HomeMy WebLinkAboutPermit Building 1995-05-31SPRINGFIELD
RESIDENTIAL PERMIT APPLTCATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nu.mber: 950881
225 North Fi-fth Street
Springfield, OR 97477
Location of Propoeed lrlork: 4058 VIRGINIA AVE
Assessors t"tap #: 18020500
Lot: 4 Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
03r_00
IITYATT
qTT OF SPilNGFIELD, ONEGON
Ownerz COZY HOMES
Address:. L275 SOUTH 2ND STREET
Describe Work: S.F. RESIDENCE
Phone #: 747-8704
City/State/zip: SPRINGFIELD, OREGON 97477
NEW
General-:
Plumbing:
Mechanical-:
Electrical-:
Contractor
TOM WIRFS 0032947
L27s S 2nd Springfield OR 974770000
BMC MECHANICAL O1O357O
548 W Oregon Ave Creswell OR 974260
MARSTIALLS OO2579O
4131 E St Springfiel-d OR 974780000
BrLLS 0021351
3170 W 11th Eugene OR 974020000
Conet.
Contractor #Expiree
05 /L0 / e6
L2 /!s / 96
L2 /23 / e6
04 /28 / e5
Phone
7 47 -87 04
632 - 47 65
747-7445
687-1851
QUAD AREA: 3RSC
# OF IINITS: 1
CONSTR. TYPE: \IN
WATER HEATER: E
SQ FOOTAGE: A596
-- OFFICE USE --
LAND USE: 1L11
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: VIH
INSUL PATH: SGC
To reque6t, an inEpeqtion, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same workj-ng day,
inspections requested aft,er 7:00 a.m. will be made the following work day.
--- REQUTRED INSPECTTONS ---
FOOTING - After trenches are excavated.
FOITIIDATfON - After forms are erected but prior Eo concrete placement.
ITNDERFLOOR PIJITMBfNG - Prior to insulation or decking.
POST AIYD BEAI{ - Prior to floor insulation or decking.
rNsuLATroN - Floor; prior to decking wa]1/ceiling; prior to cover
SAIiIITARY SEWER LINE - Prior to filling trench.
STORITI SEWER LINE - Prior to filling trench.
WATER IJfNE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH DIECIIANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ErJEcrRrcAL sERvrcE - Must be approved to obtain permanent power.
FILAIIING - Prior to cover.
rNsur,ATroN - F1oor,' prior to decking wal}/ceiling; prior to cover
DRYWALL - Prior to taping.
CITRBCIIT - After forms are erected but prior to placement of concrete.
STDEWALK - After excavaLion i-s complete, forms and sub-base materialin p1ace.
FINAL PIJITMBING - When a1I plumbing work is complete.
FINAIJ EIJECTRfCAL - When all electrical work is complete.
FINAL DIECHANICAL - When all mechanical work is complete.
FrNAL BUTLDTNG - when all reguired inspections have been approved andthe building is complete.
SPllINGF!ELD
Job Number: 950881
CITY OF ONEGON
Page 2
Lot Faces: S
Setbk From NPL: 38
House
Garage
Lot Sq. Ft.: 5OO2
Solar Approved: Y
Total Height: 15
Lot Type: INTERIOR
N
23
23
Setbacks
SW
t-8
255
E
5
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUTLDING PERMIT ---
Square Feet x
L2t5
480
$/Square Feet.
56.20
14.10
(A)
VaIue
58, 339.00
5,'768.00
75, 107 . 00
351.00
28.88
389.88
--- SYSTEMS DEVELOPMEMT CTTARGE (SDC)(B) 2,LL7 tl,
Systems Development Charge is due on all undeveloped properti-es within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/aamin
TOTAI. CHARGE
1
Fee
150.00
160.00
12.80
L72.80(c)
--- MECIIAI{ICAL PERMIT ---
Exhaust Hood
VenL Fan
Dryer Vent
Mechanical- Permit
Issuance
Surcharge/admin
TOTAL PERMIT
2
4.50
5.00
3.00
15.00
10.00
1,.20
(D)25.20
--- MISCEI,I.AI{EOUS PERMITS ---
Surcharge/admin
Sidewalk
Curb Cut
PLAN CHECK FEE
WILLAMAIJANE SDC
ELECTRTCAL PERMIT
TOTAL MISCEI,I.ATiIEOUS PER}IITS (E)
0.00
20.3s
14.80
40.00
400.00
124.20
599.35
(Excluding Electrical)
unless otherwise not,ed
--- TOTAL A}TOUNT DUE ---
(A, B, C, D, and E combined)3,305 .r{t
SPRINGFIELD
Job Number: 950881
OTT OF SPilNGFIELD, ONEGON
Page 3
--- BUII.DING VALUE, PLA}I CHECK A}ID BUILDING PER}TIT ---
This permit is granted on the express condition that the said consEruction
shalI, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violati-on
of any provisions of said ordinances.
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date: 02/25/95
--- ADDITIONAL COMMEIiITS .-.
A & T ESTIMATE ONLY. NOT LISTED IN A & T
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By aignature, I ELaEe and agree, thaE I have carefully examined
t,he completed application and do hereby certify Ehat al-l- information hereon
is t.rue and correct, and I further certify that any and all work performed
sha11 be done in accordance with the ordinances of Ehe City of Springfield,
and the Laws of the State of Oregon pertaining to Ehe work described herein,
and that NO OCCUPANCY will be made of any sLructure without permission of the
CommuniEy Services Division, Building Safety. I furEher certify that only
contractors and employees who are in compliance with ORS 701.055 wil-1 be
used on this projecE.
I furLher agree to ensure that alf reguired inspections are requested aE the
proper Eime, thaE each address is readable from the street, that the permit
card is ]ocaged at the front of the property, and the approved set of plans
will- remain on t te at all times during construction.
?
ture lF
--- VAI,IDATION ---
2fl3bReceipt Number:
Date Paid:
Amount Received:
Received By:
5-3 t-qb
30b .rK
r-
UL
SPRINGFIELD
Page 1
CITY OF SPRINGFIEI'D SYSTE}IS DEVETOPI{ENT CIIARGE
(RESIDE}i['TIAL)
cffr
Name or CompanY: COZY HOMES
LOCAIiON: 4O5B VIRGINIA AVE
Developement T)Pe: R Building Size
Job No. : 950881
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI.ISPORTATION
Number Of Units
1X
2372
18
X Trip Rate
1.010 x
X O.2O9 Per Sq Ft =
X 43.26 Per PFU =
x Cost Per Trip
435.a9 $440. ss
i495.7s
$77e.68
$440.5s
$3t9.42
$17.30
#302 -1-2
s2,OL7.L0
$100.8s
Transportation Total
4. SATiIITARY SEWER - MITIUC
Number Of PFUs
18
5. ADMINISTR,A,TIVE FEES
Base Charge (Subtotal- Above)
x
x
PeT PFU
L7 .L90
+ MWMC Admi-n Fee
+ 10.00
SUBTOTAL (Add ltemE 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: KIP BURDICK Date: O7 /07 /95
$2,Lt7 .95
MIMC CREDIT If Applicable (see Page 2)
TOTAL - MI,MC SDC
CITY OF OREGON
SPRII\lGFIELD
.fob Number: 950881 Page 2
FIXTURE I'NIT CALCULATION TABLE
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixt,ure
Units
0.00
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease,/Oi1/Solids/Etc
fnEeceptors For Sand/Auto Wash/EtcLaundry fub/Clotheswasher
