HomeMy WebLinkAboutPermit Building 1998-04-28TT?,'FI,l.GFTELO
225 North Fifth Street
Springfield, OR 97477
Assessors Uap #: a7O23a34
Lot: 1-2 Block
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nnrnber: 980374
h,
Office
Inspection Line
725 -3'7 59
726 - 37 69
Location of Proposed work: A?134TH sr
Tax Lot #
Subdivision
03800
LILAC MEADOWS
SPilNGFTEI.O,
OwneT: MARVIN MARGOLIS
Address: 2050 WEST 25TH AVENUE
phone #:
ciry/srare/ zip: EUGENE,
Describe Work: S.F. RESIDENCE
OREGON
NEW
General-
ConEractor
LARRY COOPER O1O978O
2955 TIMBERLINE DR EUGENE OR 974050
Const.
Contractor #Expires
1,1, /05 / e8
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: L67l
To request an inspection, call the 24 }:.our recording at 726-3759.
A11 inspections requested before 7:00 a.m. wilL be made the same working
inspections requested after 7:00 a.m. will be made the following work day
--- REQUTRED TNSPECTTONS ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFIJOOR PLITMBfNG - Prior to insulation or decking.
ELECTRICAL SERVfCE - Must be approved to obtain permanent power.
WATER LINE - Prior to filling trench.
POST NiID BEAITf - Prior to f loor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior Lo cover
vAPoR BARRIER/INSUTATION - To be made after insulation and required
vapor barriers are in p1ace, but prior to any wa1I covering.
SANITARY SEWER tINE - Prior to filling trench.
ROUGH MECHANICAL - Pri-or to cover.
ROUGH PIJI,MBING - Pri-or To cover.
ROUGH ELECTRICAL - Prior Eo cover.
SHEAR WALI, NAILING - Before coverj-ng sheathing with fi-nlsh materials.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11,/Ceiling; Prj-or to cover
STORM SEWER LINE - Prj-or to filling trench.
DRYWALL - Prior Lo taping.
FINAL PLITMBfNG - When all plumbing work is complete.
FINAL MECHAIiIICAL - When all- mechanical- work is complete.
FINAL ELECTRICAL - When al-l- el-ectrical- work is complete.
FINAL BUILDING - When all required inspect.ions have been approved and
the bui-lding is complete.
day,
Lot. Faces: W
Total Height: 15
House
Garage
Lot Sq. Ft.: 5002
Setbk From NPL: 30
Setbacks
SWE
10 10
18
Lot Coverage: 33.4 %
Solar Approved: Y
N
10
SPFI,tlGF!ELC,
rfob Number : 98031 4
OF SPfrINGFTEL^O,
Page 2
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admj-n
TOTAL FEE
--- BUII,DING PERMIT ---
Square Feet x
1154
5L7
$/Square Feet
64 .66
1,6 .2'7
(A)
Value
74,6L8.0O
B , 41,2 .00
83, 030.00
385.00
30.80
4l_5.80
PLI'MBING PERMIT ---
Item
Resldential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
160.00
160.00
L2.80
L72.80(c)
--- MECHANICAL 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
L .57
(D)31.07
--- MISCELLANEOUS PERMITS
Surcharge/Admin
CITY SDC
WTLL.A,M]\LANE
TOTAL MISCELLA.I{EOUS PERMTTS (E)
0.00
2 ,230 .51
1, 000 . 00
3,230.s1,
(Excluding Electrical )
unless otherwise noEed
--- TOTAL AMOIINT DUE ---
(A, B, C, D, and E combined)3,850. L8
--- BUILDING VALUE, PLA}{I CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that. the said construction
shalI, 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 said ordinances.
Received By:
Pl-ans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: 04/27 /98
SPFITIGFIELEt
.Tob Number: 980374
CITY OF SPruNGFIEI.D,
Page 3
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
SEPERATE ELECT. PERMIT REQUIRED.
SITE/PROP LINES SURVEYED IS REQUIRED BY LIC. SURVEYOR
DRTVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I sEate and agree, that I have carefull-y examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
sha11 be done in accordance with the ordinances of the Clty of Springfield,
and t.he Laws of t.he State of Oregon pertaining Lo the work described herein,
and thaL NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Buildj-ng 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 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 focated at the front of the property, and the approved set of plans
will remain on the site at all times during constructj-on.
4-es -1Y
Signature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
L/-29^2*
7AP..erZzz--
//o
,
ATTACHMENT A
Jots No. q 50374
CITY OF SPtrINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:Ylxpt/ t xt M,+Lt<
.5q s 1. .74 ru 1rLOCATION
DEVEI-OPMENI TYPT <n P-.
