HomeMy WebLinkAboutPermit Building 1998-10-5
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',' . SPRINGFIELD
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 981150
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 3817 ALCONA ST
Assessors Map #: 17023411
Lot: Block:
Tax Lot #: 01625
subdivision:
Owner: VERN BENSON
Address: 940 HWY 99N
Phone #: 688-8897
City/State/Zip: EUGENE, OREGON 97402
Describe Work: MANUF HOME & CARPORT
NEW
Contractor
Const.
Contractor #
Expires
Phone
General:
WALDEN CONSTRUC
0101743
09/03/99
607-5622
OFFICE USE --
LAND USE: 1150 # OF BLDGS: 2
ZONING CODE: LDR OCCY GROUP: R3
# OF BDRM~:'Olegon law requires YOU.~AT SOURCE: FE
~~it-l1i!O d ted by the Oregon Ut'fdfufOOTAGE: 1475
',folloW rules_ a op. Tr.n~A rules are se~ 0 ..
To request an inspection, calJNtlrtJit!Ca;!iPfb~HfltiffimYlWuyt\ G~FV~~.y~6~'
i~ OAR 952-0 . b\ain copies of the rules
All inspections requested befo0096.:~@U~~e~~t.~NG~:ttaetel~~o2~~e working day,
inspections requested after 7: 00 CQ\\Jfi\gt.!Wl~ ~'OT~1\<UtWty NQ!~Ip~~ng work day,
number~~~tA~iS 1.800.332.2344).
REQUIRED ~PECTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement,
SLAB - To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
_ STORM SEWER LINE - Prior to filling trench.
MANUF HOME/MOBILE HOME SET uNn,,~.all blocking is complete,
MANUF. HOME/MOBILE HOME ELEC~R'I~~I:'~. When blockin3' setlfP.A and
plumbing inspections ha.Mt~~iB~~~EXR~~~mlHegN~~ected to panel
PEDESTAL - Prior to cover, AUTHORIZED UNDER THIS PERMIT IS NOT
FRAMING - Prior to cover, " ' . ' ", .
FINAL BUILDING - When all reQQM.~8NBfJ1~~I~~tM.QQ~~~Qf\.pproved and
, the building is complet~N~ ~~~ ft~~ ~~ftl@tl
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed,
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
Lot Faces: N
Topography: 2
Lot Sq. Ft.: 6317
Solar Approved: Y
Lot Coverage: 28 %
Lot Type: INTERIOR
Hquse
N
30
Setbacks
S W
10 7
E
5
Item
Main
Garage
FND . / FTG,
BUILDING PERMIT ---
Square Feet x $/Square Feet
Value
0.00
0.00
1,500,00
SPRINGFIELD
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Page 2
28,000.00
33,386,00
56.50
4.53
(At 61. 03
Fee
50.00
50,00
50,00
150.00
12,00
(C) 162.00
105,00
20,00
5,25
3.15
702.73
(E) 836.13
1,059.16
Job Number: 981150
MANU, HOME
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- PLUMBING PERMIT ---
Item
Sanitary Sewer
Water
Storm Sewer
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Surcharge/Admin
CITY SDC
TOTAL MISCELLANEOUS PERMITS
--- 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: 36.73 Date Paid: .09/14/98
Received By: AL WARD
Plans Reviewed By: AL WARD Date: 10/01/98
Building Site Reviewed By: LISA HOPPER
Receipt Number: 31414
ADDITIONAL COMMENTS
EXISTING RESIDENCE DEMOLISHED UNDER 980403
SEPERATE ELECTRICAL PERMIT REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree1 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.
Job Number: 981150
Page 3
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,
~/~~
/1() -s -9~
Signature
Date
--- VALIDATION
Date Paid:
()J/~55
fO/)' ICfv
. '
/65' 7 1& /1
. J tJUI
Receipt Number:
Amount Received:
Received By:
.... :. l
JOURNAL OR JOB NO.
, \
ATTACHMENT A 1~ 1150
CITY:OF SPklNGF]ELD SYSTEMS DEVELuFMENT CHARGE
I
i WORKSHEET
'1(5
NAME OR COMPANY:
B~NSo,J
LOCA TI ON:
3 <g , I . A \LOI1~ St--
. DEVELOPMENT TYPE: M F H
BUILDING SIZE:
\475
LOT SIZE
\.\
SO, Ft.
1, STORM DRAINAGE '. _
(Jib>' 22.)'" W&~ Z7)'" ~(p) - IZGOSF
IMPERVIOUS SO. FT. c-> '1~C; + X $0.227 PER SO. FT. S ~?S:lJ;{1-~-.
2. SANITARY SEWER-CITY
NO, OF PFU'S
(See Reverse Side)
1\
X $47.14 PER PFU
$6"'la.51-
3 . TRANS PORTA TI ON .
~
NO OF UNITS X TRIP RATE X COST PER TRIP'
X L' C> I X $475.32
$ t.fjg.(). ~7 tJ / A
x
x' $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
r
NO. OF FEU'S
X. '2..11, Jt+ 'PER FEU
$ -:'77 /f () t-.J I A.
B. IMPROVEMENT COST:
NO. OF FEU'S \ X '25.'20 PER FEU
,
$ """'r -._)
e"", L,...~-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
, .
< $ ~'1.'5Q... >
$ 10.00
JV15 {.,
SDC Coordinator
ATTACH' A. WPD
Date: 9/'?3/C>J ~
\.
TOTAL SDC $ r.Jtj'21,,"1~
I
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent
(NOTE: For remodels, calculate ani' ' 1. NET additional fixtures) "
NUMBER OF UNIT
FIXTURE TYPE NEW FIXTURES EaUIV ALENT
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. ....;...................... .~...................
S how e r, G a n g.,.,. . . .. . . .. . . .. . . . . .. . . . . . . . . .. . . .. . . . . . . . . .. . . . . . . . . . . .. .
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wall...................... ..................................
Wash Basin/Lavatory, Single..................................
Toilet, Public Installation.......,................................
Toilet, Private.......................................................
Miscellaneous:
;_ ;:. ...J
== Fixture Units
FIXTURE
UNITS
-\ 1/
2
1
2
3
6
2
6
6
1
3
,2
1/Head
2
2
1
6
4
L-
-z...
'2..
-I If"
- 1\ J
-I t-I ... I
4-
TOTAL FIXTURE UNITS
1ft
CREDIT CALCULATION TABLE: Based on assessed vallie. Ifimpr:ovements occurred after annexation date in table,
calculate credits separates.
I
Year
(
) Annexed
Rate per $1,000
Assessed Value
1.979 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
Year
Annexed
Rate per $1,000
Assessed Value
1989
1990"
1991
1992
1993
1994'
1995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
I
!
Credit for Parcel or Land Only If Applicable
\ 2"1 ,SO
Improvement (if after armexation date)
/
'2.0,.'1(,0 X$ 4,2=1
(Rate X Assessed Value)
X $
(Rate X Assessed Value)
CREDIT TOTAL
==
==
= $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purpo'ses Only)
Residential........................... 0.4
Commerical................... ....... 0.9
Industrial............................ 0 5
Governmental...................... 0.5
I FIXUNIT,WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT