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HomeMy WebLinkAboutPermit Building 1998-7-30 (2) ."-- :" SPRINGFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION I}.f.lILDING SAFETY ~ t&,/>~ 225 North Fifth Street ~ O~. Olt-..., ~ Springfield. OR 97477 q,~O~J\>C~"b~~~01(l:l C! t? 6'~ '? a ~o.: "1Il~ Location of Proposed wo"",:<9~~i?~~ ~J.; Assessors Map #: 18020611'?JOIll ~0. ""~ "'OO~ l>,,'C'0,y qlt-..., Tax Lot #: 04800 Lot: 72 Bllab;lS>c6l 001.: "O~O<l'El ~lS> lS>~division: WYATT 2 '-6". ~"'_ '?'e. ~~ _ 'b. ..,,~ OI'''i?:lS>~. '''''''/.j. UI'6l . il\.to'C?ol-;V~~l)I~ ~ - 8704 e~.;i~~rE:\j~~t~ ...ELD, OREGON ~ 1}~1- ill t. ~1Il .9.s-~ 1t&~ \?~ 1to%.o~ ""'~ '001: NEW a.'~'OAiS'...' ~J ;^ ""s VI~ '. cg~. Contractor # Job Number: 980739 Office: 726-3759 Inspection Line: 726-3769 Owner: TOM WIRFS Address: PO BOX 237 97477 Describe Work: S.F. RESIDENCE Contractor Expires Phone General: TOM WIRFS 0032947 1275 S 2ND SPRINGFIELD OR 974770000 Plumbing: B M C 0103570 648 W OREGON AVE CRESWELL OR 974260 Mechanical: TOM WIRFS 0032947 1275 S 2ND SPRINGFIELD OR 974770000 Electrical: BILLS ELECTRIC 0021351 3170 W 11TH EUGENE OR 974020000 06/28/98 747-8704 12/15/98 473-2827 06/28/98 747-8704 04/28/99 687-1851 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN SECONDARY HEAT: FP INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 WATER HEATER: E SQ FOOTAGE: 1476 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH RANGE: E 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 mad~()he following work day. ~ ~C REQUIRED INSPECTI~ ~~ ~ SITE - To be made after excavation but prio~ao~tff~ forms, FOOTING - After trenches are excavated. ~o ~4.f~.~~ ~& FOUNDATION - After forms are erected but prtoJ,~~o~&e~~~lacement, UNDERFLOOR PLUMBING - Prior to insulation or 1f€~l~o. qlO~ ~{o POST AND BEAM - Prior to floor insulation or dec~~g.~~ ~h ~~ INSULATION - Floor; prior to decking Wall/ceilirl9~ ~r'Y~~c~~r WATER LINE - Prior to filling trench. Oq ~1ra ~~ 'Y~ SANITARY SEWER LINE - Prior to filling trench, 01r~ ~J'~ t;.O~ STORM SEWER LINE - Prior to filling trench. ~~~ ~1rO ~ ROUGH PLUMBING - Prior to cover. V.09 ?' 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. 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 compiete, . Job Number: 980739 Page 2 Lot Faces: N Topography: 2 Solar Approved: Y Lot Sq, Ft.: 5592 Total Height: 14 Lot Type: INTERIOR Setbacks S W E 8 Lot Coverage: 26.4 % Setbk From NPL: 28 N House 10 Garage 20 8 BUILDING PERMIT --- Item Main Garage Total Value Square Feet 1036 440 x $/Square Feet 64.66 16.27 Value 66.988.00 7,159.00 74,147.00 Building Permit Fee Surcharge/Admin 358.00 28.64 TOTAL FEE (A) 386.64 PLUMBING PERMIT --- Item Residential Bath(s) 1 Fee 91.20 Plumbing Permit Surcharge/Admin 91.20 7.30 TOTAL CHARGE (C) 98.50 MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent 1 4.50 3.00 3.00 Mechanical Permit Issuance Surcharge/Admin 15.00 10.00 1. 20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE WILLAMALANE SDC CITY SDC ELECTRICAL PERMIT 0.00 20.95 13.60 240.50 1,000.00 1,875.76 167.40 TOTAL MISCELLANEOUS PERMITS (E) 3,318.21 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,829.55 --- 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. . SPRINGFIELD Job Number: 980739 Page 3 Received By: Plans Reviewed By: DON MOORE Date: 07/14/98 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS --- PATH 1; CANNOT BUILD ON BERM EASEMENT AT REAR OF PROPERTY. 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(jf3ite at all times during construction, 7 if) /1 T Signature Datel - ;1 Date Paid: --- VALIDATION ~~~l\ f).30.<16 . fr<62,Cl .SS YJl~ Receipt Number: Amount Received: Received By: CITY OF . '. JOB NO. Cflf() 7 ?,cy . ATTACHMENT A I SP~NGFIELD SYSTEMS DEVEL ENT CHARGE WORKSHEET NAME OR COMPANY: 77,-. /A)J/~'::~ LOCATION 4063 ~12'<:'VTI4Itl . DEVELOPMENT TYPE: S F D BUILDING SIZE lOT SI7F SO. Ft. 1. SIQRM ORA I NftGF IMPERV IOUS SO. FT. 22Z,Q 2, SANITARY SFwFR-CfTY NO. OF PFU'S If (See Reverse Side) 3. TRANSPORT,ll,TION X $0.226 PER SO. FT. $ "'Dc.". Of X $46.86 PER PFU $ SIS. 4-(;, 'NO OF UNITS X TRIP RATE X COST PER TRIP X/,O I X $472.49 $ 477,2/ X X $47249 $ X X $472.49 $ 4, SANITARY SFWFR-MwMC OU'S NO, OF -FBt'o5 X zt276PER FEU + $10 MWMC/ADM FEE $ 287.7G MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ - IQIAI-MWMC SOC $ Z5l77~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 1.7!?f-,.'T1 5. AOMINISTRATTVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ FN.JZ- &. Date: '-.-Z5'-:-1& SDC Coordinator TOTAL soc. LJ J A 7S".J~ .. .." I VI u.. ....vn.. I ""'/""\.&..."-'U'-I-'\ IIVI" I MDLe. Number ot New fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels. calculate ani' e NET additional fixtures) e . . NUMBER OF UNIT FIXTURE FIXTURE TYPE . NEW FIXTURES EQUIVALENT UNITS Bathtub, .........,..,....".,.,.,.".,."......"""..,..,......."...,..." 2 Drinking. Fountain.....................,," .."..."".."".". ""." 1 Floor Drain.",,,:,.,,..,,..,,,,.,.... ..".. ,.,."."."",,,,,,,,,.,....,, 2 Interceptors For Grease/OiI/Solids/Etc".."......"." 3 Interceptors For Sand/Auto Wash/Etc""...""""... 6 Laundry Tub/Clotheswasher..........."".".""",,,,,,,,,, 2 Clottieswasher. 3 Or More"..""".""....."".""."..." 6 Mobile Home Park Trap (1 Per Trailer!.".""....".". 6 Receptor For RefrigeratorlWater Station/Etc"."." 1 Receptor For Commercial Sink/Dishwasher/Etc" 3 Shower, Single Stail.."""".."""..""""..""."."""..." 2 Stiower, Gang".""....."" "",,,... ."..."""."""."", ""... I/Head Sink: Bar, CommerCial. Residential Kitchen".""".""""""" 2 Urinal, Stall/Wall""."..."."......",,,.,,,,,,....,,.,,..,,,,,,.,,,. 2 Wash Basin/Lavatory, Single."."..""......"."....""". 1 Toilet, Pubiic Installation""".."."""".""""".""..... 6 Toilet, Private"........".....""...""........"........."".." 4 Miscellaneous: TOTAL FIXTURE UNITS = 'Z..- "2- 7-. 4- 1/ 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 Rate per $1,000 Assessed Value II I 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $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 $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 Valuel X $ . (Rate X Assessed Value) Improvement (if after annexation date) = CREDIT TOTAL = $ -U RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) nesideoejal...; ,............... ....... 0.4 Commerical..............,..,....... 0.9 Industrial""......................" 05 GovernmentaL...""..........,," 0,5 IMPERVIOUS AREA. = TOTAL LOT SIZE X RUNOFF COEFFICIENT . . Job. No. l\ ~a~~~ . . SYSTEM DEVELOPMENT CHARGE \ . . WORKSHEET . NAME: \ \I' J ~ \\llJ) PHONE:. ~4-tj ~Dtf ~ . ADDRESS: ~ ~ \-~ STATE:~ZIP: afl4.~~ LOCATION OF PROPOSED BUlL I l(\~ - .-~ ~ Plat Name: ~ %OOr Number: \ <l.{VdUoU 04~ 1. DEVELOPM T TYP~ (Check appropriate dwelling(s). SOC calculations and dwelling I ype definitions are on the back.) A. lliw1e-F:3milv Oetached [Single Family home. NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ JIl(){) .o~ B. Sinale'-Familv Attached NO. OF UNITS X $924 per unit . = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit. = $ D. ,Manufactured Home Pa~ NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ I f1'{) .06 2.. SDC CREDIT (if applicable) SOc-payer must furnish proof of Willami!lane Credit approval. See SDC Credit WorKsheet. $ If $ I ()[i) pO I') I dOl qx 3. TOTAL WILLAMALANE NET SDe ASSESSED (if SOC reduced for Credit) t~~J.n~!!"f;.:menl City of Springfield Date