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Home My WebLink AboutPermit Building 1999-04-05SPF'{GFtELD RESIDENTIAI. PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISfON BUILDING SAFETY Page 1 ilob Number: 990496 225 North Fifth street Springfield, OR 97477 Location of Proposed Work: 1919 22ND ST 9 Assessors tutap #: 17032500 Lot: Block: Office Inspecti.on Line 726 -31 59 726 -37 69 Tax Lot #: OO2O4 Subdivision: OwnEr: VERA CRISWELL Address C/o 5024 MA]N STREE Describe Work: MAI.IUF HOME W:zl' OREGON 9741 tollow rules Center -00 ContracEor GREAT WESTERN 5024 MAIN STREET SPRINGFIELD OR 974 GREAT WESTERN M 0046472 5024 MA]N STREET SPRINGFIELD OR 974 HERITAGE INV 0063137 1042 HARN LANE EUGENE OR 974O4OOOO 1-t/1-2/99 '725-2L7a 11,/1,2/e9 726-217L Phone t2/27 /99 688-1600 ttre telephone fldit@li0$es Generaf: Plumbing: Electrical QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 2 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: Lt2O To request an inspecEion, caII the 24 hour: recording at 726-3759 A11 inspectj-ons requested before 7:OO a.m. will be made the same working day, inspections requested after 7:OO a.m. will be made the following work day. --- REQUTRED TNSPECTTONS --- WATER LINE - Prior to filfing trench. SANITARY SEWER LINE - Prior to fifling trench. FooTING - After trenches are excavated. FRAMING - Prior to cower. MAIiIUF HoME/MoBrr,E HoME sET UP - when aII blocking 1s complete. MAIiIUF. HOME/MOBILE HOME ELECTRICAL - WhEN blOCKiNg, SEIUP, ANd plumbing inspections have been approved and home is connecLed to panel PEDESTAL - Prior Lo cover. MANUF. HOME/MOBILE HOME PLITMBING - After home has been connected to water and sewer. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. FINAL BUILDING - When all required inspections have been approved and the buil-dlng is complete. Lot Faces: W House Accessory N '7 Lot Type: INTERIOR Setbacks SWE 15 3 BUITDTNG PERMIT Square FeeL xItem Main Garage Val-ue 0.00 0.00 $/Square Feet Those rules OAR ale Center SPRI[{GFIELD Job Number: 990496 SPilNGFIEU', Page 2 Total- Value Building Permit Fee Surcharge/admin TOTAL FEE 5,400.00 (A) 56.50 4 .53 61.03 PLIIMBING PERMIT ILem Sanitary Sewer Water Mobile Home Plumbing Permit Surcharge/admin TOTAI, CHARGE (c) Fee 25.00 25.00 15.00 55.00 5.20 70.20 MISCELI.ANEOUS PERMITS Mobile Home State Issuance Surcharge/admin PLAN REVIEW FEE WILLAMALANE SDC CITY SDC ELECT. PERMIT TOTAL MISCELLAI{EOUS PERMITS 105.00 30.00 B .40 36.73 699.00 2,L93.86 88.56 (E)3,l_61.55 (Excluding Electrical ) unless otherwise noted TOTAL A}{OI'NT DUE - - - (A, B, C, D, and E combined)3 ,292 .7 I BUILDING VALUE, PLATiI CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfi-eld, including the Development Code, regulating the construction and use of build.ings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Received BY: Plans Reviewed BY: DON MOORE Buitding Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- M.H. IN PARK W/ MANUFACTURED CARPORT AND STORAGE SHED FIRST M.H. ON SITE DRIVEWAY REQUIRED TO BE PAVED By signature, I state and agree, that I have carefully exami-ned 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 Ordi-nances 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, Building Safety. I further certify that only contractors and employees who are in compliance wit.h ORS 701.055 will be used on this project. Dare: o4/28/99 SPRINGFIELD Job Number: 990496 Page 3 I further agree to ensure that all- required inspections are requesLed at the proper time, that each address i,s readable from the street, that the permit card is located at the front of Lhe property, and the approved set of plans will remain on the site at all times duri onstruction /-t--27 S ture Date --- VALIDATION --- Receipt Number Date Paid ale t 3 5 ff AmounL Received' 32 2.7 Received By: Willamalane Pai< a n-ecreation District Job. No. NAME: SYSTEM DEVELOPMENT CHARGE lc WORKSHEET PHONE ztlt ADDRESS:STATE:ZIP LOCATION OF PROPOSED BUILDING SITE Street Address: Plat Name:Tax Lot Numb .,, \4mesoa 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calcttlations and dwelling t ype detinitions are on the back.) A. Single-Family Detached Single Family home 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-Family Apartment NO. OF UNITS X $692 Per unit = $ D. Manufac{ured Home Park \X $699 per unit = $ IoQ qpo po NO. OF UNITS WILLAMALANE SDC $ 2. SDC CREDff (f appncaOte) SDOpayermust fumlsh proof of Witlamalane it"oiiapp.val. See doC Creat Wotlaheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduoed forCredit) $ ,(',5 I Date P ?1 {( ment Se City of pringfield Department JouRNAL oR Jots w. ffio4q.L ATTACHMENT A CITY OF 'SPFUNGFIELD SYSTEMS DEVELWMENT CHARGE WORKSHEET NAME OR COMPANY:|.bn.!J ,JD DEVELOPMENT TYPE:5FD .BUiLDING SIZE:OT SIZ l7+1 Ft. 1 +Grcrr,1q)'l ^4 Q/4 IMPERVIOUS SQ. FT 2. SANITARY SEI^IER-CITY NO. OF PFU'S * (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 0,{6X c{.,c[ X $475.32 x s475.32 4. SANITARY SEhIER-MWMC A. REIMBURSEMENT COST: N0. 0F FEU'S I X 217.++ PER FEU B. IMPROVEMENT COST NO. OF FEU'S X ZS.ZOPER FEU MI^IMC CREDIT IF APPLICABLE (SEE REVERST) MI^JMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 tlt:9t- SDC Coordinator ATI-ACH'A.WPD $ 10.00 T0rAL-MWMC SpC 5*1 g,+tr s lol ,47 G JX X $47.14 PER PFU s llTl , zr 2I"b,t(s4re_ $ 211 .4 S 25.20 s 14tU 2og-l Date:4b/tt TOTAL SDC setQ 3,8G LOCATION: STORM DRAINAG%q *21 X $0.227 PER SQ. FT.s 413, 3B FIXTURE UNtT CAlculArloN TABLE: ruumuer of New Fixtures X'Unit Equivale6l = fi"xture units (NOTE: For remodels, calculate onlY NET additional fixtures) r ' ' NUMBER OF NEW FIXTURESFIXTURE TYPE ltBathtub...-.. Drinking Fountain-..- Floor Drain. ...."""""" UNIT EOUIVALENT FIXTURE UNITS 4 lnterceptors For Grease/OiliSolids/Etc lnterceptors For Sand/Auto Wash/Etc -R- = -q _.-- =\-T- e+ lHead 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 Laundry Tub/Clotheswasher" " " Clotheswasher - 3 Or More""' Mo bile Home Park TraP (1 Per Trailer) RecePtor For RefrigeratorArVater Station/Etc RecePtor For Commercial Sink/Dishwasher/Etc" Shower, .Single Stall....""" Showei, Gang......'-.. Sink: Bar, Commercial, Residential Kitchen" Urinal, Stall/Wall... Wash Basin/Lavatory, Single.-""' Toilet, Public lnstallation' Toilet, Private......... Miscellaneous: CREDIT CALCULATTON TABLE:Based on assessed value. calculate credits SE arates. Credit for Parcei'or'Land Only lf Applicable lmprovement (if after annexation date) .J lt TOTAL FIXTURE UNITS lf improvements occurred 4.zl x tr 8 (Rate X Assessed Value) I after annexation date in table, 4.t x$ (Rate X Assessed Value) CREDITTOTAL = $.- Year Annexed Rate per $1,OOO Assdssed ValueYear'. Annexed Rate per S1,OOO Assessed Value 1 989 1 990 1 991 1 992 1 993 1 994 'r"r .1995 1 996 1 997 $1.98 1.55 1.15 0.96 o.83 0.67 o.52 0.38 o.21 1979 or before 1 980 1 981 1 982 1 983 1 984 1985'"t '', ' "- 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 STO.RM DRAINAGE (For Estimating PurPoses OnlYl Residential... """" O'4 Commerica|....."""""""""" O'9 lndustrial--. """"' o 5 Governmental..""""""".'"" O'5 IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT FIXUNIT.WPD ---T--' lt SPRINCiFIELr, RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 Zfr, JOB NUMBER q?, /a/ /?fr l/ ss*t #g 7 LOCATION OF PROPOSED WORK: ASSESSORS MAP:TAX LOT: SUBDIVISIONr nr. BLOCK:LUI. Af?-/oz2-PHONE rl zz^4/E/q 7?r'?7ZIP:STATE:EZ CisOWNER: ADDRESS: CITY: NEW -. FIEMODEL ADDITION DEMOLISH OTHEFI DESCRIBE WORK GENERAL: ELECTRICAL: PHONEEXPIRESADDRESS 16,/a/r? 3/€-Zts8Va6 @nn CONTRACTOR'S NAME MECHANICAL: PLUMBING: CONST. CONTRACTOR # # OF BDRMS _ OFFICE USE _ ZONING CODE: FLOOD PLAIN WATER HEATER:RANGE: SECONDARY HEAT SQUARE FOOTAGE: OUAD AREA: I OF BLDGS: CONSTFI. TYPE: HEAT SOURCE: LAND USE: # OF UNITS OCCY GROUP: r OF STORIES: To request an inspection, you must call 726-3769. This is a 24 hour recording. All 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' REOUIRED INSPECTIONS Temporary Electric [-Vl Rough Mechanical - Prior to14 cover. Final Plumbing - When all plumbing work is comPlete. Rough Electrical - Prior to cover. Final Electrical - When all electrical work is comPlete. Underslab Plumbing / Electrical / Mechanical - Prior to cover. Electrical Service - Must be approved to obtain Permanent electrical power. w Final Mechanical - When all mechanical work is comPlete. Footing - After trenches are excavated.Fireplace - Prior to facing materials and framing lnsP. Final Building - When all required inspections have been approved and building is completed.Masonry - Steel location, bond beams, grouting.Framing - Prior to cover. Other Foundation - After forms are erected but Prior to concrete placement. Wall/Ceiling lnsulation - Prior to cover. Underground Plumbing - Prior to filling trench.Drywall - Prior to taPing MOBILE HOME INSPECTIONS Underlloor Plumbing/ Mechanical - Prior to insulation or decking.Wood Stove - After installation. Post and Beam - Prior to floor insulation cr decking'lnsert - After firePlace aPProval ancl installation of unit. Blocking and Set.Up - When all t;locking is complete. Floor lnsulation - Prior to decking.Curbcut & Approach - After forms are erected but Prior to placement of concrete. Plumbing Conn""tion" - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Eleclrical Connection - When blocking, set-up, and plumbing inspections have been apProved and the home is connected to the service panel. Storm Sewer - Prior to filling trench. Sidewalk & DrivewaY - After excavation is comPlete, forms and sub-base material in Place. Waler Line - Prior to filling trench. Fence - When comPleted. Rough Plumbing - Prior to cover. Slreet Trees - When all required trees are planted. Final - After all required inspections are apProved and porches, skirting, decks, and venting have been installed. 225 Fifth Street Springf ield, Oregon 97 477 2a2a4 Site lnspection - To be made after excavation, but Prior to setting forms.r Er E E E r E E E E E E r T E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks PL.HSE GAR ACC N - E IS THE PROPOSED WORK IN THE HISTOFIICAL DISTRICT, OR ON THE HISTOFIICAL REGISTER? --lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPBOVED: VALUE (A) X $/SQ. FT. Total Value Building Permit Fee State Surcharge 'lotal Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, inctuding the Development 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. Receipt Number:_ Plans Reviewed By Date Plan Check Fee: Date Paid Received By: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home FEE (c) FT. N0 FT PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent a>.> * R (D) No 26.2P Vent Fan Mechanical Permit lssuance State Surcharge Total Permit MECHANICAL PERMIT Fu rn ace Exhaust Hood 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 f urther certif y that any and all work performed shall be done in accordance with the Ordinances of the City of Springf ield, 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 Building Safety Division. I further certify that only contiactors 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 readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the srte at all times dr"rring co 7 tion Signature D^tu 5-- 7-7? MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, O and E Combined) 2Z-2a Vru AMOUNT RECEIVED FIECEIVED BY DATE PAID VALIDATION: RECEIPT NUMBER FT. -- Zonlng LDr2-- 225 FTYTE, STREET DAIE 5 SF .IGFIELG, ELECf,RICAL PERHTT APPTICATTON Ci ti' Job Nr.unber Cos t s 8s.00 Il-:,1"],"*lp,project as submited has the roflowinozonrng. and does not require "p".it,tl"-nO"rI""'"approval % SPRINGFf ELD . OREGOIItS}*JJ sion"turn fNSPECTTON REQUEST: 726-3769 OFPICE: 726-3759 77or 7L 3. COI{PLETE FEE SCEEDIIIJ BELOV1. LOCATION O r INSTAILATION LEGAI DESCRTP?TON 11 6 XZf u0 Neu Residential-Sing.Le c: Multi-Fam:iy per <i'"rei.::tg unj. t. Service Inciuded: I:ens A. 0ffi41( Permits are non-transferable and expireif vori: is not started r^'ithin 180 daysof issuanc€ or if voril is suspended for 180 days. CONTRACTOR INSTAII..ATTON ONLY trical contractogrtg0il ELEORlt P"KJA3.] 1000 sq.ft. or less Each aciditional 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular Dvelling Service or Feeder' B. Services or Feeders Insta orrr Alteration-< or C. Tenpora::y Serv t 1Installation, A I terat s 15.00 s 40.00 50.00 2. EIec Addr Ci ty SERYI[T Fqq 2001 Pirone3Qa, - /A8l Supervis License Number ia4.f _-f Expirat:on Date' Constr Contr. Number o Expiration Dare q-N.oo Signature of Supervising Elec trician 0vners liame 200 amps''or Less S 40.00 201 amps to 400 amps - S 55.00 over 40t to 600 amps - S 90.00 0ver 600 amps or 1000-Gfrs see uBu ^EATE-- Hiscellaneous (Service/:eecier not incluciec) -Each installation Pump or irrigation Sign/Ou tiine Ligh ting-Linited Energy/Res -Limited Energy/Comm D. Branch Circuits Nev, Alteration or Extension per panei one circui, I S 35.00 afEach Ad<ii tional Circuit or vith Servic€ or Feeder Permit S Z.AO !ion Address Ci ty 6?9 l,-"{Phone OVNEP, INSTALI,ATION The instailation is being macie onpropert]' f or,'n vhich i.,< not intendedfor sa1e. lease or reni. ners Signature: DAIE: J SUBTOTAL OF ABOVE5f State Surcharge 3f Ailainistrarive Fee TUTAT s 40.00 s 40.00 s 20.00 s 36.00 .ls -ars- RBCETVED 5 I {as 31 ?'o ? SA@az taw e*,.,,t CITY OF SPF OFEGO'V ,PFlINGFIEL], 225 FIFTE STREET SPRTNGFTELD, oREGON INSPECTION REQIIEST.: OFFICE: 726-3759 slgnarure 1 ON Permits are -transferable and if work is no t starte d vithin 180 of issuance or if uork is suspend 180 days. 2. COMRACTOR INSTALLATTON ONLY Ci ty itv Job Nurnber FEE SCEEDI'LE BELOS A. Nev Residential-Single or Multi-FamiIy per dvelling unit. Service Included: tHl"ftyffl"crRrca,, PERHIT Services or Feeders Ins tallation, Alterations or Relocation: SUBTOTAL OF ABOVE 52 State Surcharge 3Z Admini.strative Fee TOTAL APPLICATION QQMQLo Cos t $ 8s.00 $ 1s.00 $ 40.00 -?) -2 <b Su @ B. t2"UL' -- -T Supervisor License Number Electrical Contractor Address 2/L,4e ,J2tfu^k {.-rr* Phone 73 f - /So<: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect 0n1y 200 amps''or Less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000-1lorfs -Each installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res -Limi ted Energy/Comm ?f5-s $ s0.00 s 60.00 s 100. 00 $130. 00 s300.00s 40.00 $ 40.00 s ss.00 $ 80.00 see ItBtt a Expirat ion Dare / i/ a I constr contr. Number 6 zt =z B- B. Expiration Date /L/t 7 signaturs or suplri"* fr."..i.rr" 0vner Addr Ci ty Phone OVNER INST The installation is being made on property I ovn vhich is not intendedfor sale, lease or rent. 0nners Signature: DATB: Temporary Services or Feeders Installation, Alteration or Relocation C E Eove Br Circui ts €Vr lteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service I ,Aor Feeder Permi S 2.00 FJ- Miscellaneous (Service/feeder not includec $ 40.00 s 40.00 $ 20.00 $ 36.00 d5 RBCEIVED B 2722,' law requires You I tems \Llrtgl t0e0. You rnayt bEtruo f; oPies forth- of the rules bY I I i