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