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Home My WebLink AboutPermit Building 1998-10-5 ....... ... , .' SPRINOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 981049 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 977 ISLAND ST Assessors Map #: 17033421 Lot: Block: Tax Lot #: 01200 Subdivision: Owner: VERN BENSON Address: 940 HWY 99 NORTH Phone #: 688-8897 City/State/Zip: EUGENE, OREGON 97402 Describe Work: NEW -- OFFICE USE -- 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. SLAB - To be made after all inslab building service equipment, conduit piping, and other equipment items are in place but prior to concrete WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. PEDESTAL - Prior to cover. FRAMING. Prior to cover. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. FINAL SET UP - After all required inspections are apg6~~@~o~~ porches. skirting, decks, venting, house nUmber~gdR~e~I~~eg~~"\~~talled. ""'-li".rTlOl'l:OI g'" h" \he I. n'" 5e\10. \ Ldt\~ IU\65 !i?~ 61\"I05e 1\lIOO~f\ 9S2:l:l~1overage: 36 % ;~iliCa\iOn ~~~~t~~"P:~ 01 \he ~~e:e in O"f\ ~~a"" ob\~\~~o\e', \~e ~~~~lca\IOn ~90. \he cen\e. n ll\il\\)' calling \he Olego "32.2344). . ;{"h"l 101 ,~ ,.1'.00'" BUti.'bING ~YT Lot Faces: W Topography: 2 House Garage N 5 S 18 Item Main Garage FTG. /FDN MANU. HOME Total Value Square Feet x $/Square Feet 484 16.27 Value 0.00 7,875.00 1,500.00 40,000.00 49,375.00 Building Permit Fee Surcharge/Admin NOi\CE: XPIRE IF iHE 'NOR\<. i\'llS PERMli SH~L~: i\'llS PERMli IS NOi . ~UiHOR\ZEO Ul'l~ IS ~QANOOl'lEO FOfl (A) COMMIi.NCaO O. o. M\'n~O \,\A'( \'1\3.1'\\0 . 80.50 6.45 TOTAL FEE 86.95 ..... "". ... Job Number: 981049 Page 2 --- PLUMBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Fee 50.00 50.00 50.00 Plumbing Permit Surcharge/Admin 150.00 12.00 TOTAL CHARGE IC) 162.00 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin Surcharge/Admin CITY SDC WILLAMALANE 105.00 20.00 5.25 3.15 2,228.04 1,000.00 TOTAL MISCELLANEOUS PERMITS IE) 3,361.44 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,610.39 --- 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: 52.33 Received By, AL WARD Plans Reviewed By: AL WARD Building Site Reviewed By: Date Paid: 09/24/98 Receipt Number: 31527 Date: 10/05/98 --- ADDITIONAL COMMENTS SEPERATE ELECTRICAL PERMIT IS 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 qone 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. ~aJ~ / () -::;b-- ~f5 Signature Date "\...\.... ... SPRINQFIELD ~. Job Number: 981049 Receipt Number: Date Paid: Amount Received: Received By: --- VALIDATION OJ!' {"'/ ID/~/fr 1b(D. ]7 ~tJJ Page 3 '","" ..'" . JOURNAL OR JOB NO. '18/04'1 . ATTACHMENT A . . CITY OF SPRrNGFIELD SYSTEMS DEVEL~ENT CHARGE WORKSHEET .0 NAME OR COMPANY: V. &VlSO f) LOCATION: ern I~lcv--D DEVELOPMENT TYPE: f\1FH BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE ~i<2.0+ /~t7-+- 4!4-+H- = IMPERVIOUS SQ. FT. Z4-f~ X $0.227 PER SQ. FT. $ 5#.2../ 2. SANITARY SEWER-CITY NO. OF PFU'S (See Reverse Side) If X $47.14 PER PFU $ t4-g,~-z.-. 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP ) x /,0/ X $475.32 $ 4J/'). 0 7 X X $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S / X "1.77. f<r PER FEU $ "2.77,</4- B. IMPROVEMENT COST: NO. OF FEU'S / X 25.20 PER FEU $ 25~z.() MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ CPf.i-5V > MWMC ADMINISTRATIVE FEE $ 10.00 TOTAL-MWMC SDC $ z+5-; /4- SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ZI2.,.q~ 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 10&.10 YJ1 ~ l_ SDC Coordinator ATTACH' A. WPD Date: '7/z? jq'r 1 I TOTAL SDC $ z.Zz. 'i(, 04- FIXTURE UNIT CALCULATION TABLE: Number of New FiX'S X Unit Equivalent = Fixtllre Uc.its (NOTE: For remodels, calculate on.e NET additional fixturesl NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.... ............ ..... ..................... ..................... ....... II 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 Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....,........................................... J Shower, Gang................................. ......................... Sink: Bar, Commercial. Residential Kitchen........................ J Urinal, Stall/Wall.................... ........... ........................ Wash Basin/Lavatory, Single.................................. II Toilet, Public Installation................ ........................ Toilet , Private....................................................... . /1 Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits separates. II , ~ z.... -z- :z, ~ J?" 1<6 Based on assessed value. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 1989 1990 1991 1992 1993 1994 ,1995 1996 1997 = Credit for Parcel or Land Only If Applicable 4,z'7- = ~7.5"O - X $jS.Pd7 (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL Improvement (if after armexation date) = = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 CommericaL........................ 0.9 IndustriaL........................... 05 GovernmentaL:.................... 0.5 FIXUNIT.WPO 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 '-'." , .. . ~~ . . .. ~"... 'Willamalane 't'-""!' Park & Recreation District. Job. No. .S ~\ (:)1..\ <1 fW SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: \j ~~ ~~T1I\_ ADDRESS: c"l...\.(j ~\u'f C1'l \f\,r~ PHONE: :..~c2:H:A:5~'\1 STATE: Ol.n ZIP:c;l ~l)\!l.. .. LOCATION OF PROPOSED BUILDING SITE: Street Address: S 11 ~ ~\..U..c~ ~~ .. Pial Name: neJ ~~ ~\ Tax Lot Number: (') l ~OO 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) . A. SinoIA-F~milv DAt~ched Single Family home . NO. OF UNITS \ X Manufactured home not in a park X $1.000 per unit = $ \ C ITir\ ~ B. SinoIA'-F~milv Att~chAo. NO. OF UNITS X $924 per unit = $ _ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. bAAnllfAMtJrAO HomA PArk, NO. OF UNITS X $699 per unit =$ WILLAMALANE SDC $ 2. SDC CREDIT (if applicable) SDG-payer must furnish proof of Willamalane Credit approval. See SOC Credit Worksheet. $' 3. TOTAL WILLAMALANENET SDC ASSESSED c..re. (If SDC reduced for Credit) $\ C5GO - (1.~ . D~~lopment Services Department City of Springfield S I ~c:" 1_ 9 ~ Date