HomeMy WebLinkAboutPermit Building 1999-11-22
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N01ICIE:
THIS PERMIT SHAU- EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 991550
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 790 OLD ORCHARD DR
Assessors Map #: 17032343
Lot: 124 Block:
Tax Lot #: 09901
Subdivision: RIVER GLEN 3R
Owner: HOMEBUILDERS CONST.
Address: 1255 PEARL ST.
Phone #: 302-1410
City/State/Zip: EUG, OR: 97401
Describe Work: SINGLE FAMILY RESIDENCE NEW
Canst.
Contractor Contractor # Expires Phone
General: OWNER
Plumbing: DON LEWIS 0054556 06/06/92 363-3426
340 Snead Dr N Keizer OR 973030000
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2775
# 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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOQR DRAIN - Prior to cover or placement of concrete.
UNDERFLOOR MECHANICAL - Prior to insulation or de(;'kTI'ii~TION:Or3g0I1iawroquiresyouto
POST AND BEAM - Prior to floor insulation or decktrrl~'))NrUlesadopledbytheOregonUtility
INSULATION - Floor; prior to decking Wa11/Ceil'j):i1Hgr,a:prlbf)rt'6r'~over rules are set forth
WATER LINE - Prior to filling trench. inOAR952-00i-00'iCihroughOMHJ52-001-
SANITARY SEWER LINE - Prior to filling trench. 0090. You may o!Jtr.in copies olth:' rules by
STORM SEWER LINE - Prior to filling trench. calling the center. (Note: the tolephone
ROUGH PLUMBING - Prior to cover. numberfortheOregonUtilityNotification
ROUGH GAS - after line is installed and capped if not afi1a1ili~'d1-S9(1a7,'l2-~344).
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
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.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
,
Job Number: 991550
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.
Lot Faces: S864
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 8642
Total Height: 20.5
Lot Type: CORNER
Setbacks
S W E
7 15
Page 2
Lot Coverage: 26 %
Setbk From NPL: 43
N
House 23
Garage
18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2183
592
$/square Feet
69.64
18.34
Building Permit Fee
Surcharge/Admin
TOTAL FEE
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan 4
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE W/H
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
PLAN CHECK FEE
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
(A)
= Value
152,024.00
10,857.00
162,881. 00
574.75
57.47
632.22
Fee
192.50
192.50
19.26
211. 76
6.00
4.50
12.00
4.50
3.00
5.00
35.00
10.00
3.50
48.50
0.00
63.60
60.00
2,916.41
1,000.00
80.00
4,120.01
5,012.49
(Cl
(D)
(E)
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Job Number: 991550
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: AL WARD
Building Site Reviewed By:
0.00
Date Paid: 11/12/99
Receipt Number:
Date: 11/21/99
DON MOORE
--- ADDITIONAL COMMENTS
ANNEX JO.#98-02-049
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
6 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.
kl,v.~~
Signature
~
!/I~'L-J9C;
Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
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ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER 991550
NAME OR COMPANY: HOMEBUILDERS CONST COMPANY
LOCATION: 790 OLD ORCHARD WAY
TAX LOT NUMBER 17032343-09901
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
BUILDING SIZE:
2775
LOT SIZE
8642
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.
3051.0
x
$0.232 PER SQ. FT.
$707.83 I
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
27
x
$48.27 PER PFU
$1,303.29 I
3. TRANSPORTATION
NUMBER OF TRIPS x TRIP RATE x COST PER PM PEAK HOUR TRIP
TOTAL TRANSPORTATION SDC
$491.60 I
$0.00
$491.60 I
x
x
1.01
x $486.73 PER TRIP
x $486.73 PER TRIP
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's
x
$242.76
PER FEU
$242.76 I
B. IMPROVEMENT COST:
NUMBER OF FEU's
x
$22.05
PER FEU
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
$22.05 I
$0.00 I
$10.00 I
$274.81 I
$2,777.53 I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL MWMC SDC
~. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) x
0.05
$138.88 I
~I /i!J.wlf
SDC coo~1'N~ DN'i'E"'"
TOTAL SDC CHARGES I
$2,916.41 I
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PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = PLUMBING FIXTURE UNITS
(NOTE: FOR REMODEL~. CALCULA TE ONLY THE NET ADDITiONAL FIXTURES)
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FIXTURES
NEW OLD
2
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETe.
INTERCEPTORS FOR SAND/AUTO WASH/ETe.
LAUNDRY TUB/CLOSTHSW ASHERfMOP SINK
CLOTHESW ASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERA TOR/W A TER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK! DISHW ASHER/ETe.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, ST ALUW ALL
WASH BASIN/LA V A TORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRlV A TE INSTALLATION
MISCELLANEOUS:
2
UNIT
EQUIVALENT
2
I
2
3
6
2
6
6
I
3
2
I
2
2
1
6
4
PLUMBING
FIXTURE
UNITS
4
o
o
o
o
4
o
o
o
o
2
o
2
o
3
o
12
o
o
o
TOTAL PLUMBING FIXTURE UNITS=I 27
3
3
CREDIT CALCULA TION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXA TION DATE IN TABLE, CALCULATE CREDITS SEP ARA TEL
YEAR
ANNEXED
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
RATE PER $1,000
A~SSED VALUE
$4.47
$4.38
$4.32
$4.20
$4.03
$3.88
$3.68
$3.38
$3.03
$2.62
YEAR
ANNEXED
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXA TION DATE)
RATE PER $1,000
ASSESSED VALUE
$2.18
$ 1.75
$ 1.35
$1.17
$1.03
$0.86
$0.71
$0.57
$0.39
$0.18
x
x,
$0.00
$0.00
CREDIT TOTAL $0.00
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.1!ItW ~".... 'Willamalane
'"(;,""f' Park & Recre.ation District. Job. No. ~
If. SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \\.~M.A ~
ADDRESS: \ Q S~ t? ~ .~.t\
.
qc; /))7)
PHONE: ~&-l'{lO
STATE: CA ZIP: C{14(O\
LOCATION OF PROPOS,ED BU,ILDING SITE: :J n'o oLA. 0 t~ rIi
_ ~. . f' I -I 4' re) IQjt'f'
Street Address: ~~-__ ~'~~~~ l;;.,)-\_-
Plat Name: \(,O~"5.'-t~ Tax Lot Number: actc;,ol
1. DEVEL9PMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.) .
A. ~inole-F:Jmilv Det:Jr.hen
. ,
'10 Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit =$ \ (x'rr) ~
B. ~'e'-FRmjlv Atf:Jr.hen
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. .M:Jnuf:JcturAn Horne P:Jr1<
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$
2. SDC CREDIT (If applicable) SDc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet. $ _
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit) $
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oMopment Services Department
City of Springfield
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I
Date
i
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