HomeMy WebLinkAboutPermit Building 1999-8-17
i
i
I
I,
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 990838
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 5715 RIDGE CT
Assessors Map #: 18020411
Lot: 8 Block:
Tax Lot #: 04700
Subdivision: THURSTON RIDGE
Owner: VERN BENSON
Address: 940 HWY 99 NORTH
Phone #: 688-8897
City/State/Zip: EUGENE, OREGON 97402
Describe Work: MANUF HOME & GARAGE NEW
Canst.
Contractor Contractor # Expires Phone
General: WOLDEN CONSTRUC 0082824 07/21/00 688,8897
Electrical: FREEMAN ELECTRI 0061648 09/28/99 997-3651
PO BOX 90216 PORTLAND OR 972900000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 2
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: 1296
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 ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
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 UP - When all blocking is complete.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
MANUF, HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MANUF, HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
PEDESTAL - Prior to cover.
FINAL ELECTRICAL, When all electrical work is complete,
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, venting, house numbers, etc. have been installed.
Lot Faces: N
Topography: 2
Sq. Ft.: 5200
Type: INTERIOR
Lot Coverage: 35 %
Lot
Lot
Setbacks
S W
12 5
N
E
5
House
Garage
20
SPRINGFIELD
Job Number: 990838
Page 2
Item
Main
Garage
MANDl HOME
FTG/FDN
Total Value
BUILDING PERMIT ---
Square Feet x $/Square Feet
484 18.34
Value
0,00
8,877.00
35,298.00
3,500.00
47,675.00
Building Permit Fee
Surcharge/Admin
98.50
7,89
TOTAL FEE
(A)
106,39
PLUMBING PERMIT
Item
Sanitary Sewer
Water
Storm Sewer
Mobile Home
50
50
50
Fee
25.00
25.00
25.00
15.00
Plumbing Permit
Surcharge/Admin
90.00
7,20
TOTAL CHARGE
(C)
97,20
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
WILLAMALANE
PLAN CHECK FEE
105.00
30.00
8.40
60.00
60.00
2,343.09
1,000.00
64.03
TOTAL MISCELLANEOUS PERMITS
(E)
3,670,52
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
3,874,11
--- 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.
Received By:
Plans Reviewed By: AL WARD Date:
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
SPRINGFIELD
Job Number: 990838
Page 3
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.
~~~
I Signature
rl/ -( 1'1
Date
-- - VALIDATION
Date Paid:
'~c; UJ <i...
<?;-17-C, i
$ ~ q~(n.3't
- I
cKAJ
Receipt Number:
Amount Received:
Received By:
JOURNAL OR JOB NO, ~
. AlTACHMENT A .
CITY OF SP~NGFIELD SYSTEMS DEVEL~ENT CHARGE
WORKSHEET
NAME OR COMPANY:
"F.fZ N &N~"-.l
0') 1,$
'IZ,c:x;.t;:;. (~
LOCATION: IPr '?
DEVELOPMENT TYPE:
51=0
BUILDING SIZE:
LOT SI7F
SO, Ft.
1. STORM DRAINAGE 12'1~ -f' Iff (zo)+- 23 ~23
IMPERVIOUS SO. FT. 21S<~ X $0.227 PER SO, FT. $ 4Q6,OO
,.
2. SANITARY SEWER-CITY
NO. OF PFU'S ~
(See Reverse Side)
X $47.14 PER PFU
$ '142,8"0
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
X [.01 X $475.32
$ 48n,07_
X
X $475.32
, $
4. SANITARY SEWER-MWMC
A, REIMBURSEMENT COST:
NO, OF FEU'S
X 277,# PER FEU
$ 2."71.44
B. IMPROVEMENT COST:
I
NO. OF FEU'S
X 2.5,20 PER FEU
$ 2'5,20
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ >
$ 10 00
TOTAL-MWMC SDC $ 3\ 7,(.,,4-
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. AOMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ 27-'0;1,<::'\
I
$ III ,51\?
M~L-
SDC Coordinator
ATTACH'A.WPD
Date: ?J /21-1'1'1
,
TOTAL SDC
$ 2:54'3.0}
.,") r:-..:<) -,~ " \", '
.' t ~ ~ I ~~ . .
FIXTURE UNIT CALCUL1JION T A.BLE: Number of New FixllA X Unit Equivalent = Fixture Un~is
(NOTE: For remodels, calculate onl. 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/Wall.... ... ..:..............,. .,.,..,.......... .,... .,.,.,.
Wash Basin/Lavatory, Single...........,...................,..
,Toilet, Public Installation........................................ '
Toilet, Private.......... .............,......... ... ......... ...........
Miscellaneous:
',_t ....."'-.
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
(' -- ~
, ,
TOTAL FIXTURE UNITS =
Based on assessed value, If improvements occurred after annexation date in table,
-CREDIT CALCULATION TABLE:
calculate credits separates.
I
Rate per $1,000
Assessed Value
Year
Annexed
Year I
Annexed
,I
1979 or before
1980
1981
1982
1983
1984
1985'"
1986
1987
1988
$4.27
4.18
4,12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
1989
1990
1991
1992
1993
1994
,,"', .1995
1996
1997
L
Credit for Parcel or Land Only If Applicable
X'$' =
(Rate X Assessed Value)
X $ =
(Rate X Assessed Value)
CREDIT TOTAL = $
Improvement (if after annexation date)
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.....,............,......., 0,4
Commerical....,.................... 0.9
Industrial............................ 0 5
Governmental....................,.. 0.5
FIXUNITWPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Rate per $1,000
Asse'ssed Value
$1.98
1.55
1.15
0.96
0.83
0.67
0.52
0.38
0.21
~