HomeMy WebLinkAboutPermit Building 1999-7-14
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990815
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3928 NORTH ST
Assessors Map #: 18020611
Lot: 33 Block:
Tax Lot #: 05600
Subdivision: JASPER PARK
Owner: SIERRA BUILDERS
Address: 83188 ENTERPRISE RD.
Phone #: 744-8267
City/State/Zip: CRESWELL OR, 97426
Describe Work: S.F.RESIDENCE
NEW
Canst.
Contractor Contractor # Expires Phone
General: SIERRA BUILDERS 0094352 06/25/99 744-8267
670 PINE CT CRESWELL OR 974260000
Plumbing: BMC 0104805 03/13/98 548-7510
PO BOX 292 TERREBONNE OR 977600000
Mechanical: MARSHALLS INC. 0025790 12/23/98 747-7445
4110 OLYMPIC ST SPRINGFIELD OR 9747
Electrical: ROSE CORP 0054431 09/30/98 686-0905
89976 DAY LANE EUGENE OR 974020000
QUAD AREA: 5RSC
OCCY GROUP: R3
HEAT SOURCE: FG
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: PI
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 1912
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR 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
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 concrete.
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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
Job Number: 990815
Page 2
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: S
Topography: 2
Lot
Lot
Setbacks
S W
6
Sq. Ft.: 7125
Type: INTERIOR
Lot Coverage: 26.95%
N
House
Garage
18
E
12
12
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1417
495
$/Square Feet
69.64
69.64
Value
98,680.00
34,472.00
133,152.00
Building Permit Fee
Surcharge/Admin
509.50
40.77
TOTAL FEE
(A)
550.27
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172 . 80
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
3
6.00
4.50
9.00
3.00
5.00
Mechanical Permit
Issuance
Surcharge/Admin
27.50
10.00
2.21
TOTAL PERMIT
(D)
39.71
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECTRICAL PERMIT
0.00
60.00
60.00
1,000.00
2,246.19
124.20
TOTAL MISCELLANEOUS PERMITS
(E)
3,490.39
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,253.17
SPRINGFIELD
Job Number: 990815
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: DON
Building Site Reviewed
293.15
Date Paid: 06/17/99
Receipt Number: 034506
MOORE Date: 07/13/99
By: BOB BARNHART
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
FILL IN EXCESS OF 12" DEEP DEPOSITED ON THE SITE FROM STREET CONST.SHALL BE
RECOMPACTED TO STANDARD PROCTOR REQMT'S OR EXCAVATED TO UNDISTURBED SOIL. (SUBMIT
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.
~~r1:k
')~?I/'79
Signature
Date
--- VALIDATION
Date Paid:
'7,4'<!J,4'r:.,
I .
?//4/J 9
f~
Receipt Number:
Amount Received:
Received By:
. JOUR. OR JOB NO. qCf D ~ I .!!f
, ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: ~"n. "RIdAA
LOCATION: :'AZ-'il N",..-\!.... SJ,
DEVELOPMENT TYPE: -SF D
BUILDING SIZE:
LOT SIZE'
SQ. Ft.
1. STORM DRAINAGE 1411-l 4PJ5 I (,,{'2- L. oj II, ) +- 1<6 (27--')
IMPERVIOUS SQ. FT. Q4'1C X $0.227 PER SQ. FT. $ .'5{,,2.o5
2. SANITARY SEWER-CITY
NO. OF PFU'S ,~ X $47.14 PER PFU $ gcVi:. S7-
(See Reverse Side)
3. TRANSPORTATIO~
NO OF UNITS X TRIP RATE X COST PER TRIP
X \.01 X $475.32
$ 4-'lo. 6-=i
$
X X $475.32
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X '2.11.44-PER FEU
$ 2ft. 44-
B. IMPROVEMENT COST:
NO. OF FEU'S
X '2.'=>. 2D PER FEU
$2~. 2c)
MWMC CREDIT IF APPLICABLE (SEE REVERSE) < $ {A_o5 >
MWMC ADMINISTRATIVE FEE $ 10,00
TOTAL-MWMC sac $ :l4ft,5'1
SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ :l.13Q. 23
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ 10(" ,ct Co
t'll";:7L-
SDC Coordinator
ATTACH'A.WPD
Date:~
TOTAL SDC $ '1'14<.0. JC1
FIXTURE UNIT CALCIJ&,.A TION TABLE: Number of New .res X Unit Equivaleni = Fixtur~ Units'
(NOTE: For remodels. calculate. the IiIT 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:
11
q-.
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
<:t
I
7,
I
I I
II
L
7
TOTAL FIXTURE UNITS
./ %
=
CREDIT CALCULATION TABLE: Based on assessed villue. If improvements occurred after annexation date in table.
calculate credits separates.
'/
Rate per $1,000
Assessed Value
4, '2-i X $ IS
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
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
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
Year
Annexed
II
I
Rate per $1,000
Assessed Value
1989
1990
1991
1992
1993
1994
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
=
---
(A.n,")
=
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential........................... 0.4
Commerical......................... 0.9
IndustriaL........................... 05
GovernmentaL...:................. 0.5
FIXUNITWPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
.
.
Job. No. q~C)BI5.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: '~-\~~'i'l,=-.~\\~~.
ADDRESS: 8~\?S)J li"'~ll~ ~
LOCATION OF PROPOSED BUILDING SITE:
3~~ \ll$~ ~~
PHONE: lL{L;-f~ '"(
STATE: U. ZIP: <=tl~~
Street Address:
Plat Name: \. b ()..:If'{,, \ \
Tax Lot Number: D'Se. CJb
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sim'1~-Ff'lcmIly DetAr-hen
i: Single Family home ..
NO. OF UNITS \
Manufactured home not in a park
~
X $1,000 per unit = $ l. c..rutJ
B. SinQle'-Femilv Attached
NO. OF UNITS
X $924 per unit = $
C. ,Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManJ,IfRNlJrArl Home Park
NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (If appncable) SDC-payer must fu~Sh proof of
Winamalane Credit approval. See SDO Oredit Worksheet. $
3. TOTAL WILLAMALANE NET SDe ASSESSED
(If SDC reduced for Credit) $
~~'R '.
D~lopment Services Department
City of Springfield
I
I
Date