HomeMy WebLinkAboutPermit Building 1997-10-24
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971454
225 North Fifth Street
Springfield. OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 901 MCKENZIE CREST DR
Assessors Map #: 17032343
Lot: 74 Block:
Tax Lot #: 02002
Subdivision: RIVERGLEN 2
.~
Owner: ANSLOW & DEGENEAULT
Address: 56 EAST 15TH AVENUE
Phone #: 484-0070
City/State/Zip: EUGENE. OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
ANSLOW & DEGENE
56 E 15th Ave Eugene OR
ABSOLUTE PLUMBI
2235 Arthur Court Eugene
MARSHALLS
4131 E St
0049169
974010000
0067664
OR 9740500
0025790
974780000
10/16/98
484-0070
General:
07/11/98
345-3055
Mechanical:
12/23/97
747-7445
springf~d OR
" O~
-~;~~,v.~~ ~~11
':4t~:1~~~~: 3 LDR
'60a~Q ~~-9 ~..<r~
~r,o~ 19{s> ~Q ~4e-
TO request an inspection, call the ~~~~~~t!€~at 726-3769.
All inspections requested before 7:00 a.m. w~^:~~~ the same working day.
inspections requested after 7:00 a.m. will b~.~ tne following work day.
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 4704
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
REQUIRED INSPECTIONS
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
TEMPORARY POWER
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDERFLOOR PLUMBING - Prior to insulation or decking.
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.
ROUGH MECHANICAL - Prior to cover,
ROUGH PLUMBING - 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
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
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.
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
. .,
Job Number: 971454
PRE BACKFILL: To verify site is clean of debris prior to final grading
and backfill,
Page 2
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Coverage: 19 %
Setbk From NPL: 35
Lot Sq. Ft.: 12706
Total Height: 30
Lot Type: INTERIOR
Setbacks
S W E
7
N
House 69
Garage
18
11
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
2684
2020
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- PLUMBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
- - - MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan 3
Wood Stove/Insert/Fireplace Unit
GAS LINE W/H
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SDC
WILLAMALANE
ELECTRICAL TEMP
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
= Value
173,547.00
32,865.00
206,412,00
673.75
53.90
727.65
Fee
192.50
192.50
15,41
207.91
6.00
4.50
9.00
4.50
5,00
29.00
10.00
2.32
41. 32
0.00
13.90
24.55
3,067.30
1.000,00
43.20
4,148.95
5,125.83
(C)
(D)
(E)
. "
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Job Number: 971454
Page 3
--- 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: TOM
Building Site Reviewed
437.94
Date Paid: 10/03/97
Receipt Number: 27584
MARX
By:
Date: 10/21/97
--- ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT REQUIRED
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.
/
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Signature
/Q/2,&.
/O-'2..y_O>,/
Date
Date Paid:
~~<t~ATION
\0 'A4 ,Q1
~~
Receipt Number:
Amount Received:
Received By:
("J
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SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NA~\au)~ \Jt ~(\j)(UJlI
ADDRESS: 5\ 0 In rl \D'\t\ Ai. ~
Job. No.
\
q ~ \4-~
PHONE: ~,C()~()
STATE: ~ZIP: [\14;01
"
LOCATION OF PROPOSED BUILDING SITE:
Street Address: C\O\ ~ 0 ",itc- M D\iuJL
Plat Name:'Q \l'U.(] _C2tlOf\ j l4ax Lot Number: V\o..~~ NfJ)Z-
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sac calculations and dwelling t
ype definitions are on the back.)
,.
A. SinoIA-F::Jmilv DAt::Jr.h~
\ Single Family home
. NO. OF UNITS
\
Manufactured home not in a park
X $1.000 per unit = $ \ DOO ~
B. Sinale'-F::Jmilv Att::!chAQ
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv ADmtment
NO. OF UNITS
X $692 per unit = $
D. M::!OI'filQWred Home P::!rk,
$
$
\000,00
Y
lftD.oD
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
2. SDC CREDIT (if applicable) SaC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if sac reduced for Credit)
~~~
DevelopmeOf servk:~
City of Springfield
$
\\)
Date
I AA. I at')
. .
.JOB NO, 97 I 454
. ATIACHMENT A .
CITY OF SPR~GFIELD SYSTEMS DEVELO~NT CHARGE
WORKSHEET
NAME OR COMPANY.
..111)<; Li"v 4 DE hEf2..~LJ4L T
(
LOCATION.
q () I Me. t ~Ni= /I:~ Cl<cwr. 91<.
DEVELOPMENT TYPE.
<=;.FR..
BUILDING SIZE
LOT SIZE
SO. Ft,
1 , STORM ORA. Ti'I)'.GE
IMPERVIOUS SO FT. '3, Qs:\
x $0226 PER SO, F'j, $ 7Q'7,3.3
2, SA.NfTARY c;F:o!FR-CfT':
NO, OF PFU' S Z q .
(See Reverse Side)
X SJ6,86 PER PFU
$ I ..">58 , 'H"
3. TRANSPORTATiON
\
'NO OF UNITS X TRIP RATE X COST PER TRIP
x 1,01 X $472.49
~
x
X $472.49
$
x
X $472,49
$
4, SANITARY SF\-iFR-M\'JMC
Du
NO, ,OF ft1:j'S
. ,
X Z7Z 7(" PER FEU + $10 ~IWMC/ ADM FEE $ 287. 7b
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAL -M\,MC SDe. $ 2.~7. 7&
SUBTOTAL (ADD ITEt:1S' 1.2,3 & 4) $ 2jQZ/.2.f
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X ,05
{k,
$ 14& .00
'Date: /0 -1!;,-Q7
SDCCoor"di na tor
TOTAl SDC; $ :2/")';'7,30
-J
,riA I unc: UIIIII \"'I-H..\"'ULJ-\ IIVIII I J-\.OLC; Numberot New Fixtures X Unit Equivalent,=>Fixture'Units'''",,:,\.
.' . . I .
(NOTE: For remodels, calculate onl~ NET additional fixturesl . '"... ';'. ".~
, . . NUMBER OF UNIT' " FIXTURE'. c..
FIXTURE TYPE ' . NEW FIXTURES EOUIVALENT UNITS
Bathtub", .......,"'....,.."."...".".,..,',."..,.........,",.,',."...
Drinking. Fountain" '."',.,.".".".,',.,"',..".,..,..,....,",."..
Floor Drain,...., ,....."...,.".,.,.""".".,.",....,....."".."...,..
Interceptors For Grease/Oil/SolidsIEtc................,
Interceptors For Sand/Auto Wash/Etc...................
Laundry Tub/Clotheswasher":""",.,.."."...."..."...,,
Clotheswasher. 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink,Dishwasher/Erc..
Shower, Single StalL....... ............., ...........................
Shower, Gang.".,..,.,."".,.""..,."",."..,."..,..."""",..,
Sink: Bar, CommerCial, Residenrial Kitchen........................
Urinal, Stall/WalL""".".,.,."""""",.,..,..".,...",...",...,
'Wash BasiniLavatory, Single..,. ".." ........................
Toilet. Public Installation......, ................................
Toile! , Pri'Jele........',........;...................... '".... .........
Miscellaneous: .
7-
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
"Z-
z....
'2,
',3
TOTAL FiXTURE UNITS
=
A
4-
4_
'Z-
3
I~
.z."'t
Basad on assessed value, If improvemenis occurred after annexation date.in table.
CREDIT CALCULATION TABLE:
calculate credits separates,
II
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 .
1989
1990
,1991 '
1992
1993
1994
1995
1996'
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
X $
(Rate X Assessed Value)
X $
. (Rate X Assessed Valuel
=
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
,I
/"l
.........
CREDIT TOTAL = $ -e---
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
. (For Estimating Purposes Only)
h~sicieii[iui........ ........_........... 0.4
Commerical..."..,..,.,..,.,....... 0.9
Industrial...........................: 0 5
Governmenta"....................., 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT