HomeMy WebLinkAboutPermit Building 1997-12-29
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971715A
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 842 MCKENZIE CREST DR
Assessors Map #: 17032343
Lot: 87 Block:
Tax Lot #: 02002
Subdivision: RIVER GLEN 2
Owner: ~u~uAE B HOMES
Address: PO BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE, OREGON 97401
Describe Work:
~W
-- OFFICE USE --
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.
/
TEMPORARY POWER
_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
SANITARY SEWER LI~ - Prior to filling trench.
WATER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
_FRAMING - Prior to cover.
INSULATION - Floor; prior to decking
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.
-FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
-FINAL ELECTRICAL - When all electrical work is complete.
-FINAL BUILDING - When all required inspections have been approved and
the building is complete.
REQUIRED INSPECTIONS
Wall/ceiling; Prior to cover
Lot Faces: S
Topography: 2
Lot Sq. Ft.: 10900
Setbacks
Lot Coverage: 22 \
House
N
58
S
28
W
14
E
10
Item
Main
BUILDING PERMIT
Square Feet x
2564
$/Square Feet
64.66
= Value
165,788.00
Job Number: 971715A
Page 2
Garage
Total Value
781
16.27
12,707.00
178,495.00
Building Permit Fee
Surcharge/Admin
610.75
48.86
TOTAL FEE
(A)
659.61
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192.50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207.91
- -- 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
2.80
TOTAL PERMIT
(D)
47.80
--- MISCEL~OUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SDC
WILLAMALANE
ELECTRICAL PERMIT
0.00
22.00
~'G' ,,,-,'SO
3,094.90
1,000.00
216.00
TOTAL MISCELLANEOUS PERMITS
(E)
4,348.30
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
-!;.,-2.6-3762-
S"a.~4.SL
--- 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: 103.03
Received By:
Plans Reviewed By:
Building Site Reviewed By:
Date Paid: 12/09/97
Receipt Number: 28216
Date: 12/26/97
.
Job Number: 971715A
Page 3
- - - ADDITIONAL COMMENTS - - -
=
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
will remain on the site at all times during construction.
~~ -~~-
Si9~tu~ - - ~
i;;Lr_G ,4
-- - VALIDATION
Date Paid:
J-'1l'"3S ~
I 7t - ri-cr -ti .,
Receipt Number:
Received By:
j II) 1~7,l{Cf
I .
<KM)
Amount Received:
NAME OR COMPANY:
.' " " .....~ ',~':1r'l"-':-"':'J.G'1"'I''''I''''.j'''' l", .,., JOB.tNO" .!i2!' 7/~11
CITY OF SINGFIE~~~~~~~J~;~EV~~!M~N~"~~ARGE .-
WORKSHEET
Fu -rU'I'l-~ B
~42... He /(EN~/~ CI2.E5T
.. ..
LOCATION
DEVELOPMENT TYPE:
"). F=: 12....,
,
BUILDING SIZE
LOT SIzr
<;0. Ft.
1 . STORI'! rlRAT Ol;lGE
1I1PERVIQUS SO FT, 4.oSQ
X $0.226 PER SO. FT. $ q 17 , 33
2. SMIITARY S[':'fER-CfTY
NO. OF PFU'S 2. 7
(See Reverse Side'
X $46.86 PER PFU
$ I. 2.~". '2-'-
,
3. TRANSPORT PI T()N
'NO OF UNITS X TRIP RATE X COST PER TRIP
I
X /, Of X $47249
$ 477, 2./
X
X $47249
$
X
X $472.49
$
4. SANiTARY SFwFR-M~MC
Du
NO. OF Fttr S
X 277.7G.PER FEU + $10 MWMC/ADM FEE $ 2R7, 7~
M\.iMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL-MWMC SDC $
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 2,'147,5'"2-
5. ADMiNiSTRATiVE FFFS .
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ '4~B
i~ Date: fZ.-z..4-Q 7
SDC Coordinator TOTAL SDC $ ~.09f.crO
. riA I UKt: UI\l11 \,;ALbULAd U::lJ\l.t:I',fU~I.;;I:;"Number~of:New;l7ixtures"X,Unit'Equivalenn=~FixtLire'C1iiit'S"i!'~
(NOTE: For remodels, calculate only t~ET additional~fixtun;sf~\ ~.~;1;'t')N'r.~~Ek~;~.~"" ~;1i,.{:'~;:+~~~'l;: :+. ~j~~~,;,;';/.-'... '" ~- .'
~","'j,"""".t,....,..., ,4r
. _." _,.~_.._":,,NUMBER.OF...,..,_ ~_UNIT,;,..,~ 'FIXTURE
FIXTURE TYPE - '..:/ _3; .:. :NEW'FIXTURES '-~.. EQUIVALENT' UNITS -' "
Bathtub................................................................... ...
Drinking. Fountain.................................... .................
Floor Drain.................................................................
Interceptors For Grease/Oil/Solids/Etc.................
Interceptors For Sand/Auto WashiEtc..................
Laundry Tub/Clotheswasher................... ................
Clotheswasher. 3 Or More.....................................
Mobile Home Park Trap 11 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall........ .......... ...............................
Shower, Gang..........................................................
Sink: Sar, Commercial. Residential Kitchen........................
Urinal, Stall/Wall.......................................................
Wash Basin/Lavatorv, Single......... ............ .............
Toiiet. Pubiic Installation................ ........................
Toilet, Private.......................................................
Miscellaneous:
Z-
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
-z-
"3
:3
TOTAL FiXTURE UNITS
4
40
~
-...-
'"'3
r-Z-
2.,
Based on assessed value. If improvements occurred after annexation date in table,
l
CREDIT CALCULATION TABLE:
calculate credits separates.
r-- Year
I Annexed
Rate per $ 1 ,000
Assessed Value
Year
Annexed
:,
1979 or before
1980
1981
1982
1983-
1984
1985
1986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
19B7
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per $1,000
Assessed Value
$2.56
2.17
1.73
1.31
0.92
0.74
0.61
0.45
0.31
0.17
,~ ...
II
Credit for Parcel or Land Only If Applicable
X $
IRate X Assessed Value)
X $
_ (Rate X Assessed Value)
=
Improvement (if after annexation date)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fi -. .- ~4
clsldeiiCl3i........................... v.
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.~
,,' .~-
.
.
()n\~\C\
.,
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: f\'~_o & \ ~/)fM.0 '
ADDRESS: -\:,~ l~ l_~' f\4Q..~
LOCATION OF PROPOSED BUILDING SITE~ rt
Street Address: eA2- ~~W\fu \'}Jr\l OO~~
Plat Name: ~{l. )~Tax Lot Number: l,'l D3d34~ ()?.I1fI-
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
PHONE: f\4- 4 . 21toD
STATE: ~IP':~l4{)\
\.
A. SinryIA-F::Jmilv OAt::Jr.hAQ
l Single Family home
. NO, OF UNITS
Manufactured home,not in a park
X $1,000 per unit = $ lrfi) ,~
B. SinoIA'.F::Jmilv Att::Jr.hAn
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoarlment
NO. OF UNITS
X $692 per unit = $
D. Manufar.llJrAn HnmA P::Jr!<.
$
$
UJ()() .ro
g'
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (it applicable) SOC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worl<sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SOC reduced for Credit)
~~e~~~Qment
City of Springfield
$
lOOO P?
I d- I C).0 I C, 7
Date