HomeMy WebLinkAboutPermit Building 1996-10-18
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Number: 961308
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4520 IVY ST
Assessors Map #: 18020512
Lot: 1 Block:
Owner: JOHN SPLAWN
,Address: 4891 ELDERBERRY LOOP
Tax Lot #: 09400
Subdivision: STEELHEAD
Describe Work: MANUF HOME & GARAGE
Phone #: 726-2993
CitY/State/Zip: SPRINGFIELD, OREGON 97478
NEW
Contractor
Const.
Contractor #
Expires
Phone
General: M & A CONSTRUCT 0088928
916 Prescott Lane Springfield OR 97
Electrical: HERITAGE INV 0063137
1042 Harn Lane Eugene OR 974040000
02/11/97
747-6504
12/27/96
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: 1568
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,
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.
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
MANUF. HOME/MOBILE HOME PLUMBING - After home has been connected to
water and sewer.
CORBCUT - 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,
REQUIRED INSPECTIONS
Total Height: 15
~ot Type: INTERIOR
Setbk From NPL: 32
Solar Approved: Y
Item
Main
BUILDING PERMIT ___
Square Feet x $/Square Feet
= Value
48,000,00
SPRINGFIELD
Job Number: 961308
Page 2
Garage
FTG/PERIM FOUNDATION
Total Value
8,228,00
2,760,00
58,988,00
Building Permit Fee
Surcharge/Admin
86,50
6,93
TOTAL FEE
(A)
93.43
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,249.33
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
30
30
30
Fee
25.00
25,00
25,00
Plumbing Permit
Surcharge/Admin
75,00
6,00
TOTAL CHARGE
(Cl
81. 00
--- MISCELLANEOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
105,00
20.00
8,40
19,60
12,85
1,000,00
88,56
TOTAL MISCELLANEOUS PERMITS
(E)
1,254.41
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,678.17
--- 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: LISA HOPPER Date: 10/17/96
Building Site Reviewed By: LISA HOPPER
-- - ADDITIONAL COMMENTS ---
GARAGE PLANS REVIEWED AND APPROVED BY BOB BARNHART 10-15-95
SPRINGFIELD
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Job Number: 961308
Page 3
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,
~~ PnA.A:nJ~77':' b~
Signa::9re . 1 . - -U'!"-.J''''--''''''-'''
IO(l:e;l"'llo
Date
-- - VALIDATION
Date Paid:
2?J 511
LO~IY5 -q~
3079>. /7
~
Receipt Number:
Amount Received:
Received By:
.
~~ Willamalane (\\ -"'1'0
't"--l, Park & Recreation District Job. No. 'l\ ill D.J{)
fW SYSTEM DEVELOPMENT CHARGE
\ , . WORKSHEET '
NAME: " \C)'\\\\~V,\lX\ 'PHONE: ~11o.2--ctq~
ADDRESS: ,4RC\\ r~ti..o~rr1 ~ STATE:Dt- ZIP:_Q1\~
LOCATION OF PROPOSED BUIL~G SITE: , L
Street Addr\L 4Y>?1\ ,~~lU< \~{)1 ' ,
Plat Name: pO OJ '\\~!l.(i' Tax\{ot ::mber\ ~(yz.a;~L m4tD
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
.
A, Sinnle-Familv Detached
Single Family home
, NO. OF UNITS \
B. Sinnle-Familv Attached,
NO. OF UNITS
C. Mu Iti-F ami lv, Aoartment
NO. OF UNITS
D. Manufactl.imd Home Park.
NO. OF UNITS
, WILLAMALANE SDC
I, Manufactured home not in a pa((J
X $1,000 per unit = $ \()CO.
X, $924 per unit, = $
X $692 per unit = $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\;N). A9k\N
Development Servlc ~epartment
City of Springfield '
X $699 perunit, = -$
$ \ r1TJ .W
CY
$' \ D()O ,oJ
/ 'Ii; / Cl-h
$
2.- SDC CREDIT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
;0.
Date
~
.
. .
, ~,
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: JOHN
Location: 4520
Developement Type: R
SPLAWN
IVY ST
Building
Size:
Job No.: 961308
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2308 X 0,216 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 44,75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451.26
$455,77
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
20,690 +
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: DENNIS ERNST
MWMC Admin Fee
10,00
Date: 10/04/96
Page 1
Sq Ft
$498,53
$805.50
$455.77
=
$382.42
$0.00
$382.42
$2,142.22
$107.11
$2,249.33
, ,-
SPRINGFIELD
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Job Number: 961308
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
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
TOTAL FIXTURE UNITS 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) :
o
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
INSPECTION REQUE'ST: 726-3769 Ci ty Job Number qrn \ 3oCO
OFFICE: 726-3759
1. '-' I,LlCATION..QL INSTALLATION
~ '&...0 :..: I..UI _
U
LEGAL DESCRIPTION
l ~O ~~1)l ();A{U")
...., \ JOB DlifCRI. PTIOl-i ...,
~rU. ~.c",...~~ UA
Permits are non-transferable and expire
if vork is not started 'vi thin 180 days
of issuance or if,vork is suspenaed for
180 days.
3. COMPLETE FEE SCIlEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvel1ing unit.
Service Included:
2..- CONTRACTOR INSTAL~TION ONLY B.
E1ec~rical ContractQr0'\()x\\()~5~w
Address.\\N) _ \\00'\ ~ \'\.\;Q~
City f 1QlfJ\Q..- Phonel1s{. \~
~\f) ,
Supervisor ~cense~umber ctL\~
Expi ra t ion Da te \1). \
Constr Contr. Number \ ~\~
Expiration Date \'d..~f").,
Signature of Supervising Electrician
~~
Owners Name '), ob ~ ...~
Address 4.~,1{-~... ~~t'h ~~
Ci ty ~'p. Phone f'"l.ri.",~etG~
O\INER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
~^TE~-----Tti:-l~-=ttZ;-----------------
RECEIl'T !I :/J2 &J4'
-:; -.
RECEIVEO BY: U?
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling " ..
Service or Feeder ,- ~, $ 40.00 @().Cl.
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.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00,
$ 55.00' "
S 80.00
see "B" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit \
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
37. Administrative Fee
TOTAL
S 35.00
$ 2.00 j,.ti,)
no t included)
$ 40.00
$ 40.00
$ 20.00
S 36.00
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