HomeMy WebLinkAboutPermit Building 1996-7-15
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960750
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 6863 IVY ST
Assessors Map #: 18020314
Lot: 65 Block:
Tax Lot #: 03000
Subdivision: SO HILLS ORTH
OWner: JOHN/PAM GOLDSBERRY
Address: 1214 I STREET
Phone #: 746-7446
City/State/zip:'SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2726
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: PI
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
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench,
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
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: 6.8
Solar Approved: Y
N
Lot Sq. Ft.: 8138
Total Height: 28
Lot Type: INTERIOR
Setbacks
S W E
5 5
5
Lot Coverage: 21 %
Setbk From NPL: 38
House
Garage 18
Item
Main
BUILDING PERMIT ---
Square Feet x
1796
$/Square Feet
64.66
Value
116,129.00
SPAINGFIELD
Job Number: 960750
Page 2
Garage
UNFIN. BONUS ROOM
Total Value
572
385
16.27
51.73
9,306.00
19,916.00
145,351.00
Building Permit Fee
Surcharge/Admin
536.50
42.93
TOTAL FEE
(A)
579.43
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,376.53
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192.50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207.91
- - - MECHANICAL PERMIT - --
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
4
6.00
4.50
12.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
25,50
10.00
2.05
TOTAL PERMIT
(D)
37.55
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
~Ctl!i
TOTAL MISCELLANEOUS PERMITS
(E)
0.00
20.20
14.35
1,000.00
:s: ..-
1,034.55
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,235.97
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--- 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.
Job Number: 960750
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
348.73
Date Paid: 06/03/96
Receipt Number: 21749
MOORE Date: 07/01/96
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED; BONUS ROOM IS UNFINISHED, NOT
APROVED FOR HABITATION.
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 duri construction.
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Dace -
~ignature
-- - VALIDATION
Receipt Number: -::?-:Zo/$i?
Date Paid:
7,y5~
7" 7'" 7" ~_ ">?
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t.0~ ~zz:.T.
Amount Received:
Received By:
.
.
C\\Q~~~
SYSTEM DEVELOPMENT CHARGE
. . -- . WORKSHEET
NA~E:~~~~ Glt\~w ^)
ADDRESS: \~'f\ I.. bhon.f (j
LOCATION OF PROPOSED BUILDING S~
Street Address: ~~O~ ~\lLv y'-JAlOOh .
Plat NamJD .\5&\\s, ~.ax Lot Numbef:\W2ffi\403J{)
PHONE:f\\o144lo .
STATE: WZIP:iDtll
1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back.)
A. :c;inlJlp.-F::lmilv Dp.t::lr.hp.ri
\ Single Family home
NO. OF UNITS
Manufactured home not in a pCf:J
X $1,000 per unit = $1a1) . .
B. .$inale-Familv Attar.hp.d
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
$
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.
.
CITY OF SPRINGFIBLD SYSTEMS DEVELOPMENT CHARGB
(RBSIDENTIAL)
Name or Company: JOHN/PAM GOLDSBERRY
Location: 6863 IVY ST
Developement Type: R Building Size:
Job No.: 960750
Lot Size:
l. STORM DRAINAGB
Impervious Sq Ft 2297 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 23 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1.0 1 X
X Trip Rate
1. 010
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
23
Per PFU +
18.750 +
MWMC Admin Fee
10.00
X
X
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FBBS
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 06/06/96
"\
Page 1
Sq Ft
$482.37
$998.89
$442.31
=
$441. 25
$101. 46
$339.79
$2,263.36
$113.17
$2,376.52
..
.
Job Number: 960750
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet. Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
1
o
o
o
o
1
o
o
o
1
o
1
o
3
o
3
o
.
Page 2
Unit
Equivalent
Fixture
Units
2
1
2
3
6
2
6
1
3
2
2
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
2
2
1
6
4
23
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1979
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
29,240
X
3.47
101.46
o
X
3.47
0.00
CREDIT TOTAL =
$101. 46
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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