HomeMy WebLinkAboutPermit Building 1998-6-26
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980638
Page 1
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 156 75TH ST
Assessors Map #: 17023541
Lot: 5 Block:
Tax Lot #: 00500
Subdivision: CROSSWAY
Owner: TOM PHILIP
Address: 3973 DILLARD
Phone #: 344-9859
City/State/Zip: EUGENE, OREGON 97405
Describe Work: S.F.RESIDENCE
NEW
Contractor
Const.
Contractor #
Phone
Expires
General:
12/11/98
BRAD PHILIPS 0084521
807 61ST ST SPRINGFIELD OR 97478000
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: Pl
OFFICE USE
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2400
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To request an inspection, call the 24 hour recording at 726-3769.
','
744-1871
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 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
appliance
POST AND BEAM - Prior to floor insulation or decking,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SANITARY SEWER LINE - Prior to,fil1ing trench,
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH ELECTRICAL - Prior to cover,
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
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
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,
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Job Number: 980638
Lot Faces: E
Topography: 2
Solar Approved: Y
N
House 5
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE/WH
GAS FP
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE
SDC
PLAN CHECK
Lot Sq, Ft,: 6000
Total Height: 25
Lot Type: INTERIOR
Setbacks
S W E
15 36 20
BUILDING PERMIT
Square Feet x
2036
414
PLUMBING PERMIT ---
3
--- MECHANICAL PERMIT ---
4
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
Page 2
Lot Coverage: 25 %
Setbk From NPL: 18
$/Square Feet
64,66
16,27
(A)
(C)
(D)
(E)
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
Value
131,648,00
6,736,00
138,384,00
520,75
41. 66
562.41
Fee ,/
192,50
192,50
15,41
207.91
6,00
4,50
12,00
3,00
5,00
4,50
35,00
10,00
2,80
47.80
0,00
19,00
14,95
1,000,00
2,559,04
80,00
3,672..99
4,491.11
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Job Number: 980638
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
of any provisions of said ordinances.
Received By:
Plans Reviewed By: TOM MARX Date: 06/23/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
ELECT, PERMIT REQUIRED
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 a~d all work performed
shall be done in accordance with the Ordinances of the City of Springfield,
a~d 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.
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VALIDATION
Date Paid:
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Receipt Number:
Amount Received:
Received By:
. JOB NO.qJi'Clb3'8'
ATTACHMENT A' .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
-
NAME OR COMPANY: 10M PtJ/LIP
LOCATION
I.,~ 7')7'1'-1 ~T.
.
DEVELOPMENT TYPE'
SF R,
BUILDING SIZE
lOT S FF
so, Ft,
1, STORM flRAINJ'.GE
IMPERVIOUS SO ET, 22, 73
,
X $0,226 PER SO, ET, $.,3~,~"
2, SANITARY SEYFR-CfTY
NO. OF PFU'S 2- '\
(See Reverse Side)
X $46,86 PER PEU
$ /,/ 7/.rO
3, TRANSPORTATION
,NO OF UNITS X TRIP RATE X COST PER TRIP
I
X }.o/ X $47249
$ 477.2-}
x
X $472,49
$
x
X $472,49
$
4, SANTTARY SFWFR-MWMC
Dth
NO, OF -Fftt" S X 277;{: PER FEU + $10 MWMC/ ADM FEE $ 2877c;,
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - 3.5.51
TOTAI-MWMC SDC $ 2.~-z., /7
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $2,4.37,/~
5, AflMTNT~TRATTVF FFF~
BASE CHARGE (SUBTOTAL ABOVE) X ,05
~
'$ /21 . S~
Date: 1,-2-98
SDC Coordinator
TOTAL SflC $ j,5!i"l. 04-
.. ..". VI U... VI'I" '-'I""'\L.'-'UL~' IVI\I I HD"'!:'. l\lumOer or New ~lxtures X Unit Equivalent:;:: Fixture Units
(NOTE: For remodels, calculate o'iili.he NET additional fixturesl, .
' . NUMBER OF UNIT FIXTURe:
FIXTURE TYPE 'NEW FIXTURES EQUIVALENT UNITS
Bathtub........",..,.."..""""""""""""""""""""""", ..,
Drinking. Fountain........,.....,.....................,.....,..."..,..
Floor Drain. ...."'",, .'"" "',' ,',"""",'" '" ....,..,..,....",'..",
Interceptors For Grease/Oil/Solids/Etc................,
Interceptors For Sand/Auto Wash/Etc..................
laundry Tub/Clotheswasher"""""""..,..,....,..",..",
Clotheswasher. 3 Or More....................................,
Mobile Home Park Trap (1 Per Traiierl..........,.......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial SinkiDishwasher/Etc..
Shower, Single Stall..............,........,......................,..
Shower, Gang""..""..""""""""""",..,..,..,.."""",..,
Sink: Bar, CommerCial, Residential Kitchen............,..........,
Urinal, Stall/Wall.""""""""""""""""..",..,..""""""
Wash Basin/lavatory, Single,..,......,..........,......,..,..
Toilet, Pubiic Installation..,.... ........,......................'
Toilet, Private........................,............................"
Miscellaneous:
2....
3
.3
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
4'
.....
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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
L
1979 or befor.e, ,
<=-- 1980
1981
1982
1983'
1984
1985
1986
$,3,97
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3,83
3,70
3,55
3,39
3,20
2,91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per $1,000
Assessed Value
$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
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Improvement (if after annexation date)
3.8"1 X $ CjI'}O
(Rate X Assessed Value)
X $
, (Rate X Assessed Value I
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
fiesidenLiaf... :.. ....... .............. 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. () ~ a ld?f)
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \N"J\ ~\\ \ \ \ 0
ADDRESS: ?A~~ \), \\()J~
PHONE: _?A 4 .QDC01,
STATE: OK. ZIP: ()l4<}3
.\
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \ ~\ 0 '\ ~'W\ ~~ee.t-'
, Plat Name: tfDSS\uf\\} r Tax Lot Number: ~.?),S41 nCfJiJ
1. PEVELOPfY.lENT TYPE, (CI.~ck appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
(,
A. SinolA-Fflmilv DAlflr.hAo
Single Family home
Manufactured home not in a pari<
X $1,000 per unit = $ I lief) q0
NO. OF UNITS
B. SinalA'-Fflmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit =$
D. ,Manufactured Home Pa~
NO. OF UNITS
, X $699 per unit = $
$ IOrx) ,C()
WILLAMALANE SDC
2. SDC CREDIT (II applicable) SOG-payer must lumish proof of /':)("
WillamalaneCredit approval. See sac Credit Worksheet. $ )U
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Credil)
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City of Spnngfleld
(PI
Date
$ 10m, co
2-~ I c;(