HomeMy WebLinkAboutPermit Building 1999-6-1
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990645
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 879 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 53 Block:
Tax Lot #: 02700
Subdivision: RIVER GLEN
Owner: FUTURE B HOMES
Address: P.O. BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE OR, 97401
Describe Work: S.F.RESIDENCE
NEW
NOTIC-E: C
THIS PERMIT SH~~~lIDtfrT1jjEWQ~res
AUTHORIZED UNDER THIS PERMlTIS Nu I
FUTURE B HOME~""MI=Nr.F=D OR ~ABAAOONED FOR> 5 / 18 /00
3593 River Po~"rrr~~ne OR 9740
CUSTOM PLUMBIMlIY180DAVpERm1l006 05/06/00
4894 Newtown Ave SE Salem OR 973020
Mechanical: ROLFS HEATING 0076473
PO Box 1252 Eugene OR 974400000
Electrical: BOB FISHER ELEC 0096275 01/25/00IeC\uiPjl;9fOi-~":n
180 KINGSBURY AVE EUGENE OR 9740400 1'l,ION:OrOgoo laWheOlegoo UtlllW{\h
p;rn~ . __. ~r\"oted bY t ":J.'^'" "Ie set 10_
OFFICE USE -- 10\\OV'l',"'-ceotel.100""" hOAB95't-vv1
LAND USE: 111<;l\otilicatlo~ 001-001 0 ,#,1'i3~~!l~gS?l~es by
CONSTR. TYPE: iWeAB 95 ~ay obtail)f.m;~~RJ~.\e:P\1P~e
WATER HEATER: ~90. :OUt\1e ceotel. ~I\\tfNotilicatlOO
SQ FOOTAGE: 204 3ca\1I0;IIOI t\1e Olegoo_33Z_Z344).
oumb CM,IPr is 1-800
To request an inspection, call the 24 hour recording~at 726-3769.
Contractor
Phone
General:
485-3176
Plumbing:
362-5233
10/04/00
686-4927
QUAD AREA: 5RNW
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: PI
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 MECHANICAL - Prior to insulation or decking.
UNDER FLOOR PLUMBING - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
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.
, *,
Job Number: 990645
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.: 7380
Total Height: 22
House
Garage
N
13
Setbacks
S W
E
13
7
Item
Main
Garage
COVERED PATIO
COVERED PORCH
Total Value
BUILDING PERMIT ---
Square Feet x
1598
445
98
126
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW ADJUST
WILLAMALANE SDC
CITY SDC
ELECT,PERMIT
TOTAL MISCELLANEOUS PERMITS
Page 2
Lot Coverage: 31 %
Lot Type: INTERIOR
$/Square Feet
69.64
18.34
15
15
(A)
(C)
(D)
(E)
= Value
111,285.00
8,161.00
1,470.00
1,890.00
122,806.00
484.75
38.78
523.53
Fee
160.00
160.00
12.80
172.80
6.00
4.50
9.00
3.00
5.00
4.50
32.00
10,00
2.56
44.56
0.00
60.00
60.00
3,03
1,000.00
2,371.87
183.60
3,678.50
Job Number: 990645
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,419.39
--- 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
310.70
Date Paid: 05/13/99
Receipt Number: 034000
MOORE Date: OS/28/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECT.PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 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.
-
bh /1''1
D,*el
-- - VALIDATION
Date Paid:
/J~'I}. 7 /
r; If 177
i(, ~(9. ] 'fa
MWaJI
Receipt Number:
Amount Received:
Received By:
The,lollowlng project as su~milt9tl haS the following
zonmg, and does not require specific land use.. ....
225 FIFTH STREET approve/. ~w:;CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning LIJ!Z-- '
INSPECTION REQUEST: 72ltf~769 (, _I -<1 '7 \.1':.Y Job Number 7' 'j t:J ~ -rf.. . cr-
OFFICE: 726-3759 ee
AUlhorlze!},lQl.ACf' l("u.h. COMPLETE FEE SCHEDULE BELOV
1. ~C~~N ijL-L~~~:RMITSH~EM~IRIRJfs~~' . -Single or
OMILt::DUNDER1'll/iStddi'. r d",elling uni t.
LEGAL DESCRIPTION COMMENCEDORISABA~'c'e1 td:
J70~ '?~7. 4~ e.~~'PER/OD. NEDFOA Items Cost
JOB DESCRIPTION 1000 sq. ft. or less l-- $ 85.00 13 5"
,~ Fill Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'D",elling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ATTENTlOI'B\)re~~jljy&i,~FolttUJ1el~e~ers
tf2 h r: fO"0"Y~lesadoPt~UWMJ~!~nrA11?erations
Elec !rical Con trac torUfl 1:'".J/lDPlifl8~P1I~. qlf1cN;ataca't'~lSl1 !1il7ifllY
In OaR 95:Mro'i un . If;l::; are set orth
AddressJ-~ D /{.//7f'f>h vr.f40~maY~btI1 ~~'tlfJ1~Ml!i~g01.
r ca"LI)~ ter fl~ ~ iSe,{(J0>S.h1)ps
City ~WQP/le Phone..)ijl-.G.~:~o 4 O~~ti?~Rt~famps
/ 'c . r~ ~M Wi /llQilftooOOnamps
Supervisor License Number#', <jql) .)"_~terls 1'aO~t3~mps/vol ts
Reconnect Only
Expiration Date /~~/~~~
, /
Constr Contr. Number ~.::7yj -3",)"..:7 C'..
