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Home My WebLink AboutPermit Building 1998-12-22 ~. Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 981352 225 North Fifth Str~ENTION:Oregon law requires you to Springfield, OR nJi?ijow rules adopted by the Oregon Utility Notification Center. Those rules are set forth Loca tion of Propoile@~l!R:l-~1(jOWu])EllhiflAR 952-001- Assessors Map #: ~eS'i>llJ may obtain copies of the rules ~x Lot #: 05500 Lot: 11 7 calling ~~er, (Note: the telephonSUbdi vision: LUCERNE MEADOW number for the Orellon Utility Notification Owner: PMI Center is 1-800-332-2344)Phone #: Address: 1410 W. HARRISON City/State/Zip: COTTAGE GROVE OR,97424 Office: 726-3759 Inspection Line: 726-3769 Describe Work: S.F,RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: PMI 0076549 09/16/95 548-4505 PO Box 1004 Redmond OR 977560000 Plumbing: JOE FRIDLUND 0065235 04/25/95 332-0660 7824 Frankford Ave Philadephia PA 1 Mechanical: HARVEY & SON 0055682 02/26/99 746-7677 4680 MAIN ST SPRINGFIELD OR 9747860 Electrical: ED HACK NCOb~~68 04/14/98 929-3417 23820 HWY 20 PHILOMATH ol1l?i.n)l.q.~IlRoaHALL EXPIRE IFTHE WORK QUAD AREA: 3RSC OCCY GROUP: R3 INSUL PATH: P1 OFFICE USE' 'Jlvnll.l:1J VI~L.lcn I nl", r-cnlVIII I", NU I LAND USE~:')ra!Ml:i~CED OR IS ABANOONE[o!'C1?~DGS: 1 CONSTR. A'Plfrill ~y PERIOD, # OF BDRMS: 3 SQ FOOTAGE: 1866 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. 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. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. ELECTRICAL SERVICE - Must be approved to obtain permanent power. 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. Job Number: 981352 ." - - "', ..'-- -- ~ - Lot Faces: S Topography: 2 Solar Approved: Y Lot Sq. Ft.: 6000 Total Height: 16 Lot Type: INTERIOR Setbacks S W E 5 5 N House 28 Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1466 400 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT --- Item Residential Bath(s) 2 PI urOOing Permit Surcharge/Admin TOTAL CHARGE --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent 2 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE PLAN CHECK TEMP/ELECT. PERMIT TOTAL MISCELLANEOUS PERMITS / - Page 2 Lot Coverage: 31 % Setbk From NPL: 10 $/Square Feet 64.66 16.27 (A) (C) (D) (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, 0, and E combined) Value 94,792.00 6,508.00 101,300.00 437.50 35.01 472.51 Fee 160.00 160.00 12.80 172.80 6.00 4.50 6.00 0.00 3.00 19.50 10.00 1. 57 31.07 0.00 14.50 14.50 2,184.77 1,000.00 60.00 167.40 3,441.17 4,117.55 Job Number: 981352 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. Received By: Plans Reviewed By: AL WARD Date: 11/30/98 Building Site Reviewed By: BOB BARNHART \ --- ADDITIONAL COMMENTS --- SEPERATE ELECTRICAL PERMIT IS REQUIRED 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. a'A t m -,e~~uJ/:::) '- S1gnature 1Z/22./7'Y Dat~ {. -- - VALIDATION Date Paid: 03Z?i\ 12.-!J-.../Qf ~::J:JJl Receipt Number: Amount Received: Received By: . . . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: 't>MI \ LH t) \ l) ~~ {C>J\l\ll ~ No PHONE: r---. STATE: C\!). ZIP: e\l Lll9.Lf \. LOCATION OF PROPOSED BUILDING SITE: L{!;i"3, . ~. ~ ~* ... Street Address: Plat Name: \ &)~CC, \(4. Tax Lot Number: CJSS 0() ,- 1. DEVELOPMENT TYPE (Ch~c:( appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinolp.-F::Jmilv I)At;:l~ \ Single Family home . NO. OF UNITS l Manufactured home not in a park $ \ ,"""'" Q9.. X $1,000 per unit = '-' \...-'U B. ~1p"-F::Jrnilv_Att::lr.hp.ri NO. OF UNITS X $924 per unit = $ C. Multi-F::lrnilv AO::Jrfrnent NO. OF UNITS X $692 per unit = $ D. 1Wnllf::JdllrP.ri Hornp. P::lr!<. . NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ $ \ CJ<s) Q.L 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ,\ ~K Development Services Department City of Springfield fL- Date -z.};... I I 1'1 ", A IT ACHMENT A CITY OF SPRI~"'IELD SYSTEMS DEVELOPM~ CHARGE WORKSHEET q ~ I 2> 5 "2- NA.ME OR COMPANY: PMr LOCAnON: < 4t;,3 ~Itu' A.-O" , OE\/ELOPMENT TYPE: ~(- D BUILDING SiZE: I?'fI(. LOT SIZE SQ. Ft. 1. STORM DRAINAGE :M:.. /t~c, 101/(.,,) (J 15)(2) (57)+--1::> (:)) 1- .~ IMPERViOUS SQ. FT. 2.4--25 X $0.227 PER SQ. FT. $ ~5o,H 2. SANITARY SE~ER-CITY o' NO. OF PFU'S /7)3 (See Reverse Side) X $47.14 PER PFU s ~ .52.- -- . -: .. . , 3. TRP.NSPORTATION NO OF UNITS X TRIP R~TE X COST PER TRIP X I. () I X 5475.32 $ 4-eO. 07- X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 211,4+PER FEU $ 217.44- B. IMPROVEMENT COST: NO. OF FEU'S X Z'? 20 PER FEU $ Z5. zn MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ /l0.''t8' . > MWMC ADMINISTRATIVE FEE $ 10.00 TOTAL -MWMC SDC $ 2.0 (, M" . SUBTOTAL (ADD ITEMS 1.2,3 & 4) S ZD6o,73 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE> X ,05 $ i64-.jj~ . /h1t- SDC Coordinator ATTACH" A. WPD Date:~ I I TOTAL SDC s:Z/84,77"' (NOTE; For remodels, calculate only the NET additional fixturesl NUMBER OF . FIXTURE TYPE . NEW FIXTURE Bathtub................ ..... .,...........,.... .......... .... ........... ...... Drinking Fountain... ........................ ...... .., ................. Floor Drain........ ... ...............,.,..... ......... ...................... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................,.. Ciotheswasher - 3 Or More..................................... ,."lcDile Home Park Trap (1 Per Trailerl.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL....:.,......... ........................ ........ Shower, Gang............................... ........................... Sir,k; 8ar, Commercial, Residential Kitchen........................ Urinal. Stall/Wall..... ....:.........."................. '" ......,.,.... Wash Ba'sin/Lavatory, Single.................................. Toiiet, Public Installation............... ..................... .... Toilet, Private....................... ........................... ..... Miscellaneous; -. ----- -..,_..~.......~ - rlXlure unJ(S UNIT EQUI'/ALENT / 2 FIXTURE UNITS 2... 7- L- :::2 ~ P-. / 1/;$ calc:.1iate credits separates. 2 0 ~ 6 I 2 6 6 . I 2 lii-:ead f 2 2 II 1 6 1/ <1 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: Basee on assessed value. If improvements occurred after annexation date in :a:le. Year Annexed Rete per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value i' 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3,83 3.68 3.48 3.18 2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 $1.98 1,55 1.15 0.96 0.83 0.67 0.52 0,38 0.21 ( ,I J Credit for Parcel or Land Only If Applicable <f-,21 X $ Z5.Cj5- = lIo.'1g (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement [if after armexation date I RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL........................., 0.4 Commerical......................,.. 0.9 Industrial............................ 05 Governmental..................:.., 0,5 FIXUNIT. WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT