HomeMy WebLinkAboutPermit Building 1995-07-25OTT OF ONEGON
SPR!NGFIELD
RESIDENTIAI, PERMIT APPIJICATION
CTTY OF SPRINGFIEI.D
COMMIINITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
ilob Nurnber: 950882
225 North Fifth Street
Springfield, OR 97477
LocaEion of PropoEed Work: 4049 VIGINIA AvE
Assessors Map #: l-8020500
Lot: 15 Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
03100
WYATT
Owner: COZY HOMES
Address t L275 SOIIIH 2ND STREET
Phone #: 747-8704
city/state/zip: SPRTNGFfELD, oREGON 97477
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical
EIect,ricaI
Contractor
TOM WrRFS 0032947
L275 S 2nd Springfield OR 974770000
BMC MECHANICAL O1O357O
648 w Oregon Ave Creswell OR 974260
MARSHALLS OO2579O
4131 E SE Springfield OR 974780000
BILLS 0021351
3170 W L1th Eugene OR 974020000
ConEt.
ContracEor #Expires
06/Lo/e6
L2 /Ls / e6
1.2/23/e6
04/28/e6
Phone
7 47 -87 04
632 - 47 6s
7 47 -7 445
587-l_851
QUAD AREA: 3RSC
# OF IINITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1715
-- oFFrcE usE --
LAND USE: l-111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOI,RCE: WH
INSUL PATH: SGC
To requegt an inspecEion, call the 24 hour recording aL 726-3769.
A11 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.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLUIIBING - Prior to insulation or decking.
POST At{D BEAI{ - Prior to floor insulation or decking.
INSULATION - Ffoor; prior to decking Wal]/Ceiling; Prior to cover
SAI{ITARY SEWER LINE - Prior to filling trench.
STOR!{ SEWER LINE - Prior to filling trench.
WATER LINE - Prior Eo filling trench.
ROUGH PLITDIBING - Prior to cover.
ROUGH MECIIANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAI{ING - Prior to cover.
INSULATION - Floor; prior to decking waII/ceiling; Prior Lo cover
DRYITIALL - Prior to taPing.
CURBCIXI - After forms are erected but prior to placement of concreLe.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLITMBING - When all plumbing work is complete.
FINAL ELECTRICAL - When alL electrical work is complete.
FINAL MECIINiIICAL - When all mechanical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is comPlete.
SPRINGFIELD
Job Number: 950882
CITY OF SPruNGFIELD, ONEGON
Page 2
LoE Faces: W
Solar Approved: Y
House
Garage
Total HeighE: 12
Lot T)T)e: INTERIOR
Setbacks
SWE
L0 20
L8
Setbk From NPL: 10
N
10
10
Item
Main
Garage
Total- Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUII.DING PERMIT ---
Square Feet x
L253
452
$/Sguare Feet
55.20
14.10
(A)
Value
70, 981 . 00
5,373.00
77 ,354.OO
357.00
29.36
395.36
(B)2,LL1 .96
Systems Development Charge is due on aII undeveloped properEies within the City
limits and the CiEys Urban GrowEh Boundry which are being improved.
--- PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
160.00
150.00
1,2 .80
L72.80(c)
--- !{ECHATiIICAI. PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/aamin
TOTAI, PERMIT
3
4.50
5.00
3.00
15.00
10.00
L.20
(D)26.20
--- MISCEI.I.ATiIEOUS PERMITS
Surcharge/admin
Sidewalk
Curb CuE
WILLMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAI, I{ISCELLAI{EOUS PERMITS
0.00
20 .05
L4 .95
400.00
L24.20
238 .55
(E)797.75
(Excluding Electrical)
unlegs otsherwiEe noted
--- TOTAL A}IOI'IiI1T DUE ---
(A, B, C, D, and E combined)3,5LL.Ov
--- SYSTEMS DEVELOPUEMT CIIARGE (SDC)
SPRINGFIELD
Job Number: 950882
OTT OF SPilNGFIEA, ONEGON
Page 3
--- BUILDING VAI.UE, PI.AIiI CHECK A}iID BUTI,DING PERMIT ---
This permit is granted on t,he express condition that the said construction
shaII, in aII 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: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date: 02/25/96
--- ADDITIONAL COMMENTS
A & T ESTIMATE ONLY. NOT I,ISTED IN A & T
DRIVEWAY REQUIRED TO BE PAVED
]- STREET TREES REQUIRED
By signature, I aEate and agree, that I have carefully examined
the completed application and do hereby certify Ehat afl- information hereon
is t.rue and correct, and I further certify that any and alf 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, Buitding Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 wil-I be
used on this project.
I further agree to ensure that aII reguired inspections are reguested at Lhe
proper ti-me, that each address is readable from the sEreet, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the siEe at all times during construction.
lrq 7-v{'aL
Signature Date
ReceipE Number:
Date Paid:
Amount Received:
Received By:
SPRINGFIELD
Page 1
CTTY OF SPRINGFIELD SYSTEMS DEVELOPMENT CEARGE
(RESIDENTIAL)
SPilNGFIEII', ONEGONCITY
Name or Companyz COZY HOMES
Location: 4049 VIGINIA AVE
Developement T)pe: R Building Size
Job No. : 950882
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}.IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,AI{SPORTATION
Number Of Units
1X
x
X O.2O9 Per Sq Ft =
X 43.25 Per PFU =
x Cost Per Trip
435.1,9
2372
l_8
Trip Rate
1.010 X $440. ss
#49s.7s
$778.58
$440. ss
$3L9 .42
$17.30
$302.12
$2, 017 .10
$100.8s
Transportation Total-
4. SANITARY SEWER - M$MC
Number Of PFUs
1B
5. ADMINISTRATIVE FEES
Base Charge (Subtotal above)
x
x
Per PFU +
17.190 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MUMC SDC
SITBTOTAL - (Add Itema 1, 2, 3 & 4)
x 0.50
TOTAI. SDC
Reviewed By: KIP BURDICK Date: 07 /07 /95
i2,LL1 .95
ctTv oF ONEGON
SPFINGFIELD
Job Number: 950882
FIXTURE I'NIT CALCULATION TABIJE
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
[Jna r_s
Bathtub
Drinking Fountain
Fl-oor Drain
Interceptors For Grease/Oi1/Solids/Stc
rnteceptors For Sand/Auto Wash,/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Btc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta1l
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal-, Staf l-/Wa]]
Wash Basin/LavaLory, Single
water Closet, Publ-ic InstalLation
Water Closet, Private
Miscel]aneous
TOTAL FIXTURE UNITS =18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1ooo)
Year Annexed: 1-950
Credit For Parcel Or Land Only If Applicable: 5,000 X 3.46 = 17.30
Improvement (if after annexation date): 0 X 3.46 = 0.00
CREDIT TOTAL = $17.30
(If land val-ue is multiplied by 1 then the parcel/1and credit is not accurate.)
4
0
0
0
0
0
0
0
0
0
a
0
a
U
I
0
2
1
3
6
2
A
1
3
a
2
1
5
4
0
0
0
0
1
0
0
0
0
0
1
0
0
2
0
Page 2
V
FENCB PERHIT APPLICATION
CITY OF SPRINGT'IELD
BUII^DING SAFETY DIVISION
es-
€-7
SPTT!NGFIELE}
Office:
INSPECTION LINE:
225 North Fifth street
Springfield, 0regon 97477
Job Location:4
Assessors Map {}:( o> oS ooo
0vner:
3rcr)
7lzrzay'
zip:77r/77
(-
Zipz
ltt-?t
to /t, /""Dar.el /
Tax Lot #:
Phone *:
Fence Permit is $5.00
7 26-37 59
726-3769
Address:
Ci ty:
Value of Fenc
Con t rac tor taIler:
Address:
Ci ty:
S igna ture
x a
o
State:
State:
FOR OFFICE USE
c //'ZC
Phone *:
Construction Co ractors Registration *:0 r.res:
Ily signirrg this pcrmit/application, I agrce to call for an inspectlon once my
fcncc lras becn constructed (726-3769). I also stated that aII information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
Date of Applicati on, /Q'AD -ro
Rcceipt * O>3Q57
Total- lrrnount a"rr"","0,'S5. t4-
'*rTOO g6>-
Issued By:rc/ct
Chccked for Dclinqttencies:Chechcd for Ilistorical Stattts:
F-<l n n A.( -/
,
PHONE:
WiI
Park &Iamalane
Recreation District
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
fob No.
DR=,, 4l4ll
NA/\48:
ADDRESS:
1
Lo_cATroN oF pRoposeo BurLolNC stTE: - , '
stre6Address irKnown: 4mJO\ V t ltOifl f Cf )
Platt Name:
C. Multi-Family Apartment
NO OF UNITS
D. Manufactured Home Park
.
NO OF UNITS
d
Tax Lot Numbec
X $400 PER UNIT -=..
t.'
x $?77 PER UNIT =
X $2SO PER UNIT =
-af
DE'VETOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling tlpeffiu
A. Single Family - Detached
I
-l,_ Single Family home Manufactured home not in a park
$
'$
4$c
4$.00
d
NO OF UNTTS X $370 PER UNIT =
$
$
WPRD SDC
2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit
, approval. See SDC CreditWorl<shet.
3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credit)
$
$
f n^i^-..^ir., (nr.l-\ir ririnn Dato
OD
_qs[Lz
NO OF UNtrS I
B. Single Familv - Attached
225 FIFTE STREET
1
\ffiff)T'55"CBrc0
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
CONTRACTOR INSTALLATTON ONLY
BILL'S ELECTRIC
3170W11THAVE
EUGENE ORg74O2
c
S SUPERVISOR LIC. #9805
SP. .{GFIELO
ELECTRICAT PERHIT APPLICATION
Job Number
3. COHPI,ETE FEE SCHEDTILE BELOV
A. Nev Residential-Single orMuIti-Family per dvelling unit.
Service IncLuded:
Items CostJ
,)-
Sum
_gs
3C
Tl':e lollowlng prdect ae eu.r'mtted.hrs the iollowlng2,;r;rig, and does not rcqulre epoclfic hnd ugeupprwal.afr,
U
2.
E:
Ar 200 amps or Iess S
201 amps to 400 amps
-
S
401 amps to 600 amps
-
$
60L amps to,1000 amps- S0ver 1000 amps/volts S
Reconnect 0n1y $EXP. DATE 1O/3O/95E'ccB #213s1
c, EXP. DATE 4l2gl95
DATE:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular Dvelling
Sertice or Feeder
Services or Feeders
Ins tallation, Alterationsor Relocation:
MisceLlaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/Outline Lighting- S
Limi ted Energy/Res $Limited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
B
$ 8s.00
s 1s.00
$ 40.00
00
00
00
00
00
00
50
40.
60
100
130
300
Expiration Date
S ture o Superv ing Electrician
Ovners Name
Address
ci,vsN.f.[lL Phone
oil-Hr--*o*
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
0nners Signature:
C- Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
S 80.00
0ver 600 amps or 1000-voIts see ttgtt
"[[!!-
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.OO
not included)
40.00
40. 00
20.00
E
RECEIVED
5 5.00
SPRINGFfEL^D, OREGON 97 4l.l.,crta,t
INSPECTT0N REQUEST:. 726-3769
OFPICE: 726-3759