HomeMy WebLinkAboutPermit Building 1999-07-01CITY OF
SPFINGFIELD
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
A|THORIZED UNDERTHIS PEREEIffiQilar. pERMrr Appr.rcArroN
coMMENCEDOHlSABOSpgllEgp@Y oF sPRrNGFrEr.D rrob Number:
ANy l s0 DAy pERroD. **'Hfffimkffi#Hlttl,::tr;#,*,,1*i,,,,,
\lotificatiori Cenl,,'r'. Tl"tcst rtiisi-. ii' {, ;'t'i, tr:rti
225 Norrh Fif rh srreer ;n oAH ti52-0il1-0il1CIinr,}u!l{;{-iAh'i52-t"1(}6"f f i"",
springf ield, oR e7477 u09L'. You rnay oblain {jDpiuli Otfi'Ab&lii€t&} r,irr",
calling the ceniu I" (i\iotc: tile,teleprrone
Locarion of propoeed work z 229 sMt*Iflitp{ortheOregorrtltiii{{ristitication
Assessors Map # ; t702323L ti',:;ltr.',ris 1"li$rrff;f -'?frfl+)+: 01909
Lot : Bfock: Subdivision:
Page 1
99073 0
726 - 37 59
726 -37 69
OwneT: RANDY ALLEN
Address : P. O. BOX 70491
Describe WorK: MAI{UFACTURED HOME
Phone #: 484-1-4L7
city/stat e/ zip: EUGENE oR, 97401
NEW
General:
Plumbing:
Electrical:
ConEracEor
GREAT WESTERN 0069030
PO BOX 1316 NEWPORT OR 973650000
LARRY FOWLER CO 0049778
355 ALT HWY 101 ASTORIA OR 971O3OOO
HERITAGE ELECTR 0115058
1520 PIONEER AVE EMMETT ID 83617000
Const.
Contractor #Expires
06 /L5 / oo
01-/),7 /oo
1,2 /27 / oo
Phone
867 - 4624
325-7697
365-944L
QUAD AREA: 3RNC
OCCY GROUP: R3
-- oFFrcE usE --
LAND USE: 1150
CONSTR. TYPE: VN
# OF BLDGS:
SQ FOOTAGE:
1
L627
To request an inspecEion, calf the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will- be made the same working day,
i-nspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
I4ANUF HOME/ITIOBILE HOME SET UP - When all blocking is complete.
MATVUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MA.$IUF. HOME/MOBILE HOME PLITMBTNG - Af ter home has been connected to
water and sewer.
FRAMING - Prior to cover.
PEDESTAL - Prior to cover.
FINAL BUILDING - When a1I required inspections hawe been approwed and
the building is complete.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
LoL Faces: W
Topography: 2
House
Garage
Lot Sq. Ft
Lot Type:
Setbacks
swE
534
1,9
: 5940
]NTERIOR
Lot Coverage: 28 %
N
8
--- BUILDING PERITIIT
Square Feet xItem
Main
Garage
MANU/ HOME
FTG FDN
Value
0.00
0.00
29 ,26O . O0
5, 000.00
$/Square Feet
Job Number: 990730
ATT OF SPruNGFIEIT',
Page 2
Total- Value
Building Permit Fee
Surcharge/admin
TOTAL FEE (A)
37, 850.00
74.50
5 .97
80 .47
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge,/admin
TOTAL CHARGE
PLI'UBING PERMIT
50
50
50
(c)
Fee
25.00
25.00
25.00
15.00
90.00
7 .20
97.20
--- MISCELLA}iIEOUS PERMITS
Mobile Home
State Issuance
Surcharge,/admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
PLAN CHECK FEE
TOTAL MISCELLAIiIEOUS PERMITS
105.00
30.00
8.40
50.00
50.00
2 , L5L .50
1, 000 . 00
48 .43
(E)3 ,463 .33
( Excluding Elect.rical )
unless otherwise noted
TOTAL AI'{OITNT DUE - - -
(A, B, c, D, and E combined)3,641.00
BUILDING VAI,UE, PtAN CHECK AIiID BUILDING PERMIT
This permit 1s granted on the express condition that the said construction
shalf, j.n all respects, conform to the Ordinance adopted by the Cj-ty of
Springfield, including the Devel-opment 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: AL WARD
Building Site Reviewed By: BOB BARNHART
Date: O5/25/99
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT 15 REQUIRED.
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signaEure, I sEate and agree, that I have carefufly examined
the completed application and do hereby certify that all information hereon
j-s true and correct, and I further certify that any and all work performed
shal1 be done in accordance with the Ordlnances of the City of Springfield,
and the Laws of the State of Oregon pertaini-ng 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 further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
sirRrNGF|ELD
CITY OF SPHNGFIEIT',
SFFINGF!ELD
Job Number : 99073 0 Page 3
I further agree to ensure that afl required inspections are requested at the
proper Lime, 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 in on the site at all times during construction.
Signat Date
--- VALIDATION ---
Receipt Number
Date Paid
AmounE Received
Received By
3q7o
7f
34rtrtt4Qil
GITY OFSPtr,The
apProval LD (l/
Zoning
Date
:Authorized Signature
IJGAL DESCRTPTIONt70?7?3 o/fo7
JOB ON
A,ltt^
Permits are non-transfeif vork is not startedof issuance or if vork
180 days.
t18e \ttt dW {
2. CONTRACTOR INSTALI^A
Electrical Contractor
Expiration Date e/
consrr conrr. Number 6Zt>Z B-@
Expiration Dare til-/f f/-Signatur.g of Supervisine Electrician
,FlINGFIELI,
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
s 8s.00
s 1s.00
EEub,.,f'd Home. or
-
IICE;
225 FIFTE STREET
SPRINGFIEI,D, OREGON 97
INSPECTION REQIIEST,: 7
OFPICE: 726-3759
1 LOCATION2z?OF INST
A
Su
i
1ling
Feeder
r Feeders
, Alterations
tion:
2 g 4o.oo 89
Address 2/Z ,4r*f*-amps or less
cirv {i.-gr-* ehone 73 f - /Soct----Supervi-sor License Number ?f€-S
-?:144r
200
20L amps to 400 amps
-401 amps to 600 amps
-601 amps to L000 amps-
Over 1000 amps/voIts
-Reconnect 0n1y
SUBTOTAL OF ABOVE
7 y'f" stare Surcharge
' | 37" Adninistrative Fee
TOTAL
$ s0.00
s 60.00
$100. 00
$130. 00
s300.00
$ 40.00
c
D
Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps''or less $201 amps to 400 amps
-
$Over 401 to 600 amps
-
SOver 600 amps or 1000fil[s s
Branch Circui ts
ee ItBtt affi
40.00
5s.00
80.00
Ovners Name fu,j /r/rr/r*-*
Address 9z{ tharp #
ci Phone 72('2/ 7 /
OVNER TNSTALI,ATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
DATE:
Nev, Alteration or Extension per panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit S Z.OO
E. Miscellaneous (Service/feeder not includec
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limi ted Energy/Res
-
Limi ted Energy/Comm
$ 40.00
s 40.00
s 20.00
s 36.00
RBCETVED
5 60
6ua
0090.1-0010
b"y the
obtain OAB
I
i
I
I
I
I
,
:
--rzv--- )-vv---(Ao-
€$Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Willamalane
.loo- ruo. tt 1
PHoNE:qB$tr rlBNAME:
ADDRESS:-T
LOCATION OF PROPOSED BUILDING SITE:
Street Address: g
Plat Name:Tax Lot Number: O t 01
1- DEVEL9FI4ENT TYPE (ct."$ appropriate dwetling(s). sDC calc-ulations and dweuing rype definitions
1e
on the back)
A. Single-Family Detachecf
Single Family homd Y Manufactured home not in a park
NO. OF UNITS \X $1,000 per unit = $t @
B. Single-Family Attached
NO. OF UNITS X $gZ+ per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unlt = $
D. Manrrfac.tured Home Park
NO. OF UNITS X $699 per unlt = $
WILLAMA,LA,NE SDC
2. SDC CREDIT (tappncabte! SDOaayormustrun{6snproof of
Willamalane Credit approval. See SDC Credit Wotlcshoet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduoed for Credit)
$
$
$
DateD
City eld
s Department
SrArE: fu_ ztP: q?1ot
\?t
JOURNAL OR JOB NO.q?o 7 30
NAME OR COMPANY
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
Rz\ru,rOY A LL€M
LOCATION zzq ITN
DEVELOPMENT TYPE Mrrt{
BUILDING SIZE LOT Si SQ. Ft
1. STORM DRAINAGE
nFrf = 1367
t 4L @rtr 2 oy2p :l oo
D/W = tg vTor:512-
IMPERVIOUS SQ. FT. z,s zz X $0.227 PER SQ. FI . g 528 ,zs
2. SANITARY SEI^IER-CITY
NO. OF PFU'S 18 X $47.14 PER PFU $ t+$ ,;2.
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I x l,o(x $475.32 $ 4$0,07
oJ
$ z7-2,4*
$ 2{,?J)
x $475.32
SANITARY SEI^JER-Mli,JMC
A. REIMBURSEMENT COST
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
MWI"IC ADMINISTRATIVE FEE
5. ADMINISTRATiVE FEES
BASE
X
4
E
<$ -lzoL+! >
$ 10.00
TOTAL-MWMC SDC $ 11Z.Z3
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ 2. o41, o r
BTOTAL ABOVE) X .05 $ / o2, 4{
ATTACH 'A. t^jPD
Coordi nator
Date:G -z-?n
TOTAL SDC $ Z, I 5I . SO
N0. 0F FEU'S I X zzz.++ PER FEU
B. IMPROVEMENT COST:
N0. 0F FEU'S I X Zr,?.0 PER FEU
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 StationiEtc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta11.....r....
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen.....'....
Urinal, Stall/Wall.
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet, Private.............
Miscellaneous
Z_
'2.
TOTAL FIXTURE UNITS
>l
ead
2
1
2
3
6
2
6
6
1
3
2
1tH
2
2
1
6
4
z
rE
2
---E-
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table,
calculate credits se arates.
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
4".z-7 / ?<),41
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL
X$26.2w
X$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rateper$1,OOO
Value
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.B3
0.67
o.52
0.38
o.21
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
19 18
979 or before $4.27
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Residential ... o.4
Commerical.......o.9
o5
o.5
lndustrial
Governmental......
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtu- 'X Unit Equivalent : Fixture Units
(NOTE: For remodels, calculate only -: NET additional fixtures) -NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
L
= $ tzo ,+l
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