HomeMy WebLinkAboutPermit Building 1997-10-29ATT OF SPilNGFIELD,
.BPNIilGFIELD
t
RESIDENTIAI. PERMIT APPI.ICATION
CITY OF SPRINGFIEI,D
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nnmber: 97L482
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1150 38TH ST
Assessors t'tap #t 1-7023043
Lot: 2 BLock:
office
Inspection Line
726 -37 59
726 -37 69
Tax Lot #
Subdivision
03503
9l_ - PO12 5
Owner: DAS DER KORB, INC
AddrESS: 250 SOUTH 43RD STREET
Phone #: 726-2L05
ciEy/state/zip: SPRTNGFTELD, OREGON 97478
DescribE WOTK : MAI.IUFACTURED HOITIE NEW
General:
Plumbing:
Electrical
Contractor
KOLEHN 0094324
4990 Morley Loop Eugene OR 97402000
V-TECH 0099877
1875 River Rd Eugene OR 974O4O0OO
DELS ELECTRIC OOO1TOO
3412 Dahlia Lane Eugene OR 97403000
Const.
ContracEor #Expiree
LO/1-3/e8
06/L4/e8
ot/1-7 /98
Phone
747 -8403
689 - 97 02
588 -2549
QUAD AREA: 3RNC
# oF uNrrs: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# or eoRMs: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: )-344
To request an inspection, calL the 24 hour recording aL 725-3769.
AIl 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 foffowing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
SLAB - To be made after af] inslab building service eguipment, conduit
piping, and other equipment items are in place buts prior to concrete
I{,AI{UFACTURED HOME SERVICE
M,AI{UF HOME/MOBILE HOME SET UP - When all blocking is complete.
!!,A}IUF. HOIIE/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home j-s connected to panel
MAI{UF. HOME/MOBILE HOME PLI,}IBING - After home has been connected Lo
water and sewer.
WATER LINE - Prior to fill-ing trench.
STORM SEWER LINE - Prior to filling trench.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, eEc. have been j-nstaLled.
LoE Faces: E
Solar Approved: Y
House
Total Height: 15
Lot Type: PANHANDLE
SetbacksswE
L4 2L 30
Setbk From NPL: 10
N
10
Item
Main
Garage
FTG/PERT FOUNDATION
--- BUII,DING PERMIT ---
Square Feet x Value
1l_, 000 . 00
0.00
2, 500.00
$/Square Feet
giPFIr.GFIELD
'Job Number: 971-482
OTTOF
Page 2
Total Value
Building Permit Fee
Surcharge/Admin
TOTAI, FEE (A)
13, 500.00
38. s0
3.09
41.59
ftem
Water
Mobile Home
DRYWEI,L LINE
Plumbing Permit
Surcharge/Admin
TOTAI, CHARGE
--- PII'I{BING PERMIT ---
1,20
(c)
Fee
40.00
15.00
25.00
80.00
5 .40
85.40
--- MISCELLAT.IEOUS PERMITS ---
Mobile Home
StaLe Issuance
Surcharge/admin
WTLLAIVI,\LAI{E SDC
SYSTEM DEVEL CHARGES
TOTAL MISCEI,TE.NEOUS PERMITS
105.00
20.00
8.40
1, 000 . o0
L ,63L .47
(E)2 ,7 54 .87
(Excluding Elect.rical )
unless otherwise noted
--- TOTAL A}IOUTiTT DUE ---
(A, B, C, D, and E combined)2,892 .85
--- BUILDING VALUE, PLAIiI CHECK AIID BUIIJDING PERITIIT ---
This permiL is granted on t,he express condition that the said construction
shalL, in all respects, conform Eo the Ordinance adopted by the City of
Springfield, including 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.
PLan Check Fee: 25.03 Date Paid:
Received By: LORNE PLEGER
Plans Reviewed By: LISA HOPPER Date:
Building Site Reviewed By: LISA HOPPER
LO/Oe/e7
LO/14/e7
Receipt Number:. 27638
--- ADDITIONAI, COMMEMTS ---
PERMIT FOR SANITARY SEWER LINE ISSUED 2/23/95.
TNSpECTED AND APPROVED 3/2/9s #9s0222
PERIMETER BLOCK FOUNDATION REQUIRED
SEPARATE ELECTRICAL PERMIT REQUIRED PRIOR TO ANY ELECTRICAL INSTALLATION.
DRIVEWAY REQU]RED TO BE PAVED
By eignature, I sEate and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
j-s true and correct, and I furEher certify that any and all work performed
sha11 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, Building Safety. I further certify that only
conEractors and employees who are in compliance with ORS 701.055 will be
used on this project.
BPFTNGF!ELO
Page 1
ENGINEERING DMSION DEVELOPMEMT PtAI'I REVIEW
RESIDENTIAL UNIITTPROVED STREET
OTT OF SPilNGFTEI-O,
Developer: DAS DER KORB, INC Job No.:
Mail Address: 250 SOUTH 43RD STREET SPRINGPIELD, OREGON 97478Phone #:
Tax Lot #: L702304303503 Project Address: 1160 38TH ST
Subdivision: 9L-POL26 Lot: 2 BIk: Eng. Rev. No.:
971482
725 -2L06
Book
Street Gravel
r-150 38TH ST
Existing Curbcut: N
EXISTING IMPROVEMENTS
Ac Mat Curb FuI1 Imp SW width
NONE N N/A
Curbside
N/A
Setback
N/A
ENGINEERING REQUIRE}TENTS
Additi-onal Right of WaY:
Improvement AgreemenL:
Easements:
SAI.IITARY SEWER
CALL THE ITTILITIES NOTIFICATION CEMIER BEFORE YOU DIG 1-8OO-332-2344
Available: YSize of Line: 8 In.
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: PER PLUMBING CODE
CommenEs: NEED PERMIT FOR NEW SEWER TAP
STORM SEWER
AvaiLable: N
Pipe Downspouts And Drains To: DRYWELL - SUBMIT DETAILS
Pipe Parking Lot Drainage To: N/A
Comments: OWNER TO PROVIDE DRAINAGE PLAN WITH CULVERT REQUIREMENTS
CONTAET MAINTENATiICE DIVISION AT 725-376L FOR CULVERT SIZE AIiID DEPTH.
SIDEWAI,K A.}ID DRIVEWAY INFORMATION
New Curbcut Appr.:
Sidewafk Permit: N
Curbcut Permit: N
N
COMMENTS : UNIMPROVED STREET
ENCROACHMENT ATiID ASSESSMENT
Encroachment Permit Reguired:
Sanitary sewer In Lieu Of Assessment:
CommenEs: PERMIT FOR SEWER TAP REQUIRED
SPECIAT NOTES AI{D REQUIRE}TENTS
A11 work within the public right of way shal1 be in conformance with the City
of Springfield standard specifications for consEruction. AlI existing unused
curbcuLs or portions thereof shaLl- be restored to fu1I curb height as directed
by the City. The owner/developer is responsible to relocaLe any utilities and
estabLish private or public easements when the utilities conflict with the
development, at their expense.
Revj-ewed By: DENNIS ERNST Date: lo/18/97
sEE DRAWINGS ON SPECIAL REQUIREMEI,IITS FOR FITRTHER IMPORTANI INFORIIATION
IBPFINGFIELEl
.Tob Number: 9'7L482
OTT OF SPilNGFIEI-O,
Page 3
I further agree to ensure that all reguired inspec tions are requested at the
proper time, that each address is readable from the street, that the permit
card is located aE the fronE of the property, and Lhe approved set of plans
will remain on Ehe site at all times during construction'
/0* e q- 7z
ure Date
-.- VAI,IDATION ---
Receipt Number:
Date Paid:
AmounL Received:
Received BY:
Yr 85q
c,w nq7
1 I
-C'TY OF OFEGOA'
225 TIFTE STREET
SPRTNGFTEID, OREGON 97 477,.
INSPECTION REQIESTz 726-37
OFFICE: 726-3759
69
1. LOCATION OP
LEGAL DESCRTPIION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT.ITRACTOR INST Y
City Job Nunber
3. COHPI,ETE FEE SCEEDTIIJ BELOII
A New Residential-Sing1e or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
SerVice or Feeder
$ 8s.00
s 1s.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or I
201 amps to 4
401- amps to 6
601 amps to 1
ess
00 amps
00 amps
000 amps_
0ver L000 amps/vo1ts
Reconnect OnlY
C
$ 40.
$ ss.
$ 80.
see lr
SPFmIGFIELl,
ELECTRICAL PERI{IT APPLICATION
2
7 $ 40.00 fu.*
*rJ"t
Sum
Electrical Contractor
Address 3A.^
{/n*-
Phone h,??-JSg?
$ s0.00
$ 60.00
$100.00
s130. 00
$300.00
$ 40.00
$
$
$
$
Supervisor L icense Number ,/, 7 ?'5
Expiration Date
Ci ty
r
Expiration Date I - /7 9q
s ture of Supervising Electrician
0vners Name
Address
Ci ty .Phone
Temporary Services or Feeders
Installation, Alteration or Reloeation
200 amps''or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or 1000-voTIs
00
00
00
B" a56TF
OVNER INST
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
40.00
40.00
20. o0
36.00
RECETVED
5 DA
Constr Contr . nunAer /7 0 D
ATTACHMENT A il6e 11 t 482-
CITY OF S-.iNGFIELD SYSTEMS DEVEI ^DMENT CHARGE
WORKSHEET
NAME CR CCI4PAi\IY Do.Detz KotLR
LOCATICIJ:
DEVELCPl'1Elli i'/P!
BUiLDINC S:Z:
0"4 H ?t*c e^ EroT
SiZ
1. STCRI\4 DPAIii;Gi /eo7o5e Deyasecc- N€eo /o !,ghtT Der4rc-s
Il'1PER'lIatrS S0 F o X s0.22b Pti :0 :;tf ()
Z. SAi\lirla i jJ rI j -C Ir'/
NC CF P5I'S r sr6. gc P5i PFJ s B+3,4&
NO CF UI\]ITS X IRIP RATE X COST PE,R TRIP
-LIL
s47 7,Ll
iRAIJS;ii, ,; .i11
L x t.ot x $472 49
x $472.49X $
x _ x $472.49 $
4 . SAN ITARY S ii'lEc: - M',/J|/C
Dd
NO. OF fff.'S I X z77,IaPER FEU + $10 MI^IMC/ADM IEE $ 7Ea,7C
MI,^JMC CRt!iT IF APPLICABLE (SIE REVERSE)$,67
5. ADMINISTRATIVE FEIS
SUBT0TAL (ADD ITEMS 1.2,3 & 4) $ tt553,'o
TOTAL -MI,JMC SDC SZ i,
$ 77 6?BASE CHARGE (SUBIOIAL ABOVE) X .05
SDC Coordi nator
Date: /018-q7
TOTALSDC $ Ib3/,+7
r8
tty'.,, ttr. rut ,tsrnuuet5, uiltuutdre uilly iile t\tr | agqtUonal IlxIUresl
NUMBEH OF
FIXTURE T'/PE NEW FIXTUHT-
UNIT
EOUIVALENT
FIX;URE
UNITS
L
.L
'z_
eo
t8
Bathtub......
Drinking Founrain.....
Floor Drain...........
lnterceptors For Grease,.Oil/Solids, Etc............
lnterceptors For Sand/Auto Wash2Erc............
Laundry TuotClotheswasher..
Clotheswasher - 3 Or More....
Mobiie Home Park Trap ('l Per Trailer.)............
Recector For BefrigeraroriWater. StaiioniErc....
Receotor For Commercial Sink, Dish,,rrasheriEtc
Showei', Single Stail....
Shower, Gang....,
Sinr: Bar, Ccmmercial,,?esiderrrial Ki:chen......
Urinal, Stalliwail.. .........
Wash BasiniLavatory, Single.
Toiiet, Puciic instailaticn
Toiler , Prnvaie......
Misceilaneous:
z
L
TOTAL F|XTUHE UNITS
2
I
2
2
,
1
Z
t1
2
2
1
6
4
eadn z-
z-
CREDIT CALCULATION TABLE: Basec on assesseC value
caiculate ci'edits secarates.
lf improvements occurred after annexation date in rabie.
Annexed
Fate per $1,000
Assessed Value
Year
Annexed
Rate per si,CCO
Assessei t/aiue
fioo
1 980
1 981
1982
1 983
1 984
1 985
1 986
3.89
3.83
3.70
3.5 5
3.39
3.20
2.91
1 987
1 9BB
1 989
1 990
1 001
1 992
1 993
1 994
1 995
1 996
2.1 r-
1.73
1 ?.t
nq?
O.74
0.61
c,45
o.31
0.17
Credit for Parcel or Land Oniy lf Applicable
lmprovement (if after annexation date)
X S t3,77 o 51 67
(Rate X Assessed Value)
3.17
X$
(Rate X Assessed Value)
CBEDIT TOTAL -$5+.e7
RUNOFF COEFFICIENTS FOR STORM DRAIN,AGE
(For Estimating Purposes Only)
r,-.;.-.^-:..r lgJIUEtl[tui....
Commerical
lndustrial....
Governmental..........
0.4
0.9
05
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Willamalane
Job. No. 9l t tl, g5-Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Ns*L\-, !-o*\PHoNE: -I&G_St-too
S.so \ 'r3oa STATE: ON. ZP:CI15]8
Street Address:
Plat Name: \z O3.5 Or\-S Tax Lot Number:OsSOS
appropriate dwelling(s). SDC calculations and dwelling t1. DEVELOPMENT TYPE (check
ype definitions are on the back.)
A. Single-Family Detached
Single Family home
NO. OF UNITS
pment Services
{t/\
)( Manufactured home not in a Park
X $1,000 per unit = $
CrS>\(-ruo -
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
C. Multi-FamilyApartment
NO. OF UNITS X $692 per unit $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (il applicable) SDC-payer must lurnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced lor Credit)
$
$
$
$
Y>
to I L3/ a]
Date
City of Springfield
epartment