HomeMy WebLinkAboutBuilding Building 1999-09-13SPRINGFIELD
1
PERMIT APPI,ICATION
SERVICES DIVISION
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2375 35TH ST
Assessors MaP #: 17O2L943
Lot: 49 Block:
of f i-ce
Inspection Line
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
04900
AMBLESIDE
Owner: TOM WIRFS
Address: P.O.BOX 237
Describe Work: S.F.RESIDENCE
City/State/ zip: SPLF'D
Phone #741 -8704
OR,
NEW
Contractor
Const.
Contractor #Expires
06 /28 / e8
03/1-3/OO
t2/23/ee
1o/o4/ee
Phone
7 47 -87 04
548-7510
'747-7445
362-7L59
Generaf:
Plumbing:
Mechanical
Electrical
TOM WIRFS 0032947
L275 S 2ND SPRINGFIELD OR 97477OOOO
BMC PLUMBING O1O48O5
PO BOX 292 TERREBONNE OR 9775OOOOO
MARSHALLLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
BILLS ELECTRIC 0073462
l-195 Crowley Ave SE Salem OR 973020
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2240
# OF BLDGS: 1
# OF BDRMS: 3
RANGE: G
To request an inspection, call- the 24 howr recording aL 726'3759.
A11 inspections reguested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. wi-If be made the following work day.
--- REQUIRED INSPECTIONS ---
TEMPOR,ARY POWER
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erecEed but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking '
ITNDERFLOOR DRAIN - Prior to cover or pfacement of concrete.
TNDERFLOOR MECHANICAL - Prior to insul-ation or decking.
POST AIiID BEAII - Prior to f loor i-nsulation or decking.
WATER LINE - Prior to filling trench.
SATiIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to fi.lling trench.
ROUGH PIJI,MBING - PTiOT TO COVET.
ROUGH GAS - after line is installed and capped if not attached to an
apPliance
ROUGH MECHAIiIICAL - Pri-or to cover.
ROUGH EL,ECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finj-sh materials.
FP-AMING - Prior to cover.
INSULATION - Floor; prior to decking walJ-/Ceiling; Prior to cover
DRYWALL - Prior to taping.
cAS SERVICE - After line i-s installed and fine has been connected to a
minimum of one appliance. Pressure test done at this point.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
"ltth
990589,FIHE OF SPRINGFIELD
ANY 180 oR
BUII,DING SAFETY
44).
SPR!NGFIELD
Job Number: 990689 Page 2
FINAL PLITMBING - When all PI umbing work is comPlete
FINAL IIECIIAI'IICAL - when all mechani-cal work is complete '
FINAL ELECTRICAL - When all electrical work is complete'
FTNATJ Burr,DrNG - when all reguired inspections have been approved and
the building is comPlete'
Lot Faces: E
TopograPhY: 2
House
Garage
Lot Sq. Ft.:
Total Height:
7a37
a7
Lot Coverage: 35 ?
Lot TYPe: INTERIOR
N
5
Setbacks
SW
5
18
E
10
ILem
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAI, FEE
--- BUII,DING PERMIT ---
Square Feet x
1780
720
$/Square Feet
69.64
18.34
(A)
Value
123, 959.00
13,205.00
L37 ,L54.0O
518.50
4].49
ss9.99
- -. PLI'MBING PERMIT - - -
Item
Residential Bath (s)
Plumbing Permits
surcharge/admin
TOTAI, CHARGE
2
Fee
150.00
150.00
L2 .80
L7 2 .80(c)
--- MECHNiIICAL PERMIT ---
Furnace
ExhausE Hood
Vent Fan
Wood Stove/T.nsert/Fireplace Unit
Dryer VenU
GAS PIPE
Mechanical Permit
Issuance
Surcharge/admi-n
TOTAL PERMIT
3
5.00
4.50
9.00
4.50
3.00
5.00
44.56
32.00
10.00
2 .56
(D)
--- MISCELLA}iIEOUS PERMITS ---
surcharge/admin
Sidewalk
Curb Cut
CITY SDC
ELECT. TEMP
WILLAIVI,\LAI{E
PLAN CHECK
TOTAL MISCETLAI{EOUS PERMITS
0.00
50.00
60.00
2 ,49L .25
\S?.trO.-s7. o€
1, 000
337
4,L35.28
00
03
(E)
{&'r,
(Excluding Electrical )
unless oEherwise noEed
--- TOTAI, A}TOI'NT DUE ---
(A, B, C, D, and E combined)
SPFINGFIELE'
.fob Number: 990689
SPilNGF1ELq
Page 3
--- BUILDING VALUE, PLAIiI CHECK A].ID BUILDING PERMIT ---
This permj-t is granted on the express condition that the said construction
shaIl, in a1J- respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulati-ng the construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Received By: AL WARD
P1ans Reviewed By: AL WARD Date: 07/23/99
Building Site Reviewed By: BOB BARNIART
--- ADDITIONAL COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify thaL all informaLion hereon
is true and correct, and I further certi-fy t.hat any and all work performed
sha11 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 furt.her certify that onlycontractors and employees who are in compliance with ORs 701.055 will be
used on thi-s project.
I further agree to ensure that all required inspections are requested at theproper time, that each address is readabl-e from the street, that the permitcard is located at the front of the property, and the approved set of planswill remain on the s te at all times during construction
7 -ts *C
Signature Date
roN ---
Receipt Number
Date paid
Amount Received
Receiwed By
a
SPRTNGFIELD
1. Property type: Single Famity Reside ^""f-Duplex __--Other
2. The proposed driveway will take access from which street *
3. The distance from the edge of the driveway to the nearest corner (measured to the curb return) is
_ feet.
4. The second driveway will give access lo carport- side Yard- Other-
5. The distance from the property line to the garage, carport, fence, wall, or other, (where the vehicle is
to be parked) is
-
feet.
property drivewaYs or
n"r"n{
6. \Mll the proposed parking / storage area create a vision obstruction to adjacent
to any vehicular movement on a public street? (See vision clearance attachmet
Apptrcant hereby agnees to instatl the requested driveway to City of Springrfreld standards. The applicant further
"ir""" to have
-6"
of concrete in the sidewalk area (adjacent to the driveway), and to pave the are.a behind the
dck edge of the sidewallq or driveway apron, with a minimum depth of 3" asphahic concrete or 6" ol porthnd
cementconcrete. The area behindthe sideraralkshall be paved a minimum of 18 feeL
The applicant agrees that if he/she does not pave the area behind the sidewalk within 30 days of cutting the
curb opening, Ure City of Springrfnld has the iuthority to close the driveway access by removal of the curb cut
All incuned iosts shall Ue assumeA by the applicant and il unpaid, said cost shall become a lien of the Properly'
When this application is approved by the City, the applicant must obtain a curbcuUdriveway permit from the
Public Works Department, Engineering Division.
CurOcut t Orivewav P
a. On an improved street (existing curb): $1 0.00 plus $.1 5 per lineal foot of curb cut.
b. On an unimproved street (no curb): $12.00
c. On currently unimproved streets that are under construction: $12.00
PROPERTY OWNER'S SIG
APPROVED BY
BUILDING PERMIT NO
TRA 9-1
ATTACHMENT: Vision Clearance, Example #1
7-/
{,*
toN
TE
.Tlh
5PFl]NGFIELE)
225 FIFTE STREET
SPRTNGFTEL^D, oREGoN 97477
INSPECTION REQLIEST. 726-3769
OFFICE: 726-3159
1 ON OF INST
7 5
I,EGAIl'l
JOB DESCRI s&
Permits are non-t rans ferable
if vork is not started vithin
of issuance or if vork is susP
180 days
2. CONTRACTOR INSTALI.,ATION ONLY
Electrica] Contractor
Address 3/74 h/d
of.f,/f'o*
o'tro,)
t
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nurnber I
COHPLETE FEE SCHEDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additionaL 500
sq. ft or portion
thereo f
Each Manuf'd Home or
$ 8s.00
s 1s.00
Modular Dvelling
Sertice or Feeder s 40.00
A
C
\
Sumtrl
ud.0{j
Ci ty Phon
Supe rv i or License Number
Expiration Date lC'/-/d
Constr Contr. Number
Expiration Date o-
ture of Sup s1
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps --l
401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40. oo ?o
201 amps to 400 amps $ ss.00
0ver 40L to 600 amps s 80.00
0 amps or 1000 voITs see t'Bt' a Sove
Circui ts
teration or Extension Per Panel
cui t $ 3s.00
ditionalCircuit or vith Service
or Feeder Permit s 2.00
Miscellaneous (Service/feeder not included)
-Each ins tal-Ia t ion
*7rr'rrea
99d s
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
Ovners Name /v
Address Ao./o* 237
Ci ty 5 /(Phone 7rt'tr
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Orners Signature:
RBCEIPT
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
E
$ 40.
$ 40.
$ 20.
$ 36.
00
00
00
00
I
RECETVED B
5 00
3
s.-
DATE:.s
Park & Recreation DistrictUUillamalane
Job. No.t
PHONE:1lt]-B1o 't
SYSTEM DEVELOPMENT CHARGE
- WORKSHEET
NAME: I
ADDRESS:STATE:ZIP:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:5 Jtl6 3qH
Plat Name:Tax Lot Number:o tQ"cl-l
1- DEVELOPMENT TYPE (ch-e{( appropriate dwelling(s). sDC calcutations and dweuing t
1pe detinitions are on the back)
A. Singte-Family Qetaehed
L, Single Family homri Manufactured home not in a park
NO. OF UNITS I X $1,000 per unit = $
cp
Ct,
\ q,O
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unlt = $
D. Manrfactured Home Park
NO. OF UNiTS X $699 per unlt E $
WLLAMALANE SDC $
2. SDC CREDIT ([ appticabte) SDOpayer must tunfustr proof of
Wllamalane Credit approvat. See SDC Credit Worlcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduoed (orCredit!
rvices Department
fr
\r.[Dp$
lo
City of eld
Date
11,q4
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCATION v<1b ?ryt^ sf
DEVELOPMENT TYPE:StrD
1
BUILDING SIZE
sroRM pRATNAGE 2cet+58) t z+as) P
A&ot'-
l7?o rfrAo
IMPERVIOUS SQ. FT.3?22 X $0.227 PER SQ FT. s17l.aol
2. SANITARY SEWER-CITY
NO. OF PFU'S /( x $41.14 PER PFU $ g4< ,5?-
(See Reverse Side)
3. TRANSPORTATION
NO OF UNiTS X TRiP RATE X COST PER TRIP
t.o I x $475.32
\$
4. SANITARY SE|^IER-MI,JMC
A. REIMBURSEMENT COST:
SI
NO. OF FEU'S I X 2174+ PER FEU
B. IMPROVEI'4TNT COST:
NO. OF FEU'S I X Z5,ZO PER FEU
MI^JMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADM]NISTRATIVE FEE
Ft
$ 211.4
$ 2'9.20
< $ -::$ 10.00
TOTAL-MI^JMC SDC $ 7tz'G+
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ 231z.LL
5. ADMINISTRATIVE FEES i
BASE CHARGE (SUBTOTAL ABOVE) X . 05 $ rr?. L3
IIts r-
SDC Coordi naton
ATTACH 'A. I,',PD
Date: .)ZT
TOTAL SDC Zq
J0uF '. '^ JoB NO. ?1Cbtr?
$ 4tu,o1
x _ x $475.32
FIXTURE UNIT CALCU'^T^ N TABLE: Number of New Fi; ;s
(NOTE: For remodels, calculate only the NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub......
