HomeMy WebLinkAboutPermit Building 1999-6-29
.;,
SPRINGFIELD
THIS PERMIT SHALL EXPIRE IFTHEWORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
ATTENTION:Oregon law requires you Iv
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set tOrti'
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the t~itfPT,ohe
RESIDENTIAL PERMIT APPLICl\'lUi~l:!erforthe Oregon Utilitv Notification
CITY OF SPRINGFIELD Cent"!'9!llt'1~-~2.;?.:RI4V 7
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3305 FALCON DR.
Assessors Map #: 17021943
Lot: 20 Block:
Tax Lot #: 02000
Subdivision: AMBLESIDE MEAD
Owner: GREY LARKIN
Address: 41892 N.RIVER DR,
Phone #: 740-4370
City/State/Zip: EUGENE OR,97386
Describe Work: S.F.RESIDENCE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General: RIVER VALLEY BU 0082864
27402 GREENBERRY RD CORVALLIS OR 97
Plumbing: MIDWAY PLUMBING 0004687
2428 SE THREE LAKES RD ALBANY OR 97
Mechanical: MIDWAY PLUMBING 0004687
2428 SE THREE LAKES RD ALBANY OR 97
Electrical: G & E ELECTRIC 0054468
PO BOX 1686 ALBANY OR 973210000
04/15/01
740-4370
07/25/00
928-7977
07/25/00
928-7927
09/15/99
928-2423
QUAD AREA: 3RNC
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
SECONDARY HEAT: G
SQ FOOTAGE: 2127
# OF BLDGS: 1
# OF BDRMS: 3
WATER HEATER: G
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 DRAIN - Prior to cover or placement of concrete.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floori prior to decking Wall/Ceilingi Prior to cover
WATER LINE - Prior to filling trench,
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
ROUGH PLUMBING - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH MECHANICAL - 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: 990737
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.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
Lot Faces: N
Topography: 2
Lot Sq, Ft,: 6242
Total Height: 17
Lot Coverage: 34 %
Lot Type: INTERIOR
N
Setbacks
S W
14 16
E
5
House
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1671
456
$/Square Feet
69.64
18,34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE/ W/H
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
TEMP ELECT.
TOTAL MISCELLANEOUS PERMITS
(El
Page 2
Value
116,368.00
8,363.00
124,731,00
489.25
39.14
528.39
Fee
160.00
160,00
12,80
172.80
6.00
4,50
9,00
4.50
3.00
5.00
32,00
10,00
2.56
44.56
0.00
63,48
60.00
2,415,06
1,000,00
43.20
3,581.74
. .-.
.
SPRINGFIELD
Job Number: 990737
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A. B, C, 0, and E combined)
4,327.49
--- 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: 318.01 Date Paid: 06/01/99
Received By:
Plans Reviewed By: AL WARD Date: 06/28/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 34274
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
5 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
;;?t 00 ;~,... 'odo, ==.<00"00 4 ~ )?tJ'- f;9
hghatu~ ~ 'D,{te
- -- VALIDATION
Date Paid:
Os 'ffoc' l{
r,(lf (r1
Lf341. '-1'1
4tJJ
Receipt Number:
Amount Received:
Received By:
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMrrlfSNCfPCAL PERMIT APPLICATION
97477 COMMENCED OR ISABANDONEDFpt:l , qCi'() 7 ' 7
726-~rw.180DAYPERIOD, bUY Job Number /1 )
3. COHPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LOCATION OF INSTALLATION
3 '30 C;;::~L t' oN T'J. '.II....i.9 p'?jecl as4.n,miillla'i1a~ i&A~.i~al- Sing le ,or
zoning and does not require~/J\it.il~a.y per dvelhng
LEGAL DESCRIPTION W'pro~aL Service Included:
/1 tJ 7.1'1 'd 0 Zoo ?_'" - LD{V-
'~-J. '1- '1''1.. '
Date I \ ,J.VVV ,sq. i: (. or less
400i0iized Sipnalu,e _#U_F~ r h ~ n n i ti QJ:lal 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Hodular'Dvelling
Service or Feeder
1.
uni t.
Ccst Sum
$ 8~.00
$ 1~,.00
,$ 40.00
Items
JOB DESCRIPTlf}P11
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CO~~rf.NJ.t~ft+JJ,9!1q9~lyou 'L /B.
Elec t.r;fOIlO,'I rJJIe,.&l!d~qted by ~he ~regon ~t(
Ndtnib-ati6'hl;eA'ler,'l'i.w.. '"''--:::..:<;:;;''' ...._..,-
AddrJt!,OAR ~52-001-0010through 9.tm 952-001.
UcJ!&C. 'H,)l,.J II100y JULCllll \.IV~UlllIV IUI~~ uy
Ci ty calling the center. (j>.\~n~he telephone
lIUIIIUtlr lur me ur5igOn UUIIIY l'lOllTICaUOn
Supervisor ilflflll\tsi<!1N?iibbeB2-2344).
, . D /'
ExplratlOn a'te
/'
Constr Contr. Number
;/
Expiration Date
./
, Si~ature of Supervising Electrician
Services or Feeders
Installation, Alterations
or Relocation:
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
I/O Co
$ 40.00 7
$ 55.00
$ 80.00
see' "B" above
/
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
Branch Circuits
D.
