HomeMy WebLinkAboutPermit Building 1997-11-24
SPRINQPIELD
~*'
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971645
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 922 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 61 Block:
Tax Lot #: 02001
Subdivision: RIVER GLEN 1
Owner: ~u~u^E B HOMES
Address: PO BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Plumbing:
If/", Cons t .
l.l.~ractor #
?tIS' i"l
FUTURE B HOMES -90,: dSIl6~!l
3593 River pointe D~A~~~~F(4.$J40
CUSTOM PLUMBING vy~ ~~~((~9~
3248 Kentwood Dr EUge~G8R~4~0'&'(
ROLFS HEATING 0-9~O~~4~t9 ~ 10/04/98
PO Box 66 Dexter OR 974310~ <s> ~?9~
BOB FISHER o~i~ 15'..0 ~25/98
180 Kingsbury Ave Eugene OR 97~400~'b ~t9~ ~~
~,(-^ ~(; V^_
'V ~ 'tv'''-
Vt9 ~ OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
Expires
Phone
Contractor
General:
05/18/00
485-3176
05/06/00
485-1146
Mechanical:
686-4927
Electrical:
689-7973
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: 2528
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
/ TEMPORARY POWER
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
POST AND BEAM - Prior to floor insulation or decking.
.UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
STORM SEWER LINE - Prior to filling trench,
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH GAS - after line is installed and capped if not attached to an
appliance
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover,
FRAMING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
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: 971645
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 GAS - When all gas work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Solar Approved: Y
Total Height: 23
Lot Type: INTERIOR
Setbacks
S W E
30 5
20 5
Page 2
Setbk From NPL: 50
N
House 29
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1756
772
$/Square Feet
64.66
16,27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
- - - MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & W/H VENT
3
Mechanical Permit
Issuance
surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
ELECTRICAL PERMIT
WILLAMALANE SDC
SYSTEMS DEVEL eHGS
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
113,543.00
12,560.00
126,103.00
493.75
39.50
533.25
Fee
160.00
160.00
12.80
172.80
6.00
4.50
9.00
4.50
3.00
5.00
32.00
10.00
2,56
44.56
0.00
20.05
14.50
199.80
1,000.00
2,594.73
60.00
3,889.08
4,639.69
SPRINGFIELD
Job Number: 971645
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.
Received By:
Plans Reviewed By: DON MOORE Date: 11/24/97
Building Site Reviewed By: LISA HOPPER
-- - ADDITIONAL COMMENTS ---
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.
Signatur
r-..
V
D~~e- ~lf-- 11
Date Paid:
-- - VALIDATION
Ii ~cA'K
\'\'L'<\C\'\
4~ .lO~
~\ffi. )
Receipt Number:
Amount Received:
Received By:
.
sptGFIEL~
., . J
' I' project os :;U\"'.fi1~:':'~'_.. +l~ .,-"
The fo\ OWln~ t raqu1., .) ... .__...... ....- ~
zoning, and does no L........ -.....
approval, i 1J,y
Zoning LA:J-'
~;S~~g~~iiGON 9741'1') I rzA-~1-
INSPECTION REQUEST: 72,~J!'Jl~9j Slgno.ture (\/Y\
OFFICE: 726-3759 .
1. ~Of~.
\,\~~~~OtQ.tV ~
DS ON _d.\.J..l'O.O fJ!:Jz:6
\ .
ts are non-transferable and expire
ork is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPI;IC~~!, N
v~ty Job Number \~f\\~)
3.
COHPLETE FEE SCHEDULE BELOV
. A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Branch Circuits
Items Cost Sum
1000 sq.ft. or less l $ 85.00 <65
Each additional 500
sq. ft or portion 4 \.pC)
thereof $ 15.00
Each Hanuf'd Home. or
Hodular, 'Dwelling'
Service or Feeder $ 40.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation, Alterations
Electrical contractorfmk;:'."k, C'kc!!;-c..- or Relocation:
Address~';?q~~VP'V Ili./e>o ~O)} 200 amps or less $ 50.00
/ / '?/-Ji 1." 201 amps to 400 amps $ 60.00
City.t;..../40/Mf' Phone ~r;r-7~1a). ,o~", ~Ol amps to. 600 amps $100.00
; . .";_'-{?",, 'YQ .~ 601 amps to lOOO amps $130.00
Supervisor License Number 39'7~ ~~ ?'~~r 1000 amps/volts $300.00,
//>_/ I.a.. it-,,~ ~uR~tnnect Only $ 40.00
Expiration Date /v -t:?'.%' "VI) ,~ ~a ~
__ ?;'..o. (9;$>1.1 ~)}~%~ Services or Feeders '
Constr Contr. Number f?C- Gl70 ~~ ~&s~n~on, Alteration or Relocation
Expiration Date /-.;l<J--9Y Oq 2~~,o~-f~~~ss , $ 40.00 W
201 a ~~~~amps $ 55.00
Signature of Supervising Electrician Over 4 rr.to~o'amps $ 80.00
~:p f-~ Over 600-~mps or 1000 volts see "B" above
City
.~D.
14115
phon;t4.4,1Jd.l)
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovner~Signature:
-.
DATE~---------rr~~-.L{'-, '"'-~-----~
RECEIPT #: ...L ~~
RECEIVED BY: M \l~ 'A.. ~
.'
New, Alteration or Extension Per Panel
Miscellaneous (Serviceifeeder'
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
\~S cp
-4.~
C; ~e.
.14q-W-
CITY OF
,,' q ",', ',' .',n~~,".~"~' "dOS-NO'; q''7I-?.~
SPR!GFIEL~~~~~r:S:JXDE~~~~ptNT'~~ARGE' '
WORKSHEET
. .
NAME OR COMPANY:
hIT/I1?'::; 12, 1J"....~c,
LOCATION:
qz:z_ QLn (JP"''''''>.D LAu":;
DEVELOPMENT TYPE:
~.F, 'Q. J
BUILDING SIZE
LOT SIZF
SO, Ft,
1 , ,STORM ORA I i'j,lGE
H1PERV IOUS SO, FT, -=? c." I 0
,
X $0,226 PER SO, FT, $ 8/s-.?I'..?
2, SANITARY SF~ER,rTTv
NO, OF, PFU ' S I q
(See Reverse Side)
X $46.86 PER PFU
$ f,qo, 7,4
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1,0 I
X $472,49
$ 477,2..1
x
X $472,49
$
x
X $47249
$
4. SANITARY SFi1FR-M\'Ji1r.
DLl
NO, OF FEt:i-'-5
X 277,7b PER FEU + $10 MWMC/ADM FEE' $ 29?7,7tP
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOT At - M\1MC sor. $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 247J.JJ
S, AOMINISTRATIVE FEES
BASE ::~~BTOTAl ABOVE)
SDC Coor-di nator
X ,OS
$ /23. ",e:,
Date: 1/-20-'97
TOTAL SOC $ 2 ,"'lCJ4. 73
f -
,rlA,1 unc: UIIIII l.tH.Ll.tULH. ttVIII I MOLL. I~umoer or ,"ew rlxtures ^ unit equivalent; Fixture Units
(NOTE: For-remodels. calculate onl* NET additional fixturesl , . . .
, '. NUMBER OF UNIT FIXTURE
FIXTURE TYPE" ,NEW FIXTURES EQUIVALENT UNITS
Bathtub....................... ,.,......,.,..,.,.,......,.......",..."......
Drinking. Fountain,.........,.,...,..,.,......,.......,.......""....,
Floor Drain".,..,'......,...,..........,..,.,.,.,..,...,....,...".....,...
Interceptors For Grease/Oil/Solids/Erc.. ...............
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clorheswasher,....".,.....,.... ....... ....."..
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailerl..................
Receptor For Refrigerator/Water Srarion/Erc........
Receptor For Commercial Sink/Dishwasher/Erc..
Shower, Single Stall.,...,.,....,., ".,., '....,....,....,..."......,
Shower. Gang..,. .....,., .,..,.,..,',.".,'~,."...".,.,..."...."...
Sink: Bar. CommerCial. Residenrial Kirchen........................
Urinal, Stall/Wall..,..".,..",..,.."..,..,....,.,.........",......".
Wash Basin/Lavatory, Single.......,..........................
Toilet. Pubiic Installation,....,....,...., ........................,
Toilet I Private.............. ............. ............................
Miscellaneous:
'Z...
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
:<;
L
TOTAL FiXTURE UNITS
;
CREDIT CALCULATION TABLE:
calculate credits separates.
I
4
"2....
-z.
7,
1:5
/9
Based on assessed value, If improvements occurred after annexation date in table.
Year
Annexed;
Rate per $1.000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
$3.97
3.89
3.83
3.70
3.55
3.39
3,20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Credit for Parcel or Land Only 'it Applicable
X $
(Rate X Assessed Valuel
X $
, (Rate X Assessed Value)
;
Improvemenr (if after annexarion date)
;
CREDIT TOTAL ; $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
FidSidejilial..........._........_.... ,", 0.4-
Commerical......................... 0,9
Industrial............................ 05
Governmental...................... 0,5'
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per S 1,000
Assessed Value
$2,56
2,17
1. 73
1,31
0,92
0.74
0.61
0,45
0.31
0.17
'.
.
Job. No.
Q~ \ \Aj
.,
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~\\. ~1.~0tl\(}[)
ADDRESS:~ Q 'dJ 119/s, r)
LOCATION OF PROPf\SAED BUIL~G SIT* I J J\ _ ^ '
Street Addrf\s: ~L1- (:J\r\ (\}I-O..ItlU[\ rnJjl.JL/
Plat Name: \<~\Wh!O V) ,\S1;ax Lot Number: ho-~i'74~~()7roJ
1. DEVELOPMENT TYP!= (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
PHONE:\AA: 'lJdJ'J
STATE: -1f- ZIP: ..o.wJ
I.
A. Sinole-F:lmilv Det:lched
l, Single Family home
NO. OF UNITS
Manufactured home not in a park
l X $1,000 per unit = $ \ ~ro.DO
B. Sinale'-Familv Att:lcheq
NO. OF UNITS
X $924 per unit = $
C. Multi-F:lmilv Aomtment
NO. OF UNITS
X $692 per unit = $
D. Manuf::!rtured Home P::!rk,
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \tro.Q?
&:Y'
\ OOO,DU
$.
\\ J(~Pt J C{f)
Date
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\~l~
Development Servic\ls\Department
City of Springfield
.
PUBLIC WORKS DEPARTMENT
ADMINISTRATION
ENGINEERING DIVISION
MAINTENANCE
.
APPLICATION FOR A~ DRIVEWAY / OVERWIDTH DRIVEWAY
DATE: 3 / 1 ~ ) q SS
I
APPLICANT (PROPERTY OWNER):
APPLICANrs TELEPHONE NUMBER:
.~13\~
q 1-..;( ~~\:).~
'74 L-J - 2--01..!)
ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT:
Please sketch the proposed driveway. Include the following appficable items: house or building, proposed
driveway. existing driveway. and street names. Include dimensions and measurements to property fines, road
interseclions and bordering driveways. (See attachment for an example.)
I
:1
~ ~Q~~ Q'/['Lf5
~~~~
~ ~oj~ ]) ~'p V
AP~
ICF\Y-
8
\.
ALL APPUCATIONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
GROWTH BOUNDARY REQUIRE A LANE COUNTY PERMIT. '
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Colleclor Street.
ADMINISTRATION/ENGINEERING (503) 726.3753 FAX (503) 726'3689
MAINTENANCE (503) 726.3761 FAX (503) 726.3621
(~
225 FIFTI, STREET
SPRINGFIELD OR 97477
'-~
I
.
.
....
11
1, prop~amilY Residence -A Duplex ~ Other
2. The....".;.....,,-.._~-driveway will take access from which street ~ ~~
3, The distance from the edge of the driveway to the nearest corner (measured to the curb return) is
/5'6 -t fe~t. , U ~
4. The..~ give access to: ,garageX carport_ side yard_ Other
5. The distance from the,property line to the garage. carport. fence, wall. or other. (where the vehicle is
to be parked) is I X feet.
6. Will the proposed parking / storage area create a vision obstruction to adjacent property driveways or
to any vehicular movement on a public street? (See vision clearance altachmenn " I ()
Applicant hereby agrees to install the reques1ed driveway to City of Springfoeld standards. The approcant 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 portland
cement concrete. The area behind the sidewalk shall be paved a minimu~ of 18 feel
The applicant agrees that W he/she does not pave the area behind the sidewalk within 30 days of cutting the
curb opening, the City of Springfoeld has the authority to close the driveway access by removal of the curb cut.
All incurred costs shall be assumed by the applicant and W unpaid. said cost shall become a roen of the property.
When this application is approved by the City. the applicant must obtain a curbcuVdriveway permit from the
PubUc Works Department, Engineering Division.
Curbc~t 'I?riv~~av_ P~rmjt F~_~
a. On an improved slreet (existing curb): 510,00 plus $.15 per lineal foot of curb cut.
b, On an unimproved street (no curb): 512.00
c. On currently unimproved streets that are under construction: $12,00
~t>~
PROPERTY OWNER'S SIGNATURE: \., , ~. \,'~
o 0
DATE:
3j!q /cir;
I'
~ I
APPROVED BY:
DATE:
(TRAFFIC DIVISION
BUILDING PERMIT NO,:
DATE:
TRA9-1
ATTACHMENT: Vision Clearance. Example #1