HomeMy WebLinkAboutPermit Building 1995-01-23SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMT'NITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
Job Nrurber: 950813
225 North Fifth Street
Springfield, OR 97477
tocation of Proposed Work: 4042 VIRGINIA AvE
Assessors l"tap #: 18020500
LoL: 3 Block:
office
Inspection Line
726 -37 59
725 -37 69
Tax Lot #:
Subdivision:
03100
WYATT MEADOWS
OTT OF SPruNGFIELD, OfrEGON
Ownerz COZY HOMES
Address:. t275 SOUTH 2ND STREET
Phone #: 747-8704
city/srate/zip: SPRTNGFTELD, OREGON 97477
Describe Work: S.F. RESIDENCE NEW
ContracEor
Const.
Contractor #Expires
06 /Lo / e6
Lo /23 / e6
L2 /23 / e6
04/28/e5
Phone
7 47 -87 04
632-4765
747 -7445
587-1851
General:
Plumbing:
Mechanical:
Efectrical:
TOM WrRFS 0032947
L275 S 2nd Springfield OR 974770000
BMC MECHANICAL 0046400
16'745 S Annette Dr Oregon CitY OR 9
MARSIALLS 0025790
4131 E St Springfield OR 974780000
BrLLS 0021351
3170 W 11th Eugene OR 97402OOOO
QUAD AREA: 3RSC
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1730
-- oFFrcE usE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
]NSUL PATH: SGC
To regueat an insPection,call the 24 lno:ur recording aL 726-3769.
AI1 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.
--- REQUTRED TNSPECTTONS ---
TEMPOR.ARY POWER
FOOTING - After Erenches are excavated.
FOInIDATION - After forms are erected buE prior to concrete placement.
TNDERFLOOR PLITMBING - Prior to insulation or deeking.
POST AfiID BEAII - Prior to floor insulation or decking.
INSULATION - FLoor; prior Eo decking waIl/ceiling' Prior to cover
SATiIITARY SEWER LINE - Prior Lo fill-ing trench.
STORM SEVIER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLI,MBING . PTiOT TO CO\/CT.
RoUGH MECIIAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obEain permanent power.
FRAIIING - Prior to cover.
INSUTATION - Floor; prior to decking wa}l/ceiling; Prior to cover
DRYIiIALL - Prior t,o taping.
CITRBCUT - AfUer forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is compleEe, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL ELECTRICAL - When all electrical work is complete'
FINAL MECIIANICAL - When aLl mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPRINGFIELD
'Job Number: 950813
OFSPilNGFIEA, ONEGONCITY
Page 2
LoE Faces: S
Setbk From NPL: 34
House
Garage
Lot Sq. Ft.: 4949
Solar Approved: Y
ToEal Height: 18
Lot Type: INTERIOR
N
10
10
Set.backs
SW
208
l_8 I
E
L6
Item
Main
Garage
Total- Val-ue
Building Permit Fee
Surcharge/eamin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
l-330
400
$/Sguare FeeL
56.20
14.10
(A)
VaIue
74,746.0O
5, 540 . 00
80, 386 . o0
375.00
30.08
406.08
SYSTE}IS DEVELOPMENT CHARGE (SDC)
(B)2,L27.76
Systems Development Charge is due on al-l- undeveloped properties within the City
timits and the Citys Urban Growth Boundry which are being improved.
--- PLU}IBING PERMIT ---
Fee
150.002
IEem
Residential Bath(s)
Plumbing Permit
Surcharge/eAmin
TOTAL CIIARGE
150
1,2
00
80
(c)L7 2 .80
--- MECIIAI.IICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
PLAN CHECK FEE
WILLAMALANE SDC
ELECTRICAL
Mechanical Permit
Issuance
Surcharge/admj-n
TOTAL PERMIT
)
4.50
6.00
3.00
0.00
0.00
0.00
15.00
10.00
1, .20
(D)26.20
--- UISCELLA}IEOUS PERMITS -.-
Surcharge/eamin
Sidewalk
Curb Cut
PLAN CHECK FEE
WILLAMALANE SDC
ELECTRICAL
TOTAI, MISCELLAT.IEOUS PERMITS
0.00
20.20
14.80
244 .40
400.00
L67.40
846.80(E)
3,579.64(Excluding Electrical )
unlesg otherwise noted
--- TOTAI, A.}TOI'NT DUE ---
(A, B, c, D, and E combined)
SPRINGFIELD
.fob Number: 950813
SPruNGFIEID, ONEGON
Page 3
--- BUII,DING VAI.UE, PI.}.N CHECK AIiID BUII.DING PERMIT ---
This permit is granted on the express condition that the sai-d construction
shaII, in all respects, conform to Ehe 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 violatsion
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
DaEe:01-/22/95
ESTIMATE ONLY ON A & T.
ASSIGNED BY COUNTY
--- ADDITIONAI, COMMENTS
INDIVIDUAL LOTS NOT
DRTVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By eignature, I Etate 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
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 LhaE 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 wiII be
used on this project.
I further agree to ensure thaL all reguired inspections are requested at Ehe
proper time, that each address is readable from the street, that the permit
card is focaLed at the front of the property, and the approved set of plans
will ," ."r,ff;he site aE all times during construction
ture Date
--- VAI,IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
OTTOF
225 FIFTB STREET
SPRINGFTELD, oREG0N
INSPECTION REQIIEST:OFPICE: 126-3lSg
L!:,I"-lll*itg, progocr as euhrnhred. has rhe folto.ringzonrng, anc does ncd require ,r*;il" iunU' ui""""',approvsl.
{rtii\-a?\b
SPRINGFIELD
ELECTRTCAT PERHIT APP
ty Job Nurnber q LICATTON
fl,8G*8'769iJ::sr:rr$
1 INSTALLATT ON
2. COIITRACTOR INSTALI.A.TION ONLY
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR 97402
SUPERVISOR LIC. #9805
EXP. DATE i 0/30/95
ccB #21351
EXP. DATE 4I2BI95
Expiration Date
S ignature of Supe ising
3. COHPI-ETE FEE SCBEDIILE BELOS
A. Nev Residential_Single orMulti-Family per dvelline unit.Service Incl_uded, -
f tems
1000 sq.ft. or less IEach additional 500sq. ft or portion nthereof 1-
Each Manufrd Home- or
-
Modular Dvelling
Sertice or Feeder
Cost Sum
$ Bs. oo E__
Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended tor180 days.
s 1s.00
$ 40.00
c_
0vners Name
Address
Ci ty Phone
OSNER INSTALI,,ATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners Signature:
DATE:
B. Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401- amps to 600 amps
-
60L amps to,1000 amps-
Over 1000 airps/volts
-
Reconnect Only
C Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps''or less \/ g 40.00
20L amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000-vofIs see rrBtr a66tE-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E Miscellaneous (Service/feeder not included)
s s0.00
s 60.00
s100.00
s130. 00
$300.00
$ 40.00
clan
-Each installation
Pump or irrigation $
Sign/Outline Lightine $
t imited Energy/Res
-
$
Limited Energy/Comm $
40.00
40.00
20.00
36.00
P5SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECEIVED B
I
0
Willamal
Park & Recreation ane
District
SYSTEMS DEVELOPMENT CHARC E
woRKSHEET
tr
Iob No.
NAME
ADDRESS:I
PHONE:
.$
$
$
STATE: fu=N9ft77
cr)
LOCATION OF PROPOSED
itree eaaress if Known:
Platt Name:t.Jt {rffi Ta:< Lot Numbec
1
1 PEVELOPMENTIYPE (Check appropriate dwellingG). SDC Calculations and dwellingqPeffild
A Singie Family - Detached
rI Single Famity home Manufactr.rred home not in a park
NO OF UNITS
B. Single Famity - Attached
NO OF UNITS X $370 PER UNIT =
C. Multi-FamilyApartment .
NO OF UNITS X 5277 PER UNIT =
D. Manufactrlred Home Park
No oF uNlrs x $2so PER UNlr =
X $400 PER UNIT;.
t..
$
$
$
co
. WPRD SDC
2. SDC CREDIT (tf applicable) SDC-payer must furnish proof of WPRD Credit
approval. Se SDC Crdit Worlcshet
3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credit)
-du)
_qs$
OTT OF SPilNGFIELD, ONEGON
SPRINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEI,TS DEVELOPMENT CIIARGE
(RESIDENTIAL)
Name or Company: COZY HOMES
Location: 4042 VIRGINIA AVE
Developement T)pe: R Building Size
Job No. : 950813
Lot Size Sq Ft
]-. STORM DR,AINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.AI.ISPORTATION
Number Of Units
1X
Y
X 0.209 Per Sq Ft =
X 43.25 Per PFU =
Cost Per Trip
435.L9
2372
18
Trip Rate
1.010 x
Y
$440. ss
$49s.7s
$778.58
$440. ss
#3]-9 .42
$7.e6
$31r-.46
12 ,026 .44
$101.32
Transportation Total
4. SA}iIITARY SEWER - MWMC
Number Of PFUs
18
5. A.DMINISTR.ATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
L7 .l9O +
MWMC Admin Fee
10.00
IvIviMC CREDIT If ApplicabJ-e (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAI, SDC
Reviewed BY: KIP BTRDICK Date: 05/3t/95
52,L27 .7 5
!sPRINGFIELD
Job Number: 950813 Page 2
FIXTI'RE T'NIT CALCULATION TABI,E
ATT OF SPilNGFIELT', ONEGON
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
l.lnaE,s
18
Bathtub
Drinking Fountaj-n
Floor Drain
rnterceptors For Grease/Oi1/Solids/Btc
Int.eceptors For Sand/Auto Wash/Etc
Laundry tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For RefrigeraLor/Water Station/utc
Receptor for Commercial Sink/Dishwasher,/Etc
Shower, Sj-ngle Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wa11
Wash BasinfLavatory, Single
water Closet, PubIic Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately
(calculations are by $1000)
Year Annexed: l-950
Credit For Parcel Or Land Only If Applicable
Improvement (if after annexation date):
2
0
0
0
0
1
0
0
0
0
0
1
0
a
0
0
2
1
a
3
5
)
6
1
3
2
2
1
6
4
4
0
0
0
2
U
0
0
0
0
)
0
a
0
8
U
2 ,3OO
0
3.46 =
3 .45
7
0
x
x
96
00
$7.95
(If l-and vafue is multiplied by 1 then the parcel/tand credit is noE accuraEe.)
CREDIT TOTAL =