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