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HomeMy WebLinkAboutPermit Building 1999-08-13SPFINGFIELD Location of Proposed Work: 2772 3LST ST Assessors lrtap #: L7O2L932 Lot: 1 Block: RESIDENTIAL PERMIT APPLICATTON CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 974'17 a a office: Inspection Line: Page 1 rlob Number: 99095L 726-31s9 726 -37 69 Tax Lot # Subdivision 0 0101 98-05-118 O\^,ner: PETER RVIZCKA Address: 750 WAVERLY STREET Describe Work: MANUFACTURED HOME Phone #: 343-4808 ciry/state/zip: EUGENE, OREGON 97477 NEW Contsractor Const. ContracEor #Expiree Lt/L2/ee 1-L/L2/ee L2/27 /ee Phone 725-21,'71, 726 -2r'71 6BB-1500 General: Plumbing: Electrical: GREAT WESTERN 0045472 5024 MAIN STREET SPRINGFIELD OR 974 GREAT WESTERN 0046472 5024 MAIN STREET SPRINGFIELD OR 974 HERITAGE INV 0053137 1042 HARN LANE EUGENE OR 974O4OOOO QUAD AREA: 5RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E -- oFFrcE usE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1600 To request an inspection, call the 24 hour recording at 726'3769. A)-1 inspections requested before 7:00 a.m. will be made Ehe same working day, inspections requested after 7:00 a.m. wil-l be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erecLed but prior to concrete placement. tIAr{uF HOME/MOBILE HOME SET UP - When all blockj-ng is complete. MANUF. HOME/MOBILE HOME ELECTRTCAL - When blockj-ng, setup, and plumbing inspections have been approved and home is connected to panel ldANUF. HOME/MOBItE HOME PLITUBING - After home has been connected to water and sewer. PEDESTAL - Prior to cover. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been instal-fed. Lot Coverage: 13 ?Lot Faces: W Topography: 2 House Garage N 7 Lot Sq. Ft.: L2325 Lot TyPe: PANHANDLE SetbacksswE2s 26 18 --- BUII,DING PERMIT --- Square Feet x $/Square FeetItem Main Garage MANU/HOME FTG/FDN Total Val-ue Value 0.00 0.00 39, 0oo . 00 5,200.00 45,200 .OO NOTICE: THIS PERMITSHALL EXPIBE IFTHEWORK ATJTHOR'ZED UNDEB THIS PERMIT IS NOT COft,MENCED OR IS ABANDONED FOR ANY 180 DAYPERIOD. !iPRINGFIELD .lob Number: 99O96L a a a Page 2 SPruNGFIELI', Buildlng Permit Fee Surcharge/Admin TOTAL FEE (A) 62 .50 =g_-uY b. zf 67.st fi.7r --- PLIIMBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit Surcharge/admin TOTAL CHARGE 50 50 50 Fee 25.00 25 .00 2s.00 15.00 (c) eo.:gy_ .-7.2O Y,:a-fl, 0|c --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/admin CITY SDC WILLAMALANE ELECT. PERMIT PLAN CHECK FEE TOTAL MISCETLANEOUS PERMITS 105.00 30.00 10.50 921, .53 1,000.00 88.00 40.53 (E)2 , L95 .66 (Excluding Electrical) unless otherwise noted --- TOTAL AMOUNT DUE --- (A, B, C, D, and E combined)2-35.+4,+- -27 b7'4 I --- BUILDING VALUE, PLAI{ CHECK AND BUILDING PERMIT --- This permit 1s granted on the express condition that the said constructj-on shaIl, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulati-ng the construction and use of buildings, and may be suspended or revoked at any Eime upon violation of any provisions of said ordinances. Recei-ved By: Plans Revj-ewed By: AL WARD Building Site Rewiewed By: LISA HOPPER Date: 08/12/99 PERMIT FROM SANITARTIAN REQUIRED --- ADDITIONAII COMMENTS STREET By signaEure, I state and agree, that I have carefully examined the completed application and do hereby certify Lhat al-f information hereon is true and correct, and I further certify that any and al-l- work performed shall- be done in accordance with the Ordinances of the Clty of Springfield, and the Laws of the State of Oregon pertai-ning to the work described herein, and that NO OCCUPANCY wll-l- be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only conLractors and empJ-oyees who are in compliance with ORS 701.055 wilf be used on Lhis project. SPR!NGFIELD C,a Job Number: 990961 Page 3 I further agree to ensure that alf required inspections are requested at the proper time, thaL each address is readable from Lhe street, that the permit card is located at the front of the property, and the approved set of plans will remai-n on the site at al-l times during construction. a m 7-rg-t7 Signature Date SPruNGFIELT', --- VALIDATION -.- Receipt Number Date Paid AmounL Received Received By SPRINGFIELD a a Page 1 ENGINEERING DIVISION DEVELOPMENT PLAIiI REVIEW RESIDENTIAL I'NIMPROVED STREET Developer: PETER RVIZCKA Job No. : 99096L Mail Address: 750 WAVERLY STREET EUGENE, OREGON 97477 Phone #: 343-4808 Tax Lot #: L7O2:.93200L01" Project Address: 2'772 31ST ST Subdivision: 98-05-118 Lot: 1 BIk: Eng. Rev. No.: Book Street 2772 3l.ST ST EXISTING IMPROVEMENTS Gravel Ac Mat Curb FuI1 Imp SW Width Curbside Setback NONE N N/A N/A N/A Exist.ing Curbcut: N SPruNGFIELT', ENGINEERING REQUIREMENTS Additional Right of Way: fmprovement Agreement : Easements: N N N SANITARY SEWER CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG ]"-8OO-332-2344 Make Connection: TO PRIVATE SEPTIC SYSTEM CommenLs: PERMIT FROM SANITARTIAN REQUIRED STORM SEWER Available: N Pipe Downspouts And Drains To: BAR DITCH OR APPROVED DRYWELL Pipe Parking Lot Drainage To: N/A Comments: OWNER TO PROVIDE DRAINAGE PLAN WITH CULVERT REQUIREMENTS CONTACT I{AINTENAIiICE DMSION AT 726-376L FOR CULVERT SIZE AI{D DEPTH. SIDEWAI,K AND DRIVEWAY INFORMATION New CurbcuL Appr.: N Sidewalk Permit: N Curbcut Permit: N COMMENTS : UNIMPROVED STREET ENCROACIIMENT AND ASSESSMENT Encroachment Permit Required: Sanitary Sewer In Lieu Of Assessment: SPECIAI. NOTES A}iID REQUIREMENTS Afl work within the public right of way shal-l- be in conformance with the City of Springfield standard specifications for construction. AI1 existing unused curbcuts or portions thereof sha1l be resLored to fulf curb height as directed by the City. The owner/developer is responslbfe to relocate any utilities and estabfish private or public easemenLs when the utilities conflict wit.h the development, at their expense. Reviewed By: DENNIS ERNST Date: 07 /27 /99 sEE DRA.WINGS ON SPECIAL REQUTREMENTS FOR FURTHER IMPORTAIiIT INFORMATION JOURNAL O^TOB NO . ??o QZt ATTACHMENT A CITY OF SPRII\GFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: 7E rNU R I/ Z, I C LOCATION 2 7? z 1 <7 1r, DEVELOPMENT TYPE: BUILDING SZE c lJn.-e l'1ec ll* c lboC) 5Her7 C4 IMPERVIOUS SQ. FT too+x$0.232 PER SQ. FT 2. SAMTARY SEWER-CITY NO. OF PFU'S ICB Pptvare 4eg7,a Stszeul X548.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF LTNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP LOT SzE SQ. Ft. s 2.8a, or SE s 4Q/, /^a SA S <$ s10 .00 TOTAL-MWMC SDC $ 'o- $ 8z-. ar s 43' t8 I x l,or X S486.73 PER TRIP E (SUBTOTAL ABOVE) X .05 _x X 5486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REMBIIRSEMENT COST: NO. OF FEU'S _ X PER FEU B. IMPROVEMENT COST: NO. OF FEU'S X - PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE suBTorAL (ADD ITEMS 7,2,3 & 4) $ 5 TRA BASE CIIARE 19.2 SDC Coordinator ATTACH'A.WPD Date:7 - 27fr 1. STORM DRAINAGE ToTALSpC $ 4Zl'Es FIXTURE UNIT CALCULATIOIY TABLE: Number of Nerv Fixtures X Unit Equivalent INOTE: For remodels, calculate only th -!I additional fixtures) NUMBER OF NEW FIXTURES z- LNiT EQUIVALENT = Fixrure Units FIXTURE LINITS --z_ FIXTURE TYPE Bathrub........ Drinking Fountain....... Floor Drain.. Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand/Auto Wash,/Etc. Laundry Tub/C lotheswasherAvlop S ink. Clotheswasher - 3 Or More............ Mobile Home Paik Trap (1 per Trailer).. Receptor For Re frigerator/Water S tation/Etc.........., Receptor For Commercial SinkDishwasher/Etc...... Shor.ver, Single Stall.. Shower, Gang............ S ink: Bar, Commercial, Residential Kitchen............ Urinal, Stall/Wal1..... Wash Basin/Lavatory, Single........... Toilet, Public Installation... Toilet, Private.......... Miscellaneous: CREDIT CALCULATION TABLE: Based on assessed value. credits Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) (Rate X Assessed Value) 2 I 2 J 6 2 6 6 I 3 2 I 2 2 I 6 4 .4+F_ I /Head 2- .4-- ---E- /tTOTAL FIXTURE UNITS If improvements occurred after x $_ x$ annexarion date in tabie, calculate (Rate X Assessed Value) CREDIT TOTAL _ $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Only) 0.4 0.9 0.5 0.5 Residential... Commerical. Indusu-ial. Govemmental..................... Year Amexed Rate per $ 1,000 Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 1979 orbefore 1980 198 I 1982 I 983 1984 I 985 r 986 1987 1988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.3 8 3.03 2.62 I 989 1990 1991 1992 1993 1994 1995 t996 t997 r 998 2.18 1.15 1.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 FIXUNTT.WPD rMPERvIous AREA = TorAL Lor sIzE x RUNOFF COEFFICIENT I 2- NOTICE: THIS PERMIT SHALL EXPIRE IFTHE WORK . AUTHORIZED UNDERTHIS PERMIT IS NOT . COM MEIITOENMffiABIf,ADOITIED FOR alrv r ao ffif,ffi53ffi!fli nlrl!_r, u, OFFICE: 726-3759 in h OAB g52-0rrr -00 btai r' copies of the rules t:calling the center. (Note; the te iephonenumberforthe Oregon Uti ELECTRICAL Ci ty Job Nunber 3. COHPIJTE FEE SCEEDTILE BELOV A. 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 - $ 8s.00 s 1s.00 Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: v tF 1 Permits are non if vork is not s teof issuance or if vork is suspended for 180 days. 2. COI{TRACTOR INSTALLATTON ONLY Electrical Contractor {Z"Zu> Address 2rz ,4,r*- Ci ty Eoo Supervisnr License Number rf5-s Expiration Dare // a/ consrr contr. Number 6 Zt >Z B- E Expiration Date z/rr----7- Signaturg of Supervisins Electrician Ovners Name Addre Ci ty Phon OVNER The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature: 200 amps or less 201 amps to 400 amps -40L amps to 600 amps -601 amps to 1000 amps Over L000 amps/volts -Reconnect Only Su ferable and expire d vithin 180 days A$4o.ooK) B I I I tu s s0.00 s 60.00 s100. 00 $130.00 $300.00s 40.00 C. D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Serviceor Feeder Permit $ 2.00 Miscellaneous (Service/feeder not includec -Each installation Pump or irrigation Sign/OutIine Lighti Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps'"or less $ 4O.OO 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - S 80.00 Over 600 amps or 1O0O voT[s see rrgn uffi[ E $ang- Sa$z 0.00 o. oo 0.00 6.00\(x) DATE: BRECEIVED OREGO'V' CITY OF 5 I I i I : /:-r*^- phone 73 ? Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE. WORKSHEET PHONE:NAME: ADDRESS: LOCATION OF PROPOSED BUILDI Street Addre Plat Name: 1. ype are on the srArE:8Q- r,r' St 0tTax Lot Number: (Check appropriate dwelting(s). SDC calcxllations and dwelling t back.) A. Single-Family Detached Single Family home Manufactured home not in a No. oF UNITS \ x $1,ooo Per unit = $ B. Singte-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 (it applicable) SDC+ayermust funrish proof of Wllamatane iruoit'"pproval. See doc creat Wotksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED . (if sDc , CDt OD $ S I City of for Credit) €-,B_,qg* Date