HomeMy WebLinkAboutPermit Building 1999-11-30
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991437
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 492 NICHOLAS DR
Assessors Map #: 17032212
Lot: 9 Block:
Tax Lot #: 01900
Subdivision: ZACHARY PLACE
Owner: CRESCENT HOMES
Address: PO BOX 40866
Phone #: 344-2010
City/State/Zip: EUGENE, OREGON 97404
Describe Work: S.F. RESIDENCE
NEW
l
Contractor
Canst.
Contractor #
Expires
Phone
General: CRESCENT HOMES 0060298
PO BOX 40866, EUGENE, OREGON
Plumbing: CUSTOM PLUMBING 0081994
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: COMFORT FLOW 0000460
1951 DON ST #D SPRINGFIELD OR 97477
Electrical: ELITE ELECTRIC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
11/24/00
344-2010
05/06/00
485-1146
06/27/01
726-0100
06/10/01
688-5401
QUAD AREA: lRNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE u
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1770
To request an inspection, call the 24 hour recording at 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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
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.
UNDERFLOQR 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 wall/ceiling; Prior to cover
DRYWALL - Prior to taping.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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Job Number: 991437
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical 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.
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Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Coverage: 29.39%
Setbk From NPL: 48
N
Lot Sq. Ft.: 6023
Total Height: 20
Lot Type: INTERIOR
Setbacks
S W E
10 5
18 10
House
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1330
440
$/Square Feet
69.64
18.34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
surcharge/Admin
TOTAL CHARGE
(C)
- - - MECHANICAL PERMIT - --
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
WILLAMALANE SDC
CITY SDC
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
Value
92,621. 00
8,070.00
100,691. 00
435.25
43.53
478.78
Fee
160.00
160.00
16.00
176.00
6.00
4.50
9.00
3.00
22.50
10.00
2.26
34.76
0.00
60.00
1,000.00
2,296.19
3,356.19
4,045. 73
/2'. So
'i 171-.,. '3
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Job Number: 991437
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--- 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 ?f said ordinances.
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
282.91
Date Paid: 10/18/99
Receipt Number: 35923
MOORE Date: 11/24/99
By: LISA HOPPER
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
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 ~ite at all times during construction. /;I--~tl--~~
~,k{~_"_
Sigrtliture / Date
-/..
--- VALIDATION
Date Paid:
03''2.Qf
It/~./f'i
If( 7)..2.1/7
c{{J~
Receipt Number:
Amount Received:
Received By:
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ATTACHMENT A
CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT C!:!ARGE WORKSHEET
JOURNAL OR JOB NUMBER 991437
NAME OR COMPANY: CRESCENT HOMES
LOCATION: ":'12...-ffJZ NICHOLAS DRJVE
TAX LOT NUMBER 17032212-01900 LOT 9
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
BUILDING SIZE:
1770
LOT SIZE
6026
I. STORM DRAINAGE
INPERVIOUS SQ. FT.
2377.5
x
$0.232 PER SQ. FT.
$551.58 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48.27 PER PFU
$868.86 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 I
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
x
22.05
$22.05 I
$0.00 I
$10.00 I
TOTAL MWMC SDC $274.81 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) 1$2,186.851
NUMBER OF FEU's
PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
2. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$109.34 I
--.. -~
- ;~./~~
SDC COORDINA"jIl'JR
/o(~#9
DATE /',
TOTAL SDC CHARGES I $2,296.191
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUM8ER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODEL,. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURES
NEW OLD
I
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOILDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOSTHESW ASHER/MOP SINK
CLOTHESW AHER - 3 OR MORE
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTER FOR COMMERICAL SINK! DISHW ASHER/ETC.
SHOWER, SIGNLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN
URJNAL,STALLAVALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANIOUS:
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
2
o
o
o
o
2
o
2
o
2
o
8
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 18
2
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$ 3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXA nON DATE)
RATE PER $1,000
ASSESSED VALUE
$ 2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
x
x
'. $0.00
$0.00
CREDIT TOTAL $0.00
The following project es supmilted has the 0
zoning. and does not require" specific land use
approval
Zoning L...i)~ NtTICI:: .
Date I\-Ih,qq 1<:..) 711lJ"PERMITSHALLEXPIREIFTHE~IL-_
Aut~MW~~bJ& ':J 14 I ;1l:ffiiORIZED UNDER THIS PERMIT IS NO~lUCAL PERMIT APPLICATION
rnSPECTION REQUEST: 726-OO~ENCEDORISABANDONEDFc41ity Job Number 911'{3 7
OFFICE: 726-3759 ANY 180 DAY PERIOD. 3.
COMPLETE FEE SCHEDULE BELaY
1. LOCATION OF INSTALLATIOij
I.{q']. ,v'e-I.u / . A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
11,,'1. "2 '2-1 ').
."to.
D / '70()
JOB DESCRIPTION
SF(1-
Permits are non-transferable and expire
if york is not started vithin 1BO.days
of issuance or if york is suspended for
IBO days.
2. CONTRACTOR rnSTALLATION ONLY .B.
.~ Electrical Contractork/lk....rz:tcfr~.;twc.
Address.;?o..801' 1f2fGZ. <U,qel,'f:'; IJr "?..,~"
. '3,{r'-o11) .
City 12':fGUol-P Phone~:;:;7-ri'-<:l (
Supervisor License Number t}-/:S5> 0'
Expiration Date /Ci/"f/(j/
/
Constr Contr. Number
- Expiration Date
'. S~~:f Supervi
ectrician
-/
Owners Name C /l G 5 c.......r I/u-r.-t
Address /, ~ .15. y $'6 t (, t
k..
Owners Signature:
---------------r-----------------------
DATE: Ifn,'H'" .
RECEIPT R: J J;;;2~"
RECEIVED BY:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd' Home,or
Modulat:. 'Ollelling
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
Items
Cost
Sum
fr
. ( S 85.00
2-. $ 15.00
36
.$ 4b.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 10qu voLts
Branch Circuits
$ 40.00
$ 55.00
$ BO.OO
see "B" above
"
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
1'bSta te Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00
-
~ 2. One Circui t
Ci ty b7,. ~ ^TTI'.ho'1e,...:C~---~(~...MuiresyouE.a,ch Addi tional
v ^"^' -" I '- . - . ~ - . '. . ~Circui t or vi th Service
01lNER INSTALr InoN ~ules ad?pted by the Oregon Utll1(;r Feeder Permit
. KfCnlllcaliOn Cemzr. Ti'CEE (ules ar", set 10nl1
The installa tion irJ.lil/b~iI~g.rJia:del'oh~'rolJgl; 0?\'E152'Hilscellaneous (Service/ feeder
property I own v~ltl\l.l!S'i:notY iiit-endedies 01 t:l:' rulE'-=Eiich installation .
for' sale. lease or creift?the center. (Note: the t,;lephorp.ump or irrigation . $
numberforthe Oregon Utility NotificatSign/Ou tline Ligh t ing $
Centeris ~ .J'lr.n_",.,~."'M41. Limi ted Energy/Res $
Limited Energy/Comm $
not include~)
40.00
40.00
20.00
36.00
-
-
-
1(5~
\(-0 ~
I.of?
I z.'.JD
,
.
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~ -'
SYSTEM DEVELOPMENT CHARGE
WORKSHEET .
b t J1omof) .
ADDRESft.. & W 4DV ol ()
. .
LOCATION OF PROP;OSED BUILDlN<? SIT~: (\. _' .
Street Address: 4),\ ~.~ \\\ ~hn (}1) un V..Q./ .--?'I
Pial Name: Tax Lot Number: .\ f\()?,~\q lJL.I
1. DEVELOP NT TYPE heck appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
Job. No.
Qq \431
NAME:
PHONE: B44. '!JJro
STATE:~ ZIP: cti1Df-
A. Sinalp.-F~milv Dp.t~chp.li
( Single Family home
NO. OF UNITS
Manufactured home not in a park
l X $1,000 per unit = $ -1.D..fY). c:o
B. .$.inQIPc'-F~rnilv Att~chp.ri
NO. OF UNITS
X $924 per unit = $
C. "Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. .M:muf~ctlJrP.ri Home Park
$
$
lDCO.DO
~
$ \DOO.DO
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (II applicable) SDG-payer mustfumlsh proof of
Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
_ (i! SDC r uced for C
~,-,;"nt S,
City of Springfield
II
Date
I ? 0
/ /7