HomeMy WebLinkAboutPermit Building 1998-01-08SPFINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NTTY SERVICES DTVISION
BUILDING SAFETY
page 1
Job Number: 97L677
225 North Fifth StreetSpringfield, OR 97477
Location of proposed Work: 591 S 34TH STAssessors Map #z L70231,34
Lot: lL Block:
Office
Inspection Line
726 -37 59
725 -37 59
Tax Lot #
Subdivision
03800
LILAC MEADOWS
Owner: IIARVIN IiIARGOLIS
Address: 2O5O W 25TH
phone #: 696_2525
City/Stare/zip: EUGENE, OREGON 97405
Describe Work: S.F. RESfDENCE NEW
Contractor
General-:LARRY COOPER
Plumbing: LARRY COOPER
Const.
ConEractor #
0058513
007 81_7 6
Expires
1,1./06/e8
1.\/05/e8
Phone
302 - 5852
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: WH
SQ FOOTAGE: L976
To request an inspecEion, call_Lhe 24 hour recording at 726-3769.
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 5813
Total Height: 16.5
Lot Tlpe: PAIIHANDLE
Setbacks
SWE
26 r.0 10
Lot Coverage: 29 Z
SeUbk From NPL: 30
N
House L2
A11 inspections requested before 7:00 a.m. will be made the same working day,inspections reqFested after 7:oo a.m. wilL be made the folrowins work day.
--- REQUIRED TNSPECTTONS ___
FOOTfNG - After trenches are excavated.
FOUIIDATION - After forms are erected but prior to concrete placement.
ITIIDERFLOOR MECHAT{rCAL - prior to insuLation or decking.
ITNDERFLOOR PIITMBING - Prior to insulation or decking.
POST AIiID BEAITI - prior to f 1oor insulation or decking.
rNsur.ATroN - Floor; prior to decking walr/cei1j_ng; prior to cover
SAIIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
-['IATER LINE - Prior to fil]_ing trench.
ROUGH PLIIIBING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH MECHANICAL - Pri-or to cover.
ROUGH ETECTRICAL - Prior to cover.
ELECTRfCAL SERVICE - Must. be approved to obtain permanent power.
FRAITIING - Pri-or to cover.
INSUTATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
DRY!'IALL - Prior to taping.
FINAL PIJITMBfNG - When all plumbing work j-s complete.
FINAL MECHAI{ICAL - When alL mechanical work is compleEe.
FINAT ETECTRICAL - When afl- electrical work is complete.
FINAL BUILDING - When aII required inspections have been approved and
the building is complete.
3PF!t|GFIELE'
.fob Number: 97L6i7 Page 2
Item
Main
Garage
Total Value
Building permit Fee
Surcharge/Admin
TOTAI, FEE
--- BUILDING PERMTT ---
Square Feet x
]-37 6
500
$/Sguare Feet
54 .56
15.27
Value
88,972.O0
9,752.00
98 ,734 . OO
430.00
34 .40
464 .40(A)
- - - PtI'I{BTNG PER}IIT -. -
Item
ResidentiaL Bat,h (s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
z
Fee
150.00
150.00
L2 .80
L7 2 .80(c)
--- MECIIANICAI, PERMIT ---
Furnace
Exhaust Hood
Vent, Fan
Dryer Vent
Mechanical permit
Issuance
Surcharge/Admin
TOTAI, PERMIT
3
6.00
4.50
9.00
3.00
(D)
22 .50
l_0.00
1.81
34.31
- - - MTSCEI.I,A}IEOUS PERI{ITS
Surcharge/admin
sDc
WTLLAMALANE
PLAN CKECK FEE
TOTAL MTSCELLATiIEOUS PERMTTS (E)
0.00
2 ,534 . gg
1, 000 . 00
80.00
3,7L4.93
(Excluding EIect,rical )
unless ot,herwise noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)4,386 .w
--- BUILDING VALUE, PLA.IV CHEEK AIID BUILDING PERI{IT ---
This permit is granted on the express condition that the said construction
shal1, in all respects, conform to the ordinance adopted by the cj-ty ofSpringfield, 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 said ordinances.
Received By:
Plans Reviewed By:
Building Site Reviewed By: LfSA HOPPER
DaLe: L2/L5/97
SPRIIIGFIELD
,.fob Number: 97L677 Page 3
--- ADDITIONAIJ COMMEI{TS
A & T ESTTMATE ONLY FOR SDC CREDIT PURPOSES
ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
By signatsure,f Etate and agree, that I have carefully examinedthe completed application and do hereby certify that all information hereonis true and correct, and r further certify that any and aIl work performedshal1 be done in accordance with the ordinances of the City of Springfield,and t.he Laws of the state of oregon pertaining to the work described herein,and t,hat NO OCCUPANCY will be made of any sLructure without permission of the
Community Services Division, Building Safety. I further certify that onlycontractors and employees who are i-n compliance with oRs 701.055 will be
used on this project.
I further agree Lo ensure that all required inspections are reguested at theproper time, that each address is readable from the streeE, that the permit
card is located at t.he front of the property, and the approved set of plans
wil-l- remain on t,he site at. al-l- times during construction.
e^,** 94"-p)hd t^'xx
Signature ilt"
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By:
2g t/2 /
zl'
Jots No. 1-:'cvz.
ATTACHMENT A
CITY OF SPR]NGFIELD SYSTEMS DEVELOPMENT CHARGE
I^JORKSHEET
NAME OR CCI"IPANY 1"4 ezrt, N l''l xu o Ltl
LOCATION 58 I 4 34r
DEVELOPMENT TYPT
BUILDiNG SlZE
NC. OF PFU'S
tz--
1. STORM DRAili,:.l[
IMPERVIOUS SO FT 31 8-/X $0.225 PEP. SQ. 1. $ 1ot, 06
2. SAI{lIARY Si,!ER-CirY
i SIZ
X SJ6.86 PER PFU
0. Ft
s64 .+R
s +/ 1, zl
$
87,7b
?
(See Reversc Si,ie)
IRANSP0RIA i iCiti
NO OF UNITS X IR.IP RATE X COST PER TRIP
I x r,ot x $472 49
x _ x $472.49
x $472 49
4. SAtrtitARy SEwEcl-tt'u,uc
Dd
NO. OF FTUJS I X Z7?,7bPER FEU + $10 MI^JI4C/ADM FEI
MI^J|,lC CRIDiT IF APPLICABLE (SEE REVERSE)
TOIAL.MI,J|'1C SDC $
SUBT0TAL (ADD ITTMS 1,2,3 & 4) s z fa. sl
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOIAL ABOVE) X .05 S lz{,47
s
X
$
SDC Coordi nator
Dale: tz-ot-?7
TOTAL SDC $ 2,63+,12,
-,
Ar-
: rlr\ I ut1tr, L.,lul I uALlrrJLA I llJlY t AOLE. Numoer or l\ew l-rxtures x unlt Equivalent = Fixrure units
(NOTE: For"remodels, calculate only NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathrub......
Drinking Fountain....
Floor Drain..................
lnterceptors For Greaser'Oil/SolidsiEtc....-...........'
lnterceptors For Sand/Auto WashiEtc. -...-....... " "'
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer) .....-...
Receptor For Refrigeratoriwater Station/Etc........
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Sta11.........'
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen......""
Urinal. Stall/Wall...
Wash Basini LavatorY, Single...
Toiiet, Pubiic lnstallation.
Toilei , Pritrate...... '
2._
---T-
Miscellaneous
TOTAL FiXTURE UNITS l.R
2
,|
)
.)
6
aL
o
1
J
2
l,
2
2
1
o
4
2^
d,'Hea
2_
2-_
-4-
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in rable.
calculate ci'edits s rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per s1,COO
AssesseC Value
Year
Annexed
Rate per $1,000
Assessed Value
1 987
1 988
1 989
1 990
1 991
1 992
1 993
'1994
1 995
1 996
)z.co
2.17
1.73
1.31
0.92
o.74
0.61
0.45
0.31
o.1 7
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$ 3.97
3.89
a o')
3.70
3.55
3.39
3.20
2.91
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesrden iiai.....
Commerical....
lndustrial........
Governmental.
...... i.4
..... o.9
o5
..... o.5
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
2-
I
L
Willarnalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.q r6 7
NAME:PHoNE: G 86-s5 s,s
ADDRESS: &OS0 \r)*g srArE: o\ zlP: t-?{(\5.LS
LOCATION OF PROPOSED BUILDING SITE:
Street Address:Shr 3r{.{\
Plat Name: \1OSSt3P\Tax Lot Number:(\
DEVELOPMENT TYPE (check
ype definitions are on the back.)
..
A. Singte-Family Detached
\ Single Family home
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a Park
X $1,000 per unit = $\ (xj)gP
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
1
C. Multi-Family Apartment
NO. OF UNITS X $692 Per unit
D. Manufactured Home Park
WILLAMALANE SDC
2. SDC CREDIT (il applicable) SDC-payer must,lurnish proof of
Willamalane ireOit'approval' See SDC Credit Worksheet'
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\\
$
$
$
$
$
I\
&ural
S
Date
)
CrtY ot
sPt iFt€Lo
afi,
L
225 FTFTE STREET
SPRINGFIELD, OREGoN 97 477
INSPECTION REQI EST. 72.6-3769
OFEICE: 726-3759
1. I'CATION OF
TJGAL DESCRIPTION
JOB
Pernits ire non-transferable and expire
if sork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR
Electrical Contractor i el,
Address P. D' 8e* *s5
Ci ty L <zd € 1l+tz Phone ? 3f - 5303
Supervisor License Number 3?tiL
ExP iration Date ,0- 1 - 19
Constr Contr. Number 915?'1
ExP iration Date 6 -2O -19
ELECTRICAL PERHTT APPLICATION
Job Nrlnber
3. COHPI,ETE FEE SCEEDT'I,E BELOI'
A Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
ONLT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular 'Dvelling'
Sertice or Feeder
.8. Services or Feeders
Installation, Alterations
or Relocation:
c.
D.
ftems Cost Sum
7- $ 15.00 2'i>;
$ 40.00
Rtc
200 amps or less
201 amps to 400 amps _401 amps to.600 amps _601 amfs to 1000 amps-
0ver 1000 amps/voIts
Reconnect Oniy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'"or less S 40.00
or"r OOO amps or rbOOEfts see "B' abffi
Branch Circuits : -.
s 50.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
s '*u of. Superv
"D_
ising Electrician
0vners Name
Address
ciryF|?47€4Phone6*i^z::zt-
OVNER INSTALINTION
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
Onners+!ignature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Admini.strative Fee
TOTAI
s
s
$
s
40
40
20
36
00
00
00
00
5
RECEIVED
1.
T.a?-? v7/ Or .
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
NGFI
JOB NUMBER ?
225 Fifth Street
Spri ngfleld, Oregon g7 4tl
LOCATION OF PROPOSED WOFIK:sgl 1lD 3\'\6
ASSESSORS MAP:
LOr BLOCK:SUBDIVISION
TAX LO'T
\oKo aS)gPHONE:
qI\DYZIP:
y'\o/\,u'uh.-
,(,Q_STATE:
).o1D \D )
CITY:
ADDRESS:
OWNER:
NEW- REMODEL ADDITION DEMOLISH OTHER
DESCRIBE WOR !3-q"
coNcoN
IC,
ADDRESS EXPIBES
Z t5S Jirr',nuJL", U1 i.'\ t
ELECTRICAL:
CONTRACTOR'S NAME
GENEBAL:
MECHANICAL:
PLUMBING
IST.
TRACTOR #
'11t0
,f PHONE
3-,>z t*52
- OFFICE USE -
OUAD AREA:
r OF BLDGS:
LAND USE:
/ OF UNITS
FLOOD PLAIN:
ZONING CODE:
, OF BDRMS:
-
OCCY GROUP:
* OF STORIES:
CONSTR. TYPE:
HEAT SOURCE:
WATER HEATEFI:FIANGE:
SECONDABY HEAT:
SOUARE. FOOTAGE:
To request an inspectlon, you must cail 726-3769. This is a24 l'tour recordlng. Alt lnspectlons requested before 7:00 a.m. wllt bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be made the followlng work day.
REOUIRED INSPECTIONS
Temporary Electrlc
E
w
E
E
Slte lnspectlon - To lre made
after excavatlon, but prior to
setting lorms.
Underslab Plumblng/ Electrical /
Mechanlcal - Prior to cover.
Footlng - After trenches are
excavated.
Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
Undertloor Plumblng/ Mechanlcat
- Prlor to lnsulatlon or decklng.
Post and Beam - Prlor to ,loor
lnsulatlon or decklng.
Floor lnsulalion - Prior to
decklng.
Sanltary Sewer - Prior to fllling
trench.
Storm Sewer - Prior to fllling
trench.
Water Llne - Prlor to filling
trench.
Rough Plumbing - Prlor to
cover.
Rough Mechanlcal - Prior to
cover.
Rough Electrical - Prior to
cover.
Electrical Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flreplace - Prlor to faclng
materlals and framing lnsp.
Framlng - Prlor to cover.
Wall/Celling lnsulatlon - Prlor to
cover.
Drywall - Prlor to taplng.
Wood Stovo - After lnstallatlon.
lnsert - After flreplace approval
and lnstallatlon of unlt.
Curbcut & AJrproaclr - After
forms are erected but prior to
placement of concrete.
Sidewalk & Drlveway - After
excavation ls complete, forms
and sub-base material ln place.
Fence - When ccrnpleted
$treel Trees - When all requlred
trees are planted.
l-_l Finat Plumbins|J plumbing worl(- When all
is complete.
Flnal Electrlcal - When all
electrical work is complete.
Final Mechanlcal - When all
mechanical work ls complete.
Flnal Buildlng - When all
required lnspectlons have been
approved and bullding is
completed.
Other
MOBILE HOME INSPECTIONS
Blocking and Set.Up - When alt
blocklng ls complete,
Plumbing Connectlons - When
home has been connected to
water and sewer.
Electrical Connection - When
blocking, set-up, and plumbing
lnspections have been approved
and the home is connected to
the servlce panel.
Final - After all required
lnspectlons are approved andporches, sklrtlng, decks, and
ventlng have been lnstalled.
E
n
tl
E
tl
E
tl
E
E
tl
E
-,',..i,l
Lot faces
Lot sg. ftg.
Lot coverage
Topography
Total helght
Lot Typc
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
Setbacks
P.L.HSE GAR ACC
N
s
E
IS THE PROPOSED WORK TN THE .
HISTORICAL DISTRICT, OR ON
THE HISTORICAL FIEGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
VALUE
(A)
Main
Carport
Garage
Total Value
Building Permit Fee
State Surcharge
Total Fee
't
X S/SO. FT.
BUTLDING PERMIT
:
ITEM SQ. FT.
BUILDING YALUE, i5TRTt CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the sald
construction shall, in all respects, conform to the Ordlnance
adopted by the City of Springfield, including the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any tlme
upon violation of any provisions of said ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Fleceived By:
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties withln the City limits which are being improved.
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
N.
"a*
FT.
FT, /32
FT.
.e
(c)77,=zz
PLUMBING PERMIT
Plumblng Permlt
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/lnsert/Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformation hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy wilt be made of any
structure wlthout permission of the Buildlng Safety Divislon.
I further certify that only contractors and employees who
are ln compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all required lnspections are
requested at the proper ilme, that each address ls readable
from the street, that the permlt card ls located at the front
of the property, and the approved set of plans will remaln
on the site at all times during construcilon.
il- Lq- q1Date
Slgnature
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Tolal Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (exctuding etectricat)
(A, B, C, D, and E Combined)
2D
?DATE PAID
AMOUNT RECEIVED
VALIDATION:
RECEIPT NUMBER
RECEIVED BY