HomeMy WebLinkAboutPermit Building 1998-9-29
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SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981179
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 824 R ST
Assessors Map #: 17032613
Lot: 3 Block: 1
Tax Lot #: 00313
Subdivision: MIMOSA
Owner: GARY KONOLD
Address: 3478 HONEYWOOD
Phone #: 342-4819
City/State/Zip: EUGENE, OREGON 97408
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
GARY KONOLD
3478 HONEYWOOD EUGENE OR
DON LEWIS
500 GREENFIELD ST EUGENE
UNITED HEATING
6001 BARGER DR
IDEAL ELECTRIC
PO BOX 355 CRESWELL
0052796
974080000
0033076
OR 9740416
0102602
EUGENE OR 94~ID~0000
" .... f...),f!'>'
/ 1t' ? d (3 ((..3AfI;L
I.) Pi ~ ·
OR ./'9/71~260'0iPO, ..
" IL, "-'14"
,..\~. ' 'rrY;.., '1I'F ""
OFFIG~\"U$:E,,~If?S .. . cjly4,
LANH;":T:Js. EFI!:h'l. P Wi,<- rt( J:tj., # OFBLDGS: 1
i.n ., v/.r') , V/'jk. ~"""'A
ZONING '-ijOEJE ;>{:'LrBR >"./$:"'JS,. 1'.L:>.l' OCCY GROUP: R3
"',.I . v'"r '7 I~ 'T4.~h
# OF BDRMSI?/~<".>, Z;)/ji" ~,.o )('~ HEAT SOURCE: ,FE
RANGE: E "-'Y/Gb""4Iit>, ~.-941, ~~/,\FOOTAGE: 2085
. VI/;.c-._ "11'/0, vt9k '
call the 24, hour recording atU~e:..~:3~9.
03/07/99
342-4819
General:
06/10/99
688-1931
Mechanical:
01/17/99
688-9162
Electrical:
06/24/99
895-:2617
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
To request an inspection,
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 MECHANICAL - Prior to insulation or decking. ~~~r. .
UNDERFLOOR PLUMBING - Prior to insulation or decking. .tVo ?~6~ $'1\1);,
POST AND BEAM - Prior to floor insulation or decking JI)O~~6q/,./'q/s, 01\1:'0
INSULATION - Floor; prior to decking Wall/ceiling90~o~I1i9/~a:g~regOJ
WATER LINE - Prior to filling trench. 6~ '. Y(1, :s'~'O(j~"/9:~9q~/c?lt:--
SANITARY SEWER LINE - Prior to filling trench. I)q0'1/lI),gt~I'/jSl ''''CO'/; ~ 6y~ ~~ '
STORM SEWER LINE - Prior to filling trench. '6&i-ItJ..{j~:()1J1. "01l).086/", eO/,&.'q""6~
ROUGH PLUMBING - Prior to cover. Ce. ~t~ ~/,,~ 4?4; c. ""Oll~ q/6~ :901) YOqt,
ROUGH MECHANICAL - Prior to cover. I?le/'i> 0,.... r,.vOt.O.o16~ ~O..q Q/'6.s. ~4;, 0
ROUGH ELECTRICAL - Prior to cover. ~'';!J;''''Of)f.A~'1I). O'tl).~.9S~&t'ory
ELECTRICAL SERVICE - Mus~ be approved to obtain permanent power~~~~4~6t6/& &/'lIh ~OOl.~~
SHEAR WALL N~ILING - Before covering sheathing with finish materi~~~tVo~~~o~&~6y'
FRAMING - Prlor to cover. -~ Cqi}.' &
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover 01)
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - Afterex0avation is complete, forms anq 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.
Job Number: 981179
Page 2
Lot Faces: S
Setbk From NPL: 65
Topography: 3
Solar Approved: Y
Total Height: 14
Lot Type: INTERIOR
House
Garage
N'
49
Setbacks
S W
E
20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1485
600
$/Square Feet
64.66
16.27
Value
96,020.00
9,762.00
105,782.00
Building Permit Fee
Surcharge/Admin
446.50
35.73
TOTAL FEE
(A)
482.23
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
6.00
4.50
9.00
3.00
Mechanical Permit
Issuance
Surcharge/Agmin
22.50
10.00
1. 81
TOTAL PERMIT
(D)
34.31
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECTRICAL PERMIT
0.00
16.30
14.20
1,000.00
2 , 288 ..>5 8 !)
