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HomeMy WebLinkAboutPermit Building 1999-12-6 . Page 1 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 . , 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 . Job Number: 991560 Receipt Number: Date Paid: Amount Received: Received By: -- - VALIDATION 1~.'? -fr /2....{O -If 441'2.. ."0 ~Af?/~ 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 . .. . ~ - 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 . . . 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./~~ , 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 ., 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