HomeMy WebLinkAboutPermit Building 1999-12-6
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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.
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Date f
-- - VALIDATION
Date Paid:
'3 ~ J ;2-
j 2 -~ - 'i' }
)"!J7:76
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Receipt Number:
Amount Received:
Received By:
.
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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,)
,
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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
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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
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