HomeMy WebLinkAboutPermit Building 1998-10-20
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981098
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5296 LEOTA ST 5298
Assessors Map #: 17023331
Lot: Block:
Tax Lot #: 05200
Subdivision:
*'
Owner: JEFF/WENDIANNE ROOK
Address: 46559 GOODPASTURE RD
Phone #: 896-0327
City/State/Zip: VIDA, OREGON 97488
Describe Work: DUPLEX
,J NEW
r'Ii.O~""
-- OFFICE USE u \'(\'<''- ~O\
LAND USE' ~~ ~'i\ \'0
of\C~ONS'!&"rr-.'~ip'i'\>..\,*~~ ~~ '(O~
~O \ IN~\-1LSPA~.;.l?-1>\ ~~O~
"c. 'i'~\" .~JI '0~ r,I>.'O\>I
To request an inspection, '~~cffie~2biifour {ecording at 726-3769.
rr-.'0\ ~~c,~ I':~O .I.
All inspections requested bef-gY'tf 7':'0,o:{f.m. will be made the same working day,
inspections requested after 7~~q\~:~, will be made the fo~~owing work day,
~O~ ~~,:~ 1(\ ,
- u REQUIRED INSPECTIONS - u\\0'" ~ -S ,o~~,
SITE - To be made after excavation but prior to s~~~~Ot~~~~~
FOOTING - After trenches are excavated. ''3-~ 1(\00 ",'If ~q,(,j '10.0'"
ROUGH GAS - after line is installed and cap~~tA~~~0~~~~~~an
appliance . ~9 ~'0~~0(\0~~ fb 0' ~0~ \C~
ROUGH GAS - after line is ~nstalled a~~~~~'~e~OCR\~~~ to an
appliance :0~ (~0\i~'",~~'\ o$-~ (; 0,0' ~~ ~,\'
UNDERFLOOR MECHANICAL - Prior to ~~~a~I1l'?,.r.~,.k ~~~8" -S ~rz:<r,
UNDERFLOOR PLUMBING - Prior to insbq~Ill(,j/5~~\~~9)!)~,~
POST AND BEAM - Prior to floor inS~~~A{~r~~~~
INSULATION - Floor: prior to deCking~~~~~~~~i~~g; Prior to cover
WATER LINE - Prior to filling trench. c~ ~~0 v0~
SANITARY SEWER LINE - Prior to filling t~~nch.
STORM'SEWER 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,
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
DRYWALL - Prior to taping.
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complet'e.
FINAL ELECTRICAL - When all electrical work is complete,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
QUAD
OCCY
HEAT
AREA: 3RNC
GROUP: R3
SOURCE: FG
FLOOD PLAIN: N
# OF BDRMS: 3
SQ FOOTAGE: 2490
Wall/Ceiling; Prior to cover
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq, Ft,: 9360
Total Height: 23
Lot Type: PANHANDLE
Setbacks
S W E
15 36 28
Lot Coverage: 26.6 %
Setbk From NPL: 11
N
House 14
SPRINGFIELD
Job Number: 981098
Page 2
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1974
516
$/Square Feet
64.66
16.27
Value
127,639.00
8,395.00
136,034.00
Building Permit Fee
Surcharge/Admin
516.25
41.30
TOTAL FEE
(A)
557.55
PLUMBING PERMIT ---
Item
Residential Bath(s)
Sanitary Sewer
Water
4
120
120
Fee
320.00
15.00
15.00
Plumbing Permit
Surcharge/Admin
350.00
28.00
TOTAL CHARGE
(C)
378,00
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
4
12,00
9.00
12,00
6.00
5.00
Mechanical Permit
Issuance
Surcharge/Admin
44.00
10.00
3.52
TOTAL PERMIT
(D)
57.52
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
CITY SDC
PLAN REVIEW FEE
0,00
1,848.00
3,857.40
80.00
TOTAL MISCELLANEOUS PERMITS
(E)
5,785.40
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
6.778,47
--- 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.
SPRINGFIELD
Job Number: 981098
Page 3
Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
80.00
Date Paid: 10/20/98
Receipt Number: 31801
MOORE Date: 10/20/98
By: BOB BARNHART
ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
DRY WELL TO INCLUDE OUTFLOW TO REAR P,L, FOR CONNECT TO FUTURE STORM LINE BY CIT
DRIVEWAY REQUIRED TO BE PAVED
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 ~orrect, 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 remain on the site at all times during construction.
Signature
Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
,-
J~AL OR JOB NO,
. ATTACHMENT A. ''1'g 109 ~
CITY OF ~RINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
'111
'. ' '
NAME OR COMPANY:
LOCATION:
~Zq (, ~Il ~+-
'DEVELOPMENT TYPE:
BUILDING SIZE:
LOT SIZE
"Q Ft,
l. STORM DRAINAGE 24Clg) t-~s x/!r) ,
2D 3ll'" tf{){lz)'t
IMPERVIOUS SQ. FT. 11<1(., X $0,227 PER SQ. FT, $ 806,23
2. SANITARY SEWER-CITY
NO, OF PFU'S 25 X $47,14 PER PFU\ $ /3/'7,'72-
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
2.
X /,OJ X $475.32
$ '96tJ,15
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S 2. X, Z.77.4HER FEU
$ 'S5'1-,R'p'
B. IMPROVEMENT COST:
NO. OF FEU'S Z. } 25', /4- PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$ So.?'!?
< $ 87.7S">
$ 10,00
TOTAL-MWMC sac $ :")27,4-/
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 3(..,73,7/
5. AOMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 103,1.,,9
/?Js L-
SDC Coordinator
ATTACH' A. WPD
Date: 9///'/c)~
,,/ TOTAL sac $ ':?X:~ 7,~
FIXTURE UNIT CALCULA T~N TABLE: Number of New Fixtures X Unit Equivalent = Fixture Unit; -
(NOTE: For remodels, calculate only th. additional fixtures) . " ': .
NUMBER OF UNIT FIXTURE ..
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub................ .... ...... ....,..... ..............,................... ~ 2-
Drinking Fountain.,.............,.,..,................................
Floor Drain.....,.....................,..............,.,. ........,.........
Interceptors For Grease/Oil/Solids/Etc..... ............
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/c:lotheswasher.......... .........................
Clothes washer - 3 Or More........:............................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For C:ommercial Sink/Dishwasher/Etc.. .
Shower, Single Stall.,... c......,.,......, ...........,...............
Shower, Gang,............................. ....................,.......
Sink: Bar, Commercial, Residential Kitchen........................ 2
Urinal, Stall/WaiL...................,.........,............,...........
Wash Basin/Lavatory, Single.................................. <1-
Toilet. Public Installation........................................ "f
Toilet, Private....................................................... 4-
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4-
..,.
4-
/t:.
TOTAL FIXTURE UNITS
=
LA
CREDIT CALCULATION TABLE:
calculate credits separates.
r -
, Year
I Annexed
Based on assessed value, If improvements occurred after annexation date in table,
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
II
I
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4,18
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
$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
'b4-/z..7 X $ ZO,G5
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
=
87,,5"'
Improvement (if after aAnexation date)
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For,Estimating Purposes Only)
ResidentiaL.......................... 0.4
CommericaL..,...............,..... 0.9
IndustriaL........................... 05
GovernmentaL..,.................. 0.5
FIXUNIT.WPo.
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
...
.
.
'.
..
~ -
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:(\~.c(tel X~f1l\VW ~t.. PHONE: ~ 1().D~?!l
ADDRESS:~, ~Pf.,\11.{>e ~ STATE: l~ ZIP: Cfl~~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 15.t2.Clt 0 + K~f{x t P()-\(L ~-\ffet
Pial Name: Tax Lol Number: VI()'13~~\CG?[X:J
Job. No.
~R\CA~
..
1. PEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A Sinolp.-Fflmilv Dp.tfl~hArf
Single Family home
Manufactured home not in a park
NO. OF UNITS
X $1,000 per unit = $
B. Sinolp"-Fflmilv Attfl~hp.rf
NO. OF UNITS
Al
X $924 per unit = $ 1 ~~ ~
C. Multi-Familv Aoarfment
NO. OF UNITS
X $692 per unit - $
,D. MaPUfflctl/fArf HOI1Jp. Pfl~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ I~OO
2. SDC CREDIT (II applicable) SDG-payer mustfumlsh proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
JY
I PftB,cJ
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
\00 A 11X'f)Q fJ
Developmeril SerVi~e\; Department
City of Springfield
$
/0 I 2-f) I Jl~
Date