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Home My WebLink AboutPermit Building 1999-8-2 Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 990847 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 5728 i}l.Q,lLC[;; Assessors Map #: 18020411 THIS PERMrrSHALl. EXFlISE IlEcnt8MJOR:(o 0 Lot: 4 Block: AUTliORIZEDUNDERlMISJ:>EAMmSl\Wr-STON ~2r.1M::tJG::E: ~glG,~A#J?~&~iffi ~~~~J'~~DEUGENE, OREGON 97402 RIDGE Owner: VERN BENSON Address: 940 HWY 99 NORTH Describe Work: MANOF HOME & GARAGE NEW General: Canst. Contractor # Expires Ulles ) "... .~ ,( HeuoH laW req n I,.!tility WOLDEN CONSTRUC p.;rrEl'll\ONO'06.te\fl!lY tneOreg97s~6\W' 101l0W rules aOO\l ,hose rules are 15Z.o01- FREEMAN ELECTRI Notilication C~~~~MhrOugh OA~ffi~ PO BOX 90216 POR'Wt~~~1s~e&JcopiesoH \ephOne ')I)QO. '(oU may 0,,:(. Il\Iote', thete ~').c'?tinn OFF~inume_"~"o;egon Uti\\ry '''v)'' ~t1S~\or~~~& 1_800-332-2344 ' ZONING d0D~~rtDR # OF BDRMS: 3 RANGE: E Phone Contractor 688-8897 Electrical: 997-3651 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: WATER HEATER: VN E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1475 " 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. WATER LINE - Prior to filling trench. SANITARY SEWER LINE ' Prior to filling trench. STORM SEWER LINE - Prior to filling trench. MANOF 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. MANOF, HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANOF, HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. PEDESTAL - Prior to cover. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL,ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been installed. Lot Faces: E Topography: 2 Lot Lot Setbacks S W 10 11 Sq. Ft,: 6038 Type: INTERIOR Lot Coverage: 32 % House Garage N 14 E 18 SPRINGFIELD Job Number: 990847 Page 2 Item Main Garage MANY/ HOME FTG/FDN Total Value BUILDING PERMIT --- Square Feet x $/square Feet 484 18.34 Value 0.00 8,877.00 44,500.00 3,500.00 56,877.00 Building Permit Fee SurchargelAdmin 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 surchargelAdmin 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 2,385,75 1,000,00 64,03 TOTAL MISCELLANEOUS PERMITS (E) 3,713,18 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 3,916,77 -,- 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: 07/29/99 Building Site Reviewed By: LISA HOPPER --- ADDITIONAL COMMENTS A SEPERATE ELECTRICAL PERMIT IS REQUIRED Job Number: 990847 Page 3 DRIVEWAY REQUIRED TO BE PAVED 3 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. ~ '--- ~....... ~ , ------ S~gnature ,-; ~-2--f" Date --- VALIDATION Date Paid: 0)5"07LJ f/v/11 31ft 77. aJlvJ Receipt Number: Amount Received: Received By: JOURNAL OR JOB NO, ep,/)~~l . ATIACHMENT A . CITY OF SPRINGFIELD SYSTEMS DEVELOP-ME NT CHARGE WORKSHEET NAME OR COMPANY: "Fe N '&"I:"-r,"-.J , 5,?9- LOCATION: ll>+ 4- 'P,r7(.:,t= '?'4 DEVELOPMENT TYPE: SF 0 BUILDING SIZE; lOT SIZE SQ, Ft. 1, STORM DRAINAGE 14-15 -f 18 (20) + 1.~)cz~ IMPERVIOUS SQ. FT. "2-~c..+ X $0.227 PER SQ, FT, $ ~3(;. c'3 2. SANITARY SEWER-CITY -, NO, OF PFU' S "2-0 (See Reverse Side) X $47,14 PER PFU $ 0/1-2. R{) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X [,01 X $475.32 UB'J.01- X X $475.32 , \ $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X 277,# PER FEU $ 2"1"7,# 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 $ 312,(.,,4- SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ 22.i'2.t4- $ II 3,~1 I M'SL SDC Coordinator ATTACH'A.WPD Date: (;, /Z.'t fer"! , TOTAL SDC $ 2'38 5'1~ I , I - , ..-.., ....J '..' \"'\,"1 . FD~rtJRE"UNIT CALCULAjION TABLE: Nu~ber of New Fixt. X-Unit Equivalent = Fixture Un~ts (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: J I 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 4- "Z.. 2- "2... z.. 'X zJJ 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 I Annexed 1979 or before 1980 1981 1982 1983 1984 1985'. 1986 1987 1988 $4.27 4.18 4,12 3.99 3,83 3.68 3.48 3.18 2.82 2.42 ,.:-; ~.. . ,'-. . ; I , , ( I /1 II TOTAL FIXTURE UNITS = Year Annexed 1989 1990 1991 1992 1993 1994 "", .1995 1996 1997 Credit for Parcel or Land Only If Applicable Improvement (if after annexation datel X$' = (Rate X Assessed Valuel X $ = (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........,..................O.4 Commerical......................... 0.9 Industrial.....................,...... 05 Governmental.,."........."..,... 0.5 FIXUNIT,WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $1,98 1.55 1.15 0,96 0.83 0,67 0,52 0,38 0.21 . SYSTEM DEVELOPMENT CHARGE NAME: \ '&YJ) ~~ ~f\ WORKSHEET (k 00 nn \1 \.:101 \ PHONE: \O'b \) . ~ ~'--'\ I ADDRESS: A\,) \ UlyC\C\ (), STATE:~ZIP: Qr110'2- LOCATION OF PROPOSED 8U~D1NG SITE: (\"'1 .l.- Street Address: CfJVLCl ~J \JJ\1Jtl ' Plat Name:"'~ ~ax Lot Number: l~~'Jl}\\\ ~O+1a) 1. DEVELOPMENT TYPE (Check appropriale dwelling(s), SDC calculations and dwelling l ype definitions are on the back,) . ~qCft4f A. Sinole-Familv Detached. Single Family home NO. OF UNITS l Manufactured home not in a park X $1,000 per unit = $ lDOO.ct) l 8, Rinole'-Familv Attached NO, OF UNITS X $924 per unit = $ C, Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Pa~ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Cre ~~e~~N City of Springfield X $699 per unit c $ $ lDC().oo Ji $ lOCO ~ NO. OF UNITS WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC1)ayer must furrtsh proof of WiUamalane Credit approval. See SOC credit Worksheet. $ I I Date