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.)
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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