HomeMy WebLinkAboutPermit Building 1995-01-23ONEGONCffTOFSPilNGFIEII',
SPR!NGFIELD
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nnrnber: 950722
225 North Fifth street
Springfield, OR 97477
Location of ProPosed Work: 4037 VIRGINIA AVE
Assessors l,tap #: 18020500
Lot: 10 Block:
office:
InspecEion Line:
725 -37 s9
725 -37 69
Tax Lot #:
Subdivision:
0310 0
WYATT MEADOWS
Ownerz C}Z]I HOUES Phone #: 747-8704
Address L275 SOUTH 2ND STREET City/State/ztp: SPRINGFIELD, OREGON 97477
Descri-be Work: S. F. RESIDENCE NEW
General:
Plumbing:
Mechanical
Electrical
Contractor
cozY HoMES 0032947
1275 S 2nd Springfield OR 974770000
BMC MEC}IANICAL OO454OO
L6745 S Annette Dr Oregon CitY OR 9
TIARSHALLS OO2579O
4131 E St Springfield OR 974780000
BrLLS 0021351
3170 W llth Eugene OR 974O2OOOO
Const.
Contractor #Expires
05/to/e6
L0/23/e6
1-2/23/e6
04/28/e6
Phone
7 47 -87 04
632 - 47 65
747 -7445
587-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1515
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: SGC
To regueat an insPection, call L}re 24 hour recording at 726-3769
A11 inspections requested before
inspections requested after 7:00
7:00 a.m. will be made the same working day,
a.m. will be made the following work day.
--- REQUIRED INSPECTIONS --.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erecEed but prior to concrete placement '
IINDERFLOOR PLITMBING - Prior to insufation or decking'
POST AIID BEAII - Prior to f]-oor insulation or decking'
INSULATION - Floor; prior to decking Wa1}/Ceiling; Prior Lo cover
SN.IITARY SEWER LINE - Prior to filling trench'
sToRM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PTI,ITTBING - PTiOT IO COVET.
ROUGH MECIIAfiIICAL - Prior to cover.
ROUGH EI,ECTRICAL - PTiOT TO COVET.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAIIING - Prior to cover.
INSuLATION - Floor; prior to decking wall/Ceiling; Prior to cover
DRYWALL - Prior to taPing.
CT RBCIIT - After forms are erected but prior to placement of concrete '
SIDEWALK - After excavation is complete, forms and sub-base material
in pIace.
FINAL PLITMBING - When all plumbing work is compleLe'
FINAL ELECTRICAL - When all electsrical work is complete.
FINAL IIECIINiIICAL - When all mechanical work is comp]ete.
FINAL BUILDING - when all required inspections have been approved and
the building is complete.
oTr OF
SPRINGFTELD
Job Number: 950722
Lot Faces: E
Set.bk From NpL: t_0
House
Garage
Lot Sq. Ft.: 4132
Solar Approved: y
Page 2
TotaL Height: L4.5
Lot Type: CORNER
N
10
00
E
L5
18
Setbacks
SW
10 10
18 10
Item
Main
Garage
Total Va1ue
Building permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMTT ---
Square Feet x
LL1 5
440
$/Square Feet
56.20
14.10
Value
55,035.00
6 ,204 . oo
72 ,239 . OO
352
28
00
16
(A)380.15
--- SYSTEITIS DEVELOPMENT CIIARGE (SDC)
(B) 1,980.85
Systems Development Charge is due on al-I undeveloped properties within the City]imits and the Citys urban Growth Boundry which are being improved.
--- PIJIIMBING PERMIT ---
Item
Residential Bath(s)2
Fee
160.00
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
150
L2
00
80
(c)L7 2 .80
--- !{ECII}I{ICAI. PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
PLAN CHECK FEE
WILLAMALANE SDC
ELECTRfCAL PERMIT
Mechanical- Permit
Issuance
Surcharge/admin
TOTAL PERMIT
2
4.50
6.00
3.00
0.00
0.00
0.00
15.00
10.00
L.20
(D)26.20
--- MISCELLAT.IEOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
PLAN CHECK FEE
WILLA]VI'\LAI{E SDC
ELECTRICAL PERMIT
TOTAL MISCELLA}iIEOUS PERMITS
0.00
31.75
14.80
228 .80
400.00
424.20
799.55(E)
3 , 359 .55(Excluding Electrical)
unlesg otherwise noted
--- TOTAL AMOUTiTT DUE ---
(A, B, C, D, and E combined)
lsPRIIIGFIELD
.fob Number: 950722
ctTy OF
Page 3
--- BUIIJDING VALUE,PI.AN CHECK AI{D BUILDING PERT{IT - - -
This permit is granted on the express condition that the said constructj-onshal-l, in alL respects, conform to the ordinance adopted by the city ofSpringfield, including the Development Code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon wiolationof any provisions of said ordinances.
Received By: LISA HOPPER
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date: 01-/22/96
ESTIMATE ONLY ON A & T.
