HomeMy WebLinkAboutPermit Building 1999-04-22SPRINGFIELE,
c a
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 990462
726 -37 59
1 26 -37 69
225 North Fifth Street
Springfield, OR 97477
Locat,ion of Propoeed Work: L868 8TH ST
Assessors l,tap #: L7032613
Lot: 4 Block:
Office:
Inspection Line:
Tax Lot #: 00304
Subdivision: MINOSA PARK
SPRINGFIELI',
Owner: ALLEN
Address: 1178
COLBURN Phone #: 517-3535
ECHo HoLI!9Tf*Pf t; iu : Oi6Er/S mtu s/,Anfes ElreirNE OR, 97 402
follow rules adopted bY the Orego n UtilitY
Describe Work: S/F RESIDENCE Center. Those rules are sei fc;t1!": NEw
oAR 952-001-
General:
Plumbing:
Mechanical:
Electrical:
L,t)90 You may ontain copie$'Jd6hBtU
contractsotailirrg the r:enter (Notgcuretet*Su:rf
rlurflber for the oregon Utility Notificatior
COLBURN HOMES :,, .. lli ,j r".OOO8.784]
1178 ECHO HOLLOW RD EUGENE OR 97402
.fOE FRIDLUND 0065235
7824 Frankford Ave Philadephia PA r
MARSHALLS OO2579O
4110 OLYMPIC ST SPRINGFIELD OR 9747
ROSE CORP. O 05443L
89976 DAY LANE EUGENE OR 974O2OOOO
Expires
os/2L/ee
04 /25 / e5
L2/23/eB
oe /30 / e8
Phone
689 - 637 0
332 - 0660
747-7445
585 - 0905
QUAD AREA: 2RNW
CONSTR. TYPE: VN
INSUL PATH: P1
OFFTCE USE
LAND USE:
# OF BDRMS
SQ FOOTAGE:
1 111 OCCY GROUP: R3
HEAT SOURCE: FE3
2050
To request an inspection, call the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After t.renches are excavated.
FOTNDATION * After forms are erected but prior to concrete placement.
ITNDERFLOOR PLIIMBING - Prior to insulation or deckj_ng.
TNDERFLOOR DR.AIN - Pri-or Lo cover or placement of concrete.
ITNDERFLOOR MECIIANICAL - Prior to insul-ation or decking.
POST AND BEA![ - Prior to floor insulation or decking.
INSULATION - Floor; prior to decki-ng Wa11/Ceiling; Prior to cover
WATER LINE - Prior t.o filling trench.
SA.I{fTARY SEWER LINE - Prior to fi1I1ng trench.
STORII SEWER LINE - Prj-or to filling trench.
ROUGH PtITMBING - Prior to cover.
ROUGH MECHAI{ICAL - Pri-or to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAIIING - Prior to cover.
INSULATION - Floor; pri-or to decking Wall/Ceiling; prior to cover
DRYWALL - Prior to taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erected but prior to placemenL of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material-
in p1ace.
FINAL PIJITMBING - When all plumbing work is complete.
FINAL MECTIANICAL - When al_l_ mechanical- work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FrNAr. BUTLDTNG - when all required inspections have been approved and
the building is complete.
SPRINGF!ELD
,.Tob Number: 990462
SPilNGFIELT',
Page 2
Lot Faces: N
Topography: 2
Lot Type: INTERIOR
House
Garage
Lot Sq. Ft.:
Total Height:
9000
L7
Lot Coverage: 22 Z
Solar Approved: Y
E
5
N
Setbacks
SW
20 20
20
ftem
Main
Garage
Total- Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
- -. BUIIJDING PERUIT - - -
Square Feet x
a47 4
575
$/Square Feet
69 .64
18.34
(A)
Val-ue
to2 ,549 . OO
10, 554.00
113,213.00
465.50
31 .25
502.75
--- PLIIMBING PERMIT ---
ftem
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
Fee
150.00
150.00
a2 .80
L7 2 .80(c)
--- MECHA.I{ICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove / tnsert /Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
2
5.00
4.50
6.00
4.50
3.00
(D)
24.OO
10.00
1 .92
35.92
--- MISCELLANEOUS PERMITS ---
Surcharge/edmin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS (E)
0.00
63.30
60.00
2 ,345 .96
1, 000 . 00
1,40 .40
3,510.55
(Excluding Electrical )
unless otherwise noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,322 .L3
SPRINGFIELD
.fob Number: 990462
OF SPRINGFIELI'.
Page 3
--- BUILDING VALUE, PLAIiI CHECK AI{D BUITDING PERMIT ---
This permit is granted on the express condition that the said construction
shal-l, in a1l- respects, conform to the Ordinance adopLed by the Ci-ty of
Springfield, lncludj-ng the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordi-nances.
Pl-an Check Fee: 301
Received By:
PLans Revj-ewed By: AL WARD
Buj-Iding Site Rewiewed By:
93 Date Paid
Date:
BOB BARNHART
Receipt Number: 03343204/07/ee
04 /22 / ee
--- ADDITIONAL COMMENTS
DRIVEWAY REQU]RED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that al-l- information hereon
is true and correct, and I further certlfy that any and all work performed
shall- be done j-n accordance wlth the Ordinances of the City of Springfield,
and the Laws of the State of Oregon perLaining to the work descri-bed herein,
and that NO OCCUPANCY wil-1 be made of any structure wlt.hout permission of the
Community Servlces Di-vision, Building 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 readabl-e 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 site at all times during construction.
-' y'l
stffirire Date
--- VALIDATION ---
Receipt Number
Date Paid
Amount Received
Received By
Willamalane
Job. No.lott
NAME:
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
'N \\.,^ (rA L rrr^PHONE:\1-S
ADDRESS:STATE:zrP:t:teL
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:Tax Lot Number:ciK)
1. PEVELOPMENT TYPE (Check appropriate dwelting(s). SDC calc-ulations and dwelling t
ype detinitions are on the back.)
A. Single-Family Detachecl
t Single Family homd
NO. OF UNITS X $1,000 per unit = $
a(5
t. CXro -
AL
B. Single-Family Attaehed
NO. OF UNITS X $924 Per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 Per unit
D. Mant,factured Home Park
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (lf applicable) SDOgayer must fun[sh proof of
Willamatane iredit approval. See 1DC Credit Wotkshoot. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduoed for Credit) $
Manufactured home not in a park
=$
=$
X $699 Per unit = $
$
City of
Services Department Date
>L qq
K
\ t'tB E -c\^*s'\.\r,,rR.
o onEcoN
9 'NGFIELO
?.25 l:lrl'll :;'t'lll':li'l'
SPII I NGF tl:ll,t), 0l(K;oN
TNSPEOI'ION IIIQUBS'T :
OFI'ICE z I )-6-3159
The lollowlng Proiect as submitted has the
zoning, and does not require specitic lanqil?F('.l.lt I
o
CAI, PBIIHIT APPI,ICATION
rr Nunrber flO Y 6 >
SCIIEDULE I}IILOY
al-Single or
per dwellitrg uni t.
1 l,ocA'l'l F INST I
I,IIGAI, I)ESCRIPTION 00\6r/7 b3 zc /7
JOt} DESCR.TPTION4ru-
I'ertrti t.s ;rre ttott-t-ra
if r,rorlt is ttr.rt star
of issttatrce or i f \,/
lB0 days
2. CON'I'RNCToR INST
Electrical Cotrtract
Atldress B\rl I
ci tv [u
Srtpervisor
Expiratiorr
Cotrstr Cotttr. Nurnber 59
Expi ra t iott [Ja te oo
pervisi lilec triciatr
Uwtters Nante o t
Address f8/t6
Service Included:
1000 sq. f t. or less
Each additional 500
sq. ft or Portion
or
I tems
_/_
tions
--
"=
Cos t
$ Bs.oo
$ 15.00
s 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
7e
15-
10n
a56iil
r
Ci ty 6f,/plrorre 5l 7'3f 7t-
OITNER T,NS'I'ALLATION
Tlre irrstal.Iation is beirrg made otr
property I owlr r^rlriclr is not intended
f or -sale, lease or ren t .
Orrters Siglla ture:
DA'IE:
RECII
2
rs
era
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Adminis trative Fee
TOTAL
New, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
lnps
mps
amp
Li cerrse Number J5-h3-5--over 1000 alrrPs/vol ts
Recounect 0n1Y
L)a l" e o L)
0
C. TemporarY Services or Feeders
lnsialIation, Alteratiotr or Relocat
200 amps or less $ 40'00
201 arnps to 400 amPs
-_
$ 55'00
over 4bl" to 6oo amps -- $ Bo'oo
Over 600 amps or 1000-\'olTs see rfBtr
D. Branch Circui ts
n Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
signZoutline Lighting-.- $
Liini ted Energy/Res
-
$
not included)
40.00
40.00
20. o0
5 /3o*'---73-
?.q o
IUCEIVBD I}
I
/./d . qo
glh'l I aPProval
I ?-6-37 69
Date
-6 n
:)
A
Signature
Multi
Plrotre /od,-o?og
sl
Siglra ture
JOURNAI OR JOB NO.1no +bL
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY eo lfuat, llo>,t-
LOCATION tgbK *
DEVELOPMENT TYPE 5FD
BUILDING SIZE:OT SI SQ.Ft.
1. STORM DRAINAGE
2ogo+ ?+(zo) r /Uub4 ?
IMPERViOUS SQ. FT 274?x $0.227 PER SQ. Fr. $ 622.81
2. SANITARY SEWER-CITY
NO. OF PFU'S /{X $47.14 PER PFU $ E+r.s7
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
XI .ol x $475.32
'$
$ 23.20
s 1t.76
X x $475.32
4. SANITARY SEt^lER-l.4t^lMC
A. REIMBURSEMENT COST:
5
NO. OF FEU'S ( X 2114+ PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X Z5,ZO PER FEU
Ml^lMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
lltsc--
$ 10.00
TOTAL-MI^JMC SDC $ Rtr7.67
SUBTOTAL (ADD ITEMS 1.2,3 & 4)$ zz fr.17
SDC Coordi nator
ATTACH'A. t^lPD
Date
TOTAL SDC $ ?*b.93
$ 4tu.a7
$ 211 .4
, 41fr
FIXTURE UNIT CALCULA- -2N TABLE: ruumoer of New Fixtur
(NOTE: For remodels, calculate only tlte-NE'[ additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub
Drinking Fountain....
Floor Drain...............................................
lnterceptors For Grease/Oil/Solids/Etc..........
lnterceptors 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 Stall.
Shower, Gang......:...
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall..
Wash Basin/Lavatory, Single.....
Toilet, Public lnstallation.
Toilet, Private.......
Miscellaneous:
Unit Equivalent = Fixture Urrits
I
9-
A-_7-
adlHe
2
1
2
3
6
2
b
6
1
3
2
1
2
2
1
6
4
I
UNIT
EOUIVALENT
FIXTURE
UNITS
2_,
-
t/
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits arates.
*.2?x s. G.1K ZE.otSCredit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL $
Year
Annexed
Rate per S1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 8
2.82
2.42
1 989
1 990
1 991
1992
1 993
1 994
.. . 1995
1 996
1 997
$1.98
1.55
1.15
0.96
0.83
0.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Residential.
Commerica1...............
lndustrial....
Governmental.........
o.4
0.9
05
o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
tj
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