HomeMy WebLinkAboutPermit Building 1999-4-22
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990357
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Contractor
.'OU\O
3891 PINYON ST e~UileS' I,)\ili\'l
e~Ollia.'ll~Ml~ c&i.\Gd~oo
E.\'1"\lOI"..OI \eO 'o'$mjlcn~atib~'l..g<A"sPER
1>.\1 ,.,'''5 a.00? r 1'nOse 11'. op..~"J\"S 'O'!
\o\\O~}\Oll ce\'~~I'Jt': e?&v\r~::7"~'blle
\'1~'t.~~~~'Zo\!tai1':1~~\C~ON
ill oP\ '(oU tlIa.'! tel. ~\'10 u\i\i\'l \'10
0090~\lill9 \ne ~~~ ole90~.'3'3'2."'2~'
c'e",,\ot .~ 1.\'>0
lIU'" cell\'C~nst.
Contractor #
PARK
Location of Proposed Work:
Assessors Map #: 18020614
Lot: 2 Block:
Owner: TOM WIRFS - COZY HOM
Address: PO BOX 237
97477
Describe Work: S.F. RESIDENCE
Expires
Phone
General: TOM WIRFS 0032947
1275 S 2ND SPRINGFIELD OR 974770000
Plumbing: B M C 0103570
648 W OREGON AVE CRESWELL OR 974260
Mechanical: MARSHALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: BILLS 0021351
3170 W 11TH EUGENE OR 974020000
06/28/99
747-8704
12/15/99
010-3570
12/23/99
747-7445
04/28/99
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: 1849
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.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
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 GAS - after line is installed" and capped if not attached to an
appliance
ROUGH MECHANICAL.. Prior to cover.
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTRICAL.. Prior to cover.
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,
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
Job Number: 990357
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.
Page 2
Lot Faces: N
Topography: 2
Solar Approved: Y
Lot Coverage: 29 %
Setbk From NPL: 73
N
Lot Sq. Ft.: 6250
Total Height: 16
Lot Type: INTERIOR
Setbacks
S W E
25 6 12
House
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1491
454
$/Square Feet
69.64
18.34
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 2
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE W/H
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
ELECT, PERMIT
PLAN CHECK
TOTAL MISCELLANEOUS PERMITS
(A)
= Value
103,833.00
8,326,00
112.159,00
462.25
36.98
499.23
Fee
160.00
160.00
12.80
172.80
6,00
4,50
6,00
4.50
3.00
5.00
29.00
10.00
2.32
41. 32
0.00
14.65
14.80
2,514.77
1,000.00
124.20
60.00
3,728.42
(C)
(D)
(E)
SPRINGFIELD
Job Number: 990357
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
4,441.77
--- 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: AL WARD Date: 04/08/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T NOT LISTED IN COUNTY SYSTEM AS OF 3/23/99
DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES
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 ~e at all times during construction.
Signature
r
t/ /"2/~b
r;;q I
Date Paid:
?J3r:;J)\:IDATION
L\ .12-CfI
~-M\:1"-1
,NJ0
'-' --
Receipt Number:
Amount Received:
Received By:
.
.
Job. No.
ctQ(lm
SYSTEM DEVELOPMENT CHARGE
. WORKSHEET
NAME:-rQlYI LUlAJ.'\
ADDRESS:U) l~ ~'iJ/ c1?-t\
PHONE~4l ~7Of
STATE: ~ZIP: Q7417
LOCATION OF PROPOSED BUIL~NG SITE:
Street Addre s: 591 G \ Y\i\ \.'fI\ ~\Ju 0 t
Plat Name: C. Tax4.ot Number: I K~O
1. DEVELOP .ENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on the back.)
A. .siogle-FRmilv DeIR~her!
I Single Family home' .,
NO. OF UNITS
l
Manufactured home not in a park
X $1.000 per unit = $ ...1/)00 .~
B. llinfJle'.FRmilv AttR~heo
NO. OF UNITS
X $924 per unit = $
C. Mulli-Familv AORrtmenl
NO. OF UNITS
X $692 per unit = $
D. MstnufaclIJrAO Home P:lI'k.
$
$
loOO.OO
{tJ'
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c
2. SDC CREDIT (II applicable) SDG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
l ,::.~~~~ 4
Wve1o~ment serVl~e~ent Date
City of Springfield
$ lnrfJ.oD
,'L1-,C(q
JOURNAL OR JOB NO.
, . ATTACHMENT A .. CflQ~SI
CITY OF SPRnrGFIELD SYSTEMSDEVELO~NT CHARGE
WORKSHEET
NAME OR COMPANY:
W\RF~
LOCATION:
'?:.~\ P; l'\\I('),^ &t-
i
DEVELOPMENT TYPE: SF D '
BUILDING SIZE:
LOT SIZE
J
SQ, Ft.
