HomeMy WebLinkAboutPermit Building 1996-5-1
SPRINGFIELD
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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.)