Loading...
HomeMy WebLinkAboutPermit Building 1998-10-3 ,( ., SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 9B0471 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 6828 SHOLLY S Assessors Map #: 18020311 Lot: 36 Block: Tax Lot #: 06100 Subdivision: SOUTH HILLS Owner: DONALD ~ SAUVER Address: 97 D. ST. APT 1# Phone #: 744-0566 City/State/Zip: SPFLD OR,97477 Describe Work: S.F.RESIDENCE NEW Contractor Canst. Contractor # Expires Phone General: OWNER Plumbing: BMC 0104805 PO BOX 292 TERREBONNE OR 977600000 Mechanical: GARIBY 0086040 PO Box 375 Klickitat WA 9B6280000 Electrical: BILLS ELECTRIC 0073462 1195 Crowley Ave SE Salem OR 973020 03/13/98 744-0566 (,~/I) q2./-12./7 ~L.~ 548-7510 10/14/95 795-4704 05/01/93 362-7169 QUAD AREA: 4RSE # OF BLDGS: 1 VN # OF BDRMS: 4 SQ FOOTAGE: 25BO OFFICE USE -- LAND USE: 1111 OCCY GROUP: R3 FLOOD PLAIN: N CONSTR. TYPE: HEAT SOURCE: FG INSUL PATH: P1 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 --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. SLAB - To be made after all ins lab building service equipment, conduit piping, and other equipment items are in place but prior to concrete ROUGH GAS - after line is installed and capped if not attached to an appliance ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. SHEAR WALL NAILING - Before covering sheathing with finish materials. ROOF SHEATING/NAILING - Before covering sheathing with finish material FRAMING - Prior to cover. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SIDEWALK - After excavation is complete, forms and sub-base material in place. CURBCUT - After forms are erected but prior to placement of concrete. FINAL MECHANICAL - When all mechanical work is complete. 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. ~ SPRINGFIELD Job Number: 980471 FINAL PLUMBING - When all plumbing work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. Lot Faces: E Topography: 16 Lot Sq. Ft.: 7240 Total Height: 28 Lot Coverage: 26.B7% Lot'Type: INTERIOR House Garage N 8 Setbacks S W 20 E 5 IB Item Main Garage UNFIN.BSMT. PORCH & DECK DEDUCT FDN. Total Value BUILDING PERMIT Square Feet x 2100 496 1053 276 $/square Feet 64.66 16.27 11.B7 8.B3 Building Permit Fee SurchargelAdmin TOTAL FEE (A) PLUMBING PERMIT --- Item Residential Bath(s) Storm Sewer 3 150 'Plumbing Permit Surcharge/Admin TOTAL CHARGE (C) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & WIH GAS F.P. 4 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT (D) --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC CITY SDC TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) Page 2 Value . 135, 7B6. 00 B,070.00 12,499.00 2,437.00 -10,000.00 148,792.00 479.25 38.34 517.59 Fee 192.50 15.00 207.50 16.61 224.11 6.00 4.50 12.00 3.00 5.00 4.50 35.00 10.00 2.80 47.BO 0.00 16.15 14.95 311.51 1,000.00 2,481.64 3,824.25 4,613.75 .,.1 Job Number: 980471 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. Plan Check Fee: Received By: Plans Reviewed By: DON Building Site Reviewed 56.23 Date Paid: 08/06/98 Receipt Number: 31013 MOORE Date: 08/14/9B By: BOB BARNHART --- ADDITIONAL COMMENTS --- PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED UNFINISHED BSMT TO REMAIN UNHEATED UNTIL PERMITS ARE OBTAINED FOR FINISHING DRIVEWAY REQUIRED TO BE PAVED 1 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. Signature Date -- - VALIDATION Date Paid: :Y 1P'7'7 /,Q/~/;7~ I I ~/j,?.7.r :~ Receipt Number: Amount Received: Received By: .r JOB NO. .3.fQ.1...Zl . ATTACHMENT A . CITY OF SP~NGFIELD SYSTEMS DEVEL~ENT CHARGE WORKSHEET NAME OR COMPANY: /)", i'L C, A Ll ,i 6 R. LOCATION: f-::,~ 2.