HomeMy WebLinkAboutPermit Building 1999-12-29
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991510
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3894 PINYON ST
Assessors Map #: 18020614
Lot: 11 Block:
Tax Lot #: 10000
Subdivision: JASPER PARK
Owner: DENNIS MINIUM
Address: 8745 THURSTON RD
Phone #: 747-8495
City/State/Zip: SPLFD OR,97478
Describe Work: S.F.RESIDENCE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General: DENNIS MINIUM 0062682
8745 THURSTON RD SPRINGFIELD OR 974
Plumbing: DON LEWIS PLUMB 0054556
340 Snead Dr N Keizer OR 973030000
Mechanical: MARS HALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: ANTONE ELECTRIC 0082835
27514 SNYDER RD JUNCTION CITY OR 97
12/11/99
747-8495
09/30/99
363-3426
12/23/99
747-7445
01/10/01
688-4444
QUAD AREA: 3RSC
OCCY GROUP: R3
HEAT SOURCE: FE
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: PI
# OF BLDGS: 1
# OF BDRMS: 3
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.
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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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.
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Job Number: 991510
Lot Faces: S
Topography: 2
Lot Sq. Ft.: 6500
Total Height: 29.6
Lot Coverage: 35.7 %
Lot Type: INTERIOR
House
Garage
N
40
Setbacks
S W
15
E
18
5
Item
Main
Garage
UNFIN. BONUS RM.
Total Value
BUILDING PERMIT ---
Square Feet x
1551
480
289
$/square Feet
69.64
18.34
52.23
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
etcqytfCA-(. ~~~T
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Page 2
(A)
= Value
108,012.00
8,803.00
15,094.00
131,909.00
505.00
50.50
555.50
Fee
192.50
192.50
19.26
211.76
6.00
4.50
9.00
3.00
22.50
10.00
2.26
34.76
(C)
(D)
0.00
60.00
80.00
1,000.00
2,364.42
(E)
3,504.42
4,306.44
14~-
7'444',11
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.
SPRINGFIELD
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TRANS#:01-0000117
DATE:DEC 29 1999
AHT RECD:2 $ 4449.44
CHANGE:
CASHIER: 003
Job Number: 991510
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Received By:
Plans Reviewed By: DON MOORE Date: 12/23/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH 1;
SEPARATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
)C
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
u: ~"".n n~. ,.n., ,o."roono./ .2-:;;2?~.9 J
Signlture Date
--- VALIDATION
Date Paid:
11'7
/2-/2-~JJl
444'j',-f~
;/~
1('
Receipt Number:
Amount Received:
Received By:
:.
,",.
The fOllowing project as s b . -
zoning, and does U ,mltted has the tollowin
225 FIFTH STREET approva' not require specitic 'and JU,Ecr&rCAL PERKITAPPLICATION
SPRINGFIELD, OREGON 97477 Zo . LD{L..
INSPECTION REQUEST: 72653769 hiM..., , Or
OFFICE: 726-3759 ate I.... - '" L - '1. 1
Authorized Signature K..J3.. COHl'W;n~-FEE SCHEDULE BELOV
1. ~~~ . .A.
~ DESCRIPTION
\ "6ua6\o 14 \OCOO .
~Q'~ION
~ermi~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
Electrical Contractor 4 .1'/1;;/1 ~
AddressL7S?</ S.I1..yde J- /Cd
Ci tF.7i tJ "- Phone
Supervisor License Number ;J I'YO~ <)
Expiration Date j/ 01 a; / n /'
Constr Contr. Number .!)CJ /D~L
Expiration Date /O/6/~ /
;~:suysaz~~an
owne~ame~~ ~U1i.lLVV\
Address 'B'\4C6 ~'&~
Ci ~ ~C\.!.D rQ _ Phone "1-4\ ~"\~
~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~ATE~--------/~/--~q-J1~5-------------
RECEIPT 11: / . jf?-
RECEIVED BY: (' /(!A-"-"
r.ity Job Number
'1'7/510
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less t.--" $ 85.00 S5
Each additional 500
sq. ft or portion
thereof '<: $ 15.00 :1:S.
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder . $ 40.00
.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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps. 'OT 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 "B" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
/ '.3 n,(>J'
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'13 CO
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f\" . .
I/ItW ~,... 'Willamalane
'"t,,,,, Park & Recreation District Job. No. '1.<1.. \ s to
f.. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~~~~~"\Il\M.
ADDRESS: Bll..{S -ri~~&
PHONE: 1l{1-e~q,S
STATE: ~.zIP:'t1't1~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~9\~.~ t ~ ~
- . ~
Plat Name: t <?o~)Cn \.l..{ Tax Lot Number: \ D OCJO
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sec calculalions and dwelfing I
ype deflnl\lons are on the back.) .
A. ~innIA-FRmilv DAtached
. ,
..h Single Family home
NO. OF UNITS
Manufactured home not in a park
. l r.. ....... QJ::!:L
X $1,000 per unit = $ '-''-''u
l
B. ,Slnnle.-FRmilv AttRnhen
NO. OF UNITS
X $924 per unit = . $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. l4anufactlJrAn Home P/llk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$
2. SDC CREDIT (If appUcabte) SDC-payer must fumtsh proof of
Willamalane Credit approval. See SOO credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit) $
~ ~ _/2, 2'7, 5'5
D~lapment SefVlces Department Date
City of Springfield
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 991510
NAME OR COMPANY: DENNIS MINIUM
LOCATION: 3894 PINYON
TAX LOT NUMBER 18020614-10000
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
BUILDING SIZE:
LOT SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT. 1372.3 x $0.232 PER SQ. FT.
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2. SANITARY SEWER-CITY
NUMBER OF PFU's 25 x $48:27 PER PFU
(SEE REVERSE SIDE)
3. TRANSPORTATION
$318.361
$1,206.75 ,
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
$491.601
$0.00
TOTAL TRANSPORTATION SDC
$491.60 I
1. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
. NUMBER OF FEU's
B. IMPROVEMENT COST:
x
$242.76
PER FEU
$242.76 I
NUMBER OF FEU's
x
$22.05
PER FEU
$22.05 I
($39.69\1
$10.001
$235.12 I
$2,251.83 1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3. & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$112.591
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SDC COORDINATOR
Im~;"1
ONi'E '
TOTAL SDC CHARGES I $2.364.42'
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODEIB. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDSIETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOSTHSWASHERlMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (l PER TRAILER)
RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR. COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASIN/LA VA TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET. PRlV ATE INST ALLA nON
MISCELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2 .
I
2
.2
1
6
4
3
3
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
2
o
2
o
3
o
12 .
o
o
o
TOTAL PLUMBING FIXTURE UNITS~I 25
CREDIT CALCULA nON TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 or before $4.47 1989 $2.18
1980 $4.38 1990 $ 1.75
1981 $4.32 1991 $ 1.35
1982 $4.20 1992 $1.17
1983 $4.03 1993 $1.03
1984 $3.88 1994 $0.86
1985 $3.68 1995 $0.71
1986 $3.38 1996 $0.57
1987 $3.03 1997 $0.39
1988 $2.62 1998 $0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75
IMPROVEMENT (IF AFTER ANNEXATION DATE)
.x. .
x
22.680
CREDIT TOTAL
: '1'.
. $39.69 .
$0.00
$39.69