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Home My WebLink AboutPermit Building 1996-06-26SPFINGFIELD aa Zfr, RESIDENTIAL PER}TIT APPI.ICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVTSION BUILDING SAFETY Page 1 ilob Nu.mber: 960800 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 3832 OREGON AVE Assessors t,tap #: L7O23L4l Lot: B Block: Office: Inspection Line: 726 -37 59 726 -37 69 Tax Lots # Subdivision 03700 MP 813 SPTNGFIELO, Owner: IGIII'fY KELLY Address:. 9a5 PRESCOTT LANE Describe Work : IIAI{UFACTURED HO}IE Phone #: 747-6504 ciry/srare/zip: SPRTNGFTELD, oREGON 97477 NEW General: El-ectrical: Contractor M&ACONSTRUCT 0088928 915 PrescoEE Lane Springfield OR 97 HERITAGE INV 0053137 1042 Harn Lane Eugene OR 97404OOOO Const. Contractor #Expiree 02 /L1-/ e7 a2 /27 / e6 Phone 747 -6504 588-1500 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E -- OFFIEE USE -- LAND USE: l-150 ZONING CODE: LDR # OF BDRMS: 3 R.ANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: L5]-2 To requeats an inspect,ion, call- the 24 hour recording aL 726-3769. A11 inspections requested before 7:00 a.m. wil-I be made the same working day, inspections reqluested after 7:00 a.m. will be made Ehe following work day. --- REQUIRED INSPECTIONS --- PEDESTAL - Prior to cover. FOOTING - After trenches are excavated. FOITNDATION - AfEer forms are erected but prior to concrete placement. WATER LINE - Prior to filling Urench. SN{ITARY SEWER T.INE - Prior to filling trench. STORM SEI{ER LINE - Prior to filling trench. ldAI'rUF HoIIE/MoBILE HoME sET uP - When all bLocking is complete. !{A}IUF. HOI'IE/MOBILE HOME EIJECTRICAL - WhCN blOCKiNg, SETUP, ANd plumbing inspections have been approved and home is connected to panel MAI{UF. HOME/}IOBILE HOITIE PLITMBING - After home has been connected to water and sewer. CURBCUT - After forms are erecLed buL prior to placement of concrete. SfDEITIAIJK - After excavation is complete, forms and sub-base material in p1ace. FINAL SET UP - After all required inspections are approved and porches skirting, decks, venting, house numbers, etc. have been instal-Ied. Lot Faces: S Solar Approved: Y House Accessory Total Height: 15 Lot Type: PANIIANDLE SetbacksswE 10 34 10 Set.bk From NPL: 26 N 13 1,2 Item Main .-- BUILDING PERMIT --- Square Feet x VaLue 35, 000 . 00 $/Square Feet aTr SPilNGFIEI-O, SPRTNGF!ELD Job Number: 960800 aa Page 2 Garage FTG/PERIMETER FND Total Va]ue Building Permit Fee Surcharge/admin TOTAI, FEE 0 3, 500 38, 500 00 00 00 (A) 44 .50 3 .57 48 .07 .-- SYSTEMS DEVEI.OPITIEIIT CIIARGE (SDC) (B)2,359 .83 Systems Development Charge is due on all undeveloped properties within the City limits and the Cit,ys Urban GrowEh Boundry which are being improved. --- PLI'MBING PERMIT --- Item Sanitary Sewer WaLer SEorm Sewer Plumbing Permit Surcharge/admin TOTAI, CHARGE 108 108 108 Fee 40.00 40.00 40.00 L29 .60 120 9 00 50 (c) --- UISCELIJAIiIEOUS PERMITS --- Mobile Home State Issuance Surcharge/admin Sidewalk Curb Cut WILLAMAI,ANE SDC ELECTRTCAL PERM]T TOTAI. UISCEI.I.A}IEOUS PERMITS 105 . 00 20.00 8 .40 13.00 13.00 1, 000 . 00 86.40 (E)L,245.80 (Excluding EIectsrica1 ) unlees otherwise noted -. - TOTAT A}TOI'}iI:T DUE - - - (A, B, C, D, and E conbined)3,783.30 --- BUILDING VALUE, PLATiI CHECK AI{D BUILDING PERMIT --- This permit is granted on the express condition thaE the said construction sha1l, 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 Building Site Reviewed By: LISA HOPPER Date: o5/2L/96 --- ADDITIONAI, COUMENTS SPFINGFIELD Job Number: 950800 aa Page 3 qTr MIN 32 SQUARE FOOT STORAGE STRUCTURE REQUIRED PRIOR TO OCCUPANCY. DRIVEWAY TO BE PAVED MP 813 DRIVEWAY REQUIRED TO BE PAVED By Eignature, I stsate 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 aII work performed sha1l 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 strucEure 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 reguired inspections are reguested at the proper time, that each address is readable from the street, that the permit card is located at Lhe front of the property, and the approved set of plans wiLl remain on the site at all Eimes during construction. b[>* l-ure Date ReceipE Number: Date Paid: Amount Received: Received By: --- VALIDATION .-- 6 3a 22 3 Page 1 CITY OF SPRINGFIEI.D SYSTEDTS DEI'EI.OPUEITT CEARGB (RESIDEIITIAL) Name or Company: KAMMY KELLY Location: 3832 OREGON AVE Developement 1\pe: R Building Size: Job No. : 950800 Lots Size:sq Ft 1. STORU DRAINAGE Impervious Sq FU 2. SN{ITARY SEWER - CITY Number Of PFUs (see Page 2) 3. TRA}ISPORTATION Number Of UniEs 1X 353 9 18 X Trip Rate 1.010 x X 0.210 Per Sq Ft = X 43.43 Per PFU = x Cost Per Trip 437.93 s442.3L $764.L9 $78:-.74 $442.31 $347. s0 $88.28 i2s9.22 i2,247.46 $1r.2.37 Transportat.ion Totsa1 4. SNIITARY SET{ER - IIW}IC Number Of PFUg r.8 5. ADDIINISTR.ETIVE FEES Base Charge (Subtotsal Above) x x x Per PFU 18 .750 ; + MWMC Admin Fee + L0.00 MwMc CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SITBTOTAL - (Add It€na 1, 2, 3 & 4) 0. 50 TOTAI SDC Reviewed By: DENNIS ERNST DaEe: 06/L9/96 s2, 359.84 Job Number: 960800 Page 2 FIXTI'RE T'NIT CATCI'I.ATION TABLE Number of New FixLure Unit, Equivalent Fixture UnitssFixture 1\pe BathEub Drinking Fountain Floor Drain Interceptsors For Grease/OiI/Solids/rtc IntsecepEors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/water Station/Stc RecepEor for Commercial sink/Dishwasher/Etc Shower, Single SEal1 Shower, Gang Sink, Bar, Commercial, ResidenEial KiEchen Urinal, SEall/WalI Wash Basin/Lavatory, Single water Closet, Public Installation WaEer Closet, Private Miscellaneous TOTAL FIXTT'RE UNITS =18 CREDIT CALCLTLATION TABLE: Based on assessed value. If improvements occured aft,er annexatsion datse, crediEs are calculated separat,ely. (calculations are by $L000) Year Annexed: l-960 Credits For Parcel Or Land Only If Applicable: 25,440 X 3.47 = 88.28 Improvement, (if after annexation date): 0 x 3.47 = 0.00 CREDIT TOTAL = $88.28 (If land value is multiplied by 1 then the parcel/Iand credits is nots accurate.) 2 o 0 0 0 1 0 0 0 0 0 l_ 0 2 0 2 0 4 0 0 0 0 2 0 0 0 0 0 2 0 2 0 I 0 2 1_ 2 3 5 2 6 L 3 2 2 2 l_ 6 4 SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: ADDRESS: LOCATION OF PROPOSED BUI ING SITE: Street Address: Plat Name: ype definitions are on the Willamalane Park & Recreation District A. Single-Family Detached Single Family home NO. OF UNITS B. Single-Family Attached NO. OF UNITS C. Multi-Family Apartment NO. OF UNITS D. Manufactured Home Park NO. OF UNITS WILLAMALANE SDC srArE: 9R- zre' --L Manufactured home not in a park X $1,000 per unit = $Dmp Job. No. PHONE: X $924 per unit 1 T Number: (Check appropriate dwelling(s). SDC calculations and dwelling t back.) I X $692 per unit X $699 per unit \Occ.oc $ $ $ 2. SDC CREDTT (if applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) $ $ $ 7 \000 --Qt-%r 2A Development City of Spring Department Date 00 OF OREGO'U SPR'NGFIELE' 225 FIFTE STREET SPRINGFIELD, oREGoN 97477 The {ollowing Proioct zr+in5;, and doeg not appr,:val.' TNSPECTION REQTIEST: OFFICE: 726-3759 1 Permi ts are transferable and expire if vork is not started vithin 180 days of issuance or if.vork is suspended for 1.80 days 2... CONTRACTOR INST Electrical Contract N OIILY Address Ci ty.Phone L ELECTRICAL PERHIT APPLICATI 726-3?$eW2*3U Ci ty Job Nurnber i,, il'r':1r'xl tY$naturo-@ SC6DULE BELgV A Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or - $ 85.00 as submittod has the fol require ePocific land uae B Services or Feeders Installation, Alterations or Relocation: Modular DveIIing Service or Feeder 200 amps or 1 201 amps to 4 401 amps to 6 601 amps to 1 % -nO\ Sum OB 000 amps_ s' ls.00 s 40.00 s s0.00 s 60.00 s100.00 s130. 00 s300.00s 40.00 not 40. 40. 20. 36. g) ess 00 amps 00 amps Supervisor L cense Number Expiration Date \D.\ Constr Contr. Number Expiration Date Sigaature of Supervising Electricianr5# Ovners Name Address cit Phone OVNER I The installation is being made on property I ou,n vhich is not intended for sale, lease or rent. 0vners Signature: DATE: IIECIi Over 1000 amps/voIts Reconnect Only C Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per PaneL One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 200 amps or less S 40.00 20L amps to 400 amps - S 55.00 , Over 401 to 600 amps - S 80.00 Over 600 amps or 1000 voITs see "Bu aE6ilE q+sqg-- E i'liscellaneous ( Service/feeder -Each installation Pump or irrigation $Sign/0utline Lighting- S Limi ted Energy/Res - S Limi ted Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge 32 Adnrinistrative Fee T0TAL included ) 00 00 00 00 RECI}IVED B 5 a \ \ (l /Il/hr r