HomeMy WebLinkAboutPermit Building 1998-8-28
to. 5P"INGFIELD
~'" I.w """00' ''" 10 THIS PEAMIT SHALL EXPIRE If THE WORK .
follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT
~otlfication Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by ANY 180 DAY P.EAIOD,
calling the center. (Note: the telephone Page 1
number for the Oregon Utility Notificati~fsIDENTIAL PERMIT APPLICATION
Center is 1-800-332-2344). CITY OF SPRINGFIELD Job Number: 980516
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 888 MCKENZIE CREST DR
Assessors Map #: 17032343
Lot: 82 Block:
Office:
Inspection Line:
Tax Lot #: 05600
. Subdivision: RIVER GLEN 2
Owner: ANSLOW & DEGENAULT
Address: 56 E 15TH AVENUE
Phone #: 484-0070
City/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F, RESIDENCE
Contractor
Const.
Contractor #
General: 'ANSLOW & DEGENE 0049169
56 E 15th Ave Eugene OR 974010000
Plumbing: ABSOLUTE PLUMBI 0067664
2487 PARK FOREST DRIVE EUGENE OR 97
Mechanical: MARSHALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: JB ELECTRIC 0104929
1786 BALBOA ST EUGENE OR 974080000
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 3371
NEW
Expires
Phone
10/16/98
484-0070
07/11/99
345-3055
12/23/98
747-7445
03/14/00
687-5770
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To request an inspection, call the'24 hour recording-at 726-3769.
726-3759
726-3769
~
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,
REQUIRED INSPECTIONS
TEMPORARY POWER
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
POST AND BEAM - Prior to floor insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking,
UNDERFLOOR PLUMBING - Prior to insulation or decking.
SANITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power..- .
FRAMING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one applianc~. Pressure test done at this point.
,
'-
SPi\INCFIGLD
Job Number: 980516
SIDEWALK - After excavation is comp~ete, forms and sub-base material
in place,
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete,
FINAL GAS - When all gas work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Setbk From NPL: 33
Lot Sq. Ft,: 13158
Solar Approved: Y
Total Height: 24.5
Lot Type: INTERIOR
N
Setbacks
S W
5
E
5
House
Garage
20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2736
635
$/Square Feet
64,66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A) ,
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wbod Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & W/H VENT
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SPLFD S/D/C'S
WILLAMALANE S/D/C'S
ELETRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
.
Page 2
Value
176,910.00
10,331.00
187,241. 00
631,00
50.48
681.48
Fee
192,50
192,50
15.41
207.91
12.00
4.50
12,00
4.50
3,00
5,00
41.00
10.00
3.28
54.28
0.00
23,65
14,50
3,132.86
1,000,00
216.00
4.387.01
SPRINGFIELD
Job Number: 980516
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
5,330,68
--- 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.
Plan Check Fee:
Received By: DON
Plans Reviewed By: BOB
~~flding Site Reviewed
333,03
MOORE
BARNHART
By: LISA
Date Paid: 05/01/98
Receipt Number: 29623
Date: 06/10/98
HOPPER
PATH 1 :;,."Z~-tt2
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
--- ADDITIONAL COMMENTS ---
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.
K ~~ j)A!1/l//V./Lr-
~i natur
'6 g-z9'--'f-?
Date
I
I
'.
- -- VALIDATION
Date Paid:
o t.).~
5J...').<;{ -1 ci
Jt~, ??o. ~~
.
~
Receipt Number:
Amount Received:
Received By:
l
JOB NO. qfk;JS/CP
. ATTACHMENT A .
CITY OF S~NGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
AA/'SLoLJ..I t. D15:(:.,ENEAUL-r
LOCATION:
P.88 McK,f-./7:fG Ck'651
.
DEVELOPMENT TYPE:
<:. I~, R.
BUILDING SIZE
lOT SIZE
SO Ft.
1. ~TORM nRA!NftGF
IMPERVIOUS SO. FT.
4} 2.1 or X $0.226 PER SQ,FT. $ Q53.p::f
I
2. $AN!TARY SFWFR-rrTY
NO. OF PFU'S 27
(See Reverse Side)
X $46.86 PER PFU
$ J. 2 t, c;-, 2..""2-
-)
3, TRANSPORTATiON
'NO OF UNITS X TRIP RATE X COST PER TRIP
x -!-' 01 X $472.49
$ 477,Z./
X
X $472.49
$
X
X $472,49
$
4. SANTTARY SFWFR-MWMC
. . Dth DJ"
NO. OF-fEtrS- /. X 277. 7'" PER -FB:J- + $10 MWMC/ADM FEE i2Jf7,7t'o
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL -MWMC snc $ 2J?7. 7~
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $. 2/183.t:.8
5, AnMTNTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X ,05
. $ 14((, 18
k.
Date: S-t:, ",:"q8-
SDC Coordinator
TOTt)L SDC $'3" )32 . RG,
....^ I un&..: UI~II \.oML\.oULJ-\ IIVIII I HOLe; Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate ani. NET additional fixtures) .
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.., ,.."..,.". ,.,...".,.,.",...,.............,'....,.........,.....
Drinking. Fountain,.....,..,.....,.",..,.,.".,.",.....,.."..,......
Floor Drain......,',...........,.."...,."",.,..."......................,
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors 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/WaiL",..........,.,.,........",........,...,..........,.
Wash BasiniLavatory, Single..........,.......................
Toilet, Pubiic Installation. .............., ...,....,...............
Toilet, Private...."...",.,.....,." ". ,...,.,...................,..
Miscellaneous:
'2....
2
1
2
3
6
2
6
6
1
3.
2
i/Head
2
2
1
6
4
,
-z......
-:;
'<
TOTAL FIXTURE UNITS
=
cI-
4-
'2-
Z-
~
1'2-
2.7
CREDIT CALCULATION TABLE:
calculate credits separates,
'i ~
Year
Annexed
Based on assessed value, If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
19BO
1981
1982
1983'
1984
1985
1986
$3,97
3,89
3.83
3,70
3.55
3,39
3,20
2.91
1987
1988
1989.
1990
1991
1992
1993
1994
1995
1996
Rate per $1,000
Assessed Value
$2,56
2.17
1,73
1,31
0.92
0,74
0,61
0.45
0,31
0.17
~
Credit for Parcel or land Only If Applicable
=
-e-
X $
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
Improvement (if after annexation date)
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fiesidential...;, ,......,'..,....,..,.. 0.4
Commer/ca!........."...,........" 0,9
IndustriaL........................,.. 0 5
Governmental....,.............,... 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
-cr-
.
. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAM~~~\{1.U ~ \\~("\P0QJlIl~
ADD RESS: ~ Q (() . \ ';\'\Y\ ~\ \e f\\lr ~
.
. Job. No.
C\~D~\~o
PHONE: - z\6\.0010
STATE: fr\C ZIP: ~\~\
.,
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~~ ~Q)(Of\7110\ 0~ rn \)~
Pial Name:~Qf A \ Q...(\ Tax Lol Number: \ f\!l21'l?f\~n7Jt()co
.,
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinole-Fl'Imilv Detl'lched
L Single Family home
NO. OF UNITS l
Manufactured home not in a pa~
X $1,000 per unit = $ 1000. .
B. Sinole'.Fl'Imilv Attl'lched,
, NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmen~
NO. OF UNITS
X $692 per unit = $
D. Mllnufacturecf Home p;:ut
2. SDC CREDIT (If applicable) SDG-payer must furnish proof of
. Willamalane Credit approval. See SDC Credit Worksheet.
$
$
moo .cfJ
if
$ \DtD ~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~)\~V
Deveiopment Ser\r\ces Department
City of Springfield
(("
Date
2-C6, q~
. ,
tIl'NCFIELD
. .
-, ro)ect
zoning, llrld doee not "" 8~bmlttod hae tho f
approval. requ ra spec/fjc land US
Dst~lff;~
225 FIFTH STREET A (l
SPRINGFIELD, OREGON 97477 ulhoOzodSignatura-L!.J'\I1
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
(;1 ty ~ub Number () 9{l(J\ \0
. ;
COKPLETE FEE SCHEDULE BELO\I ~
New Residential-Single or .
Multi-Family per dwelling unit." "',"
Service Included: .
Items Cost Sum
3.
l'flhOP.Ti9~ J>P INSTALhATION \i\.,.'.."
-XJ[lYJ m u () fYb,o, ~ \ 1\() C\ h \llill..e... A.
~ .
!PW" DfS.c!IJ:PTION
\f\l)'tlf) .;:),\:'.~ r\~\.QCD
_ ..'~~ J~~..~lOtmt ~ ~~~1\~_:")~~~_ ~~dHi~~;~:!~~. ,_'
_...::.:~~~\J ts are non-transferabre and .expire . -,:;' thereof' ::)
if york is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for . Modular.'Dwelling'
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
.....-.::'.Ele~tri..ca1 Contractor,7T.. FL <::.I,.r+r-~ t'. ;;:;A;?:,.
Address..!:J..Qt.. c:; I.A/A U ib ~ ,-<7
c.;,;ity E,~..;;;::~~ . p.~.o,~~_~~:.5-r70 .:,
.,. Stipei:vi~or' Lic~~-s~'-Nu~b~i? .-~ -i7-;i C;
Expiration Date '9---'l ~ X'"
Constr Contr. Number~
EXpiration Date Yf'~o
Signatu~tW~
Owners tVm~~()) t)<:\ \)~ G.~(l9.1\1I ~t- D.
Address.-5\ 0.0 \1:6~'!oon.n.Q ]
Ci ty .ElntJilQ, Phone 4<?A ,DmO
~~ALLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners~S~gnature:
-.
L
----------------------qr---------------
DATE: C:;<-;2.~-'7_
RECEI'PT 11: ~ ..:i t/<S. '
. J;lECEIVED BY: .v.J
.B.
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
$ 85.00 B~
..-.----
$ 15.00 n
$ 40.00
$ 50.00
$ 60.00
S100.00
$130.00
'$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
1
200 amps' '01: less $ 40.00 _10: '1
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
C.
Branch Circuits
"
New, Alteration or Extension Per Panel
Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4f)~
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