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HomeMy WebLinkAboutPermit Building 1999-10-19 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991186 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 786 BLACKSTONE ST Assessors Map #: 17032343 Lot: 102 Block: Tax Lot #: 02102 Subdivision: RIVER GLEN 3 Owner: FUTURE B HOMES Address: PO BOX 7425 Phone #: 744-2660 City/State/Zip: EUGENE, OREGON 97401 Describe Work: S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone 05/18/00 485-3176 05/06/00 485-1146 10/04/00 686-4927 01/25/00 689-7973 General: FUTURE B HOMES 0036499 3593 River pointe Dr Eugene OR 9740 Plumbing: CUSTOM PLUMBING 0081994 3248 KENT WOOD DR EUGENE OR 97401000 Mechanical: ROLFS 0102455 PO BOX 66 DEXTER OR 974310000 Electrical: BOB FISHER ELEC 0096275 180 KINGSBURY AVE EUGENE OR 9740400 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 3343 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 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. ROUGH GAS - after line is installed and capped if not attached to an appliance UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDER FLOOR 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 UNDERFLOOR DRAIN - Prior to cover or placement of concrete. 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 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 erec.ted but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. Job Number: ,991186 Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrlcal 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: 2 Solar Approved: Y Lot Sq. Ft.: 13171 Total Height: 22 Lot Type: CORNER Setbacks S W E 16 N House 27 Garage 18 22 Item Main Garage Total Value BUILDING PERMIT --- $quare Feet x 2336 1017 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT --- Item Residential Bath(s) 3 Plumbing Permit Surcharge/Admin TOTAL CHARGE --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent GAS LINE & W/H 5 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk WILLAMALANE SDC CITY SDC ELECT. PERMIT TOTAL MISCELLANEOUS PERMITS Lot Coverage: 25.6 % Setbk From NPL: 56 $/Square_Feet 69.64 ],8.34 {A} {C} {D} {E} {Excluding Electrical} unless otherwise noted TOTAL AMOUNT DUE {A, B, C, D, and E combined} Value 162,679.00 18,652.00 181,331. 00 617.50 61.76 679.26 Fee 192.50 192.50 19.26 211.76 6.00 4.50 15.00 15.00 3.00 5.00 48.50 10.00 4.86 63.36 0.00 100.20 1,000.00 3,4~96 220.00 4,73,l;.16 7 5,691..54 I Job Number: 991186 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 401.38 Date Paid: 08/30/99 Receipt Number: 35382 MOORE Date: 10/19/99 By: LISA HOPPER --- ADDITIONAL COMMENTS --- PATH 1; NO SEWER CONNECTION UNTIL INFRASTRUCTURE IS ACCEPTED BY CITY NO OCCUPANCY UNTIL INFRASTRUCTURE IS ACCEPTED BY THE CITY DRIVEWAY REQUIRED TO BE PAVED 4 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. "~6 (~ ,..11-QQ \J Date " --- VALIDATION Date Paid: :<57'1~ - - /&;/01' __\~, .5-3 ~ t: ~- r?)r7C Receipt Number: Amount Received: Received By: JOURNAL JOB NO. qq 1/8(; ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET Fu TURe /:s //OM6'5 NAME OR COMPANY: LOCA TION: 78~ BL~CK)70AJO -6T ~F12- DEVELOPMENT TYPE: BuiLDING SIZE: LOT SIZE D/. { , 3~ "'" 18 (,z.O '1 v z.tf "2Jb "r v '}<'. 3""f- 1. STORM DRAINAGE R_~ fa "" "L.- 2JS -...,c: '3 ='" 43 J~ ~z..J:; J'Z- yz.'2-.. '~)<34 , 31~S"f , ,'Z-Co 0 IMPERVIOUS SQ. FT. cC:; '-L4 ~ $0.232 PER SQ. FT. 2. SANTT ARY SEWER-CITY NO. OF PFU'S '.:::?.. 7 (See Reverse Side) X $48.27 PER PFO 3, TRANSPORTAtION NO OF UNITS X TRIP RATE X COST PER PM PEAK 'HOUR TRIP X I.o( X $486.73 PER TRIP X X $486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 24-2. , 7b PER FEU , B. IMPROVEMENT COST: NO. OF FEU'S X 27.01:{' PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL-MWMC SDC SUBTOTAL (ADD ITEM~ 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 . J9fJ" Date: 8 - 3 /-9etj SDC Coordinator ATTACH'A.WPD TOTALSDC SQ. Ft. $ J, J Pi4 . 4S- I $ I J 3D3. z.q $ 4-q /, foD $ $ 24-2-,7t. . . $ ~.o~ <$ --> $ 10.00 $ 274, 81 $ '3. 2t=:C::. . Irs- t $ }b2 .8/ $ 3,~6 6 ' FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures XUnit Equivalent = Fixture Units (NOTE: For remodels, calculate only the ~ additional fixtures) FIXTURE TYPE NUMBER OF . NEW FIXTURES UNIT EQUIV ALENT Ba thtub........................................................ .:............ Drinking Fountain................ ......... ......:..................... Floor Drain......................... .............. .... ..... .,.............. Interceptors For Grease/Oil/Solids/Etc...................... Interceptors For Sand/Auto Wash/Etc...................... Laundry Tub/Clotheswasher/Mop Sink...:::.............. Clotheswasher - 3 Or More................,..................... Mobile Home Park Trap (1 Per Trailer)................... Receptor For RefrigeratorlWater Station/Etc........... Receptor For Commercial SinklDishwasherlEtc...... Shower, Single Stall...... ...... ............ ............ ............. Shower, Gang............ ....'.. ...... ...,.. ............................. Sink: Bar, Commercial, Residential Kitchen............ Urinal, StalllW all............... ........................ ............... . Wash Basin/Lavatory, Single.........,............,............ Toilet, Publjc Installation........... ...... .........,.............. Toilet, Private........... ........... ................. ................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 2. 2. .3 3 TOTAL FIXTURE UNITS FIXTURE UNITS -z.:.. 4> t '3- "3 I "'Z- Z.7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separately. Year Annexed Rate per $1,000 Assessed Value Year . Annexed 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1989 1990 1991 1992 1993 1994 1995 1996 1997 . 1998 Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) FIXUNIT.WPD Rate per $1,000 Assessed Value 2.18 1.75 1.35 1.17 1.03 0.86 0.71 0.57 0.39 0.18 CREDIT TOTAL = $ ---f;L RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential...,..... .:...... .......... 0.4 Conunerical... ...................... 0.9 IndustriaL.....,...................... 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT . THIS Pt.RMIT SHALL EXPIRE IF THE WORK ... . . .,.,-' . AUTHORIZED UNDER THIS PE~WJ.!9 t'JOT. ....;j2J? j~\~ I..O! '.