HomeMy WebLinkAboutPermit Building 1998-6-11
-..,.-" -.
"'t""".",~
""
SPRINGFIELD L
,
.::f~~fY~',' r',: &I" "ldJl/(ZY!:!iiiL=(iil J1lvll.3.!f!?llJY.:
"'>,.~ t.1, -' ,> .. ~:'. . J'. J . ~ .'. < ,,::::;
, ,la ., ' , ... .. . l.. I 11,11 j ~, \0
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980564
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1561 CANAL ST
Assessors Map #: 17033423
Lot: 31 Block:
Tax Lot #: 01001
Subdivision: RIVER TRAILS
Owner: BRENT SHJERVE
Address: 5729 MAIN ST. #157
Phone #: 741-2481
City/State/Zip: SPLFD OR,97478
Describe Work: S.F.RESIDENCE
NEW
Contractor
Const.
Contractor. #
Expires
Phone
General:
BRENT SHJERVE ~ol~~
~3::; ~ ::L'l~,:,r;:\. :<;) iTJi:NJi:T.7\. OR 974070{)
J..O /3 S / 9 8
~Q: ::>44
QUAD AREA: 5RSW
CONSTR. TYPE: VN
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
# OF BDRMS: 3
SQ FOOTAGE: 1778
OCCY GROUP: R3
HEAT SOURCE: FE
;.' .
(
To request an inspection, call the 24 hour recording at 726-3769.
All inspections reqUested before 7:00 a.m, w{ll be made the s~me working d~y,
inspections requested after 7:00 a.m, will be made the following work day,
REQUIRED ,INSPECTIONS
TEMPORARY POWER
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
POST AND BEAM '- Prior to floor insulation or decking,
WATER LINE - Prior to filling trench.
UNDERFLOOR MECHANICAL - Prior to insulation or decking,
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
UNDERFLOOR PLUMBING - Prior t~ insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover,
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must (be approved to obtain permanent power,
FRAMING'- Prior to cover.
SHEAR WALL NAILING - Before covering
INSULATION - Floor; prior to decking
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.
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.
"
sheathing with finish materials,
Wall/deiling;.Prior to cover
Lot Faces: N
Solar Approved: Y
Lot
Lot
Setbacks
.S W
. 16
Sq, Ft.: 5434
Type: INTERIOR
Total Height: 20
N
E
8
House
Garage 23
5
SPRINGFIELD
Job Number: 980564
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1350
428
$/Square Feet
64,66
16.27
,Building Permit Fee
Surcharge/Admin '.
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s}
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
MECHANICAL PERMIT ---
Furnace
Exhaust Hood
'Veht Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SPLFD S/D/C'S
WILLAMALANE S/D/C'S
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Page 2
Value
87,291.00
6,964.00
94,255,00
418.00
33.44
451. 44
Fee
160.00
160.00
12.80
172.80
6.00
4.50
9,00
3,00
22.50
10.00
1. 81
34.31
0.00
19,75
. '14.80
2,254.83
1,000.00
3,289.38
3,947.93
This permit is grartted 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: 271.70 Date Paid: 05/12/98
Received By: AL WARD
Plans Reviewed By: BOB BARNHART. Date: 06/10/98
Building Site Reviewed By: BOB BARNHART
Receipt Number: 029765
SPRINGFIELD
Job Number: 980564
Page 3
ADDITIONAL COMMENTS
PATH 1, REQUUIRES SEPERATE ELECTRICAL. PERMIT
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
will remain on the site at all times during construction,
'U J<h-
signitur~ ~ 1
~ ~ J j:. 9R
Date
--- VALIDATION
Date Paid:
,,? 0274-
I bll//~e
, ,
1/17, J'J
~4/~
~eceipt Number:
Amount Received:
Received By:
. .
JOB' NO. .q8()S~t:p
. ATTACHMENT A'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
. ~ ~ ,
WORKSHEET
NAME OR COMPANY:" BJ?ENT' ,.. ~ 1-1, T~ R V 5.
LOCATION.
J ~b ( ,CAIV~L 6,
"
DEVELOPMENT TYPE.
~ , F" .
BUILDING SIZE.
LOT SIZE
~O. Ft.
1. STORM DRAINflGE
IMPERVIOUS SO. FT. 2)~ Rr
X $0.'226 PER SO. FT. $J:);~q. Of
2, SANITARY SEwER-CITY
NO. 'OF PFU' S / R
(See Revers~ Side)
X $46.86 PER PFU.
$ 843 ,4~
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
. v.
X Lo( X $472.49
$ 477, 2../
x X $412.49
$
x X $472.49
$
4, SANITARY SEWER-MWMC
DtJ~
NO, OF 'fE'l:r-S
I
. X 217.7(". PER FEU + $10 MWMC/AOM FEE $2l?7, ~
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$
TOTAL-MWMC SDC $ 2K7. 7~
. SUBTOTAL '(ADD ITEMS 1.2.3 &4) $ 2:'47,<(.6
5; . ADMINISTRATIVE .FEES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
~. ... .... Date
.SDC Coordinator
'$ JD7,~7
~-/~..q~ ..'
'... ; TOTAL SOC, $ . Z 2.S-4-.83 .
. l-l^ I vn~ Vl\lll '-'I-\'-'-'ULM IIUI\l II-\DLC~ Number of New Fixtur~<; X Unit ~quivalent = Fixture U,nits
(NOTE: For remodels, calculate onl ~ NET additional fixtures) .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
8athtu b,., ....... , .. , , ... , . , , , , . , . , .. , , , , , , , . , , , , , , '.. , , ... , , .. , .. , . . .. .. , , ..
Drinking. Fountain,..."."....".,....".""."".,.".."...."..."
Floor Drain".,..,."",:,.,..,.",.,.",."",.",.,.".. "..,...,..,."."
Interceptors For Grease/O'il/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc....,.............
Laundry Tub/Clotheswasher...,."",. ....,,'... ...:.....,.."
Clotheswasher - 3 Or More............,..,..............,...,..
Mobile Home Park Trap {1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc...,....
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.......,.....,....,..,.......,....,....,..,...,.,
'Shower, .Gang..",,"" "." .,..., ,... ...,.. ,...""., ,."."..".". ."
Sink: Bar, CommerCial, Residential Kitchen,.....,..............,..
Urinal, S tali/WalL.. .. .. ,. , .. ... .. .. . . .. . , .. , , , . .. .. .. . .. .. . : , , .., .. , ... ,
Wash Basin/Lavatory, Single.,..,.,....,........,.... ....,....
Toilet, Public Installation.. ,......:"..".......,.,..,:..........
Toilet, Private.",. ...."., ,.,.,.""""",.., ,..., ..;.. ....."..".,
Miscellaneous:
/' '
I
2
1 .
2
3:
6
2
6
6
1 .
3
2
l/Head
2
2
1
6
4
4:-
~
"2-
2
Z-
. ""2...-
g
TOTAL FIXTURE UNITS
=
Iff
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
. 1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
$2,56
2,17
1. 73
. 1.31
0,92
'0.74
0.61
0.45
0,31
0,17
. Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
=
=
CREDIT TOT At = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residemial,.,;"""",..",."..., " 0,4
Commerical................,..,..... 0,9
Industrial............................ 0 5
Governmental.".., .."..,......,.. 0,5
IMPERVIOUS AREA = TOTAL I.,OT SIZE X RUNOFF COEFFICIENT
f\A&
~ "I'~ oWillamalane
'-j ""l....""'f' Park & Recreation District. Job. No. q ~(\ Sb t.-f
~. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~ ~ ~~" ~...., .
ADDRESS: S 7&9 ~c.Li^J\ l~ Ii. lS 7
PHONE: - 14\.~'{~ \
STATE: ((A. ZIP: ~1t-t,7 ~
...
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
\s(C\ ~. b-
. .
. t.
Plat Name: \ 1 C)'~~L{~~
Tax Lot Number: C=:A It) I
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back.)
A. Sinole-Familv Detached l
'j2 Single Family home
NO. OF UNITS \
Manufactured home not in a park
~
X $1,000 per unit = $ l UW ---
B. Sinoleo-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactl,Jred Horne Pa~
NO. OF UNITS
WILlAMAlANE SDC
X $699 per unit = $
$
2. SDC CREDIT (if applicable) SaC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$'
3. TOTAL WlllAMAlANE NET SDC ASSESSED
(if SDC reduced for Credit)
R ~~tu.--r-
Development SerVices Department
City of Springfield
4
Date
$ \CJlD, ~
/1 /(5
\-.L\--,L--~ ~