HomeMy WebLinkAboutPermit Building 1996-08-27SPFIi.GFIELD
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RESIDE}iITIAI, PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVTSION
BUII.DING SAFETY
Page 1
Job Nurnber: 95097L
225 North Fifth street
Springfield, OR 97477
Location of Proposed Work: 511 35TH ST
Assessors t'tap #z L7O23ll3
Lot : Bl-ock:
office:
Inspection Line:
725 -37 59
726-37 69
Tax Lot #: 03900
Subdivision:
Owner: LARRY DILBECK
Address: 1130 s 42ND ST
Describe Work: S.F. RESIDENCE
Phone #: 726-9064
city/state/zr-p: SPRTNGFIELD, OR 97478
NEW
General:
Plumbing:
Electrical:
Contractor
DILBECK OOOOSSO
1130 S 42nd ST Springfield OR 97478
STEVES PLI]MBING OO382O8
IDEAI, ELECT 0057331
Po Box 355 Creswell OR 974260000
Conet.
Contsractor #Expires
o7 /L7 /97
01,/23/e6
05/24/97
Phone
726 - 9064
558-30s1
895-25L7
QUAD AREA: 3RNC
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1580
-- oFFrcE usE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSIIL PATH: P1
To requeEt an inspection, cal-I Ehe 24 hour recording aL 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 following work day.
--- REQUTRED TNSPECTTONS ---
SLAB - To be made afEer all inslab building service eguipment, conduit
piping, and other eguipment items are in place but prior to concrete
tI{DERGROITIID PtIr}IBING - Prior to filling Erench.
ITNDERGROTND ETECTRICAL - Prior to Cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
SAI{TTARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIAT{ICAL - Prior to cover.
ROUGH EIJECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAIIING - Prior Eo cover.
INSTIJATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CITRBCIIr - After forms are erected but prior to placemenE of concrete.
SIDEWAtK - After excavation is complete, forms and sub-base material
in place.
FINAL PLITMBING - When all plumbing work is complete.
FINAT DIECIIAIiIICAL - When all- mechanical- work is complete.
FINAL EIJECTRICAL - When all electrical work is complete.
FfNAL BUItDfNe - When all required inspections have been approved and
the building is complete.
SPFINGFIELO
h,
'Job Number: 96097L Page 2
Lot Faces: W
Solar APProved: Y
House
Garage
Total Height: 1-3
Lot TYPe: IIVIERIOR
SetbacksswE
33
20
Setbk From NPL: 33
N
5
Item
Main
Garage
Total Value
Building Permit Fee
surcharge/admin
TOTAI. FEE
--. BUILDING PER}IIT ---
Sguare Feet x
11 05
475
$/Square Feet
64.65
L6.27
(A)
Value
7L, 449 . OO
7 ,728.00
79,L77 .00
373.00
29.84
402.84
SYSTEMS DEVEI.OPITIENT CITARGE (SDC)
(B)2,2L7 .65
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT
Fee
160.002
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
(c)
150.00
12.80
L72.80
--- MEEIIAT{ICAI. PERMIT ---
Exhaust Hood
VenL Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/edmin
TOTAI. PERMIT
3
4.50
9.00
3.00
(D)
16.50
10.00
1.33
27.83
--- MISCELLA}IEOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
WILLA]V1i\LiU{E S /D / C' S
PLAN CHECK FEE
TOTAL MISCEI.I.ANEOUS PERMITS
0.00
14.80
14.80
>4€€q
(E)
100.00
L, L29 .60
(Excluding EIect,rieal )
unless otsherwise noEed
--- TOTAT A}TOI'NT DUE ---
(A, B, C, D, and E cornbined)
1 ,150 .7 3
TOTAL CIIARGE
SPF!NGFIELD
ilob Number: 95097L Page 3
--- BUILDING VALUE, PI,AIiI CHECK A}iID BUII.DING 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, i-ncluding 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:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date: oe/L6/96
--- ADDITIONAI, COMMENTS ---
REQUIRES SEPERATE ELECTRICAL PERMIT
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQU]RED
By signat,ure, I Buate and agree, that I have carefully examined
the completed application and do hereby certify Ehat all- informat,ion hereon
is true and correct, and I further certify that any and al-I work performed
shal1 be done in accordance with the ordinances of the City of Springfield,
and Ehe Laws of the State of Oregon perEaining to the work described herein,
and that NO OCCUPANCY will be made of any structure withouL 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 Ehe street, that the permit
card is locaEed at the front of the property, and the approved set of plans
1 remain on the site at all times during construcEion
ure
--- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
6 -n*q,v 1w_
#?$50.37 tp-
\M
SPFINGFIELD
ENGINEERING DIVISION DEVELOPMENT PLAT{ REVIEW
RESIDENTIAL IMPROVED STREET
Developer: LARRY DILBECK Job No. : 950971-
Mail Address: 1130 S 42ND ST SPRINGFIELD, OR 97478 Phone #: 725-9064
Tax Lot #: 1702311303900 Project Address: 511 35TH ST
Subdivision: Lot: BIk: Eng. Rev. No.: Book
Street Gravef
511 35TH ST
Existing Curbcut:
EXISTING IMPROVEMENTS
Ac Mat Curb FuI1 Imp SW Width Curbside
Y 5 FEET 12:1 FLAIRS
Setback
ENGINEERING REQUIREMENTS
Additional Right of Way:
Improvement Agreement :
Easements:
N
N
N
SATiIITARY SEWER
CAI,IJ THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332-2344
Avail-able: Y
Size of Line: I
Location From N,
Make Connection:
Stubbed Out To Property Line: Y Depth z 4-6
In.
s, E, w Property Line: AS SHOITIN ON DRAWING OR AS-BUTLT
PER PLUMB]NG CODE
Ft
STORM SEWER
Avail-abLe: Y
Pipe Downspouts And Drains To: CURBS & GUTTERS OR STORM SEWER
Pipe Parking Lot Drainage To: N/A
New Curbcut Appr.:
Sidewalk Permit: Y
Curbcut Permit: Y
Handicap Ramp: N
SIDEWALK A}iID DRIVEWAY INFORMATION
Y STANDARD Width: 20 Ft Flairs
Width: 5 Ft Length: 32 Ft
width: 32 FE
6 FT
ENCROACH}IEMT ATiID ASSESSMENT
Encroachment, Permit Required: N
Sanitary Sewer fn Lieu Of Assessment: N
SPECIAL NOTES A}ID REQUIREMENTS
A11 work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. A11 existing unused
curbcuts or poruions thereof sha1l be restored to full- curb height as directed
by the City. The owner/developer is responsible to rel-ocate any util-ities and
establish private or public easements when the utilities conflict with the
development, ats their expense.
Reviewed By: TROY MCALLISTER Date: O7 /29/96
sEE DRjLWTNGS ON SPECTAL REQUTREMENTS FOR FURTHER rMPORTArillt TNFORMATION
Page 1
CITY OF OFEGO'V
approval.
Zon
225 FTTTE STREET
SPRINGFTELD, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
736o3*trlbic
1. LOCATION OF INSTAII,ATIONta
IJGAL DESCRIPTION
JOB DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALTATION ONLY
Electrical Contractor
SPFIINGT'tELO
EI,ECTRICAL PERHIT APPLICATION
Job Nunber
3. COHPLETE FEE SCHEDI.ILE BELOV
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401- amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
.00
.00
Tha lollowlng proiec't as cubmittod has the lollowing
ii'"i"e, ;"j?bee not require epocific land uee
afr,
Sum
I $ s0.00
s 60.00
$100. 00
$130.00
$300.00
s 40.00
00$40sss
$eo
see
Address
Ci ty 4,
Supervisor Lic$ber
Exniration Date
Constr Contr. Number
Exoiration Date
Signature of - Supervising Electrician
Ovners Name
Address /lZO y'-2-'!2
pnor" ?4-fu64
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or fess L-.-'
201 amps to 400 amps
-
Over 401 to 600 amPs
Over 600 amps or 1000-Iro-ITs
C
A*
rrgr u[[!"
Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
rs Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each ins tal-Iat ion
Pump or irrigation
-
Sign/Outline Lighting_
Limited Energy/Res
Limited Ener[y/Comm
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
(
$ 40.00
$ 40.00
$ 20.00
s 36.00
DATE:
RECETVED B
&o
qeD q7/
LARRY DILBECK
PIOFESSIo}IAL lrI{D SURYETOi
MARVIN S. KRUSH
5' CEXIENNLIL ]OOP
EUGENE, OREGON 9740t
TEIIPI{ONE 50s / CEG-92| r
Se tember 25 t 1996
D. 'rlptlon:
--8 ATTACHED DESCRIPTION.
I, thc undcrslgncd, do hcrcby ccrtlfy
thot I hovc courcd lo bc mqdc undcr
my sup.rvlslon o mortgogc lnrpoctlon
of tht followlng dcscrlbrd rrol proprrty
ond thr lmprovomcnts lhcroon, ondthc bulldlngs upon thc sold rcolpropcrty do nol 'oncroqch upon thc
odlolnlng proporllos; ond thol bulldlngr
upon thc odlolnlng proprrtlcs do nol
cncrooch upon told propcrty, unbcs
othcrwlsc shown hcrcon. Thls drowlngls for the usc of the hrroon nomod
portlcs for mortgogc purporcs only.
T' '- docr not constllutc o boundoryI .ry ond ls rublrcl lo ony lnoccurqclosthot o boundory survcy moy dlsclorc.
N ts'7o -tt, aD,, !/ .-l-I .).)
