aL 726-3769.
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.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBfNG - Prior to insulati-on or decking.
ITNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to fill-ing trench.
ITNDERFTOOR DR.AIN - Prior to cover or placement of concrete.
ROUGH PLITMBING - Prior to cover.
ROUGH MECHANICAL _ Prior Io cover.
ROUGH ELECTRICAI, - Prior TO Covcr.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Pri-or to cover.
INSULATION - Floor; prior to decking wa11/Ceiling; Prj-or to cover
DRYWALL - Prior to taplng.
FIREWALI - Located and constructed according to p1ans.
FINAL PLTMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When afl el-ectrical- work i-s compl-ete.
FINAL BUILDING - When all required inspections have been approved and
the building is compfete.
SPRTNGFIELD
Job Number: 99L26L
CITY OF SPruNGFIELD, ONEGON
Page 2
Lot Faces: W
Topography: 2
House
Garage
Lot Sq. Ft.:
Total Height
9555
23 .5
Lot Coverage: 37.422
Lot Type: PANHANDLE
N
L2
Setbackssw
3
34
E
7
7
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
a872
588
$/Square Feet
59 .54
18.34
(A)
Value
130, 365 . 00
10, 784.00
141, 150 . 00
527.50
52.76
s80.26
--- PLIIMBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
4
Fee
320.00
320.00
32.00
(c)3s2.00
--- MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechani-ca1 Permit
Tssuance
Surcharge/Admin
TOTAL PERMIT
5
9
18
6
00
00
00
33.00
10.00
3.30
(D)45.30
--- MISCEIJLANEOUS PERMITS
Surcharge/admin
PLAN REVIEW FEE
WTLLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAI, MTSCEI,I,ANEOUS PERMITS
0.00
80.00
1, 848 . 00
3,948 .55
220 . OO
(E)5, 096 . 55
(Excluding ElecErical )
unless otherwise noEed
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)7 ,07 5 .2L
--- BUILDING VALUE, PLA}iI CHECK A.I.ID BUILDING PERMIT
This permit is granted on the express condition that the said construction
shaIl, in all respects, conform to the Ordj-nance adopted by the Cj-ty of
Springfield, lncluding the Development Code, regulating the consLruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
SPRTNGFIELD
Job Number: 991-25L
CITY OF SPilNGFIELT', OI?EGON
Page 3
Received By:
Pl-ans Reviewed By: DON MOORE Date: Ll/23/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
DRIVEWAY REQUTRED TO BE PAVED
By signature, I stsate and agree, that I hawe carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certj-fy that any and al-I work performed
shall be done in accordance with the Ordinances of the Cit.y 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 structure without permission of the
Community Services Division, 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 tj-me, 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 rema the sj-te at al-I times during construction
Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By
jcz77
//-2)-7t
Z
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
991261
GRENRIDGE CONSTRUCTION
1905.1907 17TH STREET
11032524-03902
DUPLEX
BUILDING SIZE 2460 LOT SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.3058.3 x $0.232 PER SQ. FT $709.51
2. SANITARY SEWER-CITY
NUMBEROF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFU32 $1,544.64
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
2x
x
1.01 x $486.73 PER TRIP
x $486.73 PER TRIP
$983. I 9
s0.00
TOTAL TRANSPORTATION SDC $983. r9
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's 2 x
B.IMPROVEMENT COST:
NUMBER OF FEU's 2 x
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$242.76 PERFEU
522.05 PER FEU
TOTAL MWMC SDC
$485.s2
$44.1 0
($16.3s)
$ 10.00
$523.27
760.62SUBToTAL (ADD ITEMS 7,2,3, &4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $ 188.03
#- /r
SDC COORDINATOK DATE
TOTAL SDC CHARGES $3,948.65
PLUMBING FIXTURE TINIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x TINIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMOIIF.LS. CALCIILATF. ONLY THF NFT ADDTTIoNA L FIXTURES)
