HomeMy WebLinkAboutPermit Building 1997-7-21 (2)
.
.
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970840
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5660 DAISY ST 4
Assessors Map #: 17023344
Lot: 23 Block: 1
Tax Lot #: 01422
Subdivision: MT VIEW
Owner: RANDOLPH ALLEN
Address: PO BOX 7049l
Phone #: 688-5750
City/State/Zip: EUGENE, OREGON 97401
Describe Work: MANUF HOME & CARPORT
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: GOODEN HARRISON 0066447
1441 Hwy 99N Eugene OR 974020000
Plumbing: GOODEN HARRISON 0066447
1441 Hwy 99N Eugene OR 974020000
Electrical: HERITAGE INV 0063137
1042 Harn Lane Eugene OR 974040000
05/07/98
687-7767
05/07/98
689-7767
12/27/97
688-1600
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: PUD
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 937
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 inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
MANUFACTURED HOME SERVICE
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
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.
FRAMING - Prior to cover.
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: E
Lot Sq. Ft.: 3890
Lot Type: INTERIOR
House
Garage
N
15
5
Setbacks
S W
5 29
E
18
18
Item
Main
BUILDING PERMIT
Square -Feet x
$/Square Feet
= Value
22,000.00
Job Number: 970840
Page 2
Garage
FTG/PERIM FOUNDATION
Total Value
0.00
3,312.00
28,624.00
Building Permit Fee
Surcharge/Admin
62.50
5.01
TOTAL FEE
(A)
67.51
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 1,981.89
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Fee
25.00
25.00
25.00
Plumbing Permit
Surcharge/Admin
75.00
6.00
TOTAL CHARGE
(C)
8l.00
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
105.00
20.00
8.40
13.30
1,000.00
88.56
TOTAL MISCELLANEOUS PERMITS
(E)
1,235.26
(Excluding Electrical)
\
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,365.66
--- 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: 32.83 Date Paid: 05/30/97
Received By: HEIDI KNIGHT
Plans Reviewed By: LISA HOPPER Date: 06/04/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 25980
--- ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
Job Number: 970840
Page 3
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 an~ 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.
7 -:1...(- q7
Date
--- VALIDATION
Date Paid:
1(g7(o Z-
~(~2l-07
~l3(OS. (/J ~
lA /./'
NOTICE:
THIS PERMIT SHAL
AUTHORIZED UNOe~ ~~/RE IF THE WORK
COMMENceo OR IS ABA IS PERMIT IS NOT
ANY 180 DAY PERIOD. NDONED FOR
Receipt Number:
Amount Received:
Received By:
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: RANDOLPH ALLEN
Location: 5660 DAISY ST 4
Developement Type: R Building Size:
Job No.: 970840
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft
1417
x
0.216
Per Sq Ft =
2. SANITARY SEWER - CITY
Number Of PFUs 18
(see Page 2)
x
44.75
Per PFU =
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451. 26 =
$455.77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
+ MWMC Admin Fee
+ 10.00
Per PFU
20.690
=
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 06/05/97
Page 1
Sq Ft
$306.07
$805.50
$455.77
$382.42
$62.25
$320.17
$1,887.51
$94.38
$1,981.89
.
.
Job Number: 970840
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
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
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
1
o
o
o
o
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
2
o
o
o
o
o
2
o
2
o
8
o
2
2
1
6
4
18
TABLE: Based on assessed value.
after annexation date, credits
(calculations are by $1000)
CREDIT CALCULATION
Year Annexed: 1969
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
If improvements occured
are calculated separately.
17,940
X
3.47 =
62.25
o
x
3.47 =
0.00
CREDIT TOTAL =
$62.25
'(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
.
.
Job. No.
~~
\0
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \ '~t)\~ \\\eJ\
ADDRESS: \>D. ~\( ~_\ J Y .)
LOCATION OF PROPOSED BUILDING SITE:..
Street Address: 0(J)LoO
Plat Name~). \)\0-, 1)
PHONE:- lcfQ) . Den
STATE: (~IP: C J4[i
'.\
!J"-) ~ 4
be;: J:ml"33440\1-L~
Tax Lot Nu
1. PEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinale-Familv Detached.
Single Family home
NO. OF UNITS I
I 0 Manufactured home not in a park
X $1,000 per unit = $ DC[). CO
B. Sinale'-Familv Attached
NO. OF UNITS
o. X $924 per unit - $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit - $
D. M9nufactured Home Pa~
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
$
I ()(){) ,a)
(!f
'\.
$ \\)O\)~
I q7
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
~~~~~~e~nt
City of Spriongfield
-;
Date
I 2 (