HomeMy WebLinkAboutPermit Building 1997-7-11
SPRINQFIELD
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Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970974
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 36 SHADY LP
Assessors Map #: 17032623
Lot: Block:
Tax Lot #: 00605
Subdivision:
OWner: ST VINCENT DEPAUL
Address: PO BOX 24608
Phone #: 687-5820
City/State/Zip: EUGENE, OREGON 97402
Describe Work: FND FOR MOVED RES
REMODEL
Contractor
Const.
Contractor #
Expires
Phone
General:
YOUTH BUILDERS 0088642
5120 Franklin Blvd Suite 7A Eugene
02/01/98
689-2474
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BLDGS: 1
OCCY GROUP: R3
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.
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.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
Setbacks
S W E
8 20
Setbk From NPL: 14
N
House 14
Item
Main
Garage
FOUNDATION
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
=
Value
0.00
0.00
4,000.00
4,000.00
Building Permit Fee
Surcharge/Admin
44.50
3.57
TOTAL FEE
(A)
48.07
SPRINGFIELD
Job Number: 970974
Page 2
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B)
108.86
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)
81. 00
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
PLAN REVIEW FEE
0.00
19.00
13 .30
1,000.00
28.93
TOTAL MISCELLANEOUS PERMITS
(El
1,061.23
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
1,299.16
- - - 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.
Received By:
Plans Reviewed By: DON MOORE Date: 07/11/97
Building Site Reviewed By: LISA HOPPER
- - - ADDITIONAL COMMENTS
PLANS REVIEWED AND APPROVED BY STUART HOLDERBY. MORTIER ENGINEERING
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.
BPAINQPIELD
Job Number: 970974
Page 3
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.
bl1M. t1
\j)~~
1-1/ - 9''7
signatUre
Date
Date Paid:
f)t~f~ ~ATION
( f\lB7j'
~~j)0
Receipt Number:
Amount Received:
Received By:
,
#-. ,
.
.
CITY OF SPRINGFIBLD SYSTBKS DBVBLOPKBNT CHARGB
(RBSIDBNTIAL)
Name or Company: ST VINCENT DEPAUL
Location: 36 SHADY LP
Developement Type: R Building Size:
Job No.: 970974
Lot Size:
1. STORM DRAINAGB
Impervious Sq Ft 480 X 0.216 Per Sq Ft =
2. SANITARY SBWBR - CITY
Number Of PFUs 0 X 44.75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units X
X
Cost Per Trip
Trip Rate
Transportation Total
4. SANITARY SBWBR - MWKC
Number Of PFUs
o
X
X
Per PFU + MWMC Admin Fee
20.690
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FBBS
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 06/24/97
Page 1
Sq Ft
$103.68
$0.00
$0.00
$0.00
$0.00
$0.00
$103.68
$5.18
$108.86
-.
'"
.
Job Number: 970974
.
PIXTURE UNIT CALCULATION TABLE
Page 2
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
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date. credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1974
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00
Fixture
Units
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
0.00
0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
$0.00
o
X
0.00
CREDIT TOTAL =
'..
.
Job. No. (\ ~(}\ '\4
.\
SYSTEM DEVELOPMENT CHARGE
~~RKSHEET
NAME: ~f\T- ~\nuC1 PHONE:
ADDRESS: \~O \ ftn'l-.cl:;A.\JJ~ f~ STATE: ~ ZIP:
-. I
LOCATION OF PROPOSED BUILDING SITE:
Street Address: JlP ~N)r\.11. 1..1 m()
"t]'\J \
Plat Name: \)Tax Lot Number: llD?12lo1?l tDlr[}S
\o~'l. DC6?1J
a~
I.
1. DEVELOPMENT TYP!": (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definilions are on the back.)
A. Sinnlp.-F8milv Dp.t8r.hp.n.
I Single Family home
NO. OF UNITS l
Manufactured home not in a park
X $1,000 per unit = $ 1000.60
B. Sinnlp.~F8milv Attached
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M801Jf81(1lJren Homp. P::!~
NO. OF UNITS
X $699 per unit =
$
\000 pO
WILLAMALANE SDC
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
a~e~~Departmem
City of Springfield
f\
I
II
f)
$ \OCD~O
I ql)
$.
Date