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