HomeMy WebLinkAboutPermit Building 1996-2-28
SPRINQFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960143
225 North Fifth Street
Springfield, OR 97477
Page 1
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1071 LAUREL DR
Assessors Map #: 18020613
Lot: 1 Block:
Tax Lot #: 10100
Subdivision: 96-P0786
OWner: TIM MITCHUM
Address: 92671 N. COBURG ROAD
Phone #: 747-0811
City/State/zip: COBURG, OREGON
Describe Work: S,F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Phone
Expires
General:
06/06/92
344-0560
FROEHLICH
3014 W 15th Eugene OR
STEVES PLUMBING
0037167
974020000
0038208
01/23/96
Plumbing:
658-3051
Mechanical: MARSHALLS 0025790
4131 E St Springfield OR 974780000
Electrical: L H MORRIS 0001838
PO Box 466 Eugene OR 974400000
12/23/96
747-7445
06/08/96
747-0811
QUAD AREA: 5RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1808
OFFICE USE --
LAND USE: 1111
ZONING CODE: LOR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: Pl
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 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.
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.
SPRINQFIELD
Job Number: 960143
Page 2
Lot Faces: W
Total Height: 17
Lot Type: INTERIOR
Lot Sq. Ft.: 9040
Setbk From NPL: 5
Lot Coverage: 20 t
Solar Approved: Y
House
Garage
N
5
5
Setbacks
S W
17
E
51
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
1280
528
= Val ue
80,000.00
20,000.00
100,000.00
Building Permit Fee
Surcharge/Admin
433.00
34.64
TOTAL FEE
(A)
467.64
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 1,063.30
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)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172.80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
6.00
4.50
9.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
22.50
10.00
1. 81
TOTAL PERMIT
(D)
34,31
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILAMALANE SDC L
p~ ;(evICW ~..wrr~ r
TOTAL MISCELLANEOUS PERMITS
(E)
0.00
1,000.00
2S",-
1,000.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
:.9:!.::'
~7t;:1,eJ'>
SPRINGFIELD
Job Number: 960143
Page 3
--- BUILDING VALUE, PLAN CHBCK AND BUILDING PBRMIT ---
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
265.85
Date Paid: 02/02/96
Receipt Number: 20270
MOORE Date: 02/27/96
By: LISA HOPPER
- - - ADDITIONAL COMMENTS
SEPARATE ELECTRICAL PERMIT IS REQUIRED;
PATH 1
4 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 ORB 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
:~.0}L/i4." 'odo, =0",=0"00. ~."
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VALIDATION
Receipt Number: 2.ttP52 7"
Date Paid: '2.. -2 R . ~C
Amount Received: -Z~ =3_ e::> ~
Received By:
l~~
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.
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Job. No.
(X \Qb\4-~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \\('{\ ~\\~'ill1m PHONE:l~1 t!~\ \
ADDRESS: O.Q. \Df)\ If\ 0.\\'u)~ ~YATE: .!Jt.ZIP:
LOCATION OF PROPOSED BUlL ING SITE: GJ't~(:\
Street Address: \\'\\\ \ LlIo ~ \ .DX\\f;
Plat Name: ~\\\\(i'{\ ~n" ax -Lot Number: \)< f) 7Dlo \ ~U:O
1. DEVELOPMENT TYPE;, (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. SinolA-F8milv DAt8ched
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \ Off) .00
B. SinolA-Familv AttachAd
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv A08rtmen\
NO. OF UNITS
X $692 per unit = $
D. M8nufaQ1llli!d Home Park
$
$
\OOO.CO
ff
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
\ 000 pO
-;2 I~~ 1.-;76'
Date
.
SPRINGFIELD
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CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: TIM MITCHUM
Location: 1071 LAUREL DR
Developement Type: R Building Size:
Job No.: 960143
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2716 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 0 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
18.750
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
Date: 02/07/96
Page 1
Sq Ft
$570.36
$0.00
$442.31
=
$0.00
$0.00
$0.00
$1,012.67
$50.63
$1,063.30
Job Number: 960143
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Page 2
FIXTURB UNIT CALCULATION TABLB
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/C1otheswasher
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
Unit
Equivalent
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
o
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00
0.00
o
X
0.00
0.00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)