HomeMy WebLinkAboutPermit Building 1996-09-13SPRIllGFIELD
RESIDENTIAI. PERMIT APPI.ICATION
CITY OF SPRINGFIEIJD
COMMUNTTY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 96LL25
225 North Fift.h Street
Sprj-ngfie1d, OR 97477
Locatsion of Propoeed Work: 4043 VIRGINIA ST
Assessors Map #: 18020500
Lot: 13 Block:
Office:
Inspection Line:
726 -3759
726 -37 69
Tax Lot #:
Subdivision:
03100
WYATT 1
SPruNGFIELT',
Owner: GRUB/COZY HOMES
AddrCSS:. 1-275 SOUTH 2ND STREET
Describe Work: S.F. RESIDENCE
Phone #: 747-8704
citylstate/zip: SPRTNGFIELD, OREGON 97477
NEW
General:
Plumbing:
Mechanical:
Electrical:
Contractor
cozY HoMES 0032947
L2't5 S 2nd Springfield OR 974770000
BMC MECHANICAL O1O357O
548 W Oregon Ave Creswell OR 974260
MARSHALLS OO2579O
4131 E St Springfield OR 97478OOOO
BILLS ELECTRIC 0021351
3170 W 11th Eugene OR 974O2O0OO
Const.
Cont,raqtor #E:rpires
06 /lo / e7
L2/ts/e6
L2 /23 / e6
04 /28 / e7
Phone
7 47 -87 04
632-4755
747 -7445
587-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: SGC
-- oFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
SQ FOOTAGE: L849
# OF BLDGS: 1-
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To request an inspection, call the 24 hour recording at 726-3769.
All inspectj-ons requested before 7:00 a.m. wil-I be made the same working day,inspections requested after 7:00 a.m. will be made t.he following work day.
--- REQUTRED INSPECTTONS ---
FOOTING - After trenches are excavaLed.
FOITNDATION - After forms are erected but prior Eo concrete placement.
ITIIDERFLOOR UECHANfCAL - Prior to insulation or decking.
ITNDERFTOOR PLITMBING - Prior to insulation or decking.
POST AIID BEAITI - Prior to f loor insulation or decking.
rNsIrr.ATroN - Floor; prj-or Eo decking wa1}/ceiling; prior to cover
WATER LINE - Prior to filling trench.
SAIIITARY SEWER IJINE - Prior t.o filling trench.
STORI{ SEWER LINE - Prj_or to filling trench.
ROUGH PLTMBING - Pri-or to cover.
ROUGH DIECIIN{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior Io cover.
ELEcrRrcArJ sERvrcE - Must be approved to obtain permanent power.
FRiAIIING - Prior to cover.
rNsur.ATroN - Floor,' prior to decking wal]/ceiring; prior to cover
DRYI'IAIJL - Prior Eo Taping,
cuRBcIE - After forms are erected but prj_or t,o placement, of concrete.
srDEwAr.K - After excavation is compleEe, forms and sub-base materiarin p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FrNArr lrEclrAr{rcAr, - when arl mechanica} work is comprete.
FrNAL ELECTRTCAL - when al-I erectricar work is comprete.
FrNAL BUTLDTNG - when a1r required inspections have been approved andthe buiLding is complete.
SPF!i.GFIELD
Job Number: 96LL25
SPilNGFTEII',
Page 2
Lot Faces: N
Topography: 2
SoLar Approved: Y
House
Garage
Lot Sq. Ft.: 4600
Total Height: 1-8
LoL Type: INTERIOR
SetbacksswE20 r-r_ 11
11
Lot Coverage: 40 *
Setbk From NPL: 45
N
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PER}TIT ---
Square Feet x
l_3 95
454
$/Sguare Feet
64 .66
L6.27
(A)
Val-ue
90, 20L . 00
7 ,387 .OO
97, 588 . 00
427.O0
34.t5
461.16
SYSTE}TS DEVELOPMEMT CIIARGE (SDC)
(B)2,248.2o
Systems Development Charge is due on all undeveloped properties within the City
l-imits and the Citys Urban Growth Boundry which are being improved.
... PLU}TBING PERMIT . -.
It,em
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAI. CIIARGE
2
Fee
150.00
160.00
l-2.80
L72.80(c)
--- }IECHAT{ICAL PERMIT --.
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PER}IIT
3
6.00
4.50
9.00
3.00
(D)
22.50
10.00
1.81
34.31
--- DIISEEI.LAIiIEOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
WTLLAMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAL MISCELLANEOUS PERMITS (E)
0.00
L5.25
15.25
1, 000 . 00
1,24.20
1_38.00
L,292 .7 0
(Excluding Elect,rical )
unLeeE otherwise noted
--- TOTAL A}IOI'NT DUE ---
(A, B, C, D, and E combined)4,20g t/\
SPFIr|GF'ELD
ilob Number: 96LL25
SPilNGFIEID,
Page 3
--- BUTTDING VAIJI'E, PI'A}I CHEEK AND BUILDTNG PERMIT ---
This permits is granted on Ehe express condition that the said construction
shaIl, in all respects, conform to the Ordinance adopted by the City of
Sprj-ngfie1d, including t,he DevelopmenE Code, regulating the consEruction 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: DoN MooRE
Building Site Reviewed By: LISA HOPPER
Date: 09/L2/96
A&TESTIMATEONLY
AS OF e/LO/e6
PATH 1;
--- ADDTTIONAI. COMMENTS ---
INDIVIDUAL LOTS NOT ASSIGNED
2 STREET TREES REQUIRED
By eignature, I stsate and agree, that I have carefully examined
the compleLed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and at1 work performed
shal1 be done in accordance witsh the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and thaL NO OCCUPAI\TCY will be made of any sEructure r,rit,hout permission of t,he
Community Services Division, Building Safety. f further certify t,hat only
contract,ors and employees who are in compliance with oRs 701.055 will be
used on this project.
I furt.her agree to ensure that, all required inspections are reguested 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
wil-l- remain on site at al-l- times during construction.
7 /t €6
Signature Date
VALIDATION ---
h3Receipt Number
Date Paid
Amount Received
Received By
SPFIilGFTELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAL)
CITY OF SPilNGFIELT', ONEGON
Name or Company: GRUB/COZY HOMES
Location:. 4043 VIRGINfA ST
Developement Tlpe: R Building Size
,Job No. : 96L125
Lot Size:Sq Ft
].. STORM DRAINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUS
(see Page 2)
3. TRANSPORTATION
Number Of Units
1X
2544
18
X Trip Rate
L. 0l_0 x
X O.2L6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
45L.26 $45s.77
$s49. s0
$80s. s0
$4ss.77
$382 .42
$s2.0s
$330.37
s2,L4L.L5
$107.06
Transportation Total
4. SA}IITARY SEWER - MI'IMC
Number Of PFUs
18
Per PFU +
20.690 +
MWMC Admin Fee
10.00
x
x
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADIIIINISTRATM FEES
Base Charge (Subt.otal Above) X 0.50
TOTAI, SDC
Reviewed By: TROY MCALLISTER Date: 09/to/96
$2,248.20
SPPINGFIELD
Job Number: 96LL25 Page 2
FTXTURE I'NTT CAI,CUIJATION TABI'E
CITY OF SPruNGFIELD, ONEGON
Fixture Type
Number of
New Fixture
Unit
Equivalent.
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oi1/SoIids/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, Resident.ial Kitchen
Urinal, Stall/WaIl
Wash Basin/LavaLory, Single
Water Closet, PubIic Installation
hlater Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =18
CREDIT CALCITLATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are cal-culated separately
(cafculations are by $L000)
Year Annexed: ]-969
Credit For Parcel Or Land Only ff Applicable: 15,OOO X 3.47 = 52.05
Improvement (if after annexation date): 0 X 3.47 = O.OO
CREDIT TOTAL = $52.05
(If l-and value is multiplied by 1 then the parcel/Iand credit is not, accurate.)
4
0
0
0
0
n
0
0
0
0
0
z
0
0
I
0
2
1
z
3
6
2
6
1
3
2
2
l-
6
4
0
0
0
0
1
0
0
0
0
0
1
0
2
0
0
SPSINGFIELO
BACKFLOII PRBVENTION DEVICE PER}'IIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFBTY DIVISION
225 FIFTH STREET
SPRINGFIELD OR 97477
JOB LOCATION:c A/\
ASSESSORS MAP II:18 D osc oo TAX LOT *:
ert -dM
#\
OI]FICE:
INSPECTION LINE:
726-3759
726-3769
3too
!a
OUNER:OL 7
ADDRESS:17'75 S U PHoNE #: 7 +7 - {i 70 cl
CITY:spG,STATE:o /4
BACKFLOI, PERMIT Is $15.00 + $.75 (STATE STRCHARGE) + $.45 (ADMIN. FEE) = $16.20
coNrtu\cron,(!\il 5d(s u\{r--
ADDRESS: 11 I C LHTE. PT'-PH.NE *, l,c(|- of L
CITY: EVV_STAttz d/,9 ZIPz
CONSTRUCTTON CONTRACTORS REGISTRATION *:c EXPIRES:
BY SIGNING THIS PER},1IT/APPLICATION, I AGRBE TO CALL FOR AN INSPECTION ONCE TTIE
BACKFLOV PRBVBNTION DEVICE HAS BBEN INSTALLBD AND IS VISIBLB FOR INSPECTION(726-3769). I ALSO STATE THAT ALL INiJORMATION ON THIS PBRMIT/APPLICATION IS
ZTP
/
U"^-' /.-Z-?7
FOR OFFICE USB
23 ?T JoB {r ,qbl/lSDATE OP APPLICATION:
RECBIPT I}:2 'rn /-u-.-ISSUED BY:
TOTAL AMOUNT COLLECTED:lArl&@ lL>o
CORRECT
$Witlamalane t\d\L3.)
g
Job. No.
Pi
1.
lat Name:
Develo pment
A. Single-Family Detached
\ Singte Famity home
NO. OF UNITS 1
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home park
NO. OF UNITS
WILLAMALANE SDC
STATE:
X $0gZ per unit
NAME:U
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:)
8r Lot Number: \
PHONE:-l+-1 .BlM
&zp, Q1*11
Park & Recreation District
ype definitio ns are on the
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
T
(check appropriate dweiling(s). sDC carcurations and dwefiing tback.)
Manufactured home not in a park
X $1,000 per unit = $\DDD,CD
X $gz+ per unit $
$\
$
X $6sg per unit $
@
2' SDC CREDTT (if applicabte) sDo-payer musr furnish proof of\Mfiamarane credit approvar. see soc credit worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED(if SDC reduced for Credit)
$
$
City of Springfield
epartment Date
rcoD.a,
-
!i, Ik
SPFlINGFIELO
The lollowlng proiest as cubmitted h.s thezr)nlng, and doeo not require epecific hndappro /al.L
|J8,o
D. Branch Circuits
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-60L amps to,1000 amps-
0ver L000 amps/vo1ts
Reconnect On1y
200 amps''or Less
201 amps to 400 amps
-0ver 40L to 600 amps
Over 600 amps or 1000-vofTs
$ 40.00
ee rtB, a6ove
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2 CONTRACTOR INSTAIL.ATTON ONLY
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR97402
SfYdifd?+{b- \cy\qa
SUPERVISOR LIC. #9805
EXP. DATE 1Ol3O/95
ccB #2135't
EXP. DATE 4I28Ig5
225 FTYTE STREET
,",4'll0.W
SPRINGFfELD' 0REGON tJ taJlur;toruea
INSPECTION REQIIEST: 726-3769
Signaturc.
3759
1 OP
Expiration Date
S t o 1 EIec
Ovners Name
Address
Ci ty Phone
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
ELECTRICAT PERHIT APPLICATION
11ry ob Number
3. COHPLETE FEE SCHEDTIIJ BELOI]
A Nev Residential-Single or
Mul-ti-Family per dvelling unit
Service fncluded:
I tems
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Cos t
s 8s.00
L s 1s.00
Each Manuf'd Home. or
-Modular Dvelling
SerVice or Feeder
B. Services or Feeders
Installation, Alterationsor Relocation:
vn
$ s0.00
$ 60.00
$100.00
s130. 00
$300.00s 40.00
Sum
6s
gL
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$
s
$
s
40.00
55.00
80.00
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.OO
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation SSign,/0utIine Lighting- $Limited Energy/Res
-
SLimited Energy/Comm $
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
00
00
00
00
40.
40.
20.
36.
5
BRECEIVED
6)
qb@
\L5