BUILDING SIZE SI
1. STORM DRAIIIAGI
IMPERVIOUS SQ FT 1.+a x $0.225 PER SQ. rT. $ .szs.4o
2 . SAN ITARY SE ^iER
-C ITY
Ft,
NO. OF PFU'S IB x $.16.86 PER PFii s 843.18
(See Reverse Side)
3. TRANSPORTATIOI!
NO OF UNITS X IRIP RATE X COST PER TRIP
I x /,o/ x$472.49 $ 4--,zl
x $472.49
x $472.49
4. SANiTARY SE'/ER-MI/,MC
Dur',
N0. 0F ff'd'i t x ?77,76PER FEU + $10 Mt,,tt'lc/ADt't FEE S 287,7C
MI^IMC CREDIT IF APPLiCABLE (SEE REVERSE)$ -s7.5f
SUBTOTAL (ADD ITEMS ]..2.3 & 4) $ Z,'24. "O
5. ADMINISTRATIVE FIES
BASE CHARGE (SUBIOTAL ABOVE) X .05 $ '06,^l
$X
$X
DT,
SDC Coordt nator
DaLe: 4-7-78
ToTAL SDC $ 7)Z<o..<l
:ftr\t.U.I1F_..YJ\|ll t/AL\,LrLAtttJt\r tADLE.NumOerorl\ewl-rxturesXUntrtsquivalenr = Fixrure.Units
(NOTE: For remodels, calculate onlr'^ e NET additional fixtures) --
FIXTURE TYPE NEW FIXTURES EOU]VALENT UNITS
Bathtub......
Drinking Fountain....
Floor Drain..................
lnterceptors For Grease/O illSolids,'Etc................
lnterceptors For Sand/Auto WashiEtc................
Laundry TubiClotheswasher......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)................
Receptor For Refrigerar_oriWater Station/Etc........
Receptor For Commercial Sink,/Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar, Commer6ial, Residential Kitchen..........
Urinal, Stall/Wall...
Wash Basinilavatory, Single.
Toiiet. Pubiic lnstallation.......
Toilet, Private.......
2
1
2
3
b
2
6
6
1
3
2
i iHead
2
2
'l
6
4
Z
2-.
>.
-2_
?--
8Miscellaneous
TOTAL FIXTURE UNITS ts
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates
3."7 X$a"r/ = -fg, S<Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDITTOTAL =5 5?,.f,f
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per s1,COO
Assessed Value
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.5 5
3.39
3.20
2.91
o' 16s;;:^,r:,a-1 987
1 988
1 989
1 990
1 991
1 992
'1993
1 994
1 995
1 996
)z.co
2.17
1.73
1.31
0.92
o.74
o.6'1
0.45
o.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Hesicienriai... :.........
Commerical............
lndustriai...
Governmental.........
4.4
0.9
05
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
2__
x s_
Willamalane
Park & Recreation District Job. No.
q
NAME
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:
2
P
Street Add
Plat Name:
rESS
1. DEVELOPMENT TYPE
ype detinitions are on the
Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
A.
Single Family home
NO. OF UNITS
Manufactured home not in a
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. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDCaayer must funfish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
$
$
(000-@$
$
$
/
3. TOTAL WILLAMALANE NET SDC ASSESSED ta)o(if SDC redued
d)
2* r:a
Development
City of Springfie
Department
/t
DAG_-
CITY OF OREGO'V
fhe to[outing Proiecil as submltt€d hss tho rollow{ng
zoning, and*dire6 not roqulre opoclffc hnd ueo
SPP' TFIELI)
y per dvelling unit.
Iuded:
or }essto 400 amps
-to 600 amps
-to 1000 amps-
amps/volts
-0nIy
approvd.
Authortsrd
(225 FIPTE STREET
SPRINGFIELD, OREGON 97477
INSPBCTION REQUEST: 7
OFPICE: 726-3759
ELECTRTCAL PERHIT APPLICATION
City Job N," ae, ?P?^/
COHPI,BTE FEE SCMDUI,E BELOIT
A. New Residential-Single or
1. LOCATION OT INST.
LEGAL DESCRIPTION
JOB DESCRIFTION
P. o, {3oy
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
1.80 days.
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home. or
Modular 'DveIling
Service or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
Items Cost Sum
/ $ os.oo 8+'a
?. $ 15.00 >a
-
$ 40.00
HuI t i-Fami 1
Service Inc
200 amps
201 amps
401 amps
601 amps
Over 1000
Reconnec t
2. cot{TRAcToR ONLY
Electrical Contractor e^
Address 7; Eq
city ft4erue 1-l'tol Phone'q3E- s3oj
Supervisor License Number 38 n S
Expiration Date
Constr Contr. Number 1
Expiration Date l0 - l'19
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000-6fts see rrgrr uffi
?t
Branch Circuits
tc
.B
c.
s s0.00
s 60.00
s100.00
s 130. 00
$300.00
$ 40.00{0-l -18
tr*"aH o\
ovners *^^" {VhV+o dha ,
of Supervising Electrician
D
Address
Ci ty Phone 4%.:=5
OVNER INST
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
Omers Signature:
DATE:
Nev, Alteration or Extension per panel
One Circuit $ 35.00
Each Additional
Circuit or vfth Serviceor Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightine-
Limited Energy/Res ,
-Limited Energy/Comm .--._'-
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
rOTAL
, ,'t i''
RECETVED
5