HomeMy WebLinkAboutPermit Building 1999-2-15
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-4V?"1y, 111t1/7' RESIDENTIAL PERMIT APPLICATION
CQ11. 01Tf..>~ SIy-4l CITY OF, SPRINGFIELD
I ' I " 114e'Nc,~ 'D VNDS; l e'..rP/1?, COMMUNITY SERVICES DIVISION
. "I) '.0 OR 11 7'1y!. 'l:/f:'l; BUILDING SAFETY
,,"p. /S -4s. :s' Ps; lye' /1;,
225 North 'Pl'f,th sA1!reetl1lt1;l'!.'" OR..-
",1 -IJ~ l,J 'I
Springheld, OR 97477Ve'D;:; NOl'
0,)'
Location of Proposed Work: 6839 IVY ST
Assessors Map #: 18020314
Lot: 67 Block:
Page 1
Job Number: 990084
Owner: DOROTHY MONDON
Address: 2611 NOVA STREET
ATTENTION:Ore 0 Office: 726-3759
N fo!/ow rules adop B,$tonJg~~iltl~~iJ tJ2 6 - 3 7 6 9
Ollf/cation C te'8J:)y the Or
in OAR 95 enter. ThOse rul egon Utility
0090 ~ 2-001-0010throu",,~eSetforth
'. ou m~k/i}t 11:. :VE"""1952-001
calling ttsn~s I cOI?'~eiji!i'*1, NO
number for the n . rN'o~e: the te/eoh y
""'J""- (j nn....
Phb'ti'!ltehs 1_aov" lI11ry Not;ficat;~n
City/State/zip: SPRINGFI~Lb~2~~~PN 97477
Describe Work: S.F. RESIDENCE
Contractor
Const.
Contractor #
NEW
Expires Phone
12/11/00 744-1871
04/07/99 741-3553
12/23/99 747-7445
06/29/98 000-0000
General: BRAD PHILLIPS 0084521
807 61ST ST SPRINGFIELD OR 97478000
Plumbing: SURRETT 0121687
2298 G ST SPRINGFIELD OR 974770000
Mechanical: MARSHALLS 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: CITY VIEW 0100699
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2240
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
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,
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
UNDERFLOOR DRAIN - Prior to cover or placement of concrete.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH PLUMBING - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
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.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
~,
,
Job Number: 990084
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
Topography: 5
Solar Approved: Y
Lot Sq. Ft.: 6600
Total Height: 25
Lot Type: INTERIOR
Setbacks
S W E
33 5 7
Page 2
Lot Coverage: 32 %
Setbk From NPL: 51
N
House
Garage 35
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1800
440
$/Square Feet
69.64
18.34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS PIPE/ W/H
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
TEMP. ELECT
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, 5, C, 0, and E combined)
(A)
= Value
125,352.00
8,070.00
133,422.00
509.50
40.77
550.27
Fee
160.00
160.00
12.80
172.80
6.00
4.50
6.00
3.00
5.00
24.50
10.00
1. 97
36.47
0.00
15.25
14.65
2,332.44
1,000.00
43.20
3.405,54
4,165.08
(C)
(D)
(E)
.,.. J
SPRINORIELD
,
.'
Job Number: 990084
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.
Plan Check Fee: 331.18 Date Paid: 01/20/99
Received By:
Plans Reviewed By: AL WARD Date: 02/12/99
Building Site Reviewed By: LISA HOPPER
Receipt Number: 32616
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
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
.m <...~~'~' 'odo, <oo"~<UO". R.N. 79'
Signa~' Date
--- VALIDATION ---
Receipt Number:
Date Paid:
,1 ~ z.. s;: -:X
0/1(, J. tJ'>r /1
p,ftJ,.,j/
Amount Received:
Received By:
._ . ATTACHMENT A . cp,ctJ ~ +
CITY OF SPRI~ELD SYSTEMS DEVELOPMIIT CHARGE'
WORKSHEET
NAME OR COMPANY: 0(~ fJJO~'jJ
LOCATION:
DEVELOPMENT TYPE: Sf'D
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE .
, 1(71f' 32--) '- l' I~OI)
IMPERVIOUS SQ. FT. 2/437
r 3~(19)
X $0.227 PER SQ. FT.
$ ~"1f', &. cJ
2. SANITARY SEWER-CITY
NO. OF PFU'S J)(
(See Reverse Side)
X $47.14 PER PFU
$ Y34'615z..
