HomeMy WebLinkAboutPermit Building 1999-12-21
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991532
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5320 LEOTA ST.
Assessors Map #: 17023331
Lot: Block:
Tax Lot #: 05400
Subdivision:
Owner: ROBINSON FIRST FAM,L
Address: 3424 VIRGINIA
Phone #: 744-2087
City/State/Zip: SPRINGFIELD, OR 97478
Describe Work: MFGD.HOME
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General:
LARRY FERRIS
0100036
06/16/95
744-2087
QUAD AREA: 3RNC
ZONING CODE: LDR
VN
# OF BDRMS: 1
OFFICE USE --
LAND USE: 1150
OCCY GROUP: R3
FLOOD PLAIN: N
CONSTR. TYPE:
SQ FOOTAGE: 1080
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 ---
FOUNDATION - After forms are erected but prior to concrete placement.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
UNDERFLOOR DRAIN - Prior to.cover or placement of
MANOF HOME/MOBILE HOME SET UP - When all blocking
MANOF, HOME/MOBILE HOME PLUMBING - After home has
water and sewer.
PEDESTAL - Prior to cover.
MANOF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
STORM SEWER LINE - Prior to filling trench,
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
concrete.
is complete.
been connected
to
Lot Faces: S
Lot Sq, Ft,: 5400
Lot Type: INTERIOR
N
Setbacks
S W
20 7
E
6
House
Item
Main
Garage
M.H. FDN.
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0,00
0,00
3,000,00
3,000.00
Building Permit Fee
38.50
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SPRINGFIELD
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Job Number: 991532
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
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3.86
(A) 42,36
Fee
25.00
25.00
25.00
15.00
90.00
9.00
(C) 99,00
105,00
30.00
10.50
1,000.00
2,166.72
(E) 3,312.22
3,453.58
Surcharge/Admin
TOTAL FEE
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
WILLSMSLSNE SDC
CITY SDC
~ 15',"'"
TOTAL MISCELLANEOUS PERMITS
--- 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
25.03
Date Paid: 11/05/99
Receipt Number: 36111
MOORE
By: DON MOORE
Date: 12/20/99
--- ADDITIONAL COMMENTS
ASSESSED VALUE VOLATILE IN PAST 6 YRS.
SEPARATE ELECTRICAL PERMIT IS REQUIRED.
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
l)Bc./C.. AWNINef " N&>7" A p,..l</ ~F 7ffl~A!,(IH/r
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.
"
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SPRINGFIELD
, ~,
Job Number: 991532
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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
w~ll remai~ on the site at all times during construction.
. -1!.t-r;--1'^'? IA..,\, f .-:.h ,
Slgnat\j ~
--- VALIDATION
Receipt Number: -prtC. C/~6:.
Date Paid: /2.2/.<9<::::1"
,
Amount Received: "3'/~, ~~
Received By: /7 /~
( // 'V--, .
/2. LJ. H
Date
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 991532
NAME OR COMPANY: ROBISON FIRST F AMIL Y LP
LOCATION: 5320 LEOTA
TAX LOT NUMBER 17023331-05400
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
BUILDING SIZE:
1080
LOT SIZE
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.
1846,0
x
$0.232 PER SQ. FT.
$428.27 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
18
x
$48.27 PER PFU
$868.86 I
3, TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00 I
$491.60 I
4, SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT C:OST:
NUMBER OF FEU's
$22.05 I
$0,00 I
$10,00 I
$274.81 I
$2.063.54l
x
$22.05
PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMIl\jISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$103.18 I
--1,~ ...,.-
SDC COORJ;l!'1'lA TOR
-t:~~
TOTAL SDC CHARGES I $2,166.721
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PLUMBING FIXTURE UNIT (PFU) CALC:ULA TION TABLE
NUMBER OF NEW FIXTIJRES x UNIT EQUlY ALENT = PLUMBING FlXTIJRE UNITS
(NOTE, FOR REMODELS. CALCULATE ONLY THE NET ADDITIONAL FIXTUIlli,~)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASHlETC.
LAUNDRY TUB/CLOTHESWASHERlMOP SINK
CLOTHESW ASHER, 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TIONIETC.
RECEPTOR FOR COMMERCIAL SINKJ DISHW ASHERlETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL,STALLAVALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISC:ELLANEOUS:
FIXTURES
NEW OLD
2
UNIT
EQUIVALENT
2
1
2
3
6
2
6
6
I
3
2
I
2
2
I
6
4
2
2
.
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
2
o
o
o
o
o
o
2
o
2
o
8
o
o
o
. TOTAL PLUMBING FIXTURE UNITS=I 18
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$ 3.03
$2.62
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$ Ll7
$1.03
$0,86
$0.71
$0.57
$0.39
$0.18
YEAR
ANNEXED
1989
1990
1991
1992
1993
,r 1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
" ,x..........
x
'I'.~~:~~
CREDIT TOTAL $0,00
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f\1i\ ,
.. "r"'Willamalane
'"t" ""'!' Park & Recreation District, Job. No. ~&7/~ <.
fV SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
PHONE:
STATE:
ZIP:
Street Address:
Plat Name:
Tax Lot Number:
1. DEVEL0PMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back,)
A. Binole-Fl'lmilv Detached
Single Family home
NO. OF UNITS
~anufactured home not in a park '
X $1,000 per unit = $ 1 {}t)O
B. Binole-Fl'lmilv Attl'lched
NO. OF UNITS
X $924 per unit
$
C. Multi-Fl'lmilv 601'1rtmen~
NO. OF UNITS
X $692 per unit = $
D. fvlanufaQIurecf Homfl PRrk
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (If applicable) SOCi>ayer must furnish proof 01
Willamalane Credit approval. See sac Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(II SOCreduced for Credit)
$
1 f)FYfJ
/ ~~.(Y$ .hp:f;6?t
Development Sefvices Department
City of Springfield
1"2 I L..I I ~~
Date /