HomeMy WebLinkAboutPermit Building 1999-4-22
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990405
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3898 PINYON ST
Assessors Map #: 18020614
Lot: 12 Block:
Tax Lot #: 13300
Subdivision: JASPER PARK
OWner: JEB WIRFS
Address: 3323 JASPER ROAD
Phone #: 746-3025
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE
NEW
Plumbing:
Canst.
Contractor Contractor # Expires
ATTENT/ON'O'
JEB WIRFS fo"owru'esa~ i\\i!2\lI(\~reQuiresAAl/b4/94
3923 Jasper Rd\lsti~e$\1~8fp~~lit~oregon Uti(i!y'
B M C in OAR 952-001-i1 ~f)\3ru/esareset{ch1~99
648 W OREGON Al.OOO::~o'8 4~~hOAR952-o01_
MARSHALLS Calling the cerw ~~es of the rlllesW 9 9
4110 OLYMPIC STl~/OOt)eb~N~1hete/ephone
BILLS Center is fMI1'l ~ilily Notificiitldif 8 / 9 9
3170 W 11TH EUGENE OR 9740201}f}f}-332-2344).
Phone
General:
746-3025
473-2827
Mechanical:
747-7445
Electrical:
687-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 2026
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
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/Ceilingi 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: 990405
Page 2
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: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 6000
Total Height: 18
Lot Type: INTERIOR
Setbacks
S W E
5
Lot Coverage: 33.77\
Setbk From NPL: 45
N
House 28
Garage
18 10
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1485
541
$/Square Feet
69.64
18.34
Value
103,415.00
9,922.00
113,337.00
Building Permit Fee
Surcharge/Admin
464.50
37.17
TOTAL FEE
(A)
501. 67
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
3
6.00
4.50
9.00
3.00
5.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
32.00
10.00
2.56
TOTAL PERMIT
(D)
44.56
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
ELECT PERMIT
0.00
12.10
15.40
100.00
1,000.00
2,185.97
140.40
TOTAL MISCELLANEOUS PERMITS
(E)
3,453.87
,
~,
SPRINGFIELD
Job Number: 990405
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
4,172.90
--- 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: 04/08/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/26/99
DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES
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
cafld is located at the front of the property, and the approved set of plans
wjll remain on the site at all times during construction.
~ ()fJl2~ p1, uJ0l
~~nature ~
Date
--- VALIDATION
Date Paid:
tJ356?{
tt/;2. 1-/ '1 c;
'-117 2. C; fIJ
J~
Receipt Number:
Amount Received:
Received By:
JOURNAL OR JOB NO. t:t...lJOw. \'
. . . ATTACHMENT A I
CITY OF SPRINGFIELD SYSTEMS DEVELOP NT CHARGE
WORKSHEET
NAME OR COMPANY: \'~VV f /2.F S
LOCATION: o6'H3 PlNYON
DEVELOPMENT TYPE: SF'D
BUILDING SIZE: 20'2. ~
LOT SIZE
SO. F t.
1. STORM DRAINAG~
IMPERV IOUS SO. FT. 2 2~&:) x $0.227 PER SO. FT. $ S04-.:l. I
2. SANITARY SEWER-CITX
NO. OF PFU'S IE!>
(See Reverse Side)
X $47.14 PER PFU
$ ~4-13 S'2-
'-
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01' X $475.32
L480.0c
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF. FEU'S
X 217.# PER FEU
,
$ '2.."1.44
B. IMPROVEMENT COST: .
i
NO. 'OFHU'S
. X 26.20PER FEU '.,
. .
$ 25.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ (P'1-. oS >
$ 10.00
TOTAL-MWMC SDC
$ ~ d.-ctt.5C;
$ ~ ~O~l.g~
$ ~ 104,0'1
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
'1JV\13X___ ?Jl~{qq Date:
SDC Coordinator i
ATTACH'A.WPD
TOTAL SOC.
$ Q.1~!;A:t
. . ~ ;, . .., '" ';,,-,. ~. -. .
FIXTURE UNIT GALCULA1IPN TABLE: Nu,,:,be.'.of New Fixture~Unit EQuiVal~nt = Fixture Un~ts.'
(NOTE: For remodels, calculate only t~ additional fixtures) ,-". . .,
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
. .
2
1
.2.
3
6
2.
6
6
1
3
2
l/Head
2
2
1
6
4
Z-
<..eathtub).................................................................. .
Drinking Fountain................ ..... ................................
Floor Drain...... ..... ... .... ............ :............ ...... .......... .....
Interceptors For Grease/Oil/Solids/Etc.................
Inte'.",eptors For Sand/Auto Wash/Etc..................
.- ..--..--
(.1"~.undrv Tub/Clotheswash~.....,........................,...
Clotheswasher. :l Ur Mor~.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Recepto; For Commercial Sink/Dishwasher/Etc..
<SlJnwer. Sino Ie s~...........................................'....
Shower, .Gang......,.. .'.................... ,~" ..,.....................
SiCik.:...Bgr. Commercial. Residential K.itchl}ri........................
Urinal S II/Wall..:,...,u~...:.............,...................
ash Basin/Lavatory, Sing''')................................
Toilet. ~:'I:_ 1..,~lIation........................................
/1'Oilel . Privat~..................................................
Miscellaneous:
~ ,"; \ ..' ,
2-
" .
z.
I
'Z-
'2-
. .
....;
Z-
'2-
'i3
TOTAL FIXTURE UNITS
=
....J~
. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates,
.
Year',
Annexed
.
...
Rate per $1 ,000
Assessed Value
. Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984 .
1985"'; . > , '..
1986
1987
1988
$4.27
4.18
4.12
3,99
3.83
:3.68
3.48
3,18
2.82
2.42
'1989
1990
1991
1992
1993
1994
.,..; .\995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Improvement (if after annexation date)
4.27 X:'$:.Jj = JLJ-.ro-
(Rate X Assessed Value)
X$ =
(Rate X Assessed Value)
CREDIT TOTAL = $ J.gg-, OS-
..' .",
Credit for Parcel or land Only If Applicable
.>
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential....,..,..,........,.",... 0.4
Commerical..,.".............."... 0.9
Industrial:........................... 0 5
Governmental...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT
,
., .~
.
SYSTEM DEVELOPMENT CHARGE
\ \ WORKSHEET
NAME: ~'D \~)\ \~~ PHONE: ~O. ~D?5
ADDRESS:a~_~ \~(\K~9'<7) STATE: t)\GZIP: \\l415
LOCATION OF PROPOS~ BUI'RI.NG SITE:
Street Address: ~?Q~ ~~ {\\ \m
Plat Name:&~ q >>G..A r ./ f\x Lot Number: \ s<()ocwl4 t.33CO
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on the back.)
.
Job. No.
C\OD4D6
A. f)inqIA-Fl'lmilv DAtached
\ Single Family home
NO. OF UNITS \
. Manufactured home not in a park
X $1,000 per unit = $ \\f:fJ.oO
B. SinQle'-Fflmilv Aftl'lchAQ
NO. OF UNITS
X $924 per unit = $
C. .Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Ml'lnllfl'lntllrAc1 HomA PRrk
. .
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ . \OnO 00
2. SDC CREDIT (If appficable) SDCilayer must furnish proof of
WiUamalane Credit approval. See SOC Credit Worksheet.
$15
$ \Im pO
7. 2- I f"j
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC r::~:~cfit)
~,~p~~Partm'nt Da1 I
City of Springfield
"he. following project ss submlned has the following
<Ching, and does not require specific land use
l{)proval.
Zoning J-DfL-
225 FIITH STREET. l{ - d ~ -c; ~
SPRINGFIELD, OREGON 974'1~ .' '\
INSPECTION REQUEST: 7.26D<3i;!(I:9Slgnatura ~
OFFICE: 726-3759
~~~O\~T~t^~
LE~ES~PTION -:l. r--J\
\~ \O\L\ \Out A.J
JO DES<< PTI~~ ~()'d: ~
Perm' s 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 Contracto~T:5ll;ll.'< ~
"
-1
,
~~snElectrician
owne~~ Name~'{) \LiU::s
Address j?A~ ~(lJ)ticL ~d .
Ci ty~ ~1cil Phone ~lo.~CYJ.:)
OI/NER INSTAi~TION
The installation is being made on
property I own vhich is not intended
for sale, lease. or rent.
Owners Signature:
~\
D~~E~----~;f~~<jif---------------~------
RECEIPT 1I~ 1') J j~ 7-1 1/ {J ,
RECEIVED BY: u.. ()VI
ELECTRICAL PERMIT rWt~^J~
rity Job Number lk1( ft( FJ
3. COMPLETE FEE SCHEDULE BELOI/
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sQ. ft. or less ~ $ 85.00 85
Each additional 500
sQ. ft or portion <-=':J 4J6
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
D.
Branch Circuits
Address '2,/70 u.) J;:e 200 am)s or less $ 50.00
. . w!equi200.~'il.~ j1; to 400 amps $ 60.00
City q. /9 PhO~frc~.~g~neO!~Q\lI!Wrttio 600 amps $100.00
....... _. I P; ~oPjeou, u\e~bsm is to 1000 amps $130.00
Supervisor License Numb~~\OW ~."hose! h~@s1!6W-amps/volts $300.00
/ Noti\,"Qc;gl-001_001Uth!0~9 J\'illeQI1~PYOnly $ 40.00
Expiration Date ~ -tril2l'~r~_, ~ncOP\?S telephone
0.09\1. 'uv ...- ~ente!" ~NoUl.. ~~Gf~~~ Services or Feeders
Constr Contr. Number_::t 6aWJ:I~'rf \\1_nrAgonll\\I't't~)~llation, Alteration or Relocation
ffil!lJOe1 'u. -. 1_800-332-2
Expiration Date C/-,r '8 l:> ccente!lS 200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
."
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/~D.()O
L.~o
~ 'f0
, .
/40.11/0