HomeMy WebLinkAboutPermit Building 1998-07-10dTT OF SPruNGFIELD,
SPdiNGFIELD
NOTICE:
THIS PERMIT SHALL EXPIRE lF THE*XOffENtrAt pERldrr ApplrcArroN
AUTHORIZED UNDEH THIS PENMIT IS NCfIITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
0oMMENCED0R ISABANDoNED FoR BuTLDTNG sAFEry
ANY 18Q OAY PERIOD.
225 Nort.h Fifth SEreet
Springfield, OR 97477
Page 1
ilob Number : 9807 2L
Location of Proposed Work: 533 walnut PL
Assessors Uap #: A7033423
Lot: 7 Bfock:
Tax Lot #
Subdivision
04100
RIVERTRAILS
Owner: ELLISON & PLATZ
Address: L820 HAPPY LN
Descri-be Work: S. F. RESIDENCE
Phone #: 345-4347
city/state/zip: EUGENE OR, 974O1,
NEW
General:
Plumbing:
Mechanical-:
Electrical:
Const
ConEractor Contractor #
ELLISON & PLATZ OOO5O34
1820 HAPPY LANE EUGENE OR 974O1OOOO
DON LEWIS 0054555
340 Snead Dr N Keizer OR 973030000
CRYSTAL CLEAN 0095878
1978 WALLIS EUGENE OR 97402OOOO
PHILLIPS ELECTR 0043343
1110 NW Flanders St Portland OR 972
Expires
o7 /23 / eB
06/o6/e2
02/17 /e8
LO/03/es
Phone
345 - 4341
363 -3426
484 -2286
22't -057L
QUAD AREA: 5RNW
CONSTR. TYPE: VN
INSUL PATH: P1
OFFICE USE
LAND USE:
# OF BDRMS
SQ FOOTAGE
11L 1
:2
: L79O
OCCY GROUP: R3
HEAT SOURCE: FG
To request an inspection, call the 24 hour recordi-ng aL 726-3769.
A11 inspections requested before 7:00 a.m. wiff be made the same working day,
inspections requested after 7:00 a.m. will be made the folLowing work day.
fu^tt E c.t*-l REQUIRED INSPECTIONS
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior Lo concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECHAIIICAL - Prior to i-nsulation or decking.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to fill-ing trench.
STORM SEWER LINE - Prior to filling trench.
POST AND BEAII - Prior to floor i-nsulation or decking.
INSULATION - Floor; prior to decking walI/ceiling; Prior to cover
ROUGH PLIIMBING - Prior to cover.
ROUGH GAS - after line is instal-led and capped if not attached to an
appl iance
ROUGH MECHANICAL - PT1OT tO COVET.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRA.IIING - Pri-or Lo cover.
INSULATION - Floor; prior to decking walI/ceiling; Prior to cover
DRYWALL - Prior to taPlng.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWATK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL GAS - When all gas work is complete.
cAS SERVICE - After line is installed and l-ine has been connected to a
mi-nimum of one appliance. Pressure test done at thi-s point.
office: 726-3759
Inspection Line : 726-3759
SP.dTilGFIELD
Job Number: 980721-
CITY OF SPruNGFIELD, ONEGON
Page 2
FINAL ELECTRICAL - When alf electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building 1s complete.
Lot Faces: S
Topography: 2
So1ar Approved: Y
House
Garage
Lot Sq. Ft.: 4838
Total Height: 19
Lot Coverage: 37 Z
Setbk From NPL: 36
N
1-7
Lot Type
Setbacks
SW
1B
INTERTOR
E
55
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMIT ---
Sguare Feet x
]-392
398
$/Square Feet
64.66
a5.27
(A)
VaIue
90, 007 . 00
6 ,475 .OO
96 , 482 .00
424
33
00
a)
4s7.92
--- PLIIMBING PERMIT ---
Item
Residential- Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
1,2 . BO
L7 2 .80(c)
--- MECHANICAL PERMIT ---
Furnace
ExhausE Hood
Vent Fan
Wood Stove / ]nsert / Fireplace Unit
Dryer Vent
GAS PIPE
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMTT
5.00
3.00
9.00
4 .50
3.00
2.OO
(D)
27.50
10.00
2.2L
39.7L
--- MISCELLAT{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
WILLAIVU\LAI{E
TOTAL MISCELLA.}IEOUS PERMITS (E)
0.00
1,7 .35
14. B0
2 ,283 . 07
1, 000. 00
3,3L5.22
(Excluding Electrical)
unless oEherwise noEed
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)
fu,/,re q
3,985.55
tb ,LO
00 1,85
0'6
0"* F/ou
1,?ie' P^
.,/t)ir
to q ,t{t
SPT!INGFIELD
Job Number: 980'72L
CITY OF SPilNGFIEI^O, ONEGON
Page 3
--- BUILDING VALUE, PLA.I{ CHECK AND BUILDING PERMIT ---
This permit is granted on the express conditi-on that the said construction
shafl-, in all respects, conform to t.he Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or rewoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee z 275.60 Date Paid
Received By: AL WARD
Plans Reviewed By: AL WARD Date
Buj-lding Slte Reviewed By: BOB BARNHART
Receipt Number: 03034406/24/e8
07/08/ee
--- ADDITIONAT COMMENTS
SEPERATE ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUfRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed applj-cation and do hereby certify that all i-nformation hereon
is true and correct, and I further certify that any and all work performed
shaff be done in accordance with Lhe Ordinances of the City of Springfield,
and t.he Laws of the State of Oregon pertaining to the work descrj-bed herein,
and that NO OCCUPANCY will- be made of any structure without permission of Lhe
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with oRS 701.055 wil-l- be
used on this project.
I further agree to ensure that al-f required inspections are requested at the
proper t.ime, 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
on the site at al-l- times during construction
1-\o-c(Y
Signature Date
will- remain
,b
/
--- VALIDATION ---
67 0 ?7yReceipt Number:
Date Paid:
Amount Received:
Received By:
I kL7D/r
^c
JoB No . ?gr, rc t
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCATION
DEVEI-OPMTNT TYPI 1T D-
BUILDING SIZE CT SIZ r!rL
1 STORi"l DRAIl'IAGi
IMPERVIOUS SO FT 7Eo4 X $0.225 PER SQ. FT. $ SL',qO
2. SAN ITARY STI{ER _C ITY
NO OF PFU'S tk x $.16.86 PER PFU s K*S.+b
(See Reverse Side)
3. IRANSP0RTAi i0N
NO OF UNITS X TRiP RATI X COST PER TRiP
I x ),o/x $472 49 $ 47,- zl
x_x$4i249
x $472.49
SANiTARY SE'ilER-MIdMC
D U,5
N0. 0F fru*s-l_x "77
- PER FEU + $10 MI,JMC/ADM FEE $ 287.7(-
$
X $
4
MI,JMC CREDIT IF APPLiCABLE (SEE REVERSE)
5. ADMINISTRATIVE FETS
BASE CHARGI (SUBIOTAL ABOVE) X .05
ToTAL-MwMC SDC S Zf,7 :6
SUBTOTAL (ADD ITEMS 1.2,3 & 4)$ .l 7+,.<{
$ /ofi,72_
SDC Coordi nator
,utr' e -z{- ?d
TOTAL SDC $ z,2.6.? ,o7 ./
a a/\ I !, I lL vlla a rvrll-\r!, l-fa I lrvrll
(NOTE: For remodels, calcuiate.on'
FIXTURE TYPE
'te NET
r ,.DLE. Number ot New FixtLrres X unit Equivarenr = Fixtur-: units
additional fixtures)
NUMBER OF UNIT FIXTURE
NEW FIXTURES EOUIVALENT UNITS
Bathtub......
Drinking Fountain....
Floor Drain..................
lnterceptors For Grease/Oil/So1idsiEtc...............
lnterceptors For Sand/Auto WashiEtc...............
Laundry TuoiClotheswasher....
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)...............
Receptor For Refrigeratoriwater Station/Etc.......
Recepror For Commercial Sink,/Dishwasher/Etc..
Shower, Single Stall...
Shower, Gang.....
Sink: Bar, Commercial, Residential Kitchen.........
Urinal, Stall/Wall..
Wash Basinilavatory, Single.
Toiiet, Pubiic lnstallation.
Toiler , Private..
Miscellaneous:
{2
1
2
3
o
2
b
6
1
3
Z
i r'Head
2
2
1
6
4
z-
-
-z-_
-
B
2_
Z
TOTAL FIXTURE UNITS )r
CREDIT CALCULATION TABLE: Based on assessed value lf imp rovements occurred after annexation date in rable,calculate credits se CS
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x $_
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per s1,COO
Assessed Value
1979 or before
1 9BO
1 981
1982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.5 5
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
)z.co
2"17
1.73
1.31
c.92
o.74
0.61
o.45
0.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Hesroeniiai.
Commerical...........
lndustrial....
Governmental........
........ 0.4
,....... o.9
o5
....... 0.5
I
lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
Willamalane
Park & Recreation District Job. No. \BOfgt
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address 5\3. LJ c^\--\FI
Plat Name:Tax Lot Number:
L,-!rr.-T zrP: 11{0li
t
1 DEVELOPMENT TYPE
ype definitions are on the
A. Single-Family Detached
r' Single Family home
NO. OF UNITS
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
R\R
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
Manufactured home not i
\
in a park
cxD(xx)-t X $1,000 per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDCgayer must lumish proof of
Wllamalane Credit approval. See SOC Credit Woksheet.
$
$
$
-fu-&{ r 1P,
$
$
$
@-
\,
Oevb'tbpmbnt Se rvices Department
City of Springfield
Date
e\\r;iPI*r PHoNE: -3t15-\5't7(
STATE:
C>q \ CY\
.,tzf\-"-o \
et oo*^\
893 t$"t^."t
lrD
q) tc 2*
ST
3 - B- ??
ryl 44
AJ r^#\ *l*
*"Ar^ o^d
+',J.^,"^.{r.., CerAN^-b*p@r.-
Na{at'<l @ ,/ak-t
/,,r4rh
OFFICIAL SEAL
BRENDA JONES
NOTARY PUBLIC . OREGON
ooMMISSION NO.054360
w sxm$Bx ETPnES IAI l?,2000
e
&a"-; .84r""-t ,.11",^
.J'-\
47
t6
the
OFFICE:
INSPECTTON LINE:
726*3759
726 -3769
by
SPRINGFIE].,D OR 97477
JOB LOCAT.TON:5
ASSESSORS MAP *:t) o j V4'2.2o 4t 6a TAX LOT *:
oIINER: -l- I I + fL*z f*t,<l'
ADDRESS: ISAO lo--rt-r-PHoNE *: 3,+S -4z'{-
CTTY:sTArE: O (L ZTPt Qtctot
BACKFLOI+I PERMIT IS $15.00 + $.75 (STATE SURCHARGE) + $.45 (ADuIN. FEE) = Si6.2O
CONTRACTOIl.:
ADDRESS:PHoNE *, g1 I - 7 3{- 72 if
CITY:STATE:ZTP Lru-L"
CONSTRUCT:ION CONTRACTORS REGISTRATION #:EXPIRES:
BY SIGNINI] THIS PERMIT/APPLICATION, I AGREB TO CALL FOR AN INSPECTION ONCI: THE
BACKFLOV PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTI( i,I(726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS
CORRECT.
\{l
POR OFFTCE USE
DATB OF APPLICATION:l0-rS-7<
RBCEIPT 1,, 311 b 4 TSSUED BY:,.1
TOTAL AM(IUNT COLLECTED:S tb.v"
P(-)
JOB II:1)
a
W
C'TY OF SPR"VGFIELD, OREGorv
225 FIFTE STREET DAi:
SPRTNGFTEID, 0REGqU illlla1
INSPECTION REQIESTz tz6
OFPICE: 726-3759
1. LOCATION OP
JOB DESCRIPTION
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. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty Phone
Supervisor License Number 26O 63
Expiration Date
Signature of Supe Electrician
SPR FIELO
FEE SCffiDTII,E BELOV
ial-Single or
per dvelling unit.
uded:
The f ottotry; q g proiec-t
zonino, anci doer not
approval.
Zon
\r
1{\5
Nev Resident
MuI t i-Fami Iy
3 Ltz o0 rN\1s0 Service Incl
B
c
D
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Sertice or Feeder
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-
0ver 1000 amps/vo1ts
-
Reconnect OnlY
Items Cost Sum
$ 8s.00
s 1s.00
$ 40.00
4o
Eove
$ s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
$ 40.00
$ ss.00
s 80.00
see rrBtt a
Expiration Date
Constr Contr. Number 4-6-/5f,L Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less I
201 amps to 400 amPs
-
Over 401 to 600 amPs
over 600 amps or fbOOET[s
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
Ci ty
OVNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
DATE:
Name
Address 0
\45 - L{5 tlr
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
'7 et-
120
$
s
$
s
.00
.00
.00
.00
40
40
20
36
4rt
RBCEIVED
5
0N1
Nurnber
o1
PBRHIT APPLICATION
?tr o 7zl
I.EGAL
t76
Fudvt0
$ 2.00
225 TTFTS STREET
SP&INGFTELD, OREGON 974
INSPEGTION REQIEST: 72'
OPFICE: 726-3759
1. rncaTroN oF
aOnln,J
Y
':.t4uld ffi 8l&mfiodhss 1ft6' i;tk'rorirrr''
.,.re, ncrt roguirospocillc hnd i,'.,
IF
5P. /GFTELO
EI,ECTRTCAL PERilTT APPLICATTON
Job Nunber ?fU'| > /
COHPT,EIE FEE SCEEDT.II,E BELOS
IJGAL DESCRTPTION
I lt)73 u z7 OLlo|
JOB DESCRIPIION
Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSIALI,ATION ONLY
Electrical Contractor
Address
tial-Single or
ily per dvelling unit.
Iuded:
I tems Cost Sum
s 8s.00 ff*'1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular 'Dvelling'
Sertice or Feeder
Services or FeedersInstallation, Alterations
or Relocation:
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI,
200 amps"or less $
201 amps to 400 amps
-
S
over 401 to 600 amps
-
$
Over 600 amps or 1000-Gl[-ts s
I s 1s.oo /5
s 40.00
s s0.00
s 60.00
s100.00
$130.00
$300.00
s 40.00
ee (Bil aEffi
o\
.B
ci 9C,Phon "-688-'({lL'-l
-
Supirvisor License Number 2 An (" 1-
Exp iration Date /O-7E
Constr contr. Number O82935
Expiration Date
Signature of Supervising Electrician
Name
Address
Ci ty Phone
OVNER INSTALINTION
200 amps or less
201 amps to 400 amps
-401 amps to.600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or FeedersInstallation, Alteration or Relocation
40.00
55.00
90.00
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
-Limited Energy/Comm
ag a
Ovner$Signature:
s40
s40
s20
S36
.)
00
00
00
00
5
DATE:
BRBCETVED
)n
-ffi