HomeMy WebLinkAboutPermit Building 1999-3-12
,
SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1151 DELROSE DR
Assessors Map #: 17032344
Lot: 3 Block:
Page 1
Job Number: 981538
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #: 08500
Subdivision: ORCHARD VIEW
Owner: CHARACTER HOMES
Address: 835 SAND AVENUE
Phone #: 345-9395
City/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
Contractor
Canst.
Contractor #
General: CHARACTER HOMES 0097241
835 SAND AVE EUGENE OR 974010000
Plumbing: CONTRACTORS PLU 0101624
1590 BOGART LANE EUGENE OR 97401000
Mechanical: CRYSTAL CLEAN A 0096878
197B WALLIS EUGENE OR 974020000
Electrical: DEANS ELECTRIC 0089739
1400 Candlelight Drive #171 Eugene
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: 2998
NEW
Expires Phone
02/28/99 345-7369
08/15/99 343-0975
02/17/99 484-2286
03/17/99 688-3070
# 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.
UNDER FLOOR 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;
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
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to
SIDEWALK - After excavation is complete, forms
in place.
Prior to cover
Pi I ""-.....'''''e.
\ \:IlS;.
'-'11,,1IT SHALL EXPIRE IFTHE WORK
.~"' , '"1"11:''' THIS PERMIT IS NOT
...AN~ONED FOR
AIH 18~ r i,; "ERIO!),
Wall/Ceiling; Prior to cover
placement of concrete. . eS auto
and sub-base materiaOn laVl reQUlr '/ utility
A,-n::l'rnON:Oreted '0,/ ttle oreg~: set 10rttl
101l0Vl rules ~~~~r. 'ThOse rUle~~f\ 952.001-
NotilicatiOn ~01_0010ttlrOUg~ 01 ttle ruleS '0,/
in OAf\ 952- obtain cOple telephOne
0090. 'iOUt~:~enter. tNOt~i.~~~ Notilica.tiOn
calling ttle oregon 2344).
number lor 'S 1_800-332-
" centefl
SPRINGFIELD
, ~,
Job Number: 981538
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.
Lot Faces: W
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 7236
Total Height: 30
Lot Type: CORNER
Setbacks
S W E
7 19
Page 2
Lot Coverage: 24 %
Setbk From NPL: 60
N
House
Garage 13
8
Item
Main
Garage
BONUS ROOM
Total Value
BUILDING PERMIT ---
Square Feet x
2209
528
261
$/Square Feet
69.64
18.34
69.64
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW ADJUST
WILLAMALANE SDC
CITY SDC
3ELECT. PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
J;rr:'-<rt'p ~ ~
Value
153,835.00
9,684.00
18,176.00
181,695.00
617.50
49.41
666.91
Fee
192.50
192.50
15.41
207.91
6.00
4.50
12.00
15.00
3.00
40.50
10.00
3.25
53.75
0.00
27.10
14.80
19.02
1,000.00
3,016.58
/,??.-c
.:::~. v-:J"
~ -I;'277:~ 0
50;.1>6_ '$ ?/!)$'. I.,
SPRINGFIELD
Job Number, 981538
Page 3
--- 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:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
382.36
Date Paid: 12/16/98
Receipt Number, 32322
MOORE Date: 03/12/99
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
y
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
wi~l:;n on;1ite at all ~s du~ng :;:r=tion. 3" I 2- -7 ?
sigL~/, -.. ~ Date
-- - VALIDATION
Date Paid:
35/5"2-
:l /; 2-/)" )'
. ,
5?~
,p
Receipt Number:
Amount Received:
Received By:
ATTACHMENT A
CITY OF SPRINtlUELD SYSTEMS DEVELOPM~ CHARGE
WORKSHEET <1'8' (53~
NAME OR COMPANY: CVifi A1J.WA 4.n.v. P/'l
LOCATION: \\'5\ ~{h-o-<v:.
DEVELOPMENT TYPE: 6FD
BUILDING SIZE:
z.'1~
LOT SIZE
SQ, Ft.
1. STORM DRAINAGE t, /::; )
'2.~q~ t- (1/,51" J8' b/.-'
IMPERVIOUS SQ. FT. ?-.S<;,
~ a.O(f~)
X $0.227 PER SQ. FT, $ &::;7.L!'1-
2. SANITARY SEWER-CITY
NO. OF PFU'S ~7
(See Reverse Side)
X $47.14 PER PFU
$ f .::r1 ~ ;,&-
3, TRPNSPORTATION
NO OF UNITS X TRIP R~TE X COST PER TRIP
X I. () I
X $475.32
5 4eC), 0'7-'
X
X 5475.32
5
4. SA,N ITARY SEltlER -M1tlMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 211,4+PER FEU
~ 2".44-
B. IMPROVEMENT COST:
NO. OF FEU'S
X Z'? 20 PER FEU
$ 25.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ , >
$ 10 00
TOTAL-MWMC SDC $3\Z.iA:
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2SJ,,2.cI.~
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 14'3, {E
MSL
SDC Coordinator
,o.TTACH' A, WPD
Date: 12./2.1 1'1<6
TOTAL SDC $ 301(", '58
- . .n~_.__ ." -..... _"'1_.9_,,,,,,,\ - r-T;t(Iure units
(NOTE: For remodels. calculate only the NET additional fixturesl
NUMBER OF .
FIXTURE TYPE . NEW FIXTURE
UNIT
EQUIVALENT
Bathtub..................................................................... .
Orin king 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 Trailerl..................
Receptor For RefriGerator/Water Station/Etc........
Rece~tor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....;.................................... .......
Shower. Gang........ ..................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/WaiL..........................,............... ....... .....
Wash Basin/Lavatory, Single..................................
Toilet. Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
II
2
1
2
~
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
J..I:t!:L
11\
TOTAL FIXTURE UNITS
=
FIXTURE
UNITS
4-
'2-
~
-2-
~
I~
:;.1
calc:Jiate credits seoarates.
CREDIT CALCULATION TABLE: Baset on assessed value. If improvements occurred after annexation date in ::;'Jle.
II Year Rate per $1,000 Year
I Annexed Assessed Value Annexed
I .
I 1979 or before $4.27 1989
1980 4.18 1990
I 1981 4.12 1991
1982 3.99 1992
I 1983 3.83 1993
1984 3.68 1994-
I 1985 3.48 1995
1986 3.18 1996
1987 2.82 1997
1988 2.42
, .
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...............:........... 0 5
GovernmentaL..................... 0.5
FIXUNlT.WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1 ,OCO
Assessed Value
-/
I
I
i,
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
J
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alaO
(D\.
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225 FIFTH STREET a~ft PUIlt ~!I!oeds eJ!nbaJ IOU seop pua 'BUluoz
SPRINGFIELD, OREGON B~'f'81J"} eul tau pell!wqns Sa loeloJd BU!MOIIOjOe41
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. \L~ATION -R lirSTALLAT~ .
.\~\ V~\l5H)So UJ\l\R-J
LEGAL DESCRIPTION f'\(') ~fV"\
\ f\ ()?> 1. ~4.. 1)1'> '-Ll )
\ JOlhDES<:RIfTI~NI7\ fl i\nnO f1'
l~ ,\y,jl1'l\O fJV~ '}~'1.'-it>
per~s are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractorbeOo-N~ 'i\e~I(.;c.
Address P. D, ISo/'- ?- S g-::-
Ci ty C::'^'J t\,J<1. Phone l\ sO:; - t) -go~
Supervisor Li cense Number ~ ~ I q :;
Expiration Date (O -I' D\
Cons t r Con t r. Numbel' q,\ <:;'; '1
Expiration Date b - 'AD - OC>
Signature of Supervising Electrician
'b~-P~' ,
owners~Nam:0b.n!f) rt f r ~ 10
Address B'?>b\ ~ ~~ ~\ ~ (\wJl---
Ci ty Y Dv119-- Phone 2ft '6q.m
OVNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------~------,,~-~----
DATE: 'S}.,:).6. 7/1p 'J)
RECEIPT #: '2. ~ / r-L.-' /J .
RECEIVED BY: .. - . ~./~A-1.
, -et-. ....,
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number (\ ~\ t:()?J~
Coo
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Rome, or
Modular 'Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
40l amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Retonnec fOnly
Items
uni t.
Cost Sum
$ 85.00 6:)
$ l5.00 W
,$ 40.00
I
4-
$ 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 L.--
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
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 Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00 ~,&11
$ 55.00
$ 80.00
see liB" above
"
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-\:l(J~ 1'&':>,-'
.Q 'u:l- 1, 2.{"
-"\ .Q,o:; ~ 1".r
J.F.r::... . L;Q.. ~ I '7 r, So
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: 0W\~n0W ,g\O'<Y'OD PHONE: _r':)4CJ.q~Q~
ADDRESS: _ B~r.s ,-~QffL ,_cN.10 II I1Q..STATE: JdrZ-zIP:
.
Job. No.
G~\~?;n
01401
.\
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ll';\ \ l\ 0 ~ n nSL... 1\.~
Pial Name: ~t\ \J1.Q~ Tax Lot Number: l 'I03'2?f1.4: O&CC{{)
..
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. SinQIA-F::Jmilv Det::Jr:hAQ
l
Single Family home
NO. OF UNITS I
.
Manufactured home not in a park
X $1,000 per unit = $ {O(X).Cx:J
B. ~inolfl.F::Jmilv Att::Jr:hed.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmenl
NO. OF UNITS
X $692 per unit = $
D. ,MRnufRctured Home Pa~
$
$
\ ()(f) CD
(j
/
l ti)O .00
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c
2. SDC CREDIT (If applicable) SOG-payer must fumlsh proof of
WiUamalane Credit approval. See SDC Credit Wotksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Gredit)
~p;,~~~fdrtmem
City of Springfield
$
3
Date
I /2. I ,~
L