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HomeMy WebLinkAboutPermit Building 1995-06-07CITY ONEGON SP]IINGFIELD RESIDEMTIAL PERMIT APPLICATION CITY OF SPRINGFIEI.D COMMT'NITY SERVICES DIVTSION BUII.DING SAFETY Page 1 Job Nrurber: 950878 225 North FifEh Street Springfield, OR 97477 Location of Proposed $lork: 4053 VIRGINIA AvE Assessors Map #: 18020500 LoL: L7 Block: office: Inspection Line: 725 -37 59 726 -37 69 Tax Lot #: Subdivision: 03100 WYATT Ownerz COZY HOUES Address:. :..275 SOUTH 2ND STREET Phone #: 747-8704 city/stat.e/zip: SPRINGFIET,D, OREGON 97477 Describe Work: S.F. RESIDENCE NEW General: Plumbing: Mechanical: Electrical: ContracEor TOM WrRFS 0032947 L275 S 2nd Springfield OR 974770000 BMC MECHANICAL O1O357O 648 W Oregon Ave Creswell OR 974260 MARSHALLS OO2579O 4131 E St Springfield OR 974780000 BILLS 0021351 3l-70 W 1J-th Eugene OR 974020000 Const. ConEracEor #Expires 06/1.0/e6 L2 /Ls / e6 L2/23/e6 04/28/e6 Phone 747 -8704 632- 47 6s 747 -7445 587-1851 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1515 -- OFFICE USE -- LAND USE: 111-l- ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: VilH INSUL PATH: SGC To request an inspection, call- the 24 hour recording at 725-3759. A11 inspections reguested before 7:00 a.m. will be made Ehe same working day, inspections requested after 7:00 a.m. will be made the followj-ng work day. --- REQUIRED INSPECTIONS --- TEMPORARY POWER FOOTING - After trenches are excavated. FOTNDATION - After forms are erected but prior to concrete placement. POST AIiID BEAII - Prior to f loor insul-at.ion or decking. ITNDERFLooR PLUIIBING - Prior to insufation or decking. ITNDERFLOOR IIECIIAI{ICAL - Prior to insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SAI.IITARY SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. STORII SEWER LINE - Prior to filling trench. ROUGH PLITMBING - Prior to cover. ROUGH DIECIIATiIICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAIIING - Prior to cover. INSULATION - Floor,' prior to decking wall/Ceiling; Prior Eo cover DRYWALL - Prior to taping. CITRBCUT - After forms are erected but prior to placement of concrete. SIDEWATK - After excavation is complete, forms and sub-base material in p1ace. FINAL PIJITMBING - When all plumbj-ng work is complete. FINAL I{ECIIAIIICAL - When all mechanical work is compLete. FfNAL EIJECTRICAL - When al-L electrical- work is complete. FINAT BUILDING - When all requj-red inspections have been approved and the buil-ding is compl-ete. SPRINGF!ELD Job Number: 950878 SPruNGFIELD, ONEGONqTr Page 2 LoL Faces: W Setbk From NPL: 15 House Garage Lot Sq. Ft.: 4732 Solar Approved: Y Total Height: 15 Lot Type: CORNER N 15 Setbacks SW 15 13 E 10 Item Main Garage Tota1 Value Building Permit Fee Surcharge/admin --- BUILDING PER}TIT --- Sguare Feet x tL15 440 $/Sguare Feet 55.20 14.10 Value 55, 035 . 00 5 ,204 . OO 72,239.00 352 28 00 L5 TOTAI, FEE (A)380.15 --- SYSTEDTS DEVEI.OPITIEMT CHARGE (SDC) (B) 2,LL7 .96 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry whj-ch are being improved. PLIIMBING PERMIT --- Item Residential- Bath(s) Plumbing Permit. Surcharge/aamin TOTAL CHARGE 2 Fee 150.00 160.00 12.80 (c)L7 2 .80 --- DTECIIN{ICAI. PERMTT --- ExhausE Hood Vent Fan Dryer Vent Mechanical Permit Issuance Surcharge/admin TOTAI. PERMIT a 4.50 5.00 3.00 15.00 10.00 t.20 (D)26.20 --- ITIISCELLAIIEOUS PERIIITS --- Surcharge/aamin Sidewalk Curb Cut WILLAMALAME S/D/C'S PLAN CHECK FEE TOTAL MISCEI,I.AI{EOUS PERMITS (E) 0.00 31.75 14.80 400.00 228 .80 575 .35 (Excluding Electrical) unleee otherwise noted --- TOTAL AITTOI,NT DUE --- (A, B, C, D, and E combined)3 ,37 2 .47 SPFINGFIELE, Job Number: 950878 SPruNGFIEI*O, ONEGONorr Page 3 --- BUILDING VAI,UE, PI.ATiI CHECK At{D BUII.DING PER}TIT Thi-s permit is granted on the express condition that the said construction shall, 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: BOB BARNHART Building Site Reviewed By: LISA HOPPER Dare: 02/23/96 --- ADDITIONAI. CO}'}TET{TS --- A & T ESTIMATE ONLY. NOT LISTED IN A & T SAME AS 4037 VIRGINIA & 510 S.41ST, A&T:5000 EST ONLY, ANNEX DATE:1950 CTRBSIDE REQUIRES SEPERATE ELECTRICAL PERMIT DRIVEWAY REQUIRED TO BE PAVED 4 STREET TREES REQUIRED By signature, I ataue 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 shaII be done in accordance with the ordinances of the City of Springfield, and the Laws of the StaEe of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of Ehe Community Services Division, Building Safety. I further certify that only contracEors 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 Ehe front of the property, and the approved set of plans wifl remain on the site at aII times during construction. Si-gna ture Date --- VALIDATION --- Receipt Number: Date Paid: Amount Received: Received By: z/92 z_ z-?- Zy'?Z.ea ,t? *zr--.,-.7 SPFINGFIELD Page 1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE (RESIDENTIAI,) CITY OF SPruNGFIELD, ONEGON Name or Company': COZY HOMES Location: 4053 VIRGINIA AVE Developement T)pe: R Building Size Job No.: 950878 Lot Size:Sq Ft 1. STORM DR.ATNAGE Impervious Sq Ft 2. SATiIITARY SEWER - CITY Number Of PFUs (see Page 2) 3. TR.AI'ISPORTATION Number Of Units 1X X 0.209 Per Sq Ft = X 43.26 Per PFU = x Cost Per Trip 436 .L9 x Transportation Total 4. SANITARY SEWER - M$MC Number Of PFUs 18 5. ADMINISTRATIVE FEES Base Charge (Subtotal Above) 2372 18 Trip Rate 1.010 x $440. ss #49s.7s $778.6e $440. ss $31-9 - 42 $17.30 $3O2.L2 $2,01-7.10 $100.8s x Per PFU + L'7 .1,90 + MWMC Admin Fee 10.00 MIIMC CREDIT If Applicable (see nage 2) TOTAL - MWMC SDC SIIBTOTAL - (Add Iteme 1, 2, 3 & 4) x 0.50 TOTAL SDC Reviewed By: KfP BIIRDICK Date: o7/o7/95 i2,LL7 .95 SPRIIIIGFIELI, Job Number: 950878 Page 2 FIXTURE I'NIT CAI.CUI.ATION TABLE OTT OF SPflNGFIELD, ONEGON Fixture Tlpe Number of New Fixture Unit Eguivalent Fixture Units Bathtub Drinking Fountain Fl-oor Drain Int,erceptors For Grease/oi1/SoIids/Etc Inteceptors For Sand/Aut.o Wash/Etc Laundry Tub/Cl-otheswasher Clotheswasher - 3 Or More Receptor For Refrigerator/Water Station/Stc Receptor for Commercial- Sink/Dishwasher,/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial, Residential Kitchen Urinal-, Sta11/Wall Wash Basin/Lavatory, Sing1e Water Closet, Public Installation Water Closet, Private Miscel-Laneous TOTAL FIXTURE UNITS =18 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: 5,000 X 3.46 = 17.30 Improvement (if after annexation date): 0 X 3.46 = 0.00 CREDIT TOTAL = $17.30 (If land value is multiplied by 1 then the parcel/1and crediE is not accurate.) 4 0 0 0 0 ) 0 0 0 0 0 2 0 0 8 0 ) 1 z 3 6 ) E, 1 3 2 2 ) 1 A 4 2 0 0 0 0 1 0 0 0 0 0 1 0 z 0 0 SP. . ^IGFIELI) 225 FIFIE STREET SPRINGFTELD, OREGoN 97477 . .. u30 BLECTRICAL PERHIT APPLICATION ci Nunber 3. COHPI^ETE FEE SCEEDTILE BELOV A. Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: Items Cost Tlre lctloriving prcitlct ss subrnittad hes th9 i,,;,;;; --^" lee not roquire spocilic hnd Zorii M L INSPECTI0N REQUEST: 726-3769 oFPrcE: 726-3159 ' '-'1" - i'; 'v:l i'i;l 1 2. CONTRACTOR INSTALLATTON ONIY EIec-BILL'S ELECTRIC Addr3170W11THAVE EUGENE OR 97402 Ci ty Supe trv^i SUPERV!SOR LtC. #ggos EXP. DATE.lO/3O/95 con: ccB #21351 EXP. DATE 4128195 Expiration Date ture of ctrician Ovners Name Address Ci ty Phone 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterationsor Relocation: \ $ Bs.oo -{5 Asls.oo@ Sum Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 200 amps or less 201 amps to 400 amps - 401 amps to 600 amps - 601 amps tor1000 amps- Over 1000 amps/volts Reconnect Only s 40.00 s s0.00 s 60.00 s100. 00 s130. 00 s300.00 s 40.00 ON The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent. Ovners Signature: DIfiE: al.--t-,a)43 RECEIPT *: C. Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps"or Less $ 40.00 201 amps to 400 amps - S 55.00 over 401 to 600 amps - S 80.00 Over 600 amps or 1000-v-ofls see rrB, a6ov€ D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.OO E Miscellaneous (Service/feeder not included) -Each ins tal-]a t ion Pump or irrigation g Sign/OutIine Lighting- SLimited Energy/Res - S Limi ted Energy/Comm S SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAI OIINER 00 00 00 40 40 20 RECEIVED 2_ 5 \a*. SH Rffitff?hm ustru Willamalane a PHONE: fob No. Park & Recreation District SYSTEMS DEVELOPMENT CHARCE WORKSHEET NAfulE: ADDRESS: LOCATTON OF PROPOSED BU LDINC SITE: Street Address if Known: Plan Name: 1 B. Single Family - Attached NO OF UNTTS C. Multi-FamilyApartment . NO OF UNITS D. Manufactured Home Park NO OF UNITS DR,' q4T 4DDP? Tax Lot Numbec Manufactured home not in a park d)x $400 PER UNIT;.$ ( DEVELOPMENT TYPE (Clreck appropriate dr,r,elling(s). SDC Calculations and dwelling type definitions are on the back) A. Single Family - Detached -l- Single Family home NO OF UNITS I, X $370 PER UNIT = x $?77 PER UNIT = X $280 PER UNIT = $ $ $ WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worl<sheet. 3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credi0 -6t-z-t-"e $ $d i r. r (nrr t-'ti.,irinn [)rto OD 2.Vinrilnia , d