140.40
TOTAL MISCELLANEOUS PERMITS
(E)
3,459.49.
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, 5, C, D, and E combined)
~
~l4C\.d1
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.
Job Number: 981179
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
290.23
Date Paid: 09/28/98
Receipt Number: 31474
MOORE Date: 10/22/98
By: LISA HOPPER
ADDITIONAL COMMENTS ---
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
2 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.
Signatu2~ \<;~
\7--- 1 f?:> ,..9 e
Date
--- VALIDATION
Date Paid:
'!J~~rn
\{\~C\O-
t\\4Q.cY1
t)\\~
Receipt Number:
Amount Received:
Received By:
JUUKNAL UK JUtl NO.
'V
, .
ATTACHMENT A . &/rr n. i Iiif
CITY OF SPRll~GFIELD SYSTEMS DEVELO~ "eNT CHARGE
WORKSHEET '
NAME OR COMPANY:
f (JA)O C- D
LOCA nON:
DEVELOPMENT TYPE:
~jCl+ .
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRA,INAGE
IMPERVIOUS_SQ. FT.
-z.o~ ~t' "2-0(11;;)+ "s-rz)(so 'Ws/) )
~ X $0.227 PER SQ. FT. $ c,/1,72-
21~ .
2. SANITARY SEWER-CITY
NO. OF PFU' S ' . /7
(See Reverse Side)
X $47.14 PER PFU
$8o/.3r
3. TRANSPORTATION
NO OF UNITS X TRIP RA,TE X COST PER TRIP
g
X I.f) I X $475.32
$ 4fU(), D7
X
X $475.32
$
4. 'SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I X . 217,# PER FEU
B. IMPROVEMENT COST:
$) 2-17, 4-1-
NO. OF FEU'S
/ X Z:s.z]} PER FEU
$ z.s.2.U
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ ~,CfiJ~ >
MWMC ADMINISTRATIVE FEE $ 10.00
'M,~I- "
SDC Coordinator
ATTACH' A. WPD
Date: ~/~/qr
TOTAL SDC
$27.f5ese(0S -
riA I uru: UJ\lJ J l.;ALl.;ULA IIUN TABLE: Number of Ne0 Fix~~res X Unit Equivalent = Fixtu~e Ur'li,ts "
(NOTE: For remodels, calculate 01"'1.. the NET additional fixtures) I; ,
NUMBER OF UNIT FIXTURE
I
FIXTURE TYPE NEW FIXTU,RES EQUIVALENT UNITS
I
I
I
I
I
1
I
I
.1
I
I
1
I
I
1
I
I
1
I
I'
TOTAL FIXTURE UNITS
I
I
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 Kitc~en........................
U ri n a I, S ta II /W a II. .. . .. ... . .. .. . .. . . . . . . .. .. . .. . . :. . . .... . ....... . . . .... .
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
To i let , P ri vat e . . . . .. .. .. .. .. .. . . . .. . . . . . . .. . .. . .. , . . . . . .. . . .. . . . . . . ..
Miscellaneous: '
J
.
/1'1
'I
J
2
1
'2
3
6
2
6
6
1
3
2
1/Head
2
2.
1
-6
4
"""l-...
"2-
'Z-
3
l5
/7
I
CREDIT CALCULATION TABLE; Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates.
Year
Annexed
Rate per $1,000
Assess'ed 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
I
Year
I
Annexed
I
1989
, I
1990
I
1991
I,
1992
19931
19941
1995
1996
1997
Rate per $1,000
Assessed Value
~'Z7 X $ -J.7?"
, .' I
(Rate X Assessed Value)
X $ I
(Rate X Assessed V~lue)
, ," I
CREDIT TOTAL
I .
~ .
Credit for Parcel or Lan~ Only If Applicable
Improvement (if after armexation date)
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
=
28lj~
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAIN ~GE
(For Estimating Purposes Only)
Residential........................... 0.4
CommericaJ.......... ............... 0.9
Industrial...............,.....:...... 0" 5
Governmental...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF C )EFFICIENT
I.;. .
. - - 'f..,"'~
,'- OJ I ..
~ - .
, , SYSTEM DEVELOPMENT CHARGE
, WORKSHEET
NAME:h~~Y\. <". %m\rt
ADDRESS:<;: ~L\! .
, -
Job. No.
cg 0C'
.~
LOCATION OF PROPOSED BU
Street Address: RPl4
.. -
Plat Name: .V\\~\)~~
PHONE: -3~ ~vy
STATE: BtL ZIP: c..rrt(f)
D~ SS-\teet
(.
Tax Lot Number:
\,)()3f\\or~ CD3\3
1. DEVELOPMENT TYPe: (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinole-Familv Detached.
l Single Family home
NO. OF UNITS t
B. ,Sinole'-Familv Attached
Manufactured home not in a park
X $1,000 per unit = $ \ cx:o f!JO
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO~ OF UNITS
X $692 per unit = $
. D. Manufactumd Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \ DOO .eI)
rI
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
.. Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) ,
\ ~N\ ,~
~eveiop-ment Se 1 es Department
City of Springfield
\~I
Date
$ lOCO.CO
l~ I crz-
\
PERHIT~PLICATION
~ty Job Numb~r , L~
COMPLETE FEE SCHEDULE BELOV
\f)~~~I~\3
Q ,lea MSCRI.fT..lOl! /'\ "",-'I\(\( 1000 sq. ft. or less
Q '" ~O f\\o..JL.LlLV _ ~!R~ Each additional 500
- - =-47tJ . sq. ft or portion ~
Permits are non-transferable ~~~~~~O thereof "-J
if york is no t star ted vi thin.'~~~~s 'IIJ.'Ore Each Manuf' d Home. or
of issuance or if york is sus'f1~Aati~c qdOPtego'MQ~ular. 'Dvelling'
180 days.. 0080. Yt 95<-00 enter. .,.~ b~f1fe~'lulre~r Feeder
cqQ,' olJ tn 1-001 oSe r. Oreg You t
2. CONTRACTOR INSTALLATION ow,;b~g the qy Obt~/ th~IJ~fdf.u:oatJt,ftleders
-r- /J e:Jprthc:'lel\ r7co'h~~~ i~~ ~lterations
Electrical Contractor~A""'/ ~/VOt@.-r;:PJi~C 9t/j
'IS 1-8 n Vl" e tete e rUles -
Address ..p. ()_ 8.y '] S r : OO-a,{!ftjtJtvepfibOQe ~ess
, ~~4}m~tioR 400 amps
City_Co/' -:1<_""'/ dL Phone 94-.22'1 rug 401a:mps to. 600 amps
, 60~ amps to 1000 amps
Supervisor License Number ,/ fll.11$ Over 1000 amps/volts'
,Vl", Reconnec t Only
Expiration Date /(J/I /98 /;~~':;" -Ie}::;
. , f,'1! _ -, /''1>' C. Temporary Services or Feeders
/'-" -."(),,
Constr Con"tr. NumberJ'? 3i4:/ (1:;(::'Cli/v~>,,). Installation, Alteration or Relocation
. , ' ~" l:..-;r:",. I':!~'<f'" "':1'04.
Expiration Date ~,I&q:!\91~','>,{.:'i'<[}(~k).~,<.' ~--rJOO amps"or less $ 40.00
. . . . "(~<;,,'u ..''t:;-..<f /_ ~~ a~ps to 400 amps $ 55.00
Slgnature of Sup~rv~slng Electnc~,a,n",:.,),) ,'/f.../,,~~hQ! to 600. amps , $ 80.00
O /'1 ,/ /' .' ~';:.>;('>lt,:,!,....,U~~/~J:ps ~r 1000 volts see liB" above
. {/ l,/ .......--r..A"';~:.J ~ " L?/(._ "I IS' 1,t '
/' (' ~ ... JJ ""'"^,,\ AI D. Bra'b.~ ~cui ts ; .
Ovners Name~t,~ \'\ J\V~ ~ .' (/:;. '
~~ ~~~ ~ ..~ _ ~l Nev, Alteration or Extension Per Panel
Address J\ y--) \ ,Y V<l:00 j ~LX:X-l ~
~ f\ ~ 9 One Circui t $ 35.00
Ci ty rWO ~ Phone \..", "ri \(~~ Each Addi tional
(\ Circuit or vithService
OVNER INSTALLATION or Feeder Permit
Nev Residential-Single or
Multi-Family per dvelling unit.
, Service Included:
Items
Cost
Sum
85
J
$ 85.00
$ 15.00 4S
$ 4b.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 2.00
Ovner~Signature:
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
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
\
DATE~-------------~\-g[~:~~-~~~
RECEIPT tt: I \' ~(\ N \ "J...jX--=t-...
RECEIVED BY: '0\\ JU~ ()VJ ,,~ -
s. 'SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
/~O.CJ.D
- /p.S-o
~ .~o
146,40
~
~:~
, .-J. .,WJ'~ \i1P
~?
.. .,~~
225 FIFTH STREET .'. 'O\\O:t~~. . ELECTRICAL PERMIT (PLICATION
SPRINGFIELD, OREGON 9 7~3r1'9' e.\' " . C I , fl~()
INSPECTION REQUEST: 7~!f'i6.9 ~~ " ' ~
OFFICE: 726-3759. ~ . -
COMPLETE FEE SCHEDULE BELOV
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1. ~~ O~N
- --. ~
\f)~~~Iin\S
C\ .jOO ~SCRI.YrJ~ON 'I\f\1 1000 sq. ft. or less
Q ~ \.-'0 d\\CJ.. (LQQ? . ~{f:..~ Each addi tional 500
. - ~J[; . sq. f t or portion "::2
Permits are non-transferable andb~~~O thereof "-J
if work is not started within/~,I)i.~~~s 1V,'Ore.9lEach Manuf'd Home. or
of issuance or if work is sus'fj~Ji8ti~C qdOPte O%p'-~.lar 'Dwelling'
180 days. 0090. y, 95<~00 enter. .,.~ b~flfliCft4re~r Feeder
cqlj,' olJ rn 1~001 oSe r. Oreg YOlJ t
2. CONTRACTOR INSTALLATION Olilt?b~g the ~Y Obt~~ th!.iJ&i/J~~ Os iltfJ-teders
..# ~ncO.6Jit~'Hft.re :Alleralions
Electrical Contractor b/.,o",,/ 'h . (IVOt@;1;rotilgeC~(}f}7h
IS 1~8 nUt.. e tete rlJles h.1.~
Address JfJ. (I 8-}1 ] f' 5"' ; OO~3;'5&!JflFertJf.bof1~ Jress
, ~~<AmIP.etlo~ 400 amps
Ci ty -e"" ~<_J.~.d ...1.-1/ Phone 94-.22'1 t;"g 401a'mps to, 600 amps
, 601 amps to 1000 amps
Supervisor License Num, ber . /f?j~_~ Over 1000 amps/volts
'VVJj Reconnec t Only
Expiration Date IrJ/1 /9' l'~(l, 7C~.
. · ( 4(;7' - ,IV$~ '. C. Temporary Services or Feeders
Constr Contr. Number C'?, 3i~-I'I)rOI). 111;,""0 Installation, Alteration or Relocation
. "'1!4/f FI<P" \oily1.
Expiration Date "~/Z-~9~?:!J/C?~'()/.IJI;/) '((~--rJOO amps' lor less
. . . . ');:~/~'::I"Vq( ,~'~-'9l'. rZ9J. amps to 400 amps
S~gnature of Sup~rv~s~ng Electnc1'~\~j- YI...'Y..<l '1,y~J'efc'~l to 600 amps
~ L. "~:-).') .&4,1/,.... O~/ amps or 1000 vol ts
O /IJ ..., . Vv. ~'71l1; Q .
. ' v" ~ /~ '~. q~ I'/S ~,f-
ow~rs NameLICl')\ l y. ~rrcl& D. B at;t~ ~cui ts
~~ ~\\~ ~ -~ _~, New, Alteration or Extension Per Panel
Address J\Y-) \ <)~\O..t ~~~
City F~~ Ph~ne ~~ 43\9 ~~~hc~~~~~~onal $ 35.00
Circuit or with Service
OVNER IN ALLATION or Feeder Permit $ 2.00
Items
J
Cost Sum
$ 85.00 85
$ 15.00 4~
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see liB" above
,.
-,
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
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~*Signature:
DATE~--------------\:Gl~~:~---~~
RECEIPT tl=: I \ 1".(\ - f)!' 1..Jv'-f....
RECEIVED BY: ~\ JU~ ~ )VcJ\. U
5. 'SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
/ "2;O.O.D
- ~.S-o
~. 'fa
146.40
, ..