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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&~~ ',', .. ~~~~~_ '., '-~,~_c" ":'''''''-C''_~_ '.'1..,.;'4,;', '~j ~ - ~ C!: LJ..I c... Z o - ~ ~ LJ..I ~ <( I r '~ :z -- ~ '-0 a z <( a z :s )( 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 I v'r Sf. o UGB Tax Map No: 113-0 rl. -03 - J <I Journal number applicable Land Use Application Tax Lot: 02-)00 o o cY' 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, ' o o ~ o o 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 , lJ B L{ -'to So STATE oil STATE I J r- - ~ 0::: LJ.J 0- Z o - ~ L.U ~ .....I <( , ' . , , ' L.U CJ <( Z - c2 o o z <( o z ::s 1/6/1998 , " 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. '~;" ..-'.. 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 o o 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