HomeMy WebLinkAboutPermit Building 1998-05-01CI'T OF
SPFINGFIELEl
h,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIETD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 980489
225 North Fifth street
Springfield, OR 9'747 1
Location of Proposed Work: 823 S 45TH ST
Assessors ttap #: L8O2O5L2
Lot: 103
Office:
Inspection Line:
726-37 59
7 26 -3'7 69
Block:
Tax Lot #:
Subdivision:
04500
LUCERNE MEADOW
Or,Yner : PROFESSIONAT IIIANAGEM
Address: 1410 W HARRISON
Describe Work: S.F. RESIDENCE
Phone #: 757-3800
City/Stat.e/zrp: CoTTAGE GROVE, OR 97424
NEW
Contractor
ConsE.
ConEractor #Expires
03/1-s/oo
05/05/oo
02/26/ee
05/3t/e8
Phone
767-3800
485-L]-45
745-76'17
485 - 6524
General:
Plumbing:
Mechanical
Electrical
PMr oo2928t
PO BOX 938 SHERWOOD OR 97L400938
CUSTOM PLUMBING 0081994
3248 KENTWOOD DR EUGENE OR 974O1OOO
HARVEY & SON OO555B2
4580 MAIN ST SPRINGFIELD OR 9747850
HAUCK 0013817
37370 CAMP CREEK ROAD, SPRINGFIELD
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
SQ FOOTAGE: L892
-- oFFrcE usE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To request an insPecEion,cal-l- the 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.
--- REQUIRED INSPECTIONS ---
TE}TPOR.ARY POWER
FOOTING - After Lrenches are excavated.
FOTNDATION - After forms are erected but prior to concreLe placement
PoST AIiID BEAII - Prior to floor insulation or decking-
INSULATION - Floor; prior to decking wal1/ceiling; Pri-or Lo cover
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECIIN.IICAL - Prior to insutat j-on or decking.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGII PLIIMBING - Prior to cover.
ROUGH IIECHA.I{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WATL NAILING - Before covering sheathing with finish materials
FR.NIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior 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
in place.
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SPFTIIGFIELE,
Job Number: 980489
FINAL PLI'MBING -
FINAI, MECHANICAI,
FINAI, ELECTRICAI,
FINAI, BUILDING -
LoE Faces: W
Solar APProved: Y
the building is complete
When alf Plumbing
- When aI1 mechan:
- When all electr
When all required
N
L4
work is complete '
ical work is comPlete '
ical work is comPlete '
inspecLions have been approved and
Page 2
Setbk From NPL: 25
House
Garage
Item
Main
Garage
Total Value
Bui-lding Permit Fee
Surcharge/edmin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permj-t
Surcharge/edmin
TOTAI, CHARGE
Total Height: 23
Lot TYPe: INTERIOR
Setbacks
SWE
15 44
15 18 44
--- BUILDING PERMIT ---
Square Feet x
a422
470
$/Square Feet
54 .65
L6 .27
Value
91,947 . oo
7,547.0o
99 ,594 . oo
433.00
34 .64
457.64
Fee
150.00
(A)
--- PLIIMBING PERMIT --.
2
150
12
00
80
(c)L7 2 .80
--- UECHANICAL PERMIT
Furnace
Extraust Hood
Vent Fan
Dryer Vent
HEAT PUMP
Mechanical Permit
fssuance
surcharge/admin
TOTAL PERMIT
2
5.00
4.50
5.00
3.00
5.00
25.50
10.00
2 .05
37.55(D)
--- MISCETLANEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
RES PLAN REVIEW
ELECTRICAL PERMIT
SYSTEMS DEV CHARGES
TOTAL MISCEI,LA"}IEOUS PERMITS (E)
0.00
19.90
14.80
1, 000. 00
50.00
l.57.40
2 ,27 4 .5t
3,535.5L
(Excluding Electrical )
unLess otsherwise noted
--- TOTAI. AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,2L4 .60
SPFINGF!ELD
.fob Number: 980489
qTTOF SPfrINGFTELD,
Page 3
--- BUILDING VALUE, PLAN CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopEed by the CiEy 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.
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Dare: 04/28/98
--- ADDITIONAI, COMMENTS ---
SAIVIE AS 824 SOUTH 44TH PLACE
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I Etate and agree, thaE 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
shalI 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, Buildi-ng Safety. I further certify that only
contractors and empJ-oyees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that af1 required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card i-s located at the front of the property, and the approved set of plans
will remain on Ehe site at all times during construction.
ture te
IDATION --.
c
Receipt Number:
Date Paid:
Amount Received:
Received By:
-e(
v t/r/q/
$<r-- )
JoB No . 9tO 4ffi
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
hIORKSHEET
NAME OR COMPANY ?.
LOCATION
823 €4 6r
DEVEI.OPMINT TYPE 5 ,iF ,7L
FtLCT SIZ
BUILDING SIZE
2 . SAN ITARY Sti^lER -C IIY
NO. OF PFU'S Z3 X $.i6. 86 PIR PFU $ l, o77, 78
i STORM DRAIr\lAGi
iMPERVIOUS SO FT
(See Revep53 !ide)
3. TRANSPORTATiON
NO OF UNITS X TRiP RATE X COST PER TR'IP
l,ol x $472.49
x 5472.49
) RRq x $0.225 PER sQ' rT
tl uv r
$4zc.a I
--
I X
x s472.49
$- l07 +L
$ tB4 , 30
$, zl 66 ,Lo
$ t aft , 3/
$
X
s
X
4, SANITARY SEWER-MIilMC
No oF#t 'lJf ,74 PER FEU + $10 Mt^lMc/ADM FEE $ 287' 76
X
Ml^lMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-MhJMC SDC
SUBTOTAL (ADD ITEMS 1'2.3 & 4)
5. ADt.,liNISTRATIVE FEES
BASE CHARGE (SUBIOIAL ABOVE) X .05
SDC Coordr nator
oate: 4-28-?&
s 477, zr
NZ
T0r4L spc $ 4 274,5 /
. ln I \.,nL \., lYl I rvHLTvIJL/ts'l l\., lY t ADLtr: Number ot New Fixtr -' X Unit Equivalent : Fixture Units(NOTE: For remodels, calcuiate onl, e NET additional fixtures)
NUMBEH OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub......
