HomeMy WebLinkAboutPermit Building 1998-11-16
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SPRINGFIELD
,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981335
Page 1
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 919 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 49 Block:
Tax Lot #: 02300
Subdivision: RIVER GLEN 1
Owner: FUTURE B HOMES
Address, PO BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
General: FUTURE B HOMES 0036499
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: ROLFS HEATING 0102455
PO BOX 66 DEXTER OR 974310000
Electrical: BOB FISHER 0096275
180 KINGSBURY AVE EUGENE OR 9740400
05/18/99
05/06/00
10/04/99
01/25/99
QUAD AREA, 2RNW
# OF UNITS: 1
CONSTR. TYPE, VN
WATER HEATER, G
SQ FOOTAGE: 2240
OFFICE USE --
LAND USE: 1111
ZONING CODE, LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE, FG
INSUL PATH, PI
To request an inspection, call the 24 hour recording at 726-3769.
Phone
485-3176
485-1146
686-4927
689-7973
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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.
UNDER FLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR 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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
DRYWALL - Prior to taping.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCUT - 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
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SPRINOFIELD
Job Number: 981335
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.
Page 2
Lot Faces: N
Topography: 2
Solar Approved: Y
Lot Coverage: 32 %
Setbk From NPL: 24
N
House 00
Garage 20
Lot Sq. Ft.: 7004
Total Height: 23
Lot Type, INTERIOR
Setbacks
S W E
39 9 12
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1720
520
$/Square Feet
64.66
16.27
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 2
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE W/H
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
TEMP/ ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
(Cl
(D)
(El
= Value
111,215.00
8,460.00
119,675.00
478.00
38.24
516.24
Fee
160.00
160.00
12.80
172 . 80
6.00
4.50
6.00
4.50
3.00
5.00
29.00
10.00
2.32
41. 32
0.00
12.55
16.75
2,427.37
1,000.00
183.60
3,640.27
4,370.63
SPRINGFIELD
Job Number: 981335
Page 3
--- 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, 310.70 Date Paid: 10/26/98
Received By: AL WARD
Plans Reviewed By: AL WARD Date: 11/16/98
Building Site Reviewed By: LISA HOPPER
Receipt Number: 31866
--- 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 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.
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--. VALIDATION
Date Paid:
-:;"'LO {" ci
II - \ II -4 <i
?37t9.~3
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Receipt Number:
Amount Received:
Received By:
ct r.$ submitted rlQ~ ltl" ioHowlng
-, not roqulro opoenlc land use
Zoning L D (l-
225 FIFTH STREET I
SPRINGFIELD, OREGON 97477 \ - I~
INSPECTION REQUEST: 7,2P,'c~~~dlSignsturo
OFFICE: 726-3759
1. LOCATION OF IJl:YALLATIQN /J
'111 t?W ()~
4J
LEGAL DESCRIPTION
11032. p(3 &1" JO/J
JOB DESCRIPTION
Sr. ~<k.~ .,J
T~
,
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 B.
Electrical Contractor Adn h';,~ /;71J2~'!.
t{ (P7 c,t rJ./ II .n IJe.....
I
Phone by,c, tff 3
-:Sf 7.;-5
!{)-o 1- 0/
. .
Constr Contr. Number '1. 0 - ~.rJ.. C-
Expiration Date 10- 0 J - "}"7
Address.l${)
Ci ty r tJ'i """'-
,
Supervisor License Number
Expiration Date
S~~);5fi~!$=Lctrician
Owners Name fi."..f(,c.....
Address I. O. /!,,, ~
Ci ty u... &UhJ
~ (J,lIlld
7'12.5" \
Phone 7'i7~ Z.t~6
,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
I (- I ~- q '?
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ELECTRICAL PERMIT APPLICATION
City Job Number C(<(I 3 'lS-
3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less -I- $ 85.00 (5-
Each additional 500
sq. ft or portion , '0""
thereof $ 15.00
Each Manuf'd Home. or
Modular, 'Dwelling
Service or Feeder .$ 40.00
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
S 60.00
$100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less L
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00 '10
S 55.00
$ 80.00
see "B" above
D.
Branch Circui ts
"
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /70
5% State Surcharge IS. S"b
3% Administrative Fee ~- (9
TOTAL I Jh.l.o
ATTACHMENT A Cf~ I ~3~
CITY OF SPRI~IELD SYSTEMS DEVELOP~ CHARGE
WORKSHEET
NAME OR COMPANY: fUTueE PS
LOCA nON: c\\,'1 OLD Of2C.\-\AR. 0
DEVELOPMENT TYPE: SF 0
BUiLDING SiZE:
2'2-4-0
LOT SIZE
SQ. Ft.
1 . STORM ORA.! NAGf /,
2:2..40 rZ:z.(ZO) -;- ~2T'4-1)-^.(,?/3
IMPERViOUS SO. FT. YfS3 X $0.227 PER SQ. FT. $ t.. 70, S'S
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
J(
X $47.14 PER PFU
$ e4e ,S-z.-
3. TRANSPORTATION
NO OF UNITS X TRIP R~TE X COST PER TRIP
X I. 01
X $475.32
$ 4eO,0'7-
X
X $475.32
$
4. SA.NITA.RY SE'NER -MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 211,4+PER FEU
$ 2/7.44-
B. IMPROVEMENT COST:
NO. OF FEU'S
X Z'? 20 PER FEU
$ 2.5.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAL-MWMC SDC. $3Iz.LA- /q9"ljiL
SUBTOTAL (ADD ITEMS 1.2,3 & 4) .$ 2.?, 11.",z
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 11~,5q
fY\~ Date: IIlIoICfR""
SDC Coordinator ,-, . TOTAL SDC $ 24--2-7. 39-
VTTACWA.WPD
..:..
--. -- q -.... -.,-.. ........... - .lx[L,.:re units
(NOTE: For remodels', calculate only the NET additional fixturesl. ., '
. 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/Clorheswasher............ .......................
Ciorheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailerl..................
Receptor For Refrigerator/Water Station/Erc........
Rece,otor For Commercial Sink/Dishwasher/Etc..
Shc'ner, Single Stall..... c............... ............................
Shower, Gang................................. .........................
Sin,,; Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall............................. ............,.............
Wash Ba'sin/Lavatory, Single..................................
Toiler, Public Installation....... .........................,.......
Toiler, Private........................ ...............................
Miscellaneous:
I
2
1
2
Z--
3
I
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
z..
I
z..
I
2-
/J
'Z.-
/1
r
TOTAL FIXTURE UNITS
=
/1
CREDIT CALCULATION TABLE: Basec on assessed velue. If improvements occurred after annexation date in :3:le,
calc~ia!e credits seoarares.
.1
I
I,
Year
Annexed
Rate per $1 ,ace
Assessed Velue
r
Year
Ann~xed
Rere per $1,000
Assessed Value
1979 or before
1980
1981
1982
19B3
19B4
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.B3
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
X $ =
IRate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after armexation datel
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNlT.IVPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEF,FICIENT
~ .
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: kt1\~J\o_ ~.~(}.[) .
ADDRESS:~ ~~~~
LOCATION OF PROPOSED)\3 J'LDI ~'G SITE:
Street Address: 0 ICl l~ ( ~ Q./
Plat Name: \t~ f c; \.0 f\ \~ Tax Lot Number: \f\lPl'/'J 1:-/,'6 ('{Ltgf)
I -
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
..
.
Job. No.
Q~ 133j
PHONE: _ '}44. 2lo!c()
STATE: ~ ZIP: Q?4/)l
.\
..
A SinolA-FRmilv DAtRchAQ
\ Single Family home
NO. OF UNITS l
Manufactured home not in agar!<
X $1.000 per unit = $ toOu .()~
B. SinoIA'-FRmilv AttRchAd,
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manllfllct!lrAd HnmA PIlr1i
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
2. SDC CREDIT (if applicable) SDG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~P~~~D,partmenl
City of Springfield
$
If /
Date
16-/
$
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