HomeMy WebLinkAboutPermit Building 1996-07-25CITY OF ONEGON
SPFI]tlGFIELD
RESIDENTIAL PERMIT APPI.ICATION
CITY OF SPRINGFIEIJD
COMMI'NITY SERVTCES DIVISTON
BUTLDING SAFETY
Page 1
Job Number: 950883
225 North Fifth Street
Springfield, OR 97477
LocaEion of Propoeed Work: 4073 VIRGfNIA AVE
Assessors Map #: 18020500
Lot : 20 Bl_ock:
Office:
fnspection Lj-ne:
726 -37 59
726 -3769
Tax Lot #:
Subdivision:
03 t-00
WYATT
Owner: COZY HOMES
AddrESS : 1,2'75 SOUTH 2ND STREET
Phone #: 747-9704
Citylsrate/zip: SpRTNGFTELD, OREGON 97477
NEWDescri-be Work: S.F. RESIDENCE
General:
Plumbing:
Mechanical:
Electrical:
QUAD AREA: 3RSC
# oF trNrTs: 1
CONSTR. TYpE: VN
WATER HEATER: E
SQ FOOTAGE: 17L5
To requeat an inepection,
Contractor
TOM WrRFS oo32g47
L27s S 2nd Springfield OR 97477OoOO
BMC MECHANTCAL 0].03570
548 W Oregon Ave CresweLl OR 974260MARSHALLS oo2579o4131 E St Springfield OR 9747gOOOOBrLLS oo213s13170 W l_1th Eugene OR ,74O2OOOO
-- oFFICE usE __
LAND USE: i.111
ZONfNG CODE: LDR
# OF BDRMS: 3
RANGE: E
Const.
Contraetor #Expires
06 /Lo / e6
1_2 /ts / 95
L2 /23 / e5
04 /28 / e6
Phone
747-8704
632 - 47 55
747 -7445
587-1851
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
call- the 24 hour recording at 726-3769
A11 inspections reguested before 7:00 a.m. wirl be mad.e the same working day,inspections requested aft,er 7:00 a.m. wirl be made the following work d.ay.
FoorrNG - Afrer rrenches-;;..:::i}"=:.::rrrcrroNs ---
FotNDATTON - After forms are erected but prior to concrete placementLrIDERFLOOR pr.tilBrNG - prior to insulation or decking.POST AIiID BEAII - prior to f Loor insulation or decking.rNsuLATroN - Floor; prior to decking wal1/ceiring; prior to coverSATiIITARY SEWER LINE _ prior to filling trench.STORM SEWER LrNE _ prior to fil_Iing trench.WATER LINE - prior to filling trench.
ROUGH PLITMBfNG _ prior to cover.
ROUGH MBCIIA.I{ICAL - prior to cover.
ROUGH ELECTRfCAL _ prior to cover.ELECTRT.AL SERVT.E - MusE be approved to obtain permanent power.FRAITIING - prior to cover
TNSULATTON - F100r; prior to decking wall/ceiling; prior to coverDRYIIALL - prior to taping.
CURBCUT - After forms are erected but prior to placement of concreEe.STDEWALK - After excavation is complete, forms and sub_base materialin place.
FINAL pLUt[BINc - When all plumbing work is complete.FINAL MECIIANfCAL _ When aL1 mechanical work is compJ_ete.FTNATJ ErJEcrRrcArr - when all electrical work is compr_ete.FrNAL BUTLDTN. - when all required inspections have been approved andthe building is complet,e.
SPF!NGFIELD
Job Number: 950883
ONEGONCITY OF SPruNGFIELD,
Page 2
Lot Faces: N
Setbk From NPL: 50
Lot Sq. Ft.: 4750
Sol-ar Approved: y
TotaL Height: 12
Lot Type: INTERIOR
N
29
18
Setbacks
s
1,9
E
5
w
5
5
House
Garage
Item
Main
Garage
Total Value
Building permit Fee
Surcharge/Admin
TOTAIJ FEE
ftem
Residential Bath(s)
Plumbing permj_t
Surcharge/Admin
TOTAL CIIARGE
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical permit
Issuance
Surcharge/admin
TOTAL PERMIT
Surcharge/admin
Sidewalk
Curb Cut
PLAN CHECK FEE
ELECTRICAL PERMTT
WTLLAMALANE SDC
TOTAL MISCEI,LAI{EOUS PERMITS
(Excluding Etectrical )unleEe otherwise noted
--- BUTLDTNG PER}TIT ---
Square Feet x
L263
452
$,/square Feet
55.20
14.10
Value
70,981.00
6,373.00
77,354.00
systems Development charge is due on alL undeveloped properties within the citylimits and the citys urban Growth Boundry which are being improved.
- - - sYSTElds DEVELOPMENT C}IARGE (SDC)
--- PIJI,}!BrNG PERMIT ---
- -. IIECIIANTCAL PERMIT ---
a
--- MI SCELLANEOUS PERMITS
--- TOTAL AUOMII DUE ---
357.00
29 .35
(A)395.35
(B)2,LL7.96
Fee
160.00
150.00
1_2 .80
(c)L7 2 .80
.00
15.00
10.00
t.20
(D)26.20
0.00
17.50
1,4 .95
40.00
t24.20
400.00
(E)s96.6s
z
4
3
3
50
00
(A, B, C, D, and E conbined)3 ,3Os . sb)
ISPRTIl.GFIELE
Job Nrrmber: 950883
cffr
Page 3
--- BUII,DING VAI,UE, PI,AN CHECK ATiID BUILDING PERMIT ---
This 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 viofaEion
of any provisions of said ordinances.
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date: 02/26/96
--- ADDITIONAI, COMMENTS ---
A & T ESTIMATE ONLY. NOT I,ISTED IN A & T
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By signalure, I sUaUe and agree, Ehat 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
sha11 be done in accordance with the Ordlnances of the City of Springfield,
and the Laws of the State of Oregon pertainj-ng to the work described herein,
and that NO OCCUPANCY wil-I be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors 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, t,he permit
card is located at the fronE of the property, and the approved set of plans
will remain on the site at al-l- times duri ng construction
2
Signature Dat
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Recei-ved:
Received By:
7
SPFIT{GFIELD
Page 1-
CITY OF SPRINGFIELD SYSTE}{S DEVELOPI{ENT CHARGE
(RESIDENTIAL)
o7r
Name or Company: COZY HOMES
LOCATiON1. 4073 VIRGINTA AVE
Developement T)pe: R Building Size
Job No.: 950883
Lot Size:Sq Ft
1. STORM DRAINAGE
fmpervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI{SPORTATION
Number Of Units
1X
x
X O.2O9 Per Sq Ft =
X 43.26 Per PFU =
Cost Per Trip
436.L9
2372
18
Trip Rate
1.010 x
x
$440. s5
$49s -75
$778 .68
$440. ss
$3L9 .42
$r-7.30
$302.L2
$2, 017 .10
$100.8s
Transportation Total
4. SAI{ITARY SEWER - MVIMC
Number Of PFUs
18
MWMC CREDIT If Applicable
TOTAL - MWMC SDC
(see Page 2)
SITBTOTAIJ - (Add Itemg 1, 2, 3 & 4)
x
Y
Per PFU +
17.l-90 +
MWMC Admin Fee
10.00
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)x 0.50
TOTAL SDC
Reviewed By: KIP BURDICK Date: 07 /07 /95
$2,LLt .95
cffrSPRTI{GFIELD
Job Number: 950883
Page 2
Number of
New Fixture
Unit
Equivalent
Fixture
UnitsFixture TYPe
Bathtub
Drinking Fountain
Floor Drain
IntercepEors For Grease/oi1/solids/utc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/ Clotheswasher
Clotheswasher - 3 Or More
Receptor For RefrigeraLor/Water Station/Btc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal , Sta11,/WaI1
Wash Basin/LavatorY, Sing1e
water Closet, Public Installation
water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are cal-culated separately.
(calculations are by $1000)
Year Annexed: 1950
Credit For Parcel or Land only If Applicable: 5,000 x 3.46 = 17.30
fmprovement (if after annexation date): 0 X 3-46 = 0.00
CREDTT TOTAL = $17.30
(If land value is multj-p1ied by 1 then the parcel/land credit is not accurate.)
4
0
0
0
0
0
0
0
0
0
a
U
a
0
8
0
18
2
1
a
3
6
a
6
1
3
)
2
-
1
6
4
2
0
n
0
0
1
n
0
0
0
0
1
n
a
0
2
0
FIXTI'RE I'NIT CALCULATION TABLE
,
PHONE:
Iob No.
$
'$
$
$
WillamalanePark & Recreation District
SYSTEMS DEVELOPMENT CHARCE
WORKSHEET
NAA4&
ADDRESS:
B.
LO-CATION OF PROPOSED BUILDINC SITE:
streer Address if Known: 4;{-l 3
DR,,' fi411
a)
1.ffi,Jfl*nappropriatedwelting(s).SDCCalcutationsanddwetlingtype
A. Single Family - Detached
Single Famity home
No oF uNrrs I
Manufactured home not in a park
X $400 PER UN|T -=..
. Plaft Name:Tax Lot Numbec
c.
SingleFamily-Attached t ..
NO OF UNTTS_ X $:zo PER UNIT =
Multi-Family Apartment
NO OF UNITS __ X $ZZZ pER UN|T =
D.
NO OF UNITS X $280 PER UNIT =
WPRD SDC @
2. SDCCREDTT (tfapplicabte) SDC_o:approval. see jbccrea,r woauni!.er must furnish proof of wPRD credit
3' TOTAT wpRD NET SDC ASSESSED (rf sDc reduced for credi0
$
$d
o
n^.^r,,nirrr (nrr
l-)ato
D
sry&3
SP. ,dGFIELO
zonln0, and
appi'oval.
proiect as the
does not roquiro opecific land uee
tflL
225 FrFTE srREEr D*r'l::UL9-k
SPRINGFfELD, OREGON 9744+horlzed Signaturo
TNSPECTION REQUEST: 726-3769
OFFICE: 726-7
1 ,Af,LATTON
2. COMRACTOR INSTALIdTION ONLY
l
BILL'S ELECTRIC
I IIIO W 11TH AVE
EUGENE OR974O2
c
Su SUPERVISOR LlC. #9805
EXP. DATE 1O/3O/95Ex ccB #21351
^ EXP. DATE 4128195
LO
Expiration Date
ture of Su s1 Electrician
Ovners Name
Address
Ci ty Phone
ALTNTION
City Job Number
3. COHPI^ETE FEE SCffiDTTIJ BELOV
A
ELECTRICAL PERHIT APPLICATTON
Qtors
Nev Residential-Single orMulti-Family per dvelling unit.Service Included:
rn
ON
f tems
1000 sq.ft. or less (
Each additional 500sq. ft -or portion nthereof L
Each Manufrd Home- or
-Modular Dvelling
Service or Feeder
Services or Feeders
Ins tallation, Alterationsor Relocation:
200 amps or less
20L amps to 400 amps
-
40L amps to 600 amps
-
601 amps to,1000 amps-over l-000 amps/vo1ts
-
Reconnect 0n1y
Cos t
s 8s.00
s 1s.00
s 40.00
Sum
as
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended tor180 days.
65
gD
B.
s
s
$r
00
00
00
50.
60.
00.
s130.00
s300.00
s 40.00
The installation is being made onproperty f ovn vhich is not intendedfor sal-e, Iease or rent.
0vners Signature:
C- Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps.,or less S 40.0020L amps to 400 amps
-
$ 55.00Over 401 to 600 amps
-
$ BO.O0Over 600 amps or 10OO voTEs see ,'B', aE6iE-
D. Branch Circui ts
New, Alteration or Extension per panel
One Circuit $ 35.00Each Addi tionalCircuit or vith Serviceor Feeder permit _ $ 2.00
E- ri:::41::::y: (Service/feeder not included)-.Each installation
Pump or irrigation
lign/Ou rf ine Lighting---Limited Energy/ies v-_-
Limi ted Energy/Comm
SUBTOTAL OF ABOVE5Z State Surcharge
3Z Administrative Fee
TOTAL
$ 40.00
s 40.00
s 20.00
s 36.00
DATE:
RECEIVED B
5 CD
-q'ff
Ci l;/ of $pr'i.ngtjimlri
ee5 Fi{th St,r'eel;
$p'r'ingf i.el.d, 0lt '.} f 4"I
''( 503 ) 7eb-3?53
' ; Tr.ansacl;ion nrtrrrber. OflllP0i'
:-.: .:. $ieptsr1har" 17, 1996 Hllf AM
i.,; , Recei.vetd fr.our; ,10ANMF- 1'Hllf4t'IitlN
Contr'act,/0rrn ; FOR 4073 VIRGINIA
, ' Addr'ess: r,8iJ4 A $TREET
City: $FEINGFIELI St: Uft 7-ip: 3i'478
-Brri Iding-
Joh *: 350883
nescr ipt, iq6 Fee
l.li " utl
1.ti " CICI
t5, tlU Uherk
Tlran[l
6ginsipe ct ion F'ee
::'"'.,., TOtaI:
' . ' :r:.': Amt Rer:eivnd:
Chcclt *:' '''.:, :
yur"ty Lisa H.
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