HomeMy WebLinkAboutPermit Building 1999-8-6
v
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 826 MCKENZIE CREST DR
Assessors Map #: 17032300
Lot: 89 Block:
Page 1
Job Number: 990953
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 01000
Subdivision: RIVER GLEN 2
NEW
~:
~~"
~, '
Owner: i'-lJqlUR&-B-HOMElBM/~c:: I1NTt~ Phone #: 744-2660
Address: BOX 7425 City/State/Zip: EUGENE, OREGON 97401
05/06/00 485-1146 ~
i\'\C.\f'JOf'\
Wdt\~', 68~~V'If\c.lr NI\1IS~Oi
o~r@:~g@?~~~;~c.DrOf\
fI-~\'\Of\\ E.OOf\ISfI-'ON
"., ,~'I=~G 0\"'''
vv.... fI-'{ Pl:.C"-
fI-\'lt'{ 6~() ~LDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG leS ~Oll \V
INSUL PATH: P1 \a\lll (eC\\l1 o{l UtIli\'>' \\
,v1e\lul' \\\e oleg se\ \o{t
.-\:.I'\ I IUI':'dO?\ed 'o~ e lilIeS a~9"2.()()~-
_\ . J.se ^ ~~n" Ofl-,," s 'o~
To request an inspection, call the 24 hour recording at 72~O~~" nce{l181',O\\\IOllgII nnelule e
~O~~~~~~~~~':\~i{l CO?i~~\\~ \ele~~O~iO{l
All inspections requested before 7:00 a.m. will be made thl\\~e ~nM'~,~~o\e, ~o\~~a
inspections requested after 7:00 a,m. will be made the fOl~~~~~~~~~~I~gO{l\.l\"~~~AA',
Ca\l\{I\,l \O,\neb aOa-?:''3?'
-,,'oel Ie ~ -l,
REQUIRED INSPECTIONS - - - {Ill'" cel\\el-
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDER FLOOR PLUMBING - Prior to insulation or decking,
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials,
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
DRYWALL - Prior to taping,
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
Describe Work: S.F. RESIDENCE
Contractor
Canst.
Contractor #
General:
FUTURE B HOMES 0036499
3593 River pointe Dr Eugene OR 9740
CUSTOM PLUMBING 0081994
3248 KENTWOOD DR EUGENE OR 97401000
ROLFS HEATING 0076473
PO Box 1252 Eugene OR 974400000
BOB FISHER 0096275
180 KINGSBURY AVE EUGENE OR 9740400
Plumbing:
Mechanical:
Electrical:
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 5388
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
Expires
Phone
05/18/00
485-3176
Wall/Ceiling; Prior to cover
'1 SPRIN""FIELD
~-
Job Number: 990953
Page 2
FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete,
FINAL ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Setbk From NPL: 140
Topography: 2
Solar Approved: Y
Total Height: 29
Lot Type: INTERIOR
N
Setbacks
S W
66 6
E
House
Garage
9
Item
Main
Garage
COVERED BALCONY
Total Value
BUILDING PERMIT ---
Square Feet x
4184
1204
78
$/square Feet
69,64
18,34
15
Value
291,374,00
22,081. 00
1,170.00
314,625,00
Building Permit Fee
Surcharge/Admin
916.75
TOTAL FEE
(A)
.o.j-..>~~
"1/.(,7
.990.,.09- loo~A2
PLUMBING PERMIT ---
Item
Residential Bath(s)
4
Fee
192.50
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(Cl
192,50
,],.5~4il.'
''''I. a....
.a.G'7..,.9'l- ZII.7~
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F,P.
6
6,00
4,50
18.00
3.00
5.00
4,50
Mechanical Permit
Issuance
Surcharge/Admin
41,00
10.00
TOTAL PERMIT
(D)
, 00
- . ~. ~
4./0
~ilo 55/0
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
CITY SDC
ELECTRICAL PERMIT
PLAN REVIEW ADJUST
0,00
1,000,00
4,277.53
286.00
1. 46
TOTAL MISCELLANEOUS PERMITS
(E)
5,564.99
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
,6.~8'1-7..,.2-7.
'Sfa?-7
.
Job Number: 990953
Page 3
--- 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, 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.
Received By:
Plans Reviewed By: DON MOORE Date: 08/03/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1
NO OCCUPANCY UNTIL INFRASTRUCTURE COMPLETED & ACCEPTED. =
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
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
shall 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
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 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 site at all times during construction,
\\~~
cgna~
~/~ h ~
Date {
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
"
. JOURNAL SiiIIllJOB NO. qqOqSJ
A TT ACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
_,r--._ -:- ,"J..:-: B- MI A:eBuri.Ar2
NAME OR COMPANY:
LOCATION:
R 7 (" U r It E;II I.... ,6 (' .II. 6<;.,...
DEVELOPMENT TYPE:
") r=:- (L
BUILDING SlZE:
LOT SlZE
SQ,Ft.
1, STORM DRAINAGE
Il'vIPERVIOUS SQ, FT. ~ 7 C;y X $0,232 PER SQ. FT,
2, SANITARY SEWER-CITY
$ I c::c.q-.JJ
,
NO, OF PFU'S 1C.
(See Reverse Side)
X $48.27 PER PFU
$ 1,737,72-
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOl)R TRIP
X I, o} X $486,73 PER TRIP
$ 4Q/.c.o
X X 5486,73 PER TRIP
$
4, SANITARY SEWER-MWMC
A, REIl'vIBURSEMENT COST:
NO, OF FEU'S
X7-fz 71. PER FEU
$ 24-2, 7(;.
, B. Il'vIPROVEMENT COST:
NO, OF FEU'S I
X 22.,"~PER FEU
$ 2"2. b~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ >
$ 10.00
TOT AL-MWMC SDC
$ Z 740,15/
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$ 4; 673.1?f
5, ADMINISTRATIVE FEE~:
BASE C~~E (SUBTOTAL ABOVE) X ,05
tff~, Date, 1(.,-"/,,
SDC Coordinator
ATTACH'A,WPD
$' ';>,.,3. c,q
TOTALSDC
Lf,. 2 n. 5'3
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only the .additional fixtures) .
. NUMBER OF UNIT FIXTURE
FIXTIJRE TYPE NEW FIXTIJRES EQUIVALENT UNITS
Bathtub"" ,.""...."" "... " , "" '.''''' "."" ""..", """"" ,,,,,.,,
Drinking Fountain" """ ""',,',"" "'" ",,"""" ,,,"'" "'"''
Floor Drain"".""""""",,,,,,,,,,,.,,,,,,...,,,,,,.,,,,,,,,,,,,,,,,,, ,
Interceptors For Grease/OiVSolids/Etc"::,\",,,,,,,.',,,:!
Interceptors For Sand/Auto Wash/Etc""""""""."", '
Laundry Tub/C10theswasher/Mop Sink""",,,,,,,,,,,,,,
Clotheswasher - 3 Or More"."""""",,,,,,,,,,,.,,,,,,,,,,,
Mobile Home Park Trap (I 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, StalVW aiL"" ."",,,,,,,,,,,,,,,,, "",',' ""'" ,,,,,,,,,,,.
Wash Basin/Lavatory, Single"".".""".""""""""""
Toilet, Public Installation""",''''''''''''''''''''''''''''''''''
,Toilet , Private""""""""""""""""""".""""""""",
Miscellaneous:
"2-
2
I
2
3
6
2
6
6
I
3
2
l/Head
2
2
1
6
4
7_
2.-
s-
4
TOTAL FIXTIJRE UNITS
4
-....
4-
.,.
~
Jt.
3'
CREDIT CALCULA nON TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate
,credits separately,
Year
Annexed
Rate per SI,OOO
Assessed Value
Year
Annexed
Rate per SI,OOO
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4,20
4.03
3.88
3,68
3.38
3,03
2.62
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
Credit for Parcel or Land Only If Applicable X $
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residentia!..,.""",,,,,,,,,,,,,,,,, 0.4
Commerica!....".."""..".""" 0,9
IndusaiaL",,,.,,,,,,,,,,,,,,,,,,,,. 0.5
GovemmentaL..."",,,...,,"" 0.5
FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
"
2,18
1.75
1.35
1.17
1.03
0,86
0,71
0.57
0.39
0.18
.
~ - ' '
SYSTEM DEVELOPMENT CHARGE
IvtII<6 WORKSHEET
J-i-t-"'-c _ ,:..
f14JL.~
.
Job. No.
~N\~~
NAME:
PHONE:l44.~~
STATE:~ ~IP: Q140 I
ADDRESS:
LOCATION OF PROPOSED BUILDING ITE:. (\ ,
Street Address: A ~(O \'{\~~, \' AO & CJ r\.l 'I!....
Pial Name: ~~f(\13~ Tax Lol Number: \ fl (Y31-3CXJ Dla:()
1. DEVELOPMENT TYPE, (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.
A flinole-Fllmilv Detllched
{ Single Family home
NO. OF UNITS
I
Manufactured home not in a park
X $1,000 per unit = $ \ ron.CD
B. .sIwle'-Fllmilv Alfllched
NO. OF UNITS
X $924 per unit
$
C. Multi-Familv AOllrtment
NO. OF UNITS
X $692 per unit = $
D. ,Mllnufllr.tured HnmA Ps>lk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \rCf).OO
2. SDC CREDIT (it applicable) SDC-payer must fuf11lsh proof of
WiUamalane Credit approval. See SOC credit WotKsheet. $
if
$ lCnO.W
3. TOTAL WILLAMALANE NEf SDC ASSESSED
(If SDC reduced for Cre
~ I ~ I 9'1
Date
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
'0f1x~
<\t;
~
1.
\C)~~PT~o (')\('('{) _ '
~~ t.fg~tia.Q~~~ff '
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for-
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
E1ec trical Contrac tor!nJ Fs-iv>r ~ keT;-- ,c:.
..7",/C-
Address / 9' () /.,..-: '/u:;, s- ~/n/./ -IJ/t"_,
City;::- <A'6',PAP_ PhoneJ-.y/-tGy9'-/9'23'
I
Supervisor License Number f:t ,5'7'/,-;-- S
Expiration Date /O/tJ//~t?
. - , fI C.
Constr Contr. Number _/f)- ~~o<) (>~
Expiration Date /0/ r/~/99
Signature of Supervising Electrician
-!::::!:.f l.~~~
Address~ '\4/15
City D.~ Phonef).:\4,'llrAd)
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
'.
Ovners Signature:
----------------\-~~- ---------------
DATE: e/ ~ ~,
RECEIPT II: :?.x-/g,,/
RECEIVED BY: ~/l""""" ..- A -A r- _
"'(,,_ -/ -c.I -
ELECTRICAL PERMIT APP~VtTION
City Job Number aql M~~
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
I terns
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
l
q
unit.
Cost
Sum
ss.CO
~cO
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 4n~
$ 55.00
$ 80.00
see liB" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$
$
$
$ 36.00
210'> _cO
1~
1"f.6Q.
2. ~( 0 .c:LJ
40.00
40.00
20.00
;j