HomeMy WebLinkAboutPermit Building 1996-6-3
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960622
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4163 CAMELLIA ST 4165
Assessors Map #: 17023233
Lot: 2 Block:
Tax Lot #: 03602
Subdivision: 92-08-159
Owner: RON HOLLAND
Address: 1220 MARSH STREET
Phone #: 805-543-4071
City/State/Zip: SAN LUIS OBISPO,CA 93401
Describe Work: DUPLEX
NEW
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2051
OFFICE USE --
LAND USE: 1120
ZONING CODE: MDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
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.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
WATER 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.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
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
Solar Approved: Y
Lot Sq. Ft.: 4950
Total Height: 27
Lot Type: INTERIOR
Setbacks
S W E
51 5 5
,51 5 5
Lot Coverage: 19 %
Setbk From NPL: 37
N
House 20
Garage 20
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1025
1025
$/Square Feet
64.66
16.27
Value
66,277.00
16,677.00
82,954.00
SPRINGFIELD
Job Number: 960622
Page 2
Building Permit Fee
Surcharge/Admin
382.00
30.56
TOTAL FEE
(A)
412.56
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,795.04
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
Fee
320.00
2
Plumbing Permit
Surcharge/Admin
320.00
25.60
TOTAL CHARGE
(C)
345.60
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
9.00
6.00
6.00
2
Mechanical Permit
Issuance
Surcharge/Admin
21.00
10.00
1. 68
TOTAL PERMIT
(D)
32.68
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
PLAN REVIEW FEE
CULVERT PERMIT
0.00
1,848.00
250.25
20.00- s:~
TOTAL MISCELLANEOUS PERMITS
(E)
2,118.25
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
~.1::
)tP~'../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: DON MOORE
Plans Reviewed By: DON MOORE Date: 05/30/96
Building Site Reviewed By: LISA HOPPER
Job Number: 960622
Page 3
--- ADDITIONAL COMMENTS
PATH 1
PROVIDE DRAINAGE PLAN WITH CULVERT REQUIREMENTS
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.
eflJ E 1/{L~/
0-3-9,b
Signature
Date
--- VALIDATION
Date Paid:
1Z./ ~~ /J - ~. \115
b/Jh6 Co t> ,C\t7
( (
.~" ~ 5',/3
~
Receipt Number:
Amount Received:
Received By:
,.
. 'SPR'NGREU> ~
~. -. - ... ji1i7l~.,{tfil3l~'Jf"JiI.:t'it,"JJI~
, CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RON HOLLAND
Location: 4163 CAMELLIA ST 4165
Developement Type: R Building Size:
Job No.: 960622
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2178 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 22 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
2 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$884.62
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
22
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 05/14/96
Page 1
Sq Ft
$457.38
$955.46
$884.62
$422.50
$58.02
$364.48
$2,661. 94
$133.10
$2,795.04
.\
SPRINGFIELD
~.
Job Number: 960622
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
'Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet~ Private
Miscellaneous
o
o
o
o
o
2
o
o
o
2
o
2
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
4
o
o
o
4
o
4
o
2
o
8
o
2
2
1
6
4
TOTAL FIXTURE UNITS
22
CREDIT CALCULATION
TABLE: Based on assessed value.
after annexation date, credits
(calculations are by $1000)
If improvements occured
are ~alculated separately.
Year Annexed: 1969
Credit For Parcel Or Land Only If Applicable:
16,720
X
3.47
58.02
Improvement (if after annexation date) :
o
X
3.47
0.00
CREDIT TOTAL =
$58.02
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)