HomeMy WebLinkAboutPermit Building 1997-12-4
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971325
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769 \
Location of Proposed Work: 1542 CANAL ST
Assessors Map #: 17033423
Lot: 14 Block:
Tax Lot #: 01000
Subdivision: RIVERTRAILS
Owner: MIKE DOLLARHIDE
Address: 553 CALUMET AVENUE
Phone #: 461-7744
City/State/Zip: EUGENE, OREGON 97404
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: OWNER
Mechanical: UNITED 0102602 10/14/97 688-9162
6001 Barger Dr Eugene OR 974020000
Electrical: ANTONE 0082835 05/19/98 688-4444
27514 Snyder Rd Junction City OR 97
QUAD AREA: lRNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 1799
# OF BLDGS: J,
OCCY GROUP: R3
HEAT SOURCE: FG
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. 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,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
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 MECHANICAL - Prior to cover,
ROUGH PLUMBING - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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.
,.... ,._, ,..., ,-, -,'---. .......,.- :ili rw'."'~I;;";;""', ~..
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Job Number: 971325
Page 2
Lot Faces: S
Topography: 2
Solar Approved: y
Lot Sq. Ft,: 3864
Total Height: 21,5
Lot Type: INTERIOR
Setbacks
S W E
7 5
Lot Coverage: 46 %
Setbk From NPL: 33
N
House 14
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT -~-
Square Feet x
1337
462
$/Square Feet
64,66
16.27
Value
86,450,00
7,517,00
93,967,00
Building Permit Fee
Surcharge/Admin
415.00
33.20
TOTAL FEE
(A)
448.20
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 ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Firep;Lace Unit
Dryer Vent
3
6,00
4,50
9,00
4,50
3,00
Mechanical Permit
Issuance
Surcharge/Admin
27,00
10,00
2,16.
TOTAL PERMIT
(D)
39.16
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SDC
WILLAMALANE
0,00
17,50
14,95
2,300.39
1,000.00
TOTAL MISCELLANEOUS PERMITS
(E)
3,332.84
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,993.00
--- 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: 971325
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: TOM
Building Site Reviewed
269.75
Date Paid: 09/09/97
Receipt Number: 27342
MARX Date: 10/15/97
By: LISA HOPPER
No ~6t/~ c.W~~;17t:XJ gi. ~tkJH/A-'If,)&f
IINnt. INf?tlA~IIfi;f~ /S ~/c..v
Jav OIlY.
By signature, I state and agree, that I haJe 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 6n 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~l remain on the site at all times during construction.
--- ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES,REQUIRED
. \V' - ~) ~l)01 ~
Slgna ure t
lu'4') ~ 1
Date I ' I
--- VALIDATION
Date Paid:
78/(5.5
/'2.-c.;--97
-:s ~~ .6e:::,
/2~
- , p--
, J
Receipt Number:
Amount Received:
Received By:
\
2
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,JOB NO. .cr7/~~
AITACHMENT A
,CITY .oF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
. HJ/z.E; f) 0 LLA/'-lIllJ6 C~A.7,<;' -rA.e.JC7/ tMJ
LOCATION:
I L:) 4 Z-. CA /VAL 5 r;
DEVELOPMENT TYPE:
~ F T2---
BUILDING SIZE:
LOT SIZE
SQ. Ft,
1, STORM DRAHJP-GE
IMPERVIOUS SQ. FT.
2577
X $0,226 PER SO, FT. $ 5}i 2,4-D
2. SANITARY SE~ER-CITY
NO. OF PFU' S I ~
(See Reverse Side)
X $46,86 PER PFU
$ 843 .4.3
3: TRANSPORTATION
. NO OF UNITS X TRIP RATE X COST PER TRIP
I
x I,!)I' X $472.49
$ 4-77,2../
x
X $472,49
$
x
X $472.49
$
4. SANITARY SEWER-MWMC
DV5
NO. OF -F-Etr S } . X 277/7' PER FEU + $10 MWMC/ADM FEE $ 28 7, 7~
MWMC CREDIT IF APPLICABLE (SEE REVERSE) . $
TOTAL-MWMC SDC $
SUBTOTAL (ADD ITEMS 1. 2 . 3 & 4) $ 2 I qO .56
5. ADMINTSTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
He
$ I oq, fiLl-
, -
SDC Coordinator
Date: q-/s-q7
TOTAL SDC $ 7:.300,3'1'
FIXTURE TYPE
'-\ . tun. t MDL.e.. Numoer or New t-
the NET additional fixturesl
NUMBER OF
NEW FIXTURES
res X Unit Equivalent = Fixture. Units
. .-.^ I vne. VI"'.. i '-'M'-'-'"
(NOTE: For remodels,calculate l.
UNIT
EQUIV ALENT
FIXTURE
UNITS
Bathtu b...,...,..,., . ....... , , . , . .. . , , . , , ,.. , , . . , ... , .. , .. , ... , ,., . , ,.... , ,..
Drinking. Fountain..., ..........,."..".,.....,.." ......, ..., ,., ,., ...
Floor Drain...................,.......",...,.."........,..,....,.,........
Interceptors For GreaseIOiI/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 IW ater S tation/Ete.......,
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....,... .....,...,..,. ......... ... ..... ........,
Shower, Gang...........,.........,.,.,...,.,....,...,..,........,.....
Sink: 8ar, CommerCial, Residential Kitchen.............,..........
Urinal, Stall/Wall,.",.".,..,:,........",... ...,'.....,... :.....'....'
Wash Basin/Lavatory, Si ngle... . ........................,....,
Toilet. Public Installation...............,.......................,
Toilet, Private.................."..."..,.... .......................
Miscellaneous: .'
t
2
1
2
3
6
2
6
6
1
3
2
1 /Head
2
2
1
6
4
~
'2-.
-:z....
"2-..
:L.
'2-.
'2
3
TOTAL FiXTURE UNITS
If(,
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates.
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
Year Rate 'per $1,000 I
Annexed Assessed Value
1987 $2.56 I
1988 2.17
1989 1.73 h
1990 1.31
1991 0.92
1992 '0.74
1993 0.61
1994 0.45
1995 0.31
1996 0.17
Year
Annexed
Rate per $1,000
Assessed Value
Improvement (if after annexation date)
X $
. (Rate X Assessed Value)
X $
. (Rate X Assessed Value)
Credit for Parcel or Land Only If Applicable
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residenllai.., ......,.......'......... 0.4
Commerical......................... 0,9
Industrial............................ 0 5
Governmental,..............;...... 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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Job. No.
Q2j~~5
SYSTEM DEVELOPMENT CHARGE
WORKSHEET .
NAME: ~~ J \JJ\lC\Afudo") PHONE: 4to\ 11#
ADDRE:SS: ~ ';) ~ t:d.ulY\~_tJ l I( ~ STATE:~IP: {mIff
LOCATION OF PROPOSED BUILDING SITE: .
Street Address: . l~4t eo~ ,11out
Plat Name: ~ . Tax Lot Number: I ')Do 341.1:> Vb ()rifJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
.
A. Sin{)Ip.-Family Detached.
l Single Family home
NO. OF UNITS L
Manufactured home not in a park '
. ctJ
X $1,000 per unit = $ ('{if) I
B. Sin9Ie".Familv 8tWched
NO. OF UNITS
. X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNiTS
X $692 per unit = $'
D. Manufactured Home Park.
NO. OF UNITS
WILLAMALANESDC
X $699 per unit =
$
l CW ,CO
fY
r rd)~
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced:for Credit)
\_~\ ~ll~J
Development "Servic~, Department
City of Springfield .
$
r
1:2 / '/
Date
/ ~J
,