HomeMy WebLinkAboutPermit Building 1999-9-20
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RESIDENTIAL PERMIT APPLICATION
CITY OF,SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 991206
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 701 BLACKSTONE ST.
Assessors Map #: 17032300
Lot: 1 Block:
Tax Lot #: 00904
Subdivision: RIVER GLEN
Owner: CHARACTER HOMES INC
Address: 835 SAND ST.
Phone #: 345-9395
City/State/Zip: ,EUGENE OR,97401
Describe Work: S.F.RESIDENCE
NEW
Const.
Contractor Contractor # Expires Phone
General: CHARACTER HOMES 0097241 02/28/98 345-7369
835 SAND AVE EUGENE OR 974010000
Plumbing: CONTRACTERS PLU 0069912 11/02/98 538-6961
1815 ANN CT NEWBERG OR 971320000
Mechanical: CRYSTAL CLEAN A 0096878 07/17/01 484-2286
197B WALLIS EUGENE OR 974020000,
Electrical: DEANS ELECTRIC 0099579 06/20/00 935-5303
PO BOX 2585 EUGENE OR 974020000
QUAD AREA: 5RNW
OCCY GROUP: R3
HEAT SOURCE: FE
OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS: 1
# OF BDRMS: 3
SQ FOOTAGE: 2546
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.
UNDERFLOOR PLUMBING - Prior to insulation or decking.
UNDERFLOOR DRAIN - Prior to cover or placement ',of concrete.
UNDERFLOOR MECHANICAL - Prior to insulation or decking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SANITARY SEWER ,LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Pri,or to cover
DRYWALL - Prior to taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure ):es't done at this point.
. SPR'N~ELD~ .. . _.
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Job Number: 991206
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLUMBING - When all plumbing work is complet~.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete:
Lot Faces: N
Topography: 2
Lot
'Lot
Setbacks
S W
28 14
N
House
Garage
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Page 2
Sq. Ft.: 8665
Type: INTERIOR
Lot Coverage: 29 %
E
14
BUILDING PERMIT -'--
Square Feet x
2062
484
$/Square Feet
69.64
18.34
(A)
PLUMBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
2
(C)
--- MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit
Dryer Vent
GAS PIPE/ W/H
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
3
(D)
MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
CITY SDC
PLAN CHECK FEE
WILLAMALANE
TOTAL MISCELLANEOUS PERMITS
(E)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
Value
143,598.00
8,877.00
152,475.00
552.25
55.23
607.48
Fee
160.00
160.00
16.00
176.'00
6.00
4.50
9.00
4.50
3.00
5.00
32.00
10.00
3.20
45.20
0.00
60.00
60.00
2,507.22
100.00
1,000.00
3,727.22
4,555.90
, _A'NGA~D~' ....
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Job Number: 991206
Page 3
--- 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 a't anytime upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD Date: 09/19/99
Building Site Review~d By: BOB BARNHART
--- ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
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 or 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 fron~ of the property, and the approved set of plans
will rem:;n onAthe site at all,times during construction.
~, L ~' 9~2o-71
Signature Date .
,4~
f
-f4L
VALIDATION
Date Paid:
()?5~1/
1/~/97
If, SSJ" , ~1
tfJ!J~
Receipt Number:
Amount Received:
Recei ved By: .
\..
-
.
~~ Willamalane .
t,.! . Park & Recreation District. ) . Job. No. S 9 If) ()~"
(W' ; 'SYSTEM DEVELOPMENT CHARGE "
, '~ORKSHEET
. NAME: . ~ r, .J-~_I\ \\~. PHONE:-:YlS'-s"3.c;S
ADDRESS: ~6S .~~ \\:t~ STATE:<CM. ZIP:~l"t~L
LOCATION OF PROPOSED BUILDING SITE: .
, Street Address: . 7<J \ ~~~~,,' ,\~
Plat Name: \l.D ?-"Q. ~ ~'1 'Tax Lot Number: CJL\ LlW
1. DEVELOPMENT TYPE (Check appropcialedwelling(s). SOC calculations and dwelfing t
ype definitions are on the back.)
,., - .
A Binale-Familv Detached
~ ' Single Family home
NO. OF UNITS. ' \
Manufactured home not in a park
.-'X $1,000 per unit = $ \ c.JlJO 00
" B. Sinale"-Family Attached.
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
, NO. OF UNITS
X $692 per,linit = $
D. ,f0anuf.&'-I.1ir:ed Home Pa~
NO. OF UNITS
X $699 per unit c '$,
. WlllAMALANESDC ,$
2. SDC CREDIT (lfappIiCable) SOc-payer must fU~Sh proof of
WiUamalane Credit approval. See SDO Or edit Worksheet. , $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduCed for Credit) , $
~~~~nt Se.:vices Department
City oJ Springfield
1
Date
{LC; / '19
I
f
(
"- .'
/
.. " JOURN~OBNO. QQ/2-0C:,
· ATTACHMENT A '
- ,
,CITY OF SPRINGFlELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY: "
C/J4-A-'AAC /l5~ jJt'JIMU=':'::'
70 I " R L4C/C. S rc:JJ'LJ ' '~T
LOCATION:
DEVELOPMENT TYPE:
CS.p.R.
BUILDING SIZE:
LOT SIZE
, ,
1. STORM DRAINAGE
t</lOU,!<, 2 c- >< C, 2..~:- /b2b
Zq,5"~ 4 g ~ 14-/~
QJI<.J Z~ y II! ~ 43'2-
IMPERVIOUS SQ. FT. 3,4-73 X $0.232 PER SQ. FT.:
, .
2. SANITARY SEWER-CITY
NO. OF PFU'S 1 %
(See Reverse Side)
X $48.27 PER PFU
3. TRANSPORTATION.,
NO OF UNITS XTRIP RATE X COST PER PM PEAK HOUR TRIP
I'
X 1,01 X $486.73 PER TRIP
X
X $486.73 PER TRIP
4. SANITARY SEWER-M'WMC
A. REIMBURSF;MENT COST:
'\
NO. OF FEU'S
X 242 I 7(.. PER FEU
, B. IMPJ3.0VEMENTCOST:
NO. OF FEU'S I, X 22~oS-PER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TOTAL-MWMC SDC
SUBTOT AL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CP1~GE(SUBTOTAL ABO_VE~ X .05
lJ-L., , Date. OJ '1 99
SDC Coordinator
ATTACH'A.WPD
SQ. Ft.
$ 805.74
$ 8 bB . R"-
. $ 4Q-J, foe)
$
$ 2+2.,,7~
$ .2 2 , os: '
<$ -53,/% >
$ 10.00
$ 2?--'~
$ 2j3i?U3
$
JLCi. "5('
TOTAL SDC ',' $ 2);:;-Q 7, 22-
FIXTURE ,UNIT CALCU~ON TABLE: Number of New FI_Unjt Equivalent = Fixture Units
(NOTE: For remodels, calculate only the"itional fixtures)
NUMBER OF UNIT FI!CTUR;J;_
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub......................... ..... .... :..... ....... ...... ...... ...........
Drinking Fountain........................... ........ ........... .......
Floor Drain.......... ...... ........ .... ........., .............. .............
Interceptors For Grease/OiVSolids/Etc.....................
Interceptors For Sand/Auto Wash/Etc......................
Laundry Tub/Clotheswasher/Mop Sink....................
Clotheswasher - 3 Or More...........,..........................
Mobile Home Park Trap (1 Per Trailer).............,.....
Receptor For Refrigerator/Water Station/Etc...........
Receptor For Corrunercial SinklDishwasher/Etc......
Shower, Single Stall.................................................
Shower, Gang.:............ .......,.................... ........ .........
, ,
Sink: Bar, Corrunercial, Residential Kitchen............
Urinal, S talVW all............... .......................................
Wash Basin/Lavatory, Single............................:......
Toilet, Public Installation.........................................
Toilet, Private..........................................................
Miscellaneous:
1:..
2
1
2
3
6
2
6
6
1
3
2
l/Head
2
2
1
6
4
2..
"'Z-
\
'-::Z-
~
z.-
2...
l:5
TOTAL FIXTURE UNITS
IR
CREDIT CALCULA nON TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits separately.
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per.$I,OOO
Assessed Value
1979 or before
1980
1981
1982
1983
1984
1985
1986
1987
1988
$4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.38
3.03
2.62
1989
~
1991
1992
1993
1994
1995
1996
1997
1998
2..18
1. 7 5--:>
1.35
1.17
1.03
0.86
0~71
0.57
0.39
0.18
Credit for Parcel or Land Only If Applicable I, 7 ~ X. $~r?, 3"'70
(Rate X Assessed Value)
Improvement (if after annexation date) X $
(Rate X Assessed Value)
5" ~ A 9<;--
CREDITTOTAL =$ S~.,~
RUNOFF COEFFICIENTS FOR STORM DR.\INAGE:'.
(For Estimating Purposes Only)
Residenti;tl. ......, ....... ........ .... 0.4
CorrunericaL........................ 0:9
IndustriaL....,....................... '0.5
GovernmentaL..............,...... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA =TOTAL LOT SIZE X RUNOFF COEFFICIENT