HomeMy WebLinkAboutPermit Building 1996-5-1
SPRINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960583
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 944 OLD ORCHARD LN
Assessors Map #: 17023000
Lot: 47 Block:
Tax Lot #: 01003
Subdivision: RIVER GLEN
Owner: ou.unE B HOMES Phone #: 485-3176
Address: 3593 RIVER POINTE DRIVECity/State/Zip: EUGENE, OREGON 97408
Describe Work: S.F. RESIDENCE NEW
Const.
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/96 485-3176
3593 River Pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/96 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: ROLFS HEATING 0102455 10/04/96 741-0002
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/97 689-7973
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: 2249
# 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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - 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
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
WATER 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.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical 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.
SPRINQFIELD
Job Number: 960583
PINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 6924
Total Height: 23
Lot Type: CORNER
Setbacks
S W E
18 10 12
28 10 22
Page 2
Lot Coverage: 30 %
Setbk From NPL: 50
N
House 30
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1775
474
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
Value
114,772.00
7,712.00
122,484.00
487.00
38.96
525.96
(8) 2,657.30
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
BACKFLOW DEVICE
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGB
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPING
4
Mechanical Permit
Issuance
surcharge/Admin
TOTAL PERMIT
(D)
--- MISCBLLANEOUS PBRMITS ---
surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
Fee
192.50
10,00
202.50
16.21
218.71
12.00
4.50
12.00
4.50
3.00
2.00
38.00
10.00
3.04
51. 04
0.00
33.55
13.75
1,000.00
140.40
1,187.70
SPRINGFIELD
Job Number: 960583
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
;=i::iVcc ~,,r-
4,640.71
:(;;0-0
~~5', 7/
-- - 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: 315.09 Date Paid: 04/26/96
Received By: LISA HOPPER
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
Receipt Number: 21307
--- ADDITIONAL COMMENTS ---
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
4 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.
a/Cft-,
Date' V
~~~ ~re_hTJ
Si~atG ~
-- - VALIDATION
Date Paid:
2/ '3 S-V
~?~
~~5,?/
/r~~
Receipt Number:
Amount Received:
Received By:
SPRINOFIELD
~-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 944 OLD ORCHARD LN
Developement Type: R Building Size:
Job No.: 960583
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 2495 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 25 X 43.43 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93 =
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
25
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 04/29/96
Page 1
Sq Ft
$523.95
$1,085.75
$442.31
=
$478.75
$0.00
$478.75
$2,530.76
$126.54
$2,657.30
Job Number: 960583
.
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FIXTURE UNIT CALCULATION TABLE
Page 2
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
1
o
1
o
3
o
3
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
2
2
1
6
4
TOTAL FIXTURE UNITS 25
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00 =
0.00
o
X
0.00 =
0.00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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Job. No.
(\\cb5~ j
. SYSTEM DEVELOPMENT CHARGE
r;:, 1 \'l WORKSHEET . ....
NA~E: ',\.(tnO&- D. PHONE: 4-~ CO. ~ \l\tj
ADDRESS: 2h.~ ~ \ \1.ur ~ Jt/]J.;STATE: ~ ZIP: ~
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LOCATION OF PROPRSED BUN'I~G ~E: 1\'f\ I
Street Addr~s,: ... _u+1r ~k(\ \ l(0~ ~ i "-- I
Plat Name: ~ (1Sfl f\ - - Tax ~ot NU~ber: \ 1 ()~ rfJ O~Cf5!;
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling \
ype definitions are on the back.)
A. Sinolp.-F::Jmilv Dp.t::Jr.hp.rl
\ Single Family home
NO. OF UNITS
(
Manufactured home not in a parkd)
X $1,000 per unit = $ \ f1tJ I .
B. Binolp.-F::Jmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M::JnI If::Jr.tlJrArl Homp. P::J~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
$
\ oon (X)
Iff
~ OCO?0
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)
\\ti\ ) \
DevelopmenCServi e Date
City of Springfield
$
/
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PUBLIC 1\'OIlKS UEPAnTMENT
MIMINI:; I J;J\1 ION
ENGINEEmNG IJJ\l/SIClN
MAINIEN/weE
225 FIFTH 5/1,/
Sf'mNG1'IfUJ. 011 ~J.
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ADDRESS OF PROPERTY FOR DRIVEWAY PERI.1IT: q LtY- .Qtk ~.~ ~
y-~.r- - ~ I 1;:,
APPLlCATIOH fOR A ~ECOHD DHlVEWAY I OVERWIDTIl DRIVEWAY
DATE:~h) Aft,
APPlICANr (PROPERTY OWNER):
~1S
APPLICANT'S TELEPHONE NUMBER:
_.
Pleaso skelch (he proposed drivew'ay. Include the following <1pplicable ilclTls: house or building, proposed
<hiveway. existing driveway. and slleet names. Include dimensions and ITlcasurClllcnls to prOpClty lilies, road
intersections and bordering driveways. (See allachlllcnt for an example.)
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AI.L APPLICATIONS OUTSIDE lIlE CITY LIMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
G1WWlIl BUUNDAHY HEQUIHE A lJ\NE CUUNTY I'EHMIT.
'.,.
['e: 1 he Cil)' 01 Sp/inyfield will nol granl a second driveway per mil on an Arleria' ~r Colleclor Streel. J
AIJMIN/STnAlION/ENG/NEfllING (503) 126.3153 FAX (503) 1:'6.3GtJ9
MAINIENANCE (503) 126.316/ FAX (503) 126';1621
.
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i-;-":""~;': """'~,,:,,"""~.,," %.., -'- 0".0' --- ,m-1
I 2. The proposed drivewav willla~e access lrorn whiclr slreet ~ (f.. - \ '\l'~ ~ I
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3. Tho disl"llce frOl11 the edge of the dlivcway 10 Iho nearest corner (measured to the curb falum) is
~/} lect.
4. Th_~YiV. access 10:' gar.ye_ carport_ siue yaru_ Other. Rv V~
5. The distance from U:~(Ope'ty line 10 Ihe garage, carport, fence, wall, or other. ('where ttie vehicle'is
to be pal f.ed) is ----l1S-- leet.
I. . .' .
. 6. Will the ploposed pa,.~.iIlY I sloragc mea create 3, vision oushudio.n to adjacent propcl.ty dJi~cways or,
to any vehicul,H 11l0VCI111;mt on OJ public sllcet1 (See vision c1c<uancc attachment) \\..\-!L...-
Applicant hNehy agrees to install Ole requested dTWCYI<IY to City of Sprinyfield standards. The applicant rUtUICr
agrt!cs 10 h;we 6" of conclete in Ule sidc'Nalk area (adjacent to the drivewayr,"ilnd to pave the area behind the
back edge olt'lc sidewalk. or drlVe\Vi1Y ~pron, with a rninim~lIn depth 01 3" asphallic concrele or 6" of portland
cement conelCle. The area behind the sidev-.'3lk s.hall be paved 3 minimum of 18 leel
Tile applicant agrees U,at if he/she docs not pave Ule alea behind Ute sidewalk within 30 days 01 cutting the
cUlb opening, UIe City of Spdrlgfleld has Ule authority to close the driveway access by removal of Ule cudJ cut.
All incuned costs shall be assumed by Ule applicant and if unpaid, S-.1id cost shalllJccome ;J lien of Ule property.
When this npplicOllion is npproved by the City, the applicant must obtain a curbcuVdliveway peflnil flam the
Public Worl:s Department, Engineering Division.
CUlucut I Drivewav Pcnni! ree
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~~ DATE:-'it1J- I
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a. On an improved sheet (existing curb): S 10.00 plus S.15 per lineal foot of curb cut.
b. On an unimproved slreet (no curb): S12.00
c. On currcritly unimproved sheets 1hOll me under construction: S12.00
PHOPERTY OWI~EH'S SIGHA1UHE:
c;:;::L/z- c1l~p?a-
APPROVED BY:
-1nIIM / cJl/17/1k
I f
DATE:-?/fA~
(TRAFFIC DIVISION
BU1LDII~G PEHr~IT NO.:
Of/" ()q(3
.DATE:
TRA 9.1
ATTACIII~ENT: Vision Clearance, Example #1
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if .ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor'E:r,h .fi:>hlW' Qtch\L. Inc..
Address tro !C\r\A4'llA.rv two-
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City fiAfg/lAJ. Phone_Ms"f-7n3
Supervisor Licen.se Number .~75 <;
Expi ra t ion Da te to -[-(( ":7-
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Cons t r Con tr. Num be r Q(';2 7 er-
Expiration Date 1-.25-tt7
Oyners Name
City
The installation is being made on
property I o.n yhich is not intended
for sale, lease or rent.
Owners Signature:
----------------~~~~-----------------
DATE: .f/ .1;/ 5'b
RECEIPT .: 2/ 3 .)~{)
RECEIVED BY: <./7-'-.-
l\
SPR..FIE~D
1000 sq. ft. or less
,Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D.elling
Service or Feeder
-3-
If' .. .' . II" r. ,,Jj .~..- . .
~ii,:i:i:~~ON 97477 ~~r;;it:O~":~~ If\P~R00'1.
INSPECTION REQUEST: 726-3769\e '51' f (/ /' /7 City Job Number l\ 0. r.... )'t\. )
OFFICE: 726-3759 AulhorlzadSlgnatu",_ ~
~~A ~ 3 COHPLETE FEE SCHEDULE BELOIl
1. f1._~_ T. 10 N .'
LA A. Ney Residential-Single or
Multi-Family per dyelling ~nit.
~~~ "'\ "t'\ -:2.. Service Included:
\ \ \ JiJ.1 _t)U( ) ;\01 m J. i ) Items
~JeD 0 ~ \ $ 85,00
B.
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
Cost
Sum
~
L\fJ
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'l'tl'i'AL ~ .
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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