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Home My WebLink AboutPermit Building 1999-09-27 (2)sPP IGFTEL], RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIETD COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 Job Nr:mber: 99L081 225 North Fifth Street Springfield, OR 974'77 Location of Proposed Work: 1919 22ND ST 45 Assessors tvtap #: 17032500 Lot: Block: Office: Inspection Line: 726 -31 59 '726 -3169 Tax Lot #: 00204 Subdivision: CITY OF SPruNGFTEIT', ONEGON Owner: EUGENE SUPERSALES AddrESS: 90.741 ROBERTS ROAD DescribE WOTK: MA.I.IUF HOME & GARAGE Phone #: 341--L21-5 city/state/zip: coBURG, OREGON 97408 NEW General Contractor .]L BEAN OOBOO44 78]-56 MOSBY CREEK COTTAGE GROVE OR Const. ContracEor #Expires 03/os/03 Phone 9 42 - 1,1,7 7 QUAD AREA: 2RNW # oF uNrrs: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOIIRCE: FE SQ FOOTAGE: L694 To request an inspection, call- the 24 i;rour recording aL 726-3769. A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. MAr{UF HOME/MOBTLE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBTLE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel FRAMING - Prior to cover. MA.I{UF. HOME/MOBILE HOME PtIr}rBrNG - Af ter home has been connected to water and sewer. PEDESTAL - Prior Lo cover. FINAL BUILDING - When all required inspections have been approved and the buil-ding is compleLe. FINAL SET UP - After all required j-nspections are approved and porches ski.rting, decks, venting, house numbers, etc. have been installed. Sol-ar Approved: Y Lot Type: INTERIOR Item Main Garage FTG/FDN MANU/ HOME Total- Value Building Permit Fee Surcharge,/admin BUILDING PERMIT Square Feet x 528 $/Square Feet 18.34 Value 0.00 9 ,684 .00 3,000.00 40,000.00 52,684.OO 98.50 9.85 TOTAIJ FEE (A)108.35 SPtlIilGFIELD ilob Nr:rnber: 99108L cfir oF ONEGON Page 2 PLTIMBING PERMIT Item Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit surcharge/admin TOTAL CHARGE 50 50 50 Fee 25.OO 25.00 25.00 15.00 90.00 9.00 (c)99. 00 --- MISCELLAIiIEOUS PERMITS Mobil-e Home State Issuance Surcharge,/admin CITY SDC WfLLAMALANE TOTAI, MISCELTA}iIEOUS PERMITS 105.00 30.00 8.40 2 ,39L .56 599.00 (E)3,233.96 (Excluding Electsrical ) unless oEherwise noted TOTAL AMOI'NT DUE - - - (A, B, C, D, and E combined)3,44L.32 BUILDING VALUE, PLA}I CHECK A}{D BUILDING PERMIT This permit is granted on the express condition that the said construction shaIl, in all respects, conform to the Ordinance adopted by the City of Springfi-eld, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any prowisions of said ordinances. Pl-an Check Fee ReCEIVEd BV Plans Reviewed By: AL WARD Building Site Reviewed By: Date Paid:. 08/09/99 Date:09/23/99 60.13 LISA HOPPER --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED By signature, I state 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 shafl be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bulldlng Safety. I further certify that only contractors and employees who are in compliance with 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 readabfe from the street, that the permit card is located at the front of the property, and the approved set of plans wil-l- remai e- a?-?7 Signa he si-all times during construction Date Receipt Number: 35149 SPFN'GFIELD .fob Number: 991081 CITY OF SPilNGFIELD, ONEGON Page 3 --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: 3 o tL S---INGFIELO CAL PERHIT APPLICATION225 FIFTE STREET approval SPRINGFIELD, OREGON 97477 INSPECTION REQLTEST z 7Udre3 o- OFFICE: 726-3759 Aurho.zed Signature 1. LOCATION OF INSTALI.ATION DESCRIPTION ?7ro tr / LEGAIt16 7 { oo o0Zo4 Ci ty Job Nunber 3. COHPI,ETE TEE SCMDULE BELOV A Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t $ 8s.00 Sum fnl JOB DESCRIPTION Electrical Contractor Address Ci ty 1-000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular DvelIing SerVice or Feeder D. Branch Circuits , S 4o.oo ? Permits are non-transferable and expire i f vork is no t s tar ted vi thin 1'80 days of issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI-.ATION ONLY $ 1s.00 .00 .00 .00 il8il rtor tn Cent* Services or Feeders Installation, Alterations or Relocation: FnnoT- $ s0.00 s 60.00 s100.00 s130. 00 $300.00s 40.00 Temporary Services or Feeders Installation, Alteration or RelocationConstr Contr. Number UUSctq Expiration Date ol SignE;ure of Supervising Electrician Ovne^=,,..*me trfiC e7)6 S"q* f.,b Address Qol'{ I Llnnrr Ci ty Phone 1"ft- /2lf OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0wners Signature: DATE: B L E,lrr C Phone Supervisor License Number lBoDAYmp#::? 8li;""'ts -Expiration Date iol loc 200 amps''or less $ 201 amps to 4OO amps - $ over 46L to 6oo amps - S Over 600 amps or 1000-voITs se 40 55 BO e aSove bbu Nev, Alteration or Extension Per Pane1 One Circuit $ 35.00 Each Additional Circuit or vith Service, or Feeder Permit 1 S 2.00 E. Misceflaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm $ $ $ $ 40.00 36.00 *> 40.00 20.00 SUBTOTAL OF ABOVE /y'r" state Surcharge 3Z Administrative Fee TOTAL --T7T---v:oT----m-r-4) RECEIVED LI 5 I Willamalane Park & Recreation District 1. DEVELOPMENT TYPE (Chec-k ype definitions are on the back.) A. Single-Family Detached Single Family home SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: Job. No. frf - zte, #r, NAME: ADDRESS: LOCATION OF PROPOSED BUILDING S Street Address: Plat Name: STATE: Tax Lot Number: appropriate dwelling(s). SDC calct-rlations and dwelling t 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 = $ C. Multi-FamilyApartment NO. OF UNITS X $692 per unit $ D. Manufac{ured Home Paft NO. OF UNTTS X $699 per unitt $oqq.oo oWILLAMALANE SDC 2. SDC CREDff (if applicable) SDCAayer must fumish proof of Willamalane Credit approval. See SDC Credit Woksheet- 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced (or Credit) $ $ $ ,U 00 t L ,-2h Development S City of Springfield nt Date 2f a JOURN. OR JOB NO.??t t/ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DBVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: Loa€ *tE { u P 5x $aL €,J Cen-ren- *4 q ?2rtto 5fLOCATIONM a rr P^-t-'5 t4 / DEVELOPMENT TYPE BUILDING SIZE Va rl ol.a€tzr*{rl€a 6aruqOE fZoef urc tt+ _ 19 A4l. STORN4 DRAINAGE ry! elYtb= az*: Dtro $vzZ=_::: IMPERVIOUS SQ. FT 4761 x s0.232 PER SQ. FT 2. SAMTARY SEWER-CITY NO. OF PFU'S ,E X548.27 PER PFU (See Reverse Side) NO OF UNITS X TRIP RATE X COST PER PM PEAK HOLIR TRIP X t, ot X 5486.73 PER TRIP X 5486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMBTIRSEMENT COST: NO. OF FEU'S X z4Z,ZA PER FEU B. IMPROVEMENT COST: NO. OF FEU'S \ ;1 22,8 PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE SDC Coordinator ATTACH'A.WPD SZE-SQ. Ft. s G+z ,+l s EGE,8G S 4Ql, cc> S $ 2L,o5 <$ X $ 10.00 TOTAL-MWMC SDC $ z74,El SUBToTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATTVE FEES: $ z, zz1,a8 BASE CHARGE (SUBTOTAL ABOVE ) x.05 $ lt<,6& Date: 4- Zl *fr TOTAL SDC S 2, <41 .{A 3. TRANSPORTATION S 242.74- FrxruRE UNIT CALCULAHON TABLE! NumberorNew Fixtures-Y Unit Equivalent: Fixture Units(NOTE: For remodels, calculate only the NET ,tional fixtures) FIXTURE TYPE Bathtub........ Drinking Forrntain...... Floor Drain.. Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand/Auto Wash/Etc. Laundry Tub/Clotheswasher,Mop S ink.................... Clotheswasher - 3 Or More............ Mobiie Home Park Trap (1 Per Trailer).. Receptor For RefrigeratorAVater Station/Etc........... Receptor For Commercial S inkDishwasher,Etc...... Shorver, Single Stall.. Shower, Gang. Sink: Bar, Commercial, Residential Kitchen............ Urinal, Stall/Wali. Wash Basin/Lavatory, Single........... Toilet, Public Installation............. Toilet, Private... Miscellaneous: TOTAL FIXTURE LI}JITS NUMBER OF NEW FIXTURES LINIT EQUIVALENT FIXTURL, LINITS +2 1 2 J 6 2 6 6 I 3 2 2- l/Head 2 2 I 6 4 z -2- -E- )g CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits Credit for Parcel or Land Only If Applicable x s_ Improvement (if after annexation date) (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL : $ Year Annexed Rate per $ i,000 Assessed Value Year Annexed Rate per S 1,000 Assessed Value 1979 or before 1980 1981 t982 1 983 1984 1985 1986 1987 I 988 s4.41 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 I 989 1990 i 991 1992 1993 1994 1995 t996 1991 I 998 2.18 1.7 5 1.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential... Commerical.. Industrial.. Govemmental.. 0.4 0.9 0.5 0.5 FIXUNTT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT L- I I 2_ z-