HomeMy WebLinkAboutPermit Building 1997-7-17
, II
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971069
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3860 HAYDEN BRIDGE RD
Assessors Map #: 17021941
Lot: Block:
Tax Lot #: 00201
Subdivision:
Owner: RALPH DABHLER
Address: 3860 HAYDEN BRIDGE RD
Phone #: 747-2206
City/State/Zip: SPRINGFIELD, OREGON 97478
Describe Work: KITCHEN ADDITION
ADDITION
Contractor
Const.
Contractor #
Expires
Phone
General: OWNER
Electrical: OWNER
QUAD AREA: SRNC
OCCY GROUP: R3
SQ FOOTAGE: 216
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
ZONING CODE: LDR
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 ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/Ceiling; 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 ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 12
Lot Type: INTERIOR
Setbk From NPL: 17
Solar Approved: Y
House
N
17
Setbacks
S W
E
Item
Main
Garage
ADDITION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
216 64.66
= Value
0.00
0.00
13,967.00
13,967.00
Building Permit Fee
Surcharge/Admin
104.50
8.37
TOTAL FEE
(A)
112.87
SPRINGFIELD
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Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL UNIMPROVED STREET
Developer: RALPH DAEHLER Job No.: 971069
Mail Address: 3860 HAYDEN BRIDGE RD SPRINGFIELD, OREGON 97478Phone #: 747-2206
Tax Lot #: 1702194100201 Project Address: 3860 HAYDEN BRIDGE RD
Subdivision: Lot: Blk: Eng. Rev. No.: Book:
Street Gravel Ac Mat
3860 HAYDEN BRIDGE RD
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
NONE
N
N/A
N/A
N/A
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way:
Improvement Agreement:
Easements:
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800.332-2344
Location From N, S, E, W Property Line: HAS PRIVATE SEPTIC SYSTEM
STORM SEWER
Available: N
Pipe Downspouts And Drains To: STORM DRAIN OR BAR DITCH
Pipe Parking Lot Drainage To: N/A
Comments: MAY CONNECT WITH EXISTING ROOF DRAIN SYSTEM IF IN GOOD CONDITION
CONTACT MAINTENANCE DIVISION AT 726-3761 FOR CULVERT SIZE AND DEPTH.
SIDEWALK AND DRIVEWAY INFORMATION
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
Comments: UNIMPROVED STREET
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required:
Sanitary Sewer In Lieu Of Assessment:
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curb cuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 07/17/97
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RALPH DAEHLER
Location: 3860 HAYDEN BRIDGE RD
Developement Type: R Building Size:
Job No.: 971069
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 264 X 0.226 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 0 X 46.86 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
Trip Rate
X
X
Cost Per Trip
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
20.690
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: 07/17/97
Page 1
Sq Ft
$59.66
$0.00
$0.00
$0.00
$0.00
$0.00
$59.66
$2.98
$62.65
Job Number: 971069
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
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
2
1
6
4
o
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
0.00 =
x
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.)
SPRINOFIELD
/~I'~
Job Number: 971069
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
62.64
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
175,51
u_ BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT u_
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: DON
Plans Reviewed By: BOB
Building Site Reviewed
67.93 Date Paid: 07/15/97
MOORE
BARNHART Date: 07/31/97
By: LISA HOPPER
Receipt Number: 26689
- - - ADDITIONAL COMMENTS
REQUIRES SEPERATE ELECTRICAL PERMIT, PATH 1
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 the site at all times during construction.
Pu9h~ q~
Da~ 3~, /017
signatufe I
u - VALIDATION
Receipt Number: 26~2"?
Date Paid:
7. ~J, 9--;;,
17~ Z:-/
/2 4r,-; -
/r
.
Amount Received:
Received By: