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