HomeMy WebLinkAboutPermit Building 1999-2-12
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SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990073
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 989 HAZELNUT LN
Assessors Map #: 18020614
Lot: 7 Block,
Tax Lot #: 00000
Subdivision: JASPER PARK
Owner: TUMALO HEIGHTS LLC Phone #, 484-1601
Address: 560 COUNTRY CLUB PKWY, City/State/Zip, EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
Contractor
Canst.
Contractor #
NEW
Expires Phone
04/01/98 501-1150
01/09/00 484-7440
12/15/99 686-4927
06/06/99 687-1362
General: RUTTOFF HOME BU 0122247
C/O 560 COUNTRY CLUB ROAD, 105, EUG
Plumbing: EUGENE PLUMBING 0044012
325 DELLWOOD EUGENE OR 974054909
Mechanical: ROLFS HEATING 0103570
648 W OREGON AVE CRESWELL OR 974260
Electrical: BINNS ELECTRIC 0073762
210 WALLIS STR UNIT #C EUGENE OR 97
QUAD AREA: 3RSC
# OF UNITS, 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1999
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 ---
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,
TEMPORARY POWER
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
UNDER FLOOR PLUMBING - Prior to insulation or decking,
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench,
UNDER FLOOR DRAIN - Prior to cover or placement of concrete.
ROUGH PLUMBING,- Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; 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.
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SPRINGFIELD
Job Number: 990073
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.
Lot Faces: W
Topography: 2
Solar Approved, y
Lot Sq. Ft,: 6120
Total Height, 20
Lot Type, CORNER
Setbacks
S W E
15 14 18
18
Page 2
Lot Coverage: 32,7 %
Setbk From NPL: 22
N
House 5
Garage 5
Item
Main
Garage
PORCH
Total Value
BUILDING PERMIT ---
Square Feet x
1482
517,5
28
$/Square Feet
69,64
18,34
15
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
2
Mechanical Permit
'Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECT PERMIT
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
103,206.00
9,491.00
420.00
113,117.00
464.50
37.17
501. 67
Fee
160.00
160,00
12,80
172.80
6.00
4.50
6.00
15.00
3,00
34.50
10.00
2,77
47.27
0,00
28.00
15.10
1,000,00
2,324,17
167,40
3,534.67
4,256,41
SPRINGFIELD
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Job Number: 990073
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:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
300,46
Date Paid: 01/19/99
Receipt Number: 32596
MOORE Date: 02/11/99
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
PATH 1; UNCOMPACTED SITE FILL TO BE EXCAVATED AND/OR RECOMPACTED
DRIVEWAY REQUIRED TO BE PAVED
3 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, anq the approved set of plans
will remain on the site at all times during construction.
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V~'Z--/99
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Date
- u VALIDATION
Date Paid:
J2-~4-
2;//YC:;> 5'
~
Receipt Number:
Amount Received:
Received By:
. ATIACHMENT A __,' 0CJtJo 73
CITY OF SPRIN~ELD SYSTEMS DEVELOPM~ CHARGE
WORKSHEET
NAME OR COMPANY: lIJ/V"'Jo
LOCATION: qg'q I-fIl/Y~J/lwI
DEVELOPMENT TYPE: ~c>
BUILDING SIZE:
LOT SIZE
SO, Ft.
I
1. STORM DRAINAGE (! x..'t~) .,..&4 r ~(P):2 r -jq?q,S-
IMPERVIOUS SQ. FT. '1--'5Cf'5.5{) X $0.227 PER SQ, FT. $ SXI.If'
2. SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse Side)
'M
X $47,14 PER PFU
$ !5C;~ ~0
3. TRANSPORTATION'
NO OF UNITS X TRIP R~TE X COST PER TRIP
X LeI
X $475,32
$ 4-e(), o-:r
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 211,4+PER FEU
$ 2/7,41:-
B, IMPROVEMENT COST:
NO. OF FEU'S
X 2". 20 PER FEU
J 2:5.20
MWMC CREDIT IF APPUC.<\BLE (SEE REVERSE) < $ IA,,(}!: >
MWMC ADMINISTRATIVE FEE '. $ 1000
TOTAL-MWMC SDC $ ~4g.~
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ZZ/3. ,9)
5. ADMINISTRATIVE FEES:
BASE CHARGE ( SUBTOTAL ABOVE) X . 05 $ 1/ 0 I & 7 '
II1SL- Date:_I/;!,z'B7
SDC Coordinator /' I TOTAL sac $ ::z.324./=t
ATTACH' A. WPD
- - -~ . . . - . ~ .. ..-....-. III1UllIUl;;l VI 1'4t:VV r-IX[Ures X. unit tqUlvalent == Fixture U 'r
. nr s
(NOTE: For remodels, calculate on. the NET additional fixtures) .' . .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub............,...",..,.....,....,.."....."..,...,..,.."....."".. ,
Drinking Fountain.. .....,................ ..............,......,.......
Floor Drain....,....... ........,....".,..... ............. ..................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto Wash/Etc.................,
Laundry Tub/Clotheswasher.,....... ...................."""
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailen..................
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 Ba'sin/Lavatory, Single....,......,...."......,.........
Toilet, Public Installation... .......... .......",.. .............,.
Toilet, Private......,...,... ........,....... .................,..,....
Miscellaneous:
/
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
I
/
/
III
II
TOTAL FIXTURE UNITS
"2-.
?-
-L-
'2,-
'6
X
;q
CREDIT CALCULATION TABLE:
calculate credits separates,
I'
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Based on assessed value, If improvements occurred after annexation date in :able.
Rate per $1,000
Assessed Value
II
Year
Annexed
Year
Annexed
Rate per $1,000
Assessed Value
,I
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
198B
1989
1990
1991
1992
1993
1994
1995
1996
1997
$4,27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
Credit for Parcel or Land Only If Applicable
4-27 X $ IS-
(Rate X Assessed Value)
X $
(Rate X Assessed Valuel
CREDIT TOTAL
= $
=
//74,0':'-
Improvement (if after aAnexation date)
=
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL......................... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNlT.wPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
$1.98
1,55
1,15
0.96
0.83
0.67
0.52
0.38
0.21
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME \,_;mo.lo \\fiO~ U{l , PHONE' 4-C{,<\-.IIoD .
ADDRESS: ~ ~ ~V\~TATE: .lliU ZIP: g}JO/
L~CATION OF PROPOSED BUlL NG SITE:. (j*"\D5 '
Street Address: G9A, ~6~. \\ut ~L.
Pial Name:~q J ~\~(j.ax LotNumb~r: \~D~ l4 OJ10DO
1. DEVELO~~~) TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
Job. No,
Q~ttf6
A. RinoIA-Ff1milv DAtf1chect
\ Single Family home
NO. OF UNITS \
B. RinoIA'.Ff1milv Attf1chAd.
Manufactured home not in a Rark 0
X $1,000 per unit = $ l DO{) .D.
NO, OF UNITS
X $924 per unit = $
C. Multi.Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Mslnuff1cturP.d Home Part
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c $
$ \Oon.eX)
g
lOm (YO
$
2, SDC CREDIT (II applicable) SOc-payermust furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
~S;T~~~ 2- I /: I ~9
Development serYi~partment Date
City of Springfield