HomeMy WebLinkAboutPermit Building 1996-1-12
SPRINGFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960034
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 831 HAYDEN BRIDGE PL
Assessors Map #: 17032612
Lot: 38 Block:
Tax Lot #: 01101
Subdivision: NORTHRIDGE
Owner: TERRY FOSS
Address: 864 V STREET
Phone #: 741-7814
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: FOSS 0080292
33860 Van Duyn Rd Eugene OR 9740100
Plumbing: CUSTOM PLUMBING 0081994
3248 Kentwood Dr Eugene OR 97401000
Mechanical: HARVEY & SON 0055682
4680 Main St Springfield OR 9747860
02/18/96
741-7814
05/06/96
485-1146
02/26/97
746-7677
QUAD AREA: 2RNW
.# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1992
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
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 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.
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.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
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Job Number: 960034
Page 2
Lot Faces: N
Setbk From NPL: 18
Lot Sq. Ft.: 13261
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
N
Setbacks
S W
62
E
9
House
Garage
18
16
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1506
486
$/Square Feet
56.20
14.10
Value
84,637.00
6,853.00
91,490.00
Building Permit Fee
Surcharge/Admin
409.00
32.72
TOTAL FEE
(A)
441. 72
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,182.78
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)
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
IN LIEU ASSMT
WILLAMALANE SDC
3
6.00
4,50
9.00
3.00
0.00
0.00
Mechanical Permit
Issuance
Surcharge/Admin
22.50
10.00
1. 81
TOTAL PERMIT
(D)
34.31
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Curb Cut
WILLAMALANE SDC
0.00
2C= ge ~
1,000.00
TOTAL MISCELLANEOUS PERMITS
(E)
1,026.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, a, c, D, and g combined)
:~~:1.Sl"'
~e'3I.1
--- 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.
Job Number: 960034
Page 3
Plan Check Fee: 265.85 Date Paid: 01/08/96
Received By: LORNE PLEGER
Plans Reviewed By: BOB BARNHART Date: 01/11/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 20005
- - - ADDITIONAL COMMENTS
REQUIRES SEPERATE ELECTRICAL PERMIT, PATH 1,
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
will remain on th site a all es uring construction.
/-/2-96
SYgnature
Date
--- VALIDATION
Receipt Number: 2~ '9
Date Paid: ~/4?~~
Amount Received: ?~~/. b /
Received By: ~~':#O.e
~
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: TERRY FOSS
Location: 831 HAYDEN BRIDGE PL
Developement Type: R Building Size:
Job No.: 960034
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2707 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 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
18
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: TROY MCALLISTER
Date: 01/10/96
Page 1
Sq Ft
$568,47
$781. 74
$442.31
$347,50
$61.18
$286.32
$2,078.84
$103.94
$2,182.79
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SPRINGFIELD
Job Number: 960034
FIXTURE UNIT CALCULATION TABLE
Page 2
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
1
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
2
o
o
o
o
2
o
o
o
2
o
2
o
2
o
8
o
2
2
1
6
4
18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1971
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
17,630
x
3.47
61.18
o
x
3.47
0.00
CREDIT TOTAL =
$61.18
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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Job. No.
Q\~
. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \&x11 r. .tn~
ADDRESS: ~\~ \\ ~oot
PHO'NE: 1L\\ .l~l4-
STATE:t)L ZIP: 9i11:I1
LOCATION OF PROPOSED BUILDING SITE:
Street Address: . ~ ~\ t\nufo f\ \\ .
Plat Name: ,. Tax Lot Number:
~\rH\.O-
1
1. DEVELPPrt.lENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on lhe back.)
A. ~inale-Familv Detached
, Single Family home
. NO. OF UNITS
Manufactured home not in a park
\ X $1,000 per unit = $ JtNlp{)
B. ~IA-F::llI1i&.Attacher.l
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. .Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
. X $699 per'unit =
$
$
\ tt{) (D
i
\ DcO fi)
2. SDC CREDIT (if applicable) SDC-:payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worl<sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credil)
~.~t~~Qartm.ot
City of Springfield
$
/
/
Date