HomeMy WebLinkAboutPermit Building 1998-04-28SPhI!ilGFIELO
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVTCES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 980373
225 North Fifth Street
Springfield, OR 97471
L,ocation of Proposed Work: 549 S 34TH ST
Assessors tutap #: L7O23L34
Lot: 1 Block:
Office:
Inspection Line:
726 -3759
726 -37 69
Tax Lot #
Subdiwi-sion
03800
LILAC MEADOWS
SPilNGFTEI-O,
Owner: I{,ARVIN I4ARGOLIS
Address: 2050 WEST 25TH AVENUE
Describe Work: S. F . RESIDENCE
Phone #: 586-2525
city/state/zip: EUGENE, OREGON 9'7405
NEW
General-
ConEractor
LARRY COOPER O1O978O
2955 TIMBERLINE DR EUGENE OR 974050
Const.
ConEracEor #Expires
aa/o6/eB
Phone
302- 5852
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1,67a
To request an inspection, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after ?:00 a.m. will be made the fol-lowing work day.
--- REQUIRED INSPECTIONS --.
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior Lo concrete placement.
ITNDERFLOOR PLIIMBING - Prior to insulation or decking.
WATER LINE - Prior to fj-l1ing trench.
ELECTRICAL SERVICE - Must be approved to obtai-n permanent power.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
vAPoR BARRIER/INSULATIoN - To be made after insulation and required
vapor barriers are in place, but prior to any wal-1 covering.
SANfTARY SEWER LINE - Prior to filling trench.
ROUGH PLTIMBING - PriOr TO COVCT.
ROUGH ELECTRICAL - Prior to cover.
ROUGH MECIIANICAL - PriOr IO COI/CT,
SHEAR wAtL NAILfNG - Before covering sheathing with finish materials.
FILA.MING - Prior to cover.
INSUTATION - Ffoor; prior to decking wa11/Ceiling; Prior Lo cover
DRYWALL - Prior to taping.
STORM SEWER IINE - Prior Lo filling trench.
FINAL PLII{BING - When al1 plumbing work is complete.
FINAL MECHATiIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FfNAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Topography: 2
Solar Approved: Y
House
Garag'e
Lot sq. Ft.: 5003
Total Height: 15
Setbacks
WE
10
1B
Lot Coverage: 33.4 Z
Setbk From NPL: 30
N
10 10
SPNIi.GFTELD
.fob Number: 980373 Page 2
Item
Main
Garage
Total Value
Building Permj-t Fee
Surcharge/admin
TOTAT FEE
--- BUII,DING PERMIT
Square Feet x
1154
517
$/Square Feet
64 .66
L6 .27
(A)
Value
74,6a8.00
8,4a2.O0
83, 030.00
385
30
00
80
415.80
--- PLI'MBING PERMIT
Item
Residential Bath(s)
Plumbing Permit
Surcharge/aamin
TOTAI, CHARGE
2
Fee
160.00
150.00
L2 .80
L7 2 .80(c)
--- MECHAI{ICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
2
6.00
4 .50
5.00
3.00
19.50
10.00
1, .57
(D)3r_.07
--- MISCELLANEOUS PERMITS
Surcharge/admin
CITY SDC.
WILLAMALANE
TOTAI, MISCETLANEOUS PERMITS (E)
0.00
2,230.tI
1,000.00
3,23O ri\
(Excluding Electrical)
unless oEherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)!,?%'r7*t*73>lA
--- BUILDING VALUE, PLAN CHECK A.I{D BUILDING PERMIT ---
Thi-s permiL is granted on the express condition that the said construction
shal-l-, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of sald ordinances.
PLan Check Fee:. 250.29 Date Pai-d:
Received By:
PLans Reviewed By: AL WARD Date:
Building Site Reviewed By: LISA HOPPER
03/30/e8
04/27/e8
Receipt Number: 29259
SPrtIi.GFIELE,
Job Number: 980373 Page 3
--- ADDITIONAL COMMENTS
A & T ESTTMATE ONLY FOR CITY SDC CREDTT PIIRPOSES
SEPERATE ELECT. PERMTT REQUIRED.
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I etsatse and agree, Lhat I have carefully examined
the compleEed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
sha1l be done in accordance with the Ordinances of t.he City of Springfield,
and Lhe Laws of the SEate 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 only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Lo ensure that all requi-red inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is l-ocated at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
'l - 7f '1V
Signat.ure Date
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By
a
4^?E€.*
7,oS>e,/A
0
,,t7:*-
("
JoB N0. ?60<'<
ATTACHMENT A
C ITY OF SPRTnGFI ELD SYSTEMS DEVELOPPIENT CHARGE
WORKSHEET
NAME OR COMPANY
547 3, 34 r,q 5r.LOCATION
DEVELOPMENT TYPE 1.F, R.
BUILDING SIZE OT SIZ FI
1. STORM DRAIIIAGI
iMPERVIOUS SO FT 2, #6 x $0.22G PEp. sQ. Fi s d75.uo
2. SANIIARY SEI{ER-CITY
rt X 5.16.86 PER PFU 5 843 47
(See Revense Side)
3. IRANSp0RT,r LtCN
NO OF UNITS X TRIP RATE X COST PER TRIP
I x l,ot x$472.49 $ 4 77.2t
x $472.49
x $472.49
4. SANiTARY SE./ER-MIilMC
gt)t5 Dd
NO. OF fETI.:S I X ZTZT,PENIU + $10 l'l,.ll,1c/ADl-4 FEE $ 287, -
MI,.Jt',tC CREDII IF APPLiCABLE (SEE REVERSE) S -.s?..<T
TOTAL-Mt^jI'lC SDC $ 228.21
$
(t
X
X
5. ADMiNISTRATIVE FEES
BASE CHARGE (SUBIOIAL ABOVE) X .05
SUBTOTAL (ADD ITEMS 1.2.3 & 4)srw#pzr=/;V
s /iG.1l
T0TAL SDC $ffiL -22fu.€l
I
SDC Coordi nator
Date 4- 7-78
NO. OF PFU'S
&Z
. fl.r\ I Untr UlUl I
(NoTE: F6iiemodels
FIXTURE TYPE
t-Jil,-L"9tJLA I l\.rl\l -lADLtr: Number ol New l-rxtures x Unrt Equivalent = Fixrure Units
; calculate'onl^:\e NET additional fixtures):
':,,'. _ :'.i"r1 :": : . NEW FIXTURES EOUIVALENT UNTTS
Bathtub......
Drinking Fountain...........
Floor Drain....................
lnterceptors For Grease/Oil/Solids/Etc.................
lnterceptors For Sand/Auto WashiEtc..................
Laundry TubiClotheswasher......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer).
Receptor For Refrigeralor/Water Station/Etc........
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar, Commerdial, Residerrtial Kitchen....
Urinal, StalUwall...
Wash BasiniLavatory, Single.......
Toiiet, Pubiic lnstallation.
Toiler, Private.......
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable,
calculate credits separates.
2
1
2
3
6
iHeaC
2
A
6
1
J
z.
t,
2
2
1
b
4
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,COO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
v 2.00
2.17
1.73
1.31
o.92
o.74
o.61
o.45
0.31
o.17
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)XS
(Rate X Assessed Value)
CREDIT TOTAL s
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Fesioeniiai...:.
Commerical...,
lndustrial.......
Governmental.
0.4
0.9
05
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
x $_
€$Willamalane
Park & Recreation District
NAM
ADDRESS:
LOCATION OF P
Street Address:
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Single-Family Detaehect
II Single Family home
NO. OF UNITS
PHONE: .-"
STATE:
D BUILDING SITE:
Tax Lot Number:nr)A3l
appropriate dwelling(s). SDC calculations and dwelling t
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
Manufactured home n
$1,000 per unit = $
P :]
I
t;ot
I
I
B. Single-Family Attached
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 $
WILLAMALANE SDC
2. SDC CREDff (if applicable) SDOaayer must fumish proof of
Wllamalane Credit approval. See SDC Credit Woksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced forCredit)
$
(00$
$
$
OO
City of Springfield
Date
NO. OF UNITS
in a park
NY),O
OBEGO'UC'TY OF
SPP"'AFIELO
Tha fo!l6rsi71g pfdoct
zonr,,ir aiu dogs notapprovc,
L
s oubrnliled tme tho forr..wir.rg
r€qr.tkD apecfra lsrd usi,
{-4{225 FIFTE STREET
SPRTNGFTELD, ORBGON 97 477
INSPECf,TON REQUEST: 726-
OFPICE: 726-3759
1 LOCATION OP f,
LEGAL DESCRIPTTON
| ^e"-7 =7.2=@DESCRT
2. COI.ITRACf,OR INST OT.ILY
Electrical Contractor eL eL tc
ELEGTRICAL PERHIT APPLICATION
Ci ty Job Nurnber ?RO>2=
SCEEDT'I,E BELOIJ
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service fncluded:
Items Cost
3
A
Sum
Address P. o. {3oy 7g Eq
Ci ty fu eNe 1'l,tol phone q3;- l3o J
Supervisor License Number 38n S
Expiration Date l0-I -18
Constr Contr. Number lcl ql 1
.ft. or lessditional 500or portion
thereof 2-
Each Manuf,d Home. or
-Modular 'Dvelling
Sertice or Feeder
D. Branch Circuits
Nev, Alteration or Extensi
One Circuit
Each Addi tionalCircuit or vfth Serviceor Feeder Permit
ns
$ 40.00
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less S 50
20L amps to 400 amps
-
$ 0O
40L amps to 600 amps
-
$10060i. amps to 1000 amps- $1300ver 1000 amps/volts
-
$300Reconnect Only $ aO
00
00
00
00
00
00
I $ 8s.oo .89 **
$ 1s.00 v-c*
affi
on Per Panel
$ 3s.00
$ 2.00
L000 sq
Each ad
sq. ftPermits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for
180 days.
.B
c Temporary Services or FeedersInstallation, Alteration or Relocation
Expiration Date
Signatupe of Supervising Electrician
\_1_
200 amps"or less S201 amps to 400 amps
-
$Over 401 to 600 amps
-
$Over 600 amps or L000T6lffs se
t0 - t- 1 g 40.00
5s.00
80.00
e xBrl
ciw %eF phone A*z-ZDz<t
osNER rusr,.*fr?rff
Ovners Name
Address
The installation is being made onproperty I ovn vhich is not intendedfor saLe, Iease or rent.
0yners Signature:
DATE:
E. Miscellaneous (Service,/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighti
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
rOTAL
-aD
$ 40.00
$ 40.00
$ 20.00
$ 36.00
:. .): .i. , .: i.- ..1i:
rcETUED
5
o