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Home My WebLink AboutPermit Building 1996-2-15 SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951780 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 7284 GLACIER DR Assessors Map #: 18020212 Lot: 77 Block: Tax Lot #: 01600 Subdivision: MCKENZIE HILLS 1 owner: DENNIS BUCKMAN Address: C/O 7297 HOLLY STREET Phone #: 726-1525 City/State/Zip: SPRINGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE Contractor Canst. Contractor # NEW Expires Phone 12/30/95 726 -1525 08/15/96 343-0975 12/23/95 747-7445 03/17/96 688-3070 General: STEVE WILLIAMS 0058131 7297 Holly Street Springfield OR 97 Plumbing: CONTRACTORS PLU 0101624 1590 Bogart Lane Eugene OR 97401000 Mechanical: MARSHALLS 0025790 4131 E St Springfield OR 974780000 Electrical: DEANS ELECTRIC 0089739 1400 Candlelight Drive #171 Eugene QUAD AREA: 4RSE # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: FP INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: E SQ FOOTAGE: 2908 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE RANGE: E 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 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. 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. SPRINQFIELD ~- , Job Number: 951780 Page 2 Lot Faces: S Topography: 22 Solar Approved: Y Lot Sq. Ft.: 6400 Total Height: 25 Lot Type: INTERIOR Setbacks S W E 6 5 Lot Coverage: 30 % Setbk From NPL: 38 N House 44 Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 2508 400 $/Square Feet 56.2 14.1 Value 140,950.00 5,640.00 146,590.00 Building Permit Fee Surcharge/Admin 538.75 43.10 TOTAL FEE (A) 581. 85 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,324.82 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 Residential Bath(s) 3 Fee 192.50 Plumbing Permit Surcharge/Admin 192.50 15.41 TOTAL CHARGE (C) 207.91 - - - MECHANICAL PERMIT - - - Furnace Exhaust Hood Vent Fan Wood Stove/Insert/Fireplace Unit Dryer Vent WILLAMALANE SDC ADDITIONAL PLAN REV. 4 6.00 4.50 12.00 15.00 3.00 0.00 0.00 Mechanical Permit Issuance Surcharge/Admin 40.50 10.00 3.25 TOTAL PERMIT (D) 53.75 --- MISCELLANEOUS PERMITS ---' Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC . ADDITIONAL PLAN REV. 0.00 21. 25 14.80 1,000.00 140.00 TOTAL MISCELLANEOUS PERMITS (E) 1,176.05 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,344.38 SPRINGFIELD ~- Job Number: 951780 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: 350.19 Date Paid: 11/14/95 Receipt Number: 11578 Received By: Plans Reviewed By: DON MOORE Date: 02/14/96 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED MAXIMUM AVERAGE BUILDING HEIGHT ALLOWABLE IS 30 FEET ABOVE ADJACENT GRADE. 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 9f 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. C:2~/ 0 -- 2- -(' .;- 96' Date --- VALIDATION Date Paid: 2LJ40/ ~/./ 5""' /l' lP ~?./4. :J8 - - , 1~- Receipt Number: Amount Received: Received By: TI)'3 following pro~sct os Qu.bmtlted has the folloWi.. ZQr:lrl~l, and does not requIre spec!f1c land use u?prcval. 225 FIFTH STREET Z;>ning L.;OV SPRINGFIELD, OREGON 9747bate.Q-(7-7f:P INSPECTION REQUEST: 726-3769 '5 J/J OFFICE: 726-3759 ' Authorized Signature I 3. 1'\15~ ~t~~) \~~3\\d1) ~~\fCS~PTION ~ rK 'Pi Permits are non-transferable and expire if vork is not started vithin 180 days' of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor UAVGt( /HAMrMt!r EI~c.T, . Address 35"~ .s ~,k Ci ty 5Pf~ Phone 7<(<( -, , r,5" Supervisor License Number '$ S 77 - S Expiration Date /0 -~8 Cons t r Con t r. Number f.,,,, 2.. 3 Expiration Date ~- S -"t(b Signature of Supervising Electrician , :FL ~~ Ovners Na~ _ Address2A,r a~v1.l ffl.Lcl' CitY~~~/'- Phone~ OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Ovners Signature: ~~~E~--------~~---;---~~~~-;C{f:---- RECEIPT II:~ - \J\.f1 RECEIVED BY:_,..=/ )~l_ ~\:~ ELECTRICAL PERMIT ~PLICAT~~, Ci ty Job Number '-^ CJ\1ru COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less l $ 85.00 <65 Each additional 500 sq. ft or portion 4 (gO thereof $ 15.00 Each Manuf'd Home. or' Modular'Dvelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $80.00 see fiB" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ , 2.00 E. M'iscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL S 40.00 $ 40.00 $ 20.00 S 36.00 14:1.cV '1.7~ l~~~~ ../ .. . ~ ' . SYSTEM DEVELOPMENT CHARGE ~ WORKSHEET NAME: '-'\.O~ \?1ur tN\f\ PHONE: ADDRESS: ~.At\-1)a.'1~ \.\~\\\~ ~\Mrt STATE: ~ ZIP: (\lt11. LOCATION OF PROPOSED BUILDI~ SITE: Street Address: lt~4- C"l \nfu L . . , , Plat Name: ~~~(F\Q\\\\\~ Tax Lot Number: \~l'flliU?~ O\\rill 1. DEVELOPMENT TYPF. (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) ~~\l~ Job. No. A. Simlle-F~milv Def;:Jched \ Single Family home . NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ ~ ~ B. ~inCJle-F;:Jmilv Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartmen~ NO. OF UNITS . X $692 per unit = $ D. MPnufa~ HnmA P~rk NO. OF UNITS WILLAMALANE SDC X $699 per 'unit = $ $ \{Jl'){:) ,00 xi 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) '\~ )\~N1\oO Development Serx\:es Department City of Springfield $ \DO[) pO 2 I / 5' I J'e- Date ~