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HomeMy WebLinkAboutPermit Building 1996-5-10 &PRINQFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960615 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4528 IVY ST Assessors Map #: 18020513 Lot: 2 Block: Tax Lot #: 03200 Subdivision: STEELHEAD Owner: KIMBERLE CAMPBELL Address: 916 PRESCOTT LANE Phone #: 747-6504 City/State/zip: SPRINGFIELD, OREGON 97477 Describe Work: MANUFACTURED HOME NEW Contractor Const. Contractor # Expires Phone General: M & A CONSTRUCT 0088928 916 Prescott Lane Springfield OR 97 Plumbing: M & A CONSTRUCT 0088928 916 Prescott Lane Springfield OR 97 Electrical: HERITAGE INV 0063137 1042 Harn Lane Eugene OR 974040000 02/11/97 747-6504 02/11/97 747-6504 12/27/96 688-1600 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1456 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 PEDESTAL - Prior to cover, FOOTING - After trenches are excavated. 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. HOMEJMOBILE HOME PLUMBING - After home has been connected to water and sewer. CURB CUT - After forms are erected but prior to placement of concrete, SIDEWALK - After excavation is complete, forms and sub-base material in place, FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Faces: S Lot Type: INTERIOR Setbacks S W E 52 6 6 House N 31 Item Main Garage BUILDING PERMIT --- Square Feet x $/Square Feet = Value 39,000.00 0,00 SPRINGFIELD ~- Job Number: 960615 Page 2 FTG/PERIM FOUNDATION Total Value 11,000,00 50,000,00 Building Permit Fee Surcharge/Admin 86,50 6,93 TOTAL FIlIl (A) 93.43 --- SYSTIlMS DIlVELOPMENT CHARGIl (SDC) --- (B) 2,077. 02 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLUMBING PIlRMIT Item Sanitary Sewer Water Storm Sewer 52 52 52 Fee 40,00 40,00 40,00 Plumbing Permit Surcharge/Admin 120,00 9,60 TOTAL CHARGIl (C) 129.60 --- MISCIlLLANEOUS PIlRMITS --- Mobile Home State Issuance Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC ELECTRICAL PERMIT 105,00 20,00 8,40 16,75 12,70 1,000,00 86,40 TOTAL MISCIlLLANEOUS PIlRMITS (Il) 1,249.25 (llxc1uding Electrical) unless otherwise noted TOTAL AMOUNT DUll (A, B, C, D, and E combined) 3,549.30 --- BUILDING VALUIl, PLAN CHIlCK AND BUILDING PIlRMIT --- 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. Received By: Plans Reviewed By: LISA HOPPER Date: 05/07/96 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- SPRINOFIELD ~- Job Number: 960615 Page 3 MINIMUM 32 SQUARE FOOT STORAGE BUILDING REQUIRED PRIOR TO OCCUPANCY DRIVEWAY REQUIRED TO BE PAVED 1 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 on the site at all times during construction. WJr,-'" UgnatuC)- ~ 5(IO!CIfJ? Date Date Paid: -- - VALIDATION !1 tt~(4 tQ.\1J q(O----r- -u--$(5lfX ?(t CT\l~.J Receipt Number: Amount Received: Received By: ... . . ..I CITY OP SPRINGPIBLD SYSTEMS DEVELOPMENT CHARGB (RBSIDENTIAL) Name or Company: KIMBERLE CAMPBELL Location: 4528 IVY ST Developement Type: R Building Size: Job No.: 960615 Lot Size: 1. STORM DRAINAGB Impervious Sq Ft 1936 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 SBWIlR - MWMC Number Of PFUs 18 X X Per PFU + 18.750 + MWMC Admin Fee 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTRATIVE PBBS Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: TROY MCALLISTER Date: 05/08/96 Page 1 Sq Ft $406,56 $781. 74 $442,31 $347.50 $0,00 $347.50 $1,978.11 $98.91 $2.077.01 . .I Job Number: 960615 FIXTURIl UNIT CALCULATION TABLE 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, Sta11JWa11 Wash Basin/Lavatory, Single Water Closet, Public Installation Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS Number of New Fixture 2 o o o o 1 o o o o o 1 o 2 o 2 o . Page 2 Unit Equivalent Fixture Units 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o o 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: Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : o X 0.00 = 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.) '. ' . 'l\\.otio l<6 , SYSTEM DEVELOPMENT CHARGE WORKSHEET NA~E: ~~~\Q. ~~\-,-, ADDRESS: ~\\O ~ )J,f\Qrlb ~O PHONE: lLtl. \O~ STATE: ~ ZIP: Cfl411 .. ,,;. LOCATION OF PROPOSED BUILDING SITE: Street Address: 4:;)?~ ~\II ~ lit 00+ Plat Name: 1:tO~N M- Tax Lot Number: ~NSI~ ~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinolp.-F8milv DP.t8r.hp.ci Single Family home l NO. OF UNITS B. Si nolA-F Rmilv .httflr.hArl NO. OF UNITS C. Multi-Familv Aoartment NO. OF UNITS D. M8nuf8GlurAci Homp. P8rk NO. OF UNITS WILLAMALANE SDC \ Manufactured home not in a park X $1,000 per unit = $ \Doo pO ' X $924 per unit = $ X $692 per unit = $ X $699 per unit = $ $ \ DD() .0'0 ~ $ \trf) ~ I D /!1.irL 2. SDC CREDIT (if applicable) SDC.payer must furnish proof of Willamalane Credit approval. See sac Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~~p~~~Departmeot City of Springfield /5/ Date