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HomeMy WebLinkAboutPermit Building 1999-12-21 rl ,. .~' . . Page 1 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 ;;. SPRINGFIELD . ~- Job Number: 991532 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) Page 2 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. " . SPRINGFIELD , ~, Job Number: 991532 . Page 3 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 . . . 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 . . 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 , , . ,. . . 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 /