HomeMy WebLinkAboutPermit Building 1998-3-12
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980210
Page 1
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 876 RIVER KNOLL WAY
Assessors Map #: 17032343
Lot: Block:
Tax Lot #: 04400
Subdivision: RIVER GLEN 2N
Owner: FURTURE B
Address: P.O. BOX 7425
Phone #: 744-2660
City/State/Zip: EUGENE OR,97401
Describe Work: NEW
NEW
Contractor
Const.
Contractor #
Phone
Expires
General: FURTURE B 0071761
3555 SE 63 Portland OR 972060000
Plumbing: CUSTOM PLUMBING 0058006
4894 Newtown Ave SE Salem OR 973020
Mechanical: ROLF'S HEATING 0033601
5678 NW Broadway West Linn OR 97068
Electrical: BOB FISHER ELEC 0096275
180 KINGSBURY AVE EUGENE OR 9740400
02/19/92
777-2647
11/26/93
362-5233
07/09/92
656-0339
01/25/98
689-7973
QUAD AREA: 5RNW
OCCY GROUP: R3
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
SQ FOOTAGE: 2719
# OF BLDGS: 1
# OF BDRMS: 3
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.
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
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ROUGH PLUMBING - 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.
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.
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Job Number: 980210
Lot Faces: S
Solar Approved: Y
N
House 51
Garage
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Total Height: 20
Lot Type: INTERIOR
Setbacks
S W E
26 5 13
18 9
BUILDING PERMIT ---
Square Feet
2036
683
x
PLUMBING PERMIT ---
2
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS LINE & APPL
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SYSTEM DEVL CHG
ELECTRICAL PERMIT
2
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
Page 2
Setbk From NPL: 20
$/Square Feet
64.66
16.27
(A)
(C)
(D)
(E)
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
131,648.00
11,112.00
142,760.00
529.75
42.38
572.13
Fee
160.00
160.00
12.80
172.80
6.00
4.50
6.00
4.50
3.00
2.50
26.50
10.00
2.13
38.63
0.00
22.00
15.25
1,000.00
2,610.23
156.60
3,804.08
4,587.64
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Job Number: 980210
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: 344.34 Date Paid: 02/18/98
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date: 03/10/98
Building Site Reviewed By: BOB BARNHART
Receipt Number: 28840
- -- ADDITIONAL COMMENTS ---
PLANS REVIEWED AND APPROVED BY MORTIER ENGINEERING
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agres, 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.
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sl)nat~ .
-- - VALIDATION
,ip- !? r
Date Paid:
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3- 1;;).-'7 ~
tfj, '6, ~. 5 &7. {p tf
9):J
Receipt Number:
Amount Received:
Received By:
Page 1
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
Developer: FURTURE B
Mail Address: P.O. BOX 7425
Tax Lot #: 1703234304400
Subdivision: RIVER GLEN 2N
EUGENE OR,97401
Project Address:
Lot: Blk:
Job No.: 980210
Phone #: 744-2660
876 RIVER KNOLL WAY
Eng. Rev. No.: Book:
Street Gravel Ac Mat
876 RIVER KNOLL WAY
EXISTING IMPROVEMENTS
Curb Full Imp SW Width Curbside
Setback
Y
5 FEET
12:1 FLAIRS
Existing Curbcut: N
ENGINEERING REQUIREMENTS
Additional Right of Way: N
Improvement Agreement: N
Easements: N
SANITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-800-332-2344
Available: Y Stubbed Out To Property Line: Y Depth: 4-6 Ft
Size of Line: 8 In. Tee: 6 In.
Location From N, S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUILT
Make Connection: PER PLUMBING CODE
Comments: NO CONNECTION UNTIL INFRASTRUCTURE COMPLETE AND ACCEPTED.
STORM SEWER
Available: Y
Pipe Downspouts And Drains To: CURB & GUTTER
Pipe Parking Lot Drainage To: N/A
Comments: NO CONNECTION UNTIL INFRASTRUCTURE COMPLETE AND ACCEPTED
New Curbcut Appr. :
Sidewalk Permit: Y
Curbcut Permit: Y
Y
Width:
Width:
SIDEWALK AND
STANDARD
5 Ft
35 Ft
DRIVEWAY INFORMATION
Width: 23 Ft Flairs: 6
Length: 80Ft
Ft
ENCROACHMENT AND ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer In Lieu Of Assessment: N
Comments: NO OCCUPANCY UNTIL INFRASTRUCTURE COMPLETE AND ACCEPTED.
SPECIAL NOTES AND REQUIREMENTS
All work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. All existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the utilities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST
Date: 02/21/98
SEE DRAWINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTANT INFORMATION
JOB NO. QR02../6
, . . ATTACHMENT A .
CITY OF SPRlNGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
Fu7'UJ2.F1
R I-l 0"", c':"
LOCATION:
'A7c:' E"}~IL J(^,AI L t-LJAY-
DEVELOPMENT TYPE:
<S 1= 1<--
BUILDING SIZE
lOT SIZF
Sf). Ft.
1. STORM I)RAINAGE
IMPERVIOUS SO. FT,
31"6'/)
x $0.226 PER SQ. FT. $ 71l~. 77
2, SANTTARY SFwFR-CfTY
NO. OF PFU'S ~C~
(See Reverse Side)
X $46,86 PER PFU
$ '1~ 770
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X 1,0' X $472.49
$ 477, Z. I
x
X $472. 49
$
X
X $472.49
$
4. 5ANITARY SFWFR-MwMr
DO
NO. OF F6:i-'-S X 277,7t:..PER FEU + $10 MWMC/ADM FEE.$ 287, 7{;.,
MWMC CREDIT IF APPLICABLE (SEE REVERSE) $
TOTAl -MWMr SIX 1_2.,g? 7G.
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 24-RS.crt
5. AI)MINfSTRATTVF FFFS
BASE CHARGE (SUBTOTAL ABOVE) X .05
$
124,.2.,
L.9t.
SDC Coordinator
Date: 2-2./-:'18'
TOTAL sor $ 2'(",10. 2..3
.. .". VI u.. vnu I' '-'/""\l".\",,ULM, 'VI" . MOLJ:.. Number ot New Fixtures X Unit Equivalent:::: Fixture Units
(NOTE: For remodels, calculate o.he NET additional fixtures I . . .'
. 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 Refrigerator/Water Station/Etc........
Receptor For Commerciai Sink/Dishwasher/Etc..
Shower, Single Stall.................................................
Shower, Gang..........................................................
Sink: Bar, CommerCial. Residential Kitchen........................
Urinal, Stall/Wall.............,.....,...................................
Wash BasiniLavatory, Single.......... ................... .....
Toilet. Public installation............... .........................
Toilet, Private.............:;.............. ..........................
Miscellaneous:
2....
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
'2..
z...
TOTAL FIXTURE UNITS
=
L
:4-
12
J2..
-:z...
S?
.70
CREDIT CALCULATION TABLE: Based on assessed vaiue. If improvements occurred after annexation date in table,
calculate credits separates. '
Year
Annexed
Year
Annexed
Rate per $1 ,000 -1
Assessed Value
Rate per $1,000
Assessed Value
1979 or before
19BO
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 Oniy If Applicable
X $
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
=
Improvement lif after annexation date)
=
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Resideneial. ..:.. .... ............. .... 0.4
Commerical......................... 0.9
Industrial............................ 05
Governmental...................... 0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
$2.56
2.17
1.73
1.31
0.92
0.74
0.61 _~j
0.45
0.31
0.17 _ ,
.'
.
.
Job. No. ~ BCJ& ~ 0
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
1==',\ \.n b--tlO. \S
ADDRESS:
R CS'I.. l.'-\.~S
PHONE: _ "1L\.l--l- ::l(,..Cnt)
STATE: ~_ ZIP: q'~'ll
.-
..
LOCATION OF PROPOSED BUILDING SITE: !
Street Address: 81~ K_~ ,~~ ".) C ~
Plat Name: Vl.O~~":!.'-\.~ Tax Lot Number: OL..!."-\..lm
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
A. .f>inaIA-Familv Detached.
-IJ- Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \. c...JU::) Q2.
B. Single'oFl'lmilv AttAr-hArt.
NO. OF UNITS
X $924 per unit = $
C. .Multi-FAmilv Aoartmen\
NO. OF UNITS
X $692 per unit = $
D. Man.u.facturen Home Parli
NO. OF UNITS
X $699 per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (if applicable) SOG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worl<sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED ~
(if SDC reduced for Credit) $ \ ~
Rqt"\ '6.
Development Services Department
City of Springfield
~ I \~ I ~
Date