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HomeMy WebLinkAboutPermit Building 1999-07-13qTTOF ONEGON SPRINGFIELD spr Loc Ass Lot RES Block: APPLICATION IVISION Page 1- ilob Nr:rnber: 990751 Office: Inspection Line: 726 -37 59 725 -3'159 Tax Lot #: 01700 Subdivision: Owner: .JOSEPH VERRET Address: 3195 WAYSIDE LP Describe Work: STNROOM Phone #: 747-1"891, Citylstate/zip: Spr,FD oR, 9i 47'7 NEW General Contractor ,]AMES BURQUIST 0090705 64245 OLD BEND REDMOND HWY BEND OR Const. Contractor #Expires 04 /23 / oo Phone 388 -267 6 QUAD AREA: 5RNW OCCY GROUP: R3 -- oFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN # OF BLDGS: SQ FOOTAGE: 1 210 To request an inspec tion, call t.he 24 hour recording aL 72G-376g. A11 inspections requested before 7: O0 i-nspections requested af ter 7:00 a.m. --- REQUTRED FOOTING - After trenches are excavatl FOITNDATION - After forms are erected ROUGH ELECTRICAL - prior to cover. ed but.$fr€o osY rete placement d"y, SHEAR WALL NATLTNG - Before covering sheathing with finish materials. FRAMING - Prior to cover. rNsuLATroN - Floor; prior to decki-ng wa11/Cei_1ing; prior to cover DRYWATL - Prior to tapi_ng. FrNAL ELEcrRrc.A,L - when all elect.ri-ca1 work is complete. FrNAr. BUTLDTNG - when all required inspections have been approved andthe building is complete. Lot. Faces: S Setbacks EN B5 WJ House ftem Main Garage SI]NROOM Tota] Value Building permit Fee Surcharge/Admin TOTAL FEE --- BUTLDING PERMTT --- Sguare Feet x $/Sguare Feet )1i 59 .54 Value 0.00 0. 00 18, 803 . 00 18, 803 . 00 ]-34 10 50 77 !1, ^1,1 *()iLl Euf L FrvTq r,( (A)L45 .27 SPFINGF!ELD Page 1 ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW RESIDENTIAL I'NIMPROVED STREET CITY OF SPilNGFIEIT', ONEGON Developer: JoSEPH VERRET Mail Address: 3195 WAYSIDE LP SPLFD OR,97477 Tax Lot #: l.703224L0L700 Project Address Subdivision: Lot : Blk: .fob No phone #: 3195 WAYSIDE LP Eng. Rev. No.: . : 9907 51- 747 -].89l- Book: EXISTING IMPROVEMENTS Ac Mat Curb Fu11 Imp Sw Width CurbsideStreet Gravel 3195 WAYSIDE LP Existi-ng Curbcut: Y N/A Setback N/ANONE N widrh N/A Ft FLairs FT ENGINEERING REQUIREMENTS Additional Right of Way: Improvement Agreement : Easements: SANITARY SEWER CALI. THE UTII,ITIES NOTIFICATION CENTER BEFORE YOU DIG ].-8OO-332.2344 Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT MaKe ConnecLiON: EXTSTING SEPTIC SYSTEM CommenLs: NO PLUMBING PROPOSED BY THIS PERMIT STORM SEWER Available: N Pipe Downspouts And Drains To: BAR DITCH OR CONSTRUCT DRYWELL Pipe Parking Lot Drainage To: N/A COMMCNTS: PROVIDE ROOF DRAIN PLAN FOR REV]EW AND APPROVAL CONTACT ITIAINTENAIiICE DMSION AT 726-376L FOR CULVERT SIZE AND DEPTH STDEWALK AT{D DRIVEWAY INFOR}T,ATION New Curbcut Appr.: N Sidewalk Permit: N Curbcut Permit: N ComMENtS: UNIMPROVED STREET ENCROACHMENT AI{D ASSESSMENT Encroachment Permit Required: Sanitary Sewer In Lieu Of Assessment: SPECIAL NOTES AI.ID REQUIREMENTS A11 work wi-thin t.he public right of way sha1I be in conformance with the City of Springfield sLandard specifications for construction. A11 existing unused curbcuts or portions thereof sha11 be restored to fu11 curb height as directed by the City. The owner/developer is responsibfe to relocate any utilities and establish private or publj-c easements when the utilities conflict with the development, at thei-r expense. Reviewed By: DENNIS ERNST Date: 06/1-3/99 FOR FURTHER IITTPORTAI{T INFORMATIONSEE DR,AWINGS ON SPECIAL REQUIREMENTS lsPR!NGFIELD Job Number: 990751 CITY OF SPruNGFIELT', ONEGON Page 2 --- MISCELLANEOUS PERMITS Surcharge/admin CITY SDC TOTAI, MISCEI,I,ANEOUS PERMITS (E) 0.00 78.65 78.65 (Excluding Electrical) unless oEherwise noted TOTAL A.MOI'NT DUE - - - (.e,, B, C, D, and E combined)223 .92 --- BUILDING VALUE, PLAIiI CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that. t.he said construction shall-, in all respects, conform to the Ordinance adopted by the City 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 provisj-ons of said ordinances. Plan Check Fee: 87.43 Date Paid: Rece j-ved By: Plans Reviewed By: AL WARD Date: Buildj-ng Site Reviewed By: BOB BARNHART o5/03/ee o7/1,3/ee Receipt Number: 34311 --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMIT IS REQUIRED By signature, I atate 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 all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of Lhe State of Oregon pertaining to the work described herei-n, 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 wi-th 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 the street, that the permit card is located at the front of the property, and the approved set of plans will remaj-n on the site aE al-l- times during construction. A/;7-/)- ? 7 Signature Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: t{fzf Ef7 27. ?z ,12 /,r*" J0URNA' oR JoB N}.qq_gz_f/ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY a /c E:7 LOCATION 3 /5 f &)nrsta€ L"ap DEVELOPMENT TYPE 3.,^ r l?un^ A'rf raa) BUILDING SiZE LOT SIZE Ft 1. STORM DRAINAGE ile.o Afr.f lo v3l 71)IMPERVIOUS SQ. FT X $0.227 PER SQ FT. $ 74,q l 2. SANITARY SEWER-CITY NO. OF PFU'S X $47. 14 PER PFU $ (See Reverse Side) 3. TMNSPORTATI0N NO OF UNITS X TRIP RATE X COST PER TRIP x $475.32 x $475.32 4. SANITARY SEl^lER-Mi^lMC A. REiMBURSEMENT COST: NO. OF FEU'S X PER FEU B. IMPROVEMENT COST NO. OF FEU'S X PER FEU t{) Mt^jMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE <$ $ 10.00 TOTAL-Mt,jMC SDC $ 7+,ql SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ 1,# 5. ADMINISTRATIVE FEES BASE CHARGE TAL ABOVE) X .05 $ $X $X $ SDC Coordi nator ATTACH 'A. I.JPD Date €-/tq TOTAL SDC $ 78,{ I FIXTURE UNIT CALCULI-lON TABLE: Number of New Fixtu'^s X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only *e NET additional fixtures) * NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..... Drinking Fountain. Floor Drain. lnterceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc'. Shower, Single Sta11.....r..... Shower, Gang...... Sink: Bar, Commercial, Residential Kitchen Urinal, Stall/Wall... Wash Basin/Lavatory, Single Toilet, Public lnstallation. Toilet, Private....... Miscellaneous TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits se arates. /Head 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed 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 0.96 o.B3 0.67 o.52 o.38 o.21 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 1 987 1 988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential Commerical...... lndustrial Governmental... o.4 o.9 o5 o.5 FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT RInlGFIELDRESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK; 7?o 7t/ ASSESSORS MAP:/7032>tl/ JOB NUMBEFI 225 Fifth Street Springfleld, Oregon 97477 TAX LOI:o/7oo LOt BLOCK: PHONE: STATE:ZIP:7 '7y'7- / Bq/q /75 CITY: ADDRESS: OWNER: DEMOLISH OTHER DESCRIBE WORK: NEW - REMODEL ADDITION ADDRESS k-f- EXPIRES 1CONTRACTOR'S NAME PLUMBING: GENERAL: MECHANICAL: ELECTRICAL CONST. CONTRACTOR #PHONE /- 3 8g- ,FIF,EEXP,RE WORK ORr OF BLDGS: RANGE:rtion LAND USE: V ,Y, OFFICE USE to OCCY G * OF UNITS: # OF STORIES: -.--WATER HEATER QUAD AREA: - SECONDARY HEAT: SOUARE FOOTAGE: , OF BDRMS: - CONSTR. TYPE: --HEAT SOURCE: -- To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<Je the following work day. EOUIRED INSPECTION S l--l Temporary Electrlc ugh Mechanlcal - Prior to Final Plunrbing - When allplumbing worl< is complete.over. Slte lnspection - To be madc after excavation, but prior to setting forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblngl Electrical / Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to obtaln permanent electrlcal power. I Mecharrical - When all echanlcal work is complete. Footlng - After trenches are excavated.Flreptace - Prlor to faclng materlals and framlng lrrsp. Final Building - When alt required lnspectlons have beenapproved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prior to cover. Foundatlon - After forms are erected but prlof to concrete placement. Other WalllCelllng lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.