HomeMy WebLinkAboutPermit Building 1999-04-02seRtrucrtel.o
RESIDENTIAL PERMIT APPLICATION
CITY OT SPR]NGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 990297
725-3'759
726 -37 69
225 North Fifth Street
Springfield, OR 9'747'7
Location of Proposed Work: 2285 33RD ST
Assessors tutap #: a702L943
Lot : 1-9 Block:
office
Inspection Line
Tax Lot #: 01900
Subdivision : AMBLESIDE
SPilNGFIELT',
OwNET: DUKES & DUKES
Address: PO BOX 4L6'78
Describe Work: S.F- RESIDENCE
Phone #: 338-0514
city/state/zip: EUGENE, oREGON 974O4
NEW
General:
Plumbing:
Mechanical:
ElecLricaf :
ConEractor
DUKES & DUKES OO55O5O
po Box 4L678 EUGENE OR 974040000
DON LEWIS 0033076
5OO GREENFIELD ST EUGENE OR 9740415
HARVEY & SON 0055682
4680 MAIN ST SPRINGFIELD OR 9747860
EASTSIDE ELECTR OLL777O
38253 BOSCAGE LN SPRINGFIELD OR 974
Const.
Contractor #Expires
03/1,6/ee
06/1-o/ee
02/25/oo
1"o/04/ee
Phone
746-7577
'7 4L-a499
46L- 547 7
3?r'oGl+
688-1931
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 223L
OFFICE USE --
LAND USE: 1111
ZONTNG CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: L
OCCY GROUP: R3
HEAT SOURCE: FG
]NSUL PATH: P1
To request an insPection, cal-f Lhe 24 hour recording aL 726-3769'
A11 inspections requested before
inspecLions requested after 7:00
7:00 a.m. will be made the same working day,
a.m. will- be made the folfowing work day'
-.- REQUIRED INSPECTIONS ---
FooTING - After Lrenches are excavated'
FOITNDATION - AfLer forms are erected but prior to concrete placement '
ROUGH GAS - aft.er l-ine is installed and capped if not attached to an
appliance
UNDERFLOoR PLWBING - Prior to insufation or decking'
ITIIDERFLOOR MECHANICAL - Prior to insulation or decking'
posT AIiID BEAI,I - Prior to f loor insulation or decking.
INSULATION - Floor; prior to decking wal1/Ceiling; Prior to cover
WATER IJINE - Prior to filling trench'
SAIIITARY SEWER tINE - Prior to filling trench'
STORM SEWER LINE - Prior to filling trench'
ITNDERFLOOR DRAIN - Prior to cover or placement of concrete '
ROUGH PLIIMBING - PTiOT LO COVET.
ROUGH MECHATiIICAL - Prior to cover '
ROUGH ELECTRICAL - Prior to cover'
ELECTRICAL SERVICE - Must be approved to obtain permanent power'
'HEAR
WALL NArLrNc - Before covering sheathing with finish materials
FRAMING - Prior to cover'
rNsur,ATroN - Froor; prior to decking wa11/ceiling; prior Lo cover
DRYWALL - Prior to taPing'
CURBCUT - After forms are erected but prior to placement of concreLe
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPRINGFIELD
Job Number: 990297 Page 2
FINAL PLITMBING - When all plumbing work is complete.FrNAt MEcIrAr{rcAt - when all mechanicar work is complete.
FINAL ErJEcrRrcAL - when al-I electrical work i-s complete.
GAs sERvrCE - After line is installed and line has been connected to aminimum of one appliance. pressure test done at this point.
SPECTAL
FrNAr, BUTTJDTNG - when all required inspections have been approved andthe building is complete.
Lot Faces: W
Topography: 2
Sol-ar Approved: Y
Lot Sq. Ft.: 6J-23
Total Height.: L7.5
Lot Type: CORNER
Setbacks
SWE
10
18 10
Lot Coverage: 36.432
Setbk From NPL: 9
N
5House
Garage
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admi-n
TOTAL FEE
--- BUILDING PERMTT ---
Sguare Feet x
154 5
586
$/Square Feet
69 .54
18.34
(A)
Value
LO1 ,594 .00
12,581.00
1,20,L75.OO
480.25
38 .42
518.67
--- PLIIMBTNG PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
160.00
150.00
12.80
772.80(c)
--- MECHANTCAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
MechanicaL Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
6.00
4.50
9.00
3.00
5.00
4.50
(D)
32.00
10.00
2 .55
44.56
--- MTSCELLA}IEOUS PERMITS ---
Surcharge/admi-n
Sidewalk
Curb Cut.
WILLAMALANE SDC
CITY SDC
TEMP. POWER
0.00
27 .25
15.40
1,000.00
2,356.29
43 -20
TOTAL MISCELLANEOUS PERMITS (E)3 ,442 .L4
SPEINGFIELD
ilob Nurnber: 990297 Page 3
--- TOTAL AMOUNT DUE ---(Excluding Elect,rical) (A, B, C, D, and E combined)unless otherwise noted 4,L78.L7
--- BUILDTNG VALUE , PLAIiI cHEcK AND BUILDTNG PERMIT - - -
This permit is granted on the express condit.ion that the sai-d constructionsha1I, in all respects, conform to the ordinance adopted by the City ofspringfield, including the Development code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordj_nances.
Plan Check Fee: 3l-2.1_G Date paid
Received By:
Pl-ans Reviewed By: DON MOORE Date
Building Site Reviewed By: LfSA HOppER
03/05/ee
03 /25 / ee
Receipt Number: 33055
--- ADDITIONAL COMMENTS
A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/8/99.
DEFAULT AIVIOI'NT USED FOR CITY SDC CREDTT PI'RPOSES
PATH 1; SEPARATE ELECTRTCAL PERMIT IS REQUIRED
LAND ALT. PERMIT APPLIES
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examinedthe completed application and do hereby certify that all informatj-on hereoni-s t.rue and correct, and I further certify that any and all work performedshall be done in accordance wj-t.h 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 without permission of the
Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 201.055 will be
used on this project.
I further agree to ensure that all required inspections are reguest.ed at theproper time, that each address i-s readable from the street, that the permitcard is l-ocated at the front of the property, and the approved set of planswill- remain on the site at aLl_ times during construction.
C 7- s- ZrSignatureDaLe
Receipt Number
Date Paid
Amount Recei-ved
Received By:
--- VALIDATION ---
.z2z-z
z-*> /DfC
T
??7+o
7-2''?
225 FIFTH STREET eo
SPRINGFTELD, OREGON 97
INSPECTION REQUESTI 72
OFPICE: 726-3759
1.OF
ON
JOB
Permits are non-t ansferable and expi
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2 CONTR.ACTOR INSTALI..ATION ONLY
EIe rical Contractor
Addr
Ci ty
Supervi-sor Li er
Expiration Date
Constr Contr.
Expira t io
Signat trician
Ovners Name
Address
ci ty Phone
OVNER
SPFrINGFIELc,
ELE TRICAL PERHTT
Ci ty Job Nunb er
FEE SCBEDT'LE BELOV
N e idential-Single or
Iti-Family per dvelling unit.
ice Included:Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Hodular'Dve11ing
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
Ins tallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
--
40L amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amPs/voIts
-
Reconnect 0n1Y
Temporary Services or Peeders
lnstallaiion, Alteration or Relocati
o-q/o
!
3
B
c.
s s0.00
s 60.00
s100.00
s130. 00
s300.00
s 40.00
on
4D_200 amps"or I
201 amps to 4
Over 401 to 6
0ver 600 amps
ess I 54
OO amps S S
0O amns S B
or 1000 volts see
0.00
s.o0
0.00
rrBtr am
D Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit S 35'00
g;"h edaitional-ci;";it or vith service
or Feeder Permit
-
$ 2'00 '-
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limi ted EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0mers Sigrrature:
E
$ 40.00
s 40.00
$ 20.00
$ 36.00
NAIE:
Ph
nse
umber
te
of Supervising
RECEIVED
5
oo
UUillamalane
Park & Recreation District Job. No.
qq r)
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:NAM
ADDR
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name
1. DEVELOPMENT TYPE (Check
ype delinitions
1e
on the back.)
A. Single-Family Detachecr
\ Single Family homd
NO. OF UNITS
B. Single-Family Attached
eve lo
Tax Lot Number:
appropdate dwelling(s). SDC calculalions and dwelling t
Manufactured home not in a park
srArE: M, zP' ft?+D1
q,
@
X $1,000 per unit = $
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufadured Home Park
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDIT (il applicable) SDOaayermust (urnlsh proof of
Willamalane Credit approval. See SDC Credit Workshoet.
$
$q
$
3. TOTAL WILLAMALAN SDC ASSESSED
$\c oogo(if SDC reduced for Credit!
City of Springfield
-Ltzt2?Date
oc
ATTACHMENT A
JoURNAL oR JoB uo. ' Zee'? T
CITY OF SPRINGFIELD SYSTEMS DEVELOP},TENT CHARGE
WORKSHEET
te+
LOCATION zzg rg
DEVELOPMENT TYPE:
BUILDING SIZE: Zz
2. SANITARY SEIIIER-CITY
NO. OF PFU'S /?
(See Reverse S'ide)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
l.o x $475.32
SIZ .Ft
z (sD *2G4,€)
z4bz x $0.227 PER SQ. Fr. $55 ,3. E7
x $47.14 PER PFU $ ffi,{, C a
i srQroiM+aGE
IMPERVIOUS SQ.
zzzl +
FT.
4. SANITARY SEt^lER-Mt^lMC
A. REIMBURSEMENT COST:
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
fhec
SDC Coor"di nator
ATTACH'A.t',lPD
NO. OF FEU'S x 211,4.+PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X 25.2OPER FEU
MI^,MC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^lMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$ 4b,a1
$,#
$ 2,5.20
$ 10.00
T0TAL-MW C SDC $ 3ffi:+*)
z+4
"d
X
X x $475.32 $
Date 7", i
TOTAL SDC $ 2 35(. 7CT
NAME OR COMPANY:
D
FIXTURE UNIT CALCULATION TABLE-: Number of New Fixtu
(NOTE: For remodels, calculate only t' iET additional fixtures)
MBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub..
Drinking Fountain."'
Floor Drain
lntercePtors For Grease/Oil/Solids/Etc
lntercePtors For Sand/Auto Wash/Etc"""
LaundrY Tub /Clotheswasher
resJ'Unit Equivalent : Fixture Uniti
UNIT FIXTURE
EOUIVALENT UNITS
TOTAL FIXTURE UNITS
ents occurred after a nnexation date in table,
;
/Head
2
1
2
3
6
2
6
6
1
3
2
1
2
2
1
6
4
Clotheswasher - 3 Or More""'
Mobile Home Park Trap (1 Per Trailer)""-"""
O"""r,", For Refrigerator/Water Station/Etc""
H"""pro, For Commercial Sink/Dishwasher/Etc ZL
1z2\ ,
--6-
r
--------:-
/a
Shower, .Single Stall"""""'
Shower, Gang.....""'
Sink: Bar, Commercial, Resi
Urinal, Stall/Wall"'
dential Kitchen.-
Wash Basin/LavatorY, Single" "'
Toilet, Public lnstallation'
Toilet, Private..""'
Miscellaneous
I
assessed value. lf imProvem
CREDIT CALCU LATION TABLE Based on
calculate credits se arates
Credit for Parcei'or'Land Only lf Applicable
lmprovement (if after annexation date)
2 ,/€Ll x g
(Rate X Assessed Value)xs
(Rate X Assessed Value)
CREDIT TOTAL $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses Onlyl
Residential.
Commerical..........." "
lndustrial... 0 5
Governmental.........""""""' O'5
o.4
o.9
Year
Annexed
Rate per $
Assdssed
1,OOO
ValueYear.
Annexed Assessed Value
Rate Per Sl,OOO
1 989
1 990
1 991
1 992
1 993
1994
'i", L995
1 996
1 997
$1.98
1.55
1 .15
0.96
o.83
o.67
o.52
o.38
o.21
1979 or before
1 980
1 981
1982
1 983
1984
1 986
1 987
1988
$4.27
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
:./6