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HomeMy WebLinkAboutPermit Building 1999-12-6 ... SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991516 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 776 OLD ORCHARD LN, Assessors Map #: 17032343 Lot: 126 Block: Tax Lot #: 02102 Subdivision: RIVER GLEN 3R Owner: FUTURE B HOMES Address: P.O,BOX 7425 Phone #: 744-2660 City/State/Zip: EUGENE, OR 97401 Describe Work: S.F, RESIDENCE NEW Canst../ Contractor Contractor # Expires Phone General: FUTURE B HOMES 0036499 05/18/95 485-3176 3593 River pointe Dr Eugene OR 9740 Plumbing: CUSTOM PLUMBING 0081994 05/06/00 485-1146 3248 KENTWOOD DR EUGENE OR 97401000 Mechanical: ROLF'S HEATING 0033601 10/04/00 741-0002 P.O.BOX 66 DEXTER OR 97431 Electrical: BOB FISHER ELEC 0096275 01/25/98 689-7973 180 KINGSBURY AVE EUGENE OR 9740400 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: FP INSUL PATH: Pl OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: G SQ FOOTAGE: 3376 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG RANGE: G 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, ROUGH GAS - after line is installed and capped if not attached to an appliance 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. UNDERFLOOR 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: 991516 Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete, FINAL ELECTRICAL - When all electrical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL BUILDING - When all required inspections have been approved and the building is complete. N Lot Sq. Ft.: 11092 Total Height: 23 Lot Type: INTERIOR Setbacks S W E 12 10 18 Lot Coverage: 31,3 % Setbk From NPL: 19 Lot Faces: SW Topography: 2 Solar Approved: Y House Garage 6 Item Main Garage COVERED PATIO Total Value BUILDING PERMIT --- Square Feet x 2345 1031 96 $/Square Feet 69.64 18,34 15 Value 163,306,00 18,909,00 1,440,00 183,655.00 Building Permit Fee Surcharge/Admin 622.00 62.20 TOTAL FEE (A) 684.20 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160,00 16,00 TOTAL CHARGE (C) 176,00 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F.P. 4 6.00 4.50 12.00 3.00 5.00 4.50 Mechanical Permit Issuance Surcharge/Admin 35.00 10.00 3.50 TOTAL PERMIT (D) 48.50 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk PLAN REVIEW FEE WILLAMALANE SDC CITY SDC ELECT, PERMIT 0,00 90,00 100.00 1,000,00 3,021.08 220.00 TOTAL MISCELLANEOUS PERMITS (E) 4,431.08 SPRINGFIELD Job Number: 991516 Page 3 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) 5,339,78 --- 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: Plans Reviewed By: DON Building Site Reviewed 0.00 Date Paid: 11/02/99 Receipt Number: MOORE By: Date: 12/03/99 --- ADDITIONAL COMMENTS --- ASSESSED VALUE IS FOR ORIGINAL ACREAGE PATH 1, 5 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 QRS 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. ~. ~- J~ hi q 9 I , Date f -- - VALIDATION Date Paid: '3 ~ J ;2- j 2 -~ - 'i' } )"!J7:76 .u1~ """\ - Receipt Number: Amount Received: Received By: . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER 991516 NAME OR COMPANY: FUTURE B HOMES LOCATION: 776 OLD ORCHARD LANE TAX LOT NUMBER 17032343-02102 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE BUILDING SIZE: 3472 LOT SIZE 11092 I. STORM DRAINAGE IMPERVIOUS SQ. FT. 4521.0 x $0,232 PER SQ. FT. $1,048.87 I 2. SANITARY SEWER-CIT'( NUMBER OF PFU's (SEE REVERSE SIDE) 22 x $48,27 PER PFU $1,061.94 I 3, TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $486.73 PER TRIP x $486.73 PER TRIP TOTAL TRANSPORTATION SDC $491.60 I $0.00 I $491.60 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's x $242.76 PER FEU $242.76 I B. IMPROVEMENT COST: NUMBER OF FEU's x $22.05 PER FEU $22.05 I $0,00 I $10.00 I $274.81 I $2,877.22 I MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) x 0.05 $143.86 I S~ C:;c-KlJl~~::-' --- ~1K'f'" TOTAL SDC CHARGES I $3,021.08 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT = PLUMBING FIXTURE UNITS (NOTE, FOR REMODEL~, CALCULA TE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OILlSOLIDSIETC. INTERCEPTORS FOR SAND/AUTO WASH/ETC. LAUNDRY TUB/CLOSTHSWASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (1 PER TRAILER) RECEPTOR FOR REFRIGERATORIW A TER ST A TIONIETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL,STALLAVALL WASH BASIN/LAVATORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INSTALLATION MISCELLANEOUS: FIXTURES NEW OLD 2 UNIT EQUIVALENT 2 I 2 3 6 2 6 6 I 3 2 I 2 2 I 6 4 2 2 2 PLUMBING FIXTURE UNITS 4 o o o o 4 o o o o 2 o 2 o 2 o 8 o o o TOTAL PLUMBING FIXTURE UNITS=I 22 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL 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 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 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) 'x x L $0.00 I $0,00 CREDIT TOTAL $0.00 .......': ........u. 'C>j........ . The following project es submilled has the f zoning, and does not require specific Ian approval. Zoning LDfL- (2/10-"1'1 ~U.J 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 gl.F.CTRTCAL PERMIT APPLICATION Date 97477 726_37691uthorized Signature 7''7/5"/0 s.:~, ,;_:. Number 3. COMPLETE FEE SCHEDULE BELOV 1. ~~N ?h~T~~~J W, LEGAL DESCRIJTION /7/J: .2 '3 .,.. ~ IV,n OJ.-/02-, ~~ ;.S~;:~ON Permits are' non~transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: ' Items Cost Sum ~ .25... 1000 sq.ft. or less /..--" $ 85.00 Each additional 500 sq. ft or portion 5 thereof $ 15.00 Each Hanuf'd Home, or Hodular'DIlelling 40.00 Service or Feeder $ B. Services or Feeders Installation, Alterations or Relocation: Electrical ContractorMF.'sJ.e.r ~ It!. c rnc. Address..J.."g () J{ //1tldw"l J!)1.Ie.. Ci ty."'- u~ ~ f!.- Phone If, ~ q. 79'13 Supervisor License Number !)q 7,'i" - 5 200 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 Expira t ion Da te C. Temporary Services or Feeders Installation. Alteration or Relocation Constr Contr. Number~::J '15" Expiration Date $ 40.00 Ar-. $ 55. 00 ::;q..L $ 80.00 see "B" a,bove 200 amps-'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u Branch Circuits ~ Signature of Supervising Electrician ~p 'hd;) Owners Name FtJ T-LJ;ec R ,fbNt::'J' D. Address City Phone21:..,4-;?~ OVNER INSTALLATION VOlts i , ..... .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 The installation is being made on property I own which is not intended for sale, leas~ or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightinp $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: "2..eTJ /4- M 5. SUBTOTAL OF ABOVE 7;1[% State Surcharge 3% Administrative Fee TOTAL --------------------------------------- DATE: /~_-/".,- rl RECEIl'T I:' ., 7&:. '( n RECEIVED BY: _(/ A~ - 2.a:?, I'WJ . PUBLIC WORKS DEPARTMENT ADMINISTRATION ENGINEERING DIVISION MAINTENANCE 225 FIFTH STREET SPRINGFIELD, OR 97477 ; /lPPLlCATION ~A !':ECOND DRIVEW.al.t OVERWIDTH DRIVEW~ DATE: '/'-/qq :' , APPLICANT (pROPERTY OWNERI' ~ '8' ~ ADDRESS OF PROPERTY FOR DRIVEWAY PE~IT: 11 (. ().Q.O.. ~ f.e.,...- " APPLlCANrS TELEPHONE NUMBER: ( ? Lti) l~4-- Z-b6 (:) Please skalch the proposed drlv,,;"ay. Include the following app6cable ilems: house or building, proposed driveway, exlsUng drlvewey, and streel names, Include dimenslons and measurements 10 property 6nes, road Inlersecllons and bordering driveways, (See attachmenl for an exampla,) , I I J ~~ ~~ ~ ~'-X ~ ., ". ~ I,. 1// ~'1If',~ ---- :~I I I I , , I t:~ ~ . . ... l. oJ '.:.. ,. AU, APPLICATIONS OUTSIDE THE CITY LIMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN GROWTH BOUNDARY REQUIRE A LANE COUNTY PERMIT. '] Nole: The City of Springfield will nol granl a second driveway permil on an Arterial.or Collector SIreel:, , I I ADMINISTRATION/ENGINEERING (503) 726.3753 FAX (503) 726.3689 MAINTENANCE (503) 726.3761 FAX (503) 726.3621 . . 1, Property type: Single Femily Residence ~Plex ~ Other l 2, The proposed driveway will take access from which street ~_ 3, The distance from the edge of the driveway to the nearest comer (measured to the curb retuin) is \ '-.It'" feet ' , ' '. ' .,\.,~' .' ~. . I 4, The second driveway 'will l1.ive access 'to: ~garaile' c~'I"'rt_. side yard_ Other 5, T!>e distance from 'the property line to the garage: carport, fence, wall, or other, (where the vehicle is , to be parked) 'Is I 1;> feet. "', , .. .. 6, Will the proposed parking I storege erea 'create a vision obStruction to adjacent property driveways or to eny vehicular movement on a public street? (See vision clearance attachment) 1I6 Applicant hereby agrees to InstaD the requested driveway to City of Springfl8ld standards. The applicant further agrees to have 6" of concrete In the sidewalk area (adjacent to the driveway), and to pave the area behind the back edge of the sidewalk, or driveway apron, with a minimum depth of 3" asphaltic concrete or 6" of porUand cement concrete. The area behind the sidewalk shaD be paved a minimum of 18 feel. The applicant agrees that if helshe does not pave the area behind the sidewalk within 3D days of cutting the curb opening, the City of Springfl8ld has the authority to close the driveway access by removal of the curb cut. AD Incurred cos1s shaD be essumed by the applicant and if unpaid, said cost shall become a lien of the property, When this appllcaUon Is approved by the City, the applicant must obtain a curbcuVdriveway permit from the Public Works Department, Engineering Divisio~, . C':lmcut f ,?riv@~" Pp-rmit Fp,p, . , a, On an Improved street (exisUng curb): $10.00 plus $,15 per IInealfoot of curb cut. b, On an unimproved street (no curb): $12,00 ' c, On currently unimproved streets that are under construction: $12,00 PROPERTY OWNER'S SIGNATURE:, ~~.......-:' , U ~ '-J APPROVED BY: ~ ~ 'S 1/)e P$N 1r(LVt. , (TRAFFIC DiVISioN ; DATE:YVAtt - . DATE: BUILDING PERMIT NO,: Q9/5/~ DATE' TRA9-1 ATTACHMENT: Vision ,Clearance, Example #1 . ..j. II I I 'I I I . ~ .' '1 . Job. No. 99/5/6 " SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: . FUTtlff- .8 ,ilwCJ PHONE: ADDRESS: ~ 7~2S ~, STATE: 1'/.4 ZIP: '17101 LOCATION OF PROPOSED BUILDING SITE: Street Address: -2 '7/;? t0tlJ (5ecl#tcl ~ Plat Name: ~J/6f tfh)-7,~ ~ Tax Lot Number: /7~J 23 -/J ~ C/ZI02- 1. OEV,ELPPIY.lENT TYP,E (Check appropriate dwelling(s). SDC calculations and dwelling t ype deflrilUons are on the back.) . A SinolA-F8milv DAf8ChAd, ~Single Family home Manufactured home not in a park NO. OF UNITS J X $1,000 per u~it = $ I/)/)()-- -- . ' B.' SinolA'.F8milv Aft8chAd NO. OF UNITS X $924 per unit = $ C. Muffi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. f.AMllf8rnllrAd HnmA PR~ NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ 2. SDC ~REDIT (if appficable) SDQ-payer must lumlsh proof 01 WiUamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced lor Credit) . .~~ Developmerh'~ces Departinent City of Springfield ILl Date $ ----'-7'11) I) G I If 6t>