ASSIGNED BY COUNTY
--- ADDITIONAI, COMMENTS
INDIVIDUAL LOTS NOT
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
shal-l- 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 wit.hout permission of the
Community Services Division, Building Safety. T 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 Lhe property, and the approved set of plans
will remaint\on the site at all times during construction
s ture Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By
SPRINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVETOPMENT CIIARGE
(RESIDENTIAL)
OTT OF SPilNGFIEIT', ONEGON
Name or Company: COZY HOMES
Location: 4037 VIRGINIA AVE
Developement T)pe: R Building Size
Job No. : 950722
Lot Size Sq Ft
1. STOR}T DRAINAGE
fmpervious Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI{SPORTATION
Number Of Units
1X
X 0 -209 Per Sq Ft =
X 43.26 Per PFU =
x Cost Per Trip
436.19
x
Transportation Total
4. SAI{TTARY SEWER - M$IMC
Number Of PFUs
15
5. ADMINISTRATIVE FEES
Base Charge (Subtot.al Above)
228L
15
Trip Rate
1.010 x $440. ss
s475.73
#692.L5
$440. ss
$28s.04
$7.e6
#277 -08
$1, 885 . 52
$94.33
x Per PFU +
1,7.1_90 +
MWMC Admin Fee
10.00
MI,1il\4C CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: KIP BURDICK Date: 05/3L/9s
$1, 980 . 85
OTT OF ONEGON
SPFINGFIELD
Job Number: 950722 Page 2
FTXTURE I'NIT CAI.CUIJATION TABI'E
Fixture Type
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Utc
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 Stal1
Shower, Gang
Sink, Bar, Commercial, Residentj-al Kitchen
Urinal, Sta11/Wa11
Wash Basin/Lavalory, Single
Water CLoset, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE IINITS =1_6
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calcufated separat,ely.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable: 2,3OO X 3.46 = 7.96
Improvement (if after annexation date): 0 X 3.45 = O.OO
CREDIT TOTAL = $7.95
(If land value is multiplied by 1 then t,he parcel/land credit is not accurate.)
1
0
0
0
0
1
0
0
0
0
U
1
0
)
0
2
0
2
1
2
3
5
2
6
1
3
2
2
a
1
6
4
.)
0
0
0
o
2
0
0
0
0
U
)
0
2
0
8
0
225 FIFTB STREET
SPRTNGFTELD, oREGON 974
t,
INSPECf,ION REQIIEST : 726-37'$pi, J:..:''''r'i"r
OFPICE: 726-3759
1.
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAILATTON ONLY
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR 97402
S.U-PERVISOR LIC. #9805
EXP. DATE 10/30/95
ccB #21351
EXP. DATE 4I28Ig5
LOnstr vurrL!
Expiration Date
Signature of Supe Electri
Ovners Name
Address
ELECTRICAL PERHIT CATION
Job Nurnber
3. COHPI^ETE FEE SCMDULE BELOV
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
0
-43-
SPRINGFIELt)
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
$ 8s.00
s is.00
$ 40.00
Services or Feeders
Installatlon, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 arnps tor1000 amps_
Over 1000 amps/voIts
Reconnec t Only
C- Temporary Services or Feeders
Installation, Alteration or Refocation
-LA
SS
Sum
ee ttBtt a6ove
00
00
00
00
3D
B
s s0.00
s 60.00
$100. 00
s130.00
$300.00
s 40.00
200 amps''or less $
201 amps to 400 amps
-
S
0ver 401 to 600 amps
-
$
0ver 600 amps or 1000-voTts s
40.00
55.00
80.00
40
40
20
36
(D
Ci ty \tAffI
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
0vners Signature:
DATE:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35-00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAI
Phone
OgNER TIONR *r*
$
s
$
$
PECETVED B
5
1: a
Willamalane
Park & Recreation District
NAA4E
ADDRESS:
LOCATION OF FROPOSED BUI
io* Address if Known:
Platt Name:
SYSTEMS D EVELOPMENT CHARGE
woBKSHEET
lob No.QSDr
PHONE:
Tax Lot Numbec
Manufactr.rred home not in a Park
srArE: fu=n9fr77
a
DEVELOPMTNTTYPE (Check appropriate dwellingG). SDC Calculations and dwellingtlPe
definitions are on the back)
A Sinele Famitv - Detached
J Singte Famity home
I
NO OF UNITS ( X $4OO PER UNlr -=..
B. Sinele Family - Attached r ' '
i
NO OF UNITS X $370 PER UNIT =
C. Multi-FamilyApartment .
NO OF UNITS X fi?77 PER UNlr =
D. Manufactr.rred Home Park
No oF uNlrs x $2so PER UNlr =
WPRD SDC
2. SDC CREDIT (tf applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Crdit Worl<shet
3. TOTAI- WPRD NET SDC ASSESSED (tf SDCreduced for Credit)
$
$
$
m
$
$
fnmarr.ni+rr (nn f'\ir f-)atc
$400.e)
1.
-d