HomeMy WebLinkAboutPermit Building 1996-2-16
SPRINGFIELD
Page 1
~ESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
; COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 951863
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work.: 1766 CARRIAGE PL
Assessors Map #: 17032521!
Lot: 2 Block:
Tax Lot #: 11200
Subdivision: CARRIAGE
Owner: TIM NOLTE
Address: 2198 LOMOND AVENUE
Phone #: 747-9654
City/State/Zip: SPRINGFIELD, ,OREGON 97477
Describe Work: S,F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires Phone
02/08/96 747-9657
01/20/96 686-2667
12/23/95 747-7445
10/14/96 726-7895
General: TIM NOLTE 0017824
2198 Lomond Springfield OR 97477000
Plumbing: ANKENY 0016112
91585 N Coburg Rd Eugene OR 9740100
Mechanical: MARSHALLS 0025790
4131 E St Springfield OR 974780000
Electrical: LYNNS ELECTRIC 0102316
PO Box A Fall Creek OR 974380000
QUAD AREA: 2RNW
,# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2075
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
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 :a:r:e 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 - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance ,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.'
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
ELECTRICAL SERVICE - Must; be approved to obtain permanent power.
FINAL GAS - When all gas !work is complete.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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Job Number: 951863
Page 2
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When ail 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 compfete.
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 6632
Total Height: 18
Lot Type: INTERIOR
Setbacks
S W E
10 5
Lot Coverage: 31 %
Setbk From NPL: 50
N
House 36
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT --~
Square Feet x
1665
410
$/Square Feet
56'.20
14.1
Value
93,573.00
5,781.00
99,354.00
Building Permit Fee
Surcharge/Admin
433.00
34.64
TOTAL FEE
(A)
467.64
SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,287.37
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 -7-
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
IN LIEU ASSMT
MILLAMALANE
NO ELECTICAL PERMIT
3
6.00
4.50
9.00
3.00
3.00
2.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
32.00
10.00
2.56
TOTAL PERMIT
(D)
44.56
MISCELLANEOUS, PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
MILL~LANE
0.00
15.25
14.80
1,000.00
TOTAL M~SCELLANEOUS PERMITS
(E)
1,030.05
Job Number: 951863
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
4,002.42
--- 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: 281.45 Date Paid: 12/05/95
Received By:
Plans Reviewed By: DUANE HUSSEY Date:. 01/09/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 19753
--~ ADDITIONAL COMMENTS ---
PUBLIC UTILITY EASEMENT OF 5' IS ON EAST PROPERTY LINE, SET FOOTINGS ACCORDINGLY
PATH 1 ENERGY COMPLIANCE
NO ELECTRICAL PERMIT
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and'agree, that I have carefully examined
the ~ompleted 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 Cit~ 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, ~hat 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.
~/,-S--
Sig.7ure
~t,-/ (~ ,.L!l!lfr,
Date
VALIDATION
Date Paid:
-:2 e::!I V/"
7-/~-%"
Y/.abD2
~
//
,
Receipt N:umber:
Amount Received:
Received By:
SPR'NGF'ELD ~
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: TIM NOLTE
Location: 1766 CARRIAGE PL
Developement Type: R Building Size:
Job No.: 951863
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 2890 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
Per PFU +
18.750 +
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: TROY MCALLISTER
Date: 12/06/95
.........
Page 1
Sq Ft
$606.90
$781.74
$442.31
$347.50
$0.00
$347.50
$2,178.45
$108.92
,$2,287.37
-'"T .-' "-':t~~_.)j(=t.rots14!1
Job Number: 951863
FIXTURE UNIT CALCULATION TABLE
Page 2
Fixture Type
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
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
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.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00
0.00
o
X
0.00
0.00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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, SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
q ~\<6li:>
NAME: \ \. X"0\ \\ n\To ~
ADDRESS:~\C\~ ' 'rl~rL
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \"-1\ 0 \_0 '~~~, \ \>\TJ ~(t.?
Plat Name:~.l\j;d\o.--\!L.. " Tax Lot Number: \\~~~\ \ ~\1If)
1. .DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
, PHO'NE: \\l.q\o~l
STATE: N-zIP: q14l1
A. .Sinale-Familv Detached,
\ ' Single Family home
, NO. OF-UNITS l
Manufactured home not in a park
$ _\'N'J'\_' .ft).
X $1,000 per unit = tA _ U
'B. .5inale-Farnilv Mached
NO. OF UNITS
X $924 per unit = $
cI
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home Park
NO. OF UNiTS
WILLAMALANE SDC
, X $699 per'unit - '$
$ \ ty'() pO
2. SDC CRi::DIT (if applicable) SDC-payer must furnish proof of
Willarnalane Credit approval. See SDC Credit Worksheet. ,$.
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, 3. ' TOTAL WILLAMALANE NET SDC ASSESSED
, \~~c~~~
, Development se'~~o;;artment Date
City of Springfield. ,
$ \tXD .00
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