HomeMy WebLinkAboutPermit Building 1998-7-21
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SPRINGFIELD
ATTENTION:Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 95!JOO1iDENTIAL PERMIT APPLICATION
0090. You may obtain copies of the rules bfITY OF SPRINGFIELD
calling the center. (Note: the telephone>MMUNITY SERVICES DIVISION
number for the Oregon Utility Notification BUILDING SAFETY
Center is 1-800-332-2344).
225 North Fifth Street
Springfield, OR 97477
Page 1
Job Number: 971378
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4551 GLACIER DR
Assessors Map #: 18020512
Lot: 117 Block:
Tax Lot #: 05600
Subdivision: LUCERNE MEA
Owner: PROPERTY MANAGEMENT
Address: P.O. BOX 938
Phone #: 767-3800
City/State/Zip: SHERWOOD, OREGON
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: PROFESSIONAL MA 0029281 06/15/98 235-1370
PO Box 938 Sherwood OR 971400938
Plumbing: CUSTOM PLUMBING 0081994 05/06/98 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: HARVEY & SON 0055682 02/26/98 746-7677
4680 Main St Springfield OR 9747860
Electrical: ED HAUCK 0000198 03/10/95
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
4-("1
To request an inspection, call the 24 hour recording at 726~7691~
'I'(/Jl 1S'.o .~
All inspections requested before 7:00 a.m. will be mad~e1~~@~Orking day,
inspections requested after 7:00 a.m. will be made th~~W~ ~~k day.
REQUIRED INSPECTIONS --- ?&oo~Q~o~(/~o;:((~
FOOTING - After trenches are excavated. ')-.0 19/,(\ 19~~?3
FOUNDATIO~ - After forms are erected but prior to concrete Pl~~~e~ ~ ~~
UNDERFLOOR PLUMBING - Prior to insulation or decking. ~ ~~a .o~?3 ~~
UNDERFLOOR MECHANICAL - Prior to insulation or decking. 01l~~? ~Q
POST AND BEAM - Prior to floor insulation or decking. ~~ ~~ 19~
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover O~ O?
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.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
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.
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,
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: HP
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
Wall/Ceiling; Prior to cover
y
SPRINGFIELD
~-
Job Number: 971378
Lot Faces: N
Solar Approved: Y
Total Height: 19
Lot Type: INTERIOR
Setbacks
S W E
34 12 7
12
Page 2
Setbk From NPL: 52
N
House 25
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1408
400
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
ELECTRICAL PERMIT
SYS DEVEL CHARGES
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
(A)
= Value
91,041.00
6,508,00
97,549.00
427.00
34.16
461.16
Fee
160,00
160.00
12.80
172.80
6.00
4.50
9.00
3.00
22.50
10.00
1. 81
34,31
0.00
22.75
14.80
60.00
1,000,00
124.20
2,173.54
3,395.29
4,063.56
(C)
(D)
(E)
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. I
SPRINOFIELD
Job Number: 971378
Page 3
Received By:
Plans Reviewed By: DON MOORE Date: 09/26/97
Building Site Reviewed By: LISA HOPPER
- -- ADDITIONAL COMMENTS ---
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
ill remain on the site at all times during construction.
Date Paid:
() 1LuP_' Y\l1t-J drruO. ~~
N'd1)~
- -- VALIDATION
~()<tNl
~ .~t,a~
\ rif)~ ~!.o
\ff\\[)~ )
1.fj t[ <6'
Date
Receipt Number:
Amount Received:
Received By:
'.
.
~fJ \PflZ-
,\
SYSTEM DEVELOPMENT CHARGE
WORKSHEET '.
NAMcJ^nk.~\rrolJ~ ~m~HONE:~\.bl.~9{n
ADDRESS: ~~(Q . _~~) ~STATE: tJt. ZIP: illl4D
LOCATION OF PROPOSED BUILDING SITE: '
Street Addr,sl, ~\ b \(\ t';0 () ~
Plat Name: tl,\U'Lm.t... Tax Lot Number: \~
1. DEVELOPMENT TYPE; (Check appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on the back,)
\.
A. Sinnle-Familv Detached
t Single Family home
, NO. OF UNITS \
Manufactured home, not in a park
X $1,000 per unit = $ \ [\00 .l:O
B. Sinnle'oFamilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv ADartment
NO. OF UNITS
X $692 per unit = $
D. Manllf!>JlliJred Home Park
NO. OF UNITS
X $699 per unit = $
$ \000 pO
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of r'/
Willamalane Credit approval. See SDC Credit Worksheet. $ ~
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
. \~p~,~~:i2rtmern
City of Springfield
$ lOOO ~
f) I ~ /~ .!l5{
Date
. .
. ~.')l~. ,'" . :J~li:r-:". \""R~; ?~>'~.:3~!')'i'H,'V?";-c-;.~,""'.i""'\~,;9.,;,,...;:;':..J...:t"o-l''''-''~"'''d08'''NO'''''''''''~''-:] /..3.78. '
. .' I --- <'ATT"A"C'H"-M'<E"N"'T";;'A~::"~"':,;;';'.'>"''''''-.;;....:~.;. ,....., . ;
" .' . ...;. - .'. ,.-::..~ ,'" . " - ...; ......", . . " .
. .
CITY OF S NGFIELO' SYSTEMS DEVELOPMENT. CHARGE
WORKSHEET
.
NAME OR COMPANY: . ~oFe$~/oOVJ\'- MAIVAC::>5He'AJT:' L...c... ~ .
LOCATION: 455/ . G L A Co I ER-
DEVELOpMENT TYPE: S"F'K"
-.
BUILDING SIZE LOTSIZF "0. Ft.
1. c; TORM ORM n"-G E
I1~PERv'IOUS SQ. FT. . 2'J4Q'r
x $0.226 PER SO. JT. $ 5~. 77
2. SJl.NITA.RY SE\vER-CfTY
. NO. OF P FU . S ' I ~
(See Reverse Side)
:< $46.86 PER PFU
$ 843.48'
3. TRANSPORTATION
'NO OF UNITS X TRIP RATE X COST PER TRIP
I' X 1.0 I X $472 49
$ 477.2/
X
X $472.49
$
X
X $472.49
$
4. SAN TTARY c;FWFR -Mv.Mr.
.' Del. DL>
NO.OFfftr'"S X 277.7r...PER FEt! + $10 MWMClADMFEE$ 287.7'-
MWMC CREDIT IF APPLICABLE '(SEE REVERSE)
$ - I 03 . 18
TOTAl -M\vMC SOC . $ I 8 4 ,')8
. SUBTOTAL (ADD ITEMS 1.2.3 & 4)
$ .;7, 07t) .04-
5. AoMINTSTRATIVF FEFS
. BASE CHARGE (SUBTOTALABOVEl'X .05
$
Jl)3 ..$'""0,'
M;. '
.J
. Date: . Q-Z-'3.,q7
- SDC Coordinator
. TOTAL ,SOC $ "2.I7,j,St
1\
.. . riA I una:: UIIIII \"J-:\L.\"UL.J-\ IIUIII I J-\DL.C; NumOer or New l-Ixtures x..umt equivalent = Fixture.Units
(NOTE: For-remodels, calculate only iAl,ET T additional fixtures) . " .
. . '. ~ -- . NUMBER OF . . UNIT FIXTURE'
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
.
'"l.-
2
1
2'
3
6
2
6
6.
1
3
2
i/Head
2
2
1
6
4
Z-
Bathtub.............. ....................................:.... .......:.......
Drinking. Fountain................................ .:........::.........
Floor Drain................'..... ... ...... ... ................................. .
Interceptors For Grea~e/Oil/Solids/Etc...........:..... '
Interceprors 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 Sink/Dishwasher/Etc..
Shower, Single Stall...........:...........,....................:....
Shower, Gang..... .................:........................ ..........:.
Sink: Bar, Commercial, Residential Kitchen.....:.....:.........:..
. . ,
Urinal. StaIi/Wall........:.......................... ......................
Wash Basin/Lavatory, Single............. .....................
Toilet, Pubiic Instaliation......:. ...............................
Toiler, Private............ ... .......... ... ...... .......................
Miscellaneous:
'-
2....
-z...
'2..
:z...
fl
TOTAL FiXTURE UNITS
=
/8
CREDIT CALCULATION TABLE:
. calculate ,,-,-edits separates.
II
I
Based on assessed value. If improvements o'ccurred after annexation date in table,
..
Rate per $ 1 ,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Vaiue
Year
Annexed
$3~
3.89
3.83
3.70
3.55
3.39
3.20
2.91
19B7
1988
1989
1990
1991
1992
1993
1994
.1995
1996
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
,
r1979 or before
1980
1981
1982
1983
1984
198'5/
1986
Credit for Parcel or Land Only If Applicable
. 3,97_ X $ 2<;:QQO
(Rate X Assessed Value)
X $
. (Rate X Assessed Value)
=
103. /8
Impro'vement (if, after ann~xation date)
=
CREDIT TOTAL = $ 103,18
RUNOFF COEFFICIENTS FOR STORM .DRAINAGE
'(For Estimatin9 Purposes Only)
.
F\c5jd~ni;;j...-: ..... .._. _............. OA
Commerical..................:....... 0.9'
Industrial.:.................:........ 05
Governmental................:..... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZEX RUNOFF COEFfiCIENT