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Home My WebLink AboutPermit Building 1999-7-6 ~ . -\-- . - - 4. ~ '~. SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY O~ SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990706 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 836 R ST ST. Assessors Map #: 17032613 Lot: 2 Block: Tax Lot #: 00312 Subdivision: MIMOSA PARK Owner: BERNARD DI HIArT Address: 1218 13TH ST. Phone #: 726-1382 City/State/Zip:'SPLFD OR,97477 '- Describe Work: S.F.RESIDENCE ')NEW Contractor Const. Contractor # Expires Phone General: OWNER QUAD AREA: 2RNW OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 2848 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN SECONDARY HEAT: G # OF BLDGS: 1 # OF BDRMS: 3 INSUL PATH: PI 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. ROUGH GAS - after line is installed and capped if not attached to an appliance UNDERFLOOR MECHANICAL - Prior to insulation or decking. 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. CURB CUT - 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. ,., . .. SPRINGFIELD Job Number: 990706 FINAL BUILDING - When all required inspections have been approved and the building is complete. Page 2 Lot Faces: S Topography: 2 Lot Sq. Ft.: 9000 Total Height: 22 Lot Coverage: 45.48% Lot Type: INTERIOR House Garage Accessory Setbacks N S W E 32 10 25 18 25 32 10 Item Main Garage FRONT PORCH REAR PORCH COVER Total Value BUILDING PERMIT Square Feet x 2261 587 365 128 $/Square Feet 69.64 18.34 15 15 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 Dryer Vent GAS LINE & W/H GAS F.P. 4 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC CITY SDC TEMP POWER TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted ,TOTAL AMOUNT DUE (A, B, C, D, and E combined) Value 157,456.00 10,766.00 5,475.00 1,920.00 181,692.00 617.50 49.41 666.91 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 60.00 401.38 1,000.00 2,881.22 43.20 4,445.80 5,368.42 ., . Job Number: 990706 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. Received By: Plans Reviewed By: DON MOORE Date: 06/29/99 Building Site Reviewed By: BOB BARNHART --- ADDITIONAL COMMENTS SEPARATE ELECTRICAL PERMIT IS REQUIRED; 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 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. ~~. ... J[)/ tft-;pf . Slgnature ~ Ie 9- ?~:7r /Date --- VALIDATION Date Paid: tJ.7 Y12-r 7 ( b I C(e, ( ~ l hC,. q5r ~ W".f/ Receipt Number: Amount Received: Received By: ., . ". " JOURN~JOB NO. 4qo70~ AlTACHMENT A .. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: l-t ~dt- ~ g> Sf- LOCATION: DEVELOPMENT TYPE: SF' 0 BUILDING SIZE: z-~1-<iJ LOT SIZE SQ. Ft. 1. S~~RM DRAINAGE It( Ii) t--z.~~ + Z(70 t-&J') , IMPERVIOUS SQ. FT. 35~2. X $0.227 PER SQ. FT. $ <gOl.lCo . . '1 . --, 2. SANITARY SEWER-CITY ;; . NO. OF PFU'S ~~ (See Reverse Side) X $47.14 PER PFU $ lir? .5D 3. TRANSPORTATION NO O-FUNITS X TRIP RATE X COST PER TRIP X t.o/' X $475.32 $ 480.07 X X $475.32 '$ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 277.# PER FEU $ 2./1.44 B. IMPROVEMENT COST: / NO.. Of F~U' S I', iX, 26.20 PER FEU. . MWMC CREDIT IF APPLICABLE (SEE REVERSEr MWMC ADMINISTRATIVE FEE $ 25. 20 < $ z..<6".~S- > $ 10.00 TOTAL-MWMC SDC $ Z~S.(i1 $ 2'-'144.0;z ./ SUBTOTAL (ADD ITEMS 1. 2 ,:3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $ I ~~o ' rvr5L- SDC Coordinator ATIACH'A.WPD Date: '::;{Z~fA' TOTAL SDC $ 2-%~J.Zz..- . .... FIXTURE UNIT CALCU-..pN TABLE: Number of New :i.unit Equivalent = Fixture U~~t~ (NOTE:'For remodels, calculate on~ET additional fixtures)' NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub..................................................................... . Drinking Fountain..................................,................... Floor Drai n. . .. ..... . .. . ... .. . ......... ~ . .......... .. ... . . . .. . . . . . . ... " ..... 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.....:......:.,..t........:. Urinal, Stall/Wall........:.. .,...;..:...............,.....:.............. Wash Basin/Lavatory:' Single..:...,.......................,... -T oilet, Public Installation...............................,........ Toilet, Private. ".....,...... ...... ......... ........ .................. Miscellaneous: ') 1 I. i. I I I I I 1 I I I I I I ~'I I 1 I I I I TOTAL FIXTURE UNITS I I I / 1 J '.,. 1/1 UNIT EQUIVALENT 2 1 2 . . ;3';: '. .6' 2 6 6 1 '3 2 1/Head 2 2 1 6 4 FIXTURE UNITS L... 2 z. "'2... f5 /~ 25 , CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate .per $1,000 Assessed Value' yea1r I . Anne~ed I . 1989 , I 1990 I 1991 I 1992 I 1993 I 1994 I . . .1995 I 1996 I 1991 1979 or before 1980 1981 1982 .1983 1984 19~.5 ;. 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 .: l,. '... .q-. '2..1 X '$' (') .l~ . i (Rate X Assessed Value) X $ I (Rate X Assessed ~alue) CREDIT TOTAL I , I RUNOFF COEFFICIENTS. FOR STORM DRAINAGE (For Estimating Purposes Only) Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) Residential...............".......... 0.4 Commerical.......oo.............,,' 0.9 Industrial:...,:.:.. ................... 0 5 Governmental.:...:....".....:.... 0.5 . " FIXUNIT.wPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF ;OEFFICIENT Rate per $1,000 Assessed Value $1.98 1.55 1.15 0.96 0.83 0.67 0,52 0.38 0.21 , \ = C6.qS- .-. , -, = = $ ,., . . - '-, - ~ .. . Job. No. q~o 1 ()~ SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~~.ki:,\~~_ ADDRESS: l ~J ~ \ ~ ~ ~'::t PHONE: 7cQ~-t3<t3~ STATE: ()Q'\ ZIP: s..lLtu ,I LOCATION OF PROPOSED BUILDING SITE: Street Address: ~~ ~ ~ Plat Name: t 10 ~a' \ ~ . Tax Lot Number: ()O~ 3/2. 1. DEVELOPMENT TYPE (Check appropriale dwelling(s). SDC calculations and dwelling l ype definitions are on the back.) . .' A. SinQle-Familv Detached. )( ---.., Single Family home .' Manufactured home not in a park ~ X $1,000 per unit = $ t utm- I NO. OF UNITS \ B. SinaleO-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ ~ D. ,Manu.faQtured Mome PRlk NO. OF UNITS X $699 per unit = $ 'WILLAMALANE SDC $ 2. SDC CREDIT (If applicable) SOG-payer must furWSh proof of Willamalane Credit approval. See SOC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for ~redil) $ ~\)~ . D~'::lopment Services Department City of Springfield 7 ,0 ,r1 Date ..., . . submitted has the tollowing 'The followIng prolect ~$ equire specific land use zoning, and does no r approval.. ~ D f7-- 225 FIFTH STREET zoning- SPRINGFIELD, OREGON 97477 1-LR - ;., ., \ INSPECTION REQUEST: 72~-~fJtlJ . ~ OFFICE: 726-3759 AuthOrized Signature EL?CTRICAL PERMIT APPLICATION C'::ty Job Number c:J/D 70(, 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INST~g.TION . . es vOU to . 03(0 ;:< 5iL., mFNTION:Or~pn I~~/vfel!~lh. ane[lt~lh~I-S1ngle or . , foHow rules adopted b~~t~!:.~'M~tlfcRU-F dwelling uni t . LEGAL DESCRIPTION ~~'fi~atjon, Center. ThOS€!"!V\l"e€-~!&:'~1i8~9: j/'j /J3r;2.C-.d.-J.~ Qf <_, ~?_n01_0010thrOughOAn::> Items , "j ,<,'r_ ,. btain copies of the rules by JOB DESCRIPTION . OO~~i,~~Ut~a~e~ter, (NW0~~rs~ICf.~~Oroft less ,r~,4 ;AJw&R.... "ui-'lt;:{f~theOregoacl.kThilt'tl(}.li>i'~~~\itqn.. 500 , Centeris 1-800~2-~~4)-r portlon Permits are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home, or of issuance or if work is suspended for Modular'Dwelling 180 days. Service or Feeder .B. Service~ or Feeders Installation, Alterations / o~ Relocation: ~ 200 amps or less ~ 201 amps to 400 amps Phone~O' T'~' 401 amps to 600 amps '. ... .. EXp~F~OfUiooo amps Supervisor License 7um er TH, ISPERMITSHALL ~v~...~{SNa1fs/volts , . ' :THORIZED UNPERTH~lcuRIY~~b Only Expiration Date, . AU _ FH~ABANOONEDF R . r COMMl:HOEB-O "'C. Temporary Services or Feeders Constr Contr. N ber ",'1 NY 1800AYPERIOD. Installation, Alteration or Relocation Expiration D e 200 ampsoAoT less . ~ $ 40.00 40/1/ ./ 201 amps to 400 amps $ 55.00 , s~~at.,ur~f Supervising Electrician Over 401 to 600 amps $ 80.00 ~ Over 600 amps or 1000 volts see' "B" above 2. CONTRACTOR_INSTALLATION ONLY Electrical Contractor Address Ci ty Ovners Name /!t5:?~ 1/;:1"IJJ- 'Address /2/ b ):3 [1; l) r Ci ty :)"/./'n) Phone 7:Z~ - ) 395b e./ , OWER INSTALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. OvnersSignature: ~ DAT~~------~--~-------17-6-t1-1--~----~ S. RECEIPT #: D 5 cr1 2''] I I /} If tl RECEIVED BY: V V;../ D. Branch Circuits Ccst Sum $ 8':.00 $ 15. . 00 .$ 4'0.00 $ 50.00 $ 60.00 $100.00 $130.00 ' $300.00 $ 40.00 ,. Nev,Alteration or Extension Per Panel One Circuit Each Additional Circuit Or with Service or Feeder Permit $ 35.00 ' $ ~~ . 00 Miscellaneous (Service/feeder -Each installation Pump or irrigation. Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 57. State Surcharge 37. Administrative Fee TOTAL not included) $ 40.00 $ 4'b. 00 $ :20.00 $ 36. 00 40" aO . Q_ flU j, iiO /I~ 2.0 rJ1