HomeMy WebLinkAboutPermit Building 1998-04-07CITY OF SPruNGFIELD,
SPhti.GF'ELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUIIJDING SAFETY
Page 1
ilob Number: 980319
225 North Fifth Street
Sprj-ngfie1d, OR 97477
Locatsion of Proposed Work: 542 S 35TH ST
Assessors t'tap #: L7023L34
Lot : 5 Bl-ock:
Office
Inspection Line
726 -37 59
726 -37 59
Tax Lot #:
Subdivision:
03800
LILAC MEADOWS
OWNEr: EARLMCETEANC
AddTESS: 975 WILLAGILESPIE RD
Describe Work: S.F. RESIDENCE
Phone #: 484-6693
city/srate/zip: EUGENE, oREGON 97401
NEW
Const.
Contractor #Expires Phone
General:
Plumbing:
Mechanical:
Electrical:
Contractor
OWNER
CONTRACTORS PLU 01.0L624
1590 BOGART LANE EUGENE OR 974O1OOO
HOME COMFORT OOB1757
2074 SW 4TH AVE ONTARIO OR 97914000
LYNNS ELECTRIC 0].023]-5
PO BOX A FALL CREEK OR 97438OOOO
o8 /L5 / e8
04 /30 / e8
LO/L4/e8
343 - 097 s
889 - 6427
726-7895
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER E^*g
-- oFFICE USE --
LAND USE: 1l-11
ZONTNG CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: l-
OCCY GROUP: R3
HEAT SOURCE: WH
SQ FOOTAGE: L976
To request an inapection, cal-I the 24 howr recording aL 726-3769
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PIJITMBING - Prior to i-nsulation or decking.
ITNDERFIJOOR MECHAI{ICAL - Prior Eo insulation or decking.
POST At{D BEAITI - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER IINE - Prior to filling trench.
ROUGH PIJI,MBING - Prior Lo cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVfCE - Must be approved to obtain permanent power.
FP.AI{ING - Prior to cover.
INSULATfON - Fl-oor; prior to decking Wall/Ceiling; Prior to cover
DRYWAIJIT - Prior to taping.
FINAL PtITMBING - When all plumbing work is complete.
FINAL MECHAI.IICAL - When all mechanical work is complete.
FINAL EIJECTRICAL - When all el-ectrical work is complete.
FINAT BUILDING - When all reguired inspections have been approved and
the building is complete.
Lot Faces: S Total- Height: 1-6 Setbk From NPL: 30
=8P+z<==;o
gH#gH
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SPRTXGFTELC,
.fob Number: 980319
OTTOF
Page 2
Solar Approved: Y
House
Garage
Lot Type
Setbacks
SW
20 L2
PANHANDLE
N
15
E
l_0
10
ILem
Main
Garage
Tota1 Value
BuiJ-ding Permit Fee
Surcharge/admin
TOTAL FEE
--- BUITDING PER}IIT ---
Square Feet x
1,37 6
500
$/Sguare Feet
64 .66
L6.27
(A)
Value
88 ,972 .00
9 ,7 62 .00
98 ,734 . OO
430.00
34 .40
464 .40
--- PLI'UBING PERI{IT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
)
Fee
150.00
150.00
12.80
L72.80(c)
--- I{ECIIATiIICAIJ PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
2
4.50
5.00
3.00
15.00
10.00
L.20
(D)25.20
--- MISCEI.I.ANEOUS PER}IITS ---
Surcharge/admin
WILLAMALANE SDC
PLAN REVIEW FEE
ELECTRICAL PERMIT
CITY SYSTEM DEV CHG
TO?AL MISCELLANEOUS PERMITS
0.00
1, 000 . 00
60.00
1,24.20
2 ,493 .20
(E)3,577 .40
(Excluding Electrical )
unlege otherwise noted
TOTAL AI{OUNT DUE - - -
(A, B, C, D, and E combined)4, 340 . 8o
--- BUII.DTNG VAI.UE, PLAAI CHECK A}ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating t,he const.ruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
NOTICE:
THIS PEBMITSHALL EXPIRE IFTHE WORK
AUTHORIZED UNDEB THIS PEHMIT IS NOi
COMMENCED OR IS ABANDONED FOR
ANY tao DAy pEHtOD.
