HomeMy WebLinkAboutPermit Building 1999-6-18
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NOTICE: ~!iiR,Wj~ PERMIT APPLICATION
THIS PERMIT SHALL EXP1R ::'_':.~.!"Y.'~T SPRINGFIELD
AUTHOR1ZEDUNDERTHISP~ SERVICES DIVISION
COMMENCED OR IS ABANDONED Fiiib:LDING SAFETY
225 AWt18OO~'lRE=J1!Q.Pet
Springfield, OR 97477
Page 1
Job Number: 990642
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1172 DELROSE DR
Assessors Map #: 17032344
Lot: 15 Block:
Tax Lot #: 09700
Subdivision: ORCHARD VIEW
Owner: KEN SCOTT Phone #: 746-8556
Address: 2742. LOCQST ST. City/State/Zip: SPLFD OR,97477
, I "'NT/ON'
. ,lOW .Oreoo I
Describe Work."'.!; P'J!ItEB~ENCEIJ aW req'
, ",/c;ar,on C p,,,,o by th u,rSf j(Ju '
I '()"'q..g_. entt::l,..,.., _ eoro;)_ IV
(;090' Y. <1<-001-0010- ~u~OFF'IP.Jla~EU!!Ury
QUAD AREA: =NW OLl may ObI . thrO(~'USE~et1Ij)m
--.;al,mg th am cOP' -rwr~"? !"-'>
OCCY GROUP rnJlrib eCen/er (N IC0NB'l'1iG 'TIP"'!. VN
HEAT SOURCE: FGerfOrtheOr' Ote:wk';-i~'Mf!11illlJi.J!I G
INSUL PATH: P1 Cen/erts 1_:~oOnUtiiii.tf\l88tr.'A~ 4013
-332-234Lt). cat/on
To request an inspection. call the 24 hour recording at 726-3769.
NEW
# OF BLDGS: 1
# OF BDRMS: 2
RANGE: G
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 ---
SITE - To be made after excavation but prior to setting forms.
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
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.
UNDER FLOOR 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.
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: 3
Lot Sq. Ft.: 12212
Total Height: 26
Lot Coverage: 28.5 %
Lot Type: INTERIOR
.
SPRINGFIELD
, *,
Job Number: 990642
N
Setbacks
S W
10
E
14
14
House
Garage
24
Item
Main
Garage
BONUS ROOM
Total Value
BUILDING PERMIT
Square Feet x
2515
970
528
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
4
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
~::'-:;:>':'H':c.:tt
e/...ec-r 105(/1(/1
TOTAL MISCELLANEOUS PERMITS
$/Square Feet
69.64
18.34
55.71
(A)
(C)
(D)
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, S, C, D, and E combined)
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Page 2
Value
175,145.00
17,790.00
29,415.00
222,350.00
709.75
56.78
766.53
Fee
192.50
192.50
15.41
207.91
6.00
4.50
12.00
3.00
5.00
4.50
35.00
10.00
2.80
47.80
0.00
60.00
60.00
1,000.00
3,484.99
~)D
. ., ~ 0"::'::'"
_1,__.........;17
S,516.43
_11,1,..... -
5$11. sf
SPRINGFIELD
Job Number: 990642
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
445.25
Date Paid: 05/13/99
Receipt Number: 033990
MOORE Date: 06/16/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
ELEVATION CERTIFICAT REQUIRED BEFORE OCCUPANCY;
ENGINEER APPROVAL OF EXCAVATED AREA IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 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
c-r!',yf
Date
-- - VALIDATION
Date Paid:
O'3l{'iIf.(
~/(f Irq
,
~5"11. ~'f(}
~l1JpY
Receipt Number:
Amount Received:
Received By:
.
.
. ~,.... 'Willamalane
~,,,,,, Park & Recreation District, job. No. q ~ OCO '--lQ..
fV SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: k SUJ., ~~. .
ADDRESS: ~1q~ ~ ~....<\'\ >>
PHONE: 1 'lb-8c;c:,(o
STATE: !QU), ZIP: q 1<-\.17
.
LOCATION OF PROPOSED BUILDING SITE:
\.\ 7~ "'~5L.~
Street Address:
~,
Pial Name: \ 1 ('''';~~!:>'-\4
Tax Lot Number: () q l CJD
1. DEVELPPMENT TYPE', (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. Sinole-F::!milv Del::!cheQ.
'P Single Family home '
NO. OF UNITS \.
Manufactured home not in a park
(jt,
X $1,000 per unit = $ , \.. CJt.n)
B. Sinole'.F::!milv Atf::!cheQ
NO. OF UNITS
X $924 per unit = $
C. Multi-F::!milv Ao::!r1ment
NO. OF UNITS
X $692 per unit = $
D. Ma.nuf.ar:I"r/'~n Home PllI'k
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
. I
2. SDC CREDIT (If applicable) SOc-payer must fun\lsh proof of
Willamatane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NEr SDC ASSESSED
(if SDC reduced for Credit) $
\)~~ "
De"Wllopment Services Department
City of Springfield
I
1.<1
Date
/ /7/ qCj
. . .'
The following project as submitted ha.s the following
zoning, and does not require specific land use
approval I (L-
Zoning - n
I,,-l~- c, "i
t-0
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Ii\InTICE' Installati~n, Alterations
Electrical ContractB~ . or Relocatlon:
THIS PERMIT SHAlL EXPIRE IFTHE WORK
^/ M'1..J"...,=....'J......F....TU'''PERMITI~D.P--.amps or less $ 50.00
, -"'""', ,--- _..t._, u - '2lJi"'amps to 400 amps $ 60.00
COMMliNCEDOR ISABANOONEDFOfbAHQ!p$n~:BQfu<5\qtl!!iv rF'qllir"s ~..Pi~ 00
.' ANY 180 DAY PERIOD. 6Qell~Pales<acl.9,9AJ ~1J1l?~a..Owgon!l' 00
Supervi.sor Llcense Number 9.M/fic!ggP'(!1JllP~('l?,tt~ r,d:,:, :,':e < Itgo
D \\l'efl.,I}II'~52-()?''l~010throu;~ ~.'\:l9 2 U1- 0
Expiration ate 090 Y
C. -Fe ',!"R~ ~~~PWJ~~~8~FF1fJ@Gl~les by
Cons t r Con t r. Numbe r In~~~l{1P.ai1trc5WPtWI ~}l'r~ l~ntE>J~m'bca t i on
num6eflortne Oregon Utility Notification
200 amp~eotori!"es~00-332-2344). $ 40.00 =/:l1ao
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9-P~YI
1\2Jtllofl1J(il93 ignat u re
1.
LOCATION OF INST~ION 7\ A
//12 7JE:L VG ~
LEGAL DESCRIPTION"" ..I
/70~ ~7, 4-*T' /J9'700
J~BJ DESCRIPTION .Q}
/Ve;.J) .\: Flfi.-'
,
Permits are non-transferable and expire
if work is not started within 180,days
of issuance or if work is suspended for
180 days.
Address
City
Expiration Date
. Signature of Supervising Electrician
Owners Name rr:,,' ;:y.~!
Address Z'l-f2 L..tCYr'./.{5.T Sr:
City ~~. Phone-24~-~5:?6
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
OWn~e~ ~
~~A~~~---~7i(-!~5'-_L______---~---------
RECEIPT &:. 01'1 J II( I). /}
RECEIVED BY: "'f' woV/
. A.
~LECTRICAL PERMIT APPLICATION
~ity Job Number
QQ()(//4Z
3. COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cost Sum
1000 sq.ft. or less J $ 85.00 ~0tJ
Each additional 500
sq. ft or portion '7 /1)5.00
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder .$ 40.00
D. Branch Circui ts
.
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or with Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-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 'l? ?n~
5% State Surcharge J I, ~t.J
3% Administrative Fee ~ z.. ,/10
TOTAL ?-1~ .<t<J
.' JOURN"OR JOB NO. CfCttJC4-Z--
AlTACHMENT A . ,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
LOCATION:
l( F ~/"IF rfl I. 'ScD7r'
II 7 2. i)c.Le~<~ Df2,utS
NAME OR COMPANY:
DEVELOPMENT TYPE:
<, F e..
BUILDING SIZE:
LOT SIZE
C:;Q. Ft.
2,515+
relf-r75) z + 24- (3D) + /4-(c.D)
X $O.227..PER SQ. FT. $ /,37/.(38
,
Cf8'tt .13
1. STORM DRAINAGE
IMPERVIOUS ,SQ. FT.
.~_..fJ <1 {)
4~';>3
2. SANITARY SEWER-CITY
NO. OF PFU'S z~
(See Reverse Side)
X $47.14 PER PFU
$/ /78.1)0
,
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.01 X $475.32
$ 4,>:0. en
x
X $475.32
$
4. $ANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S'
X 2.77.H PER FEU
$ 2.77.#
B. IMP~OVEMENT'COST:
NO. OF FEU'S
X 2.'>.20 PER FEU
$ 2.~. Za
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ - Z ~,'ZS' >
MWMC ADMINISTRATIVE FEE $ 10.00
TOTAL-MWMC SDC $ ?9,.". 3"7
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHA~ ~UBTOTAL ABOVE) X .05
))f./J. Date: ,r:;-2.o-99
SDC Coordinator
ATTACH'A.WPD
$ :.':: ."1. .:- 1- ZCr y., .0'1
.
$ #s-:. -:;- 14-~ .<6/
3>O~'Z."lc)
TOTAL SDC $ ...:s, 4R4 .1'?
>
FIXTURE UNIT CALCULAlION TABLE: Number of New Fixt. X Unit Equivalent = Fixture \.init~
(NOTE: For remodels, calculate onl. NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub....................................... .1...................~.......
Drinking Fountain.......... __.........................................
Floor Drain..... ......................,................... __...... __.......
Interceptors For Grease/OiI/Solids/Etc.................
Interceptors For SandlAuto Wash/Etc..................
Laundry Tub/Clotheswasher...........................l.....~
Clotheswasher, 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For RefrigeratorlWater Station/Etc:.......
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....,..............................(.........~
Shower, Gang............... ..... ................ ......................
Sink: Bar. Commercial, Residential Kitchen..... 1............... .
Urinal, StalllWall........................................ ./..,........
, Wash B.asin/Lavatory, Single..............,t......J. ./ ......
Toilet, 'Public Installation...............................r.......
Toilet. Private................................J,......../I........../If-
Miscellaneous:
I
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
"2-.
4-
~
~
~'
12-
2..~
CREDIT CALCULATION TABLE:
calculate credits separates.
II
2-
3'
.3
TOTAL FIXTURE UNITS
=
Based on assessed value. If improvements occurred after annexation date in table,
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
Year
Annexed
1989
~l!
1991
1992
1993
1994
1995
1996
1997
Rate per $1,000
Assessed Value
l
I
$1.98
,~
1.15
0.96
0.83
0.67
0.52
0.38
0.21
-.J
Credit for Parcel or Land Only If Applicable
20: .20;-
/ , S-'\" X $ 1').(:>""';'> =
(Rate X Assessed Velue)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
= $ Z~ , 2.....