~~~~:,t.. COMMENCED OR IS ABANDONW~ing project as' su~mitled h~.S tti~toll~\IVin9 zoning. and does not reqUire speclflclandl~sa.\J 22ANB'1lj1)j)fS{&ElliOD. -i ,~p~roval. . L_I""\ 1"'>' . '~E~CTRICAL PERMIT APPLICATION SPRINGFIELD OREGON 97477., ZOning . . dl\. ".." ." . '. · INSPECTION REQUEST: 7t6.;eit~9'.".:J t"7tq, ~q <1.,:j~'\fji;iy Job Number q q / { ~tp OFFICE: 726-3759 ............ '0" ..~:..'.. AutMnzed Signature\ '-. :; . C6HFLE'f::J F'EE SCHEDULE BELOV 1. LOCAT. ION r9F INST.ALLATION ~li f11~~~ . A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: If 0 '3 tl3,tf3 0 J.../6 ')--/ JOB DESCRIPTION SIt IUi.-h{ X7!~ J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Rome, or Modular'Dwelling Service or Feeder .$ 40.00 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders O . /. . Installation, Alterations Electrical contractorAi'/e'''/'ljul Yllff'fr(1({(_C;JOr Relocation: Address. p, {J. Af)x L/..05LE! ,200 amps or less /. . 201 amps to 400 amps Ci ty '( ( J1 q e )1..1.....-- Phone 541- LI'{4 -q 07 ( 401 amps to 600 amps . 601 amps to 1000 amps Supervisor License Number ~~~ J JL~ Over 1000 amps/volts Reconnect Only Expiration Date 10{ €) 'L Constr Contr. Number q 1,/45 Expiration Date ~atu~per 'si ~-. ~ Owners Name-;i ILltd~ h, ~ . Address 1fJ. {bO\f 142.S Ci ty ~t{/q P J1j ~ Phone 5l-/1-1L/t./ -1.1/)/.iO OVNER . INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT #: RECEIVED BY: \ \ -1 ti -t1 ~ .3 U 'd-'d-., ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits ,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 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 .J.O.UO Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 'LD. 0 0 7% State Surcharge i.(fV 3% Administrative Fee I~V TOTAL ~~.QV ."'_..'....,.....-...~.. . ;.'t....~ SPRINCfOlELO PUBLIC WOnKS DEPARTMENT ,",{)I\~/""S7/~/\710N [NG/N[ [h/NG OJ\lIS/ON '\~,AI!" 7 [NAIVeE 225 flfTu:, Sf'f~!!,/Gr /[ L n. (II r DATE APPllCATIOI~ FQR A ~ECQND DRIVEWA.Y 'QVERWIDTH DRIVEWAY B t/dwt& - , 7~r;, tS~~~ .j/; , - 2c;,~r-J APPUCANT (PROPERTY OWNER): Fun!;(6, ADDRESS OF PROPERTY FOR DRIVEWAY PERI.1fT: I i I t Ii if f. ~ i\ ~~ ~ f i: '$ I I I APPLICANT'S TELEPHONE NUMBER: 744- Please skelch the proposed drive'....ay. Include the following appticable items: house or building. proposed driveway,. existinl1driveway. and street names. lndude dimensions and measurements to property lines. road intersections and bordering drivewa~'s: (See altachment for an example.) 71 /~ /~~.r-....- ~ S/~ :5' 6E ;~ L.(I~ / l/f1LlJ I (J' ~ )~~~/1'1-. /7//~ ..{ 'Of ~j-..aJJ[<-~t:;jstt'~ii)'~;..xr:''::i~~';ij.~l:tVi'Jl!W. .~J.~'l;;,t'\~i'Ii~!':1tftJl::t:~:f)~\~'('t~.~::it1t~ ;'jj,tr'~~1.~~:\1..1fjt~X'litt.~i~2 i~tl~~\:~~t1:ij}":':.i>,*~;;'fil;l,f:o\t:~,!~~\;, ~~~,~il~~r.$~~.J:1;iI.~~-~~~_ ~3_.",~,tf-t~J~:~.;,:; .;.l.%'s 'J.;.~~~;');.:.....~f.~~~:"!!t\";#J.~ri\t~1. .,t~3J1~~~J.~'i'1~{r(~':iiJ.~E.~!;:~~;;!~,,~~!~r~;.' ~_"Nl~'.~-;~.i~i'~fi,)'r~iX't~.ft1'"M'~:~!;''';~~~};illt~~~~~. \. i~. "") re"". ~:~t .I, .f'" .'. ,:' J I . '. - ACL APPUCATlONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN G:~OWTl{ BOUNDARY REQUIRE A LANE COUNTY PERMIT. l-lore: The City of Splingfield will not grant <l second dlivew3Y p'elmit on 'an /\r1cria) or Collcctol Street. I'lfJ(."~/dic7n.;1,..ln^flf~f,fr:/("r:r01r",.-, ..t.n"Jl 7""'1/: -:'7r..7 rl1\. /r~fJ,\ ";""'11-::. ..,r:n<1 ;:. l I 1 i ! i ! I I i i i ! "I , I, .~...-~/ t- r I I I I I I ! ! J~ ''-''--'...' ,--~-_.- ! i 1. Property t)'f>e: Single family Residence OuptelC Olher 2. The proposed drivewa~ will lake access from which slreet , 3, The disl:tl1ce (rorn the edge of the dfiveway t~ Iho ncarcst COlncr (mcasured 10 Ihe curu rclur~) is (eel. \ ;.. . . _~' ......, It ,.. ~. . , '<4;, Tl~e seco_n.d, drive~ay\ will give., a'ccess to: "gar'a~~~ carporl_ side yard_ Olher. 5, The distance from the prorer1y li'ne 10 the ga'rage. carport. fence. wall. or other, (~'here tl1e vehicle is 10 be parked) is . .... '. feel. . '., ',.., . 6. \'Vill the proposed parking 1 slorage area creale ayision obstrudio,n to adjacent prope~y driveways or. to any vehicular movem~nl on a pubfic street? (See vision clearance attachment) AppffC3nt hereby agrees to install tile requested driveway to City of Springfield standards. Tile appficant further agrees to have 6'; of concrete in tile sidewalk area (adjacent to tile drivewayr;and to pave the area behind tile ~ck edge of tile sidewalk, or driveway apron, with a minim~m depth of 3" asphaltic concrete or 6" of portland cement concrete. The area b€hind the sidewalk shall b€ paved a minimum of 18 feeL The applicanl agrees that if he/stle does not pave tile area behind the sidewalk withinJO days of cutting the curb opening, the City of Springfield has the authority to c1os.e 'the d~ev..'3Y access by removal of tile curb cut. An incurred costs shall be assumed by tile applicant and a unpaid. said cost shall b€come ,a flen of the property. ~lt! When this appfication is approved by the City, the applicant must obtain a curbcuUdriveway permit from the Pubfic Works Department; Engineering Division. . -a'_ ____~_ _ ~d . ~ L- . "-j .I . , .- . , " _ _,. ._.~v P'Vv v.'_ I-V- -..- . '--, " _.~ ~~ . -- -'1' .------ ~r-r-IC DIVISION OATE,9l~ #'In''. :1 D/\TE: 9~/ ~ ' ,. ~ APPROVED BY BUILDING PERMIT NO.: 1!iJJ60 DATE: TRA 9.1 ATTACHlv\ENT: Vision Clearance. Example 111 41 .- - ---~.----- l\ ,!-. , ' SYSTEM DEVELOPMENT CHARGE WORKSHEET '^ I , (\ NAME, . ~lL. ~ PHONE: -JA..ljJ..{).()J ADDRESS: 'Pji{ STATE: ~IP: qm ' ~:~~T~~:r~:;PR~~~D B~~ %trl-. . .. . Pial Name:. · -f\ \~. Tax Lot Number: \ r'lf)~'2.'3\3liJJ..tf)- 1. .DEVELOPMENT. - PE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) , A. Sinale-Familv Detached \ ,Single Family home 'NO. OF UNITS \ Manufactured home not in a park $ NV\ ,00 X $1,000' per unit = \AA ) B. Sinale'-Familv Attached. NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ,ManufaQfured Home Part 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~\\- . Development Se City of Springfiel X $699 per unit = $ $ t()Q)~ 2. SDC CREDIT (if applicable) SDG-payer must furnish proof of H Willamalane Credit approval. See SDC Credit Worksheet. $ ~ $ I,m 90 \ NO. OF UNITS WILLAMALANE SDC /(9 1 I J / J 5 Date ./ I