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REGI'IERED
PROFESSIONAL
LAND SURVEYOR
ORE@NrfY r+ tf,l
MARVIN S. KRUSH
164:t
NOBIH
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SPRTNGFIELO
%
rBNCE PBRUIT APPLICATION
CITT Ot' SPRINGFIBLD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Locarion: 6\t 3Uf A f-L(
Assessors Map *z \1 OZ%tth Tax Lot *z O%4oO
ovne* L-{,rcvc) D,"Ybe-r.V
Address ' \ \%o S, 4>nt Phone S:
qq'4'
\>G ot
t 1 Lt. - Q-€L(- ,olo+
Gz*o o\Zip:qt+Ci ty:S ta te:
Value of Fence:
45 Ot)o-o-
Fence Permit is $5.00
Con t rac t orlIns taller Lceo, D.wbLcV'
Addressr \t4o S.41vrC:Qcr+- tq I -ceLL ,
Phone #:l o
Cl ty:State:Zipz 4r4rB
Constructlon Contractors Registration *:ESUExpires:z/nlqt
By signing this permit/application, I agree to caII for an inspectlon once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
gna t Date
FOR OFFICE USE
Date of Application:
a5 T JOB *
Receipt lt 2 Issued By:
rotal Amount collected,{S a D
Checked for Delinqu eneie.s , hgh* Checked for Historical Status , Ah")-
IR
(
SPrlIN(iFIELO
riDproval
INSPECTION REQUEST: 726-3V,69r:
0FPICE: 726-3759
I re lcrllowing projecl as submittod fr.s the
..::riling, and does not require apecific lmd us€
ELECTRICAL PERHIT
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
ffiffi:(
1
LEGAL1 DESCRIPTION
ts are non-transferable and expire
f vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,A TTON ONLY
€UdP-LeElectri
LOCATTON OF INSTALLATTONstt 3btr 5.f,
ci Job Nunber
3. COHPIJTE FEE SCEEDT'LE BELOI{
A Neu Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost Sum
I $ Bs.oo 6bI s ls.oo
$ 40.00
Address
ca1 Contracto
Qo- Gov
citvC[llSt^s@l t Phone q)-)(!I
Superv isor License Numbe, /8/'5
Exp iration o^t" /0f b /f (?
Constr Contr. Number
Expiration Date
Signature of Supervisitg Electrician
Ovners Name
Services or Feeders
Installation, Alterations
or Relocation:
D. Branch Circuits
200 ainps or less
201 amps to 400 anps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or 1OO0 voTTs see uBu aE6if
35s
B
C
s s0.00
s 50.00
s100.00
s130. 00
$300.00s 40.00
Addr
Ci ty
ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
Nev, Alteration or Extension Per Panel
one Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not incl'uded)
-Each installation
Pump or irrigation _Sign/0utline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
S
Phone
$
s
$
$
40.00
40.00
20.00
36.00
BRECEIVED
tn
Ifr^o'/n
5 o0
<? i
SPFT,l.GF'ELE'
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAI,)
SPilNGFIEI.O,
Name or ComPanY: LARRY D ILBECK 'Job No. : 96O97L
Location: 5L1 36TH ST
DeveloPement TlPe: R Building Size:Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number of PFUS
(see Page 2)
3. TRAI'ISPORTATION
Number Of Units
1x
Transportatj-on Total
4. SAIIITARY SEWER - DII'IUC
Number Of PFUs
18
X O.2LG Per Sq Ft =
X 44.75 Per PFU =
Cost Per Trip
45L.26
2356
18
Trip Rate
r_. 010 x
Per PFU +
20.690 +
MWMC Admin Fee
10.00
$4ss."17
$so8.9o
$80s. s0
s45s.77
i382 .42
$40. s3
$341.89
s2,Lt2.06
$105.50
x
x
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MIIMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtota1 Above) X 0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER Date: o7 /29/96
$2,2L7 .66
SPR!NGFIELD
,.Tob Number: 96097]-Page 2
FIXTURE I'NIT CALCULATION TABI.E
SPruNGFIELD,
Fixture Tlpe
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/OiI/SoIids/etc
Intecept,ors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Cl-otheswasher - 3 Or More
Receptor For Refrigerator/Wat.er Station/ftc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Sing1e StaLl
Shower, Gang
Sink, Bar, Commercial, Residential KitchenUrinal, Sta11/Wa}1
Wash Basin/Lavatory, Single
Water Closet, public Insta1lation
Water Cl-oset, private
Miscell-aneous
TOTAL FIXTURE UNITS =
CREDTT CALCULATION
Year Annexed: ]-969
Credit For parcel Or Land Only If Applicable
fmprovement (if after annexation date):
TABLE: Based on assessed value. If improvements occuredafter annexation date, credits are calculated separately.(calculations are by gIOOO)
4
U
0
0
0
a
0
U
0
0
0
a
0
a
0
8
0
)
1
z
3
5
2
6
1
3
2
2
2
L
6
4
)
0
0
0
0
1
0
0
0
n
1
0
)
0
)
Number of
New Fixture
Uni-t
Equivalent
Fixture
un]-ts
18
40.53
0.00
$40.s3
11,580 x 3.47 =
0 X 3.47 =
CREDIT TOTAL =(rf land value is multiplied by 1 then the parcel/1and credit is not accurate-