HomeMy WebLinkAboutPermit Building 1998-6-26
SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980639
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 126 75TH ST
Assessors Map #: 17023541
Lot, 8 Block,
Tax Lot #: 00800
Subdivision: CROSSWAY
.,
Owner: TOM PHILIP
Address, 3973 DILLARD ROAD
Phone #:
City/State/Zip, EUGENE, OREGON 97405
Describe Work, S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
BRAD PHILLIPS 0084521
807 61ST ST SPRINGFIELD OR 97478000
12/11/98
744-1871
OFFICE USE
~~SE' 1111
~~~If.ODE' LDR
"1.#">Y~B~S: 3
C ~J,E~~' TER, G
04t;QV-$'~ ,2400
41h. 'I?'~/"", ~b,. '4/ ,
To request an inspection, ca~aks"'04v1(9~i"~ording at 726-3769.
'4y O..s>~ 0llJ ~~
All inspections requested before f~ ~~. ~~1)~~made the same working day,
inspections requested after 7:00 a.mP~il~<!!e~e ~ following work day.
. 04'~ VJ-~ O~
REQUIRED INSPECTIO~a?' 4'0J- ~
FOOTING - After trenches are excavated. ~
FOUNDATION - After forms are erected but prior to concrete placement.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDER FLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR 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.
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - 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.
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
DRYWALL - Prior to taping.
CURBCUT - 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.
QUAD AREA: 4RNE
# OF UNITS, 1
CONSTR. TYPE, VN
SECONDARY HEAT: FP
INSUL PATH: P1
# OF BLDGS, 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE, E
Wall/Ceiling; Prior to cover
SPRINGFIELD
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Job Number, 980639
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
.
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Lot Sq. Ft., 6000
Total Height, 25
Lot Type, INTERIOR
Setbacks
S W E
14 36 20
BUILDING PERMIT
Square Feet x
2036
414
PLUMBING PERMIT ---
3
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan 4
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE/WH VENT
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE
SDC
PLAN CK FEE
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
Page 2
Lot Coverage, 26 %
Setbk From NPL, 18
$/Square Feet
64.66
16.27
(A)
(C)
(D)
(E)
TOTAL AMOUNT DUE
(A, B, C, 0, and E combin~d)
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
4.50
3.00
5.00
35.00
10.00
2.80
47.80
0.00
19.00
14.95
1,000.00
2,524.63
80.00
3,638.58
4,456.70
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Job Number, 980639
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: 06/22/98
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 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
dWill rema7~ t~ ~it?t all times during construction. .h _ Z/ _ __/
. . ~ _ . . ~_____ b 7Y
Sl ature Date
. - .
- -- VALIDATION
Date Paid:
?OS4 r::-t 0 /
\ Q .1Jo (;{'D
1/\ ~o~o
FJj\ffiJ
Receipt Number:
Amount Received:
Received By:
. .JOB NO. "180639
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
.
NAME OR COMPANY.
77-101"0 ~J / LI P
LOCATION
/2C. 76/"/-/ <"T.
.
DEVELOPMENT TYPE:
"') F 1<-
BUILDING SIZE
LOT SIZE
so. Ft.
1 STORM rJRA Hj,0.GE
IMPERV IOUS SO FT. 2 2. -z.l?
X $0.226 PER SO. FT. $ .<;"03. ~j'
2. SANITARY SEWER.CfTY
NO. OF PFU' S z. c;-
(See Reverse Side)
x $46.86 PER PFU
LI, ' 7/~-o
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X l. 01 X $47249
$ 477.2.1
X
X $472.49
$
X
X $47249
$
4. SANfTARY SFWFR.MWMC
D~~ pU.
NO. OF feU':; X 217.~PERfftj+ $10 MWMC/ADM FEE $ 287. 7C:.
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$-3',~"'7
TOTAl .MWMr srJr
$ 2.~2. ./7
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
$ 2-,40 1- 4 I
,
5. ADMINTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05 .
$ 1'2.0: z.z.
i)t,
Date: (",-z.-'J!J
SDC Coordinator
TOTAl SDC $ zC:-7A.t..J
. . Ii"\. I VI U.. Vi..... '"'/""\....'-"VL~ I IVI\l . J-U:U..L:.. Number ot New ~1.S X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate o.he NET additional fixtures I .
. NUMBER OF UNIT FIXTURE , ..
FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS
Bathtub................................................................... ..,
Drinking. Fountain.....................................................
Floor Drain............................................. ...................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Erc..................
Laundry Tub/Clotheswasher....................... .... ........
Clothes washer - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial SinkiDishwasher/Etc..
Shower, Single StalL..... ................... .......... ..............
Shower, Gang..........................................................
Sink: Bar. Commercial, Residelltial Kitchen......................
Urinal, Stall/Wall.......................................................
Wash Basin/Lavatory, Single............ ......... .... .........
Toilet. Public Installation..................... ........... ........
Toiler, Private.........................,' ............................
Miscellaneous:
'"'2-
3
.3.
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
F"m. ".::~~;,:"'"
1979 or before
~Ol.'
1981
1982
1983
1984
1985
1986
2
1
2
3
6
2
6
6
1
3
2
IlHead
2
2
1
6
4
=
4-
2-
'Z-
2.
~
/7-.
~
Based on assessed value. If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
$3.97
--~:89 ::>
3.83
3.70
3.55
3.39
3.20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
=
Credit for Parcel or Land Only If Applicable
.3 , ff'I X $ q ISO
(Rate X. Assessed Value)
X $
. (Rate X Assessed Value)
Improvement IIf after annexation date)
=
Rate per $1,000
Assessed Velue
II
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
r
3~,~
CREDIT TOTAL = $ 35", C;-..,
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.. .......... _...... ....... 0.4
CommericaL..........,............. 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
.
Job. No.
c\~(ji1il
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
\rm ~~~~~
ADDRESS: ,\a/\~ .. ~\{\6
......; ..
NAME:
PHONE: -
STATE: W- .lIP: OJ4rD
..
,.
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \ ~\ _ 0 ~ ~~ ~~Qpt;
Plat Name:tft)~\\)Prt.~fs+ Tax Lot Number: .
1. DEVELOPMENT TYPE (C~eck appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on the back.)
A. BinnIA-F::lmilv DAt::lchAO
I Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $10 00 .O~
B. Binnle.-F::lmilv Att::lchAn
NO. OF UNITS
X $924 per unit = $
C. Multi-F::lmilv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufaQ1weo Home Park,
WILLAMALANE SDC
$
$
I onO.CO
ff
NO. OF UNITS
X $699 per unit =
2. SDC CREDIT (if applicable) SDG-payer must fumish proof 01
Willamaiane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SDC reduced for Credit)
ko J~
Development Se
City of Springfield
$ I {)({) .cO
~ I ~lo, Qc:{
Date