HomeMy WebLinkAboutPermit Building 1995-11-15
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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
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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
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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