HomeMy WebLinkAboutPermit Building 1999-6-7
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990646
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 867 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 54 Block:
Tax Lot #: 02800
Subdivision: RIVER GLEN IS
Contractor
^i'lt:~ITlf"\l'.I..'-"",. . '.... ,....... ..................... .J...... L:-
. f~~ftJl~~ aZiibr#J aV-the -O;eg~n' Utility
C1 ty / Sta teNoiillcatfOlY€!l~f,lt9f. 'f~lo1;&1ules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obfc.lfl'f caples of the rules by
n~~"ji~~ t~~ng~~~~~;i:~: ~g~~~~~;~n
Con tr ac tO~eHter iJ=fJ?,t'U-<}j'32-234!lfone
Owner: FUTURE B HOMES
Address: P.O. BOX 7425
Describe Work: S.F.RESIDENCE
General: FUTURE B HOMES 0036499 05/18/00 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/00 362-5233
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: ROLFS HEATING 0020240 10/04/00 741-0002
Po Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/00 689-7973
180 KINGSBURY AVE EUGENE OR 9740400
QUAD AREA: 2RNW
CONSTR. TYPE: VN
WATER HEATER: G
sQ FOOTAGE: 2216
OFFICE USE --
LAND USE: 1111
# OF BDRMS: 3
RANGE: G
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: PI
:~'f8C~:
To request an inspection, call the 24 hour re~~~~~Alt-3769.
AUTHORIZED EXPIRE It=n..r:
All inspections requested before 7:00 a.m. ~~~CmaUUVes~~~Rt~~~,
inspections requested after 7:00 a.m. WiIIA~naC!~ ~~~~A8WiD$_~~~T
80DAYPERI '""VUUNEDFoR
REQUIRED INSPECTIONS ___ OD.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
UNDERFLOOR PLUMBING - 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
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.
wall/Ceiling; Prior to cover
Job Number: 990646
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.
Lot Faces: N
Topography: 2
Lot Sq. Ft.: 7174
Total Height: 22
Lot Coverage: 31.6 %
Lot Type: INTERIOR
N
Setbacks
S W
35 12
E
6
8
House
Garage
18
Item
Main
Garage
COVERED PORCH
Total Value
BUILDING PERMIT ---
Square Feet x
1743
473
60
$/Square Feet
69.64
18.34
15
Value
121,383.00
8,675.00
900.00
130,958.00
Building Permit Fee
Surcharge/Admin
502.75
40.22
TOTAL FEE
(A)
542.97
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
3
6.00
4.50
9.00
3.00
5.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
32.00
10.00
2.56
TOTAL PERMIT
(D)
44.56
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLN.REVIEW FEE (HR.)
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
0.00
60.00
60.00
120.00
1,000.00
2,343.45
183.60
TOTAL MISCELLANEOUS PERMITS
(E)
3.767.05
Job Number: 990646
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,527.38
--- 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.
Received By:
Plans Reviewed By: DON MOORE Date: 06/03/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH I
DRIVEWAY REQUIRED TO BE PAVED
I 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 the site at all times during construction.
{, /1 / '1 q
Da~e
-- - VALIDATION
Date Paid:
IH ((5~(,
bhlf1
:; ~7J
Receipt Number:
Amount Received:
Received By:
.
.
. P?... Willamalane
t,,,,!, Park & Recreation District Job. No. 9.cto C/{(,
fV SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: If ~ 1S.
ADDRESS:~D.~()'l l.~ I cr-lH.~....
~ '-'
PHONE: {.'-II..{ -:J. b.c D
STATEOI/\ zIP:91'i..c~1
lOCATION OF PROPOSED BUilDING SITE:
~~ 1 () QJ (),~ 'r ~,t\l rt ~
Tax lot Number: Od ~CJD
Street Address:
Pial Name: ~ 1. a ~ q 3-
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculali~ns and dwelling t
ype definitions are on Ihe back.)
A. SinoIA-F::lmilv OAt::lchAQ
~
Single Family home ..
NO. OF UNITS \
Manufactured home not in a park
$ Lr~ -, Q!2
X $1.000 per unit = u L...:C>
B. ~in(JIA'-F::lmilv Att::lchAd
NO. OF UNITS
X $924 per unit = $
C. Multi-F::lmilv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufacturAd HomA Pmt
NO. OF UNITS
X $699 per unit = $
WlllAMAlANE SDC $
. )
2. SDC CREDIT (If applicable) SOc-payer must furnIsh proof of
Willamalane Credit approval. See SOO Oredit Worksheet. $
3. TOTAL WlllAMALANE NET SDC ASSESSED
(If SDC reduced lor Credit)
$
J /J77D ,C-.D
~~ ..
Development Services Department
City of Springfield
(;
,
7,
1)
Date
SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City Job Number~!?~
3. COMPLETE FEE SCHEDULE BELO\I
1. LOCATION OF _:j:'OTMA~ ~ /."
9:,(-,7 Y'i/" ~ I A. New Residential-Single or
. - Multi-Family per dwelling uni t.
LEGAL DESCRIPTJ;ON NOrlCElt!rvice Included:
/7/?:? -2.~ 4."? /?2WJO TH/SPEAMlrSHALLEX Items
. -- , . PIAEIFTHEWOAK
JOB DESCRIPTION AUTHOA/4J01)OJN36RtHIg>j!iI=i!lf?MIS ..L...- $ 85.00 f?,. ')ftJ
'5 F I?~. COMMEN~b~lid.Mj.qIH~..I 9'00 I~UI
, . ANV1800Aell.- 'f'f'Clr"jlWMiWOA
Permits are non-transferable and expire t~~eD. ~
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for' Modular .Dwelling
180 days. Service or Feeder
AnENYJON;Oregun law requires you 1\0 "
2. CONTRACTOR INSTALLATION ONLY fcJllQW Ii.l1g~~!l!J~tE.?ro!p',%<tljlb~on.Ulility
. /J } F Notificatkl1!'~eM_i!.t1,9!}ge~u~e~~M5grl&rth
Elec tncal Contrac tor VO b '~hl"r I'/t"l' Tin-GAEl !:?J2-~3t'<?ftiIMR,IoU9h OAR 952-001-
/ ('/ /'\ / / , / t1 . --e69tfY~~ll1av obtain cr.miA~ of the rules b~ $ 50 00
Address X U ~, /,&;" Pl./, V' /.-/-LLlLe--, callin. rYe e'li\mp,~ rO/l\;o?iedssno tolor. .
.~, / 1 !fi B!~ 'ro' "f) ampS''''''v"" $ 60.00
City~uq'p Jl.P Phone...r.tj/-bW-?f~be41r~&IH!t\19r60'EiitliAlP1lif,,,,,"ulI $100.00
/ . 601nt~mps1-t2nf6ocr.1Cni'ps $130.00
Supervisor License Number -d: c?9 'JS -5 Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Expiration Date /0/19// f?t:?
d;r c.
Constr Contr. Number -:2 [) --3,5,:2 c..
Expiration Date / D/ IJ~/ t:?'1
Signature of Supervising Electrician
Owners Name ~ 'B ~
--
Address:{ D '~. 1Lff-J
City~~ P~ ll(-q.-2-.l,(;O
O~INSTlf~ N
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------7-/-----------------------------
DATE: r; 7 f'i
RECEIPT #: In'-l'1, I.I'f .4-a..1
RECEIVED BY: ev ....
Cost
Sum
S 15.00
<ls,DO
S 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less v
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 40,00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL .
S 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/7fJ,OO
'f? .050
e?:/O.
'A ~ ~-O-
/V:)>
. ... JOUR~OR JOB NO. qq Ob4(.
AlTACHMENT A . .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: FU-ru 12.5 B WOh6<;
LOCATION:
r;?r.-,7 rJLn /'J12.('",.4-~ '--AAJ~
DEVELOPMENT TYPE:
~F\'2
I'
,
BUILDING SIZE:
LOT SI7~
SO. F t.
1. STORM DRAINAGE
IMPERVIOUS ,SO. FT. 7. q;G
X $0.227 PER SO. FT. $ c. c.(" .(.7
2. SANITARY SEWER-CITY
NO. OF PFU'S If/..
(See Reverse Side)
X $47.14 PER PFU
$ g 41, "l ;;v
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
(
X /.nl X $475.32
$ 4Ro,o7
x
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
oc)
NO. OF m:r-S . x "271:44- PER FEU
$ 2.77.#
B. IMP~OVEMENT.COST:
NO. OF 4D~s (
X 2~. 'l.P PER FEU
$
z.5", -z.o
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ - 7!J-. 84- >
$ 10 DO
TOTAL-MWMC SDC $ z.~. gO
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATrv~ ~~~s:
BASE CHA~E~UBTOTAL ABOVE) X .05
I-J?~ Date: S-I1'-'19
SDC Coordinator
ATTACH'A.WPD
$ "Z ::z ": I...dJCP
$ ,1/.5'1
TOTAL sac ~.34-~. 45"
FIXTURE UNI.T CALCUL~ION TABLE: Number of New FiX. X Unit Equivalent = lii~ture Units
(NOTE: For remodels, calculate onl. NET additional fixtures)
- NUMBER OF UNIT FIXTURE'
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
Drinking Fountain.....................................................
Floor Drain......................... ..,....................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher..... ..............................
Clothes washer - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratoriWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....,...........................................
Shower, Gang..........................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StalliWall.......................................................
. Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
-z.
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4:
'2-
"2....
"2....
-:z...
"Z-
"Z...
ff
TOTAL FIXTURE UNITS
=
)~
CREDIT CALCULATION TABLE:
calculate credits separates.
II
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
]1
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988 ,.
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
<<:"'''0''
1991
1992
1993
1994
1995
1996
1997
-$.1.98
1.JiJi --------.,
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
/,~ X $ 4l.9"?O
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
7S-. J14
Improvement (if after annexation date)
=
= $
7C84-
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo.ses Only)
Residential...........................0.4
Commerical......................... 0.9
Industrial............................ 0 5
Governmental...................... 0.5
FIXUNIT.WPD
iMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT