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HomeMy WebLinkAboutPermit Building 1998-7-9 . c\ __; Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980695 225 North Fifth Street Springfield, OR. 97477 -< Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1568 CANAL ST Assessors Map #: 17033423 Lot: 12 Block: Tax Lot #: 04600 Subdivision: RIVER TRAILS Owner: DON DAVIS Address: 809 DIAMOND Phone #: 744-8161 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F. RESIDENCE NEW "--- Contractor Const. Contractor #' Expires Phone General: J & K DEVEL 0120274 PO BOX 2743 EUGENE OR 974010000 Plumbing: CUSTOM PLUMBING 0081991.. 3248. KENT WOOD DR EUGENE OR 97401000 Mechanical: MARS HALLS 0025790 4110 OLYMPIC ST SPRINGFIELD OR 9747 02/12/99 484-2292 05/06/00 485-1146 12/23/98 747-7445 QUAD AREA': 1RNW # OF UNITS: 1 CONSTR. TYPE: YN WATER HEATER:' G SQ FOOTAGE: 1828 . OFFICE USE --~ LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG 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 - - - . SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated, FOUNDATION - After forms are erected but prior to c?ncrete placement, UNDERFLOOR MECHANICAL - Prior to insulation or decking, UNDERFLOOR PLUMBING. - Prior to insulation or decking, ROUGH GAS - after line is installed and capped if not attached to an aPr>liance POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover 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 erected but prior to placement of concrete, SIDEWALK - After excavation is complete, forms and sub-base material in place. Job Number: 980695 Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete, FINAL ELECTRICAL - When all electrical 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.: 4572 Total Height: 16 Lot Type: INTERIOR Setbacks S W E 5 5 N House 12 Garage 18 It,em Ma:in Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Item Residential Bath(s) Plumbing Permit Surcharge/Admin TOTAL CHARGE BUILDING PERMIT --~ Square Feet x 1292 536 Lot Coverage: 40 % Setbk From NPL: 12 $/Square Feet 64,66 16,27 PLUMBING PERMIT --- 2 ~-- MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan Dryer. Vent GAS LINE & W/H Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT 3 MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC CITY SDC TEMPORARY POWER' TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) (A) (C) (D) (E) Value 83,541. 00 8,721. 00 92,262.00 412.00 32.96 444.96' Fee 160.00 160.00 12.80 172.80 6,00 4,50 . 9.00 3,00 5,00 27.50 10.00 2,21 39.71 0.00 17.50 15,10 1,000,00 2,290,19 43.20 3,365.99 4,023.46 ..._1, .' SPRINCFIELD '." ?~f~~l!li).il::( its) ~ t,?,;i,;'f. ~~"- Job Number: 980995 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 o~.",a:ny provisions of said ordinances. Plan Check Fee: 267.80 Date Paid: 06/10/98 Received By: AL WARD Plans Reviewed By: .AL WARD~-oC>N Mc>olt~ Date: 06/22/98 Building Site Reviewed By: LISA HOPPER Receipt Number: 30258 --- ADDITIONAL COMMENTS -~- DRIVEWAY REQUIRED TO BE PAVED 1 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 w~ rem)n ]C~t all times during construction. Signa~e . U' . 7/Q/it' I I Date --- VALIDATION Receipt Number: 50'724 , ~A;0'A 4.cJ 23 .~~ .~a-., Date Paid: Amount Received: Received By: .< .' JOB NO. Cf8()b9:; ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ! ;PGl)~ru.4V-:'~ ..:/ ...-, ~ -,-' .. ' . LOCATION: 15r;8 CAA/"lL . ~-r; , ~ DEVELOPMENT TYPE: <. r; J<. BUILD.ING SIZE. LOT SIZE SQ. Ft. 1. STORM .DRAINAGE' IMPERVIOUS SQ. FT. 2;)"34 X $0.226 PER SQ. FT. $ 5"72.(;/b 2. SAN ITARYSE',0ER -C ITY NO. OF PFU' 51 g-- (See Reverse Side) X $46.86 PER PFU $ 8+3,4-8" 3. TRANSPORTATION. ~~ NO OF UNITS X. TRIP RATE X COST PER TRIP l X I,() I . X $472.49 $ 471,2.1 x , " . X $412.49 $ ". . I '.J . _' It x X $472.49 $ , ;' 4. SANITARY SEWER-MWMC DU'") Di.J . . NO. OF.f-E1::i4 I X 277. 7c. PER Fftr + $10 MWMCI ADM FEE $ 2 ~7 I 7c::' . MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ 287,7C::. SUBTOTAL (ADD ITEMS 1.2,3 & 4) $2,J8/Ir~ 5, . ADMIN ISTRATIVE FEtS, , "Y. BASE.CHARGE (SUBTOTAL ABOVE) X .05 . $10::,; O~ fJt, Date: 0-/2-tj8 SDC Coordinator . TOTAL SDC $' 2, 2'7D , 1'1' '- I I^ I vnL- VI\l11 vl'-'\L-v.ULI'-'\ IIUI\I I J-\DLC~ Numberot New ~ixtl"es X Unit Equivalent == Fixture-. Units ' (NOTE: For rerl}odels, calculate or ~e NET additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub....,...."."".,..,..,..",......,.",.,."....."..,..,;.,...,." .. Dri n ki ng. Fou nta in.. .. .. , , .. , .. .. . , . . . . : , , . : . .. .. .. , .. .. .., .. , , , , . . . .. , Floor Drain,..."...",..:"",..",.."..,..".."..."", ,.,..,..,..",.", Interceptors For Grease/Oil/Solids/Ete................. Interceptors For Sand/Auto Wash/Ete.................. Laundry Tub/Clotheswasher."....".,.,...,.."... ,....."" " Clotheswasher - 3 Or More.............................:....,.. Mobile Home Park Trap (1 Per Trailer)...............,.. Receptor For Refrigerator/Water S tation/Etc........ Receptor For Commercial Sink/Dishwasher/Ete.. Shower, Single Stall", ..,., ,.."..."..,... ..""..., ",.,..' .."". Sho we r " G a n g.. ..., .. .. . .. . , , .. , , .. . . . . , , , , .. . , , .. . , .. , .. . .. .. .. , .. . .... . Sink: Bar, COrT)merCial, Residential Kitchen..........,.............. Urinal, Stall/WaIL......................,..,................",......... Wash Basin/Lavatory, Single,...............,................, Toilet, Pubiie Installation........................................ Toilet , Pri v ate.. .. .. .. .. , .. , .. . , . .. . , . . . , , , , .. .. ... .. .. .. .. .. .. .. . .. , Miscellaneous: UNIT EQUIVALENT 7-. 2 1 2 '3. 6 2 6 6 1 3 2 i /Head 2 2 1 6 4 FIXTURE UNITS 7- ~ "%- "Z- ~ r IR '2... TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in 1:able, calculate credits separates. Year Annexed 'I Rate per $1,000' Assessed Value 1979 or before 1980 .. 1981 1982 .1983'( 1984 1985 1986 $3.97 3,89 3,83 3,70 3.55 3.39 3.20 2.91 Credit for Parcel or Land Only If Applicable Year Annexed Rate per $1,000 Assessed Value 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) == CREDIT TOTAL == $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Resideneiai ,.,:....., ,.....,., ........ 0.4 Commerical......................... 0,9 Industrial..............,.,.........., 0 5 Governmental....................,. 0,5 $2.56 2.17 1.73 1.31 0,92 0.74 0.61 0.45 0.31 0,17 , IMPERVIOUS AREA = TOTAL lOT .SIZE X RUNOFF COEFFICIENT"' .t\~ 'Willamalane ()('D J t:::... '-f~..J '-l Park & Recreation District Job. No. \1 D . [J- V .-. SYSTEM DEVELOPMENT CHARGE . . WORKSHEET NAME: \\~ \n \.)\~ . PHONE: rM.~\,()( ADDRESS1tA. \)~ STATE:i)Q..ZIP:Q.l1:J] LOCATION OF PROPOSED BUILDING SITE: ().\ Street Address: l rQ\.o ~ ~t\1l j ()~ee---^. Plat Name: 'lD3~?-' Tax Lot Number: 1)\~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) . A. Sln.QlA-F8milv QAtRchAd lSingle Family home NO. OF UNITS Manufactured home not in a park l X $1,000 per unit = $ 000 po B. ,Sinale'-Fa.milv_Attached. . NO. OF UNITS X $924 per unit . - $ . C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit. = $ D. ,t0ahufactured Home Pa~ . .$ $ I ()()() .66 .ff (DOG ~ " NO. OF UNITS WILLAMALANE SDC X $699 per unit =. 2.. ~DC CREDIT (if applicable) SDC-payer must furnish proof 9f Willamalane Credit appro'{al. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED ~C:~dfO;0. ? I D~velopm~nt ?erv~, De )artment Date City of Spnngfleld . $ 9 /71!:J