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Home My WebLink AboutPermit Building 1999-5-20 . , ~ SPRI't.OFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990444 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5998 MT.VERNON RD Assessors Map #: 18020323 Lot: 9 Block: Tax Lot #: 04600 Subdivision: TANYA TERRACE Owner: GREAT WESTERN Address: 5024 MAIN ST. Phone #: City/State/Zip: SPLFD OR,97478 Describe Work: M/F HOME NEW Contractor Canst. Contractor # Expires Phone General: GREAT WESTERN 0069030 PO BOX 1316 NEWPORT OR 973650000 06/15/98 867-4624 OFFICE USE -- LAND USli\i_llll SQ FOOTA'M3IYW/6t TJ.m:: ceo. lIT 811.11; m.-- To request an inspection, c~ll the 24~Rr~~~rai~~~~~~sVVORK Ia:U UNDER THIS PERMIT IS NOT All inspections requested before 7:0~~/~~e~~rking day, inspections requested after 7:00 a.mA~~~~~~ff. fol1owlng work day. QUAD AREA: 4RSE CONSTR. TYPE: VN OCCY GROUP: R3 REQUIRED INSPECTIO~ --- MANUF HOME/MOBILE HOME SET UP - When all blocan'WlgUt~~ law re ui MANUF. HOME/MOBILE HOME ELECTRICAL - When b:WSM ~U'~l!@$ptG!lJl9Y the 6reres YO~!o plumbing inspections have been approve1ntf~~ /lID,C~1ltE<tbOIlG!le'jlltie~~~'l.YJ~lty MANUF. HOME/MOBILE HOME PLllMBING - After hO'mJ9&.~ 9B€eQ{:lbBfMij~glfbAR 9~et forth wa ter and sewer. C '. ou may obtain copies of tll 2-001- PEDESTAL - Prior to cover. n a'hngthecenter. (Note: the tel erUlesby FINAL SET UP - After all required inspectionsu~e~~go#Lijfflfjf&O#f.ho~e skirting, decks, venting, house numbers, etc .CRIl.!5\!IS:>t.~(Ji39'1.-234if.'catlon Lot Faces: W Topography: 2 Lot Sq. Ft.: 7085 Setbacks Lot Coverage: 25 % House N 29 S 10 W 10 E 10 Item Main Garage MANU/HOME FTG/FDN Total Value BUILDING PERMIT Square Feet x $/Square Feet Value ... 0.00 0.00 40,000.00 3,000.00 43,000.00 Building Permit Fee surc~~rge/Admin 38.50 3.09 TOTAL FEE (A) 41. 59 ~, ,-, SPAI~OFIELD Job Number: 990444 Page 2 PLUMBING PERMIT Item Sanitary Sewer Water Storm Sewer Mobile Home 50 50 50 Fee 25.00 25.00 25.00 15.00 Plumbing Permit Surcharge/Admin 90.00 7.20 TOTAL CHARGE (C) 97.20 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE PLAN CHECK ELECT. PERMIT 105.00 30.00 8.40 60.00 60.00 2,312.22 1,000.00 25.03 86.40 TOTAL MISCELLANEOUS PERMITS (E) 3,687.05 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,825.84 --- 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: AL WARD Date: OS/20/99 Building Site Reviewed By: BOB BARNHART --- 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 W:~~~~the site at all times during construction. ..-v- S--~- r7 Signature Date . '.'.... Job Number: 990444 Receipt Number: Date Paid: Amount Received: Received By: . . Page 3 - -- VALIDATION o } l{ (1...-Q ~ )2<-/1 f 382). fl( J I ~.)J): J CT1E1I.:::10NltldS . . . JOURNAL OR JOB NO. -'1<::}o44-9-: ' .. AlTACHMENT A . CITY OF SPR~GFIELD SYSTEMSDEVELO~NT CHARGE WORKSHEET NAME OR COMPANY: 67Rdv~ LOCATION: "J't,q'R I?1r IkrnoPJ Rc2 DEVELOPMENT TYPE: SF 0 BUILDING SIZE: LOT SIZE SQ. Ft. n45 S1~ 4~-z.... Zc....,G'("'b.~ 1'" z,4lZ4-}4 /~{Z'fl X $0.227 PER SQ. FT. $ ~Z4,q3 1. STORM DRAINAGE ~(7'1J ~8 IMPERVIOUS SQ. FT. '1::1~5 2. SANITARY SEWER-CITY NO. OF PFU'S I~ (See Reverse Side) X $47.14 PER PFU $ <64~ .~z, 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01' X $475.32 L4B().01- X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 211.# PER FEU , $ 2.,1.44 B. IMPROVEMENT COST: . .I NO. OF FEU'S . X 2.6. ~o PER FEU $ 2S.:20 MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ &405 > MWMC ADMINISTRATIVE FEE $ 10.00 TOTAL-MWMC SDC $ ~.~~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ZW-Z.. [( 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ~.I I ,N\hv . Date:-f2. \ \\~_ SDC Coordinator TOTAL SDC $ ..z.~\'7"._2:Z... AHACH" A. WPD . .. "" ',:". "'-. .. . ..' . "", . \ .' . FIXTURE UNIT CAlCUlA];&pN T ~BlE: N~l11be.' of New Fixture.:.i.:Unit Equivalent = Fixture Un~ts, (NOTE: For remodels, calculate only t~ 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 RefrigeratoriWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL................................................ Shower, Gang......,................................................... Sink: Bar, Commercial, Residential Kitchen......................... Urinal, StalliWaIL...... ..... ........ .......... ............... .......... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private...,.................................................... Miscellaneous: . , I ~ \J . 2 1 2 3 6 i 6 6 1 3 2 l/Head 2 2 1 6 4 <is' ':P- ~ " ~4- II TOTAL FIXTURE UNITS \<6 . CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year', Annexed Rate per $1,000 Assessed Value 1979 or before 19BO 1981 19B2 1983 1984 . 1985"'; , , . -. 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 '3.68 3.48 3.18 2.82 2.42 Year Annexed Rate per $1,000 Assessed Value , 1989 1990 1991 1992 1993 1994 ,;..; .'995 1996 1997 $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 .. . .-..~ Credit for Parcel or Land Only If Applicable 4,"21 = tr.~.os;- x '$'" It; (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL Improvement (if after annexation date) = = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 CommericaL........................ 0.9 IndustriaL........................... 0 5 Governmental:.:................... 0.5 FIXUNIT.WPO I:\IIPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT _/ ; " - ~, I I ! ; _ ubmitted has the following The following prolect ~s :qUir. specific land use zoning, and doe& no , approval,. Lv (l.- Zoning ':J 225 FIFTH STREET 5/q,D. SPRINGFIELD, OREGON ~? INSPECTION REQUEST.: l~-nilclillignature OFFICE: 726-3759 1. fr)~~ 0t{W~f\ t~9~_DES~PTION ~ :-x,'!')QC'\'-lW'i1\ City OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease'or rent. Ovners Signature: ------------T--7---------------------- DATE: .5 26 7~ RECEIPT 11: II O>4,?u RECEIVED BY: ~ WAA .ELECTRICAL PERHIMPJ:~C~TI' City Job Number~~ COMPLETE FEE SCHEDULE BELOY 3. A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: It ems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion Suo $ 85.00 $ 15.00 .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm ~rnCRf~~ Permits are~n-transferable and expire thereof if york is not started vithin 1811.Tlll!)\l;flON:ore9&~r.h~Manuf'd Home. or of issuance or if york is susperJ4iilSWfB,tlsadopted ~d ).!i~JIB'1fu'11.?Yig lfO 180 days. Notification Center Th rs 1J'f r~{eB~n P~\!!ller -'1-- $ 40.00 in OAR 952-001 ;1)0'1 e ru es are set forth 2. CONTRACTOR INSTALLATION ONW"90. You may BtJt q,.t~M~~9.A6\:9~~llers ~ca~' h al'i.R~~~WU~6n:IJleA'ltl)erations Electrical Contractor ~ ._ _. ~ter'\N6lR'e~~e -? / . - --". .ur regon Utility Notification Address /~7'z. ~.~ ~nterisl-8~{j$~r less $ 50.00 ~~ ' 201 amps to 400 amps $ 60.00 Ci ty Z~ Phone 7;;L 9 - / S;oo 401 amps to 600 amps $100.00 . V' 601 amps to'1000 amps $130.00 Supervisor License Number ~fr'~-~ Over 1000 amps/volts $300.00 / 7 / ~ / !l.IQ,.ICE.Reconnec t Only $ 40.00 - Expiration Date '-7 ~ i"" EXPIREIFiHEWOrtt( - JliIS({GRMfl,li1~.h)' S~...m\llilS\\l~eders Constr Contr. Number b ?/'$7 iSt;- "'jfun10R~ID!Eli\t1ffiRr"Al~e.1'Jbt.ion or Relocation .., / "'~ORISABANDONEDFUH 'Expiration Date /L.-/ '1"1 COMMEN'lfflt) am.R~'or less S 40.00 ( ANY180~li'm'/>llJ.to 400 amps S 55.00 - Signatur~ of SupervisinK Electrician Over 401 to 600 amps $ 80.00 ~ ~ Over 600 amps or 1000 volts see "B" above / D. Branch Circuits Ovners Name 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not includec S 40.00 $ 40.00 $ 20.00 $ 36.00 {o Lf. () tJ t. "'0 ~(..l(1J , . . . . ~?... 'Willamalane ~,~ Park & Recreation District Job. No. S, 0 "tLlLf fV SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: G-,~~\0'Sl~\-~ ADDRESS: SQ!}4 \k\~ ~~. PHONE: STATE:~ ZIP: \1Ll11'L LOCATION OF PROPOSED BUILDING SITE: Street Address: S~'l ~ -m..~ \L..~.~ ~~ Plat Name: \~~O~~ Tax Lot Number: Oibca 1. DEVELOPIYIENT TYPE (Check appropriale dwelling(s). SDC calculalions and dwelling t ype delinitions are on Ihe back.) . A. Sinnle-FFlmilv DetFl~hecJ. Single Family home .' NO. OF UNITS \ . \ Manufactured home not in a park eo X $1.000 per unit = $ t~- B. Sinnle'-FFlmilv AttFl~hAd NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Hl)me PR~ NO. OF UNITS x . $699 per unit c $ WILLAMALANE SDC $ , , . ) 2. SDC CREDIT (If applicable) SDC-payer must fu""sh proof 01 WiUamalane Credit approval. See SOC Credit Worlcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) loou ~ $ ~h " b~k;~ment Services Department City of Springfield s- I 2-0 I 7'7 Date