HomeMy WebLinkAboutPermit Building 1996-4-9
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960330
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3856 HAYDEN BRIDGE RD
Assessors Map #: 17021900
Lot: 3 Block:
Tax Lot #: 00100
Subdivision: 94-02-32
Owner: DAVIl AURAND
Address: 2243 N 11TH STREET
Phone #: 726-9485
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor II Expires Phone
General: EMERALD VALLEY 0065066 05/10/96 726-9485
2243 North 11th St Springfield OR 9
Plumbing: CAMERON PLUMBIN 0000843 07/07/96 344-1462
303 S Van Duyn Eugene OR 974010000
Mechanical: HARVEY & SON 0055682 02/26/97 746 -7677
4680 Main St Springfield OR 9747860
Electrical: LYNNS ELECTRIC 0102316 10/14/96 726-7895
PO Box A Fall Creek OR 974380000
QUAD AREA: 5RNC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 3062
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: G
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, (~/kl hA,4/1t:t /AJ$>tI. A8V IJA) /.Ir,IKIN~ B64p(
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,
SPRINGFIELD
Job Number: 960330
Page 2
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.
Lot Faces: S
Topography: 3
Solar Approved: Y
Lot Sq, Ft,: 20250,
Total Height: 22
Lot Type: INTERIOR
Setbacks
S W E
55 32 20'
40
Lot Coverage: 15 %
Setbk From NPL: 80
N
House 60
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
2127
935
Value
0,00
0,00
198,000,00
Building Permit Fee
Surcharge/Admin
653.50
52,29
TOTAL FEE
(A)
705.79
(B)
7'~~. ~
...1,185.16
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
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
160
Fee
160,00
Plumbing Permit
Surcharge/Admin
160,00
12,80
TOTAL CHARGE
(C)
172.80
-- - MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE
3
6,00
4,50
9,00
3,00
3,00
2,50
Mechanical Permit
Issuance
Surcharge/Admin
28,00
10,00
2,24
TOTAL PERMIT
(D)
40.24
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
ELECTRICAL PERMIT
0,00
1,000,00
216,00
Job Number: 960330
Page 3
TOTAL MISCELLANEOUS PERMITS
(E)
1,216.00
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
~~
"2,,~.:>G
--- 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: 424,78 Date Paid: 03/12/96
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date: 04/05/96
Building Site Reviewed By: LISA HOPPER
Receipt Number: 20670
--- ADDITIONAL COMMENTS
OWNER APPLYING FOR SEPTIC PERMIT PERSONALLY
PATH 1
MUST SUPPLY DRAINAGE PLAN AND SEPTIC PLAN
4 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
Wig;';; ~ times during construction, -4- 9'- r;6
Signature - Date
SPRINGFIELD
Job Number: 960330
-- - VALIDATION
Receipt Number: "2,/CJ/&
Date Paid: (/ -"7-"'%
,
Amount Received: -::c:.."5~. 'L~
Received By: fl.f"~'
'/
Page 4
'I
.
.
Job. No.
~kD2&)
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:\.lli\.~ . ~.AW_{\~
ADDRESS: AM?J \ f\ ~ \~ W
PHONE: \ ~l 0 qL\-~
STATE: ~ZIP: Cf141,1
LOCATION OF PROPOSED BUILDING SITE: 1U.l\;~ I{)Al
Street Address: _ (1)'Jf.'JD\O \~1\Oj <<\, \_"-u1Jv\ fLLX.CY..- N\'
Plat Name: ,\\~) Tax Lot Number: \In \aW ~n@lQ)
1. ,DEVELQPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back,}
A. SinoIA-F::lmilv Det::lchAd
\ Single Family home
NO. OF UNITS '\
Manufactured home not in a par~
X $1,000 per unit = $ \\'fD. ,
B. Sinale-I=::lmilv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmen\
NO. OF UNITS
X $692 per unit = $
D. ~::lnlJfaC1l.!fiK! HomA P::lrk
WILLAMALANE SDC
$
$
\DOO .0 0
XJ
~ CCD pU
NO. OF UNITS
X $699 per unit =
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
\~N\ )~~N\
Development-~~e Date
City of Springfield
$
I
I
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: DAVE
Location: 3856
Deve10pement Type: R
Job No,: 960330
AURAND
HAYDEN BRIDGE RD
Building Size: 0
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 0 X 0.210 Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 0 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
o
Per PFU + MWMC Admin Fee
18,750
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: 03/18/96
Page 1
Sq Ft
$0.00
$0,00
$442.31
$0.00
$0.00
$0.00
$442.31
$22.12
$464.42
.
Job Number: 960330
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/C10theswasher
C10theswasher - 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
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
.
Page 2
Unit
Equivalent
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
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
o
X
0.00 =
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
0.00
0.00
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate,)
CREDIT TOTAL =