HomeMy WebLinkAboutPermit Building 1997-11-5
IIJPAINOFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971481
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 853 OLD ORCHARD LN
Assessors Map #: 17032343
Lot: 55 Block:
Tax Lot #: 02001
Subdivision: RIVER GLEN 1
Owner: ~u~u~E B HOMES
Address: BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
FUTURE B HOMES Ih 0036499
3593 River Pointe Dr ~g~ OR 9740
CUSTOM PLUMBING "1. 0',,0 ~1994
3248 Kentwoo<;l Dr ~~ dS;>4'1401000
ROLFS HEATING ~_~4,,^ ~~ ~Jl2455
PO Box 66 De~ter~~dI~92J1.1/,
BOB FISHER ELEC 'bo. ~ ~6:aq~
180 Kingsbury Ave EUg~~J~~~13
~tl. 0'-4. ' ?kJ'_ ~/'"
OFFICE usEO<t....."% ~,o~ ~<<'
LAND USE: 1111 e:04: ~/' 11;
ZONING CODE: LDR ~ ~ {s> 4: V-91-
# OF BDRMS: 3 0-9 V/,
RANGE: E
05/18/00
485-3176
General:
05/06/00
485-1146
Mechanical:
10/04/98
686-4927
Electrical:
01/25/98
689-7973
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2149
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: PI
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 MECHANICAL - Prior to insulation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDER FLOOR PLUMBING - 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.
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
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
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,
GLlM c.itr - ~4.ltK TO ~1Rea)l; aN~
'SibEW~ - ,lilt/un.. 7D ~~ C<MJ~.
~;
L BPA.NOFIELD
Job Number: 971481
Lot Faces: N
Topography: 2
Solar Approved: Y
N
House
Garage 18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE W/H
GAS FP
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
SDC
ELECTRICAL
WILLAMALANE
Lot Sq, Ft.: 7465
Total Height: 21
Lot Type: INTERIOR
Setbacks
S W E
32 6 10
BUILDING PERMIT ---
Square Feet x
1687
462
PLUMBING PERMIT ---
2
--- MECHANICAL PERMIT ---
3
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
Page 2
Lot Coverage: 29 %
Setbk From NPL: 55
$/Square Feet
64.66
16.27
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
(A)
= Value
109,081.00
7,517.00
116,598.00
471.25
37.70
508.95
Fee
160.00
160.00
12.80
172.80
6.00
4,50
3,00
3.00
5,00
4.50
26.00
10.00
2.08
38.08
0.00
19.00
13.90
2,404.09
183.60
1,000.00
3,620.59
4,340.42
(C)
(D)
(E)
'S-'AINQPIELD
/:jl'~
Job Number: 971481
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 buildingst 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: TOM
Building Site Reviewed
306.31
Date Paid: 10/09/97
Receipt Number: 27636
MARX Date: 11/04/97
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
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.
~~~
~
\L)S/ ~I
Dat~ '
Date Paid:
iq tr;TION
\ .S,qf f _
~\\ CD
Receipt Number:
Amount Received:
Received By:
A I I ALHMtN I A 97/ 1-8 )
. . CITY OF ~INGFIELD SYSTEMS DEVE~ENT CHARGE
WORKSHEET
N.AMEOR COMPA.N'I.
Ft lTUi2E' fZ., HOI-1~<;
LOCATION
R ~::<)
OLD OeCt+AIU) L~AJ&
DE\/E~OP~IE,\IT T'!PE.
c., . 1='. Q.
BUILDING SIZE
lOT SI7f='
SO. Ft,
1 . 5I0R~" ~RA T :'J..).G ~
IMPERVIOUS SO. FT,
<614-
"
:< 50.226 PER SO. '-!. 5 (""R/, I~
2. StlNTTAR\( SE:.~Eq-rTT'1
NO OF PFU'S
If>
x 516,86 PER PFJ
5 843.4R
(See ReverSe S~ae)
3. TRA.NSPORI.~ TIO~J
NO OF UriITS X TRIP RATE X COST PER TRIP
X 1.01 X $472.49
$ 477.2/.
X X 5472,49
$
X X $472,49
$
4, <;ArJiTARY <;F\,IF~ -M'..,,"r.
D<>
NO. OF --PBr S
ocJ
X 277.7bPER Ffl:j + $10 MWMC/ADM FEE $ 2'1>7,70
MWMC CREDIT IF APPLICABLE,(SEE REVERSE)
$
TOTAL -MW~IC SOC
$
.."
~
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
$ 2Z(~.p/C,(
.
5, ADMTNTSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
Fit
$
1/4.48
Date. /0- /8~9.7
SDC Coordinator
TOTAl SOC
$' 2, 4D4.0'1
\1~V II... I VI I ~IIIVUC'~, 1...;JII..UIGllC VIIIY U It:: ~ dUUlllUlldl llXlUreSI
FIXTURE TYPE
.
NUMBEil OF .
NEW FIXTUR
Bathtub...", ,..."", .....',.,",..""...,.""..'..",.,."".."",..""
Drinking. Fountain",..,..,.",.."".",.,.""..,..,.,.,.,.."""",
Floor Drain""",'".",."."",.."""""""",...,."."""... '.",.
Interceptors For Grease/Oil/Solids, Erc,....... ,..,....,
Interceptors For Sand/Auto Wash/Etc..................
Laundry Tuo/C!otheswasher,.."".".,...,.""....,...."."
Clotheswasher.3 Or More........,..,......:.................,
Mobile Home Park Trap 11 Per Trailer)..................
Receptor For Refrigerator/Water Station/Etc.....,..
Receptor For Commercial Sink, Dishwasher/Etc..
Shower, Singie Stall........, ,..,,,,,,,,,,, ".........,......: ",....
Shower, Gang.............."..,.."",..,,, ".. ..... .......,.. '" "..,
Sink: 8ar. CcmmerciaL Resicei~rial Kitchen........................
Urinal, Stall/Wall"""""""""".,."""",.".,.,.."""""""
Wash Basin:Levatort:, Single.. "....."............."....",
Toile!. Pubiic ~nstajlation........ ...............................
Toiler I Prt\]ate..................... .................................
MisceilaneoL:s:
z...
2-
TOTAL FiXTURE UNITS
"'1,/(48' I
UNIT FIXTURE
EQUIVALENT UNITS'
2
1
2
3
6
2
6
6
1
3
2
i/Heao
2
2
1
6
4
=
,
2-
2-.
z..
2.....
:z..
8
//1,
I
,
I
CREDIT CALCULATION TABLE: Based on assessed value, If improvements 'occurred after annexation date in table.
calculete credits separates,
Year
Annexed
I
1979 or before
. 1980 '
1981
1982 '
1983
1984
1985
1986
Rate per $1,000
Assessed Value
Year
Annexed
$3.97
3.89
3,83
3,70
3.55
3,39
3,20
2.91
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per s 1 ,000
Assessed Value
$2,56
2,17
1.73
1.31
0,92
0.74
0.61
0.45
0,31
0,17
::
Oedit for Parcel or land Only If Applicable
Improvement lif after annexation date)
X $
IRate X Assessed Value)
X $
, (Rate X Assessed Value I
=
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Ficsidefici3i...;.. .... ................. 0.4
Commerical,..,.."..,....,.,.,..... 0,9
Industrial............................ 0 5
Governmental.........,............ 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
. "
...
.
Job. No. q lltf,~ l
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: 1r~. ~
ADDRESS: ~ f) ~x. 1..l..\b5
PHONE: 1. .LV-\, - &U, ()
STATE: DR ZIP: CqL{() \
..
LOCATION OF PROPOSED BUILDING SITE:
(\~ O~ ~-
Tax Lot Number: Mm\ ~O
Plat Name:
~s~
n(j~~,-\~
I,
Street Address:
1. .DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinnlp.-F::Jmilv nP.t;:l~
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ l c.n.....') ~
B. ,Sinale'-Familv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ty1::JnufactllrAd Homp. P::J~
$
$
\teD,CD
!Z
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. $
~'?::.~
D~0:rtopment Services Department
City of Springfield
\ \
j2
Date
$ \. CJU"l)
I ~ /Q
~
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)