HomeMy WebLinkAboutPermit Building 1996-3-28
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 960314
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 7305 DAISY ST
Assessors Map #: 17023534
Lot: 35 Block:
Tax Lot #: 03400
Subdivision: MCKENZIE HILLS
OWner: BRIAN LOUNSBURY
Address: PO BOX 1518
Phone #: 744-5389
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S,F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: BRIAN LOUNSBURY 0100920
PO Box 672 Marcola OR 974540000
Plumbing: FRIDLUND 0051835
85370 Dilley Ln Eugene OR 974050000
Electrical: ROSE CORP 0054431
89976 Day Lane Eugene OR 974020000
06/30/96
744-5389
12/14/96
746-9433
09/30/96
686-0905
QUAD AREA: 4RSE
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
OFFICE USE -_
LAND USE: 1111
ZONING CODE: LOR
# OF' BDRMS: 3
WATER HEATER: E
SQ FOOTAGE: 2218
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE:, FE
RANGE: E
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 ___
UNDERFLOOR PLUMBING - Prior to insulation or decking.
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or deCking.
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to Cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FIREPLACE - Prior to facing materials and framing inspection.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - 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 i~omplete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL MECHANICAL - When all m~ical work is complete.
------
FINAL BUILDING - When-all required inspections have been approved and
the building:Ls complete.
\
SPRINGFIELD
Job Number: 960314
Lot Faces: N
Solar Approved: Y
Total Height: 25
Lot Type: CORNER
Setbacks
S W E
56 20
48 26
N
House 20
Garage 20
Item
Main
Garage
UNFINISHED BASEMENT
Total Value
BUILDING PERMIT ---
Square Feet x
1269
572
377
Building Permit Fee
Surcharge/Admin
TOTAL FEE
Page 2
Setbk From NPL: 32
s/Square Feet
64,66
16,27
37,45
(A)
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
= Val ue
82,054,00
9,306.00
14,119.00
105,479.00
446.50
35.73
482,23
(B) 2,534,69
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
MECHANICAL PERMIT - - -
Exhaust Hood
Vent Fan
Wood Stove/Insert/Fireplace Unit.
Dryer Vent
3
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS
(C)
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(J\., B, C, 0, and E combined)
<::
Fee
192.50
192.50
15,41
207.91
4.50
9,00
15.00
3.00
31,50
10.00
2.53
(D)
44.03
0.00
38.65
14.80
1,000.00
183.60
60.00
(E)
1,297,05
4,565,91
Job Number: 960314
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 at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: DON MOORE Date: 03/21/96
Building Site Reviewed By: LISA HOPPER
-- - ADDITIONAL COMMENTS ---
DRIVEWAY REQUIRED TO BE PAVED
4 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.
r
b'
3- l.~ ~r;.
Date
Date Paid:
~:~"oo
~ql
Receipt Number:
Amount Received:
Received By:
SPRINQFIELD
Job Number: 960314
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/C1otheswasher
Clotheswasher - 3 Or More
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
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
3
o
o
o
o
1
o
o
o
1
o
1
o
3
o
3
o
2
1
2
3
6
2
6
1
3
2
6
o
o
o
o
2
o
o
o
2
o
2
o
3
o
12
o
2
2
1
6
4
TOTAL FIXTURE UNITS 27
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1964
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
25,190
X
3.47
87.41
o
3.47
0_00
X
CREDIT TOTAL =
$87.41
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
SPRINGFIELD
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: BRIAN LOUNSBURY
Location: 7305 DAISY ST
Developement Type: R Building Size:
1, STORM DRAINAGE
Impervious Sq Ft
1763
x
0.210
2, SANITARY SEWER - CITY
Number Of PFUs 27
(see Page 2)
x
43.43
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
Job No.: 960314
Lot Size:
Per Sq Ft
Per PFU
X
Cost Per Trip
437.93
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
27
X
X
Per PFU +
18.750 +
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
MWMC Admin Fee
10.00
Date: 03/13/96
Page 1
Sq Ft
$370.23
$1,172.61
$442.31
=
$516.25
$87.41
$428.84
$2,413.99
$120.70
$2,534,69
:.
.
.
. ."
Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET . ,
NAM _ \ . j PHONE: ~4. K ~xq
LOCATION OF PROPOSED BUILDIN~IT , -
Street Addnf\Sj l?'J D~. \J Qllill.
Plat Name: ~~_ ojJ,rlQ. ~. \.~ Tax Lot Nu~er: \ 1 (')j-~:Al01C()
(\ \olJ9J 'A
1. DEVELOPMENT TYPE, (Check appropriate dwelling(sl. SDC calculations and dwelling t
ype definitions are on the back.)
A. ~inolp.-F:'!milv Det:'!cheej
l Single Family home
l
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ \ttOq)
B. Bin<JIA-F:'!milv Atlacheej
NO, OF UNITS
X $924 per unit = $
C, Multi-F:'!milv Aoartment
NO. OF UNITS
X $692 per unit = $
D, M:'!nuf:'!ctureo Home Park
X $699 per unit = $
$ \tt{).aJ
o
3. TOTAL WILLAMALANE NET SDC ASSESSED lDN\ ex)
\ I ~~c :rdl~C..t) '3 I ~ ~
O",;opm,nt s,f~@m'nt Do"
City of Springfield
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
-.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPEctION REQUEST:
OFFICH: 726-3759
1. tt~'(TI~ot
\~GAL D~Ir\~
-lW _<2!}J.\l
~e~[\O~-r.~~'6
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY
,
Electrical Contractor
ROSE CORP
Address
89976 DAY LANE
City
Phone IiAIi-OqO~
I'"IIGl'"r~1'"
Supervisor Licen~e Number -15IiAS
Expfration Date
Constr Contr. Number
1011/95
"
..
5443 i ~.:,.
Expi'ration Date
Ql10/Qli
City
The, installation is being made on
property I ovn vhich is not intended
fo~ sale, lease or rent.,
Ovners Signature:
~;~~~u
RECEIVED BY: '
.-'
SPRINCFIELD
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service,lncluded:
Temporary Services or'Feeders.
Installation, Alteration or Relocation
AD
A.
1060 sq.ft: or .1ess
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Hodular Dvel1ing
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
.Over 1000 amps/volts
Reconnect Only
C.
.200 amps
201 amps
Over 401
Over 600
or less'
to 400 amps
to 600 amps
amps or 1000 volts
. . .'
.....'"'.., r
r,e lollOWln~ l""""-J-'Ot require spo3ClllC 1;2.1I.....~-
!..)l'\lng, and does n
approv~.~", tlJ IV =CAL PERHI'l~AP\;reICATI~
97477 '.;L<6 QI. \.
726-3769 ~~!? 'Cjty Job Number ~
, Ac1honzad Signalure~ .
3. COMPLETE FEE SCHEDULE BELOV
D. Branch Circuits
Items
Cost Sum
$ 85.00 135
$ 15.00 ~
$ 40.00
I
(3
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ "0.00
l
$ "0.00
$ 55.00
$ 80.00
see- nBII
above
Nev, Alteration or Extension Per Panel
Hiscellaneous (Service/f~eder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci rcui t
Each A'ddi tional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
~ ::Plb'
$ 35.00
$ 2.00
not i neluded)
$ "0.00
$ "0.00
$ 20.00
$ 36.00
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