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Home My WebLink AboutPermit Plumbing 1999-12-7 SPRINGFIELD ~. Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991508 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3374,HAYDEN BRIDGE RD. Assessors Map #: 17021900 Lot: PAR Block: Tax Lot #: 00600 Subdivision: Owner: MIKE MILLER Phone #: OR Address: 2828 HAYDEN BRIDGE RD. City/State/Zip: SPFD Describe Work: M.H. & GARAGE NEW Contractor Const. Contractor # Expires Phone General: GREAT WESTERN H 0046472 5024 MAIN STREET SPRINGFIELD OR 974 Electrical: HERITAGE ELECTR 0063137 1042 HORN LANE EUGENE OR 97404 11/12/01 726-2171 12/27/00 688-1600 QUAD AREA: 5RNC # OF UNITS: 1 CONSTR. TYPE: VN OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 # OF BLDGS: 1 OCCY GROUP: R3 SQ FOOTAGE: 2527 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. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. ELECTRICAL SERVICE - Must be approved to obtain permanent power. ROUGH ELECTRICAL - Prior to cover. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. DRYWALL - Prior to taping. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: S N Lot Type: INTERIOR Setbacks S W E 50 10 House Garage 12 BUILDING PERMIT Item Main Square Feet x $/Square Feet Value 0.00 Job Number: 991508 Page 2 Garage M.H. FDN. Total Value 576 18.34 10,564.00 5,000.00 15,564.00 Building Permit Fee Surcharge/Admin 116.50 11.66 TOTAL FEE, (A) 128.16 --- PLUMBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Mobile HOl)1e 25 Fee 25.00 25.00 25.00 15.00 Plumbing Permit Surcharge/Admin 90.00 9.00 TOTAL CHARGE (C) 99.00 MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin WILLAMALANE SDC CITY SDC PLAN REVIEW FEE 105.00 30.00 10.50 1,000.00 1,124.20 75.73 TOTAL MISCELLANEOUS PERMITS (E) 2,345.43 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE --- (A, B, C, D, and E combined) 2,572.59 E('4fq/j/~~L ~~I'/ 9.2.~ U 6i1.~ --- 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: 0.00 Date Paid: 11/01/99 Receipt Number: Received By: Plans Reviewed By: DON MOORE Date: 11/29/99 Building Site Reviewed By: DON MOORE --- ADDITIONAL COMMENTS --- ASSESSM'T VALUE IS FOR UNDIVIDED PARCEL FARM LAND SITE IS .96 ACRES SEPARATE ELECTRICAL PERMIT IS REQUIRED. NEW SEPTIC SYSTEM-LANE CO. SEPTIC NO.99-7471 \ 'A ~ h \} ()f\ fjJO ~~ '() II SPR'NGF'ELD ~ ~ ~ ~ '. tJiNh'MJI::ff'''.lN:(~Ii';j Job Number: 991508 Page 3 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 on the site at all times during construction. ~ Signature ~ ~.... .-- ~ /Z- -,-J79 Date --- VALIDATION Receipt Number: ~ ~.6~ /." - Date Paid: /2..? .. ~, Amount Received: ~:: V. ~'~ Received BY'~~ Zoning IT/(l l' Date 11-- ~ G) 1 \ 225 FIFTH STREET ~~ttIorized Signature cf..tJJ SPRINGFIELD, OREGON 9/4// INSPECTION REQUEST.: 726-3769 OFFICE: 726-3759 i ,\, 1. LOCAT:;Jt ~TALLATIO--<< -;iJJ ;;?, ~ '?: /)5, ) V'.JP?" - , LEGAL DESCRIPTION .1 ZO 2. ~ ' .,f~ Oafo/)() JOB DESCRIPTION A&If, f ~~ Permits are non-transferable and expire if work is not started' within 180 days of issuance or if work is suspended for 180 days. J I. I 2. CONTRACTOR INSTALLATION ONLYB. Electr~cal Contractor ~~ ~ Address /tJrZ- ~ ~ n. , City ~~ tl Supervisor License Number Phone 7.;2. 9 -j!;OO c;f5-.s /Zj 0/ Constr Contr. Number b ?"/~7 fQ;.... ~ /V'I'1 I Signatur~ of Supervisin~ Electrician ~~- Owners Name _~~c- /~ Address~~2P:> thr)W k ~_/ City ~' ~ "Phone *--~~ i , i Expiration Date Expiration -pate OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: /?...-;>. 9~ RECEIPT #:" ~~q ,RECEIVED BY: - ~ d~ /' //1/ ELECTRICAL PERMIT APPLICATION Ci ty Job Number 99 / 5'CJ~ 3_ COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Su 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular'Dwelling Service or Feeder ~.$ 40.00 ~ 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 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ~ $ 35.00 $ 2.00 '/:f- E. Miscellaneous (Service/feeder not includec -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5_ SUBTOTAL OF ABOVE ?~ State Surcharge 3% Administrative Fee TOTAL .a ~. ~p ~.U :::Z.S'2.. 92 . 7'~ ,JOURNAL OF -~B' NO. qq / S-CJ 8 ATTACHMENT A 'CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: , I ' . ' /'!11 I~e:. ) M I L.1.- e: JZ.. LOCATION: 3374 IJA'-(h6V ,FS~I DC::1<: ROA~ DEVELOPMENT TYPE: M r"'c. . !lo ^ IS BUILDING SIZE: LOT SIZE SQ. Ft. 1. STOR1\1 DRAINAGE 40 '1"4- 8 /';'2..0 '2- 1..-1'-4. 5 76 IMPERVIOUS SQ. FT. 2J4er6 X $0.232 PER SQ. FT. S S{3 (')7 2. SANITARY SEWER-CITY ?rvv",-rE: S6PTn:... >'1'~7e,e.-, NO. OF PFU'S D (See ReverseSide) X $48.27 PER PFU $ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP X 1.0 ( X $486.73 PER TRIP $ 4-QI,G.c; x , X 5486.73 PER TRIP $ 4. SANITARYSEWER-MWMC A. REIMBURSEMENT COST: ' NO. OF FEU'S X PER FEU 5 , B. IMPROVEMENT COST: NO. OF FEU'S, X PER FEU TOT AL-MWMC SDC $ -- <$ > $ 10.00 $ 0 $ I, 070.b 7 $ S:S I S3 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 &4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 i. 9t: 'Date: / / - F7-19 SDC Coordinator . ATTACH'A.WPD TOTALSDC Ll,IZ4.Z0 f1; IXT U ~ UNIT CALC lJ LATI 0 N TABLE: Number of New Fixt..res X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the 1"--- additional fixtures) " FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT EQUIVALENT FIXTURE UNITS Bathtub................... .......:................ ........ ................... Drinking Fountain..................................................... Floor Drain............... ............ .......... .'.......................... Interceptors For Grease/Oil/Solids/Etc..................... Interceptors For SancllAuto Wash/Etc...................... Laundry Tub/Clotheswasher/Mop Sink.................... Clotheswasher - 3 Or More...................................... Mobile Home Park Trap (I Per Trailer)................... Receptor For Refrigerator/Water Station/Etc........... Receptor For Commercial Sink/Dishwasher/Etc...... Shower, Single Stal!.............................................,.,. Shower, Gang.. .............. .........................................,. Sink: Bar, Commercial, Residential Kitchen............ Urinal, S tall/W aiL..... ...........................................",.. Wash Basin/Lavatory, Single................................... Toilet, Public Installation..................................,...... Toilet , Private............................................,...........,.. Miscellaneous: 2 I 2 3 6 2 6 6 I 3 2 l/Head 2 2 I 6 4 TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separately. ,Year Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 Rate per $1,000 Year Rate per $1,000 Assessed Value Annexed Assessed Value $4.47 1989 2.18 4.38 1990 1.75 4.32 1991 1.35 4.20 1992 1.17 4.03 1993 1.03 3.88 1994 0.86 3.68 1995 0.71 3.38 1996 0.57 3.03 1997 ' 0.39 2.62 1998 0.18 Credit for Parcel or Land Only If Applicable X $ , (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL =$ RUNOFF COEFFICIENTS FOR STORM DR.\.INAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 Commerical......................... 0.9 IndustriaL.............. ............... 0.5 Govemmental...................... 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT c. p.~ Willamalan~ c:;)Q .t ''--1 Park &. Recreatian Distr~~t Job. No. ~! ( /:5i:Jf5 , fW, SYSTEM DEVE;l..QPMENT CHARGE , WORKSHEET NAME: ~ke ,~a~ ' PHONE: 7~/-~7 ADDRESS:. zg,2-~ ~.4.. STATE:()(. ZIP: ilf'7,7 I LOCATION OF PROPOSED BUILDING SITE: Street Address: . .t-I-~) ~ ~ ~ .' . Plat Name: Tax Lot Number: 17t;2"Z/?a? /~ t)?J6tJO . ~,". 1. OEVELOP~E.NT TypE (Check appropriate dwelling(s). SDC calculations and dwelling t yPe definitions are ori'the back.) . - ,A SlDol~..FF,lmilv Det~~hed Single Family home NO. OF UNITS /Manufactured home not in a park ' X $1,000 per u~it = $ /O{)t). B. ,Sinale'-Familv...Attached NO. OF UNITS X $924 per unit '= $ c. Multi-Familv Aoartrnent NO. OF UNITS X $692 per ~nit = $ ,D. Manufact{Jred liQmA PRlk NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ 2. SDe CREOIT (If qpplicable) S09-Payer must furnish proof of Willamalane Cmdit approval. See sac Credit Worksheet~ $ 3. TOTAL WILlAMALANE NET SDe ASSESSED (If SDC reduced for Credit) $ , tl f) ttD 4~~/ /~I ? I 9~ D~i'?P"ment ServICt1~ep'Qrtll ,p.lt bate , City of Springfield