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