HomeMy WebLinkAboutPermit Building 1999-10-19sPa[,irGFlEl,D
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'N]TY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 9911-04
126 -31 59
7 25 -37 69
225 North Fifth street
Springfield, OR 91477
LocaEion of Proposed work: 2347 33RD ST
Assessors MaP #: l'7021-943
Lot: 68 Block:
Office
Inspection Line
Tax Lot #: 05800
Subdivision : AMBLESfDE
o7-r oF SPTNGFIEI^D, OnEGON
a\
Owner: MERLE TAI{NER
Address: PO BOX 286
Describe Work: S.F. RESIDENCE
Phone #: 935-a852
City/State/Zrp: ELMIRA, OREGON 97437
NEW
General:
Plumbing:
Mechanical:
Electrical:
Contractor
J&KDEVELOPME OL2O274
PO BOX 2743 EUGENE OR 974010000
ALL AMERICAN PL 0121551
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
OWNER
Const.
Contractor #Expires
02/L2/oo
04/oa/e8
L2/23/ee
Phone
484-2292
982 - 6L55
7 47 -7 445
QUAD AREA: 3RNC
# OF Uirrrrs: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 2437
To requests an inspection, call L}:e 24 hour recording aL 726'3769.
AI1 inspections requested before 7:00 a.m. wilt be made Lhe same working day,
inspections requested after 7:00 a.m. will- be made the foflowing work day'
--- REQUIRED INSPECTIONS ---
SITE - To be made afLer excavation but prior to setting forms.
FOOTING - After trenches are excavaLed.
FOITNDATION - After forms are erected but prior Lo concrete placement.
ITNDERFLOOR PLITMBING - Prior to insufation or decking.
ITNDERFLOOR IIECHANICAT - Prior to insulation or decking.
POST A.bID BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wal-1/ceiling; Prior to cover
ITNDERFLOOR DR.LIN - Prior to cover or placement of concrete.
wArER LINE - Prior to filling trench NOTICE:
:il#H,*:X.ff":':',,ril'il::,lll]':7"::;i"' rHrspERtVilrsHALLExPrRErFrHEwoRK
ROUGH PLI'MBING - PTiOT TO "O'"'.
-
AJTHORIZEDUNDERTHISPERIVIITISNOT
RouGH MECIIA}iIICAL - Prior To cover. CoMMENCEDORISABANDONEDFOR
ROUGH ELECTRICAL - PTiOT LO COVET.
ErEcrRrcAr sERvrcE - Musr be approved ro obrain pssYilEqPry"P,rEEl9D'
SHEAR WALL NAITING - Before covering sheathing with finish materials.
FRAMTNG - Prior to cover.
INSULATION - Floor,. prior to decking Wa11/Ceiling; Prior to cover
DRYIIALL - Prior to LaPing.
CURBCUT - AfLer forms are erecLed but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
Ct
SPETNGF .,D
Job Number: 991-1-04
qT'r oF ONEGON
Page 2
FINAL PLIIMBING - When all plumbing work is complete.
FINAT MECHANICAL - When all- mechanical work j-s complete'
FINAIT ELECTRICAL - When all electricaf work ls complete.
FINAL BUILDING - When all required inspections have been approved and
Lhe building is complete.
Lot Faces: W
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5530
Total Height: 24
Lot Type: CORNER
Setbacks
SWE
51015
15
Lot Coverage: 37.6 *
Setbk From NPL: 18
N
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUII,DING PERMIT ---
Square Feet x
L592
485
$/Square Feet
69 .64
18.34
(A)
Value
110, 867.00
B,895.00
11,9 ,7 62 . OO
478 00
80
525.80
--- PLI'MBING PERMIT ---
Item
Residential- Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
1
Fee
91,.20
9L.20
9.L2
100.32(c)
--- MECHNiIICAI, PERITTIT
Furnace
Exhaust Hood
Vent Fan
wood stove / lnsert / Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Surcharge/eOmin
TOTAI, PERMIT
5.00
4.50
5.00
15.00
3.00
(D)
34.50
10.00
3 .46
47.95
--- MISCELLANEOUS PERMITS ---
surcharge/admin
Sidewalk
WILLAMALANE SDC
CITY SDC
ELECT PERMIT
TOTAI, MISCELLAI{EOUS PERMITS (E)
0.00
77.LO
1, 000 . 00
2 , 51,5 .1,7
187.00
3,779.27
(Excluding Electrical)
unless otherwiee notsed
.-- TOTAL A},IOT'NT DUE ---
(A, B, C, D, and E conbined)4 ,453 .35
sPqI{GFr-f,D
,Job Number: 991-104
CITY OF SPNINGETET-D, ONEGON
Page 3
--- BUILDING VALUE, PLA}iI CHECK AND BUILDTNG PERMIT ---
This permit is granted on the express condition that the saj-d construction
shalI, in aII respects, conform to the Ordj-nance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 339.95 Date Paid:
Recei-ved By:
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
o8/L2/ee
Lo/1,5/e9
Receipt Number: 352o2
--- ADDITIONAIJ COMMENTS ---
A & T DEFAULT AMOUNT USED FOR CREDTT PURPOSE ONLY
PATH 1
NO SEWER CONNECTION UNTIL INFRASTRUCTURE IS ACCEPTED BY CITY
NO OCCUPANCY UNTIL INFRASTRUCTT]RE IS ACCEPTED BY CITY.
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signaEure, I Btate and agree, that I have carefully examined
the compleLed application and do hereby certify that al-I 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 Ehe State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without. permission of the
Community Servi-ces Divi-sion, Building SafeEy. 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 af1 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
will remain on the site at all times during construction.
'o/q /rz) iL-4
Signature Date
--- VALIDATION --T
Receipt Number:
Date Paid:
Amount Received:
Received By:
1ss%2
/o fr
JOURNAL JOB NO
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: MTP I g fi, U IIap*
qq //04
LOCATION
DEVELOPMENT
BUILDING SVE:
5. ADMINISTRATTVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .0s
SDC Coordinator
ATTACH'A.WPD
SIZE-SQ. Ft.
S
s qLE, +o
S;:
S
S zz, a5
< $ -5,85 >
$ 10.00
suBTorAL (ADD ITEMS t,2,3 & 4)
?'c ',li!i{:'r* li'' Ji?;F
'1',1176'Jii 'i:i:3'1. STORM DRAINAGE
IMPERVIOUS SQ FT.x $0.232 PER SQ. FT
2. SAMTARY SEWER-CITY
NO. OF PFU'S ZO X548.27 PER PFU
(See Reverse Side)
3. TRANSPORTATION
NO OF LINITS X TRIP RATE X COST PER PM PEAK HOTIR TRIP
x /, o I x $486.73 PER TRIP
x _ x $486.73 PER TRIP
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X 24L,76 PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X 22, O{ PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMIMSTRATTVE FEE
S
$ ttq,7v
$ ?/ 5/(, t ''
Date:
TOTAL SDC
$r Dla 12{.8.o X ,{ -."ag
_- /0\? 9t<
TOTAL-MWMCSDC S ^aK.?6
FIXTURE UNIT CALCULATION TABLE! Number of New Fixhrres X Unit Equivalent = Fixrure Units(NOTE: For remodels, calculate only the ! additional fixtures)
FIXTURE ryPE
Bathtub..z-
Drinking Fountain.
Laundry Tub/Clotheswasher/lvf op S ink..
Clotheswasher - 3 Or More.
Mobile Home Park Trap (1 Per Trailer)..
Receptor For RefrigeratorAVater Station/Etc..........,
Receptor For Commercial S ink/DishwasherlEtc.....,
Shorver, Single Stall..
Shower, Gang,
S ink: Bar, Commercial, Residential Kitchen...........
Urinal, StalYwall.....
Wash Basin/Lavatory, Single...........
Toilet, Public Installation..
Toilet, Private..........
Miscellaneous:
TOTAL FIXTURE LTNITS a
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIX]I'URE
TINITS
2-I
b'
--r
/Head
2
I
2
3
6
2
6
6
I
J
2 -n'2
z
I
2
2
I
6
4
z
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexarion date in table, calculate
credits
Credit for Parcel or Land Only If Applicable O,34 X $ tf,ooo s,rr
Improvement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL _ $ 5, 8{
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
1979 or before
1980
1981
1982
I 983
1984
I 985
1986
1987
1988
1989
1 990
1991
1992
I 993
1994
I 995
1996- 1997
I 998
2.18
1.75
1.35
t.t7
1.03
0.86
0.11
0.57
0.39
0.18
RUNOFF COEFFICIENTS FOR STORM DR{INAGE
(For Estimating Purposes Only)
Residential.
Commerical..
0.4
0.9
0.5
0.5
FIXUNIT.WPD IMPERVIOUS AREA: TOTAL LOT SIZE X RUNOFF COEFFICIENT
Floor Drain..
Interceptors For Grease/OiUSolids/Etc.
Interceptors For Sand./Auto Wash/Etc.
It
I
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
NAME:
ADDR
LOCATION OF PROP DBU LDING SITE:
Street Add S
Willamalane
Park & Recreation District
A. Single-Family Detached
I\ Single Family home
NO. OF UNITS
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
ATE:
Job. No.
\
Manufactured home not in a
X $1,000 Per unit = $
$0co oD
q\
1
Plat Na Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
B. Single-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
WTLLAMALANE SDC $
2. SDC CREDTT (if applicable) SDOpayer must {umish proof of
Wiltamalane iredit approval. See SDC Credit Wotksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
=$
=$@
t(if sDc
D eve lopment
*
nt
a
City of Springfield
for Credit)
Date
t1 L
\L
onEGorv
SPR!NGFIELO
225 FIFTE STREET
SPRINGFIEI.,D, OREGON 97 477
INSPECf,ION REQUESTz 726-3
OFFICE: 726-3759
1 OP INST ,TI
JOB DE PTI ON
^.1
zoning, and does not require specific land use
approval LD
D
UNDEB
oR,s
ANYTsODAY PEHOd
A
PERHIT APPLICATION
b Number
SCEEDTILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
qltlto4
t--' S 85. OO B5,e
3 g ts.oo 453
$ 40.00
Sum
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.,ATION ONLY
f'
Electrical Co ntractor
Address :', '
Ci ty
Supervisor License Number
L000 sq.ft. or fess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Du-'.
Pho
B
C
E
200 amps o
201 amps t
401- amps t
601 amps t
Over 1000
Reconnec t
,r less
o 400 amps
-o 600 amps _o 1000 amps_
amps/voIts _
0n1y
$ s0.00
s 50.00
$100.00
s130.00
$300.00
s 40.00
Expiration Da
Constr Contr.
te
Expiration
Signature of Supervising Electrician
owners Name n?t KlE R
Address I rL lltr^l
Ci ty LZnrrA Phone 9'.1
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0rners Signature:
DATE:
Temporary Services or Feeders
Installation, Al-teration or Relocation
200 amps''or less l--'
201 amps to 400 amPs
-
Over 401 to 600 amPs
Over 600 amps or 1000-voTts
tu
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
r
$
$
$
s
40.00
s5.00
80.00
ee ilBil aEove
.00
.00
.00
.00
D
/852
-Each installation
Pump or irrigation
-
Sign/0ut1ine Light ing-
Limi ted Energy/Res
Limi ted EnergY/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAI
$40
$40
$20
$36
RECEIVED BY:
5 oo
CITY OF
c:
a
t
ADDRESS CHANGE REQUEST
Property Owner:
Mailing Address:
State:zLpCity:
Person or A{ency requesting change if other than owner:
Phone number where you can be contacted:q 5tB 52.-
Addressofpropertyyouarerequestingtobechanged
Assessor MaP #:fl)ag +3I Tax Lot #btsgoO
PIease exPlain sPecif IIy why you feel the address needs to be c\anged:
Propo Address:
Property owners Signatu
Date Received:
Reference Number:
g,l?t qq OFFICE USE
Received By:
Denied:
a)
rax Lor #, )b&oo
L-/'Approved:
If approved,
Reviewed by:
(b)
address
Date:
Q-rtrr