HomeMy WebLinkAboutPermit Building 1999-4-19
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990096
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1125 DELROSE CT
Assessors Map #: 17032344
Lot: 23 Block:
Tax Lot #: 10500
Subdivision: ORCHARD VIEW
Owner: CHARACTER HOMES
Address: 835 SAND AVENUE
Phone #: 345-9395
City/State/zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Canst.
Contractor Contractor # Expires Phone
General: CHARACTER HOMES 0097241 02/28/99 345-7369
835 SAND AVE EUGENE OR 974010000
Plumbing: CONTRACTORS PLU 0101624 08/15/99 343-0975
1590 BOGART LANE EUGENE OR 97401000
Mechanical: CRYSTAL CLEAN A 0096878 02/17/99 484-2286
197B WALLIS EUGENE OR 974020000
Electrical: DEANS ELECTRIC 0099579 06/20/00 688-3070
PO BOX 2585 EUGENE OR 974020000
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 2821
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
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.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
..
BRAINOFIELD
'~-
Job Number: 990096
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.
N
Lot Sq. Ft.: 8290
Total Height: 26
Lot Type: CORNER
Setbacks
S W E
35 8 19
11
Lot Coverage: 23.5 %
Setbk From NPL: 56
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage 18
Item
Main
Garage
BONUS ROOM
Total Value
BUILDING PERMIT ---
Square Feet x
2051
517
253
$/Square Feet
69.64
69.64
Value
142,832.00
18.34
17,619.00
160,469.34
Building Permit Fee
Surcharge/Admin
570.25
45.62
TOTAL FEE
(A)
615.87
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192 . 50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207,91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
4
6.00
4.50
12.00
3.00
5.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
35.00
10.00
2.80
TOTAL PERMIT
(D)
47.80
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
0.00
37.00
14.80
370.66
1,000.00
3,047.74
~~6.GO- Icr'.'~
A.626.8a 4Io70/'0
..
,
~,
S9RINDFIELD
Job Number: 990096
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
:, ;,~,,,,, ~tl.'i&
--- 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: 03/15/99
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
3 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 ORB 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.
Lk I~ ~
Signatur~ ~ ~
I
-q ~
)/-;7'7-9- 9-
Date
- -- VALIDATION
Date Paid:
() ~ 5:>/
'Illf!9?
:s 5'1(. SI
uwJ
Receipt Number:
Amount Received:
Received By:
.
flAt. ,
.. ~I".... 'Willamalane
'"t""",!, Park & Recreation District,
(V SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~mMfr~
ADDRESS: Pi6'S &Nt. l~ ,
.
Job. No. ~~li?
PHONE: MQ .Q2HS
STATE: aLZIP: t/71D!
LOCATION OF PROPOSED BUILDING SITE:
Street Addref~:.J!!1,~.n ~iAf)){ ~
Pial Name: ~l \JLO 1 Jj Tax Lot Number: Il)n~~Cft 4: lOW
1. PEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A Rinole-F::Jmilv DAtR~
\ Single Family home
NO. OF UNITS I
Manufactured home not in a park i)
X $1,000 per unit = $'1'(XY) p.
B. Rinale'-F::Jmilv Att::Jched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv AO::Jrtment
NO. OF UNITS
X $692 per unit = $
D. M::Jnllf::Jr:twed Home PRrk
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ l OCD 90
PJ
$ LOmpo
I (( I 77
$
2. SDC CREDIT (If applicable) SDG-payer must fumlsh proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
\\~;:,~
'6evelopment s&~artment
City of Springfield
Dtte
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. hO~~Iehl;d-
Idf~~~~TIO\f)~
M~~eoDM~ ~
perm~ are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
011: 1S'''6
'"9l/.''>.>'i!.
1/'61 t9q
",0 ~..
&CI4:.\5'~9
co ~IJ: 'Oqo
0'" ....'"
E~cTRrCAL PERMIT APPLICATION
Number ~r:Nl.l ()
3.
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
BELO\l
uni t.
Items
Cost
Sum
&Q
(gO
.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd'Home, or
Modular 'Dwelli~g
Service or Feeder
\
'\
$ 85.00
$ 15.00
. $ 40.00
2. CONTRACTOR INSTALLATION ONLY fA111'rEN1I'IOf\H~res2Wm~q)~~%~"d~'rs
"" ~ ~ ru es aOODI'"" "t' (l'i1.t""lon 'Rl'tV t'
Elec tdcal Contrac tor_Ue~N [; iqgl~' ~i~n Center.~,f'Rtl~~Pa~it.;~f:r ::!.F.a 10ns
'" Vl"\f 0'...J2w001-Q010 throuoh UAI-4 ~~C'.;..{ll-
Address P. O. 60/,- :).. ~ \l't;: 0090, You may OOIIlOO:;'aiiips obI' "His'1;' tJ,
calling the Centel'.Oi'lCll.mpseio'84'OO"amps
Ci ty c;: :^') eJtJ<(.. Phone ~ 5 ~ .. '51;$lliger for the Or~l)C'ari"p!jY to" 60OtI'ainps
Cer'\ter!s 16~10aJfips<:tol)1000 amps
Supervi~or License Number ~~Iq <) Over 1000 amps/volts
Reconnec t' Only
Expiration Date {O -I - D\
Constr Contr. Number q,\ ">; "1
Expira tion Da te b" ?.O.. 00
Signature of Supervising Electrician
'L-~ . ,
. D
Owners Name~ ~C\ MPr.){~ .
Addres~ ~W'{\ ~
City Y1TIQtQ. Phone-C\'S.CB{S
O\INER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~--~77~f~1'7-----------------------
RECEIPT t#': ') ))SI II ,
RECEIVED BY: (.f (J N
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
t- $ 40.00 .L/..r)~
$ 55.00 ~
$ 80.00
volts see IIBII above
"
New, Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addit ional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE (.
5% State Surcharge
37. Administrative Fee
TOTAL
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~.ci)- 1S,5,lJP
q. {;Ly CJ,U"
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/5"..fBc)'" 7'7?:S-O
ATIACHMENT A 0'100 orb
CITY OF SPRI~ELD SYSTEMS DEVELOPMIIr CHARGE
WORKSHEET
NAME OR COMPANY:
~ev
I~
LOCATION: \lz..~ (J..,D.A.D.~ q~~
DEVELOPMENT TYPE: ~()
BUILDING SIZE:
Z,<(Z.I '
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE2ZZ-IT 'zt(z.O)+ (~,~-r+S.75)ZKI,5'
IMPERVIOUS SQ. FT, Y,,8..7,75 X $0.227 PER SQ. FT. $8'37,12...
2. SANITARY SEWER-CITY
NO. OF PFU'S ~'7
'(See Reverse Side)
X $47.14 PER PFU
$ 1'Z.'72,1lr
3. TRANSPORTATION'
NO OF UNITS X TRIP RATE X COST PER TRIP
X J.OI
X $475.32
$4eO,O-:r
X
X $475.32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 2.11,4+PER FEU
$ 2-'" .44-
B. IMPROVEMENT COST:
NO. OF FEU'S. \ X z~, 20 PER FEU
~ 2.5.2n
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ - . >
MWMC ADMINISTRATIVE FEE . $ 10,00
TOTAL-MWMC SD( $ 312.., ItA-
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ Z~tJZ.,&1
5. ADMINISTRATIVE FEE~:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /4-1::;, rs
fYlS L Date: J./, Jqo;
SDC Coordi nator I I TOTAL SOC $ :B04- 7. 7 4-
ATTACH' A. WPD
- - -. .. . _. - .. ,-...-. IIlUIIIU(;1 VI "H::W r-IX[UreS x.. Unit t:qUlvalent '= Fixture Units
(NOTE: For remodels. calculate only the NET additional fixtures) .
. NUMBER OF l,JNIT 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 Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL....,.... ........................... ............
Shower, Gang.. ..,....................... .,............................
Sink: Bar. Commercial. Residential Kitchen........................
Urinal. Stall/Wall.. ..,...................... .... ................... .....
Wash Ba'sin/Lavatory. Single..................................
Toilet. Public Installation,.......................................
Toilet. Private.......,...........................................,...
Miscellaneous:
II
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
-1-
z.
~
'Z
s
/2-
27
I
\
J111
, -
III
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Basec on assessed value. If improvements occurred after annexation date in :able.
calculate credits separates.
'i
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
.. "'iI
Year Rate per $1,000 I
Annexed Assessed Value
1989 $1.98
1990 1.55
1991 1.15
1992 0.96
1993 0.83
1994 0.67
1995 0.52
1996 0.38
1997 0.21
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after armexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.....,.................... 0.4
Commerical...,..................... 0.9
IndustriaL.........,................. 05
GovernmentaL,...............,.... 0.5
FIXUNlT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT