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Home My WebLink AboutPermit Building 1995-11-27 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951448 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 622 N CLOVERLEAF LP Assessors Map #: 17032242 Lot: Block: Tax Lot #: 06600 Subdivision: Owner: MICHAEL HUDMAN Address: 1443 GILHAM ROAD Phone #: 345-7969 City/State/zip: EUGENE, OREGON 97401 Describe Work: CARE FACILITY NEW Const, Contractor Contractor # Expires Phone General: TRENDSETTER HOM 0050386 04/08/96 485-0661 PO Bdx 70044 Eugene OR 974010000 Plumbing: DOUGS PLUMBING 0039016 02/22/96 688-3385 29503 Awbrey Ln Eugene OR 974029635 Mechanical: MARSHALLS 0025790 12/23/95 747-7445 4131 E St Springfield OR 974780000 Electrical: ROSE CORP 0054431 09/30/95 686-0905 89976 Day Lane Eugene OR 974020000 QUAD AREA: 1RNW # OF BDRMS: 12 OFFICE USE -- LAND USE: 1134 SQ FOOTAGE: 4567 # OF BLDGS: 1 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, UNDERGROUND PLUMBING - Prior to filling trench, UNDERGROUND ELECTRICAL - Prior to Cover, 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 ROUGH PLUMBING - Prior to cover, ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL ~ Prior to cover. FRAMING - Prior to cover. 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, ROUGH GRADING - After gravel is in place but prior to placing concrete FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FINAL ELECTRICAL - When all electrical work is complete, FINAL FIRE - When all Fire Department requirements have been met. been met. SPRINGFIELD Job Number: 951448 FINAL SITE PLAN - After all requirements have been met for Minimum Development Standards or from the Development Agreement, FINAL BUILDING - When all required inspections have been approved and the building is complete, TEMPORARY POWER Lot Faces: W Topography: 1 Lot Type: INTERIOR House N 10 Setbacks S W 7 93 E 47 Item Main Garage Total Value BUILDING PERMIT Square Feet x 4567 $/Square Feet 60 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT Item Fixtures Sanitary Sewer Water Storm Sewer 27 50 112 388 Plumbing Permit Surcharge/Admin TOTAL CHARGE - - - MECHANICAL PERMIT - - - Furnace Exhaust Hood Vent Fan 4 Wood Stove/Insert/Fireplace Unit Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin PLAN REVIEW SAME AS WILLAMALANE SDC ELECTRICAL PERMIT SDC'S, SEE ATTACHED TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) --- BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT --- Page 2 (Al = Value 274,020,00 0.00 274,020,00 826,75 66,14 892,89 Fee 270,00 25,00 40.00 85,00 420,00 33,60 453,60 12,00 4,50 12,00 3.00 52,00 10,00 4,16 66,16 0,00 40,00 1,000,00 264,60 3,970,13 5.274,73 6,687,38 (Cl (D) (E) 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: 951448 Page 3 - - - ADDITIONAL COMMENTS PLANNER IS LAUREN LEZELL, DRC #94-12-259 DRIVEWAY REQUIRED TO BE PAVED 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 th front of the property, and the approved set of plans will remai~n the at all times during construction. r-- (A 11-2-7-t;s Signatu~ Date - - - VALIDATION Receipt Number: /9" 7"" Date Paid: 1/-2?~> Amount Received: ~-fir?, ~S Received By: 4F~ . . ~W\-~ ' SYSTEM DEVELOPMENT CHARGE WORKSHEET NAMEt 5'\\i(\ N\J ~ J\illMtf\ II\. > ADDRESS: \44~ b\\f\(\ffi ed PHoNEME)' -rtw:l STATE: ~ ZIP: ql4DL LOCATION OF PfOPOSED BUILDING SITE: J ~ Street Address: ,Q1-l (\ (\~ (\ll. 0 r\ 0 oj OJ) ~ I ~ '\ ,- _...j) I UO ,Olc/roo Plat Name: 1\ l ~ Tax Lot Number. lirD J.2...42 - 1, DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t ype definitions are on the back.) A SingJp.-Familv Detached Single Family home , NO, OF UNITS ( Manufactured home not in a park X $1,000 per unit = $ I Cf[).cD B. S,inIJIA-Familv Attar.hp.Q. NO, OF UNITS X $924 per unit = $ C, Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ 0, Milnufactlll:e.n HomA Park NO, OF UNITS WILLAMALANE SDC X $699 per unit = 2. SDC CREDIT (if applicable) SDC-payer must fumish proof of Willamalane Credit approval. See sac Credit Worksheet. $ $ 1000.m ;;j $ two ,0:) $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) -J,ro I, M{\N\n U Development s~epartment City of Springfield , , Date JOB NO, '1~ /If''l8 . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPA~Y: MI{J-fAEL J./UOt-lAN LOCATION: lj;zz. f-i. GLou~L6A~ '-00 P DEVELOPMENT TYPE: (.A(2.f2. e:"Ac:.L./T'") BUILDING SIZE: LOT SIZE SQ, Ft. 3. TRANSPORTATT..(lli NO OF UNITS X TRIP RATE X, COST PER TRIP X (.01 X $437,93 ((;'1</2 ~) ....... -" X X $437.93 s X X $437.93 s 4, SANTTARY SFWFR-MWMC. NO, OF PFU'S -:56 x $18.75 PER PFU + $10 MWMC ADMIN.FEE S (Use PFU Total From Item 2 Above) 5l) 72:Z. - SUBTOTAL (ADO ITEMS 1,2,3 & 4) 0"'- $ 1-/1- ~~\~) oe $ "3.1'7s/ - MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAI.MWMr sor 5. ADMINTSTATTVF FFFS, 8ASE CHARGE (SUBTOTAL ABOVE) X ,05 G/B9 oi::) ....... -- {{z o!!J !A 'f}LL/S TCtt:. Troy McAllister sac Coordinator Date: /01'3' );'5' , I TOTAl sor I~ $ 3 ~no - , ,/ FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calCulate.' y the NET additional fixtures) . NUMBER 0 UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ., Bathtub"",..,..."",.",."",.",.."."""""...,..,..,.,.""......, , Drinking Fountain...,.",."",."".".,.,.".",..,.".,.",..",." Floor Drain""...."",.., '.' ":"".,..,:".""",..,."".,..,.,.."..,,, Interceptors For Grease/OiI/Solids/Etc................. Interceptors For Sand/-:,<uto Wasb/Erc.................. laundry Tub/Clotheswas~er,......,......,.,.,..",........... Clotheswasher. 3 Or More.........,..,..........,............. Mobile Home Park Trap (1 Per Trailer)................,. Receptor For Refrigerator/Water Station/Etc,......, Receptor For Commercial Sink/Dishwasher/Ete.. Shower, Single StalL......,....., ...."...:......"....,..,....,..,. Shower, Gang"...., ,.....,'.."".,....,.",..".,... ......,..,....", Sink: Bar, Commercial, Residential Kitchen,................,...... Urinal, S ta(l/Wall...... ,....,.,..,."",.,..."'........,.."..,..'...,, Wash Basin/lavatory, Single."...".,...........".........., Toilet, Public Insta(lation.,..,.,.....,."......,.,..,.........,.. Toilet, Private...........".."... ";..,.,..,,.,........,....,.....,. Miscellaneous: 'Z- 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ "i z. \8 l'd b 1'2- TOTAL FIXTURE UNITS = '36 CREDIT CAlCULA TlON TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, I = II Year Rate per $1,000 Year Rate per $1,000, , Annexed Assessed Value Annexed Assessed Value I, I 1979 or before $3.47 1987 $2,13 1980 3,39 1988 1.76 1981 3,33 1989 1.35 1982 3.21 1990 0,95 1983 3.06 1991 0,58 1984 2.92 1992 0.41 1985, 2.74 1993 0,29 II 1986 2.46 1994 0,14 I I II Credit for Parcel or land Only If Applicable ?7 , i) - X $ ll,i/ZO (Rate X Assessed Value) X $ (Rate X Assessed Value I = 410.3;.. Improvement (if after annexation date) = CREDIT TOTAL = $ '-II ~