Drinking Fountarn....
Floor Drain..................
lnterceptors For GreaselOil/SolidsiEtc........
lnterceprors For Sand/Auto Wash/Etc..............
Laundry Tuo/CIotheswasher.....
Clotheswasher - 3 Or More...
Mobile Home Park Trap ('l Per Trailer)..............
Receptor For RefrigeratoriWater Station/Etc.....
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Stall...
Shower, Gang..
Sink: Bar, Commercial, Residerrtial Kitchen.......
Urinal, StalllWall...
Wash Basini Lavatory, Single..
Toiiet, Pubiic lnstallation.
Toilei , Privare.....
Miscellaneous:
Z
"2*
?
, --)
2
'l
2
3
o
2
6
o
1
3
2
i i Head
2
2
1
6
4
2_*
3
?
TOTAL F|XTURE UNITS zz_
-
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable.
calculate credits se arates
3,77 x 5 za,aM Lo 3, 4<Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
CREDIT TOTAL s /o3-*€
Year
Annexed
Rate per $1,000
" -. __.. __-Assossp"d Value
Year
Annexed
Rate per s1,COO
Assessed Value
1 981
1 982
1 983
1 984
1 985
1 986
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 979 or before $3 1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
't996
)z.co
2"17
1.73
1.31
0.92
o.74
0.61
o.45
o.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesioeniiai.............
Commerical............
lndustrial. . .
Governmental.........
0.4
0.9
05
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Willamalane
Park & Recreation District Job. No. qt
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
I
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Add
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype delinitions are on the back.)
A. Single-Family Detached
I\\- Single Family home Manufactured home not in a park
NAME:NE: -
srArE: Pj)-t't'
L X $1,000 per unit = $t000 00
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home park
NO. OF UNITS
WILLAMALANE SDC
X $924 per unit = $
X $692 per unit = $
X $0gg per unit = $
$
$
$
rD0np
2- sDc cREDlr
_(if appticabre) sDO-payer musr fumish proof of
wiltamarane credit approvat. see soc credit wo*iheet.
3. TOTAL WILLAIIJIALANE NET SDC ASSESSED
(if SDC reduced for Credit)
tr
U OD
J
-LrCity ot
ent Date _&
l Li,' u.l. r 1l tu U i : dU ,''El3iiL1E _
61ct. -111 -98 11EI: O7A tt{EItGIV I I I I I{C
LRNIE R,;IAII. I N:;
S41 lr-'l 7748
ahc
F .rr lr r-
P-Or
ffi
5ept. 30, tgqg
1; urJhorn Th;t Gn*.n;
[,tet3g flf, inc. insulote^d *ht $ttr*i
Rau.^:iinge (p*f*ianal r/rana3ernanf ) ;
ts*s b, 44,.,ry"
O I,.f S. *f"a
?Lz s. +6+h
and
15+z
"3 addresscs $. €rnie
l'lo lly Sf"*fetd .
P.Cl" ?!061
Eugmnu, ffi 97401
I Dgl.ltron
(5r+1) 741-147E
84-5 thdby
Sprfn0dlf{d , Ofrg74Tl
-The f toora wcre inr,r la-*cd r^ri"th F-aS FibetSlts$ bdl*s,.-fte uratls Her€ insu{a*u. wi+h B-zr {,bergru!" bat*s,
lh.^ flnt cei lings $€rc insu lilt'e.d rrl i*{r n ]la blo,o'
S bergt ass ,
lf yau he$e &'*t- trc^s+r-olus
pleaoe. utl .
t11
,
#nLf
E
li
a
,.
,!
I
I
The
ONq
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended tor
180 days.
2. CONTRACTOR INSTALI..ATION ONLY
Electrical Contractor €o ilP.-'.,t<
Address 313'to CA^p (r. ?e
Ci ty 5(€ >Phone 72L 10,-lo
Supe rvisor License Number )52" S
Expiration Date lo-t -98
Constr Contr. Number
Expiration Date f ^Z\ -e g
Signature of sing Electrician
SF GFIELO
CAL APPLICATION
b Nunber
A. Nev Residenti
SCEEDIILE BELOV
al-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less L S 85.00
Each additional 500
sq. ft or portion nthereof 'L $ 15.00
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder g 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or Iess
at.\-ll\" ".rt
trc
D'li
01
225
OREGON 974
INSPECTION REQTESTz 72
OFFICE: 726-3759
1.OF
\Sum&
3D
00
00
00
00
00
00
r.00
130
300
s
$
s
s
$
s
50.
60.201 amps
401 amps
601 amps
to 400 amps _to 600 amps _to 1000 amps_
Over 1000 amps/vo1ts
Reconnect OniY
C.Temporary Services or Feeders
Installation, Alteration or Relocation
40.
200 amps''or less I $
201 amps to 400 amps
-
S
over 4b1 to 6oo ambs
-
$
Over 600 amps or lbO0ETTs s
4o.oo :c-55.00
80. o0
ee nBtr aEF
*
0vners
Address
Ci ty Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0ut1ine Lighting_
Limi ted Energy/Res
Limited Energy/Comm
D
$ 40.00
$ 40.00
$ 20.00
$ 35.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECEIVED B
5 ad
,
hll'lzr t