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Home My WebLink AboutPermit Building 1998-7-30 (2) " , 1 . SPRINGFIELD Page 1 Contractor RESIDENTIAL PERMIT APPLICATION CITY O~ SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFET'( ,--1~ 'U O,z ~ ~ O~~. O~ 'ttA ' Oa O~ "<$I ....~ '6 Offlce: '90 'Sl.9.~0,,~U' ~pection Line: "G< ".;>~: .10 ~ O@.;>% "'@ 4055 FORSYTHIA ~'?9.C:-~ l?0~"~;o~;90,, <9... 0. ~.... Y> '" or, 11. , -0 <9 C! "18x-'O;,O~ jp~ .,.,,700 q,,, "'~s~~Q~~<Ii ~~T 2 ~....<9 0. @-:- :"" "'0, '2" Q.._ ~;.'" Phal'll" -t>;;r~~~~I>oU' '-~O oJ-o City/State/Zip: s~'B~101' ~g7i~'1~7 1j>~ ~~;.. <9.-. ~ <9" @". ~1. \.'! :Y"",,~ <9 v~ -0 ~~"i:{d'~1 ~i> 'OO~"'~ XV, ~;. 0.... U'~ .. -. -~. -ClI :J; ~O Expires" Job Number: 980741 225 North Fifth Street Springfield, OR 97477 726-3759 726-3769 Location of Proposed Work: Assessors Map #: 18020611 Lot: 73 Block: Owner: TOM WIR~S Address: PO BOX 237 Describe Work: S.~. RESIDENCE Canst. Contractor # Phone General: TOM WIRFS 0032947 06/28/98 747-8704 1275 S 2ND SPRINGFIELD OR 974770000 Pl urOOing: BMC 0103570 12/15/98 548-7510 648 W OREGON AVE CRESWELL OR 974260 Mechanical: TOM WIRFS 0032947 06/2S/9S 747-8704 1275 S 2ND SPRINGFIELD OR 974770000 Electrical: BILLS ELECTRIC 0021351 04/28/99 687-1851 3170 W 11TH EUGENE OR 974020000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1612 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH 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 --- SITE - To be made after excavation but prior to setting forms. FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover ROUGH PLUMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finis~materials. FRAMING - Prior to cover. ~,. ~~ INSULATION - Floor; prior to decking Wall/Ceiling;~r~~ ~~over DRYWALL - Prior to taping. CJ (/~ ~ .' FINAL PLUMBING - When all plumbing work is comple~e.O~4< 01.2 ~r FINAL MECHANICAL - When all mechanical work is com~l~t~~ ~~ ~~ FINAL ELECTRICAL - When all electrical work is comPlg~t1 V~a v~ ~( FINAL BUILDING - When all required inspections have beeW~p~~a~ the building is complete. ,()~~ 15>~ % ~~;.: ~<? ~ \5',(> ~): ~Q (<"-9~ 'Y~ ~ ~~ Vr 15> 0-91- 'V-9 lo'Or . Job Number: 980741 Page 2 Lot Faces: N Topography: 2 Solar Approved: Y Lot Sq. Ft.: 5839 Total Height: 15 Lot Type: INTERIOR Setbacks S W E 15 5 5 Lot Coverage: 27 % Setbk From NPL: 41 N House Garage 18 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1092 520 $/Square Feet 64.66 16.27 Value 70,609.00 8,460.00 79,069.00 Building Permit Fee Surcharge/Admin 373.00 29. S4 TOTAL FEE (A) 402.84 PLUMBING PERMIT --- Item Residential Bath(s) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.S0 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 2 3.00 6.00 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin CITY SDC WILLAMALANE 0.00 1,859.87 1,000.00 TOTAL MISCELLANEOUS PERMITS (E) 2,859.S7 ,(Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,461.71 --- 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. \ ac~//?-Ic.i f'~ /11. , f ( /.6-.n f./v I ",IV .fu 3 l./(,/' 71 /I~'-/'Z.() ']..42.. '-1<> -- '3 ?fZ-<6-]b SPRINGFIELD Job Number: 980741 Received By: Plans Reviewed By: AL WARD Date: 07/09/98 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED Page 3 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 ~t all times during construction. 7hoht I Signature Datf Receipt Number: --- VALIDATION oCfJ..12) ~.3n.q5') 8 ~<62~ .3lfJ llJD ) ~ - Date Paid: Amount Received: Received By: CITY OF .. ' '. JOB NO. .1Ro 741 . ATIACHMENT A . .- SPRINGFIELD SYSTEMS DEVELO~ENT CHARGE WORKSHEET NAME OR COMPANY: );'1Vl JA,IRr=--'? 40 I:) ~ fOIL <<; Y TN /,<\ - LOCATION. DEVELOPMENT TYPE: '5. f==: JZ, BUILDING SIZE lOT SIZE SO. Ft. 1. STORM rJRAfNAGf' Ro.,? pi"" 21 Y &4 ;::.: '7Q2- /q Y 2-0 = :,~ . -:z;-, 7'- Z ./7"2- X $0.226 PER SQ. FT. $ 4.::rO,tl7 I IMPERVIOUS SO, FT. 2. SANTTARY SFwER-CITY NO. OF PFU' S '1'1 (See Reverse Side) X $46.86 PER PFU $ SI5.4t, 3. TRANSPORTATION 'NO OF UNITS X TRIP RATE X COST PER TRIP I X ...L. () I X $472.49 $ -4-77,2.../ X X $472. 49 $ X X $472. 49 $ 4. SANTTARY SFWFR-MWMC D0'5 NO. OF :-~:.J':: X 277.16PER FEU + $10 MWMCI ADM FEE $ zS7 76 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ 267,7& SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /. 77 1,30 5. ADMTNISTRATIVE FEFS BASE CHARGE (SUBTOTAL ABOVE) X .05 .. $ 8'8. _<>7 f){, Date: (;- 2.~q!1 SDC Coordinator IOTAl SDC $ 11 8 ~1 ,g 7 , .. ." I VI U... \,,11'1111' vl""\LvVLM IIVI'4 I J-\DLC. Number ot New Fixtures X Unit Equivalent ::; Fixrur~ Units INOTE: For remodels, calculate a_he NET additional fixtures) , . ' . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub................................................................... ... Drinking. Fountain............,.....,.................................. Floor Drain......:................................................... ...... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.....:............ Laundry Tub/Clotheswasher...... ... .......................... Clothes washer . 3 Or More..................................... Mobile Home Park Trap (1' Per Trailerl.................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL.............,......... ......................... Shower. Gang.... ...... ....... .......,. ...... .................., ....... Sink: Bar, Commercial. Residential Kitchen........................ Urinal, Stall/WaiL...................................................... Wash Basin/Lavatory, Single............................:..... Toilet. Pubiic Installation....... ................................ Toilet, Private....................................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 I/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = z.. z.. '2- 4- II = CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed " 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 Credit for Parcel or Land Only If Applicable = X $ (Rate X Assessed Value) X $ , (Rate X Assessed Value) Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residenliai.. .:....... ........... .,. _, 0.4 Commerical......................... 0.9 Industria!............................ 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT -- ~ ; . . - f\' , ~t'-~ 'YY}!I!!!!~!~!!~ Job. No. ~~D~4 ,~. SYSTEM DEVELOPMENT CHARGE , WORKSHEET NAME:' \ \)ff\ \ \\\ \\ )J) ADDRE$S:\~}).~. ~?Jf\y~wt LOCATION OF PROPOSED BUILDINGYr~~: Street Address: A\W\~ ~\S~~'\\\\C~ ~p& , Plat Name: ~*,J \ 0J\c1 _ TcQ Lot Number: \.~(~\.\ n~~ro 1. PEVELOPMEN VPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions a on the back.) , , ' . PHONE:~L\f} <6 f[ri STATE: eLIP:' Q1417 A. SinolA-Fllmilv I}p;tpched \ Single Family home NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ \\ro<<J B. SinoIA'-Fllmilv AttachAcf NO. OF UNITS X $924 per unit = $ C. Multi-Familv AoartmAnt NO. OF UNITS X $692 per unit' = $ D. MllnufllclurAcf HomA Pa~ $ $ \ 000 pO If NO. OF UNITS WILLAMALANE SDC X $699 per unit = 2., SDC CREDIT (if applicable) SOG-payer must furnish proof of Willarnalane Credit approval. See SDC Credit Worksheet. $ $ (O(JO~ ~ I~O/L{& 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SOC reduced for Credit) Date