HomeMy WebLinkAboutPermit Building 1998-5-1
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SPRINGFIELD
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1;11'
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
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Job Number: 980490
Page 1
225 North Fifth Street
Springfield, OR 97477
Office, 726-3759
Inspection Line, 726-3769
Location of Proposed Work: 4543 HOLLY ST
Assessors Map #, 18020512
Lot: 145 Block,
Tax Lot #, 08600
Subdivision, LUCERNE MEADOW
Owner: PROFESSIONAL MANAGEM
Address, 1410 W HARRISON
Phone #: 767-3800
City/State/Zip, COTTAGE GROVE, OR 97424
Describe Work, S.F. RESIDENCE
NEW
Canst.
Contractor Contractor # Expires Phone
General, PMI 0029281 03/15/98 767-3800
PO BOX 938 SHERWOOD OR 971400938
Plumbing, CUSTOM PLUMBING 0081994 05/06/00 485-1146
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: HARVEY & SON 0055682 02/26/99 746-7677
4680 MAIN ST SPRINGFIELD OR 9747860
Electrical: HAUCK 0013817 05/31/98 726-7040
37370 CAMP CREEK ROAD, SPRINGFIELD
QUAD AREA, 3RSC
# OF UNITS: 1
CONSTR. TYPE, VN
SECONDARY HEAT: HP
SQ FOOTAGE: 1823
OFFICE USE --
LAND USE, 1111
ZONING CODE, LDR
# OF BDRMS, 3
WATER HEATER, E
# 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
TEMPORARY POWER
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDER FLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR 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
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
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 Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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Job Number: 980490
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
Solar Approved': Y
N
House
Garage 18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
HEAT PUMP
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
RES PLAN REVIEW
ELECTRICAL PERMIT
SYSTEMS DEVEL CHARGE
Total Height: 18
Lot Type: INTERIOR
Setbacks
S W E
34 11 7
11
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Page 2
Setbk From NPL: 45
BUILDING PERMIT ---
Square Feet
1423
400
$/Square Feet
64.66
16.27
x
(A)
PLUMBING PERMIT ---
2
(C)
--- MECHANICAL PERMIT ---
2
(D)
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
92,011.00
6,508.00
98,519.00
430.00
34.40
464.40
Fee
160.00
160.00
12.80
172.80
6.00
4.50
6.00
3.00
6.00
25.50
10.00
2.05
37.55
0.00
22.80
14.80
1,000.00
60.00
167.40
2,183.28
3,448.28
4,123.03
r. SPRINGFIELD
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---...;;
Job Number: 980490
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.
Received By:
Plans Reviewed By: DON MOORE Date: 04/28/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
SAME AS 861 SOUTH 44TH PLACE
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 remain on the site at all times during construction.
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Signature
sit /iK
Date' '
--- VALIDATION
Date Paid:
~q(, 11
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fr if /d-.. '3.03
~
Receipt Number:
Amount Received:
Received By:
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. . JOB NO. q[{O 49c)
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
P,P!, T.
NAME OR COMPANY:
LOCATION:
4~ 4"3 J-/c:>L<.....Y'
"'T.
.
DEVELOPMENT TYPE:
<SFf2-
BUILDING SIZE
LOT SIZE
<;0. Ft.
1. STORM DRAHIAGF
IMPERVIOUS SO. FT.
24-c),q
X $0226 PER SO. FT. $C;-~4. 77
2. ~ANTTARY SFwFR-rrTY
NO. OF PFU'S J~
(See Reverse Side)
3. TRANSPORTATi ON
x $46.86 PER PFU
$ ~4>" +8-
.NO OF UNITS X TRIP RATE X COST PER TRIP
x
I.O! X $472.49
$ 477, '-I
x
X $472. 49
$
x
X $472.49
$
4. SANTTARY SFWFR-MWMC
OJ
NO. OF -fftrS X 2.77. 74'ER FEU + $10 MWMC/ADM FEE $ 7.9.7, 7.:P
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $- 101. 9q
TOTAL -MWMC SDC $ 180: 77
SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $. .2- ,z-S"7, "0
5. AnMTNTSTRATTVF:FFF2
BASE CHARGE (SUBTOTAL ABOVE) X .05
. $. IIZ.tJ.J
~
SDC Coordinator
TOTAL SOC
--4Y63~CO
$.2......,.-""'" (.,."<o;'.(Jr
- -, - ~
Date:
~-3o"'1Y--
. n^ I un&..: UI~' I \.,ML\.,ULM. IVIII I HOLI:: Number of New FiX. X Unit Equivalent = Fixture Units
(NOTE: For remodels. calculate onee NET additional fixtures) ,
. NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
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 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........ ..........................
Toilet. Pubiic ,Installation... ........ ..... ........................
Toilet, Private........... .... ......... ...............................
Miscellaneous:
7
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
2-
TOTAL FIXTURE UNITS
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CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculat~credits separates.
Year
Annexed
~9 or before
Hiou
1981
1982
1983'
1984
1985
19B6
Rate per $1,000
Assessed Value
$3.8.0
3.89
3.83
3.70
3.55
3.39
3.20
2.91
Year
Annexed
19B7
1988
1989
1990
1991
1992
1993'
1994
1995
1996
Credit for Parcel or land Only If Applicable
~,q 7 X $ 2<.c:.<tcJ
(Rate X Assessed Valuel
X $
. (Rate X Assessed Value)
=
=
Improvement (if after annexation date)
. ,
Rate per $1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
/0/, <;'q
CREDIT TOTAL = $ /0/ .9'7
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential...: ....... ........ ........ 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
,
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~t~~ YXi!I~~~!~~ri~ Job. No. 0.. ~Ma..D
.;'. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Hfum~CeHONE: - 'l.\ott ,~~(f)
\1 ') \~, ,'\.{j(\ 0 G STATE:\')\L zIP:C\14t4-
,
NAME: ~~~
ADDRESS: V\\ C)
.\
LOCATION OF PROPOSED BUILDING SITE:
Street Address: 4~4- ~()\ll~ t)\J\.QQ:r
Plat Name: 't}\~O \'\\0 (). _ Ta&ot Number:l ~(V2.l)~\'2- OKloCD
t.
1. DEVELOPMENT TYPE. (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) .
A. Single-Familv Detachecl
Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit =$ I()OO,oo
B. ~innle'.FRmilv AftR~herf
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF .UNITS
X $692 per unit = $
D. 11RnufRctlJrerf Home Pa~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ IDon.co
o
$ I Iln() ~
5 I \ / 9'~
2. SDC CREDIT (if applicable) SOc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOC reduCed for Credit)
~mJ~o~~~~ !~eot
City of Springfield
Date