UNIT
FIXTURE TYPE
BATHTUB
DRINKING FOLTNTAIN
FLOORDRAIN
INTERCEPTORS FOR GREASE/OILiSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LALINDRY TUB/CLOSTHSWASHEWMOP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFzuGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
0
0
0
0
4 16
TOTAL PLUMBING FIXTURE
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTERANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
FIXTURES
NEW OLD ALENT
PLUMBING
FIXTURE
LTNITS
42
0
2
I
2
J
6
2
6
6
I
J
2
1
2
2
I
6
4
4
0
0
0
0
0
42
0
4
0
0
0
YEAR
ANNEXED
RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
$ 4.47
s 4.38
$ 4.32
s 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
$2.62
1989
1990
l99l
1992
1993
1994
r995
1996
1997
r998
$ 2.18
$ 1.75
$ 1.3s
$ l.l7
$ 1.03
$ 0.86
$ 0.71
$ 0.57
$ 0.39
$ 0.18
1979 or before
1980
l98l
1982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75 x
IMPROVEMENT (IF AFTER ANNEXATION DATE) x
9.344 $16.3s
$0.00
$16.35CREDIT TOTAL
0
OZ/tt/gE LO 2Z SSO, -?6 36E9
Permits are non-transferablelf sork ls not started rithin
approval
225 frYtf, slBEEf,Zontng
SPSJNGEIEIJT, oRBGON,fl?&
HilH'Ir::3Y3r",.,?n?f;JJ€En ""'"
DESCRIPTION
The lollowlng prolect as submitted has the lollowlng
,"","g. ;^o ,ioei:not require specific land use
2-
BIJCTRICAL PBRI{IT APPIJCATION
ty Job [unber ?912a1
COIIPI.ETE PEB SCEEIT'I'I.E BBIOV
A. Nev Residential-Single or
}tulti-Pamily per dvelling unlt.
Service Included:Items Cost
SPFD DEY. SER
SPEIHGFTELO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Houe. or
Hodular 'Dvel1ing
Sertice or Peeder
Serv.i-ces or Feeders
Ins tallation, Alterations
or Relocation:
c
5. SUBTOTAL OF AEOVE
5Z State Surcharge
3Z adrainistrative Fee
TOIAL
@ oor
suspepd
I
o
Electrician
expire
days
ed for
2 $ B5.oo /ru
Z s 15.00 -re
$ 40.00
Sum
.00
.00
.oooB" affi
of lssuance or if vork is
180 days.
2. COIT]XACTOR IIIS?AII,ATION
Electrical Contractor
Address
B
Lt
<_city&Dctu\l
I Superv . o..lsor Ll
200 amps or less
201'anps to 400 anps
-4O1 amgs to.600 anps
601 anps to 100O atrps
over 1000 anps/volts
-Reconnect 0niy
200 aups'G less
201 aups to 400 alps
-0ver 401 to 600 asps
over 600 anps or lOOOEfts
cense Number
00
00
0q
00
00
00
$so
S60
$100
$130
s
s300
40
ExP iration Date
Constr Contr. Number \-1 )-\>Temporary Serviees or FeedersInstallation, Alteration or Relocation
Expiration Date.
Signat of
Name
Address
s40$ss
$so
see
D. Branch Circui ts ; ..
Ner, Alteration or Extension Per Panel
clr
llation ls being made onI ovn vhith is not intended
One Circuit $ 35.00
Each AddltionalCircuit or vith Service
or Feeder Permit _ $ Z.OO
E. Hiscellaneous (Servlce/feeder not included)
Phone o
OITNER INSIALI,ATTON
The lnsta
proper tyfor sale,lease or rent.
Orners Signature:
-Each installation
Pump or lrrlgation
signzou tline Lighting-
Limlted Energy/Res
Llmited Energy/Conn
-
s 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
xEctsryT.l:
RECEIVED.B
CITY OF SPF"UGFIEL OFEGO'V
1. IOCATTON OP INSTALIATION
/7r.5 -nZ '7& >f
Willamalane
Park & Recreation District Job. No. tl
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
PHoNE: SSqqR?O
srArE: o\ zrp: tlatot
Street Address:t
Plat Name:
1. DEVELOPMENT TYPE (check
1pe detinitio* l* on the baclc)
A Single-Family Detached
Single Family home
Tax Lot Number:
appropriate dwelling(s). SDC calcttlations and dwelling t
115
Manufactured home not in a Paft
NO. OF UNITS X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS & x $924 per unit $ l.818"s
C. Multi-Family Aoartment
$
D. Manufaclured Home Paft
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDTT (f appncaOte) SDC-payer must furnish poof of
Wiltamalane Credit approval. See SOC Credit Wottcsheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
D lopment Services
I
Date
$
$
$
City of Sprihgfield
A6 t
oj10)
I