HomeMy WebLinkAboutPermit Building 1996-04-15SPFINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nusrber: 950480
225 North Fifth streeL
Springfield, OR 97477
Location of Propoeed Work: 165 S 47TH ST L57
Assessors ttap #: 1-7023243
Lot: 1 Block:
Office
Inspection Line
726 -37 59
726 -37 59
Tax LoE #:
Subdivision:
00s00
MARBROOK
Owner: D.R. TENBROOK
AddrESS : 1-445 AMBERLAND
Describe Work: DUPLEX
Phone #: 342-7454
city/state/zip: EUGENE, OREGON 9740a
NEW
General:
Plumbing:
Mechanical:
Electrical:
Contractor
TENBROOK
PO Box 23323 Eugene
EUGENE PLUMBING
325 Dellwood Eugene
TENBROOK
PO Box 23323 Eugene
BINNS ELECTRIC
210 Wallis Str Unit
0048136
97 4020000
oo440L2
97 4054909
0048135
974020000
00737 62
Eugene OR 97
OR
OR
OR
#C
Const.
Contractor #Expiree
05 /3L/ e6
0L/oe/e7
os /3L/ e5
06/06/e6
Phone
342 -7 454
484-7 440
342 -7 454
687 -L352
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2674
-- oFFrcE usE --
LAND USE: LL2O
ZONING CODE: MDR
# OF BDRMS: 6
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: VilH
INSUL PATH: P1
To requeat an inspection, call the 24 t:ovr recording aE 726-3769.
A11 inspections requested before 7:00 a.m. wil] be made the same working day,
inspections req1rested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
SITE - To be made after excavation but prior to seEting forms.
FOOTING - After trenches are excavated.
FOIDIDATION - After forms are erected but prior to concrete placement.
IrIIDERFLOOR PLTMBING - Prior to insulation or decking.
POST AI'ID BEAII - Prior to floor insulation or decking.
INSIILATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SATiIITARY SEWER IJINE - Prior Eo filling trench.
STOR}! SEWER L'INE - Prior to filling trench.
WATER I,INE - Pri-or to filling trench.
ROUGH PLITMBING - Prior to cover.
RoucH DIECIIAT{ICAL - Prior Lo cover.
ROUGH ELECTRICAL - Prior to cover.
EIJECTRICAL SERVICE - Must, be approved to obtain permanenL power.
FRAI{ING - Prior to cover.
fNSULATION - Ftoor; prior to decking Wal-l-/Ceiling; Prior to cover
DRWIALL - 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.
FINAIJ PLUIIBfNG - When all plumbing work is complete.
FINAL EIJECTRICAL - When all- electrical- work is complete.
FINAL MECIIANICAL - When all- mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
!5PF!ilGFIELD
Job Number: 950480
SPilNGFIELD,
Page 2
LoL Faces: W
Setbk From NPL: 5
House
Garage
Lot Sq. Ft.: 5087
Solar Approved: Y
Total Height: 15
Lot Type: CORNER
N
5
5
Setbacks
SW
L2 10
E
10
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/aamin
TOTAI. FEE
--- BUILDING PERMIT ---
Square Feet x
2lo2
572
$/Square Feet
64 .65
L6.27
(A)
Value
135, 915.00
9,305.00
L45 ,22L . OO
535.50
42 .93
s7 9 .43
--- SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)3 ,890 .92
Systems Development Charge is due on all- undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being i-mproved.
PI.IIMBING PERMIT ---
Item
Residential Bat,h (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
4
Fee
320.00
320.00
25 .60
34s.50(c)
--- MECHANICAI, PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAT PERMIT
4
9.00
12.00
5.00
27.00
10.00
2 .1_6
(D)39. r_5
--- MISCELLAI{EOUS PERITITS ---
Surcharge/admin
Sidewalk
Curb Cut
WILLJ\M'\LAIIE SDC
ADDITIONAL PLAN REV
TOTAI. MISCELLA.I{EOUS PER!{ITS
0.00
34.00
15.40
1,848.00
17.55
(E)L,9L4 .95
(Excluding Electsrical)
unless otherwise noted
- -. TOTAL AII{OI'NT DUE - - -
(A, B, C, D, and E combined)6 ,77 0 .06
SPNINGFIELD
Job Number: 960480
orr SPilNGFIEI.O,
Page 3
--- BUILDING VALUE, PI.AIiI CHECK ATiID BUII,DING PERMIT ---
This permit is granted on the express condition that the said construction
sha11, in all respects, conform to the Ordj-nance adopted by the City of
Springfield., includ.ing the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violaLion
of any provisions of said ordinances.
Plan Check Fee: 331.1-8 Date Paid
Received By: LORNE PLEGER
Plans Reviewed By: BOB BARNHART Date
Building Site Reviewed By: LISA HOPPER
Receipt Number:. 20995
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY. INDIVIDUAL LOTS NOT LISTED
BY COUNTY AS OF 4/e/e6
sItRVEy OF LOT REQUIRED PRIOR TO SETTTNG FORMS. PROPOSED RES AT MOST MTNTMUM
SETBACKS AND NEED TO VERIFY STRUCTI'RE WILL NOT BE IN 25 FOOT VISION CLEARANCE
AREA.
DRIVEWAY REQU]RED TO BE PAVED
3 STREET TREES REQU]RED
By signatsure, I sEate and agree, that 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 al-l- work performed
shal-I be done in accordance with the ordinances of the City of Springfield,
and ghe Laws of the State of Oregon pertaining to the work deseribed herein,
and that NO OCCUPANCY wiLL be made of any structure without permission of the
Community Servj-ces Division, Building Safety. I further certify that only
contracLors and employees who are in compliance with ORS 701.055 will, be
used on this project.
I further agree to ensure that all required inspecEions are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the si imes dur ing construction.
y' -to- -2a
Date
04/08/e5
o4/1.2/e6
Receipt Number:
Date Paid:
--- VALIDATION ---
?/ry >
<- q-' 4
Amount Received, C ?7A-26
Received By
z---
EAKEE & A55I-If,IATE5
SCALE 1"={0'
FAGE E1
tl4/24/1996 L2:28 E833459587
lT.r4'
10.1t'
J
lnr.ld
h
rt
h
d
F
Ul
hrd
62/tE'
,0.25'
t0.25'
ar.2t'f,
TO WHOM IT MAY CONCERN;
AN APRIL Igth D,R, TENEROOK RETAINED OUR SERVICES
TO LAY OUT THE FOIJNDATION OF THf ABOVE STRUCTURE
ON LOT 1, ITARBRAAK SLIBDIWSION, SPRINGFIELD, OREGON.
DIMENSIONS OF THE STRUCTURE WRE MODIFIED FRAM THE
ORIGINAL SO 4-S TO ACCOMMODATE STTBACK REQUIREMENTS.
VISION AREA SETBACK IS TO BE ADDRESSED AT TIME OF
CONSTRUCTION,
htl
lf
ExPrRiS 12i31 /97
BAR'ER AND ASSOCIAIES, SURVE^IORS
IJ85 OAK STREET - sU/TT J
EUGENE, OREGON (5+1) J4J-7243
1 g7B
ON
'1982
REBAKDAN
D SURVEYOR
REGISTERED
PROFESSIONAL
MORTGAGE AND FOTJNDATION INSPECTION AT
165 & 16? S, 47th STREET, SPRINGFTET,D
LANE COI}NTY, OREGON
DON TENBROOKCUENT:
oRAvN Rf: DHW
4/./19//96fl4IFr
FILE: B4\lENbRo0K
?9.6i',
4t,o0'q
l
CITY OF OREGO'U
LEGAL DESCRIFTIONz*
JOB DESCRIPTION
Permits are non-transferable and exy'lrre
i f vork is not s tarted vi thin 1'80 days
of issuance or if vork is suspended for
L80 days
2. CONTRACTOR INSTALLATTON ONLY B.
Electrical Contractor /EZ'Z? C
Address z( O I .#c
Ci ty F/e azl4-,hone 6r - lr6z
Supervisor License Number 30 ( f
Expiration Date /o- /-?{
trxpiration Date -/a
Signa of trician
STPFI]{(TFIELO
BLECTRICAL PERI{IT APPLICATION
Ci ty Job Nunber
FEE SCEEDUI.E BELOS
New Residential-Single or
Multi-Family per dvelling rrnit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
z $ 8s.00
z $ 1s.00
$ 40.00
Services or Feeders
Installat ion, Alterations
or Relocation:
zoning, ancl
api:rcrra!.
The following requiro
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97477
INSP.BCTION REQUEST: 726-
OFPICE: 726-3759
1. LOgATT ON OF
3769
Authorized Sign
A
Sum
/^
_tu
200 amps or
201 amps to
1r01 amps to
601 amps to
Over 1000 a
Reconnect 0
Iess
600 amps
L000 amps
mps/volts
nry
$ s0.00
s 60.00
$ 100. 00
$130.00
$300.00
s 40.00
C.
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pr.rmp or irrigation
sign/0utline Light ing-
Limi ted Energy/Res
Limi ted Energy/Comm
2 -/2-oo
/2 .oo_ -2e
-+'^'?a
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less "/ S 40.00 //o
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
S 8o.oo
Over 600 amps or 1000 voTts see ttgn
"ffi
Ovners Name
Address
Ci ty
The installation is being made on
property I ovn ruhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
fo4iyzz- Phone
. '' 1'/?'/,/./
OVT{ER INSTALfifT/ON/
$
s
$
$
00
00
00
00
40
40
20
36
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALB
ic land uao
Constr Contr . Nunber 75 7 / L
/
REgEIVED
€e Willamalane
Park & Recreation District
l\J\r+
C. Multi-Family Apartment
NO. OF UNITS
D. Manufac'tured Home Park
NO. OF UNITS
WILLAMALANE SDC
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE ,&e
STATE: WO,,,
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
X $692 per unit
X $699 per unit
Job. No.
.ln
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit
$
$
fr
$
00
2. SDC CRED[T (if applicable) SDC-payer must turnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC
$
$
$l((,00
evelop --It/2l 26
City of Springfi
s Department Date
a
CITY OF ONEGON
SPRINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEI{S DEVEI.OPMENT CIIARGE
(RESIDEtiIlTIAI.)
Name or Company: D.R. TENBROOK
Location: 155 S 47TH ST 157
Developement Tlpe: R Building Size:
Job No. : 950480
Lot Size:Sq Ft
1. STORM DF.AINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
4076 X 0.210 Per Sq Ft =
32 X 43.43 Per PFU =
$884 .52
$8ss.96
$t-, 389 . 75
$884.62
$5r.0.00
$34.70
$s7s.30
$3,705.54
$18s.28
3. TR,AI'ISPORTATION
Number Of Units
ZL
Trip Rate
1.010 x
x
Per PFU +
18.750 +
Cost Per Trip
437.93
Transportation Total
4. SAI{TTARY SEWER - M$IMC
Number Of PFUS
32
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Itema 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER Date: 04/LO/96
$3, 890.92
SPRIITTGFIELD
Job Number: 960480 Page 2
FIXTURE I'NIT CAI.CUI,ATION TABLE
CITY OF SPilNGFIELD, ONEGON
Fixture Type
Number of
New Fixture
Unit
Equivalent
Fixture
unl_ts
Bathtub
Drinking Fountain
Fl-oor Drain
Interceptors For crease/Oi1/SoLids/Btc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, ResidentiaL Kitchen
Urinal, Stall/Wa11
Wash Basin/Lavatory, Single
Water CLoset, PubIic InstaLLation
Water Cl-oset, Private
Miscel-l-aneous
TOTAL FTXTURE UNITS =32
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are cal-culated separately.(calculations are by $1000)
Year Annexed: 1-969
Credit For Parcel- Or Land OnIy If Applicable: 1O,OOO X 3.47 = 34.70
Improvement (if after annexation date): 0 X 3-47 = O.OO
CREDIT TOTAL = $34.70
(If land value is multiplied by 1 then the parcel/land credit is not, accurate.)
a
1
a
3
5
2
5
1
3
2
2
a
1
6
4
2
0
0
0
0
z
0
U
0
0
a
0
0
A
0
4
0
0
0
0
0
0
0
0
4
0
4
0
15
0