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HomeMy WebLinkAboutPermit Building 1999-11-17 v , RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 991468 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 756 MCKENZIE CREST DR Assessors Map #: 17032343 Lot: 93 Block: Tax Lot #: 02102 Subdivision: RIVER GLEN 3 Owner: GEORGE/YVONNE KAROTKO Address: 4258 FRANKLIN BLVD Phone #: 726-7625 City/State/zip: EUGENE. OREGON 97403 Describe Work: S.F. RESIDENCE NEW Const. Contractor Contractor # Expires Phone General: MARCOTT 0061303 08/18/00 726-9287 83879 N ENTERPRISE RD PLEASANT HILL Plumbing: ANKENY 0016112 01/20/01 686-2667 91585 N COBURG RD EUGENE OR 9740892 Mechanical: COMFORT FLOW 0000460 06/27/01 726-0100 1951 DON ST #D SPRINGFIELD OR 97477 Electrical: SAVE ON 0056697 05/16/00 344-4928 PO BOX 23154 EUGENE OR 974020425 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 5074 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 2 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG 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. 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 WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench, STORM SEWER LINE - Prior to filling trench, UNDER FLOOR DRAIN - Prior to cover or placement of concrete. ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power, SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover, INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place, ' Page 1 4r . , Job Number: 991468 Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical 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 BUILDING - When all required inspections have been approved and the building is complete, Lot Faces: S Topography: 2 Solar Approved: Y Lot Sq, Ft,: 16245 Total Height: 29.5 Lot Type: INTERIOR Setbacks S W E 5 Lot Coverage: 31,7 % Setbk From NPL: 103 N House 80 Garage 37 6 Item Main Garage UNFIN, STORAGE Total Value BUILDING PERMIT --- Square Feet x 4286 788 413 $/Square Feet 69,64 18,34 55,71 Value 298,477,00 14,452,00 23,008,00 335,937.00 Building Permit Fee Surcharge/Admin 964,00 96 ,40 TOTAL FEE (A) 1,060.40 PLUMBING PERMIT --- Item Residential Bath(s) 4 Fee 192,50 Plumbing Permit Surcharge/Admin 192.50 19.26 TOTAL CHARGE (C) 211.76 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F,P. 6 6,00 4,50 18.00 3.00 5,00 4,50 Mechanical Permit Issuance Surcharge/Admin 41. 00 10.00 4.10 TOTAL PERMIT (D) 55.10 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk PLAN REVIEW ADJUST. WILLAMALANE SDC CITY SDC TEMP POWER 0,00 60,00 33,64 1,000,00 3,939,51 44,00 TOTAL MISCELLANEOUS PERMITS (E) 5,077 . 15 / . Job Number: 991468 Page 3 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 6,404.41 --- 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: Received By: Plans Reviewed By: DON Building Site Reviewed 591.50 Date Paid: 10/21/99 Receipt Number: 35961 MOORE Date: 11/17/99 By: LISA HOPPER --- ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED DRIVEWAY REQUIRED TO BE PAVED 3 STREET TREES REQUIRED NO SdlMS;{ CDlJ/{t!cT/f)4) oM e>cc.4l~ /.Imt INfl<fk51JlJ1c7?/dd IS A~ AV CITY' By signature, I state and agree, that- I have carefully examined . 1 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 Wi~::.~:,~n~~imes during construction. 'Sign-atureD <..../'J Date --- VALIDATION Date Paid: 'l., (p 2../ -I- - //-/7-"lJ t01fl4,4/ /~~' '\ v- Receipt Number: Amount Received: Received By: . . ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET JOURNAL OR JOB NUMBER .991468 NAME OR COMPANY: GEORGE & YVONNE KAROTKO LOCATION: 756 MCKENZIE CREST DRIVE TAX LOT NUMBER 17032343-02102 RIVER GLEN 3RD LOT 93 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE BUILDING SIZE: 5074 LOT SIZE 1. STORM DRAINAGE IMPERVIOUS SQ, FT, 5794.5 x $0.232 PER SQ. FT. 2, SANITARY SEWER.CITY NUMBER OF PFU's (SEE REVERSE SIDE) x $48.27 PER PFU 34 16245 $1,344.32 1 $1,641.18 I 3, TRANSPORTATION NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP x x 1.01 x $486,73 PER TRIP x $486.73 PER TRIP TOTAL TRANSPORTATION SDC 4, SANITARY SEWER. MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's $242,76- PER FEU x B. IMPROVEMENT COST: NUMBER OF FEU's .PER FEU x $22,05 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE TOTAL MWMC SDC SUBTOTAL (ADD ITEMS 1,2,3, & 4) 5, ADMINISTRATIVE FEES,; BASE CHARGE (SUBTOTAL ABOVE) x 0,05 , ~,.(:;:..-o.- --- SDC COo'RDIN..\1"OR 4nf/IY9 TOTAL SDC CHARGES I 15tffi $491.60 I $0,00 $491.60 , $242.76 I $22.05 1 $0,00 I $10.00 I $274,81 I $3,751.91 I $187,60 1 $3,939.51 I . . PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS ,INOTE: FOR REMODEl$, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) FIXTURE TYPE BATHTUB DRINKING FOUNTAIN FLOOR DRAIN INTERCEPTORS FOR GREASE/OIUSOLlDS/ETC. INTERCEPTORS FOR SAND/AUTO W ASH/ETC. LAUNDRY TUB/CLOSTHSWASHERlMOP SINK CLOTHESW ASHER - 3 OR MORE MOBILE HOME PARK TRAP (I PER TRAILER) RECEPTOR FOR REFRlGERA TOR/W A TER ST A TION/ETC. RECEPTOR FOR COMMERCIAL SINK! DISHW ASHERlETC. SHOWER, SINGLE STALL SHOWER, GANG (NUMBER OF HEADS) SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN URINAL, ST ALUW ALL WASH BASIN/LA VA TORY, SINGLE OR DOUBLE TOILET, PUBLIC INSTALLATION TOILET, PRIVATE INST ALLA TION MISCELLANEOUS: FIXTURES NEW OLD 2 UNIT EQUIVALENT 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 2 2 4 4 " PLUMBING FIXTURE UNITS 4 o o o o 4 o o o o 4 o 2 o 4 o 16 o o o TOTAL PLUMBING FIXTURE UNITS~I 34 CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL l YEAR RATE PER $1,000 YEAR ANNEXED ASSESSED VALUE ANNEXED 1979 or before $4.47 1989 1980 $4,38 1990 1981 $4.32 1991 1982 $4,20 1992 1983 $4,03 1993 1984 $3.88 1994 1985 $3,68 1995 1986 $3.38 1996 1987 $3,03 1997 1988 $2,62 1998 RATE PER $1,000 ASSESSED yt.LUE $2,18 $ 1.75 $ 1.35 $1.17 $1.03 $0,86 $0.71 $0,57 $0,39 $0,18 CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE IMPROVEMENT (IF AFTER ANNEXATION DATE) 1'- ;X e .. x $0,00 $0.00 CREDIT TOTAL' $0,00 '/ The following project as submitted has the following Lvfi!f!g and does nol require specific land use ,,~,"oval.z ' LD () onm9 K 225 FIFTH STREET DOle \ \ -ll - ~ q SP!UNGFIELD, OREGON 97477 , (y:) INSPECTION REQUESt:"li'CJ~_~?'6'llure - OFFICE: 726-3759 U 1f\~eb~~t~S~~I"UJJtlJV, A. \f\~G;i:&~ION ()~\()~' l-J~B DESCRIPTION ~r ~' .....\ Cl~\ \1.:)1)0{ Permits a~ non-t~ferab1e 'and e;-pire . if work is not started within 180 days of issuance or if work is susp nded for 180 days. " Contractor Supervisor Number Expiration e.. " C. NumD~ Expira t' n Da te "- , r~ of supe:visin~rician' Owner~ Na,{'--ron<<1.<1 "\ \l.vmre,~ D. Addres~ ~~~~ Ci ty. ~ Phone ,\Q..lo.l wrs OllNER I~TALLATION The installation is being made on property I own which is not intended for sale, lease,or rent, , ~ 7ers sOqze: f?v ~--~~---------------- DATE: /1-/7- r <j . RECEIPT #: ? ~ ZI <71- RECEIVED BY: - /,/I~AA- /'( r -'" ( ELECTRICAL PERMIT APPLICATION Ci ty Job NUmber o.~ \L\.\(j~ 3; COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq,ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home,' or Modular 'Dwelling Service or Feeder ,$ 40.00 ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only , $ 50.00 $ 60.00 $100.00 $130.00 $300.00 '$ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation -L $ 40.00 40 $ 55.00 $ 80.00 see "B" above 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits " Ne~, Alteration or Extension Per Panel ,I, One Circuit Each Additional Ci~cuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5X State Surcharge 3X Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 40~ -2..~ I,~ -11fj() v . . . ~ - SYSTEM DEVELOPMENT CHARGE , WORKSHEET :-\- U\X,1\f\e ~ PHONE: ')~(o .~~1S _ ~nnlSlu. ') STATE:W ~IP:Q~ JOb.NO.:~ ~6?; NAME: ADDRESS:QJo LOCATION OF PROPOSED BUILDING SITE: _ ./ Street Address: ~\ Q \J.-.(' t.s'..fl7:A 0, \\ ~~ \') '( Plat NamE,J~UcefQo(\~ Tax Lot Number: \lJa2k:)~~~~ 1. DEVELPPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I ype delinitions are on the back.) A SimJle.FHmilv DetHchecj \ Single Family home NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ 10m r!J B. Sinole'-FHmilv At1Hcheo. NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. MHnllfacllJreo Home Part NO. OF UNITS X $699 per unit = $ $ \ IYn.CO WILLAMALANE SDC 2. SDC CREDIT (if applicable) SOG-payer must fumlsh proof 01 /-X Willamalane Credit approval. See SOC Credit Worksheet. $ \.0 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~m'~t~~rt2nt City of Springfield $ lDCJO.Q:) If / , Dale /7/ 9C; /