HomeMy WebLinkAboutPermit Building 1998-1-6
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SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 971753
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 868 RIVER KNOLL WAY
Assessors Map #: 17032343
Lot: 69 Block:
Tax Lot #: 02002
Subdivision: RIVER GLEN 2
OWner: ANSLOW & DEGENEAULT
Address: 56 EAST 15TH AVENUE
Phone #: 484-0070
City/State/zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: ANSLOW & DEGENE 0049169 10/16/98 484-0070
56 E 15th Ave Eugene OR 974010000
Plumbing: ABSOLUTE PLUMBI 0067664 07/11/98 345-3055
2235 Arthur Court Eugene OR 9740500
Mechanical: MARSHALLS 0025790 12/23/95 747-7445
4131 E St Springfield OR 974780000
Electrical: JB ELECTRIC 0038827 03/14/98 687-5770
4065 W 11TH, EUGENE I
OFFICE USE -- C~~
LAND USE: 1111 ~~ (\.
ZONING CODl \~~"\ ,":. ~O
# OF B9.~~ k~~ O~
~. WA~~~ G~<;)~
~O'\\~~~~~ \\~W:.1:Jb..'O~~
To request an inspecti~~c~~'lO~e~\i1~F recording at 726-3769.
All inspections requeste~~~~~~~8~~m. will be made the same working day,
inspections requested af~~<;)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.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
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.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
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
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
wall/Ceiling; Prior to cover
.PRINQFIELD
~*'
I~I'~
Job Number: 971753
CURBCUT - After forms are erected but prior to placement of concrete.
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: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 11705
Total Height: 30
Lot Type: INTERIOR
Setbacks
S W E
23 8 5
Page 2
Lot Coverage: 22 \
Setbk From NPL: 60
N
House
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2767
661
$/Square Feet
64.66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE/ W/H
GAS FP
5
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
SDC
WILLAMALANE
ELECTRICAL
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
Value
178,914.00
10,754.00
189,668.00
635.50
50.85
686.35
Fee
192.50
192.50
15.41
207.91
12.00
4.50
15.00
3.00
5.00
4.50
44.00
10.00
3.52
57.52
0.00
20.65
15.40
3,303.57
1,000.00
172.80
4,512.42
5,464.20
Job Number: 971753
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:
Building Site Reviewed
413.08
Date Paid: 12/19/97
Receipt Number: 28309
Date: 05/98/01
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
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.
Signature
- '-
D!!~/9f
~ .
,,/' / /'-7 ---&~_
Date Paid:
~~ATION ---
(- (0 -Cf{: _
, ,yj\ \Qf+;.7 6)
~\~,;; -
Receipt Number:
Amount Received:
Received By:
. -
. ,
. AnACHME~~"A - -. .OB NO... 97/ 7'''C/'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
A..'lISLow ;: O{;r:,EI\JEAt.JL....'7
LOCATION:
8(..,8 K.11It<:/L l(,'OLL UJ.V
DEVELOPMENT TYPE:
~,F'R..,
BUILDING SIZE:
LOT SIlF
So. Ft,
1 . 5TORM I1RA H!~Gr
!I~PERVIOUS SO. FT, 4173 I
X $0.226 PER SO, FT. $ I. ()~Cf. 2 \
2. 5AN!TARY SFWER-crTY
NO. OF PFU' S Z 8
(See Reverse Side)
X $46.86 PER PFU
$ I 3/"2...0,1\
"
3. TRANSPORTATiON
'NO OF UNITS X TRIP RATE X COST PER TRIP
I
X /,01
X $472.49
$ 477.2.1
X
X $472.49
$
x
X $472,49
$
4, SANiTARY SFWFR-MWMC
NO. OF Rtf S
X 2.77.7bPER FEU + $10 MWMClADM FEE $ 2fl,7,7('"
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -M\.HC SDC $
SUBTOTAL (ADD ITEMS 1. 2.3 & 4) $ 3. / +1'0 . Lc'"
5. ADMiNfSTRATiVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05'
-'-j),~~ Date: 12.-z...+-R7
SDC Coordinator
$ 1.<;7 .~(
<
TOTAL SD(; $~. >:o'S. 57
. riA J vnc UI\lI' l.,J.\L\....U LJ-\ .,VI\( I ~.DLC:. Number ot New Fixta~X TJnifEqUiV~I~ii~t;.~,~~~tr~~q~~~~
(NOTE: For remodels. calculate onle 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...................................
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap ,1 Per Trailer)...............,..
Receptor For RefrigeratorlWater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL............ .... ................................
Shower. Gang..........................................................
Sink: 8ar. CommerCial. Residential Kitchen........................
Urinal. Stall/Wall.......................................................
Wash Basin/Lavatory, Single..................................
Toilet. Pubiic Installation.... ......... ...........................
,
Toilet, Private........................ ...............................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
/ 2
2
4 1
6
4- 4
TOTAL FIXTURE UNITS
=
CREDIT CALCULATION TABLE:
calculate credits separates.
'I
Z-
'2..
L....
"2-.
4-
/ I~
2~
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
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
~
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)
Residencial...;. ...... ..... .... ....... 0.4
CommericaL........................ 0.9
Industrial............................ 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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
<
. ;p
. .
.
.
Job. No.
Ql\l~~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET '.
NAM~f\~\CW=\M~IQtPHONE: 4~~.mlO
ADDRESS: ~O 10 . \ tb'""- fJrl''R / STATE:e1LZIP: Ql40l
..
LOCATION OF PROPOSED BUI~ING SITE: '
Street Addr~ss; _ ~lo~ ~ II ) 0 e ~ ~ ntlt {LO{)u)
Plat Name: ci.ir {Jl1M1 MTa:Lot N:mber: l1031.~t~ D?I1J ?
I '
1. DEVELOPMENT TYPr:: (Check appropriate dwelling(s). SDC calculations and dwelling 1
ype definitions are on the back.)
t.
A. Sinole-FHmilv DetHcheQ
l Single Family home
NO. OF UNITS
Manufactured home not in a park 00
X $1,000 per unit = $ -1DOO '.
B. ~inole'-FHmilv AttHched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv ADHrtmen~
NO. OF UNITS
X $692 per unit = $
D. Manuf3cturecl Home P3r:!i
3. TOTAL WILLAMALANE NET SDC ASSESSED
~ s:e ""'"'" '" ereO,
Developmen~ervi e
City of Springfield
I ((7
$
lOOO (X)
flf
$ \oon,OO
IQ[
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof ot
WiUamalane Credit approval. See SDC Credit Worksheet.
$
Date