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Home My WebLink AboutPermit Building 1996-2-16 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950645 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4687 HOLLY STRE Assessors Map #: 18020512 Lot: 1 Block: Tax Lot #: 09000 Subdivision: HAIDYN MEADOWS OWner: PROCIW, INC. Address: 4616 JASPER ROAD Phone #: 746-6464 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENT NEW Const. Contractor Contractor # Expires Phone General: PROCIW 0083899 06/17 /95 746-6464 4616 Jasper Rd Springfield OR 97478 Plumbing: CONTRACTORS PLU 0093230 08/17/94 343-0975 1590 Bogart Ln Eugene OR 974010000 Mechanical: PROCIW 0083899 06/17/95 746-6464 4616 Jasper Rd Springfield OR 97478 Electrical: JACK PATRICK 0073882 OS/20/92 747-2088 316 S 52 St Springfield OR 97478000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: FP SQ FOOTAGE: 1749 OFFICE USE LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: G # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG 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. 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 WATER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. SANITARY 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. FRAMING - Prior to cover. FIREPLACE - Prior to facing materials and framing inspection. 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. , Job Number: 950645 Page 2 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: S Setbk From NPL: 50. Lot Sq. Ft.: 6800 Solar Approved: Y Total Height: 17. Lot Type: INTERIOR House Garage N 32 Setbacks S W 12 E 16 20 BUILDING PERMIT --- Item Main Garage Total Value Square Feet 1298 451 x $/Square Feet 56.20 14.10 Value 72,948.00 6,359.00 79,307.00 Building Permit Fee Surcharge/Admin 373.00 29.84 TOTAL FEE (A) 402.84 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 PLAN CHECK FEE WILLAMALANE 0.00 20.20 16.93 242,45 400,00 2,137,98 TOTAL MISCELLANEOUS PERMITS (E) 2,817.56 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,443.71 --- 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: 950645 Page 3 - - - ADDITIONAL COMMENTS - - - A&T:7946/EST, SETBACK SIDEWALKS, ANNEX: 1978, REQUIRES SEPERATE ELECTRICAL PERMIT 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 ""Jl:::.0 (2;;~.'~' 'odo, 000"=0,"=. Q//_~? ~gnature Date Date Paid: A D ~\c;ALIDATION A-. ~~C) ,C\lP ~',~l\tV-) l \ ~t1\ ) . ,. Receipt Number: Amount Received: Received By: lIll.. . . ..."!' '1 fi !!.'LiR~'!!~!fl"!;~ " Job No.fj,6/)~ SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: lIVbr.A;,0 IJn~) ADDRESS: Lf-{p{f.p \ Ja'fU/ U. PHONE: (L/{p,~I.j(PJ STATE:~ ZIP 3;1tf7& . . lq<:AT10N OF PROPOSED BUilDING SITE: 1JM / ; I Street Address if Known: 4-(P y1 "~ Platt Name: ) ~ 6 z.. {E / a ',,i]b . Tax lot Number: ()quuu 1. DEVELOPMENT TYPE (Check appropriate dwellirig(sl. SDC Calculations and dwelling type definitions are on the back.l . . . ..'. . A. Sim~le Familv - Detached . Single Family home , NO OF UNITS I B. Sinl!le Familv - Attached \ NO OF UNITS C. Multi-Familv Aoartment . NO OF UNITS D. ManufactUred Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT .r., $ -J.f..rJlJ ' Of; . .. X $370 PER UNIT = "$ X $777 PER UNIT = $ X $280 PER UNIT = $ .. $ ~ .tm " 2. SDC CREDIT (If applicable) SDC-payer must furnish proof ofWPRD Credit approval. See SDC Credit Worksheet. " hPAItL ~ r;................"..;~, ~('ln';r,.u. ~"i('i"n 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit! ~I $ $ I ro ({b 11 /~. lJb'J, at) n~rp . .OB NO. ~s-atP</~ -" ./ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: f'r<::oC/...; /,..;(. LOCATION: 'It-, 87 Hot..L.'::J sf. DEVELOPMENT TYPE: S. r:: D. BUILDING SIZE: 1. STORM DRAINAGE LOT SIZE SQ. Ft. IMPERVIOUS SQ. FT. Z;;/Z "....--:::~rz.5 ~ ) X $0.209 PER SQ. FT. ($~5, 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse) Ie X $43.26 PER PFU C 778~) ----- ..-/ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP I X 1.01 X $436.19 X $436.19 X $436.19 C'"i'-lO~) ----- ---- $ $ X X 4. SANITARY SEWER-MWMC NO. OF PFU'S /6 x $17 .19 PER PFU + $10 MWMC ADM FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ :3lq 4~ TOTAL-MWMC SDC $ 21 ~ ~ <.... ----- ., $.z. 03(,,- SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 '-(ko':/j !;'!L/lf:L/~~ Date:~}S- sol: Coordin~tor 'TOTAL SDC G10\&~ '- ../ $ 'ZJ\3"'~ ;/ FIXTURE UNIT CALCULATION TABLE: Number of New Fixturc. X Unit Equivalcnt =. Fixturc Unit. (NOTE: For rcmodel., calculate only .0: additional fixturesl . , . NUMBER OF UNIT FIXTURE ' .A"IX~RE TYPE NEW FIXTURES EQUIVALENT UNITS - z. 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 'Z. Bathtub.... ............................................................. no.. Drinking Fountain....................................................- Floor Drain.............,........................,......................... Interceptors For Grcase/Oil/Solids/Etc................. Interceptors 'For Sand/Auto Wash/Etc.................. Laundry T ub/Clotheswasher,.................................. Clothes washer - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailed.................. 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................... ..... ...... ... .... ................... '{'lash Basin/Lavatory, Single................................,.. Toilet, Public Installation...................................._.. Toilet , Private..................................................:,... Miscellaneous: z. z 'Z. .z. z B TOTAL FIXTURE UNITS = I~ 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 Year Annexed Rate per $1 ,000 Assessed Value 1979 or before 19BO 1981 1982 1983 1984 1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987. 1988 1989 1990 1991 1993 "3 ~ X $ "7. '1<(1;, (Rate X Assessed Value) X $ (Rate X Assessed Value) $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 " Credit for Parcel or Land Only If Applicable = 27~ Improvement (if after annexation date) = CREDIT TOTAL = $