HomeMy WebLinkAboutPermit Building 1997-12-29
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 971736
225'North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 873 RIVERKNOLL WAY
Assessors Map #: 17032343
Lot: 67 Block:
Tax Lot #: 02002
Subdivision: RIVER GLEN 2
Owner: FUTURE B HOMES
Address: PO BOX 7425
Phone #: 744-2660
CitY/State/Zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/98 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/98 485-1146
3248 Kentwood Dr Eugene OR 97401000
MeChanical: ROLFS HEATING 0102455 10/04/98 686-4927
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER 0096275 01/25/98 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE __
LAND USE: 1111
ZONING CODE: LOR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 3118
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
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 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
UNDER FLOOR PLUMBING - Prior to insulation or decking.
UNDER FLOOR 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.
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.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
~RINQFIELD
Job Number: 971736
Page 2
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 10104
Total Height: 27
Lot Type: INTERIOR
Setbacks
S W E
8
Lot Coverage: 18.4 %
Setbk From NPL: 43
N
House
Garage 21
14
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
2336
782
$/square Feet
64.66
16.27
Value
151,046.00
12,723.00
163,769.00
Building Permit Fee
Surcharge/Admin
577.00
46.16
TOTAL FEE
(A)
623.16
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192.50
Plumbing Permit
Surcharge/Admin
192.50
15.41
TOTAL CHARGE
(C)
207.91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
4
6,00
4.50
12.00
3.00
5.00
4.50
Mechanical Permit
Issuance
Surcharge/Admin
35.00
10.00
2.80
TOTAL PERMIT
(D)
47.80
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
ELECT. PERMIT
0.00
22.30
16.30
1,000.00
2,822.00
232.20
TOTAL MISCELLANEOUS PERMITS
(E)
4,092.80
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
4,971.67
~*'
." . ~SPAINaFIELD
Job Number: 971736
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: DON
Building Site Reviewed
375.05
Date Paid: 12/16/97
Receipt Number: 28282
MOORE Date: 12/29/97
By: LISA HOPPER
-- - ADDITIONAL COMMENTS ---
PATH 1; NO SEWER CONNECTION UNTIL INFRASTRUCTURE IS ACCEPTED BY CITY
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.
,\Q~
SiuatuG
/'1-/2- 11 9,
Date
-- - VALIDATION
Receipt Number: ::2 '8' ?:.'S '3>
Date Paid: 12-':+l1- q7
Amount Received: fL-/Dj 1<i:7.lJ.q
Received By: ~
,. CITY OF S~INGFIEL~~A~~~~AOEVEL~M:~ :HA:;:'71~'
WORKSHEET
NAME G COMPANY:
hyrull.€. g /J/)M/!f~
. -
LOCATION
873 17, vl5R y./Ol..L. tJA....
DEVELOPMENT TYPE:
. .5. 1'-; I? .
BUILDING SIZE
i OT SIll"
SO Ft.
1. <; TORM ORA T NAG F
H1PERV IOUS SO FT.~ } J 7
x $0.226 PER SO. FT. $ 704.~
2. SAN!TARY SFWFR-CfTY
NO. OF PFU'S ~
(See Reverse Side)
x $46.86 PER PFU
$ /. ZJ g. ?c.
,
3. TRANSPORTATION
'NO OF UNITS X TRIP RATE X COST PER TRIP
I
X I ~() I X $472. 49
$ 177, z../
X
X $472.49
$
X
X $472.49
$
4. SANITARY SFWFR-M~MC
NO. OF ~
DJ
X 277.7b PER fftJ + $10 MWMC/ ADM FEE $ 257, 7 t,
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
.
TOTAl-MWMC SOC $ 7; C.u....77
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
$
,,~ . ,'?J
5. AOMIN!STRATTVE FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 2, ,~ .22. ,/tp
,
,
Date:
SDC Coordinator
TOTAl SOC $
. riA June UI'''. \,.,HL\."ULJ-\ IIUI\I IMOLe: Number"ot"New'Fjxture-s~X\lOnjt"EqUjvalel,.I~'Fixtljhturi1i?~y.;:Z-
(NOTE: For remodels. calculate only i.ET additional fixtures) .. ^. . " .', '.. " ';"":'-"",,"... ':t'.' '_.
..-=- NUMBER OF UNIT FIXTURE '
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub............................................................. .........
Drinking. Fountain...................................... ...............
Floor Drain.. ....:........................................ ........ .........
Interceptors For Grease/Oil/Solids/Etc.................
Interceplors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher................ ....... ............
Clotheswasher - 3 Or More.....................................
Mobile Home Park Trap (1 Per Trailer)...............,..
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 BasiniLavatory, Single..................................
Toilet. Pubiic Installation........ ........ ........................
,
Toilet , Private.......................................................
Miscellaneous:
'2---
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
4-
':'2,
TOTAL FIXTURE UNITS
=
l'
'2-
Z-
2.
4
I z...
z..<L:>
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
$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
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)
Fiesideficjai. ..:. ........ _....... ...... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental..............,....... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
<
r-
.\
..
, .
.
.
Job. No.
C\~\~3lP
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: ~J\u19 ~~ '
ADDRESsj)D~_ f\4'L CS;-fu:'\
LOCATION OF PROPOSED BUILDING SITE:
Street Address: f3~3 (_~ \\)tf (not I _ It)A.{!
Plat Na~l'i~c5lQ1\m.o-~ax Lot Number: \,)()~7R430z.roZ-
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I
ype definitions are on the back.)
PHONE: \'44 ~
STATE: lJYLzIP: Q'l4DI
A. Sinnlp.-F::Jmilv Dp.t::Jc:hp.o
~ Single Family home
NO. OF UNITS
Manufactured home not in a pari<
( X $1,000 per unit = $ l ceo {YJ
B. ,c~inl)'p"-F::Jmilv Atf::Jc:hP.Q
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv lP::Jrtm~'J1
NO. OF UNITS
X $692 per unit = $
D. ,M::JnlJf::JctlJrp.d Homp. Palk
NO. OF UNITS
X $699 per unit = $
$ LCCC>.CO
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
WiUamalane Credit approval. See sac Credit Worksheet.
.tY
$ I naJ pO
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
\~~~~~ 1)- I
Deveiopment Services ~epartment Date
City of Springfield
;j.q / Cj 7