HomeMy WebLinkAboutPermit Building 1998-9-17
,
o' SPR~aFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980984
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1221 DELROSE DR
Assessors Map #: 17032344
Lot, 5 Block:
Tax Lot #, 08100
Subdivision: ORCHARD VIEW
Owner: SAVAGE CONSTRUCTION
Address: 27942 BENSON ROAD
Phone #: 687-0508
City/State/Zip: EUGENE, OREGON 97402
Describe Work: S.F. RESIDENCE
NEW
Canst.
Contractor Contractor # Expires Phone
General: SAVAGE CONSTRUC 0005348 09/23/98 687-0508
27942 BENSON RD EUGENE OR 974020000
Plumbing: DON BROWN PLUMB 0003603 02/13/98 244-7736
Mechanical: ROLFS HEATING 0102455 10/04/98 686-4927
PO BOX 66 DEXTER OR 974310000
Electrical: SAVE ON ELECTRI 0056697 05/16/99 344-4928
PO BOX 23154 EUGENE OR 974020425
OFFICE USE _ _ -'-;-;;:/JTlv;,j,vrtlgun raw reqUires you to
QUAD llIlfli'? rip!W LAND USE: 1111 N fO!I?w ~ules adO!?t~b~tIy{;9fe!iOn Utility
# OF iliiYrl3':'-'lj;: ZONING CODE: LDR, otlf.catlon Cent~c;;Qos~c5WP~ llfSl set forth
CONSTRH/.'rf'6:lMI'fl'SHALL # OF BDRMS: 3 InOAR952-001-~.wh~I,IFWP2-o01_
SECO~tJtHr\lMT' ,JCP EXPIRE IF Tij7iMRKEATER: G 0090, :ou may oB119Pi@s of the rules by
INSUL PATlY:' "~'rD UNDER THIS PEAMt:PISfIW'fAGE: 2225 calling the center, (Note: the telephone
COMMENCED OR I~ AR HI!:"",~ __ _ number.!or the Oregon Utility Notification
To re<;N!!'!!W,\,!!\\iPl!flfi'i'IJion;-';;~It '~ffi! 24 hour recording a't"''f2'\;'''3'1\l9'V-'''''';::-;::;j44).
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
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
DRYWALL - Prior to taping.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
Job Number: 980984
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: N
Topography: 2
Solar Approved, Y
Lot Sq, Ft" 7427
Total Height: 21
Lot Type: INTERIOR
Setbacks
S W E
28 16 12
12
Page 2
Lot Coverage: 30 \
Setbk From NPL: 49
N
House
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1709
516
a/Square Feet
64,66
16,27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F,P,
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
110,504,00
8,395,00
118.899,00
475,75
38,06
513.81
Fee
160,00
160,00
12,80
172.80
6,00
4,50
9,00
3,00
5,00
4,50
32,00
10,00
2,56
44,56
0,00
20,50
15,40
1,000,00
2,372,08
3,407.98
4,139.15
Job Number: 980984
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: DON
Building Site Reviewed
309,24
Date Paid, 08/06/98
Receipt Number: 31016
MOORE Date, 09/11/98
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
NO SEWER CONNECTION OR OCCUPANCY UNTIL SUBDIVISION HAS BEEN ACCEPTED BY THE CITY
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.
rL~
~.
-~~
, v
Slgnature
Date
--- VALIDATION
Date Paid:
l,lL(~&
1/n/ff
,
41 J 7. If(" I
~N~
Receipt Number:
Amount Received:
Received By:
.\
.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
_ ~\\ Dtl).L1~i;(lQ PHONE: J:o<61J .(EJ) ~
. ~~'{Y\ p~) S STATE: .l1I'LzIP: Ch1{t2-
LOCATION OF PROPOSED BUILDKNG SITE:
Street Address: \'1-'1\ l\o~J)f)~ \\JLi \)~
Plat Name: J(X(\hltrrt \llliU Tax Lot Number: flO3&?-44 ~tfS\aJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
.
