HomeMy WebLinkAboutPermit Building 1999-11-17
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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, '
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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
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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/
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Receipt Number:
Amount Received:
Received By:
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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
$3,939.51 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
,INOTE: FOR REMODEl$, 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
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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..~
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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;
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