HomeMy WebLinkAboutPermit Building 1998-11-30
, .
. SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981163
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 88S RIVERKNOLL WAY
Assessors Map #: 17032343
Lot: 65 Block:
Tax Lot #: 03900
Subdivision: RIVER GLEN
Owner: ANSLOW & DEGENEAULT
Address: 56 EAST 15TH AVENUE
Phone #: 484-0070
City/State/zip: EUGENE, OREGON 97401
Describe Work: S.F. RESIDENCE
NEW
contral~tJ'i'ICE:
OWNER THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
WMMI:NUF-LJoF:FicEf:usiflGNED FOR
{lIIW lllil tMV PR\ml)USE: 1111 # OF BLDGS: 1
ZONING CODEATIEJlJTION:Oregon law OCCYr GROUP: R3
# OF BDRMS follbw rules adopted by th~HI~: FG
INSUL PATNotifleation Center Those 'S ~g8IhWMi!y 2916
. . ru s are set forth
To request an inspection, call the 24 ~~~?~~a':~r?t~~1;~gpj{?&-" """-UUI-
. . ..bldm COpies ofthe rules by
calling the center. (N~e: the teleohonA
All inspections requested before 7: 00 a: J1!~mfier:foi'Wl~Mi( tiffit,r~oli'fi'(,,~fo"i,g day,
inspections requested after 7: 00 a. m. w~ll be ~r/5hr-801J- ~2~roYll. oay.
Cons t .
Contractor #
Expires
Phone
General:
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE:
WATER HEATER:
VN
G
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 MECHANICAL - Prior to insulation or decking.
UNDERFLOOR PLUMBING - 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.
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.
!SPRINOFIELD
Job Number: 981163
Page 2
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
N
House 23
Garage 27
Item
Main
Garage
PORCHES
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F.P.
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
CITY SDC
PLAN REVIEW ADJUST.
Lot Sq. Ft.: 8712
Total Height: 24
Lot Type: INTERIOR
Setbacks
S W E
25 6
8
BUILDING PERMIT ---
Square Feet
2216
700
416
x
PLUMBING PERMIT ---
3
--- MECHANICAL PERMIT ---
4
--- MISCELLANEOUS PERMITS ---
TOTAL MISCELLANEOUS PERMITS
(Excluding Electrical)
unless otherwise noted
Lot Coverage: 33.5 %
Setbk From NPL: 56
$/Square Feet
64.66
16.27
11. 04
(A)
(C)
(D)
(E)
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
7l!!JOf;J. ;9Dw~
Value
143,287.00
11,389.00
4,593.00
159,269.00
568.00
45.44
613.44
Fee
192.50
192 . 50
15.41
207.91
12.00
4.50
12.00
3.00
5.00
4.50
41.00
10.00
3.28
54.28
0.00
21.10
15.10
1,000.00
3,233.47
4.38
4,274.05
5,149.68
13.2.0
.
f)/ 't Z.fl13
"
Job Number: 981163
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
364.81
Date Paid: 09/16/98
Receipt Number: 31439
MOORE Date: 10/05/98
By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED. ENGINEERED BRACING
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.
/,j'
-~~~
Signature
((uL_,
/'
cr2n- J 0- 1'l7g-
Date
- -- VALIDATION
Date Paid:
(}32J..-,7
/1/70 J%-
5' / q 2 ',?;
;J/ tJ't
Receipt Number:
Amount Received:
Received By:
, .
. JOURN.R JOB NO. Q811b_"'>
ATIACHMENT A
CITY' OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:
AN( L 0 <-J ~ f;", r-.~/V60 UL T
LOCATION:
0c:'~ 1<llJ<"'~_ It^''''LL uJ4'f
DEVELOPMENT TYPE:
.c, F i'2-
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STDRM DRAINAGE '
IMPERVIOUS ,SQ. FT. 44c.7
,
2. SANITARY SEWER-CITY
NO. OF PFU'S L/
(See Reverse Side)
X $0.227 PER SQ. FT. $ 1,0140\
X $47.14 PER PFU
$ 1.777, 7t
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X I. 0 I
X $475.32
$ 4.'lO.07
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
V~~ Du
NO. OF -Hid' ~ X 277. 44 PER-fB:l
B. IMPROVEMENT COST:
Du's
NO. OF fttt'S
$ 27.L.j1-
pu
X 2CznPER FftT
TOTAL-MWMC SD~
$ ?CZO
< $ -e- '>
$ 10 00
$ 31~4
$ ~, 07q,SO
$ J'5'_~ ,Q7
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2.3 & 4)
5. ADMINISTRATIVE FEE~:
BASE C~3E (SUBTOTAL ABOVE) X .05
j'jf - Date: Q-17-9'r
SDC Coordi nator TOTAL SDC
ATfACH'A.WPD
$ 3.2 'J 1.47
-,
FIXTURE UNIT CAlCU~TION TABLE: Number of New FieS X Unit Equivalent ~ Fixture Units
(NOTE, For remodels, calculate on~e 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 Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single StalL....:........,..................................
Shower, Gang..........................................................
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/WaiL.................,....................,...............
, Wash Basin/Lavatory, Single..................................
Toilet, Public Installation........................................
Toilet, Private.......................................................
Miscellaneous:
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
'Z-
'2-
~
'2.,
TOTAL FIXTURE UNITS
~
. c
:2...
4-
4-
......
'3
J~
2.7
CREDIT CALCULATION TABLE:
calculate credits separates.
I
FIXUNIT.WPO
Based on assessed value. If improvements occurred after annexation date in table,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
1995
1996
1997
Credit for Parcel or Land Only If Applicable
X $ ~
(Rate X Assessed Value)
X $ ~
(Rate X Assessed Value)
CREDIT TOTAL ~ $
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
Residential........................... 0.4
Commerical..................,...... 0.9
IndustriaL........................... 05
GovernmentaL..................... 0.5
IMPERVIOUS AREA ~ TOTAL LOT SIZE X RUNOFF COEFFICIENT
$1.98
1.55
1.15
0.96
0.83
0,67
0.52
0.38
0.21
C:--J
.
.
Job. No.
C\~\\l8
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:~\DJ)+ \)pb.fJNl(n ')\-\-
c ' ,
ADDRESS: ~ 0 ..l. . \ ~m fJrt. i?j
PHONE: _4~4. DCDr)
STATE: ~ ./ ZIP: ctl4f) (
. -
.\
LOCATION OF PROPOSED BUILDI~ SITE: '
Street Address: 0Pn ~ ~'U) Q~~\\[)HJjJQrt~) _
Plat Name: -S(\.l'lOr (J.\~ Tax Lot Number: ~~ O:\J..rf)
<.
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Si.n.Qle-FRmilv DetRr.heQ.
\ Single Family home
NO. OF UNITS I
~
Manufactured home not in a park
X $1.000 per unit = $ 1000 ,cO
B. ,Sinale'-FRmilv AftHr.hed
NO. OF UNITS
X $924 per unit = $
C. .Multi-Familv AOHrtment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home PH!k
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit = $
$ \Dnn.CO
2. SDC CREDIT (If applicable) SDG-payer must furnish proof of
Willamalane Credit approval. See SOC Credit WotKsheet. $
o
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\ANv0::\
Development Servic~
City of Springfield
lOOO.oo
I 70 I C;~
$
If
Date