HomeMy WebLinkAboutPermit Building 1999-7-15
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SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF.SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990534
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 7620 MCKENZIE HWY
Assessors Map #: 17023541
Lot: Block:
Tax Lot #: 01400
Subdivision:
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Owner: CHARLES KNBISLER
Address: 7264 HOLLY ST.
Phone #: 747-5214
City/State/zip: SPLFD OR,97478
Describe Work: S.F.RESIDENCE
NEW
Contractor
Cons t .
Contractor #
Expires
Phone
General: WILLIAMS GENERA 0111846
7297 HOLLY ST SPRINGFIELD OR 974780
Mechanical: MARSHALLS HEATI 0025790
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: ED HAUCK ELECTR 0041908
23820 HWY 20 PHILOMATH OR 973700000
02/27/00
726-1525
12/23/99
747-7445
05/31/00
929.3417
QUAD AREA: 5RNE
OCCY GROUP: R3
HEAT SOURCE: FE
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: PI
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 3510
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.
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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.
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
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE . Must be approved to obtain permanent J;ffil-rl1\lE:lr lor the Oregon Utility Notification
SHEAR WALL NAILING - Before covering sheathing with finish materf.w~,,!ris 1-800-332-2344).
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.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Wall/Ceiling; Prior to cover
Lot Faces: S
Topography: 4
Total Height: 27.6
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHEWORK
AUTHORIZED UNDER THIS PERMIT IS NOr
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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SPRINGFIELD
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Job Number: 990534
Page 2
Lot Type: PANHANDLE
N
Setbacks
S W
270
E
House
Garage
81
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
3132
520
$/Square Feet
69.64
18.34
Value
218,112.00
9,537.00
227,649.00
Building Permit Fee
Surcharge/Admin
721.00
57.68
TOTAL FEE
(A)
77 8.68
PLUMBING PERMIT ---
Item
Residential Bath(s)
4
Fee
192.50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(Cl
207.91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
5
6.00
4.50
15.00
3.00
Mechanical Permit
Issuance
Surcharge/Admin
28.50
10.00
2.29
TOTAL PERMIT
(D)
40.79
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
CITY SDC
PLAN REVIEW ADJUST.
0.00
1.000.00
2,564.74
54.62
TOTAL MISCELLANEOUS PERMITS
(El
3,619.36
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,646.74
--- 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.
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SPRINGFIELD
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Job Number: 990534
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Plan Check Fee:
Received By:
Plans Reviewed By: DON
Building Site Reviewed
454.03
Date Paid: 04/21/99
Receipt Number: 033582
MOORE Date: 07/01/99
By: BOB BARNHART
ADDITIONAL COMMENTS
PATH 1; SEPARATE ELECTRICAL PERMIT IS 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
w"'~~~~~.. '0"'0' 000"'''0''00.
sC/ure
Date
- - - VAL!DATION
Date Paid:
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Receipt Number:
Amount Received:
Received By:
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e JOURNeOR JOB' NO. c:J9() .s-~4
AlTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
LOCATION:
C.HA12..L6"'> ~ '<IER..
7 G 20 he !LEN oz;, IS 1-1 '-<.J ~
NAME OR COMPANY:
DEVELOPMENT TYPE:
~. F. 12-
BUILDING SIZE:
. LOT SIZF
SQ. Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
X $0.227 PER SQ. FT. ~
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2. SANITARYSEWER-CITY
NO. OF PFU' S 3 c:;-
(See Reverse Side)
X $47.14 PER PFU
$ I. e,4L? qc)
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3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
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X I. D 1 X $475.32
$ 4l!O.07
X
X $475.32
$
4. SANITARY SEWER.MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S I
X 777.# PER FEU
$ 277..5::5::..
B. IMPROVEMENT. COST:
NO. OF FEU'S I X.z. 5", uPER FEU
$ z<>.20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10.00
TOTAL-MWMCSDC $::;;:/Z.h4
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHA~~TOTAL ABOVE) X .05
~ Date: 7~/'P<.. CJ<j
SDC Coordinator
ATIACH'A.WPD
$ ~.1f.42,~(
$ IZ'Z,J3
TOTAL SDC $2. .~t:.4. 74-
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FIXTURE UNIT CALCUL.ON TABLE: Number of New Fixtur. Uriit Equivalent ~ Fixture Un/!s.
(NOTE: For .remodels, calculate only the NET additional fixtures) . .
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub..................................................................... .
Drinking Fountain.....................................................
Floor Drain...........:............... ,...................:........ .:....:.. .
Interceptors For Grease/Oil/Solids/Etc.................
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/Etc..
Shower, Single Stall.....:...........................................
Shower. Gang...................:......................................
Sink: Bar, Commercial. Residential Kitchen........................
Urinal. Stall/Wall.......................................................
Wash Basin/Lavatory. Single..................................
Toilet. Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
3
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
s
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TOTAL FIXTURE UNITS
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'2..0
3S-
Based on assessed value. If improvements occurred after annexation date in table.
CREDIT CALCULATION TABLE:
rCUlate cre:::n~~:rates.
Rate per $1,000
Assessed Value
Year
Annexed
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Rate per $1.000
Assessed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
Credit for Parcel or Land Only If Applicable
X $ ~
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL ~ $
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo.ses Only)
Residential........................... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT
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.p~ Willamalane
t"" j Park & Recreation District Job. No. '\'\..06:SQ
f" SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: C 11 m~ tit. ~).A. ~~. . PHONE:. 1 Ll1~~l L.j
ADDRESS: l~(^~i 1k~~\1 h-~STATE:()n. Zlp:Q?4,Th
LOCATION OF PROPOSED BUILDING SITE:
Stfeet Address: 1 bt),O '1M c.( l-\.~ ;n. \::l ~
Plat Name: 11D~0S-'-\ \ . Tax Lot Number: 0 \ L.L(7)
1. DEVELPPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling I
ype definitions are on lhe back.)
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A. flinalA-FRmilv DAtRr:hAo
)0. Single Family home ..
NO. OF UNITS t
Manufactured home not in a park
(It:)
X $1,000 per unit = $ \ CJ'tm-
B. SinQIE1-FRmilv AttRr:hAn
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartmenf
NO. OF UNITS
X $692 per unit = $
D. ,ManllfRr:tllrAn HomA PRIX
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit 'c
$
\CCO.OO
$
2. SDC CREDIT (If appficable) SOG-payer must fu~Sh proof of
WiUamalane Credit approval. See SDO Or edit Worksheet.
r3
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$ lOCf) pU
f[ I ,/5', qq
Date
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
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De'Q;lopment Services Department
City of Springfield