Drinking Fountain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc..............
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher..............
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer).............
Receptor For Refrigerator/Water Station/Etc.....
Receptor For Commercial Sink/Dishwasher/Etc.
Shower, .Single Sta11..........
Shower, Gan9......,..
Sink: Bar, Commercial, Residential Kitchen......
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
-Toilet, Public lnstallation.
Toilet, Private.......
Miscellaneous:
Jnit Equivalent = Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
L
'7
_3-
I
Ir
-T-
--T-
2
1
2
3
6
2
6
b
'l
3
2
1/Head
2
2
1
6
4
TOTAL FIXTURE UNITS IY
CREDIT CALCULATTON TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits s
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
.. .. r 995
1 996
1 997
$1.98
1.55
1 .15
0.96
0.83
0.67
0.52
0.38
o.21
1979 or before
'r980
1 981
1 982
1 983
1 984
1 985 ',"
1 986
1987
1 9BB
s4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.
Commerical
lndustrial...
Governmental................
0.4
0.9
05
0.5
FIXUNIT.WPD IMPERVTOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
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X$-=
(Rate X Assessed Value)
CREDIT TOTAL = $
This permit is required for any site activity in the flood plain and everywhere site alteration consists of
fifty (50) cubic yards of material oi more and/or if a driinageway is affected, within City limits and
This Side To Be Filled Out by Applicant
a ety of Springfield
(, -(*-q?
Phone:7Q-fZey'
City
ra Oregon
Permit,Expiration DateDate of Application
Site Address
OwnerProperty
Address
N",ll:[/.-)q -b
Journal number applicable Land Use Applicqtio
Tax Lot:
n
tr ucB Tax Map
d / 4ryr4 e
tr
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Project Supo rvisor
auantny 7 O f*ia
FILL, Ouant
EXCAVATION,Destination
GRADING, Ouantity
Supplier Material
Supplier
Address
Location €, rt
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SITE PLAN Required Dafa:Ouantity of material, Property lines and descriptions, Tax map and
lot number, Site address, Existing dontour llnes, Proposed contour lines, Existing drainage
wavs, Prooosed drainaqe wavs, Siqnificant'trees anil foliaqe, Ground cover, Soil tvpes,
a.yiJdihqs,'septic s.ysteirs, SeiderslAreab subjbct to floodind, Utilities, Areds subject to land
slides, Proposed site improvements.
CROSS SECTIONS,
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
O4ADDITIONAL INFORMATION,
REPLANTING PLAN
PHONE
CITY STATE
.PHONE
STACITY
COMPANY NAME
PROJECT SUPERVISOR:
ADDBESS:
PROJECT SUPERVISOR
ADDRESS:
ADDRESS: pO->37 _ . ,clTYr
SrArE: E ,ztP=qrfn rrFFtcEPHoNEi
MOBILE PHONE:
,
7"6EMERGENCYPHONE: 33fZ
PHON L/
CONTRACTOR NAME:
Registration Number:Expiratiop Date:
I understand that I or my successors may have future plans for my property which may be anticipated or unanticipated at
this time. I understand that such future plans may require permits and developement approvals from the City of Springfield
I understand that notwithstanding any approval of this Land and Drainage Alteration Permit (LDAP), that at tho time of
application of future permits or approvals the City may ravlew and reconsider all actions which I or my succ€ssors have
undertaken persuant to this LDAP. I understand that the City may as a condition of any future approval, require the
undoing, changing, or modification of any actions which I h6vo undertaken as a resuJt of th6 City's approval of this LDAP.