1. STORM DRAINAGE I~~'+- (I?) W.t-I2.('20) + 2-(2-10) -t z.(n.)
IMPERVIOUS SQ. FT. '3113 X $0,227 PER SQ, FT. $ "lO~,(PS
2. SANlTARYSEWER-ClTY
NO. OF PFU'S
(See Reverse Side)
/q
X $47.14 PER PFU
$ eA 5'". c,C;,
3. TRANSPORTATION
NO OF UNITS x TRIP RATE X COST PER TRIP
X 1.01' X $475.32
$ 480.07
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I X 277.+4-PER FEU
B. IMPROVEMENT COST: .
,
$ 2.// A4
-'
NO. OF FEU'S
, X 2.5.20 PER FEU
$ 25.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAL -MWMC SDC. $ '3 I z. C,tJ'f
SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ '2.'3 <=15,02-
5. ADMINISTRATIVE FEES:
BASE CHARGE ( SUBTOTAL ABOVE) X . 05 ,$ II q ,-' 5"
MfJL.---
SDC Coordinator
ATTACH' A_ WPD
Date:
"2., (ZS /qc;
TOTAL SDC
$ '2514-.77
. '.~; .1. -:.-_~',.- 'r'~'1"l " ",", _ . .' ;" ..-' .-.., ,-', \~"'r."- --.-..r...."': ...
FIXTURE UNIT C, ALCULAllON T ABLE: N~n:'be_r of ,New Fixtur~Unit Equivai~nt = Fix~~re Un~ts' ,-
(NOTE: For remodels, calculate only t. additional fixtures) Ie ,', . "
, ' , 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 Wash/Etc..................
Laundry Tub/Clotheswasher.... _. _................ -......... -.
Clotheswasher - 3 Or More......_..............................
Mobile Home Park Trap:'!1 Per Trailer)..................
Receptor For RefrigeratoriWater Station/Etc........
Receptor For Commercial SinklDishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang......,.._.... ............ ..... ,........ ..-..... .....-....
Sink: Bar. Commercial, Residential Kitchen........................
Urinal, Stall/Wall.......... _..................... -......................
Wash Basin/Lavatory, Single_.................................
Toilet, Public Installation.........................._........._.._
Toilet. Private........................................................
Miscellaneous:
1/
*
" ,
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'3
~
I
~
I
:z.
11/
II
TOTAL FIXTURE UNITS
ICf
=
. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate cred!!s separates.
Year',
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
19B1
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
Year
Annexed
Rate per $1,000
Assessed Value
'I
, 1989
1990
1991
1992
1993
1994
.,..; .1,995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
=
-.' ....
Credit for Parcel or Land Only If Applicable
Impmvement (if after annexation date)
X' '$:"
(Rate X Assessed Value)
X$
(Rate X Assessed Value)
CREDIT TOTAL
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
CommericaL........................ 0.9
IndustriaL............_.............. 05
GovernmentaL..................... 0.5
FIXUNIT.WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
... '. ..
<-Q~""
~.o ~~ 0/.6
~Q~ ""....
~ "",Of
() 1$)/ 0- :001'.:
" 'OQ 90'
225 FIITH STREET ~"" -" _~'" .... ","co,'l ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~Q~,!J.: D/""...."6 Ilq(iJ':2c:::n
INSPECTION REQUEST: 726-3769"0- 1''''' ">~ Ci ty Job Number L.{ A.A) J
OFFICE: 726-3759 lS}u'.> ~"~
"~r. ~ . "",~~~TE FEE SCHEDULE BELOl/
1. Lq{:~.wN ~ INSTALLATI~" ~ ..{,,;
~'lS-\\ ~~ ~\-rpp\- . ev ~?%lential-Single or
~ti~~lY per dvelling unit.
LEGAL DESCRIPTIO -2.' rVl er . ce Included:
\~()~(")ln\4v"5LA-/ Items Cost
~.~_ ~c~r('~~!"\~ \~ Eac~ ~ddi~io~~ll~gg \ $ 85.00
sq. ft or portion ^
Permits are non-transferable 'and expire thereof ~ $ 15.00
if vork is not started vithin 180 days Each Manuf'd Home. or
of issuance or if vork is suspended for Modular'Dvelling
180 days. Service or Feeder ,$ 40.00
c. Temporary Services or Feeders
Constr Contr. Number:;). / "':3 r I InstallationJ &;Iteration or Relocation
, / \;::\w rPO! "res 'IOu. .
Expiration Date ~;,. .K- OllO;lTENT'ON:O;ego~IOuamps;,~or' 'rWsl~rlh $ 40.00
- tollow rules adoPle'! )1ea~fN; aIO '40()J'amps $ 55.00
Signature of SJIpervis~' ElectNb'tltienliOncenter.l6'~er~[ ePfCl9600u.1ii1ps $ 80.00
~ ~ ,- /J -(7 . O~~'()01.001rolJ'E!\! ,,,Q~It\WPSlI~b'iOOO volts see "B" above
~ f.At:7" ~" may oOtaln cOP. t le\ephO~e
, \ ':"''''"'''\... l\ ", i\ingthectlllterB~~\~@'\l~on
Ovners Name \~ ~1'..N-.. ~ c~...^'tortheOregon 1'.344). ,
\A/<""I ~ _ . A=II V'~"- centeris1IOOP,-3111~eration or Extension Per Panel
Address,", U \<:::r>l ;..Li:::ll
Ci ty~~Phonel{lXl.Qi
O~ ;NST~~T~N
. .
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contract~ rs! 1/1<" ~,
Address ~ 170 Ll) / ('L
Ci ty '2.-........-91 Phone 3 '/1 R'Y2~
superviso/ License N~mber 9 ! /) _ ~
Expiration Date J D- / - /
"
The installation is being made on
property I ovn vhich is not intended
for sale, lease,or ~ent.
Ovners Signature:
DATE~----------~~~t7I---~-(---
RECEIPT II:, l\\ ~..,l.,I('LJ \
RECEIVED BY: I ~-
.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Sum
Pf]
2J)
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
$ 35.00
$
2.09
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
d)
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