SPFtt.GFtELE,
Job Number: 980319
qTTOF
Page 3
Received By:
PLans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date: 03/25/98
--- ADDITIONAL COMME}iI:TS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PI]RPOSES
DRIVEWAY REQUIRED TO BE PAVED
By signaEure, I sEatse and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is Lrue 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 thaL NO OCCUPANCY will be made of 4ny structure without permission of the
Community Services Division, Building Safety. I further certify t.hat. 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 i-nspections are requested at the
proper time, that each address is readable from Ehe sLreet, that the permit
card j-s located at the front of the property, and the approved set of pLans
will in on Ehe sj-te at all- times during construction
te
Receipt Number
Date Paid
--- VALIDATION ---
2"1 36 3
ur- 7-r s
wAmount Received
Received By <,)
) Arcr- 7Y-. nql
,
c ITy oF s pR r NGF r E L;W:ffi oorrrro;r:; :r^ff*
I,/ORKSHEET
NAME OR COMPANY M"E Ll+Arvr
LOCATICN -s4z 5 r4 5r
DEVEI-OPMENT TYPE
CT SIZ 0. Ft
1 SI0Ri,,1 DRAi NAGi
IMpiRVIOus S0 FT 'T,e{< x $0.225 pER sQ. tt. s 82.5,59
2. SANITARY SEl^lER-CiIY
NO OF PFU'S x $.t6.86 PER PFii s 813,4tr
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATI X COST PER TRIP
X l,o I X $4i2 49
x $472 49
$ +-: zl
t-aq --! \J I .-rJ
$ zz8,z-l
s z/< - .4tr
s ttB,7L
X $
x x $472.49
4. SANITARY SEwER-MuIMC
DU'5Or*ni( t x 2777aPER FEU + $10 t.ll,lllc/ADM ree sZET' 76
$
NO
MI^IMC CREDIT IF APPLiCABLI (SEE REVERSE)
TOTAL.MI^JMC SDC
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
SDC Coordt nator
Date <-2fr?6J'
ToTAL SDC $ 2,4?3 ' zo
BUILDING SIZI
IK
I
ll/\|vI1l.\-,|ulIlgHLlgtJL.lUlulADLtr:NumberofNewFixtt,,-SXUnitEquivalenti*;i;,;.' remodels' ;;;; ontv 'n" NEr additional rixtures:$t:lrffir,
,oUllil"*'
2-
2_
TOTAL FIXTURE UNITS
= Fixture Units
FIXTURE
UNITS
4
-L
IY
FIXTURE TYPE
Bathtub...'...." " " "': " "
Drinking. Fountain " "
Floor Diain..
i"."t""rt"tt For Grease/Oil/SolidsiEtc" " " " " " "'
i;;;;;;;i",. For sand/Auto wash/Etc"""""""'
LaundrY Tubiclotheswasher""'
Clotheswasher - 3 Or More.
Mobile Home Park Trap (1 Per Trailer) """""""
Receptor For Ref rigeratoriwater Stationi Etc......
Recepror For Commercial Sink,'Dishwasher/Etc..
Shower, Single Stall....
Shower, Gan9.........
Sink: 8ar, Commercial, Residerrtial Kitchen.......
Urinai, Stall/Wail..
Wash BasinrLavatory, Single..
Toiiet, Pubiic lnstallation.
Toiler , Private.....
Miscellaneous:
-7*
-&-
fr
Head
2
1
I
2
a
6
2
6
1
3
2
lt
2
2
1
b
4
CREDIT CALCULATION TABLE
calculate credits separates.
Based on assessed value. lf im provements occurred after annexation date in rable,
Rate per $1,000
Assessed Value
Year
Anne
Year
Annexed
Rate per $1,COO
Assessed Value
1 980
'r 981
1982
1 983
1 984
1 985
1 986
3.83
3.70
3.55
3.39
3.20
2.91
$ 3.97 1987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
v z.co
2.17
1.73
1.31
o.92
o.74
0.61
0.45
o.31
o.17
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
iiesroen iiai.
Commerical
lndustrial. . . .
Governmental
3.q- X $ ,tc,aecz
(Rate X,q"r".r"dlZl6-t7 ff
XS
-
(Rate X Assessed Value)
CREDITTOTAL =S 57,ff*
RUNOFF COEFFICIENTS FOR STORM DRAINAGE(For Estimating purposes Onty)
4.4
0.9
05
0.5
'MPERVtous
AREA : TorAL Lor srzE x RuNoFF coEFFrcrENT
€$Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:U PHONE:
STATE:ADDRESS:
LOCATION OF PROPOSED BU ING
Street Add S
Plat Name:ax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and
ype detinitions are on the back.)
A. Single-Family Detaehed
Manufactured home not in a
P
t
3m0
t
Single Family home
NO. OF UNITS X $1,000 Per unit = $t
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 CREDIT (if applicable) SDO-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
$
$
$
$
\000 ,00g
IDDD OD
-r{ ,--A
Date
of Springfield
ent
225 FTFTE STREEf,
SPRTNGFTEI.D, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
ox"kA-, cl,L
9trh?rPod
726-3769
not roquiro e;iotrlic lan<j ul,i:
.B
i<-
c.
SPRInlGFTELO
Iy per dvelling unit.
cluded:
I tems
st/P(oVal
1 F
EI,ECTRICAL PERHIT
Job Nurnber
3. COHPT,ETE FEE SCEEDUI,E BELOV
A. Nev Residential-Single or
s ire non-transferable and exPire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALI,ATTON ONLT
MUI t i-Fami
Service fn
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular 'Dve1ling'
Sertice or Feeder
l
Cos t
s 8s.00
$ 1s.00
$ 40.00
Sum
85cA
Electrical Contractor
Address
ci
utv bA)lC^o*e t-Phone 7ZI-78,fr5
Supervisor License Number *35?-S
Expiration Date,
Constr Contr. Number /O 7-3 I b
Expiration Dat e o
Signature of Supervising Electrician
Ovners
Address
alL Pho
200 amps or less
201 amps to 400 amps _401 amps to.600 amps _601 amfs to 1000 amps-
0ver 1000 amps/vo1ts
Reconnect OnIY
Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
INSTALIl\TION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovner*signature:
DATE:
200 amps"or less
201 amps to 400 amps
-
0ver 401 to 600 amps
Over 600 amps or 1000-liio-[s
D. Branch Circuits
-Each installation
Pump or irrigation
Sign/0utIine Lighting_
t,imi ted Energy/Res
-Limited Energy/Comm
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
$ 40.00
$ ss.00
s 80.00
see,B* aE6E
--,rI
$ 40.00
$ 40.00
s 20.00
s 36.00
5
RECETVED
{
CI)
City
3rw- A
ctT
225 FIFTH STREET
SPRINGFIE::,D OR 97477
JOB L0CATI0N: \f?J
ASSESSORS HAP $: /
SPRINC -IELO
BACKFLOV PREVENTION DEVICE PERHIT APPLICATIC'
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
;FFICE:
INSPECTIC I LINE:
726-3759
726-.37 69vJtl*tZ
a TAX LOT 1
OIJNER:r c
ADDRESS:PHONE *:
CTTY:STATE:ZIPz
BACKFLOU PERHTT rs $rs.00 + $.75 (srATE SURCIIARGE) + $.45 (ADl :N. FEB) = $16.20
cONrRAgrOPi:T<
?3
/
/A4a
ADDRESS: J,2€.&f-.1rl-, -,
CITY:^rJV STATE: O/?E
hro$,HlucrroN C0NTRACTORS REGISTRATION *: / /322
i"r
PHONE *:ie-t o-
__zrp ,2Z,zf-z
IxPIRBS z ?*7e
TIIE
()N
IS
EXPIRE IF THE WORK
0diQJnron,I AGNdB
BEEN I(726-37 6e).ALL
CORRECT
FOR OFFICE USE
DATE OF /.PPLICATION:
RECEIPT l,:TSSUED BY:
I,,lii"r SHALL
e-r
DT"
TOTAL AH(IUNT COLLEG,TED:qt b->c
J0 {t:03
'h.
a
q ff