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HomeMy WebLinkAboutPermit Building 1996-5-1 SPRINGFIELD ~- Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960356 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 6924 GLACIER DR Assessors Map #: 18020222 Lot: 8 Block: 5 Tax Lot #: 03700 Subdivision: CASCADE HGHTS Owner: PATTIE NICHOLSON Address: 41707 MCKENZIE HWY Phone #: 896-3006 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW Contractor Canst. Contractor # Expires Phone General: OWNER 896-3006 QUAD AREA: 4RSE # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2580 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 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. UNDERFLOOR PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking. ROUGH GAS - after line is installed and capped if not attached to an appliance POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor, prior to decking Wall/Ceiling; Prior to cover STORM SEWER LINE - Prior to filling trench. SANITARY 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. 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. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. SPAINOFIELD Job Number: 960356 Page 2 Lot Faces: S Topography: 20 Solar Approved: Y Lot Sq, Ft.: 6500 Total Height: 30 Lot Type: INTERIOR Setbacks S W E 13 15 24 13 15 Lot Coverage: 20 % Setbk From NPL: 33 N House 18 Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 2100 480 Value 0.00 0.00 0.00 Building Permit Fee Surcharge/Admin 556.75 44.54 TOTAL FEE (A) 601.29 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,264.04 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PERMIT --- Item Fixtures 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172 . 80 - - - MECHANICAL PERMIT - - - Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINES 3 6.00 9.00 9.00 3.00 2.00 Mechanical Permit Issuance Surcharge/Admin 29.00 10.00 2.32 TOTAL PERMIT (D) 41. 32 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC ELECTRICAL PERMIT 0.00 26.50 13.60 1,000.00 199.80 TOTAL MISCELLANEOUS PERMITS (E) 1,239.90 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,319.35 SPRINGFIELD Job Number: 960356 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: 361.89 Date Paid: 03/18/96 Received By: LISA HOPPER Plans Reviewed By: DON MOORE Date: 04/03/96 Building Site Reviewed By: LISA HOPPER Receipt Number: 20727 -- - ADDITIONAL COMMENTS - - - THERE MUST BE A WRITTEN DOCUMENT OF HOW THE STORM WATER WILL BE DISPOSED OF BEFO A PERMIT IS ISSUED. PATH 1 WE ALSO NEED THE SHEAR WALL ENGINEERING OF THE SOUT DRIVEWAY REQUIRED TO BE PAVED 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 re'quired 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. ",o.b~""~ \1 r, ~ 5".--/vq~ Date --- VALIDATION Date Paid: :2./3~ . ~/9~ 4::?/"1,3r I~ ,e'..-- _,r~ \. Receipt Number: Amount Received: Received By: . . JOb.NO.~~ SYSTEM DEVELOPMENT CHARGE \\ WORKSHEET NAME\. YI\1fu \\\ ~ Mson PHONE ~\-"~~<i ADDRESS: 4;\ ~l)f\ \1 ~ 0 f\W t\\UltrATE: fIfL ZIP: LOCATION OF PROPOSED BUILDING SITE: 6 Street Address: LeCL~4- Gtn1'~ 00 Plal'Nam, ~r{IQdg ~"' LoI Nomb" \ 'i::1)7n727.D31tJ! 1. DEVELQPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. flinolp.-Filmilv Detilched. \ Single Family home NO. OF UNITS ( Manufactured home not in a park X $1,000 per unit = $ lCC(),oO I I I "i B. f'inolp.-Filmilv Attached. NO. OF UNITS X $924 per unit = $ C. .Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. ,M;:Jnufilctured Home Park NO. OF UNITS X $699 per unit = $ $ \DnO .DD WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit WorKsheet. $ if $ lOOf) pU 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~,\~ Development Servi City of Springfield 5// Date I 5'6 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: PATTIE NICHOLSON Location: 6924 GLACIER DR Developement Type: R Building Size: Job No.: 960356 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2192 X 0.210 Per Sq Ft = 2. SANITARY SEWER - CITY Number Of PFUs 20 X 43.43 Per PFU = (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X x Cost Per Trip 437.93 $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 20 Per PFU + 18,750 + MWMC Admin Fee 10,00 X X 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 0.50 TOTAL SDC Reviewed By: DENNIS ERNST Date: 03/25/96 Page 1 Sq Ft $460.32 $868.60 $442.31 $385.00 $0.00 $385.00 $2,156.23 $107.81 $2,264.04 SPRINGFIELD Job Number: 960356 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 1 o o o 1 o 1 o 2 o 2 o 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o 2 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: Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : o x 0,00 0.00 o x 0.00 0.00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate.)