HomeMy WebLinkAboutPermit Building 1990-5-1
"
SPRINGFIELD
fit""
/~I'~.}lf=tlf.}~ '41
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number
225 North F~fth Street
Spr~ngf~eld, OR 97477
Off ~ce
Inspectlon Llne
Locat~on of Proposed Work 1825 CENTENNIAL BLVD
Assessors Map # 17032534
Lot Block
Tax Lot #
Subdlvlslon
07302
Owner FLORENCE HOLM
Address 631 EDGEMONT WAY
Phone # 747-2653
C~ty/State/Z~p SPRINGFIELD, OREGON 97477
Page 1
980473
726-3759
726-]769
Descrlbe Work MANUF HOME & CARPORT NEW
Canst
Contractor Contractor # Exp~res Phone
General GOODEN HARRISON 0066447 05/07/98 689-7762
1441 HWY 99N EUGENE OR 974020000
Plumb~ng GOODEN HARRISON 0066447 05/07/98 689-7762
1441 HWY 99N EUGENE OR 974020000
Electrlcal HERITAGE INV 0063137 12/27/98 688-1600
1042 HARN LANE EUGENE OR 974040000
QUAD AREA 2 RNW
# OF UNITS 1
CONSTR TYPE VN
WATER HEATER E
OFFICE USE --
LAND USE 1150
ZONING CODE LDR
# OF BDRMS 3
RANGE E
# OF BLDGS
OCCY GROUP
HEAT SOURCE
SQ FOOTAGE
To request an 1ospect1on, call the 24 hour recordlng at 726-3769
1
R3
FE
1188
All lDspectlons requested before 7 00 a m wlll be made the same worklng day,
lDspectlons requested after 7 00 a m wlll be made the followlng work day
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated
SLAB - To be made after all lDslab bUl1dlng serVlce equlpment, condult
plplng, and other equlpment ltems are 1D place but prlor to concrete
MANUFACTURED HOME SERVICE
MANUF HOME/MOBILE HOME SET UP - When all block~ng ~s complete
MANUF HOME/MOBILE HOME ELECTRICAL - When block~ng, setup, and
plumblng lDspectlons have been approved and home 1S connected to
MANUF HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer
ROUGH ELECTRICAL - Pr10r to cover
FRAMING - Pr10r to cover
CURBCUT - After forms are erected but prlor to placement of concrete
SIDEWALK - After excavat10n 1S complete, forms and sub-base mater1al
1n place
SANITARY SEWER LINE - Pr~or to f~ll~ng trench
STORM SEWER LINE - Pr~or to f~ll~ng trench
WATER LINE - Pr~or to f~ll~ng trench
FINAL ELECTRICAL - When all electr~cal work ~s complete
FINAL BUILDING - When all requ~red ~nspect~ons have been approved and
the bu~ld~ng ~s complete
FINAL SET UP - After all requ~red ~nspect~ons are approved and porches
sk1rt1ng, decks, vent1ng, house numbers, etc have been 1nstalled
Lot Faces N
Solar Approved Y
Lot Type
>0>-;
-z 0 c: :r
-<;;:-;Ci.i
;:;:;;::r
- O-U
panelO ~ ::0 m
00-::0
>m1its:
-<oo=;
-UOc:CJ:l
~::02::r
0- 0 >
oCl>m:=
:>>:Om
~:r!x
Z_-U
0"'55
o-um
Zm-
m::O'"
O~:r!
"'-;m
0Ci.i<
:oZ<
00
-;~
2:
o
:i
o
rn
..
INTERIOR
SPRINGFIELD ,,' " "
""-
.(f!~i~
~~
Job Number 980473
Page 3
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By s~gnature, I state and agree, that I have carefully exam1ned
the completed appllcat10n and do hereby certlfy that all 1nformat1on hereon
1S true and correct, and I further cert1fy that any and all work performed
shall be done In accordance wlth the Ordlnances of the Clty of Sprlngfleld,
and the Laws of the State of Oregon pertalnlng to the work descr1bed hereln,
and that NO OCCUPANCY w1ll be made of any structure w1thout perm1ss1on of the
Commun1ty SerVlces D1vlslon, BU1ld1ng Safety I further certlfy that only
contractors and employees who are ln compllance w1th ORS 701 055 wlll be
used on th1S proJect
I further agree to ensure that all requ1red 1nspect1ons are requested at the
proper t1me, that each address lS readable from the street, that the perm1t
card 18 located at the front of the property I and the approved set of plans
wlll rema1n on the slte at all t1mes dur1ng constructlon
1\_ -~"- -Ai 4I2~ ! ~
'--ilgnature' /
c) 5 -{ -'if€>
Date
--- VALIDATION
Date Pa1d
J')("l~
6-{-91
1. o:;r/
:jf> 3 :? C, {
cr10
Rece1pt Number
Amount Recelved
Recelved By
SPRINGFIELD ".. II.....
?~I,'!I.Jl(:{t1.}J.'t
Job Number 980473
House
Garage
N
18
18
Setbacks
S W
27 6
27
E
17
5
Item
Maln
Garage
FTG/PERIM FOUNDATION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
BUlldlng Permlt Fee
Surcharge/Admln
TOTAL FEE
(A)
--- PLUMBING PERMIT ---
Item
Sanltary Sewer
Water
Storm Sewer
Plumblng Permlt
Surcharge/Admln
TOTAL CHARGE
(C)
--- MISCELLANEOUS PERMITS ---
Moblle Home
State Issuance
Surcharge/Admln
WILLAMALANE SDC
ELECTRICAL PERMIT
SYSTEMS DEVEL CRGS
TOTAL MISCELLANEOUS PERMITS
(E)
(Exclud1ng Electr1cal)
unless otherW1se noted
TOTAL AMOUNT DUE
(A, B, C, D, and E comb1ned)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
Page 2
Value
57,126 00
0 00
1,716 00
64,246 00
68 50
5 49
73 99
Fee
25 00
25 00
25 00
75 00
6 00
81 00
105 00
20 00
8 40
1,000 00
88 56
2,014 27
3,236 23
3,391 22
ThlS permlt lS granted on the express condltlon that the sald constructlon
shall, In all respects, conform to the Ordlnance adopted by the Clty of
Sprlngfleld, lncludlng the Development Code, regulatlng the constructlon and
use of bUlldlngs, and may be suspended or revoked at any tlme upon vlolatlon
of any provlslons of sald ordlnances
Plan Check Fee 36 73 Date Pald 04/22/98
Recelved By DON MOORE
Plans Revlewed By LISA HOPPER Date 04/24/98
BUlldlng Slte Revlewed By LISA HOPPER
Recelpt Number 29501
--- ADDITIONAL COMMENTS ---
CARPORT REVIEWED AND APPROVED BY DON MOORE 4/29/98
JOB NO Cf904-73
ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
r-LO"-E"NC<S-
J-Io U-l
LOCATION
E ""f< I ~Tt-f i C~IV-r';:"ho,)/A'-
.
DEVELOPMENT TYPE
M t= No;.,!:
BUILDING SIZE
lOT SI7r
SO Ft
1
<;TORM ORA HI!!r; F
- {I 88
Mr}-J6"-f€ :- 2.7......4-+ 3Z"f-
CAfl..pe.Il...T -= 1"2.. yz..7 ~_ 2.'''-
Vfln...$"__.t\i" 1'2. Y , g
IMPERVIOUS SO FT
172...,%
-
,,72.1
X $0 226 PER SO F'T $ 390.5"3
2 SANITARY SF,ER-[TTV
NO OF PFU S }~
(See Reverse SlOe)
3 TRANSPORF'10N
x $~6 86 PEq PFJ
$ 84-1. +'k
NO OF UNITS X TRIP RATE X COST PER TRIP
X I, (J I X $472 49
$ 4-77. '2.1
X
X $472 119
$
X
X $472 49
$
4 SANITARY SEwFR-M~Mr
DUI~
NO OF fft::r-S X 27Z76PER FEU + $10 MWMC/ADM FEE $ Z.P.7.7b.
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - 80." ~
TOTAl -MWMr SDr $ 207. 17.,
SUBTOTAL (ADD ITEMS 1 23 & 4) $. .JqJ~3)
5 AOMINISTRATIVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X 05 $ 9\. 72-
~ Date 4-- z1-qB
SDC Coordlnator TOTAl SOC $ /,(")/427
I-I^ I un.... UI\l11 \"H....\""ULJ-\ IIUI\I I J-\DLC. Number of New FIx'"
(NOTE For remodels, calculate or 1e NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
Bathtub
Drinking. Fountain
Floor Drain
Interceptors For Grease/Od/Sollds/Etc
InterceplOrs For Sand/Auto Wash/Etc
Laundry Tuo/Clotheswasher
Clotheswasher - 3 Or More
Mobile Home Park Trap (1 Per Trailer)
Receptor For Refrigerator/Water Statlon/Etc
Receptor For Commercial Slnk/Dlshwasher/Etc
Shower, Single Stall
Shower, Gang
Sink Bar, Commercial, ReSidential Kitchen
Urinal, Stall/Wall
Wash Baslnflavatory, Single
TOilet Public Installation
TOilet, Private
Miscellaneous
CREDIT CALCULATION TABLE
calculate credits separates
I
Based on assessed value
Year
Annexed
Rate per $1,000
Assessed Value
s:<~
389
383
370
355
339
320
291
Gl979 or before
198Q--
1981
1982
1983
1984
1985
1986
L
Credit for Parcel or land Only If Applicable
Improvement (If after annexation date)
'S X Unit EquIvalent = FIxture Units
"2....
""2-
"2-
TOTAL FIXTURE UNITS
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
FIXTURE
UNITS
4-
2-
2-
"'2-
l5
19t
If Improvements occurred after annexatIon date In table,
Year
Annexed
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per $1,000
Assessed Value
$256
2 17
1 73
131
092
074
061
045
031
017
.~ $f 7 X $ 20, 1/0
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
=
=
CREDIT TOTAL = $
. .
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
heSldenc,al
Commerlcal
Industrial
Governmental
04
09
05
05
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
!f/J......
~~.C
Job. No.
~ ttA-~5
..
SYSTEM DEVELOPMENT CHARGE
" ~ I WORKSHEET
'=Y\oYl~nrCL \ 11o'uYl PHONE :\4-1 '2~l2SS
ADDRESS. In ~ \ 61f'~OOTJ~ ~STATE G-e- ZIP Q1471
LOCATION OF PROPOSED BUILDING SITE' J
Street Address, \?-/L~ ~ Qf\\tN\\C&. \ ~(\
Tax Lot Number I ~D'?J Q534-01~
NAME
Plat Name
1. DEVELPPMENT TYPE (Check appropnate dwelltng(s) SDC calculaltons and dwelltng t
ype delinltlons are on the back)
A. SmolA-F8mllv DAt8~hAci
Single Family home
"I Manufactured home not In a park
I X $1,000 per unit = $ I DOO LO
NO. OF UNITS
B ,Smole-Familv Att8chAci
NO OF UNITS
X $924 per unit = $
C. Multl-Famllv Aoartment
NO OF UNITS
X $692 per Unit = $
D. M8nllf8ctllmci HomA P8~
NO. OF UNITS
X $699 per unit = $
$ /000 OD
WILLAMALANE SDC
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If sac reduced for Credit)
\lm~l~{}p~
Development SeIVIC}~ Department
City of Spnngfleld -
~5 I
Date
fI
$ WOO DO
/ '7 <(
$
2. SDC CREDIT (d appltcable) SDG-payer must furnish proof of
Willamalane Credit approval See SDC Credit Worksheet