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Home My WebLink AboutPermit Building 1998-3-5 "-.t. --~ SPRINQFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980145 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Propoeed Work: 883 MCKENZIE CREST Assessors Map #, 17032342 Lot, 75 Block: Tax Lot #: 04900 Subdivision, RIVER GLEN ~ Owner: ANSLOW & DEGENEAULT Address: 56 E ST Phone #: 484-0070 City/State/Zip, EUGENE,OR 97401 Describe Work, S.F. RESIDENCE NEW Contractor Canst. Contractor # Expires Phone General, ANSLOW & DEGENE 0049169 56 E 15th Ave Eugene OR 974010000 10/16/95 484-0070 -- OFFICE USE -- ~f\ LAND USE: 1111 ~ \I~~2CCY GROUP, R3 VSA ~:. 3 -4t/rf,j ~-94(~EAT SOURCE, FG 2908 C04(~ V-9{>,s S..y1. 4A~_ ~'''' 'Of't","-{ (;-, TO request an inspec'ti'll>L/. (;~Q J~-924f~r recording at 726-3769. ~YA ~/S r~S If')) All inspections requested D~ 1:;.p,a a.o~ ~~ be made the same working day, inspections requested after 7';b'~ a,mP6,1~l~~f.s>m~ the following work day, ~O ,(; -to --- REQUIRED INSPE~ON~--- 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, POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to 'decking Wall/Ceiling; Prior to cover GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. ROUGH GAS - after line is installed and capped if not attached to an appliance SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench, 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 DRYWALL - Prior to taping, FINAL PLUMBING - When all plumbing work is complete, FINAL MECHANICAL - When all mechanical work is complete, FINAL ELECTRICAL - When all electrical work is complete. CURBCUT - After forms are erected but prior to placement of concrete, SIDEWALK - After excavation is complete, forms and sub-base material in place, FINAL BUILDING - When all required inspections have been approved and the building is complete, AREA: 5RNW UNITS: 1 # OF BLDGS, 1 CONSTR. TYPE: QUAD # OF VN # OF BDRMS: SQ FOOTAGE, INSUL PATH, PI Wall/Ceiling; Prior to cover I . , SPRINGPIELD /~I'~ Job Number, 980145 Page 2 Lot Faces, N Solar Approved: Y Total Height, 23 Lot Type, INTERIOR Setbacks S W E 50 5 12 Setbk From NPL, 68 N House 18 Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 2268 640 $/Square Feet 64,66 16,27 Value 146,649.00 10,413,00 157,062.00 Building Permit Fee Surcharge/Admin 563,50 45,09 TOTAL FEE (A) 608.59 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 Wood Stove/Insert/Fireplace Unit Dryer Vent GAS LINE & APPL 3 6,00 4,50 9,00 4,50 3,00 2,50 Mechanical Permit Issuance Surcharge/Admin 29,50 10,00 2,37 TOTAL PERMIT (D) 41.87 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC CITY SYS DEVEL CHGS 0,00 22,90 16,60 1,000,00 3,226,84 TOTAL MISCELLANEOUS PERMITS (E) 4,266.34 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 5,124.71 --- 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. SPAINaPIELD /.:1I'."}N-1I)~ Job Number: 980145 Page 3 Plan Check Fee, 366.28 Date Paid, 02/04/98 Received By, LORNE PLEGER Plans Reviewed By, DON MOORE Date, 03/05/98 Building Site Reviewed By, BOB BARNHART Receipt Number, 28699 --- ADDITIONAL COMMENTS --- PLANS REVIEWED AND APPROVED BY MORTIER ENGINEERING DRIVEWAY REQUIRED TO BE PAVED 2 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 will remain on the site at all times during construction. .>~s-~~___ Signature D;(Vrt' Date Paid, -- - VALIDATION ~C\. ffi ~ .~ . S.C}<f ~\ ~L\, , ~.D)J Receipt Number: Amount Received, Received By, CITY OF . , ' :.'-i;,;~,,-, 1,1\..). l :':JljoaJNO'/ q;r?(:)./-fcr:,J " . ATTACHMENT'A" ' "_ ..,.--,'. . " .' . SPRINGFIELD' SYSTEM~' ~EVELOP N~'''~~~R~~'''' . WORKSHEET , . NAME OR COMPANY: AtJ<'I...~<.U ~ DGbl":N EAU'tT s;l, @~ He. K'F.NZ/t CJ2.G5 r ~ 'FfL LOCATION: DEVELOPMENT TYPE: BUILDING SIZE LOT SIZF SQ. Ft, 1 . STOPM DRA T :');lGE IMPERVIOUS SO, FT. 4 /~ / S' x $0,226 PER SO, FT. $ lo4z..q<'f . --. I ._-~ ~.~ 2, SANITARY C:E',FR-CfTY NO. OF PFU'S ~~ (See Reverse Side; x $46,86 PER PFG $ I, 2C.C..2-2. ----, 3, TRANSPORT;lTTON .NO OF UNITS X TRIP RATE X COST PER TRIP X 1.0 r X $472.49 $ 477. 2../ x X $472.49 $ x X $472.49 $ 4. SANITARY SFwFR-M~MC DU'') NO, OF FEtr'--S D~ X 277. 76 PER -Fftj- + $10 MWMC/ ADM FEE $ 287. 76 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl-MWMC sac $ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ ':? 073./8 , 5, 8QtlU1TSTRATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 L~' $ /5'3.66 Date: z- /2-98 SDC Coor'di nator TOTAl sac;, 14.2 2~.~4- ~' j:':. ! FIXT.U RE UNIT, CA Leu LA TI 0 N TABLE: Number of New Fixtures x, Unit Equivalent = Fixture" Unils ' " > (NOTE~ For remodel~: ~~i~~I~t~ '0.' e NET additional fixtureS). ' .' . . . "," _ NUMBER OF UNIT FIXTURE FIXTURE TYPE _ ~. ' NEW FIXTURES EQUIVALENT UNITS Bathtub,.."...""""..""""""""".".".,.."",."",..,.",..", , Drinking. Fountain.......,...,......, '."..".. "'.......,..' ,.., ,..".. Floor Drain""",:""",."",.""".""""",..""."""",..""" Interceptors For Grease/OiI/Solids/Etc................. Interceptors For SandlAuto Wash/Etc....,..,.......... Laundry Tub/Clotheswasher..,...",.....,.., .......,:..", ,.. Clotheswasher - 3 Or More,.................................... Mobile Home Park Trap (1 Per Trailer)..,............... Receptor For RefrigeratorlWater Station/Etc,....,.. Receptor For Commercial Sink/Dishwasher/Etc.. Shower. Single Stall..........,.....".., ..........,..,.............. Shower. Gang..".,..., ,.""", ,.".",.".""" ,...., ,..,.."" ,.,.. Sink: Bar, Commercial. Residential Kitchen....,..........,......., Urinal, StaII/Wall."""""".""""""",.......",...".."."" ,. Wash BasiniLavatory, Single....,.....,..............,........ Toilet, Pubiic Installation......"."......... ....... ....,......., Toilet, Private....,..,.."",.,.""." '... ,..,.......,..,..""..", Miscellaneous: . "'2- 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 " . 2- 3 3 TOTAL FiXTURE UNITS = 4- '2- ""Z- 4> 3 J 2... 2,7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Year 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 1987 1988 19B9 1990 1991 1992 1993 1994 1995 1996 Rate per S 1,000 Assessed Value $2,56 2,17 1,73 1,31 0,92 0,74 0,61 0.45 0.31 0,17 Credit for Parcel or Land Only If Applicable = X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) nasideiii:i31... :.. ........ ,_........... 0.4 Commerical..,....,..,..,."..".,.. 0,9 Industrial............................ 0 5 Governmental...................,.. 0.5 IMPERVIOUS AREA = TOTAL lOT SIZE X RUNOFF COEFFICIENT ~ '. ;.. . . . 5 Job. No. S ~() V{ C\ . SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: \~.lJl~b.., clb~ 5<;" l~" \S-lJA t-S\~ PHONE: ~'t':l'-\.-~a1lJ STATE: Dn. ZIP:ctl"f()L ADDRESS: ., LOCATION OF PROPOSED BUILDING SITE: Street Address: s8~ ~'(\!.-...cl;:)~~ ~ Pial Name: " 1.CJ ~~~I-\. S Tax Lot Number: (Y.\ ~ (sf) ,. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definilions are on the back,) A. SinolA-F8milv DAt8cheQ . X'; Single Family home NO. OF UNITS \ Manufactured home not in a park = X $1,000 per unit = $ l.~ B. Sim'le'-F:3milv Att:3chAn NO, OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home P8rk, NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREbtT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) <8J- $ \..CJUD , ~~~. Development Services Department City of Springfield ~ I <t I 'tCO Date