HomeMy WebLinkAboutPermit Building 1999-12-17
SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991563
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 955 FUCHSIA ST
Assessors Map #: 17032613 t"l'.i1
Lot: 3 Block:
Tax Lot #: 04200
Subdivision: FUCHSIA GARDEN
Owner: GENE HIATT
Address: 55868 KING RD.
Phone #: 822-3509
City/State/zip: MCKENZIE BRIDGE OR,97413
Describe Work: S.F.RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
GBH CONST 0068798
55868 KING RD E MCKENZIE BRIDGE OR
10/20/03
822-3509
QUAD AREA: 2RNW
OCCY GROUP: R3
HEAT SOURCE: FE
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: PI
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 3064
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 ---
SITE - To be made after excavation but prior to setting forms.
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.
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.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
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 Wall/Ceiling; Prior to cover
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.
Lot Faces: N
Lot Sq. Ft.: 8800
Lot Coverage: 35.27%
SPRINGFIELD
Job Number: 991563
Page 2
Topography: 2
Total Height: 18
Lot Type: INTERIOR
N
Setbacks
S W
5
E
5
House
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2440
624
$/square Feet
69.64
18.34
Value
169,922,00
11,444.00
181.366.00
Building Permit Fee
Surcharge/Admin
617.50
61.76
TOTAL FEE
(Al
679.26
PLUMBING PERMIT ---
Item
Residential Bath(s)
4
Fee
320.00
Plumbing Permit
Surcharge/Admin
320.00
32.00
TOTAL CHARGE
(Cl
352.00
MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
4
9,00
12.00
6.00
Mechanical Permit
Issuance
Surcharge/Admin
27.00
10.00
2,70
TOTAL PERMIT
(D)
39.70
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
WILLAMALANE SDC
CITY SDC
0.00
60.00
1,848.00
4,194.95
TOTAL MISCELLANEOUS PERMITS
(E)
6,102.95
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
7,173.91
--- 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.
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SPRINGFIELD
Job Number: 991563
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
401.38
Date Paid: 11/15/99
Receipt Number: 036180
MOORE Date: 12/16/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
NO SEWER CONNECTIONS UNTIL CITY ACCEPTS INFRASTRUCTURE,
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.
S~~ .JcJ lci..:c. W-
It;. - 1'7-_ 91
Date
- -- VALIDATION
Date Paid:
7 ~ Ie:, f!,
/)./(7/75'
-(JE,
Receipt Number:
Amount Received:
Received By:
r/
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 991563
NAME OR COMPANY: GENE & DORTHY HIATT
LOCATION: 955 FUCHSIA
TAX LOT NUMBER 17032613-04200
DEVELOPMENT TYPE: DUPLEX
BUILDING SIZE:
3688
LOT SIZE
8800
, STORM DRAINAGE
IMPERVIOUS SQ. FT.
4080.0
x
$0.232 PER SQ. FT.
$946.56 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
32
x
$48.27 PER PFU
$1.544.64 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
2 x 1.01 x $486.73 PER TRIP
x x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
4. SANITARY SEWER- MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's 2 x $242.76 PER FEU
B. IMPROVEMENT COST:
NUMBER OF FEU's 2 x $22,05 PER FEU
$983.191
$0,00
$983.191
$485.52 1
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TOTAL MWMC SDC I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ,
$44.101
($18.82)1
$10.00 1
$520.80 1
$3,995.19 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
5. AD~TNISTRATIVF "FFS:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$199.76 I
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S~IN R
- /euM1
'i5A'ffi'{
TOTAL SDC CHARGES I $4,194.951
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
!NOTK FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOTHESW ASHER/MOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URlNAL,STALLAVALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRlV A TE INSTALLATION
MISCELLANEOUS:
FIXTURES
NEW OLD
2
2
2
4
4
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
4
o
o
o
o
o
o
4
o
4
o
16
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 32
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
YEAR RATE PER $1,000 YEAR RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
-
1979 or before $4.47 1989 $2.18
1980 $4.38 1990 $ 1.75
1981 $4.32 1991 $ 1.35
1982 $4.20 1992 $1.17
1983 $4.03 1993 $1.03
1984 $3.88 1994 $0.86
1985 $3.68 1995 $0.71
1986 $3.38 1996 $0.57
1987 $3.03 1997 $0.39
1988 $2.62 1998 $0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $4.47 .x 4.211 .1. $18.82 I
IMPROVEMENT (IF AFTER ANNEXATION DATE) x 1 SO.OO
CREDIT TOTAL $18.82
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Job. No. <1.1.. \5'-3
PHONE: ~-~SO,
STATE: ~IP: ~1'U:3
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~ C;;S r_ l ~ .~" ~: ta.. ~
Pial Name: \.1C)~b r~ Tax Lot Number: O~C.O
1. DEVELOPMENT TYPE (Check appfopriate dwelling(s). SDC calculations and dwelfing t
ype definitions are on the back.)
A Rinole-F::!milv Det::!chen
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Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit =$
B. Rinale"oF::!milv Att::!chen
NO. OF UNITS
8--..
X $924 per unit. =
$ \~~b ~
C. Multi-Familv Ao::!rtmen\
NO. OF UNITS
X $692 per unit = $
D. /i1anufacturen Home Park
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of
WiUamalane Credit approval. See SOO Credit Worksheet. $
3. TOTAL WILLAMALANE NEf SDC ASSESSED
(If SDC reduced for Credit) . $
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~Iopment Services Department
City of Springfield
;2 I ;7 I 97
Date