~ I-InLL Y <7:- . DEVELOPMENT TYPE: ""i. F. R.. BUILDING SIZE LOT S I7e so. Ft. 1 . STORM I)RA I NAG~ IMPERV IOUS SO FT. 23Bq , X $0.226 PER SQ. FT. $ 534',~1 2~ SANITARY SFwFR-rrTY NO. OF PFU' S 2- c::- (See Reverse Side) X $46.86 PER PFU Ll, 17/ .50 3. TRANSPORTATiON 'NO OF UNITS X TRIP RATE X COST PER TRIP x I.O! X $472.49 $ 477.2.1 x X $472.49 $ x X $472.49 $ 4. ~ANTTARY SFWFR-MwMr D iJI5 NO. OF ffUS X Z. 77, 7bPER FEU + $10 MWMCI ADM FEE $ 2. 67. 76 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - J/7-.91 IQTAI -MWMr sn[ $ /71- I 8) SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 2, H.,3. 47 5. AI)MTNTSTRATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 118./7 J)l. Date' 6-18~q r SDC Coordinator TOTAl SOr. $2.. 4dl . 61 . , '^ I vni... VI~I I ....M.'-....u '-M. I IVIII II-\O'-C; Number 01 New Fixtures X Unit Equivalent = Fixture Units (NOTE: For'remodels, caiculate oW'he NET additional fixturesl . ' 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 SinkiDishwasher/Etc.. Shower, Single StaiL...................... .......................... Shower, Gang.......,.................................................. Sink: Bar, CommerCial, Residential Kitchen........................ Urinai, Stall/Wall....................................................... Wash Basin/Lavatory, Single.................................. Toilet, Pubiic Installation............... ......................... Toilet, Piivate...................... ... .............................. Miscellaneous: ~ 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 ., '7, 3 TOTAL FiXTURE UNITS = 4 2. 'L- 'Z..- "3 I 'l..- z.,r:;- CREDIT CALCULATION TABLE: ,ciaiCUlate credit~ separates. Year Annexed I! Based on assessed value. If improvements occurred after annexation date in table, 1979 or before 1980 1981 1982 1983' 1984 1985 1986 Rate per $1,000 Assessed Value Q,< 97 .=:> 3.89 3.83 3.70 3.55 3.39 3.20 2.91 Year Annexed 1987 1988 1989 1990' 1991 1992 1993 1994 1995 1996 Credit for Parcel or Land Only If Applicable II z:. . "'U ~ ""7 z'l.4-fo ,h-r X $ = (Rate X Assessed Valuel X $ = . (Rate X Assessed Value) Improvement (if after annexation date) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL..;....................... 0.4 CommericaL........................ 0.9 Industria!............................ 05 GovernmentaL..................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value 'I $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 ./ . . ~,~ 'Willamalane '-t'--~ Park & Recreation District Job.No. <1 &:'J ~ 1 \ fV SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~~ ~J.1~ll ...s>nJ 0..1 {\ "It \' ~- ADDRESS: -\ ~ ~ 1tk PHONE: _:l'-{L-l-()S~ ~ STATE: DU'. ZIP: <=11<-\71 .\ LOCATION OF PROPOSED BUILDING SITE: Street Address: ~S~~ 4d.)j~ ~ ~ Plat Name: l2:G~C\?-' \ l Tax Lot Number: Oc." \. UD .. 1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t . ype definitions are on the back.) A. ,Sinale-F::lmilv Det::lcheQ )0 Single Family home NO. OF UNITS Manufactured home not in a park $ \,,> -,~ X $1,000 per unit = '-A-{ ) B. .Sinale'-F::lmilv Att::lcheq NO. OF UNITS X $924 per unit = $ . C. .Multi-F::lmilv AO::lrtment NO. OF UNITS X $692 per unit = $ D. ,M::lnuf::lctured Home P::lr1i NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (iI applicable) SDG-payer must furnish proof of WiUamalane Credit approval. See SDC Credit Worksheet. $' 3. TOTAL WILLAMALANE NET SDC ASSESSED (If SDC reduced for Credit) cU $ \Vl'iJ.. ~~ . D~lopment Services Department City of Springfield L{ I 6H I '191 Date