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Home My WebLink AboutPermit Building 1998-12-22 law requires you, t.o ATTENTION:Oregon the Oregon Utility \ rules adopted by e set forth fO~ ~w tion Center. Those rUles:~ 95~lb'MDENTIAL PERMIT APPLICATION ~OtlfIC; 952.Q01-001 0 thro~gh 0 he rules byITY OF SPRINGFIELD In OA y may obtain copies of t I hon~ITY SERVICES DIVISION 0090. ou (N te' the te ep II' the center. 0 '., N t'fication BUILDING SAFETY ca ,ng the Oregon Utility 0 I UmhAr for . ",>_.,~). n 2:rr efl/lieN!f\L-Bea-:Sa-el;!t . Springfield, OR 97477 Page 1 Job Number: 981351 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4585 GLACIER ST Assessors Map #: 18020512 Lot: 116 Block: Tax Lot #: 05400 Subdivision: LUCERNE MEADOW Owner: PM! Address: 1410 W HARRISON Phone #: 767-3800 City/State/Zip: COTTAGE GROVE OR,97424 Describe Work: S,F.RESIDENCE NEW Canst. Contractor Contractor # Expires Phone General: PROFESSIONAL MA 0029281 03/15/98 625-1100 PO BOX 938 SHERWOOD OR 971400938 Plumbing: JOE FRIGDMAN 0057652 09/30/98 685-9685 PO BOX 759 PORTLAND OR 972070000 Mechanical: HARVEY & SON 0055682 02/26/99 746-7677 4680 MAIN ST SPRINGFIELD OR 9747860 Electrical: ED HACK 0041908 04/14/98 929-3417 23820 HWY 20 PH I LOMATH OR 973700000 QUAD AREA: 3RSC CONSTR. TYPE: VN SQ FOOTAGE: 1712 OFFICE USE -- LAND USE: 1111 # OF BDRMS: 3 OCCY GROUP: R3 INSUL PATH: PI 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 TEMPORARY POWER FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or de'i\.'lQqg.CE: E IF "THE WORK WATER LINE - Prior to filling trench. "THIS PERMII SHALL EXPIR NO"T SANITARY SEWER LINE - Prior to filling trench. D UNDER "THIS PERMII IS STORM SEWER LINE - Prior to filling trench. AU"THORIZE ANOONEO FOR POST AND BEAM - Prior to floor insulation or deck.ingl.cNCEO OR IS AS \ .\/l~. J,~ INSULATION - Floor; prior to decking Wall/ceiling(>r~riorrto~cover ROUGH ELECTRICAL _ Prior to cover. I\NY I,,' '''' " ' ROUGH MECHANICAL - Prior to cover. ROUGH PLUMBING - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floorj prior to decking Wall/Ceiling; Prior to cover 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. SPRINGFIELD Job Number: 981351 Lot Faces: N Topography: 2 Solar Approved: Y House Garage 18 Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Item Residential Bath(s) Plumbing Permit Surcharge/Admin TOTAL CHARGE Furnace Exhaust Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT Surcharge/Admin Sidewalk Curb Cut CITY SDC WILLAMALANE PLAN CHECK TEMP/ELECT. PERMIT N Lot Sq. Ft.: 5400 Total Height: 17 Lot Type: INTERIOR Setbacks S W E 41 17 6 BUILDING PERMIT --- Square Feet 1312 400 x PLUMBING PERMIT --- 2 --- MECHANICAL PERMIT --- 2 MISCELLANEOUS PERMITS --- TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted Page 2 Lot Coverage: 31 \ Setbk From NPL: 10 $/Square Feet 64.66 16.27 (A) (Cl (Dl (E) TOTAL AMOUNT DUE (A, B, C, D, and E combined) Value 84,834.00 6,508.00 91,342.00 409.00 32.72 441.72 Fee 160.00 160.00 12.80 172.80 6.00 4.50 6.00 3.00 19.50 10.00 1. 57 31.07 0.00 17.80 14.20 2,124.10 1,000.00 60.00 124.20 3,340.30 3,985.89 Job Number: 981351 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: 11/25/98 Building Site Reviewed By: BOB BARNHART --- ADDITIONAL COMMENTS --- SEPERATE ELECTRICAL PERMIT REQUIRED 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 ~~ ~t~i:es during construction. Signature Dat'e /zhJ9 % / --- VALIDATION Date Paid: t)'!>')..3t? /2--/'1-1./1"'1 -Yf"T. 8t:; If ~WW Receipt Number: Amount Received: Received By: . . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~\~~~~,~ \\~~X_~~ ADDRESS: \L.{\Cl W ~ ,~\Jl}; M>u . Job. No.qB\$ \ PHONE: lc.:r-~~t() STATE: (\n. ZIP: ql'-{.\l).q \. LOCATION OF PROPOSED BUILDING SITE: S~~~ ..\ Street Address: . 1..\ ~ ~s. Plat Name: \ ~(l) &. al;; \& Tax Lot Number: ()f\ ~(ln ,- 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) ~.....I A. ~Ip.-F;:lmil~ Op.t;Jr.hp.n '\. Single Family home . NO. OF UNITS \ Manufactured home not in a park ~ X $1,000 per unit = '$ \.~ ~ B. Sinoh:!-F;Jmilv Att;Jr.hAn NO. OF UNITS X $924 per unit = $ C. Multi-Familv ADartment' NO. OF UNITS X $692 per unit = $ D. M;Jnllf;Jr.!lIrAci HomA P;Jr!<. . NO. OF UNITS .....ILLAMALANE SDC X $699 per unit = $ $ 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ ~~ De~pment Services Department City of Springfield It.. I 2.1... / 78" Date ATIACHMENT A Qg-/3S\ CITY OF SPRI~ELD SYSTEMS DEVELOPM~ CHARGE WORKSHEET NAME OR COMPANY: PM..f- LOCAnON: 4573"5 c;;.t..Ac ( c: ~ DEVELOPMENT TYPE: ~PD BUILDING SIZE: niL- LOT SIZE SQ Ft. 1. STORM DRAINAGE /7I;},f- j. (fl).,- ;?(4f)f 100rCp) IMPERVIOUS SQ. FT. -z..1.::L~ X $0.227 PER SQ. FT. L4Pr4 .~I 2. 5ANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) /IPJ X $47.14 PER PFU $ e4B,5'~ 3. TRA.NSPORTATION NO OF UNITS X TRIP R~TE X COST PER TRIP X I. ell X 5475.32 $ 4eO.O=;- X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 211,4+PER FEU $ 21'7.44- B. IMPROVEMENT COST: NO. OF FEU'S X Ze:;,20 PER FEU $ 25.2n MWMC CREDIT IF APPLIC.~BLE (SEE REVERSE) < $ //2,109. > MWMC ADMINISTRATIVE FEE $ . 10.00 TOTAL-MWMC SDC $ /en,").) SUBTOTAL (ADD ITEMS 1.2.3 & 4)$ 7AZ7.&f~ 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /0'1,/5-" fJ1S/ _ SDC Coordinator AITACH' A. WPD Date: (flv/q~ 1 I TOTAL sac $ :'2. rZ4 , 10 '" (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF . FIXTURE TYPE . NEW FIXTURE ---.--.. -.... -..,_.....''-.,~ - rl~[u(e unIts UNIT EQUI'/ALENT FIXTURE UNITS Bathtub................ .., ............... .... ...... ................ .... ...... Drinking Fountain... ........,............ .......................... ... Floor Drain........... ......... ....,.,.,... ............... ......... ..... .... Interceptors For Grease/Oil/Solids/Etc.......... ....... Inte:ceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clorheswasher.......... ......................... Ciotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per TrailerJ.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL....,........ ........................... ........ Shower, Gang...... ..... .................... ........................... Sink: 8ar, Commerc:al, Residential Kirchen........................ Urinal. Stall/Wall........ ............".... ......................,. ..... Wash 8a'sin/Lavatory. Single....... .... ....................... Toilet. Public Installation....... .... ............................. Toilet, Private...... ...... ...................................."..... MisceHaneous: J 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ~ J "2... r '2- I Z- /1 7_ 1/ . ~ " TOTAL FIXTURE UNITS = IS CREDIT CALCULATION TABLE: Basec on assessed value. If improvements occurred after annexation date in :2:le. calcuiate credits separates. -' Year Annexed Rate per $1,000 Assessed I/ellle .! Year Annexed Rate per $1,000 Assessed Value .! 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 l Credit for Parcel or Land Only If Applicable 4. Z. ..., X $ _?h. '311_ = 1/2, c... '1 (Rate X Assessed Value) Improvement (if after allnexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimatin9 Purposes Only) ResidentiaL..,......................, 0.4 Commerical...".................... 0.9 IndustriaL...........,................ 0 5 Governmental...................... 0.5 FIXUNIT.WPD. IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT