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HomeMy WebLinkAboutPermit Building 1995-11-15 . . . SPRINGFIELD RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Page 1 Job Number: 951770 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4591 IVY ST Assessors Map #: 18020513 Lot: 8 Block: Tax Lot #: 03200 Subdivision: STEELHEAD Owner: MELVIN BANTA Address: 157 NORTH 12TH #80 Phone #: 747-4393 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: MANOF HOME & GARAGE NEW Contractor Const. Contractor # Expires Phone General: GREAT WESTERN 0046472 5024 Main Street Springfield OR 974 Plumbing: GREAT WESTERN 0046472 5024 Main Street Springfield OR 974 Electrical: HERITAGE INV 0063137 1042 Harn Lane Eugene OR 974040000 11/12/95 726-2171 11/12/95 726-2171 12/27/95 688-1600 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR, TYPE: VN WATER HEATER: E -- OFFICE USE -- LAND USE: 1150 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 2 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1296 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 PEDESTAL - Prior to cover. 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. ROUGH ELECTRICAL - Prior to cover, FRAMING - Prior to cover. MANOF HOME/MOBILE HOME SET UP - When all blocking is complete, 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. 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 Setbk From NPL: 25 Lot Sq. Ft,: 6400 Solar Approved: Y Total Height: 15 Lot Type: INTERIOR SPRINGFIELD ~- Job Number: 951770 Page 2 House Garage N 12 Setbacks S W 25 37 5 E 15 22 Item Main Garage FTG/PERIMITER FND Total Value BUILDING PERMIT Square Feet x $/Square Feet 400 14,10 = Value 43,000,00 5,640,00 4,600,00 53,240,00 Building Permit Fee Surcharge/Admin 86,50 6,93 TOTAL FEE (A) 93.43 --- SYSTEMS DIlVIlLOPMIlNT CHARGE (SDC) --- (B) 2,116.71 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 Sanitary Sewer Water Storm Sewer Fee 25,00 25,00 25,00 Plumbing Permit Surcharge/Admin 75.00 6,00 TOTAL CHARGE (C) 81. 00 --- MISCELLANEOUS PERMITS --- Mobile Home State Issuance Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC ELECTRICAL PERMIT 5: 75''''' ~./'S 105,00 20,00 8,~ 8.S/1!> 19,60 13,60 1,000,00 88,56 TOTAL MISCELLANEOUS PERMITS (E) ~54-;-91- , :l9!?vf!. (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUll (A, B, C, D, and E combined) 3,546..lv.i" ~ --- BUILDING VALUIl, 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: LISA HOPPER Date: 11/15/95 Building Site Reviewed By: LISA HOPPER Job Number: 951770 Page 3 - - - ADDITIONAL COMMENTS - - - A & T ESTIMATE ONLY, LOTS NOT YET ASSIGNED BY A/T DRIVEWAY REQUIRED TO BE PAVED 2 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, ~:e~<: c // -.:z J:? -9_,,- Date - -- VALIDATION Date Paid: /9.b95 //-2g-5'5 -=?~Y'b.~ /?~ //- , Receipt Number: Amount Received: Received By: SPRINGFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: MELVIN BANTA Location: 4591 IVY ST Developement'Type: R Building Size: 1. STORM DRAINAGE Impervious Sq Ft 2116 x 0,210 2. SANITARY SEWER - CITY Number Of PFUs 18 (see Page 2) x 43,43 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X Job No,: 951770 Lot Size: Per Sq Ft Per PFU = X Cost Per Trip 437,93 $442,31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 18 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: 11/16/95 Page 1 Sq Ft $444.36 $781.74 $442,31 $347,50 $0,00 $347,50 $2,015.91 $100,80 $2,116.~ 71 SPRINQFIELD ~- Job Number: 951770 FIXTURE UNIT CALCULATION TABLE Page 2 Fixture Type Bathtub Drinking Fountain Floor Drain Interceptors For Grease/Oil/Solids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher 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 TOTAL FIXTURE UNITS = Number of New Fixture Unit Equivalent Fixture Units 2 o o o o 1 o o o o o 1 o 2 o 2 o 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o o o 2 o 2 o 8 o 2 2 1 6 4 18 CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 4,300 X 0.00 0,00 o X 0.00 = 0,00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate,) . . 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 q~ INSPECfION REQUEST: 726-3769 Ci ty Job Number 0/f)'l() OFFICE: 726-3759 1. LJl~Tl.Otl O~ INSTALlAJ;ION t '\-7'1L\ \ ....::~,U l \... -0l ~ 0 0 , ~GAL DES~PTIO~ \p.,L)JJ)~ \' "" \'D ()3?.fO ~~~E:~\r~~ ~ Permits are -transferable and'expire if york is not started 'Yithin 180 days of issuance or if,york is suspenaed for 180 days. 2.,' CONTRilCfOR INSTAL~TION ONLY _ B. Electrical contractar0\ Ox\\(\0f1.~\h0 Address\~i) _ \\rW\\ ~~ City r lQ!U\Q.... Phonel15{. \~ - ,- Supervisor ~cense Number (J(L\~ \1J. \ Expiration Date Constr Contr. Number \ C~ \ 'd. ri.'1.(f\ Expiration Date Signature~f _Su;ervising Electrician ~~ Ollners Nam/\,~C\t\~~ Address \~\~ \1~~ 1firJ Ci t~)\)."~(\\f 0 \.(\) Phone "1\-14,f~ ~ ~ INSi~LATION The installation is being made on property I Olin IIhich is not intended for sale, lease or rent. . Ollners Sirrnature: DATE: /1-28'9~ RECEIl'T II: /.",?~o;;- RECEIVED BY: /;?_ ~...---' 3. COMPLETE FEE SCHEDULE BELOV A. Nell Residential-Single or Multi-Family,per dllelling Service Included: uni t. Cost Sum Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dllelling Service or Feeder 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 $ 85.00 5'15.00 ? 5 40.00 ''ED $ 50.00 $ 60.00 $100.00 5130.00 5300.00 $ 40.00 C, Temporary Services or Feeders Installation, Alteration or Relocation $ 40.00, $ 55.00- .' 5 80.00 see liB" above Nell, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or lIith Service or Feeder Permi t l 5 2.00 ? E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE PJ. ~ 5% S ta te Surcharge ' .;. ~() 3% Administrative Fee ~ .~i(" TOTAL p>9" """ c.,." 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits