HomeMy WebLinkAboutPermit Building 1997-8-13
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SPRINGFIELD
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Page 1
RBSIDENTIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
Job Number: 961491
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4536 GLACIBR ST
Assessors Map #: 18020512
Lot: Block:
Tax Lot #: 03900
Subdivision:
owner: JACK FOWLBR
Address: 1675 RIVER RD
Phone #: 461-0074
City/State/Zip: EUGENE, OR 97404
Describe Work: S.F. RBSIDENCB
NIlW
Contractor
Const.
Contractor #
Bxpires
Phone
General: OWNER
Plumbing: OWNER
Mechanical: OWNER
Electrical: OWNER
QUAD AREA: 3RSC
RANGE: E
OFFICB USB --
LAND USE: 1111
INSUL PATH: SGC
WATER HEATER: 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.
RBQUIRBD INSPBCTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDBRFLOOR PLUMBING - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
WATBR LINE - Prior to filling trench.
SANITARY SBWER LINIl - Prior to filling trench.
STORM SBWER LINIl - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH BLBCTRICAL - Prior to cover.
BLBCTRICAL SBRVICB - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
INSULATION - 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.
CURBCUT - 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 BLBCTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Lot Sq. Ft.: 9600
Lot Coverage: 16.61\
SPRINQPIELD
Job Number: 961491
Page 2
Setbk From NPL: 76
Topography: 2
Solar Approved: Y
Total Height: 18
Lot Type: INTERIOR
Setbacks
S W E
6
18 6
N
House
Garage
Item
Main
Garage
Total Value
BUILDING PBRMIT ---
Square Feet x
1205
390
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FBB
--- SYSTEMS DBVBLOPMENT CHARGB (SDC) ---
= Value
77,915.00
6,345.00
84,260.00
388.00
31.04
(A)
419.04
(B) 2,328.82
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PBRMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGB
MECHANICAL PBRMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
2
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PBRMIT
--- MISCBLLANEOUS PBRMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAL MISCBLLANEOUS PBRMITS
(Excluding Blectrical)
unless otherwise noted
TOTAL AMOUNT DUll
(A, B, C, D, and E combined)
Fee
160.00
160.00
12.80
(C)
172.80
4.50
6.00
3.00
15.00
10.00
1.20
(D)
26.20
0.00
22.00
14.50
1,000.00
124.20
252.20
(B)
1,412.90
4,359.76
Job Number: 961491
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ___
This. permit is granted on the express condition that the said construction
shall, in all re'spects, 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: 252.20 Date Paid: 11/27/96
Received By:
Plans Reviewed By: DON MOORE Date: 11/20/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 23930
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
--- ADDITIONAL COMMENTS ___
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.
"\.1'"C :''''. . rHte
Signature
~-n-q,
Date
Date Paid:
~~~-?llDATION
\V~ \ 0\1o .
4.~-{~ "7lQ
Receipt Number:
Amount Received:
Received By:
.
.
SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ~~es O(A~rO)
\ <{,M[).g,S~IPY-~C\rO
~~~ ~ODiOJNN'0 \t{J\:)
)pe~ts are non-transferable and expire
if york is not started within 180 days
of issuance or if work is suspended for
180 days.
CONTRACTOR INSTALLATION ONLY
Contractor
Address
Ci ty ~ Phone /
Supervisor Licen~m~
Expiration Date ~
Constr Contr. ~er
Si~ e of Supervising
o~ners NankAc\tX ~)\QU .J-
Address \\Q~\1~\ ~~\(caO'i
Ci ty Y)Y)(l.t\Q.,. Phone~ry \. ml4-
OVNER ~STALLATION'
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature: \' ()
Y)I. ~'J\/^ ......^\L"h~
~:c::~tcrw~~~
RECEIVED BY: .
ELECTRICAL PERMIT ArP~1CfPiON
City Job Number l\VJW\ \
3.
COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
(
-d
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$ 85.00
A~
3D
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
ll~~
c=.."1'
. ~ A:S.
..l~.q~1
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: JACK
Location: 4536
Developement Type: R
FOWLER
GLACIER ST
Building
1. STORM DRAINAGE
Impervious Sq Ft
2445
2. SANITARY SEWER - CITY
Number Of PFUs 20
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
20
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
TOTAL SDC
Reviewed By: DENNIS ERNST
Job No.: 961491
Size:
Lot Size:
X
0.216
Per Sq Ft
X
44.75
Per PFU
X
Cost Per Trip
451. 26 =
$455.77
X
X
MWMC Admin Fee
10.00
Per PFU +
20.690 +
0.50
Date: 11/18/96
Page 1
Sq Ft
$528.12
$895.00
$455.77
=
$423.80
$84.77
$339.03
$2,217.92
$110.90
$2,328.82
SPRINGFIELD
Job Number: 961491
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
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
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
2
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
4
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
20
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1979
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
24,430
X
3.47 =
84.77
o
X
3.47 =
0.00
CREDIT TOTAL =
$84.77
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)