HomeMy WebLinkAboutPermit Building 1998-7-10
4. SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF. SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980801
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 931 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 48 Block:
Tax Lot #: 02200
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
Cons t .
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/00 485-3176
3593 River Pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/00 485-1146
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: ROLFS HEATING 0102455 10/04/98 686-4927
PO BOX 66 DEXTER OR 974310000
Electrical: BOB FISHER 0096275 01/25/99 689-7973
180 KINGSBURY AVE EUGENE OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2095
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDERFLOOR PLUMBING - Prior to insulation or decking.
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.
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: 980801
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
Solar Approved: Y
Lot Sq. Ft.: 7025
Total Height: 22
Lot Type: INTERIOR
Setbacks
S W E
30 12 11
12
Page 2
Lot Coverage: 29.8 %
Setbk From NPL: 50
N
House
Garage 20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1622
473
$/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
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 FEE
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS
(A)
= Value
104,879.00
7,696.00
112,575.00
462.25
36.98
499.23
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
19.45
15.10
60.00
1,000.00
2,389.62
183.60
3,667.77
(C)
(D)
(E)
.
Job Number: 980801
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,384.36
--- 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: 07/10/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1
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.
'fS~r-n r-
11fD /q/
--- VALIDATION
Date Paid:
~1'"Jr7??
- .
'-i/79~
47 A4.)r;,
,t/~,
Receipt Number:
Amount Received:
Received By:
The following prOjed lIB 81 . .." ,11lll8
zonin.; .cd ,:loes no! requlre epeoIIo
ap~lovtti . \ J
Zonl"ll cJ..;y
225 FlITS STREET d
SPRINGFIELD, OREGON 97477 D",;7-IO~ 'l>
INSPECTION REQUEST: 726~3769 ' f\rI\
OFPICE: 726-3759 Authol1zed SIgnaIule
3.
1.().~,~~0~.&lill~N~
\ '\tf1lf~~CRIPTI~J1l'!)
~~~~N~ ~~ ~6
l,er ts are non-transferable and expIre
if ork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION (JNLY ,B.
Electrical Contractorf{ob h.<; h"" rt'b~c..
Address ) ?! () .A"/4~.s /;,/,;1"1/ /.l j/.e-
. "
City~,- Ati!-. f) Y' Phon<;g9- ?973...
, ./ .
Supervisor License Number .:i!!i-.'7,~-- .<<;'
Expiration Date /O-/-:;;g
Constr Contr. Number ~~ ~ ?~
/- ..:lJ-:'" DO '
Expiration Date
Signature of Supervising Electrician
---tAwf-~
-,. "~N';;' ~ ~JI1!IO [',
Addresa ~l\1 ~ '
Ci ty Pi Y"lH\L- '. ' - Phone "A:-4','Ua!oD,
~NSTALLATION
The installation is being made on
property I own which is not intended
for sale, leas~ or rent.
Ovners Signature:
------------~--~-~;-------------------
DATE: 7 u~ /)'?,
RECEIP'I'ii: ,( ~. ~ :?' ~ 7 '
RECEIVED BY: 7~;;?~""-
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number a..'?QID \
COIlPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Item.. Cost Sum
1000 sq.ft. or less l $ 85.00 ~
Each additional 500
sq. ft or ~ortion '3 ~
thereof $ 15.00
Each Hanuf'd Home. or
Modular 'Dwelling $ 40.00
Service or Feeder
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
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 ampS"or less I
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 VOlts
Branch Circui ts
$ 40.00 to
$ 55.00
$ 80.00
see "B" aDove
.~ "
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
B.
Miscellaneous (Service/feeder
-Bach installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
\f1~ ~)
e".I.o
~.l DI'>
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
. ' . JOB NO. 3!t2f?tJ /
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
h JT,JR.6 p;' [/",,-,6"5
LOCATION
q :;; I (') LJ) /J !<OI'Alln J....AAJ~
.
DEVELOPMENT TYPE:
,s. 1=. k'.'
BUILDING SIZE
lOT SIZE
SO. Ft.
1, STORM DRATNAGF
IMPERVIOUS SO FT. ? q i"J
x $0.226 PER SO, FT, $ (",&'7. ~8
2. SANTTARY SF~FR,CITY
NO, OF PFU' 5 I 8
(See Reverse Side)
x $46.86 PER PFU
$ 343-48'
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X I ,f) I X $472.49
$ 477,2.1
X
X $472.49
$
X
X $472.49
$
4. SANITARY SFWFR,MWMC
DU'S
NO. OF fflt'S X 277. 76 PER FEU + $10 MWMC/ADM FEE $ ZRL.2fD
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMr sor $ 2 87. 7t.
SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ 2,275: g 3
5. AOMTNTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
, $ //3 . 71
&.
Date: 7-7-<=18
SDC Coordinator
JOT AI sn~
$2.~ R9. ~2....
-...., -
.. "" VI ,.... VIlli" "",..."....""'ULJ-\ IIVI\I I HOLt:. Number ot New fix.s X Unit Equivalent:;;: Fixture Units
(NOTE: For remodels, calculate o.e NET additional fixtures I . . '
, 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 WashiEtc..................
Laundry TubiClotheswasher. ... ,. ... .., .,....,................
Clotheswasher, 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)...............,..
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial SinkiDishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang..................,.,.,.............,......,..",.........
Sink: Bar, Commercial, Residential Kitchen...............,....,..,
Urinal, Stall/Wall...,.,...........,.......,.,.....,.,....,..............
Wash BasiniLavatory, Single...,...... ,.......... .............
Toilet, Pubiic Installation. ........ ,....., ,.... ................,..
Toilet, Private............................. ,.........................
Miscellaneous:
I
2
1
2
3
6
2
6
6
1
3
2
I/Head
2
2
1
6
4
'2..
2..
'2....
2....
-:z..
8
/8
'/
z...
2....
TOTAL FiXTURE UNITS
=
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
Year Rate per $1,000 Year Rate per $1,000
Annexed Assessed Value Annexed . Assessed Value
1 979 or before $3,97 19B7 $2.56
1980 3.89 1988 2.17
1981 ,3.B3 1989 1.73
19B2 3.70 1990 1.31
1983' 3,55 1991 0.92
1984 3.39 1992 0.74 "
1985 3.20 1993 0.61
1986 2.91 1994 0.45
1995 0.31 J
1996 0.17
Credit for Parcel or Land Only If Applicable X $ = 0
-
(Rate X Assessed Value)
Improvement (if after annexation date) X $
. (Rate X Assessed Value)
CREDIT TOTAL = $ 0
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residendal...:.. _.... _........ ... ,... 0.4
Commerical..,..................,.., 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT
. ,
.
.
Job. No.
~<f[)?DL
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: J(l.M.u.o \ B I ~~ PHONE: 14L. .l},.h(J)
ADDRESS, Jl ~ ~4'2-':\; f..u~ STATE'~ ZIP, C 1.1{)J
LOCATION OF PROPOSED BU).,LDlNG SITE: '
Street Addresr.; . ():) \ (\1\ ci ~ a JJJ--
Plat Name:\1Ui~ r -~ \ \. ~tax Lot Number: J:J.O~7:::It3(j}jJj{) ,
1. PEVELPPMENT TVP.E (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. Sinole-FAmilv DetAch~
\ Single Family home
NO. OF UNITS (
Manufactured home not in a park
X $1,000 per unit = $ IOO() ,e{)
B. Rinole'-FAmilv_AttAched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit. = $
D. MaDJ.rfAcllJred Home PArk
NO. OF UNITS
X $699 per unit = $
$ Jf2()() ,CD
Jf
$ won pO
$
WILLAMALANE SDC
2., SDC CREDIT (if applicable) SOc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit WorKsheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~P~~JW~!o::.mem
City of Springfield
7 I /0 I /:?
Date