HomeMy WebLinkAboutPermit Building 1998-9-23
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF, SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980921
225 North Fifth Street
Springfield, OR 97477
Office: 726'3759
Inspection Line: 726'3769
Location of Proposed Work: 6801 IVY ST
Assessors Map #: 18020314
Lot: 70 Block:
Tax Lot #: 02500
Subdivision: SO HILLS NORTH
Owner: TOM RENFROW
Address: 474 71ST STREET
Phone #: 741'1387
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: S.F, RESIDENCE
NEW
Contractor
Canst.
Contractor #
Expires
Phone
Plumbing: OWNER
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 I)AY PERIOD,
'12(, -""37 (HIS w.)
General: OWNER
Mechanical: OWNER
Electrical: OWNER
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: Pl
OFFICE USE u
LAND USE: 1111
ZONING CODE: LOR
# OF BDRMS: 4
WATER HEATER: E
SQ FOOTAGE: 2940
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
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, .n n law requires you to
~INSULATION ' Floor; prior to decking wall/celilII~Tlffid,r~~8 b'Y'Wi'6'Oregon Utility
)'lATER LINE' Prior to filling trench, fol1?W rules actop eThose rules are set forth
,sANITARY SEWER LINE' Prior to filling trenChNOtihcatlonCen~e~10thrOughOAR952'001'
.STORM SEWER LINE ' Prior to filling trench, in OAR 952,001 Obt . copies of the rules by
,ROUGH PLUMBING, Prior to cover, 0090. you may 0 t sin Note: the telephone
,ROUGH MECHANICAL ' Prior to cover, calhng the can ;r, (on Utility Notification
,ROUGH ELECTRICAL ' Prior to cover. number for the, ~~~00'332'2344),
,ELECTRICAL SERVICE, Must be approved to obtain permaQ@Rterp%wer.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
~RAMING - Prior to cover.
~NSULATION ' Floor; prior to decking Wall/Ceiling; Prior to cover
,DRYWALL - Prior to taping.
_ CURBCUT - After forms are erected but prior to placement of concrete.
~IDEWALK - After excavation is complete, forms and sub-base material
in place.
Job Number: 980921
Page 2
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: 21
Solar Approved: Y
Lot Sq. Ft.: 6900
Total Height: 29,5
Lot Type: INTERIOR
Setbacks
S W E
30 10 8
N
House
Garage 30
Item
Main
Garage
COVERED PORCH
Total Value
BUILDING PERMIT '"
Square Feet x
2547
491
146
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT '"
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
'" MECHANICAL PERMIT '"
Furnace
Exhaust Hood
Vent Fan 4
Wood Stove/Insert/Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
-,- MISCELLANEOUS PERMITS '"
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW ADJUST,
WILLAMALANE SDC
CITY SDC
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
Lot Coverage: 25,64%
Setbk From NPL: 56
$/Square Feet
64.66
16,27
11,04
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(Excluding Electrical)
unless otherwise noted
LAND; lJA.NVl'ttU ALr: jlt5(.NIT
(A)
= Value
164,689,00
7,989.00
1,612,00
174,290.00
601,75
48,14
649,89
Fee
192.50
192 . 50
15,41
207,91
6,00
4,50
12,00
15,00
3,00
40.50
10.00
3,25
53,75
0,00
19,90
14,95
11.70
1,000,00
2,516,23
156,60
3,719,38
4,630,93
#'"
1~'14.'f3
(C)
(D)
(E)
.-
Job Number: 960921
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:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
479,44
Date Paid: 07/24/98
Receipt Number: 30889
MOORE Date: 08/25/98
By: LISA HOPPER
'" ADDITIONAL COMMENTS '"
PATH 1;
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;e=Site o.;zs during construction, 1/2 ?jrf
Signature I I Date
'" VALIDATION
Date Paid:
() 51)/)
9/2-~/~f
'i~ 7Y fl II
u?Jw.aY
Receipt Number:
Amount Received:
Received By:
J
.
JOURN.R JOB NO, q Ho 92/
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY;
-,;; "'" P ""I r-lU:>u.J
LOCATION;
;;"~nl T,/v
DEVELOPMENT TYPE;
L':.,.t='1?
BUILDING SIZE;
LOT SIZE
SO. Ft.
1. STORM DRAINAGE
IMPERVIOUS SO, FT. , 7 <, "14- X $0,227 PER SO, FT, 1> 543,41-
2, SANITARY SEWER,CITY
NO. OF PFU'S 2-~ X $47.14 PER PFU $ J ,171,.1)0
(See Reverse Side) 1
3, TRANSPORT A TI ON
NO OF UNITS X TRIP RATE X COST PER TRIP
X I. (') I X $475.32
$ 4~O.Q7
X
X $475,32
$
4, SANITARY SEWER,MWMC
A, REIMBURSEMENT COST: '
'NO OF Q~'.? X' ,,,, PER DO
. I ,-v J 2771.,-r FB:t
$ "2'77. 4~
B, IMPROVEMENT COST;
l)() '-s DJ
NO, OF fttr"S X K.2,-*,ER fftj
$ 2-,s-. 2.0
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ - 1/~,~4, >
MWMC ADMINISTRATIVE FEE $ 10 00
TOTAL, MWMC SDC LI '14. 4.:0
'--,
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES;
BASE C~G7.?(SUBTOTAL ABOVE) X .05
j'J:G. . Date: 7 -'Z.p, --:'IEr
SDC Coordinator . TOTAL SDC
ATTACH' A, WPD
$ 2} 3Qrr:,.4'1
$
lIe;, XL
$ Z,S-/f".7o/
, '. .
FIXTURE UNIT CALCUeflON TABLE: Number of New Fixtures X Unit Equivalent = Fixture Units'
(NOTE: For remodels, calculate only the NET additional fixtures)
NUMBER OF
NEW FIXTURES
FIXTURE TYPE
Bathtub"..,..,....""",.""",..,."..",.,...."""",.,..,.."".,.., .
Drinking Fountain..".."..,...."....,..........,.."....,.""",.,.
Floor Drain.,..,....,...,.............,....,..........",."....".,.,.....
Interceptors For Grease/Oil/Solids/Etc.. ..............,
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher..........:,.,...........",.."".
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..........,......,......
Urinal, StalllWalL.., '..,.....,.......,....."..................,.......
, Wash Basin/Lavatory, .slngle..................................
Toilet, Public Installation..................,...............,...,.
Toilet, Private..,.................,..................................
Miscellaneous: '
'2-
'2,
':>,
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE:
calculate credits separates.
"
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
=
FIXTURE
UNITS
4-
'2-.
-:z...
2....
.3
17-
z.s-
Based on assessed value, If improvements occurred after annexation date in table.
Year
Annexed
Rate per $1,000
Assessed Value
$~
4,12
3,99
3,83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Year
Annexed
<:l2?9 or before
'1980
1981
1982
1983
1984
1985
1986
1987
1988
Rate per $1,000
Assessed Value
$1.98
1,55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
4. z.. 7 X $ 27 b 9 = 1/8 . z~
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $ 11/;.24
Improvement (if after annexation date) ,
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
ResidentiaL...............,.......... 0.4
CommericaL,....................... 0.9
Industrial............................ 05
GovernmentaL..................... 0,5
FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
This Side To Be Filled Out by Applicant
oP,:a:-o ~ This permit is required for any site activity in the flood plain and everywhere site alteration' consists of
~ ~ fifty (50) cubic yards of material or more and lor if a drainageway is affected, within City limits and
COMPANY NAME: J....fovtie.'v
PROJECT SUPERV~i ( t
ADDRESS: P..tJ. /?(;x /31,
_Q.O~PA~Y~E: '
---- - ~ - -. ---...-
CONTRACTORNA.ME'~' ~ C'TY_
RPR~JECT SUPERVISO'R' tLo,~ '/J +r. /
eglstrat' , 11 IC.<.Il 00 (:;74.... /' +
Ion Numbe. Z 1~ c; ,). -L ----.-L.",-, (~,'
ADDRESS: '-r iLl IJ. ,~<j - , <LetrTr"'t:?U,j PHONE '7 Lb - c.:,,, ,~7
STATE: /A.J. ( " Expiration Date:, / I / Zt> I 9f3
MOBILE PHON. ,Z'P:_ 97 78 _' CITY: - .':.>,Ji-/ d. .
E._ - OFFICE PHONE IU -/ 'lI? Z I
- ,~V~ MX
:h~~~rr"end 'hell Or m .. -, -' EMERGENCY PHONE:--2.! ( - I ~6 Z _
I und me. I understand h Uccessor8~'_\.~'""'" _ c;
BPPU:::it1nd that notw'~h:~:UCh future ~.n~V8 future plana for m. _ . . .
und,rrak on of future permlte Odlng 'nv appro,,;ay r.qulr. permits Y PrOperty which m . . .
'undoing. ~h:;~:~:.n~:"m~~ff;~()A't.pr~~~:r~~:n~;~ .:.~~ ~:~~;~dn~~a1~a~~v~g~~a~~~,~:'~:~~~~~e8,~r c~n~~a,'ed ,a, I'
arlon of any actions ~~~~h F~ty may ::~0:~~~~.8" 8ctlona~~~fP)~ th8t'~,ih.: t;;n~~7flfl!d:~~..,~, 'J
aVe undertaken asl~"r~~U;~Yffuture 8P~~~~, succe~sors' have '
BOthe City' , require the
, Y signature, I St _.. s approval of this LOAP
~rthmation here;~~: ~~~ agree, that I have Car ____-. .
State t~r 8:dinances of th:'b~t Correct, ,and I fU~~~':Yc eX~mined the Com Ie _
comp/lance e~fth ~R1'%~~J~Jr:i~g,k'':f:~~r~b..g~I~;:~~~c;:::~~:d~~l:g:~~lf~~;:~;"m".~".dh~8 t:r~bY Certify :a, e/l
The City ma ' e Used on this project Urther certify that o~~yt'ons and DraWings ~ned In aCcordance
the City of Y '!lSpect the Work ' . COntractors and ' n the laws of th
Work re uir notIce of completion SIte described in this . emplOyees wh . e
required Qand~~o return the site t~f athe described wor~e~mlt at any time durin 0 are In
:;;~;~;:r;;:'~~:::r:~,::3::e::::~~~1~~:J;ti~n~ ~p;~~~~i~~;'E~i~~:~t.gt~;~r~~;i~~~~~~;l~~;~{~on
, , approved set o~,"speCtlons are re lee. p sted at the end f
SIgnature /... Wil.!?Dmain On theQu~sted at the proper " 0
,'~ --...E. , /' SIte at all t' 'me, that '
.~ :., :?~.r. :' ---:r, /" - - Jmss during constru~~6~ect address ;s readable f
~ ,t'if)' "~~" . rOm
~'(!f(: ~, .~. .'~~ , _ Date
.,....>"";.;,1.. .'::;;,:~____..,i3ji',i&~~ ',', .. ~~~~~_
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Date of Application
Property Owner Th.,D n'L(,i ~
Address: 1./71./ IJ. II},'-
Permit Expiration Date:
?Le,n-frow Phone: 720- 0~Sr
City 5pHd State:,,&KZip VI/It.
,Springfield, Oregon
Site Address: ~B() I
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UGB Tax Map No: 113-0 rl. -03 - J <I
Journal number applicable Land Use Application
Tax Lot: 02-)00
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FILL, Quantity 11/)/1<_ ,Source Location
Supplier , Mater,ial
GRADING, Quantity /30 C.vb; L "hff. {iL v, r--h d v,>C.K.
EXCAVATION, Quantity-.G,O 'Ids . Destination: lUkd,{'e./! mfr' If\. ( .
Supplier: R V{LILa..d 17 ,.s::-~G u~r.tProject Supervisor
Address p.O... P.DX y.,27....J!ka(cu.-.T k,',f qP-ISS, Phone, 74(, - 55S4
SITE PLAN Required Data:Quantity of material, Property lines and descriptions, Tax map and
lot number, Site address, Existing contour lines, Proposed contour lines, Existing drainage
ways, ProRosed drainage ways, Significant trees and folialle, Ground cover, Soil types,
Buildings, Septic systems, Sewers, Areas subject to flooding, Utilities, Areas subject to land
slides, Proposed site improvements, '
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CROSS SECTIONS,
SOILS & GEOLOGY PLAN,
DRAINAGE, POLLUTION AND EROSION CONTROL PLAN
REPLANTING PLAN
ADDITIONAL INFORMATION,
7.11 ~inel.V ,'ntl , PHONE
{No "he. r ~,
/2'/'5 P~u.d- CITY Y.IJy-ute,
.,PHdNE
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STATE
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1/6/1998
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CJ DRAINAGE, [J Stonn, [J Ditch, [J Culvert, [J Natural
Cl WETLANDS, Description #t/7U--
o FLOOD PLAIN, Zona: (I , FEMA Community Panel No.: t.; / 5"'>9:Z GOilLlft
o FlOODWAY, FEMA Community Panel No.: LJ IS s9..2. tX-'//9 . Date: 9/.2 7/ t5
PLAN CHECK FEES:
UP TO 100 CUBIC YARDS
101 TO 1.000 CUBIC YAROS
1,001 TO 10,000 CUBIC YARDS
10.000 TO 100,000 CUBIC YARDS
100,001 TO 200.000
$20,00
830,00
$40.00
$40,00 For the first 10.000 cubic yards. plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$220.00 For the first 100,001 cubic yerds, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$340 For the first 200,001 cubic yards. plus
$6.00 for 8ach additional 10,000 cubic: yarda or fraction thereof.
200.001 CUBIC YARDS OR MORE
GRADING PERMIT FEES:
UP TO 100 CUBIC YARDS
101 TO 1,000 CUBIC YARDS
1,001 TO 10,000 CUBIC YARDS
10,000 TO 100.000 CUBIC YARDS
100,001 TO 200,000
$30.00
$30.00 For the first 100 cubic yards, plus
$14.00 for each additional 100 cubic yards or fraction thereof.
$156,00 For the first 1,000 cubic yerds, plus
$12.00 for each additional 1,000 cubic yards or fraction thereof.
$264,00 For the first 10,000 cubic yerds, plus
$54.00 for each additional 10,000 cubic yards or fraction thereof.
$750,00 For the first 100.001 cubic yards, plus
$30.00 for each additional 10,000 cubic yards or fraction thereof.
'~;"
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Estimated Volume:
Plan Check Fee:
30.~
/?:'i
L.f~ ~
Data: 0-01
Recaipt No: 3/053
Date:
Recaivad 8y:
.....
Grading Permit faa:
/1 J R/ieiPt No: OZ,/~/ 5' Date:2,!.n)?i
~ Date: Qps/f6
Received by:
'"
,
~Plannina P/1.' ~
fa. . Engineering ~v,,\
o Building: <Sc:::t;;; '?lbrv/l1U'f:::
o Maintenanca: OF fl"PpQC/1-TIoV
Mo.\ ~aor.!J I
olLd h'-(
Date: :1// kg'
Date: ' ~;/9.:st
Date: /. ,/"d
O.~ '1 /"'f"t'H
Date
Permit Number
Issued by:
Date:
Rp.qllin~rl r=in~1 Inc::npf"tinnc::'
Planning:
Date
Engineering:
Date
Building:
Date
Maintenanca:
Date:
o
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land and Drainage activity as outlined in this permit has been completed in accordance with
the provisions ofthis permit.
llmd and Dralnaaa ac.tivitv as outlined in this permit has not been completed in accordance
wltn me provlsldhs of tnls permit.
Land and Drainage activity was performed prior to application for this permit.
Accepted by:
Date:
.
.
, f\"
-- ~I'... 'Willamalane
't'--~ Park & Recreation District
,;. SYSTEM DEVELOPMENT CHARGE
'fl _ f" WORKSHEET n
NAME: \ \l'N\ \\S1 f\ " {C)J' PHONE: fl4-\, \'D ~ I
ADDRESS: <\f\4f\\~\ ~\~Qt- STATE:B(L ZIP:~
Job. No. C\ ~CJ0VL\
LOCATION OF PROPOSED BU~D1NG SI?\E,: "J- , .
Street Addrer:.s: \o<ttl\ cl\\\~ ()\\rC~~ '
Plat Name: ~~\\'\J\ \\1\\~ ~ax Lot N'umber: ~11)~\4-flJ SX)
1. DEVELOPMENT TYP~ (Check appropriate dwelling(s), SOC calculations and dwelling t
, ype delinitions are on the back,)
A. .sJrwle-Fllmilv Detllr-hen
(Single Family home
NO. OF UNITS (
Manufactured home not in a park
X $1.000 per unit = $ 1000 ,CO
B. ,Sinaleo-Fllmilv Attar-hen
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit' = $
D. tJlanufaC\1Jren Home PRl'l~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ jnnn 000
JJ
$ won ,00
I '2 ') I 11'
$
2., SDC CREDIT (il applicable) SOc-payer must furnish proof 01
Willamalane Credit approval. See SDC Credit Worla;heet.
3. TOTAL WILLAMALANENET SDC ASSESSED
;;;-C;;;/ tj
Development Services Department Date
City of Springfield