HomeMy WebLinkAboutPermit Building 1999-10-14SPlr:"\IGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
ilob Nnnrber: 99l2LO
225 North Fifth st.reet
Springfield, OR 97477
Location of Proposed Work: 2340 34TH CT
Assessors MaP #: L7021,943
Lot: 7O Block:
Office:
Inspection Line:
726 -37 59
725-3759
Tax Lot #
Subdivision
07000
AMBLESIDE
CITY OF SPruNGFIEU', ONEGON
Owner: BRENT AIiIDERSON
Address: P.O.BOX 22L2l
Describe Work: S.F.RESIDENCE
Phone #: 583-25'78
City/State / Ztp: EUGENE OR, 97 402
NEW
GeneraL:
Plumbing:
Mechanical:
Electrical:
Contractor
BRENT ANDERSON OO994O3
85520 APPLETREE CT EUGENE OR 974050
MCMICHAEL PLUMB OO2BB32
40108 BOOTH KELLY RD SPRINGFIELD OR
COMFORT FLOW OOOO45O
1951 DON ST #D SPRINGFTELD OR 97477
BINNS ELECTRIC 0073762
210 WALLIS STR UNIT #C EUGENE OR 97
Const.
ConEractor #Expires
06/to/oo
o5/27/0L
oe/2r/oL
1-O/OL/01,
683 -257 B
7 44 - 9099
726 - 1LOO
687 -L352
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS
# OF BDRMS
SQ FOOTAGE
1
3
257 4
To requests an inspecEion, call the 24 hott recording at 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the foll-owing work day'
--- REQUIRED INSPECTIONS ---
FOOTING - AfLer trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior Lo insulation or decking.
TNDERFLOOR DRAIN - Prior to cover or placement of concrete.
TNDERFLOOR MECHANICAL - Prj-or to insulation or decking.
POST AND BEAI,I - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa1]/Ceiling; Prior Lo cover
WATER tINE - Prior to fifling trench.
SAIiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLIIMBING - Prior to cover.
ROUGH GAS - after line is instalfed and capped if not attached to an
appliance
ROUGH MECHA.I.IICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FR.AITIING - Pri-or to cover.
INSULATION - Floor; prior to decking wa11/Ceiling; Prior to cover
DRYWALL - Prior Lo taping.
ELECTRICAL SERVICE - Must be approved Lo obtain permanent power.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
NOTICE:
THIS PEBMIT SHALL EXPIRE IF THE WORK
AJTHOHZED UNDER THIS PERIvIIT IS NoT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PEBIOD.
Phone
SP6iNGFtELD
Job Number: 99L2aO
CITY OF SPruNGFIEIT', ONEGON
Page 2
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITIdBING - When all plumbing work is complete.
FINAT ITIECIIANICAL - When all- mechanical work is complete.
FINAL ELECTRICAL - When al-I electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: E
Topography: 2
House
Garage
Lot Sq. Ft.:
Total Height:
6 01,7
zo
Lot Coverage: 29 %
Lot Tlpe: CULDESAC
N
1B
Setbacks
SW
10 10
E
1B
Item
Main
Garage
BONUS ROOM
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUIT,DING PERMIT
Square Feet x
184 3
73L
240
$,/square Feet
59 .64
18.34
55.71
(A)
Val-ue
1,28 ,34"t . OO
L3,407 .OO
13,370.00
L55 , A24 .00
559
55
00
90
514.90
--- PtI'MBING PERUIT ---
Item
Residential Bath(s)
Plumbing Permit
surcharge/admin
TOTAL CHARGE
3
Fee
L92 .50
L92 .50
l.9.26
2LL.7 6(c)
--- MECHANTCAI, PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood sLove / LnserL / Fireplace Unit
Dryer Vent
GAS PIPE W/H
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
4
6.00
4.50
L2.OO
4.50
3.00
5.00
35.00
10.00
3.50
(D)48.50
--- MISCELLA}iIEOUS PERMITS
Surcharge/admin
Sidewal-k
Curb Cut
CITY SDC
W]LLAMALANE
ELECT PERMIT
0.00
5L .02
60.00
2,633.03
1, 000 . 00
203 .50
TOTAL MISCELLANEOUS PERMITS (E)3, 957 .55
sflrxErrelo
ilob Number: 99L2L0
CITY OF ONEGON
Page 3
(Excluding Electrical )
unless otherwise noted
--- TOTAI. A}TOI'NT DUE ---
(A, B, C, D, and E combined)4,832.7L
2D cD
L 0*F trE 71t
--- BUILDTNG VALUE, PLAN CHECK ADID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shaI1, 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.