[-l Drywall - Prior to taping Underlloor Plumblng/ Mechanlcal - Prior to lnsulatlon or decklng. MOBILE HOME TNSPECTIONS Wood Stovo - After lnstallation. Post and Beam - Prlor to floor lnsulatlon or decklng.lnsert - After flreplace approval and lnstallatlon of unlt. [-*l Blocking and Ser.Up - When ailu blocklng ls complete. Floor lnsulation - Prior to decklng.Curbcut & Alrproach - After forms are erected but prior 1oplacement of concrete. Plumbing Connections - When home lras been connected to water and sewer. [l Sanllary Sewer - Prior to filtingu trench. [-_l Stonn Sewer - Prior to lliling - trench. Sidewalk & Driveway - After excavatlon ls complete, forms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and plumbing lnspections have been approved and the home is connected tothe service panel. Water Llne - Prlor t'J filling trench. Fence - When ccinpleted. Streel Trees - When all requlred trees are planted. Final - After all required lnspectlons are approved andporches, sklrting, decks, andventlng have been lnstalled. Rough Plumbing - Prlor to cover. SUBDIVISION: --- !. E E E r E I E fl Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type- - lnterior - Corner - Panhandle ! - Cul-de-sac t I.S THE PROPOSEO WORK TN E". HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance, APPROVED: P.L.GAR ACCHSE N s E SQ. FT. X $/SQ. FT. : VALUE BUILDING PERMIT (A) t' ITEM Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee .t :. '1.BUILDING \ALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Dovelopment Code, regulating the constructlon and use of bulldings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Plans Reviewed By Date Receipt Numbe Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE (c) Ni FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certlfy that all lnformatlon hereon is true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Bullclirrg Safety Divislon. I further certify that only contractors and employees who are In compllance with ORS 701.055 will be used on thls proiect. I {urther agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln i0_ ?l*72;, on the site at all times du g constructlon. Date |\t*qtsn"tr," Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ?.a) /51, o o /d,00 >e-sg I (E) N0 t .{-t) Total Miscellaneous Permits Vent Fan (D) MECHANICAL PERMIT Fu rnace Exhaust l-loorJ Mechanical Permit lssuance State Surcharge Total Permit 17\3 lo AMOUNT BECEIVED RECEIVED BY DATE P,AIi) VAI-IDATION: RECEIPT NUMBE . l..ir, D.)o OREGON SPFTINGFIELC' IC h, 'ihe lollor'ving prolect as submitted has the following ;;,;;'il"does not require specitc land use 225 FTITE STREET SPRINGFIELD, OREGON INSPECTION REQIIEST: OFPICE: 726-3759 apProval Zontng 9TrtulV 7?9;37rQ3 sisnature LD 1. LOCATION OF ST PTION 2 JOB PJION I ON /70 o CAL PERHIT APPLICATION ty Job Number 7go 7s/ 3. COHPLETE FEE SCffiDtILE BELOS Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included: I tems Cos t $ 85.00 s 1s.00 s 40.00 Permits are non-transferable and expire if vork is not started vithin 180 days ;; i;;;";"u ot if vork is susPended for 180 daYs. 2.CONTRACTOR INSTALiATION Each additional 500 . sq. ft or Portion thereof Each Manuf'd Home' or ,, '!tbdular DwelIing Service or Feeder--.-u\- B. Services or Feeders InstlI-lation, Alterations or'.ftelocation: .,4.,:.,'r*i1 ..200 amPs or less; ":''"t;20, amps to 400 amPs 4OL amPs to 600 amPs 601 amPs to 1000 amps- IFTHE\reRX 1000 amPs/volts -rnnnir$rfibfnect 0n1v Installation, A lteration or Relocation 200 amps''or less,oi ;;; to 4oo amps -Over 40L to 600 amPs - Over 600 amPs or 1000 voLts D. Branch Circuits Nev, Alteration or Extension Per Pane1 one circuit I g 35.00 35Y Each Additional Circuit or vith Service ,, a or Feeder P"tiit--- --J S 2'oC - D* E. Miscellaneous (Service/feeder not included) -Each installation Pumo or irrigation --.Sign/Outline Lighting- Limited EnergY/Res -__-Limited EnergY/Comm SUBTOTAL OT ABOVE 7% Sr.ate Surcharge 3Z Administrative Fee TOTAL Sum .00 .00 "" "3t' aEovE- ,1) '1"70 ls\W] Electrical Contra Address in s s0.00 $ 6o.oQ $100. 00 s130. 00 $300.00 $ 40.00 tcrN Ci ty Supervisor ""ITIIf;BEFM TSHALLD(PIBE UNDERTHISP tio Date COMMENOEDORIS ^BANDON6Fgemporary servi ces or FeedersExpira Cons t r ntr. numb6AlY lSODAYPERIOD.o Exp a gna ture of SuPervising Electrician Ovners Name Add ress phono- 7,,/t -/ gq/ S $ $ S 40 55 BO Ci ty I OVNER INSTATLATION The installation is being made on piop"tty I ovn vhich is not intended for saIe, lease or rent' 0rrners Signature: s .40.00 $ 40.00 $ 20.00 $ 36.00 u?nh)5 DATE: RECEIVED 2f q1 0 Lt