HomeMy WebLinkAboutPermit Building 1998-01-15OTT OF SPilNGFTEID,
SPFlrlGFIELE,
RESIDENIIAI, PERMIT APPIJICATION
CITY OF SPRTNGFIELD
COMMUNITY SERVICES DIVTSION
BUIIJDING SAFETY
o
Page 1
ilob Number: 97L230
225 North Fifth Street
Springfield, OR 97477
Location of Propooed Work: 568 S 35TH ST
Assessors tutap #: 17O23t34
Lot: 9 Bfock:
Office:
Inspection Line:
726 -37 59
726 -3769
Tax Lot #:
Subdivision:
03800
LILAC MEADOWS
Owner: EARL MCELIIATiIEY Phone #: 484-5693
Address: 975 WILLAGILESPIE ROAD Cit.y/State/Zip: EUGENE, OREGON 974OL
Describe Work: S.f'. RESIDENCE NEW
Conet.
Contractor #Expires Phone
General
Contractor
OWNER
QUAD AREA: 3RSC
# OF UNfTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1,775
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To request an inspection, call the 24 hour recording aL 726-3769
A11 j-nspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED TNSPECTTONS ---
TEMPOP-ARY POWER
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior Eo concrete placement.
TNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECEATiIICAL - Prior to insulaEion or decking.
POST AI{D BEAII - Prior to floor insulation or decking.
INSULATION - Ffoor; prior to decking Wal1/Ceiling; Prior to cover
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prj-or to filling t.rench.
WATER LINE - Prlor to filling trench.
ROUGH MECIIAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH PLIrIIBING - Prior to cover.
SHEAR WALL NAITING - Before covering sheathing with finish materials.
FRAITIING - Pri-or to cover.
INSULATION - FLoor; prior to decking WalJ-/Ceiling; Pri-or to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
i-n place.
FINAIJ PLITMBING - When all plumbing work j-s complete.
FINAL MECIIAI{ICAL - When all mechanical work j-s complete.
FINAL ELECTRICAL - When all elecLrj-cal work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Sq. Ft.: 7030 Tot.al Height: 17 SeLbk From NPL: 30
SPFIr.GFTELEl
'Job Number: 97L230
ATT OF SPilNGETEID,
Page 2
Solar Approved: Y Lot Type: PANHANDLE
ftem
Mai-n
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUILDING PER}TIT ---
Square Feet x
1280
495
$/Square Feet
64 .56
L6.27
(A)
Val-ue
82,765.00
8, 054.00
90, 819.00
405.00
32 .48
438.48
Item
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
--- PTI'MBING PERMIT ---
2
220
220
220
(c)
Fee
160.00
30.00
30.00
30.00
250.00
20.00
270.00
--- MECHAIiIICAL PERMIT ---
Furnace
Exhaust Hood
VenE Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
5.00
4.50
9.00
3.00
(D)
22.50
10.00
1.81-
34 . 31_
--- MISCELLANEOUS PERMITS
Surcharge /admi-n
Sidewalk
WfLLAMALANE S/D/C'S
crTY s/D/c,s
PLAN CHECK FEE
TOTAL MISCELLAI{EOUS PERMITS
0.00
10.98
1, 000 . 00
2 ,555 .62
90.00
(E)3,555.50
(Excluding EIect,rieal )
unless otherwiee noEed
--- TOTAI, A!{OIJNT DUE ---
(A, B, C, D, and E combined)4 ,399 .39
f?7.?a
?5*.
--- BUII,DING VAI,UE, PLAAI CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in al-l- respects, conform Eo the Ordinance adopLed by the City of
Springfj-eld, includi-ng Ehe Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
8P$TIi.GFIELD
Job Number : 971-230
gTT OF SPilNGFIELD,
Page 3
Received By:
Pl-ans Reviewed By: BOB BARNHART
Building SiEe Reviewed By: LISA HOPPER
Date: 1,o/03/97
--- ADDTTIONAI. COMMENTS ---
DO NOT ISSUE UNTIL SUBDIVISTON IS FINALED BY PW
A & T ESTIMATE ONLY FOR SDC CREDTT PURPOSES
DO NOT ISSUE UNTIL SI.IBDIVISION IS FINALED,PATH1 ,NO OCCUPANCY UNTIL
INFRASTRUCTURE IS COOMPL. & ACCEPTED,AND APPROVED
DRIVEWAY REQU]RED TO BE PAVED
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that alf 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 Servi-ces Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on t.his project.
I further agree to ensure that a1f required inspections are requested at the
proper time, that each address is readab1e from the street, that the permit
card is located at the front of the property, and Ehe approved set of plans
will in on the siEe at alf times during construction.
t-t5-q8
x t Date
--- vAr.rDATroN ---
)6L+ 6<Receipt Number:
Date Paid:
Amount Received
Received By
E4{
V,J
dqil3 G1
€$Willamalane
Park & Recreation District Job. No.
q
NAME:
ADDRESS:
LOCATION OF PROPOSED BUI NG SITE:
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:ffi
srArE: & ,,r, Q1tO[
d
tD00.oD
Street Add
Plat Name:
r
ITax Lot Number
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on lhe back.)
:.
A. Sinole-Family Detached
,lt Single Family home Manufactured home n of in a park
NO. OF UNITS X $1,000 per unit = $thm d
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 I 000 0D
L
2. SDC CREDIT (if applicable) SDC-payer must lurnish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
$
lt
DateDevelopment S
City of Springfield
Department
/rf E
SPFINGFIELE,
%
225 FIFTH STREET
SPRINGFIELD OR 97
BACKFLOW PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
oFFICE: 726-3759
477 INSPBCTION LINE: 726-3769
T?r 14 l'ztuJ.rJOB LOCATION:f6r .t
TAX LOT *: O 7 rat
ASSESSORS MAP II:
O1INER:
ADDRESS:
PHONE *:
STATE: O /rE zrPt 7??7 2
BACKFLO\.I PERMIT IS 515'00 + S'75 (STATE SI'IRCHARGB) + $'45 (ADHIN' FEE) = $16'20
CITY:
CONTRACTOR:
f
PHONE *:
-(-
ADDRESS:/<
CITY:
STATE z&
CONSTRUCTION CONTRACTORS RBGISTRATION *:7/3 7
CORRECT.
NOTIOE:
BYSIGNINGTHISPERI.TIT/APPLI9ITIoN'IAGREE-To.c^LLFoRANINSPECTIoNoNcETHE
BAcKFLov pREvENri;i,i.;;vi-cE-H+l ?;^;ri iuiiaiino ar.rii-is visrsls roR rNSpEcrr.N
(t26_316s), r A',;; iiaiu-t,^r eir,'*rroniieiion oil i[ri-penurtzerplrcArr.N rs
ZIPz 32sb2
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDEH THIS PERMIT
ANY 180 DAY PERIOD
FOR OFFICE USB
BXPIRES:44a'??
JOB tI %a
DATE OF APPLICATION:/o ?r
RECEIPT *:7o L1 ISSUED BY:
TOTAL AI'IOUNT COLLECTED:/6 Lct
-
CITY OF
a <J= ? 2/ ',-
)
5I ,GFIELO
:oning, andapprova,.not r,f,ffiffiJ:P,*does
Date
225 FTFTE SlREEf,
SPRINGFIEU), OREGON 974
INSPECTION REQITBSf, : 726-3769
0FEICE: 726-3759
1 I.OCATTON OF€6 ,-o')-47.
T.EGAL DESCRTPTION
Pernits are non-transferable and expire
lf vork is not started vithin 180 days
of lssuance or if ttork is suspended for
180 days
2. COI{TRACTOR INSTALI,ATION ONLY
Electrical Contractor lrflotRs [usnEt;,Address [tstT{t,0fi gt@ .
ci ,non"-L'S'Ui'*
Supervisor License Number Zg?O - 5
Expiration Date iC -tqg
Constr Con tr. Number ?O-l LC
Expi ration Date /C - | -99-,
Signa t of trician
Ovners Name C
Address ?-< / {l,zt+*?rtZVTfF
ci rv ta+ FzG,
nPt"e
ua 746?3
OUNER INSTALIITTION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
OvnerHsignature:
DATE:
ELECTRICdL PERHIT APPIJCATION
City Job Nnrnber ??/2,>a
3. COHPI,ETE FEE SCffiDUI,E BELOV
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home- or
t{odular.'DvelIlng'
Service or Feeder
I tems Cost Sum
$ 8s.00 _25
2 $ 15'00 ?'
$ 40.00
.8.
c.
D.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to.600 amPs
-
601 arn[s to' 1000 amPs-
over 1b00 anps/vo1t;
-Reconnect OnIY
00
00
00
00
00
00
50
60
100
130
300
40
$
s
$
s
$
s
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps''or less $ 19'99
201 amirs to 400 anPs : $ Il'99
over 4b1 to 600 ambs I $ 80'00
o""r OOO .tnp" ot-i6OO-l4:ft" see rrB* a566
Branch Circui ts ; .-
New, Alteration or Extension Per Pane1
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited EnergY/Res
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAI
s 40.00
$ 40.00
$ 20.00
s 36.00
.)€D
RECEIVED
5
^ dr?-z 77 z2?e* ..
/
NfDzuck 6**3^--'SPur{GFIELO
1. IOCATION OF TNSTALI,ATTON4ro <, zcf! Szt'
IfGAL DESCRTPTION
JOB DESCRIPTIONil//H@
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONIBACf,OR INSTALI,ATION ONLY
Electrical Contractor
Address \.r'1.A
.r., -t 00 GnnlL Phone ?zv-'Jbqf
Supervi sor License Number 2bS1-S
ELECTRIC,AL PERUIT APPIJCATION
Ci ty Job Nunber I -t I 230
3. COHPI,ETE FEE SCEEDT'LE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
approval.
225 FTFTE STREEf,
SPRINGFTELD, OREGON
INSPECTTON REQTIEST:
OFFICE: 726-3759
72
Expiration Date,I
Constr Contr. Number t 077 lb
Expiration Date
Signature of Supervising Electrician
Ovners
Address
t*^
il/, cc4ar
the {ollowing proJect o rubrnltted ha8 tlrc lollowing
z{rnrflg, and-d6ee'not requlre sp€clflc land uso
(
I tems
1000 sq.ft. or less /
Each additionat 500
sq. ft or portion
thereof Z
Each Hanuf'd Home. or
-Modular 'DveIIing'
Sertice or Feeder
.8. Services or Feeders
Installation, Alterationsr--- or Relocation:
200 amps'
200 amps or less
201 amps to 400 amps _
601 amps-to 1000-'a@;--
Over 1000 amps/vo1t""._
Reconnect OnIy
(c. TemPorarY,services or Feeders
Installati6n, Alteration or Relocation
r:H3qffi:=
amps or fOOOErfs
Cost Sum
^^ A')s 8s.00 55 ''
$ 1s.00
s 40.00
$40 .00
70 0:
S
s s0.00
s 60.00
s100.00
s130.00
$300.00
s 40.00
20L amps
40LOver
Over 600
ranch Circuits
Alteration
55.00
80.00nBu aE66
$
$
,'&*#on Per Panel
$ 3s.00
$ 2.00
Ci ty 6tanr Phone
47+or
OIINER INSTALIATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovner*Signature:
DATE:
One Circuit
ch Additionalircuit or vith Servicer Feeder Permit
cellaneous (Service/feede
ins tallation
or irrigation
tline Lighting
Energy/Res
L Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
rr not in
$ 40.00
s 40.00
s 20.00
$ 36.00
cluded )
RECETVED B
b-g 5
<1oo
/z-
gO
see
JoB No . 11t z.<o
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY {ezt- Mc f I HA tt,Y
LOCATION
DEVELOPI'4ENT TYPT s^f,?,
BUILDING SIZE OT SIZ Fr.
1. STORM DRAINAGi
IMPERVIOUS SO Fr 3,q t6 X $0.226 PER SQ. rT. $ BB5 oz-
2. SAN ITARY SEI^JER -C ITY
NO. OF PFU'S IE X $.16.86 PER PFU $ I +1.45
(See Re',rerse Si de)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRiP
lx x $472.49
x _ x $472.49
x _ x $472.49
g 477,21
q
$
4. SANiTARY SEWER-MIilMC
DL)N0.OFf€if'S I X ztz,tePER FEU + $10 M|.JI.4C/ADM FEE $28 ,7G
l'4t^JMC CREDIT IF APPLICABLE (SEE REVERSE)s-5q ,ff
TOTAL-MtdMC SDC SZ .zl
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ Z.+33.q>
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBIOIAL ABOVI) X .05 $ l2l ,70
SDC Coordi nator
oate. 3-t1-?Z
T0TAL SDC $ 2,5q< az_
rlA I UnE rJlva a UALUtJL/e\ I lvlu I AoLtr: Number ot New Frxfts X Unrt Equivalent = Fixrure Units(NOTE: For remodels, calculate or te NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub......
Drinking Fountain....
Floor Drain.................
lnterceptors For Grease/Oil/Solids,'Etc...........
lnterceptors For Sand/Auto Wash/Etc...........,
Laundry TubiClotheswasher......
Z
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)
Receptor For Refrigerator/Water StationiEtc......,
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Stall......
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen........
Urinal, StalUWall...
Wash Basin iLavatory, Single....
Toilet. Pubiic lnstallation.
2_
1
+2
1
2
3
6
2
6
1
3
2
i /Head
2
2
't
6
4
z
2-
2
Toiler, Privare.......
Miscellaneous:
L
TOTAL FiXTURE UNITS
3
rB
CREDIT CALCULATION TABLE: Based on assessed vatue
calculate credits separates.
lf improvements occurred after annexation date in table,
Year
Annexed
Rate per $'1,000
Assessed Value
Year
Annexed
Rate per S1,OOO
Assessed Value
6@--7r7r3,-r3*torc
1 980
1 981
1 982
1 983
1 984
1 985
1 986
-ECI"3.89
3.83
3.70. 3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
'r 991
1 992
1 993
1 994
1 995
1 996
$2.56
2.17
1.73
1.31
0.92
o.74
0.61
0.45
0.3'l
o.17
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x $_
q 7 X$/-l,ooo =€1,s{
CREDITTOTAL =s 5q,5{
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Hesidentiai... ;.............
Commerical
lndustrial....
Governmental.............
........ 0.4
....... o.9
05
....... o.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCIENT
(Rate X Assessed Value)