HomeMy WebLinkAboutPermit Building 1999-12-6
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991560
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4028 NORTH ST
Assessors Map #: 18020611
Lot: 30 Block:
Tax Lot #: 05300
Subdivision: JASPER PARK
Owner: DENNIS MINIUM
Address: 8745 THURSTON RD.
Phone #: 7478495
City/State/Zip: SPRINGFIELD, OR. 97478
Describe Work: SINGLE FAM. RESIDENCE
Const.
Contractor Contractor # Expires Phone
General: DENNIS MINMUM 0062682 12/11/99 747-8495
8745 THURSTON RD SPRINGFIELD OR 974
Plumbing: DON LEWIS 0054556 06/06/92 363-3426
Mechanical: MARSHALL'S 0025790 12/23/99 747-7445
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: ANTONE ELECT. 0082835 05/19/00 688-4444
27514 SNYDER RD JUNCTION CITY OR 97
QUAD AREA: 3RNC
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1849
FLOOD PLAIN: N
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
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.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPRINGFIELD
.
Job Number: 991560
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.
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 7807
Total Height: 17
Lot Type: INTERIOR
Setbacks
S W E
7.5 13
20 13
Page 2
Lot Coverage: 24.84%
Setbk From NPL: 48
N
House 35
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1380
469
$/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
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
96,103.00
8,601.00
104,704.00
444.25
44.43
488.68
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
80.00
1,000.00
2,462.96
170.50
3,773.46
4,472.90
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Job Number: 991560
Page 2"1
Meehanl:
Issuance
Surcharge/Admi
"} a:. /1/, '2. CjVlel/ll)><<)
JT:;;t FeeS
(D)
34.76
TOTAL PERMIT
Surcharge/Admin
Sidewalk
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
0.00
60.00
80.00
1,000.00
2,462.96
170.50
TOTAL MISCELLAN~/PERMITS
TOTAL AMOUNT DUE
3,773.46
(Exc1ud g Electrical)
~s otherwise noted
(A, B, C, 0, and E combined)
--- 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: 0.00
Received By:
Plans Reviewed By:
Building Site Reviewed By:
Date Paid: 11/01/99
Receipt Number:
Date:
--- ADDITIONAL COMMENTS ---
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 ORB 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 d at the front of the property, and the approved set of plans
will he site at all times during construction.
t'~
./ / -'"
/2....-~-J5'
Signat:U.re
Date
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Job Number: 991560
Receipt Number:
Date Paid:
Amount Received:
Received By:
-- - VALIDATION
1~.'? -fr
/2....{O -If
441'2.. ."0
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Page 3
JOURNAL O~B NO. qe; I ~c.,o
ATTACHMENT A .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
NAME OR COMPANY:
~Nllh.< I-1J1Vlt.J.....
LOCATION:
4()7~ N(}RT"# 4.,...
DEVELOPMENT TYPE:
C,F~
BUILDfNG SIZE:
LOT SIZE
SQ. Ft.
I. STORM DRAfNAGE
2"Sy 16 =- JS8
"'.yCr ~ 1210
.,. - 3~
t ..,,]tJ -: '78
~, y,S -
IMPERVIOUS SQ. FT. 7. c.'ib X $0.232 PER SQ. FT.
,
S c./7,.87
2. SANITARY SEWER-CITY
NO. OF PFU'S 2..0
(See Reverse Side)
X $48.27 PER PFU
~qt:~. 40
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
X 1.0 I X $486.73 PER TRIP
$ <I'V. tr>
X
X $486.73 PER TRIP
s
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 2<R. 7b PER FEU
S 24-7..2fa...
, B. IMPROVEMENT COST:
.NO. OF FEU'S
X Z.Z. 0... PER FEU
TOT AL-MWMC SDC
$ . ;>-:z, ex-
<$ >
$ 10.00
$ 274-.$/
U. 7,45.~
$ 117.z.g
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMfNISTRA TIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
, .Bt.. Date: /1-;'!-9?
SDC Coordinator
. ATTACH'A.WPD
TOTALSDC
$ 7. 46z."'~
j<'1XTUJ:U.; UNiT CALCULATiON TABLE: Number of New Fi_s X Unit Equivaleni = Fixture Units
(NOTE: For remodels. calculate only the.additional fixtures) . -
, 'NUMBER OF UNIT FiXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub................ ................ ....... .............. .................
Drinking Fountain. ........... ..................... ................ ....
Floor Drain............ .............. ...................... .... ............
Interceptors For Grease/OiVSolids/Etc.....................
Interceptors For Sand/Auto Wash/Etc......................
Laundry Tub/ClotheswasherlMop Sink....................
Clotheswasher - 3 Or More......................................
Mobile Home Park Trap (I Per Trailer)...................
Receptor For RefrigeratorlWater Station/Etc...........
Receptor For Commercial SinkJDishwasherlEtc......
Shower, Single Stall.................................................
Shower, Gang........ ............. ......... ................ ..........,..
Sink: Bar, Commercial, Residential Kitchen............
Urinal, S talllW all. ........................................... ..........
Wash Basin/Lavatory, Single...................................
Toilet, Public Installation.... ....................... ..............
Toilet , Private..........................................................
Miscellaneous:
-;z....
2
I
2
3
6
2
6
6
I
3
2
IIHead
2
2
1
6
4
~
-z..
'2....
TOTAL FIXTURE UNITS =
CREDIT CALCULATION TABLE:
credits separately.
'[
4-
4-
z.
:z..
8
20
Based on assessed value. If improvements occuITed after annexation date in table. calculate
Year Rate per $1,000
Annexed Assessed Value
1989 2.18
1990 1.75
1991 1.35
1992 1.17
1993 1.03
1994 0.86
1995 0.71
1996 0.57
1997 0.39 ~
1998 0.18
Year
Annexed
Rate per $1,000
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
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 DR.\INAGE
(For Estimating Purposes Only)
ResidentiaL........................ 0.4
CommericaL...................... 0.9
industriaL.........................;.. 0.5
GovemmentaL................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
c:J9/51/2
NAME: J)EJ.Ji.l/ 5 M jAil U/VI PHONE: 7? 7- 81' 7' -?
ADDRESS: ~ 7f5" .Tf/t,(/t.t5TDA)~, STATE: J)k' ZIP: 77f7f3 . I
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 4t:J2-6~!J:I s;--
Plat Name: Lti!qlhT,(jJAtlk Tax Lot Number: /~C>2. t!J~J) ~~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype delinitions are on the back.)
A. SinolA-Fllmilv DAtllr.hAO
V"i;ingle Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ ) 6V 0 .
B. ,SinaIA'-Fllmilv Attllr.hAO.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. tJI11nufllctUrAO Home Parl\
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$
2. SDC CREDIT (II applicable) SDG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced for Credit)
$
IItfr U
(
~
Development Services'Department
City of Springfield
/2-1 c.. 1 II
Date
. .
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The. fOllowing projecf es submitted hes the following
zonIng, and does not require specific land use
approval
Zoning 'L. Dr<-
225 FIFTH STREET Dale I '2..-<&>- i "I
SPRINGFIELD, OREGON 97477 , .. \
INSPECTION REQUEST: tiW'..9j7lJ9Signature ~
OFFICE: 726-3759
1. LOC!:J'.Y?/ OF INST~LATIO!!.JJ'
._. :2. ~ _~ ~Jj.l
LEGAL DESCRIPTION
_/9J D 7- rJ(D JI /)~ 3('!fl
JOB DESCRIPTION
:<;'F./~~
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Permits are non-transferable 'and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
sr
2. CONTRACTOR INSTALLATION ONLY
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Electrical contra'ctor~"'f? ;:&:,d--
Address2'7S/</ 6rt~_t..v Rd_,
City ;r(l.:.. Ph~neJ,;jJ8 rff<j
Supel"visor License Number :J (')(') t, 5
Expiration Date. ///D/O/
'" t~~~~/L
Constr Contr. Number ~-......,'4' n '\
Expiration Date / / / () / tl'?
Signature of Supervising Electrician
U/YA-(? ~ ~
Owner~ Name ])1i'll.')J(d/1~J/L.(p/
Address
City Phone-2~7..M'5'
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease.or ~ent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
/2. -~ - 'I '1
~(:./~~
~~~'1
ELECTRICAL PERMIT APPLICATION
City Job Number
~5'/5"~o
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
~~
-'--'::::.. $ 85.00
Z $ 15.00
32
.$ 40.00
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'
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less t..--
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00 4D
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
."
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00'
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
1~% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
/~~
/O.~
4.. '-oS
J-i~ CO
-'7/C/o-
40.00
40.00
20.00
36.00