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HomeMy WebLinkAboutPermit Building 1998-1-6 -, SPRINGFIELD ~- Page 1 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