HomeMy WebLinkAboutPermit Building 1999-11-2
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991405
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 757 MCKENZIE CREST DR
Assessors Map #: 17032343
Lot: 97 Block:
Tax Lot #: 02000
Subdivision: RIVER GLEN 3R
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Owner: FUTURE B HOMES
Address: P.O. BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE OR,97401
Describe Work: S.F.RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/00 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/00 485-1146
3248 KENTWOOD DR EUGENE OR 97401000
Mechanical: ROLFS HEATING 0020240 10/04/00 741-0002
Po Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/00 689-7973
180 KINGSBURY AVE EUGENE OR 9740400
c.
QUAD AREA: 2RNW
OCCY GROUP: R3
HEAT SOURCE: FG
OFFICE USE --
,.LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS: 1
# OF BDRMS: 2
SQ FOOTAGE: 3205
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.
CURacOT - 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: 991405
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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: N
Topography: 2
Lot Sq. Ft.: 11950
Total Height: 23
Lot Coverage: 30.7 %
Lot Type: CORNER
House
Garage
N
22
Setbacks
S W
26
E
9
18
BUILDING PERMIT
Item
Main
Garage
COVERED PATIO
COVERED PORCH
Total Value
Square Feet
2591
614
263
180
x
$/Square Feet
69.64
18.34
15
15
Value
180,437.00
11,261.00
3,945.00
2,700.00
198,343.00
Building Permit Fee
Surcharge/Admin
655.75
65.57
TOTAL FEE
(A)
721. 32
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
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.
4
6.00
4.50
12.00
3.00
5.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
35.00
10.00
3.50
TOTAL PERMIT
(D)
48.50
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
PLAN REVIEW ADJUST.
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
0.00
93.00
10.24
1,000,00
3,299.81
220.00
TOTAL MISCELLANEOUS PERMITS
(E)
4,623.05
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Job Number: 991405
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(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
5,604,63
--- 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
4.16
Date Paid: 10/13/99
Receipt Number: 035871
MOORE Date: 11/02/99
By: BOB BARNHART
ADDITIONAL COMMENTS
CITY DEFAULT FOR A&T VALUE
PATH 1;
NO SEWER CONNECTION OR OCCUPANCY UNTIL INFRASTRUCTURE ACCEPTED BY CITY
DRIVEWAY REQUIRED TO BE PAVED
7 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
Communi ty Services Division, Building Safety. I further certi.fy 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.
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Date
--- VALIDATION
Date Paid:
3&./% lIi'>
/1/0'
C;-~1J4 ~J
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Receipt Number:
Amount Received:
Received By:
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PLUMBING FIXTURE UNIT (PFU) CALCULA nON TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE, FOR REMODElS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOILDS/ETC.
INTERCEPTORS FOR SAND/AUTO W ASH/ETC.
LAUNDRY TUB/CLOSTHESW ASHER/MOP SINK
CLOTHESW AHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER ST A TION/ETC.
RECEPTER FOR COMMERICAL SINK! DISHW ASHER/ETC.
SHOWER, SIGNLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERICAL, RESIDENTIAL KITCHEN
URINAL, ST ALLIW ALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INST ALLA nON
MISCELLANIOUS:
FIXTURES
NEW OLD
I
o
o
o
o
2
o
o
o
o
2
o
I
o
4
o
3
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
1
6
4
PLUMBING
FIXTURE
UNITS
2
o
o
o
o
4
o
o
o
o
4
o
2
o
4
o
12
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 28
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVMENTS OCCURRED AFTER ANNEXA nON DATE IN TABLE, CALCULATE CREDITS SEPERA TEL Y
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
ASSESSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3,68
$3,38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
RATE PER $ I ,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$I.I7
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE $1.75
IMPROVEMENT (IF AFTER ANNEXA nON DATE)
x
x
15.000
$26.25
$0.00
CREDIT TOTAL $26.25
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ATTACHMENT A
CITY OF SPRINFFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 991405
NAME OR COMPANY: FUTURE B HOMES
LOCATION: 757 MCKENZIE CREST DR
TAX LOT NUMBER 17032343-02000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
BUILDING SIZE:
3205
LOT SIZE
11950
1. STORM DRAINAGE
INPERVIOUS SQ. IT.
4530
x
$0.232 PER SQ. FT.
$1,050.96 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
28
x
$48.27 PER PFU
$1,351.56 I
3, TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00 I
$491.60 I
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
242.76
'PER FEU
,I
$242.76 I
B, IMPROVEMENT COST:
NUMBER OF FEU's
,-
x '
22.05 PER FEU
$22.05 I
($26.25)1
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$10.00 I
SUBTOTAL (ADD ITEMS 1,2,3, &4)
$248.56 I
$3,142.681
TOTAL MWMC SDC
5, ADMINISTRATIVE FEE!,;'
BASE CHARGE (SUBTOTAL ABOVE) x '
0,05
$157.13 I
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SDC (<j'iwiNAvm
-
. /C)/I'V/r; t;
om /
TOTAL SDC CHARGES I $3,299.81 I
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1).'... Willamalane
'-t'-"1' Park & Recreation District, Job. No., q <1.l q (')~
fW SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: 0=- ~.~ ~~
ADDRESS:~~~ ,1i~.
LOCATION OF PROPOSED BUILDING SITE:
i.~ '1 lV-C(IJ".~ C~ .
Plat Name: \ lC\~~~q~ Tax Lot Number: ~C5tr6
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PHONE: "1l{l{-&"b(J
STATE: an. ZIP: C\1<-t() \
Street Address:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sec calculations and dwelfin9 t
ype definitions are on the back.) . '
A. ::;inoIA-F~milv DAt~nhArl
)0 Single Family home
,NO. OF UNITS \
. \
Manufactured home not in a park
X $1,000 per unit =$ \ 0'CJi) ~
B. .si.nQlp,.-Fl'lmilv AttrmhAQ.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv 60artment
NO. OF UNITS
X $692 per unit = $
,D. ,ManufactlJrAd Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$
2. SDC CREDIT (il appncable) SOc-payer must furnish proof 01
Willamalane Credit approval. See SOO Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
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~opment Services Department
City of Springfield
/1 I ~ I 7i
Date
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