Ovners Name ~ tAUd"
'Address lfI (92- AI. iwt'lt- .oIL
Ci ty 51) f../ Phone 7tto -if? 7 ()
OWER INSTALLATION
"
Nev, ' Alteration or Extension Per Panel
One Circuit $ 35.00 . '.."
Each Additional
Circuit or vi th Service
or Feeder Permit $ 2..00
E. Miscellaneous (Service/feeder not included)
,-Each installation
Pump or irrigation' $ 40.00
Sign/Outline Lighting ,$ 4tJ.00
Limited' Energy/Res $ 10.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '-/0 "
5Y. State Surcharge Z. ~
3Y. Administrative Fee j- -z..,
TOTAL '-f ~ u
The installation is being made on
property I ovn vhich is not intended
for' sale, lease or ren t.
Ovners Signature:
-------7t--1;--------------------------
DATE: 1.12Ft[ff j}
RECEIPT' n:' b,,)'f(..( 0./ /J J
RECEIVED BY: ' ~ VI
. JOURN~OR JOB NO. qqo 737
ATTACHMENT A .., ,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
(.jUG. L AR.K.'N
LOCATION:
:3 30<:,- F"AlLoN De..
OEVELOPMENT TYPE:
.:::; F f'2-
BUILDING SIZE:
LOT SIZE
SQ, Ft.
l. STORM DRAINAGE
IMPERVIOUS SQ. FT, 2.4-87
2, SANITARY SEWER-CITY
NO, OF PFU'S ZL)
(See Reverse Side)
3. TRANSPORTATION
X $0,227 PER SQ, FT, $ sc-.4-. "J5""
X $47.14 PER PFU
$ Cf4-Z..BO,
NO OF UNITS X TRIP RATE X COST PER TRIP
X l.oC X $475.32
$ 480.07
x X $475,32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S J
X 7..77.4-4- PER FEU
$ z.. 77-4-4-
B, IMPROVEMENT'COST:
NO. OF FEU'S
x zS: 2.0 PER FEU
$ 25'. z.v
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
<$ --e- >
$ 10 00
TOTAL-MWMC SDC
$ 3.1 -z..c4-
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
S. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05
l~_
$:2,3~o.o~
$ /1:5. ' t!:JO
Date: cD - Z ...qq
SDC Coordinator
ATIACH'A,WPD
TOTAL sac $ 2.4/5"; a&
FIXTURE UNIT CALCUL~ION TABLE: Number of New Fixt...X Unit Equivalent = Fixture Un'its
(NOTE: For remodels, calculate only. NET additional fixtures) ..
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub....,..,..".....,.....,........,..,..,.".,......,.,...,...,.,.,..,. .
Drinking Fountain,..,.......,..,...,..... ,......,....,...,............
Floor Drain,..,.....,..,.....,........,..........,..,.".,.,.,.,.,.,.,..."
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For SandlAuto 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.,.. ,c..................,...............,.,.,.,..
Shower, Gang.... ......,.........."..,....,....,...................'.'
Sink: Bar, Commercial, Residential Kitchen..............,.........
Urinal, StaIl/Wall.,.,.....,..,....., .....,....,....,........,.,.,.....,.
Wash BasinlLavatory, Single. ...........,....,....,.,.,.,...,.
Toilet, Public Installation,..,." .....,..,.,....,....,.,..........
Toilet, Private...,...,.....,..... ... ... .....,......,.,....,.....,.,.,
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
"2-
"2-
"Z--
TOTAL FIXTURE UNITS
=
Z--
4-
2.
'2-
:z.
~
2C/
If improvements occurred after annexation date in table,
CREDIT CALCULATION TABLE: Based on assessed value.
calculate credits separates,
I
Year
Annexed
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
1989
1990
1991
1992
1993
1994
1995
1996
1997
Rate per $1,00;-'1
Assessed Value
$1.98
1.55
1.15
0.96
0,83
0.67
0.52
0.38
0.21
!
I
Credit for Parcel or Land Only If Applicable
Improvement (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,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
~
------
.
.
. p'", Willamalane
t,,,,,!, Park & Recreation District, Job. No. '\'to 737
il'W SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ('Y,QQ.\\ ~f\R ~l\ '
ADDRESS:~ ~,IG!\j~.~~~A.~ ~~
PHONE: -'~-l.{31 0
STATE:~ zIP:ql~
LOCATION OF PROPOSED BUILDING SITE:
~~(')~ 1=:t&rnll_~\).
Street Address:
Pial Name: J7 C~.\q.L.\~
'Tax Lol Number: ~(")C'C)
1. ,DEVELPPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) ,
A ~inlJIA-FAmilv DAtAr:hAd
~ Single Family home "
NO. OF UNITS \
Manufactured home nol in a park
~
X $1,000 per unit = $ . \ err!'\ '
B. ~innIA'-FAmifv AftAr:hAri,
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoarfment
NO. OF UNITS
X $692 per unit = $
D. ManufactllrAd HnmA PRrk
NO. OF UNITS
X $699 per unit <= $
WILLAMAlANE SDC $
2. sec CREDIT (If appn~le) SDC-payer must fuolish proof 01
WiUamalane Credit approval See sao Oredit Worlcsho8t. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced lor Credit) $
'),,\~ "
D~lopment Services Department
Cily of Springfield
b I 1 i I qr
Date