HomeMy WebLinkAboutPermit Building 1999-5-17
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDIN" JMETY
ATTENTION:Oregon law reqUires Y~rl't
225 North F:if6IlONS\l~oPted by the Oregon it' ~h
Springf iel<No\illta\li~mn1er, ThoSE rules are se 0
, OAR 952-001-001 0 through OAR 952-00b1-
10 . 'e~~ules Y
Location olQm~li1~ill'l\jI1191 1\ PL
I ....,., ....t.or. (Note: t e
Assessors Mapcilill n!!lll\llOB.."... U Tty Notification
Lot, 5 numberforthe~, (112344)
Cenleris 1-800-332- .
Owner: FRED HAMPLE
Address, 3426 BROOKVIEW DR.
Job Number: 990574
Office: 726-3759
Inspection Line: 726-3769
Tax Lot #, 05500
Subdivision, OAKBREEZE
Phone #: 484-7076
City/State/Zip: EUGENE OR,97401
Describe Work: MANUFACTURED HOME
NEW
Contractor
Canst.
Contractor #
Expires
Phone
General: GOODEN HARRISON 0066447
1441 HWY 99N EUGENE OR 974020000
Electrical, HERITAGE ELECTR 0063137
1042 HARN LANE EUGENE OR 974040000
11/30/99
689-7762
12/27/99
729-1500
QUAD AREA, 5RNW
OCCY GROUP: R3
SQ FOOTAGE: 1800
OFFICE USE --
LAND USE: 1150
CONSTR, TYPE: VN
# OF BLDGS: 1
INSUL PATH: P1
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.
SLAB - TO be made after all ins lab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench,
STORM SEWER LINE - Prior to filling trench.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
MANUF HOME/MOBILE HOME SET UP - When all blocking is complete,
MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
PEDESTAL - Prior to cover,
ROUGH ELECTRICAL - Prior to cover,
FRAMING - Prior to cover.
FINAL ELECTRICAL - When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete,
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: W Lot Sq. Ft, : 5160 Lot Coverage: 35 %
Topography: 2 Setbacks
N S W E
House 11 6 10
Garage 18
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Job Number: 990574
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Item
Main
Garage
MANU/HOME
FTG/FDN
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
400 18.34
Value
0,00
7,336.00
45,000.00
2,028,00
54,364,00
Building Permit Fee
Surcharge/Admin
80.50
6,45
TOTAL FEE
(Al
86.95
PLUMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
50
50
50
Fee
25.00
25,00
25,00
15,00
Plumbing Permit
Surcharge/Admin
90.00
7,20
TOTAL CHARGE
(Cl
97.20
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
105.00
30,00
8.40
60,00
60,00
2,196,56
1,000.00
TOTAL MISCELLANEOUS PERMITS
(E)
3,459.96
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,644.11
--- 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: 52,33 Date Paid: 04/28/99
Received By:
Plans Reviewed By: AL WARD Date: 05/15/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 033707
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
Job Number: 990574
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
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€l. tz7/if &J/ ;1 Mt. 1'-0 r I~ i,/ ~
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.
15~ f1~
5'17-1&J
Signature
Date
-- - VALIDATION
Date Paid:
r1~c.;O)5
5' h1/f1
~~V;J
Receipt Number:
Amount Received:
Received By:
.
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Job. No. qS.OS 1<,[
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~Jb..J' ~,ru.ut'\()
ADDRESS: ~L.lQ. <oR J\.~o.l \..1.'u..L> tS),
'PHONE: '-:-l. <Oll- 101(0
STATE:0&, ZIP: ql.t.tO\
LOCATION OF PROPOSED BUILDING SITE:
Street Address: t ~ <; (()~ -^utl,('~ 1: ~ ~ l
, - "-
Pial Name: ~ I ()" ~<"IM Tax Lot Number: CJ:::;S CD
1. DEVELOPMENT TYPE; (Check appropriate dwelling(s). SOC calculalions and dwelling t
ype definitions are on the back.)
.
A. Sin.{'IA-FAmil~ DAtached
, Single Family home
NO. OF UNITS ~
\. Manufactured home not in a pari<
QQ...
X $1,000 per unit = $ \. CJDD
B. Sin.{'IA'-FAmilv AttAr:hAQ
NO. OF UNITS
X $924 per unit = $
C. .Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ,ManllfaQ11/rAcf HomA Park
NO. OF UNITS
X $699 per unit = $
$
WILLAMALANE SDC
2. SDC CREDIT (II appncable) SOCopayer must fu~Sh proof of
WiUamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit) $
n~ "
De'Qiopment Services Department
City of Springfield
s--
I
(7 I fCf
Date
,/
CITY
, ... ' ,'. ,',~ ~ JpU~L OR .JOB NU.' qqO!f7~
, ATTACHMENT A. ".
OF'SPRINGFIELD SYSTEMSDEVELlrPMENTCHARGE
WORKSHEET
NAME OR COMPANY:
~D,AI 11b~/<;,r,ooJ
, LOCATION:
ID3PI 1'Jr1J? ~P.:'7.ft:
DEVELOPMENT TYPE: SF 0
BUILDING SIZE:
1. STORM DRAINAGE ~)c/~)
IMPERVIOUS SQ. FT.
LOT SIZE
SQ. Ft.
+ OflX1'-) .j. /4dO
.;M8t X $0,227 PER SQ. FT.
$ 413.~i
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
~
X $47.14 PER PFU
$ 8'4-g>.52-
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X [.0 I' X $475.32
$ 480.07_
X
X $475.32
$
4, SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO, OF FEU'S
X 271.# PER FEU
$ 2./1,44
B, IMPROVEMENT COST: .
,I
NO, OF FEU'S
, X _25.20 PER FEU
$ 25.20
MWMC CREDIT IF APPLICABLE (SEE REVERSEr < $ 23. zs >
MWMC ADMINISTRATIVE FEE $ 10.00
TOTAL-MWMC SDC $ ~.~
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $u:A /.q~
5. ADMINISTRATIVE FEES: .
BASE CHARGE (SUBTOTAL ABOVE) X .05 $ /04. roo
~~
SDC Coordinator
ATrACH' A, WPD
Date:~/IDI,q__
TOTAL SDC $ 2./Cff-..5rr
~
FIxtURE UNiT CA't=€UC_IOrfTABlE: NU~be.rof New Fixt.x'unit Equivalent F Fixture ~n~ts
(NOTE: For remodels. calculate only. NET additional fixtures) :.:..', ' ',' .
NUMBER CF UNIT FIXTURE '
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Ba thtub............................,.........................................
Drinking Fountain..................................................... .
Floor Drain...... ....................... .:....... ............ ..............
Interceptors For Grease/OiIlSolids/Etc.................
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher.............. .....................
Clotheswasher - 3 Cr More.....................................
Mobile Home Park Trap (1 per Trailer)..................
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.................................... .............
Shower, Gang..... .,......,..,....................... ..................
Sink: Bar, Commercial, Residential Kitchen.................:......
Urinal, StallIWall. ..:...................................................
Wash Basin/Lavatory. Single..................................
Toilet, Public Installation........................................
Toilet, Private.,.....................................................
Miscellaneous:
//
4-
;,.1 .
2
1
i
3
6
i
6
6
1
3
2
1/Head
2
2
1
6
4
g
I
z.
).
,JZ.
1/
z'
/I
TCTAL FIXTURE UNITS
18'
=
, CREDIT CALCULATICN TABLE: Based on assessed value. If improvements occurred after annexation date in table,
calculate credits separates.
I
Year,
Annexed
Rate per $1,000
Assessed Value
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
, Year
Annexed
Rate per $1,000
Assessed Value
, 1989
.J.9.9D-
1991
1992
1993
1994
""; ,'995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
J
..' ....
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
1.5.5 X' '$: 15', = -- Zs. Z~
(Rate X Assessed Value)
X .$ =
(Rate X Assessed Value)
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STD.RM DRAINAGE
(For Estimating Purposes Only)
Residential...........................O.4
Commerical.....................,... 0.9
Industrial:........................... 0 5
Governmental...................... 0.5
F1XUNIT,WPO
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT