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HomeMy WebLinkAboutPermit Building 1998-4-21 SPAINOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 980155 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 657 QUARRY RD Assessors Map #: 17035334 Lot: Block: Tax Lot #: 06900 Subdivision: Owner: DON MICKEL Address: P.O. BOX 71 Phone #: 747-4871 City/State/Zip: SPFLD OR, 97477 Describe Work: MANUFACTURED HOME NEW Contractor Const. Contractor # Expires Phone General: E. F . MORLEY CONS 0120251 2370 BENSON LN EUGENE OR 974080000 02/11/98 343-8806 QUAD AREA: 5RSW VN SQ FOOTAGE: 2124 OFFICE USE LAND USE: 1111 CONSTR. TYPE: 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. DRYWELL - Engineered Drywe11 Required WATER LINE - Prior to filling trench. LINE TO SEPTIC TANK - Prior to filling trench. MANUF HOME/MOBILE HOME SET UP - When all blocking is complete. MANUF. HOME/MOBILE HOME ELECTRICAL - When blocking, setup, and plumbing inspections have been approved and home is connected to panel MANUFACTURED HOME SERVICE MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to water and sewer. ROUGH ELECTRICAL - Prior to cover. FRAMING - Prior to cover. ROUGH MECHANICAL - Prior to cover. FINAL MECHANICAL - When all mechanical work is complete, FINAL ELECTRICAL - When all electrical work is complete. FINAL SET UP - After all required inspections are approved and porches skirting, decksl venting, house numbers, etc. have been installed. Lot Type: INTERIOR Item Main Garage FTG/PERIM FOUDNATION Total Value BUILDING PERMIT --- Square Feet x $/Square Feet 720 16.27 = Value 56,563.00 11,714,00 6,740.00 75,017.00 Building Permit Fee SurchargelAdmin 134.50 10.77 TOTAL FEE (A) 145.27 SPRINGFIELD Job Number: 980155 Page 2 --- PLUMBING PERMIT --- Item Water LINE TO SEPTIC DRYWELL Fee 40.00 25,00 25.00 Plumbing Permit SurchargelAdmin 90,00 7.20 TOTAL CHARGE (Cl 97.20 --- MECHANICAL PERMIT --- HEAT PUMP 15.00 Mechanical Permit Issuance surchargelAdmin 15.00 10.00 1.20 TOTAL PERMIT (D) 26.20 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance SurchargelAdmin WILLAMALANE SDC CITY SYSTEM DEVEL 105.00 20.00 8.40 1,000.00 501.07 TOTAL MISCELLANEOUS PERMITS (E) 1,634.47 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, 5, C, D, and E combined) 1,903.14 --- 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: 75.73 Date Paid: 02/09/98 Received By: LORNE PLEGER Plans Reviewed By: BOB BARNHART Date: 03/04/98 Building Site Reviewed By: BOB BARNHART Receipt Number: 28742 --- ADDITIONAL COMMENTS --- DRIVEWAY REQUIRED TO BE PAVED 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. Job Number, 980155 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. ,,""e~~--- ~cOl-/- :Tr- Date - -- VALIDATION Receipt Number, -::t! q y~ Date Paid: r"';;?/'~2 ~~j~ . . . /h~_ - /j-' - - - . Amount Received: Received By, JOB NO. "180 1"..,.- ~ ATTACHMENT A ... CITY OF SPRINGFIELD SYSTEMSDEVEL~ENT CHARGE WORKSHEET NAME OR COMPANY; D", N M , diE '- LOCATION: 6c:7 (J,)A 17 R. V DEVELOPMENT TYPE: BUILDING SIZE LOT SIZE SO, Ft. 1. STORM f)RATNAGE DR'r'/.vc<"L IMPERVIOUS SO.. FT. X $0.226 PER SO, FT. $ ~ 2. SANITARY SE!,JER-crTY PP.,tJolffC 5~7"~ ~y~ f'e;-... NO. OF PFU'S (See Reverse Side) X $46,B6 PER PFU $ .g 3. TRANSPORTATiON .NO OF UNITS X TRIP RATE X COST PER TRIP X /,01 X $47249 $ 477,2.1 X X $472.49 $ x X $472.49 $ 4, SANITARY SFWFR-MWMC NO. OF FEU'S X PER FEU + $10 MWMC/ADM FEE $ o MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SOC $ SUBTOTAL (ADD ITEMS 1. 2 . 3 & 4) $ 4-77. 2..1 S, Arn1TNISTRATTVF FFF~ BASE CHARGE (SUBTOTAL ABOVE) X .OS $ 2'3. ~r;,. &, Date: Z - 2..&:,-t::t 8' TOTAl SDC $ ''It?l. 07 SDC Coordinator 1- .. .". '""IlL "",nil.' "'/""\L.v V L/""\. IIUIl4 I J-U~L&:. Number ot New Fixtures X Unit Equivalent = Fixture.Units , (NOTE: For remodels', calculate on.e NET additional fixtureSI. . ... 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 TrailerJ........,......... 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...........,.,... ........ .................:............ Miscell~neous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = If i; CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates, Year Annexed Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 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 Only If Applicable X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential,., :..,..".....,...... .... 0.4 CommericaL..........,.........,... 0,9 IndustriaL........................... 05 GovernmentaL..................... 0,5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 . . Job. No. '\ ~O \.5s SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ~~ ~ ;>r- ~~ ADDRESS: t>,D \S ~ PHONE: li.{1-(-U::>1l STATE: On. ZIP: 'l.1l{11 .. LOCATION OF PROPOSED BUILDING SITE: Street Address: CoSl cS:) ~~ Rd Plat Name: \"\ 0 ~ ~ S ~ l{ Tax Lot Number: C"J 6 ~ua .. 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling I ype definitions are on the back.) A. SinQIp.-FRmilv Dp.tRr.hp.o Single Family home NO. OF UNITS ^ Manufactured home not in a park CJO X $1,000 per unit = $ 1... In.'irI - B. .siJll1fp..-FRmilv AttRr.hp.o NO. OF UNITS X $924 per unit = $ C. Multi-Familv AORr1ment NO. OF UNITS X $692 per unit = $ D. MRnufaclured Home Pari{ $ $ \~a~ (fD Iff NO. OF UNITS WILLAMALANE SDC X $699 per unit = 2. SDC CREDIT (if applicable) SDC.payer must furnish proof of Willamalane Credil approval. See SDC Credit Worl<sheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ DC) \.UUO - ~c:t'\ R Development Services Department City of Springfield &. I \3 I '1 \?, Date