3. TRANSPORTATION'
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1."1
X $475.32
$ 4eO.O-::t
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 2.11,4+PER FEU
$ 2/.2...1:1-,
It,., .?,2 . 7 'I
B. IMPROVEMENT COST:
NO. OF FEU'S
X Z~. 20 PER FEU
$ '25,2n
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ If. 1C. '>
MWMC ADMINISTRATIVE FEE ' $ 10 00
TOTAL-MWMC SDC $ 2.11-,/7
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ z. 221.37
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 1/ I. 67
fYJ'SL
SDC Coordinator
ATTACH'A.WPD
Date:
l/z-z/?f'1
. ,
TOTAL SDC
$ 2352.4-4--
, .
CITY OF SPRIN~EL~TI;~~~~~TS ADE~~-~~P-MI--c~~R[tcxJ~~
WORKSHEET
6reJ fLPO~
NAM~ OR COMPANY:
LOCATION:
DEVELOPMENT TYPE: ~()
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAGE .
. 1(7Ir52,-)z.. l' I~O/)
IMPERVIOUS SQ. FT. '2/t?37
, r 3~(19)
X $0.227 PER SQ. FT. $ ')~g',{;iJ
2. SANITARY SEWER-CITY
NO. OF PFU'S J;(
(See Reverse Side)
X $47.14 PER PFU
$ P46,Sz.-
3. TRANSPORTATION
NO OF UNITS X TRIP RP.TE X COST PER TRIP
X J. ()I
X $475.32
$ 4eQ, 0'7-
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 211,#PER FEU
$ 2"11,4+.
1& ;>2.77
B. IMPROVEMENT COST:
NO. OF FEU'S
X z~. 20 PER FEU
$ 2.5.2.()
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE .
< $ If. -Ie:- '>
$ 10.00
TOTAL-MWMC SDC
$ ~'11-,I?
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 2.22.).37
$ 111,67
fnSL
SDC Coordinator
ATTACH' A. WPD
Date:
Ilz-zjq:;;
. I
TOTAL sac $ 23 '5Z , 4-4-
. - _. . . . - . ~ .. ,-....-. l'llUIIlUCI VI 1\lt::W r-1les ^ Unit eqUIvalent = Fixture U 't
'. nlS.
(NOTE; For remodels, calculate 0 e NET additional fixtures)' ,
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub....................................... .......................... ..... /1
Drinking Fountain......................... ............................
Floor Drain........... ................ ',.................. ..................
Interceptors For Grease/OiI/Solids/Etc....... ..........
Interceptors For SandlAuto Wash/Etc..................
Laundry Tub/Clotheswasher................................... I
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer}..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....;...........,... ...........,................
Shower, Gang .... ........................ ......................... .....
Sink; Bar, Commercial, Residential Kitchen........................ I
Urinal, Stall/Wall......................... ............... .......... .....
Wash Ba'sin/Lavatory, Single.................................. / /
Toilet. Public Installation........................................ _
Toilet, Private....................................................... 1/
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
TOTAL FIXTURE UNITS
+
2....
Q...
z...
y
.fL
CREDIT CALCULATION TABLE:
calculate credits separates.
'I
Based on assessed value. If improvements occurred after annexation date in :adle,
Rate per $1,000
Assessed Value
Year
Annexed
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
t995
1996
1997
Rate per $1,000
Assessed Value
Ii
I
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
-
() , (P 7 X $ 2. 7. >5> = / f'.....i:J:z
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Credit for Parcel or Land Only If Applicable
Improvement (if after allnexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential....."................,.,. 0.4
Commerical......,.................. 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNIT. WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
, ,-
I
Job. No. ~~~t~~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
-
A Binnle-Familv Detached.
{ Single Family home Manufactured home not in a park
NO. OF UNITS l ' X $1,000 per unit = $ \OnrJ.oO
B. Binnle'-Familv Attacheq
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv ADartment
NO. OF UNITS
X $692 per unit = $
D. ,t.A::mufacfurArl Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ ~()(){).CD'
o
$ t.D~O pD
/b 1 1j
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of
WiUamalane Credit approval. See SOC Credit Worlcsheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
\ ~ (if SOC feduced for Credit)
\1~ ) "e) 7-- I
Develop t ices Department Date
City of Springfie