HomeMy WebLinkAboutPermit Building 1999-08-13SPFINGF!ELO
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Notitica 1-001 0througn OAH9 52-001-
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numbertor theOregon . Page 1
UtilitY Notification
Oentet
CATIONSIDENTIAL PERMIT APPLI
CITY OF SPRINGFIELD
ris 1-800'NOTICE: RE
THIS PERM]T SHALL EXPIBE IF THE WORK
A,THOBZED UNDER THIS PERIuIT IS NOf OMMI'NITY SERVICES DIVI S ION
BUILDING SAFETY
COMMENCED OR ISABANDONED FOB
ANY 1 8@AYRGftOD'i trh srreer
Springfield, OR 97477
ilob Number: 990950
Office
Inspection l,ine
726 -37 59
726 -37 69
LocaEion of Proposed Work: 2774 31ST ST
Assessors tutap #: 1-7021-932
Lot: 2 Block:
Tax Lot #:
Subdivision:
00102
98-05-118
Owner: PETER RVZICKA
AddTesS: 750 WAVERLY STREET
Describe Work: T{ANUFACTURED HOME
Phone #: 343-4808
city/state/zip: EUGENE, OREGON 974O].
NEW
Generaf:
Plumbing:
Electrical
Contractor
GREAT WESTERN 0046472
5024 MAIN STREET SPRINGFIELD OR 974
GREAT WESTERN 0045472
5024 MAIN STREET SPRINGFIELD OR 974
HERITAGE INV 0053137
1042 HARN LANE EUGENE OR 974O4OOOO
Const.
Contractor #Expires
tt/tz / gg
tt/rz/gg
tz /zt / gg
Phone
726-21,71
7 26 -217 1
688-1500
QUAD AREA: 5RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1387
To requeats an inspectsion, call the 24 kro:ur 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.
ldAlIUF HoME/MoBrr,E HoME sET uP - when al-f blocking is complete.
MA.MF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home i-s connected to panel
UANUF. HOME/MOBILE HOME PLImBING - After home has been connected to
water and sewer.
PEDESTAL - Prior to cover.
FINAT SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: S
Topography: 2
House
Garage
Lot Sq.
Lot Type
Setbacks
SW
00 12
28
Ft . : 1,21,68
: CORNER
E
20
Lot Coverage: 11 ?
N
.E
--- BUILDING PERMIT ---
Square Feet xItem
Main
Garage
MANU/ HOME
FTG/FDN
Total Value
Value
0.00
0.00
29, 000.00
5,500.00
34,500.00
$/Square Feet
SPFIiIGFIELD
Job Number: 990950
SPHNGFIEI^D,o
Page 2
Building Permit Fee
Surcharge,/admin
TOTAL FEE (A)
55.50
4.53
5L.4{
-/
L7.ts
--- PLIIMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
50
50
50
Fee
25.00
2s.00
25.00
15.00
90.00{zo
97 .20
1?
(c)
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
surcharge/admin
CITY SDC
Wf LLAI\iI'\LA}iE
ELECT PERMIT
PLAN CHECK FEE
TOTAL MISCELLA.I{EOUS PERMITS
105.00
30.00fuA.c
(E)
1, 000 . 00
88.00
36 -73
2,L34.87
(Excluding Electrical )
unless otherwise noEed
--- TOTAT AT{OI'NT DUE ---
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMTT ---
This permit is granted on Lhe express condition that the said construction
shal1, in all respects, conform to the Ordinance adopted by the CiEy of
Springfield, includj-ng the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any ti-me upon violati-on
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: 0B/1,2/99
--- ADDITIONAL COMMENTS
PERMIT FROM SANITARIAN REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
6 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that al-l- information hereon
is true and correct, and I further certify that any and all work performed
shall- be done in accordance with the Ordinances of the City 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 wj-thout permission of the
Community Services Division, Building Safety. I further certify thaL only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
SPRINGFIELD
Job Number: 990950 Page 3
I furLher 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
wi-l1 remai-n on the site at all times during construction.
I -/ ? '?2
Signature Date
--- VALIDATION ---
Receipt Number:
Date Pai-d:
Amount Received:
Received By
SPRINGF!ELD
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAT I'NIMPROVED STREET
Developer: PETER RVZICKA Job No. : 990960
MAil AddrESS: 750 I^IAVERLY STREET EUGENE, OREGON 9740A PhONE #: 343-4BOB
Tax Lot #: L102L93200102 Project Address: 2774 31ST ST
Subdivision: 98-05-118 Lot: 2 Blk: Eng. Rew. No.: Book
Street Gravel-
2774 3LST ST
Existing Curbcut: N
EXISTING IMPROVEMENTS
Ac Mat Curb FulJ- Imp SW Width Curbside
NONE N N/A N/A
Setback
N/A
ENGINEERING REQUIREMENTS
Additional Rlght of Way:
Improvement Ag'reement. :
Easements:
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG ]--8OO-332-2344
Make Connect.ion: TO PRfVATE SEPTIC SYSTEM
comments: PERMIT FORM SANITARIAN REQUIRED
STORM SEWER
Available: N
Pipe Downspouts And Drains To: BAR DITCH OR APPROVED DRYWELL
Pipe Parking Lot Drainage To: N/A
COmmEnIs: OWNER TO PROVIDE DRAINAGE PLAN WITH CULVERT REQU]REMENTS
CONTACT ITfAINTENANCE DIVISION AT 726-376L FOR CUIJVERT SIZE AND DEPTH.
SIDEWALK AI{D DRIVEWAY INFORMATION
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
COMmEnTS: UNIMPROVED STREET
ENCROACIIMENT AND ASSESSMENT
Encroachment Permit Required:
Sanitary Sewer In Lj-eu Of AssessmenL:
COMMENTS: ACCESS AND UTILITY EASEMENT REQUIRED FOR PARCEL 1
SPECIAL NOTES AND REQUIREMENTS
A11 work within the public right of way shall be in conformance with the Cityof Springfiel-d standard specifications for constructi-on. A11 existing unused
curbcuLs or portions thereof shal-l be rest.ored to fuII curb height as directed
by the City. The owner/deweloper is responsible to rel-ocate any utilities andestablish private or public easements when the utilities conflict with the
development, at. their expense.
Reviewed By: DENNIS ERNST Date: 0i /27 /99
FOR FURTHER IMPORTANT INFORMATIONsEE DRAWINGS ON SPECIAL REQUIREMENTS
JOURNAL O' 'OB NO. q4O A -
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:Wrc ZvZt <,<*rL
LOCATION =-4 ?-1.- 1z
DEVELOPMENT TYPE l*trc- /J"*e,
BUiLDING SZE SVE
1. STORM DRAINAGE
t
1337Z4E<'r-
IMPERVIOUS SQ. FT /4 <f x s0.232 PER SQ. FT
2. SAMTARY SEWER-CITY
?n twaz€. SeVf 'c 5 T3 7€4
NO. OF PFU'S X $48.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF UMTS X TRIP RATE X COST PER PM PEAK HOUR TRIP
I X I,OI X$436.73PERTRIP
4. SANITARY SEWER-MWMC
A. REIMBLIRSEMENT 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 ADMINISTRATTVE FEE
SDC Coordinator
ATTACH'A.WPD
s Q.Ft.
plr ll,
7/J€ O
$ z3e e3
SE
$ 41/,ao
S
S
S
<$
$ l0 .00
TOTAL-MWMC SDC $o
SIIBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATTVE FEES:
BASE (suBToTAL ABOVE) X .0s
$ 84. z)
g 4t,1r
Date: 7-27-fr
x _ x s486.73 PER TRIP
TOTAL SDC S 86q, C4-
FIXTURE UNIT CALCULATION TABLE: Number of New FArures X Unit Equivarent : Fi.xrure UnitsINOTE: For remodels, calculate only t] \Ef ,dditional f,rxtures)
FIXTURE TYPE
Bathrub.........,.......
Drinking Fountain
NUMBER OF
NEW FIXTURES
TOTAL FIXTURE TINITS
If improvements occurred after
LINIT
EQUIVALENT
FIXTURE
IINITS
Floor Drain..
2
I
2
J
6
2
6
6
I
J
2
I
2
2
1
6
4
Laundry Tub/ClotheswasherAvlop Sink...................
Mobile Home Paik Trap (l per Trailer)..
Receptor For Refri gerator,&Vater S tutionlEt.......,.,..
Receptor For Commercial SinVDishwasher/Etc......
Shorver, Single Stall..
Shower, Gang............
Sink: Bar, Commercial, Residential Kitchen...-......._
Interceptors For Grease/OiUSolids/Etc.
Interceptors For Sand/Auto Wash./Etc
Urinal, Srall/Wall.
Wash Basin/Lavarory, Single.
Toilet, Public Installation..............
Toilet , Private,
Miscellaneous:
CREDIT CALCULATION TABLE: Based on assessed value
/Head
credits annexation date in hble, calculate
Credit for Parcel or Land Only If Applicable x $_
Improvement (if after annexation date)
(Rate X Assessed Value)x $_
(Rate X Assessed Value)
CREDIT TOTAL _ $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential... 0.4Commerical. 0.9Industrial...... 0.5
GovemmentaI...................... 0.5
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per S 1,000
Assessed Value
1979 or before
r980
1981
1982
1983
1984
I 985
1986
1987
I 988
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
l 989
I 990
1991
1992
I 993
t994
l 995
t996
1997
I 998
2.18
1.75
1.35
l.t7
1.03
0.86
0.71
0.57
0.39
0.r8
FIXUNTT.WPD IMPERVIOUS AREA = TorAL Lor sIzE x RUNOFF coEFFrcrENT
,FI!NGFIELI,
CITY OF
N
THIS PERMI SHAII EXPIRE FTHFWORK
THISPERMTT ISNOT
477
26-3769
OFPICE: 726-3759
1 OF
Permits are -transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALLATTON ONLY
fi.rVt
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/vo1ts
-Reconnect 0n1y
Pump or irrigation
-Sign/ou rline Ligh ting-Limi ted Energy/ies u-
Llmr ted Energy/Comn
COHPI,ETE FEE SCEEDIILE BBLOV
Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
nach additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-
$ 8s.00
$ 1s.00
Modular 'DveIling
SerVice or Feeder $ 40.00
Services or FeedersInstallation, Alterations
or Relocation:
3
A
Su
B.
fZ"Tu>Electrical Contractor
Address 2/Z ,4,^*,J2(tr
fu*.a- Phone 73 f - /Soc:
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00Expiration Date e
constr conrr . wunAer (r 7/77 *- EF.
Expirarion Dare /L1f 7--7-
Signaturg of Supervising Electrician
Ci ty -----T--Supervisor License Number
Owners Name
Addres
Ci ty Phone
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 40.00201 amps to 400 amps
-
$ 55.000ver 401 to 600 amps
-
$ 80.00Over 600 amps or 1000-6Tts see ,grr
"ffiD. Branch Circuits
Nev, Alteration or Extension per panel
One Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder permit $ Z.OO
Miscellaneous (Service/feeder not includec-Each installation
?f5-s
C
OVNER ON
The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
Orrners Signature:
$ 40.00
$ 40,00
s 20.00
$ 36.00
DATE c
BRECETVED
5
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Willamalane
Park & Recreation District
i
ir. NAME:j,
ADDRESS:
LOCATION OF PROPOSED BUI
Street Address:
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions
1e
on the back.)
A. Single-Family Detached
Single Family home
NO. OF UNITS
Job. No.
SYSTEM DEVELOPMENT CHARGE
\RKSHEET
PHONE:
STATE:ZIP:
SI
Tax Lot tlumber:
appropriate dwelling(s). SDC calculations and dwelling t
-L Manufactured home n of in a oark
lmD.ct)X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufac{ured Home Park
NO. OF UNiTS X $699 per unit
WILLA,MALA,NE SDC
2. SDC CREDTT ([ applicable) SDCaayer must (uqish proof of
Wllamalane Credit approval. See SDC Credit llVorlcsheeL
3. TOTAL WILLAMALANE NET SDC ASSESSED
$
$
$
O
fif
$
$
$for Credit)
3
sDc
Department Date
City of