PIan Check Fee: 353.35 Date Paid
Received By:
Pl-ans Reviewed By: AL WARD Date
Building Site Reviewed By: BOB BARNHART
oe/03/ee
oe /26 / ee
Receipt Number: 35433
--- ADDITIONAL COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signaEure, I state and agree, that I have carefully 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
shall be done in accordance with 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 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 l-ocated at the front of the property, and the approved set of plans
will remain on the site at a1I times during construction.
/0 ly'-Qq
s ture Date
--- VALIDATION ---
L {stoReceipt Number
Date Paid
Amount Received:
Received By
l0 41
lts 2.7
Willamalane
Job. No.1 tt-&t
R
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:ztP: qlq (\t
Street Address:$
Ptat Name: I -1 O & lt.t3 Tax Lot Number:-t
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwening r
ype detinitions are on the baclc)
A Single-Family Detached
X Singte namiiy hom6
NO. OF UNITS X $1,000 perunit= $ [Crcta E
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
Manufactured home not in a park
C. Multi-Family Apartment
NO. OF UNITS X $692 per unlt
D. Manufac{ured Home Park
NO. OF UNiTS X $699 per unlt
WILLAMALANE SDC :
2. SDC CREDIT (tt appncaOre) SDOaayer must rurr[sn proof of
Wiltamalane Credit approval. See SDC Credit Worlcshoet
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduoed forCredit)
D pment Services Department
Springfield
E
$
$
$
$
$do ,)
J-L,-/'{ ,7(
City of
Date
?NAME:
225 rrFTE STREET zonins
SPRINGFTELD
INSPECTION
FlINGFIELI)
BLBqIRICAI PERHIT APPLICATION
City Job Number ?qr L/0
3. COMPLETE FEE SCEEDULE BELOV
A Nev Residential-Single or
Multi-FamiIy per dvelling unir.
Service Included:
Cos t
s 8s.00
s ls.oo &o
$ 40.00
1 OF INSTALI.dIION
lrt jo
IJGAL DESCRIPTI
i7 OZ i1 tt ,ONo7N Sum
JoB DEscRrr{F^
I tems
1000 sq.ft. or less I
EXPIREFeHHiilffi(onal 500
por t ion
d Home. or
Modular'Dvelling
SerVice or Feeder
ff,
Tl{lSPtrFl[,llTSHAi I
of issuance or if vork i"nfqg1m$ndpEgtrfO.
180 days.
Permits are non-transfeif vork is not started
CONTRACTOR TNSTALI..ATION
ectrical Contractor rus
Address lO l0*c 5
Ci ty eobhve Phone
Supervi-<or License Number
200 amps
2.
EI opte(
.8.
Ore
D
Services or
Ins talla t io
amps to
amps to
Feeders
n , Alterations
201
less
400
'6oo
s s0.00
s 60.00
$100. 00
si30.00
$300.00
n ilst
amps
amps
1000 ampser 1000 amps/volts
Expiration Date - 2oo Reconnect OnIy
C. Temporary Services or FeedersConstr Contr. nunber 7 3 7 6L Insial1aiion, Alteration or Relocarion
Expiration Date G - b- Looo 2oo amps"or less -J- S 4o.oo 1u
201 amps to 400 amps
-
$ 55.00
Over 40L to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTfs see ttgtt uffi!-
Branch Circui ts . ..
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Signa trician
/Address 0 .6a*27/7t
Phone 6f :"Le 7 f Each AdditionalCircuit or vith Serviceor Feeder PermitOSNER TNSTALLATION s 2.00
Ovners Name frlr.j A+r/aprn*
Ci ty
The installation is being made onproperty I ovn which is not intendedfor sale, Iease or rent.
