HomeMy WebLinkAboutPermit Building 1997-1-31
SPRINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970173
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 964 MCKENZIE CREST DR
Assessors Map #: 17032344
Lot: 8 Block:
Tax Lot #: 05700
Subdivision: RIVERGLEN
Describe Work: S.F. RESIDENCE
NEW
Owner: ANSLOW & DEGENEAULT
Address: 56 EAST 15TH AVENUE
Phone #: 484-0070
City/State/Zip: EUGENE, OREGON 97401
Const.
Contractor Contractor # Expires Phone
General: ANSLOW & DEGENE 0049169 10/16/97 484-0070
56 E 15th Ave Eugene OR 974010000
Plumbing: ABSOLUTE PLUMB I 0067664 07/11/97 345-3055
2235 Arthur Court Eugene OR 9740500
Mechanical: MARSHALLS 0025790 12/23/97 747-7445
4131 E St Springfield OR 974780000
Electrical.: JB ELECTRIC 0038827 02/27/96 752-6260
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 3144
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: G
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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
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
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER 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 wall/ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPRINGFIELD
~*'
Job Number: 970173
Page 2
CURB CUT - After forms are erected but prior to placement of concrete.
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: W
Topography: 2
Solar Approved: Y
N
Lot Sq. Ft.: 12078
Total Height: 28
Lot Type: INTERIOR
Setbacks
S W E
8 64
18
Lot Coverage: 18 t
Setbk From NPL: 40
House
Garage 16
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2484
660
a/Square Feet
64.66
16.27
Value
160,615.00
10,738.00
171,353.00
Building Permit Fee
Surcharge/Admin
595.00
47.60
TOTAL FEE
(A)
642.60
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,826.25
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
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
4
6.00
4.50
12.00
3.00
5.00
Mechanical Permit
Issuance
Surcharge/Admin
30.50
10.00
2.45
TOTAL PERMIT
(D)
42.95
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
0.00
25.75
13.60
1,000.00
SPRINGFIELD
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Job Number: 970173
Page 3
ELECTRICAL PERMIT
216.00
TOTAL MISCELLANEOUS PERMITS
(E)
1,255.35
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,975.06
- - - 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: 386.75 Date Paid: 01/27/97 Receipt Number: 24401
Received By:
Plans Reviewed By: DON MOORE Date: 01/31/97
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
3 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 per~it
card is located at the front of the property, and the approved set of plans
\? <~ o~~ ' U.." '"d., oo."roou=~ /ate (/3;/9?
(Signature tate
--- VALIDATION
Date Paid:
2l(l( Sh
1- ~ ( -1
'f175.00
I\jp? ---.
Receipt Number:
Amount Received:
Received By:
I'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: ANSLOW & DEGENEAULT
Location: 964 MCKENZIE CREST DR
Developement Type: R Building Size:
Job No.: 970173
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2731 X 0.216 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 25 X 44.75 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451. 26 =
$455.77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
25
X
X
Per PFU +
20.690 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 01/29/97
Page 1
Sq Ft
$589.90
$1,118.75
$455.77
=
$527.25
$0.00
$527.25
$2,691. 67
$134.58
$2,826.25
SPRINGFIELD
Job Number: 970173
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
,Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
1
o
1
o
3
o
3
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
2
2
1
6
4
25
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00
0.00
o
X
0.00
0.00
CREDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
'.
.
~,.,. Willamalane
..(;,--"'f' Park & Recreation District
,..., SYSTEM DEVELOPMENT CHARGE
. \ .~\_ ,WORKSHEET
NAM~U"\ ~enffilU.-t ' PHONE: ~~~ .(XjlD
ADDRESS: _ ~O .0 t ~-\1'\ kR I ~_' STATE: 0'YL ZIP: Q1401
LOCATION OF PROPOSED BUILDING SITE:
Street Address: ~\tA ~tt.of\ '1'10 ,0 AD d- J \)('
Plat Name: ~ (WI\. Tax Lot Number: \1 D~_t~44 D51(X)
,Job. N6..iDfJ~
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) ,
A. 'Sinolp."F8milv Detached
\. Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit= $ 1{)tO pO
B. Sinole-Familv Attached.
NO. OF UNITS
X $924 per unit - $
C. Multi-Familv Aoartmp.nt
NO. OF UNITS
X $692 per unit = $
D. ManllfactllrfKI Homp. Park.
NO. OF UNITS
X $699 perunit =
WILLAMALANE SDC
$
I
2. SDC CREDIT (if applicable) SDG-payer must fumish proof of
Willamalane Credit approval. See SDC Credit W.orksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
1:.~\.~~\\o~ '
DevelopmentS\~~es' Department
City of Springfield ..
'I I 3( I
Date
$
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if,
\ Dnf) ,cD
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