HomeMy WebLinkAboutPermit Building 1995-7-21
SPA'NGF'ELD ~ IJfo
...... ,.. ....., --jilNT1lifi7=t"lI..-Ti{'i "NI
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 950635
225 North Fifth Street
Springfield, OR 97477,
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 7019 CAMELLIA ST
Assessors Map #: 17023533
Lot: 10 Block:
Tax Lot #: 05002
Subdivision: CASCADE KNOLL
Owner: RON ROBERTS
Address: 200 CRESTMONT
Phone #: 805-543-6078
City/State/Zip: SAN LUIS OBISPO, CA 93401
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires Phone
12/11/96 747-8495
06/10/95 688-1931
12/11/96 747-8495
03/05/96 744-1165
General: MINIUM 0062682
8745 Thurston Rd Springfield OR 974
Plumbing: DON LEWIS 0033076
500 Greenfield St Eugene OR 9740416
Mechanical: MINIUM 0062682
8745 Thurston Rd Springfield OR 974
Electrical: HAUCK HAMMER 0089423
353 S 68th Place Springfield OR 974
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR, TYPE: VN,
SECONDARY HEAT:, FP
INSUL PATH: SGC
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
SQ FOOTAGE: 1729,
# OF BLDGS: 1,
OCCY GROUP: R3
HEAT SOURCE: WH
RANGE: E
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, wi~l be made the following work day.
REQUIRED INSPECTIONS ---
SITE - To be made after excavation but prior to setting forms,
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,
POST AND BEAM - Prior to floor insulation or decking.
INSULATION -Floor; prior to decking Wall/Ceiling; Prior to cover
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
WATER LINE ~ Prior to filling trench,
ROUGH PLUMBING - ~rior 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.
INSERT - After installation,
SIDEWALK - After excavation is complete, forms and,?ub-base material
,in plac,e,
CURB CUT - After forms are erected but prior to placement of concrete.
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 puilding is 6omplete, '
SPRINGFIELD
Job Number: 950635
Page 2
Lot Faces: N
Total Height: 18
Lot Type: INTERIOR
Lot Sq. Ft.: 4700
Setbk From NPL: 51
Lot Coverage: 37 %
Solar Approved: Y
N
Setbacks
S W
18
E
7
House
Garage
18
7.5
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1300
429
$/Square Feet
56.20
14.10
Value
73,060,00
6,049.00
79,109,00
Building Permit Fee
Surcharge/Admin
373.00
29,84
TOTAL FEE
(A)
402.84
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,111.18
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)
2
Fee
160,00
Plumbing Permit
Surcharge/Admin
160.00
12,80
TOTAL CHARGE
(C)
172.80
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
2
4,50
6,00
15,00
'3.00
Mechanical Permit
Issuance
Surcharge/Admin
28.50
10.00
2.28
TOTAL PERMIT
(D)
40.78
--- MISCELLANEOUS PERMITS ---
Sidewalk
Curb Cut
ELECTRICAL PERMIT
PLAN CHECK FEE
17.50
14.20
124.20
242.45
TOTAL MISCELLANEOUS PERMITS
(E)
398.35
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,125.95
--- 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: 950635
Page 3
--- ADDITIONAL COMMENTS
SUPER GOOD CENTS,SAME AS LOT 3,A&T:15,080,ANNEX DATE: 1960
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
. Wi0~ all times during construction? 'i / . /" (~..
Signature ~ Date
--- VALIDATION
Date Paid:
\ ~l\rn
\.'L\.C\S
9~ as.ct cs
~\.I:'i'AJ
Receipt Number:
Amount Received:
Recei ved By:'
'"!.~ ",
fi Y.'!iltC!cl!!t~~g!!i~
>>
Job No.
(5)\o05
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAM~ ~ ~\A.6
ADDRESS: 2l)\J ~~ I ~et
PHONE: ~os.~o
STATE:tJi ZIP ~\
'.
lqCATION OF filROPOSED BUllDI~ SITE:f\^,~. A\ \ ; n .'
Street Address if Known: '1{)\'-\ \llJfMA.lll.k.../
. ,
Platt Name: ~~c.\lh ~ro\L Tax lot Number.nl)1-~S3-~ 0 f{'l) 1.-
1. DEVELOPMENT TYPE (Check appropriate dwellirig(s>. SDC calculations and dwelling type
definitions are on the back'> ' . , " ' ,
A. Sinele Family - Detached
\ Single Fa~ily home
NO OF UNITS l
B. Sinele Family - Attached
NO OF UNITS
C. Multi-Family Aoartment,' .
NO OF UNITS
D. ManufactUred Home Park
Manufactured home not in a park
X $400 PER UNIT _=~ $ "'~ ~ov.,
.
X $370 PER UNIT =
. $
X $777 PER UNIT =
$
NO OF UNITS
X $280 PER UNIT =
$
WPRD SDC
. $ 40) f)O
, 0("
'u
:4(f)tJ
'LF}-I 1-9'"
n~~ -
2. SDC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD Credit
approyal. See SDC Credit Worksheet .
3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit)
~0J!.<~
SP"'NGF'ELD ~
__~....-. .. . , .- '1;;lfjl[t7i.I=l~'M..]r7:t~li"
~- '. .'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: RON ROBERTS
Location: 7019 CAMELLIA ST
Developement Type: R Building Size:
Job No,: 950635
Lot Size:
1. STORM DRAINAGE
Impervi?us Sq Ft 2508 X 0,209 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43'.26 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units X
1 X,
Trip Rate
1. 010 X
X
Cost Per Trip
436.19
'$440.55
Transportation Total
4. SANITARY SEWER - MwMC
Number Of PFUs
18
Per PFU +
17,190 +
'X
X
MWMC Admin Fee
10,00
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: KIP,BURDICK
Date: 05/18/95,
Page 1
Sq Ft
$524.17
$778.68
$440,55
$319,42
$52,18
$267.-24
$2,010.65
$100.53
$2,111.18
SPRINGFIELD
~.
Job Number: 950635
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain,
Floor Drain
Interceptors For GreasejOil/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
Urinal, ,Stall/Wall
Wash Basin/Lavatory, Sirigle
Water Closet, Public Installation
Water Closet, Private
Miscellaneous'
1
o
o
o
o
1
o
o
o
1
o
1
o
2'
o
2
o
2
1
2
3
6
2
6
1
3
2
2
o
o
o
o
2
o
o
,0
:2
o
2
o
2
o
8
o
,2
2
1
6
4
TOTAL FIXTURE UNITS
18
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately,
(~alculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land O~ly If Applicable:
15,080
X
3.46
52.18
Improvement (if after ,annexation date) :
o
X
3.46
0.00
CREDIT TOTAL =
$52.18
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)