Clotheswasher - 3 Or MoreReceptor For RefrigeraLor /Water Station,/EtcReceptor for Commercial Sink/Dishwasher,/EtcShower, Single Sta11
Shower, Gang
Sink, Bar, Commercial, Resident.ial KitchenUrinal, Sta11/Wa11
Wash Basin/Lavatory, SingleWater Cl_oset, public fnsiall_at.ionWater Closet, private
Miscell_aneous
CREDTT CALCI,ILATION
Year Annexed: 1960
Credit F.or parcel Or Land Only If Applicable:
Improvement (if after annexation date):
EREDT
(If land val_ue is multiplied by 1 then the parcel/land
TABLE: Based on assessed va1ue. If improvements occuredaft.er annexation date, credits are calculated separately(calculations are by gIOOO)
18
5,000 x 3.46 =17.30
2
0
0
0
0
1
0
0
0
0
0
1
0
0
2
0
2
l_
2
3
6
z
5
1
3
2
2
2
l_
6
4
4
0
0
0
0
2
0
0
0
0
0
z
0
2
0
I
0
0 x 3.46 =
T TOTAL = S17.30
credj_t is not accurate. )
TOTAI FTXTURE I.'NITS =
The following prolect as submltted tre9 ttts
,"- ",.1 *rrdibegnot require spoclflc hnd
SPI "..{GFIELE'
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home. or
Modular Dvelling
Service or Feeder
u8€
BLECTRICAL PERHIT APPLICATION
ob Nunber
COHPI^ETE FEE SCEEDTILE BELOII
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
Items Cost
L9225 FTFTE STREET
SPRINGFIELD, OREGoN 974
INSPECTTON REQIIEST: 72
OFPICE: 726-3759
1 TT
2. CONTRACTOR INSTALIATION ONLY
Er" BrLL's ELECTRIc
6 3170 W 1 1TH AVE
EUGENE OR 97402
c
S SUPERVISOR LIC. #9805
EXP. DATE 1O/3O/95E ccB #21351
^ EXP. DATE 4128195(.
Expiration Date
s tured Su ing El c1;rn
Temporary Services or FeedersInstallation, Alteration or Relocation
Services or Feeders
Ins tallation, Alterationsor Relocation:
200 amps or Less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps torL000 amps-over 1000 amps/volts
-
Reconnect 0n1y
200 amps''or less
201 amps to 400 amps
-
Over 401 to 600 amps
-
Over 600 amps or 1000-voFs
MiscelLaneous (Service/f eeder
-Each installation
Pump or irrigation g
Sign/0utline Lighting- SLimited Energy/Res
-
$Limi ted Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
3
A
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
4
s 8s.00
s 1s.00
s 40.00
00
00
s130.00
$300.00s 40.00
.00
.00
.00
llBr?
Sum
a6ove
B
00
s s0.
S 60.
s100.
C
S40sss
SBo
see
0vners Name
Address
Ci ty Phone
OIJNER ON
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
DATE:
PT
D. Branch Circuits
Nev, Alteration or Extension per panel
one Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit S 2.00
E i ncluded )not
40.
40.
20.
36.
00
00
00
00
0
RECETVED B
5
.q,L
1+l flrY
Willamalane
Park & Recreation District
,
PHONE:
fob No.
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAA4&
ADDRESS:
LOCATION OF PROPOSED BUI NG SITE:
Stre€t Address if Known:
Platt Name:
I
DR=,, q14T
Tax Lot Numbec
1. DEVELOPMEMI TYBE .
(Check appropriate dwelling(s). SDC Catculations and dwetling typeffitcl r'.'-r-'-------''-.-o
A. Single Famity - Detached
-t- Single Famity home Manufactured home not in a park
NO OF UNITS
B. Single Family - Attached
NO OF UNITS
C. Multi-FamilvAoartment
X $400 PER UNIT;..
4..
X $370 PER UNIT =
4rh r)
d
$
'$
$NO OF UN|TS X {?77 PER UNIT =
WPRD SDC
2. sDc cREDlr (tf appticabte) sDC-payer must furnish proof of wpRD credit
approval. See SDC Credit Worl<shret.
3. TorAL WPRD NET sDc AssEssED (rf sDc reduced for credi0
D. Manufactured Home Park
NO OF UNITS X $280 PER UNIT =$
4$.00$
n^.^.'.^ir., (nr.l-''tivirinn [)afa
$
od
I