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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980637
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 595 OAKDALE AVE
Assessors Map #: 17032242
Lot: 1 Block:
Tax Lot #: 11100
Subdivision: OAKDALE
Owner: HAYDEN HOMES
Address: 1019 ASH GROVE LOOP
Phone #: 895-5615
City/State/Zip:, CRESWELL, OREGON 97426
Describe Work: S.F. RESIDENCE
NEW
,t, .
Contractor
Const.
Contractor #
Expires
Phone
General:
07/29/98
923-6607
HAYDEN HOMES 0092208
2622 SW GLACIER PL #110 REDMOND OR
EMERALD VALLEY 0065066
3856 HAYDEN BRIDGE RD SPRINGFIELD 0
Mechanical: HAYDEN HOMES 0092208
2622 SW GLACIER ~"110 REDMOND OR
Electrical: ALLEN ELECTRIC ~~ ~~ 0100630
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TO request an inspection. call the 24 hOu~Ol~c&rgj~at 726-3769.
01> ''0;-
All inspections requested before 7:00 a,m. will be made the same
inspections requested after 7:00 a,m. will be made the following
Plumbing:
05/10/98
688-3222
07/29/98
923-6607
06/28/98
646-0533
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1520
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: PI
working day,
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.
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
SANITARY SEWER LINE - Prior to filling trench.
WATER 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.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
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,
SPRINGFIELD
Job Number: 980637
Lot Faces: N
Solar Approved: Y
N
House 40
Garage 20
/. .
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
PLAN REVIEW FEE
ELECTRICAL PERMIT
CITY SDC'S
.:L 'UI{(h. 'trf;ll { iI '.k;l tI}{(.:t !}J 't:.
Total Height: 15
Lot Type: INTERIOR
Setbacks
S W E
14 5 7
5 15
Page 2
Setbk From NPL: 30
BUILDING PERMIT
Square Feet x
1120
400
$/Square Feet
64.66
16.27
PLUMBING PERMIT ---
2
MECHANICAL PERMIT ---
3
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
CA, B, C, D, and E combined)
--- BUILDING VALUE. PLAN CHECK AND BUILDING PERMIT ---
(A)
= Value
72,419.00
6,508,00
78,927,00
370.00
29.60
399.60
Fee
160.00
160.00
12.80
172.80
,4.50
9.00
3.00
16.50
10.00
1. 33
27.83
0.00
16.00
13.90
1,000.00
40.00
124.20
2,1l9,64
3.313.74
3.913.97
(C)
(D)
(E)
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.
/.',
SPRINGFIELD
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.
Job Number: 980637
Page 3
Received By:
Plans Reviewed By: TOM MARX Date: OS/29/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
SAME AS 980085, 518 OAKDALE AVENUE
DRIVEWAY REQUIRED TO BE PAVED
1 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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C:::21~
Date
-- - VALIDATION
Date Paid:
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W ,~/q~
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Receipt Number:
Amount Received:
Received By:
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. '. JOB NO. 3/V)t:,37
ATTACHMENT A'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
I-JAVDc;N J-!OI'-tA7~
NAME OR COMPANY:
LOCATION
c:;q~ OAICDAL& Ave-
.
DEVELOPMENT TYPE:
L,. FR...
BUILDING SIZE
lOT SIZE
SO, Ft,
P/t.V
...2.-,< z..c)-: 440
30" 42..--' "- <.0
4-00
z.o Y Z-GJ=
e"",
1 , STORM ORA I ~!AGF
IMPERVIOUS SO, FT, 'Z. /'-"0 _ X $0,226 PER SO FT, $ 474>.c,.o
2. SANITARY SFWFR-CITY
NO, OF PFU' S I 'r5
(See Reverse Side)
X $46,86 PER PFU
$ 343. 4R
3, TRANSPORTIl.TTON '
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1.0 I X $472,49
$ 477.2-/
X
X $472,49
$
X
X $472. 49
$
4. SANITARY SFWFR-MWMC
DU'S
NO. OF ~C:u3 I X 2.77,76PER FEU + $10 MWMC/ADM FEE $ 2.'l7.7G.
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - ~4..3.s-
TOTAL-MWMC SOC $ zz~ ,4/
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ 2.,I)/R, 70
5, ADMINISTRATIVE FEF~
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ /()o,'M:
&
Date: :;-2q-;qg-
SDC Coordinator
TOTAL SOC $ >;119. ?,f
.. ti''-. VllL., VI\lI. V/'"'\L."-'UL./"'"\ IIVI\I I MOL&:. Numoer or New hxtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate on.e 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....".,.".,....,.,....,..."..."
Clothes washer - 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, Pubiic Installation,.. ...... ,..,.., ................ .......,
Toilet. Private,..................,....".............................
Miscellaneous:
.".,
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
z..
2-
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE:
calculate credits separates,
"
4-
'7
-=-
'2....
~
18
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
$3,97 =:>
3.89
3.B3
3.70
3.55
3,39
3.20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
~7g ^r hpf('\.,rp:
1980
1981
1982
1983'
1984
1985
1986
$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
c..4-,.... .,
3."77 X $ J(.,7ICl
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
Improvement (if after annexation date)
=
CREDIT TOTAL = $ r:.4-.3S-
R'UNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL.,;...,..,................ 0.4
CommericaL...........,........,... 0.9
IndustriaL........................... 05
. Governmental....................., 0.5
IMPERVIOUS AREA. = TOTAL lOT SIZE X RUNOFF COEFFICIENT
., .. ~
.
.
Job. No.
(\ ~tJ\o~1
.-
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: t f\fu~c\q I!\ \ ~O()' PHONE: _~~C)'~~OP
ADDRESS: \{J\q ~ ^~\r\('1.rri:e ~,STATE~~ZIP: 014-110
LOCATION OF PROPOSED BUILDING SITE: \ I. ' '
Street AddreM: ~Q~ \~~U M~Q . L9\\)-{ln~
Plat Name: \\J~J (\~ \ O~ -' Tax Lot Number: \1 ~~ ~4~ \UCO
\,
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. Sinolp.-F;:Jmilv DAI;:JchAQ
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \ DOn (()
B. SinoIA"-F;:Jmilv Att;:JchAd
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ~ctured Home Pa~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ mnn 00
o
$ ~ DOO .00
Le ,_M ,Q9)
2. SDC CREDIT (If applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worl<sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SOC reduced for Credit)
1~~e~t~~ent
City of Springfield
Date