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By signature, l state and agree, that I hate carefully examined the complotod application and do hereby certify that all
information herein is true and correct, and I further certify that any. and all work performbd shall be done in accordance
with the Ordinances of the City of Springfield, applicable City Standqrd specificatione ahd Drawings, and the laws of the
Stat6 of Oregon pertaining to the work described herein. l funher certify that only contractors and employees who are in
compliance with ORS 7O1 .O55 will be r"ised on this project
The City may inspect the work site described in this permit at any time during a ono year period following the receipt by
the City of notice of completion of the described work lnd specify, at the City's sole dosecration. any additional rsstoration
work required to return the site to a standard acceptable to the City. The permittee will ,be notified in writing of any work
roquired and will have thirty (30) days from the dato of the notica to complete the work. Work not completed at tho end of
the thirty days will be performed by the City and the costs will be billed to the permittee.
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COMPANY NAME: I ,
PROJECT SUPERVISOR:
the thatall required inspections aro requested at
set of plans will romain on tho site at all
1.f6.nq4010t ql 'l
is readable from
Dato
t^
6uful4 ?bnr,t Nb#- 110b81
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FLOOD ptRtrtt, Zone; C. , FEMA Community Panel No.:
Date:
DRAINAGE,
WETLANDS,
tr Ditph,.tr Culvert, O NaturalE Storm,'NotVDescri
FLOQDWAY, FEMA Community Panel No.:-..
s20.00
s30.00
$40.00
,$40.00 For the first 'l 0,000 cubic yards, plus
$20.OO for each additional 10,000 cubic yards or fraction thereof
$220.OO For the first 1OO,001 cubic yards, plus
$20.OO for each additional 1O,OOO cubic yards or fraction thereof
S34O For the first 200,001 cubic yards, plus
$6.00 for each additional 1 O,000 cubid yards or fraction thereof'
$30.00
93O.OO For the f irst 1OO cubic yards, plus
$14;00 for each additional 100 cubic yards or fraction thereof.
$1 56.00 For the first 1,000 cubic yards, plus
$ l 2.OO for each additional 1,000 cubic yards or fraction thereof'
$264.00 For the f irst 10,000 cubic yards, plus
$54.00 for each additional 10,000 cubic yards or fraction thereof
$75O.OO For the first 100,001 cubic yards, plus
$30.OO for each additional 10,000 cubic yards or fraction thereof
qltakl
ouru6 5D
?.,'
Date
3frL5 Date
K
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QA.Oo
1,001 To 10,000 cuBlc YARDS
10,000 To 100,000 cuBlc YARDS
100,001 To 200,000
Estimated Volume:
Grafling Permit fee
Receipt No
Receipt No
Date
fifr.@Received By
PLAN CHECK FEES:
UP TO 1OO CUBIC YABDS
101 TO 1,OOO CUBIC YARDS
1,001 TO 1o,OO0 CUBIC YARDS
1O,OOO TO l OO,OOO CUBIC YARDS
100.001 To 200,oo0 :
2OO,OO1 CUBiC YABDS OR MORE
GRADING PERMIT.FEES:
UP TO 1OO CUBIC YARDS
101 TO 1 ,OO0 cuBlC YAROS
Plan Check Fee
846/N2./ile,: &de 4fia/lvHrt) C2N2/7/t//5
AMBLESIDE MEADOWS SUBD.
This property is located itt an area ofheavy clay
soils (expansive clays). A liccnsed cngineer shall
vcrify the stability ofthc soils in thc proposcd
building arca and makc Rny rcconrmcndations
nccessary 1o assurc the continued stability ofthc
soil. A copy ofthe engineer's report shall bc
submitted to the Building Offrcial prior to
bc ginning conslruction of the structurc.
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Date:
Date:
Date:
Date
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Maintenance:
Engineering
Plarrni
lssued by Date
J
Date
Date:
Planning:
Engineering:
Building:
Maiptenance;
Date
Date
Land and Drainage activity as outlined in this pcrmit has been completed in accordance with
the provisions ofthis perrhit.
Land and Dralnage actiyity as outlined in this permit has not been completed in accordance
wrth the provlsloTls Ot tnls permlt.
t] Land.and Drainage activity was performed prior to application for this permit.
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Date:Accepted by:--
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1/6/1998
Received by:
Permit Numbei___________-_-- .
Required Final lnspeetions.'