Expiration Date /o,h;/~q
Signature of Supervising Electrician
'1ft(J p:;- ~
Permits are non-transferable and expire
if ",ork is not started ",ithin 180 days
of issuance or if ",ork is suspended for
180 days.
O",ners Name ;=U,!1l~M . ....I~~
Address f O. f5;J lC 7'f L)"
Ci ty L..~ Phone ~l:r:.- 3/?fR
OVNER INSTALLATION
The installation is being made on
property I o"'n ",hich is not intended
for sale. lease or rent.
Owners Signature:
DATE~-c~-~f~--------------------------
RECEIPT 11: _IJ ~ "( l- 7~. I "
RECEIVED BY: ~w..v"
Sum
~
~
$ 15.00
$ 40.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
.....-
$ 40.00 .1:!2
$ 55.00
$ 80.00
see liB" above
volts
"
Ne"" 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 ",ith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/7(J,DO
~...",
</0
-1.,.,..,- ? -6..Q..
,/b"".
.
.
- ~,~ -Willamalane
'"t"'l.."'f' Park & Recreation District Job. No. '\<1.0 ~t{L
,..V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
, Street Address:
-
NAME: tJ ~UA_o_,R
ADDRESS: ~.Q ~~ "t~ I.li...~wo
LOCATION OF PROPOSED BUILDING SITE:
~1q O..~~ a\q~l.tu.J ~.
O~(UO
PHONE: 14/.I-~"O
STATE: 0",. ZIP: l:\.1t.ttH
Plat Name: \ 1 (') ~~ 'i ~
Tax Lot Number:
1. DEVEL9PMENT TYPE'; (Check appropriate dwelling(s). SOC calculallons and dwelling t
ype definitions are on the back.)
-
A. SinQIA-FRmilv DAt~
7C Single Family home "
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \ CJtJn ~
B. RinoIA--FRmilv AttRched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufllQU,rArf Home PR'li
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC \ $
2. SDC CREDIT (It applicable) SOCopayer must IU~Sh prool 01
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SOC reduced lor Credit) $
~\~ '
De~opment Services Department
City of Springfield
o
Date
I
(
,1f
,'.'. . , .'" ,'.~ ~ JpURtJA.L OR JO~ NU,' qqO(,.,f~
, ATTACHMENT A . ','
CITY OF:SPRINGFIELD SYSTEMSDEVEL1)PMENTCHARGE
WORKSHEET
NAME OR COMPANY:
nH-ll/ll ~ ~IU\
'?, ~ ()id) 0 (\ch:iJlcfl ~WltJ.
LOCATION:
DEVELOPMENT TYPE:
SFD
BUILDING SIZE: dO +.2
LOT SIZF 7720
SQ. Ft.
1. 5TQRM DRAINAGE
, 204-3+ x{ao) + ;;lOZ
IMPERVIOUS SQ. FT. Q%5\ X $0.227 PER SQ. FT. $ lA 1, I!Z.
2. SANITARY SEWER-CITY
NO. OF PFU'S ~
(See Reverse Side)
X $47.14 PER PFU
$ ~ 5. {k
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X 1.0 I' X $475.32
$ 4Bn.07_
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X z-n# PER FEU
$ 211.44
B. IMPROVEMENT COST: .
l
NO. OF FEU'S
, X 2.6.20 PER FEU
$ 25.:20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ {G,. (03 >
$ 10.00
TOTAL-MWMC SDC
$ 2.. 3(" , 0 I
$ '2 -z.51{ . Cf.?-
$ II 2.'15"
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05,
\J\t1:> L
SDC Coordinator
AHACH"A.WPD
Date: 5 !~~
TOTAL SDC
~ 'l-<"ll ,<;t,l
FixtURE UNIT CA~UL_IOi\tT~BLE: NU~b:~.Of NewFlxt.x'unit Equival~nt l" Fixture Un!ts
(NaTE: For remodels. calculate onl~ NET addItIonal fIxtures) , .',.'. ^ ,
NUMBER aF UNIT FIXTURE '
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub..................................................................... .
Drinki ng Fountain.....................................................
Floor Drain...... ........ ......... .......:..... ............................
Interceptors For Grease/ail/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.............. .....................
Clotheswasher - 3 ar More.....................................
Mobile Home Park Trap (1 per Trailerl..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL................................................
, Shower, Gang......'...................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, StallIWal1. .....................................:.......... ......
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private........................................................
Miscellaneous:
I
'2...
2
1
2
3
6
i
6
6
1
3
2
1/Head
2
2
1
6
4
K
t
z...
\,1 .
7-.
I
J
,2
2>
-LJ.J
.-1/
TOTAL FIXTURE UNITS
\~
=
. CREDIT CALCULATION TABLE: Based on assessed value.
calculate credits separates.
f
Year-.
Annexed
Rate per $1,000
Assessed Value
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
, If improvements occurred after annexation date in table,
II
, Year
Annexed
Rate per $1,000
Assessed Value
'1989
1990
1991
1992
1993
1994
.,", .1.995
1996
1997
$1.98
1.55
1.15
0.96
0.B3
0.67
0.52
0.38
0.21
'J
=
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
4g.# X '$;I.~
'""'1(D .V;~
(Rate X Assessed Value I
X ,$ =
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STo.RM DRAINAGE
(For Estimating Purposes Only)
Residential............................ 0.4
Commerical......................... 0.9
Industria!:........................... 0 5
Governmenta!:..................... 0.5
FIXUNIT.WPD
I:v1PERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT