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Home My WebLink AboutPermit Building 1995-8-18 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950644 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4686 HOLLY ST Assessors Map #: 18020512 Lot: 9 Block: Tax Lot #: 09000 Subdivision: HAIDYN owner: PROCIW INC Address: 4616 JASPER ROAD Phone #: 746-6464 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: PROCIW INC 0083899 4616 Jasper Rd Springfield OR 97478 Plumbing: CONTRACTORS PLU 0101624 1590 Bogart Lane Eugene OR 97401000 Mechanical: PROCIW INC 0083899 4616 Jasper Rd Springfield OR 97478 Electrical: JACK PATRIC 0077055 316 S 52nd St Springfield OR 974780 06/17/96 746-6464 08/15/95 343-0975 06/17/96 746-6464 10/10/95 747-2088 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: FP INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: E SQ FOOTAGE: 1754 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE RANGE: E .To request an inspection, call the 24 hour recording at 726-3769. .' Ail.,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 SANITARY SEWER LINE - Prior to filling trench. STORM 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. INSOLATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. SIDEWALK - After excavation is complete, forms and sub-base material in place. CORBCOT - After forms are erected but prior to placement of concrete. 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. , I' Job Number: 950644 Page 2 Lot Faces: S Topography: 2 Solar Approved: Y Lot Sq. Ft.: 6800 Total Height: 17 Lot Type: INTERIOR Setbacks S W E 16 12 20 16 Lot Coverage: 25.8 % Setbk From NPL: 45 N House 24 Garage Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1248 506 $/Square Feet 56.2 14.1 Value 70,138.00 7,135.00 77,273.00 Building Permit Fee Surcharge/Admin 367.00 29,36 TOTAL FEE (A) 396.36 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 Wood Stove/Insert/Fireplace Unit Dryer Vent 3 6.00 4.50 9,00 15.00 3.00 Mechanical Permit Issuance Surcharge/Admin 37.50 10.00 3.01 TOTAL PERMIT (D) 50.51 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut SDC 0.00 20,20 13,90 2,197,94 400.00 TOTAL MISCELLANEOUS PERMITS (E) 2,632.04 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,251.70 --- 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. Job Number: 950644 Page 3 --- ADDITIONAL COMMENTS --- PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED. 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 cated at the front of the property, and the approved set of plans .", " "" '0' ~~::::.::.~:' COO"~"'","" Date --- VALIDATION \~l'S+ Date Paid: A./ B .qS Amount Received: r1. ~ ~~ \.10 Received By: (j)fM ) Receipt Number: . eJOB NO. qSO~4'f CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: PROc./vJ ,Cf/c LOCATION: i/logfL> HOLL":) ::ST, DEVELOPMENT TYPE: BUILDING SIZE: S.P. D. LOT SIZE SQ. Ft. I. STORM DRAINAGE IMPERVIOUS SQ. FT. ;Z,4<J(P r:--~ 52/ ~~ X $0.209 PER SQ. FT. ~ ~ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) \"\ X $43.26 PER PFU r: ez.1 cG:) '-- .--/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X [.~\ X $436.19 X $436.19 X $436.19 ~~O~) '-- ----- S S X X 4. SANITARY SEWER-MWMC NO. OF PFU'S 1"\ x $17 .19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) S 3 3fo ~ TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3 & 4) S Z7~ €D9'0 $ 'z, 0'!3-z~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) 5. ADMINISTRATIVE FEES ... - ~. I -=.,........, ,-. SDC Coordinator S/'/95 . . TOTAL SDC ~O"1 (Q~ ........ .---/ v'" $ :2/1"11~ . BASE CHARGE (SUBTOTAL ABOVE) X .05 17<o~ f"\L,l\w,Sr6rL Date: FIXTURE UNIT CALCULA.N TABLE: Numbc~ of Ncw Fixtur. Unit Equivalcnt =.I'ixturc Units (NOTE: For rcmodcls, calculatc only thc M.EI additional fixturcs) NUMBER 01' NEW FIXTURES FIXTURE TYPE 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 Trailcr).................. Receptor For Refrigerator/Water Station/Etc........ Raceptor For Commercial Sink/Oishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang................. .......... ... .....................;~..... Sink: Bar, Commercial, Residential Kitchen......................... Urinal, Stall/Wall............... ........... .... ......... .............. ... y.Tash Basin/Lavatory, Single................................... Toilet, Public Installation...................................._.. Toilet, private..................................................:,... Miscellaneous: z '3 z. TOTAL FIXTURE UNITS UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 FIXTURE .' UNITS t./ -z. z -:3 8 = ,q CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 Year Annexed 1985 1986 1987 1988 1989 1990 1991 1993 Credit for Parcel or Land Only If Applicable 1-3 ~ X $ 7. H(" . (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) = CREDIT TOTAL Rate per $1,000 Assessed Value $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 :n' 'l1- = = $ . Z7 '!1. . . "'!~ '1 @ !!.'!ilIRi!oT.!!g~ " Job No. t1.6lJlo# SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: VvtrJ '"u I \.11 (I , . t ADDRESS:..JJfrl(P I.~ U . PHONE: 1~" Lot.I<P4 STATE: .I:ft:: ZIP tnL/1 g '. . . .... - ~ Lq<:AT10N OF PROPOSED BUILDING SITE: ~. Street Address if Known: {j(o..%{r; J . . PlattName: lq 07..[)5/8-.. Tax Lot Number: r{11J!J?J 1. DEVELOPMENT TYPE (Check appropriate dwellirig(sl. SDC Calculations and dwelling type definitions are on the back.) . . ..'. . A. Sinl1'ie Familv - Detached \ . Single Family home , NO OF UNITS Manufactured home not in a park X $400 PER UNIT _=. $"l/.oo.~() B. Sini1le Familv - Attached .. \ NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Aoartment . . NO OF UNITS X $777 PER UNIT = $ D. ManufactUred Home Park NO OF UNITS X $280 PER UNIT = $ . . WPRD SDC ... $ l/tJ() .do 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. . . c.~ r,...rro......."':." c::"~':r'.u. ni,k'('inn ~ $ $ .Jbl). tJ() 6 .~~.~ ~, ' 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced (or Creditl n~t(>