Osners Signature:
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation
Sign/Ou tline Ligh ting-
Limi ted Energy/Res
-Limited Energy/Comm
s 40.00
s 40.00
$ 20.00
s 36.00
5 SITBToTAL 0F ABoVE
bZ State Surcharge
3Z Admini.strative Fee
TOTAL
DATE
RECEIVED B
OFFICE: 726-3
NOTICE:
of
Elnq
f
JoURNAL( JoBNo.qq/Z/o- ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:Sza'T A ," aeusc>N
LOCATION 74O 74ru C*,
1. STORM DRAINAGE
2. SANITARY SEWER-CITY
NO. OF PFU'S Z-{
DEVELOPMENT TYPE 1.1=.fL ,
BUILDING SZE
RooF tzrz| ? 3
21,1Y41,( - rot1 r 14 = 5!,l r *,f =D/u zz-rf -- 3
IL
c<
IMPERVIOUS SQ. FT z, +t7 x $0.232 PER SQ. FT
SZE-SQ. Ft.
S fao t4
$ trz t^d zc
s 4?t,aa
S 242,7L
$ zz,o<
<$ -zG,z{ >
s 10.00
-76
o(qb
(See Reverse Side)
3. TRANSPORTATION
NO OF LINITS X TRIP RATE X COST PER PM PEAK HOI.IR TRIP
I x l,ot
X548.27 PER PFU
X 5486.73 PER TRIP
x _ x $486.73 PER TRIP
4. SANITARY SEWER-MWMC
A. REIMBLIRSEMENT COST:
NO. OF FEU'S I X
"+2,76
PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X zz, a{PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
SUBToTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES
BASE E (S{.IBTOTAL ABOVE) X .05
SDC Coordinator
ATTACH'A.WPD
$ z1a-, sa
S Z, so-l ,6{
$ tzf 3E
L
Date: 1- /o-?4
TOTAL SDC $ ', Z7z , 03
TOTAL-MWMC SDC
1
FIXTURE UNIT CALCUI-{TION TABLE! Number of New Fixo..es X Unit Equivalent : Fixrure Units(NOTE: For remodels, calculate only the j additional fixtures)
FrxruRE rypE ilL,#?t#f]t, ,qH,TLENr ilfffi*
Bathtub.......,
Drinking Fountain..
Floor Drain..
Interceptors For Grease/OiVSolids/Etc
Interceptors For Sand/Auto Wash./Etc.
Laundry Tub/Clotheswasher/I,lop S ink...................
Clotheswasher - 3 Or More............
Mobile Home Park Trap (1 Per Trailer).
Receptor For Refrigerator/Water S tation/Etc...........
Receptor For Commercial S inkDishwasher,Gtc......
Shorver, Single Stall..
Sink: Bar, Commercial, Residential Kitchen............
Urinal, Stall/Wall.....
Wash Basin/Lavatory, SingIe...........
Toilet, Public Installation
Toilet, Private........
Miscelianeous:
2-
'1
3
TOTAL FIXTURE UNITS
2
I
2
3
6
2
6
6
I
J
2
tlH
2
2
I
6
4
2-
+
lL
z{
ead
2-
2
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits
Credit for Parcel or Land Only If Appl
Improvement (if after annexation date)
icable l,7t- X S ZG,L?
(Rate X Assessed Value)xs
(Rate X Assessed Value)
CREDITTOTAL :$ Z6,Z{
Year
Armexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
l 985
1986
1987
1988
$4.41
4.38
4.32
4.20
4.03
3.88
3.68
3.3 8
3.03
2.62
l 989
.1990
1991
1992
1993
t994
r 995
1996
1991
l 998
2.18
1.75
1.35
1.t7
1.03
0.86
0.1I
0.51
0.39
0.18
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...
Commerical.
Industrial......
Govemmental..
0.4
0.9
0.5
0.5
FIXUNIT.WPD IMPERVIOUS AREA: TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
I