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HomeMy WebLinkAboutPermit Building 1999-12-29 . Page 1 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. ,~ . 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 . . -' ~ TRANS#:01-0000117 DATE:DEC 29 1999 AHT RECD:2 $ 4449.44 CHANGE: CASHIER: 003 Job Number: 991510 Page 3 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 .- 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' ~.IO ~ .~.o '13 CO / . . e 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 . . 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. - 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 .~~ SDC COORDINATOR Im~;"1 ONi'E ' TOTAL SDC CHARGES I $2.364.42' . - 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