Job. No.
Q 9tGK4
.,
A SinoIA-F::!milv DAt::!c:hp.rl
Single Family home
NO. OF UNITS l
Manufactured home not in a pari<
X $1,000 per unit = $ (rm.c.O
B. SinoIA'-F::!milv 8tf::!c:hArl
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Ao::!rtment
NO. OF UNITS
X $692 per unit = $
D. MMllf::!c:tllrArl HomA P::!rt
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ ! (Y)() 00
JY
$ ( DOO pO
$
2. SDC CREDIT (if applicable) SDG-payer must furnish proof of
Willamalane Credit approval. See SDC Credit WorKsheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
~~~~21J~.we~
City of Springfield
1,17
Date
/ q((
, ,.
. JOUIL OR JOB NO. ~'B oq~
AlTACHMENT A ,
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: ~..."... G6 G:.N~"'fIOWC.TION
LOCATION: \ 2"4' \)E\..I2t>~G: 1)e\V~
DEVELOPMENT TYPE: C;F 0
BUILDING SIZE:
'2"2.:2..':;
LOT SIZE
SO, Ft.
1. STORM DRAINAGE Z5CJ T5SZ. +- 4-31.
CG.Z K24-)+~.5" 3!,s)
IMPERVIOUS SO, FT, "2 '7'2.1.
X $0,227 PER SO, FT, $ ~ 11.(C1
2, SANITARY SEWER-CITY
NO, OF PFU'S I~
(See Reverse Side)
X $47,14 PER PFU
$FJ4e I 5'2-
3, TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X \ I() \
X $475,32
$ 480.0;
X
X $475,32
$
4, SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S \ X Z11,,*PER FEU
$ '2-/7.4f:.
B, IMPROVEMENT COST:
NO, OF FEU'S \ X '25. ,,[PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
$ Z5,-zO
< $ >
$ 10 00
TOTAL-MWMC SDC $ 3\Z,~
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ nS9,12...
~, ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ \ \ 2, Cj (..,
fY\~L-
SDC Coordinator
ATTACH' A, WPD
Date: ~ - 24...q<t
TOTAL SDC $ 2.3/2.0><'
FIXTURE UNIT CALCUL~ION TABLE: Number of New Fixt. X Unit Equivalent = Fixture Un~ts'
(NOTE: For remodels, calculate onlyW NET additional fixtures)
, NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub"".""""""""""""""""""""",.""""".."""" ,
Drinking Fo'untain.... ,.., ,..,..,""",....,..."..,..",..""",....
Floor Drain,..,..",......, ..,....,.."",.... '......,'......"""......"
Interceptors For Grease/Oil/Solids/Etc,......, .........
Interceptors For Sand/Auto Wash/Etc............,....,
Laundry Tub/Clotheswasher."....,'" ...., ,..",....,..,'...,
Clotheswasher - 3 Or More....,....,..,........,......,....,..,
Mobile Home Park Trap (1 Per Trailer)....,.....,......,
ReceplOr 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, Public Installation....",,'" "'...."..".."""..,'....
Toilet, Private,..,...."..........""..,.."....,..,......"",....,
Miscellaneous:
\
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
2.
2.
TOTAL FIXTURE UNITS
=
2.
"'2..
2.:.
"2..
'2.
~
Ir
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table,
calculate credits separates,
Year
Annexed
Year
Annexed
Rate per $1,000
Assessed Value
Rate per $1,000
Assessed Value
I'
1979 or before
19BO
19B1
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
$4,27
4,18
4,12
3,99
3,83
3,68
3,48
3,18
2,82
2,42
Credit for Parcel or Land Only If Applicable
X $ =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after armexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
ResidentiaL..,..,....,....,......,.., 0,4
CommericaL........"..,........... 0,9
IndustriaL..........,................ 0 5
GovernmentaL........,............ 0,5
FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
$1.98
1,55
1.15
0,96
0,83
0,67
0,52
0,38
0,21
_J