HomeMy WebLinkAboutPermit Building 1996-09-26SPFIiIGFIELD
h,A 7
I
RESTDENTIAL PER!,TIT APPIJICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 951155
225 North Fifth Street
Springfield, OR 97477
Location of Propoaed Work: 4069 VIRGINIA ST
Assessors t"tap #: 18020500
Lot: 19 Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
03100
WYATT MEADOWS 1
OTT OF SPruNGFIEU', ONEGON
Owner: COZY HOMES
Address:. T275 SOUTH 2ND STREET
Phone #: 747-8704
city/state/zip: SPRTNGFTELD, oREGON 97477
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical
Electrical
Contractor
cozY HoMEs 0032947
1-275 S 2nd Springfield OR 974770000
BMC MECHANICAL O1O357O
548 W Oregon Ave Creswell OR 974260
T4ARSIALLS 0025790
4131 E St Springfield OR 974780000
BTLLS ELECTRTC 002135]-
3170 W 11th Eugene OR 974020000
Const.
Contractor #Expiree
05 /Lo / e7
1,2/1,s/e6
L2 /23 / e6
04/28/e7
Phone
747-8704
632 - 47 65
747 -7445
587-l_851
OUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: P1
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: E
SQ FOOTAGE: 1505
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To request, an inspection, call- the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working d.ay,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
SITE - To be made afEer excavat,ion but prior to settj-ng forms.
FOOTING - AfLer trenches are excavat,ed.
FOITIIDATION - After forms are erected but prior to concrete placement.
ITNDERFIJOOR MECIIAIIICAL - Prior to insulation or decking.
IrIIDERFLOOR PLITITIBING - Prior to insulation or decking.
WATER LINE - Prior to fil-ling trench.
SN{ITARY SEWER LINE - Prior to filling trench.
STORM SEWER IJINE - Prior to filling trench.
ROUGH PLIMBING - Prior to cover.
ROUGH MECIIAIiIICAL - Prior to cover.
ROUGH EIJECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obEain permanent power.
FRAIIING - Prior to cover.
fNSULATION - Floor; prior to decking Wa]]/Ceiling; prior to cover
DRYIIIAIJIJ - Prior to taping.
CITRBCUT - After forms are erected but prior t.o placement of concrete.
STDEWALK - After excavation is compleLe, forms and sub-base material
in place.
FrNAL PLIrIIBING - When all plumbing work is complete.
FINAL MECIIAI{ICAL - When aII mechanical work is compleLe.
FINAL ETECTRICAL - When al-l- electrical work is complete.
FrNArr BurtDrNG - when all required inspecLions have been approved and
the building is complete.
SPFIiIGFIELD
Job Number: 96L1-56
OFSPilNGFIELD, ONEGON
Page 2
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 4750
Total Height: 19
Lot Type: INTERIOR
Setbacks
swE
2555
5
LoE Coverage: 33.8 ?
Setbk From NPL: 45
N
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/eamin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
L206
400
$/Square Feet
54.56
L6.27
(A)
Value
77,980.OO
6, 508.00
84,488.00
388
31
00
o4
419.04
SYSTEMS DEVELOPUENT CIIARGE (SDC)
(B)2 ,206 .7 0
Systems Development Charge is due on aLl undevel-oped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLI'}TBING PERMIT ---
IEem
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150.00
1,2 .80
L7 2 .80(c)
--- MECIIAT{ICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/edmin
TOTAI. PERMIT
2
6.00
4.50
5.00
3.00
(D)
19.50
10.00
1.57
31.07
- - - UISCEI.I.AIiIEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
WILLAIqi\LANE SDC
ELECTRICAL PERMIT
PLAN REVIEW FEE
TOTAL MISCEI.I.NiIEOUS PERMITS (E)
0.00
17.50
14.80
1, 000 . 00
t24.20
252.20
1,408.70
(Excluding ElecErical)
unleag otherwiee noted
--- TOTAL AMOI'NT DUE ---
(A, B, C, D, and E courbined)4,238.31
SPRI,|lGF!ELD
.fob Number: 951155
OF onE@oN
Page 3
--- BUILDING VAIJUE, PIJAI{ CHECK AI{D BUILDING PERMIT ---
This permit is granted on t.he express condition that the said construction
sha11, 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: DON MOORE
Building SiEe Reviewed By: LISA HOPPER
Date: 09/26/96
--- ADDITIONAL COMME}{TS .--
A & T ESTTMATE ONI,Y. TNDIVIDUAL TAX LOT NUMBERS
NOT ASSTGNED AS OF 8/30/96
PATH 1; NOSANITARY CONNECTION UNTIL SEWER IS ACCEPTED BY THE CITY
NO OCCUPANCY UNTIL PI'BLIC INFRASTRUCTURE IS COMPLETE AND ACCEPTED BY THE CITY
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By eignature, I atatse and agree, that I have carefully examined
the completed application and do hereby certify that aL] information hereon
is true and correcL, and I further certify that any and all 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 t,hat, NO OCCUPANCY will- be made of any structure wit.hout permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 wil-L be
used on this project.
I further agree to ensure that all- required inspections are request,ed at the
proper time, that each address is readable from the street, that the permit
card is located front of the property, and the approved set of plans
at all times during construction.wi-l1 remain on te
6
SignaEure Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Recej-ved By:
?ae8,/
q
ffi.3t
Willamalane
Park & Recreation District Job.No.Autttt,
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
PH.NE:1+1BlD4
7P
Plat Name:
STATE:.
ax Lot Number:t
(Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
1 Single Family home Manufactured home not__t- v in a park
NO. OF UNITS {X $1,000 per unit = $0,w
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(il SDC reduced for Credit)
VE e
$
t00c,co$
$
$
a
ct)
City of Springfield
Department Date
n00
t
1.
m
CITY OF ONEGON
SPFIiIGF!ELD
Page 1
CITY OF SPRINGFIELD SYSTEI{S DEVEI,OP}IENT C}IARGE
(RESIDENTIAIJ)
Name or Companyt COZY HOMES
LOCATiON:. 4059 VIRGINIA ST
Developement Tlpe: R Building Size
Job No. : 951155
Lot Size Sq Ft
1. STORM DRAINAGE
Impervi-ous Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.NiISPORTATTON
Number Of Units
1X
2351,
18
X Trip Rate
1.010 x
X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
Cost Per Trip
451.25 $45s.77
$s09.98
$80s. s0
#4ss.77
i2 , LOL .62
$10s.08
Transportation Total
4. SA}IITARY SEWER - MWMC
Number Of PFUs
18
5. ADMINISTRATIVE FEES
Base Charge (Subtotal hlcove)
x
x
Per PFU +
20.690 +
MIrMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Itemg 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 09/03/95
i2 ,205 .7 0
$382.42
$s2 . os
$330.37
CffTOF ONEGON
SPF!It.GFIELD
Job Number: 951155 Page 2
FIXTURE I'NIT CALCULATION TABLE
Fixture Tlpe
Number of
New Fixture
Unit.
Equivalent
Fixture
unr_cs
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease,/Oi1/Solids/ftc
InEeceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/ftc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal , Stal1,/wa}l
Wash Basin/Lavatory, Single
Water Closet, Public InstaLlation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =18
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calculated separately(calculations are by 91000)
Year Annexed: L959
Credit For Parcel Or Land Only If Applicable: 15,OOO X 3-47 = 52.05
Improvement (if after annexatj-on date): 0 X 3-47 = O.OO
CREDIT TOTAL = $52.05
(If land value is multiplied by L then the parcel/Iand credit is not accurate.)
4
0
0
0
1
0
0
0
0
0
2
0
2
0
8
0
2
1
2
3
6
z
5
1
3
a
a
z
1
6
4
2
0
0
0
U
l_
0
0
0
0
0
1
0
a
0
2
0
SPFl!NGFIELO
l:;l.J:"Jll%f :?:_l-ffi ,?I$*,ff i"'I.;
225 FIFTS STREET
SPRINGFIELD, OREGON 97 477
INSPECf,ION REQUEST: 726-3
OFPICE: 726-3759 -
cl.?:1'4v ELECTRICAT PERHIT
769,,:"ty Jo b Nunber
3. COHPI^ETE FEE SCEEDIILE BELOV
1' ffitnoqo\ffriir*i'>
t€82f;ffiff',,H;
SUPERVISOR LIC. #9805
EXP. DATE 1Ol30/95
ccB #21351
EXP. DATE 4I28Ig5
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Items Cost Sum
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
I sos.oo e1&3DPermits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR 97402
$ 1s.00
$ 40.00
200 amps or less
201 amps to 400 amps
-401- amps to 600 amps _601 amps tor1000 amps_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
20L amps to 400 amps
-
S 55.00
over 4b1 to 600 amps
-
S 80.00
over 600 amps or fbOO voTEs see rrB'r a56;E-
s s0.00
s 60.00
$r.00.00
$130. 00
s300.00s 40.00
Expiration Date
Signa
Ovners Name
Address
Ci ty
ALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35-00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
rv
s 40.00
s 40.00
$ 20.00
$ 36.00
5
0
RECEIVED B
oc)
Phone ?-l