HomeMy WebLinkAboutPermit Building 1998-10-3
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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