HomeMy WebLinkAboutPermit Building 1996-02-20SPF!NGFIELO
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
ilob Number: 950879
225 North Fifth Street
Springfield, OR 9'7477
Location of Propoaed Work: 4088 VIRGINIA ST
Assessors Uap #: l-8020500
Lot: 8 Bfock:
Office:
lnspection Line:
725 -37 s9
726 -37 69
Tax Lot #: 03100
Subdivision: WYATT
CITY OF SPilNGFIEIT', ONEGON
Owner: COZY HOUES
AddrESS: A275 SOUTH 2ND STREET
Phone #: 747-8704
city/sLate/ztp: SPRTNGFTELD, OREGON 9'1477
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical
Electrica]
ContracEor
T WrRFS 0032947
L275 S 2nd Springfield OR 974770000
BMC MECHANICAL 0].03570
548 W Oregon Ave CresweLl OR 974250
MARSHALLS OO2579O
4l-31 E St, Springfield OR 974780000
BILLS ELECTRIC 0021351
3170 W 11th Eugene OR 974O2OO0O
Const.
ConEractor #Expires
06 /Lo / e5
1-2 /ts / e6
L2 /23 / e5
04/28/e6
Phone
747 -8704
632 - 47 65
7 47 -7 445
587-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: l-515
- - oFl'rcE usE - -
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOI,RCE: WH
INSIIL PATH: SGC
To requeat an inspection, calL the 24 ho:ur recording at 726-3759.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections req1rested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECIIAIiIICAL - Prior to insul-ation or decking.
POST AIID BEAII - Prior to fl-oor insulation or decking.
INSULATION - Ffoor; prior to decking wall/ceiling; Prior to cover
SAIIITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior Eo cover'
ROUGH IIECIIAIiIICAL - Prior to cover.
ROUGH GAS - after line is installed and capped if not attached to an
appli-ance
cAS SERVICE - After line is installed and fine has been connected to a
minimum of one appliance. Pressure test done at this point.
ROUGH ELECTRICAL - Prior to cover.
FRAMING - Prior to cover.
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
DRYYIIALL - Prior to t,aping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FINAL GAS - When all gas work is complete.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is eomplete, forms and sub-base material
in place.
SPFINGFIELD
.Iob Number : 95087 9
CITY OF SPruNGFIELD, ONEGON
Page 2
FINAL PLITMBING - When aII plumbing work is complete.
FINAL MECIIAT{ICAL - When alL mechanical work is compleLe.
FINAL ELECTRICAT - When aII electrical work is complete.
FINAT BUILDING - When all reguired inspections have been approved and
the buiLding is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5432
Total Height,: 24
Lot Type: INTERIOR
Lot Coverage: 23 Z
Setbk From NPL: 43
Lot Type: coRNER
N
28
Setbacks
SW
t4
18
E
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUII,DING PERMIT ---
Square Feet x
l_336
520
$/Square Feet
56 .4
L4.1,
(A)
VaIue
75, 350.00
7 ,332.00
82 ,682 . OO
382.00
30.56
4L2.56
--- SYSTEMS DEVELOPITENT CITARGE (SDC)
(B)2 , 48L.43
Systems Development Charge is due on alt undeveloped properties within the City
l-imiEs and the Citys Urban Growth Boundry which are being improved.
PLI'MBING PERMIT ---
Fee
a92 .503
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI, CIIARGE (c)
L92 .50
15.41-
207.9L
--- IIECHAIiIICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical- Permit
Issuance
Surcharge/admin
TOTAL PER}TIT
3
5.00
4.50
9.00
3.00
(D)
22 .50
10.00
1.81
34.31
- - - MISCEI.I.ANEOUS PERUITS
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE
ELECTRICAL PERMIT
PLAN REVIEW
0.00
)1 ,q
14.80
400.00
L24.20
80.00
TOTAL UISCELLAI'IEOUS PERMITS (E)640.25
on D CITY OF SPruNGFIEA, ONEGON
.Iob Nunber: 950879 Page 3
(Excluding Electrical)
unlegg otherwise noted
--- TOTAT A}TOI'NT DUE ---
(A, B, C, D, and E combined)3,776.46
--- BUITDING VALI'E, PLA}iI EHECK A}ID BUILDING PERUIT ---
This permit is granted on the express condition that the said construction
shaII, in all respects, conform to the Ordinance adopted by Ehe 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: DUANE HUSSEY
Building Site Reviewed By: LISA HOPPER
Date: 02/t5/96
--. ADDITIONAL COIIUENTS ---
A & T ESTIMATE ONLY. NOT LISTED IN A & T
NO FINAL OCCUPAI{CY I'NTIL INFRASTRUCTURE IS APPROVED BY CITY
NO SA}IITARY HOOKUP UNTIL SEWER APPROVED BY CITY
SEWER LOCATION BY PRIVATE ENGINEER
DRIVEWAY REQUIRED TO BE PAVED
4 STREET TREES REQUIRED
By signature, I state 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
shall be done in accordance with the Ordinances of Lhe City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will- be made of any structure wit,hout permission of the
Community Services Division, Building Safety. I further certify that only
coneractors and employees who are in compliance with ORS 701.055 wiLl be
used on this project.
I further agree to ensure EhaE all reguired inspecLions are requested at the
proper time, that each address is readable from the street, that the permit
card is locaEed at the front of the property, and the approved set of plans
will remain on the siLe at all times during construction.,6
J ture Date
oN ---
Receipt Number:
Date Paid:
funount Received:
Received By:
OFCETSPRINGFIELD
%,
Page 1
CITY OF SPRINGFIETD SYSTEMS DEVETOPUENT CIIARGE
(RESIDENTIAL)
Name or Company: COZY HOMES
LocaLioN: 4088 VIRGINIA ST
Developement Tlpe: R Building Size:
.Tob No.: 950879
Lot Size:Sq Ft
1. STORM DR.AINAGE
Impervious Sq Ft
3. TR.AI{SPORTATION
Number Of Units
1X
23
Trip Rate
1.010 x
x 0.210 Per Sq Ft
x 43.43 Per PFU =
x Cost Per Trip
437.93
aala
$442.3L
$498 -12
$998.89
$442 .31-
i44L.2s
$17.30
$423 -9s
$2,363.27
$118.15
x
Transportation Total
4. SAI{ITARY SEWER
Number Of PFUs
23
MWMC
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL (Add Items 1, 2, 3 & 4)
x
x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
5. ADMINISTR,ATIVE FEES
Base Charge (Subtotal Above)x 0.50
TOTAL SDC
Reviewed By: KIP BURDICK Date: O7 /07 /95
$2 ,48L.43
2. SA}iIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
SPR!NGFIELE,
.Tob Number: 950879 Page 2
FIXTURE I'NIT CALCULATION TABLE
CITY OF SPilNGFIEIT', ONEGON
Number of
New Fixture
Unit
Equivalent
Fixture
UnitsFixture Type
Bathtub
Drinking Fountain
Floor Drain
Tnterceptors For Grease/Oi1/Solids/Btc
fnteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
RecepLor For Refrigerator/Water Station/ntc
Receptor for Commercial- Sink/Dishwasher/Etc
Shower, Single SEalL
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal , Sta1l/Wa11
Wash Basin/Lavatory, Single
Water Cl-oset, PubIic Installation
Water Closet, PrivaLe
Mi-scellaneous
TOTAL FIXTURE UNITS =23
CREDIT CALCULATfON TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calculated separaLely
(cafculaEions are by $1000)
Year Annexed: 1950
credit For Parcel or Land only rf Applicable: 5,ooo x 3-46 = 17.30
fmprovement (if after annexation date): 0 X 3.4G = O.OO
CREDIT TOTAL = 917.30
(If land value is mutt.iplied by l then t,he parceL/land credit is not accurate.)
)
1
2
3
6
)
5
1
3
1
a
2
1
6
)
0
U
0
0
1
0
0
0
0
0
1
0
3
0
3
0
4
0
0
0
0
a
0
0
0
0
0
)
0
3
0
L2
0
-Iaa
SP" .'TGFIELE)
225 FIFTE STREET
iprrNcmEl.D, oREGoN 97477
INSPECTION REQIIEST:. 726-37
OFFICE: 726-3759
L),3:8
q
the OA,
EI^ECTRTCAL PERHIT
Nurnber
1 OP
ON
Permi ts non-transferable and exPire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
A- Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:Items Cost
FEE SCBEDIIT^E BELOV
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
Services or Feeders
Ins tallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps tor1000 amps_
Over 1000 amps/vo1ts
Reconnect Only
3.
B
Sum
2.
E1
Ad
Ci
Su
CONTRACTOR INSTALLATION OT{LY
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR 97402
SUPERVISOR LIC. #98OS
$ 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
$100.00
$130. 00
$300.00
$ 40.00
sy EXp. DATE lOt3otfuzrl
ccB #21351 |
co EXp. DATE 4t2Bt9$Q
Expiration Date
C Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supe cI'arnA
Ovners
Addre
Ci ty Phone
OIJNER ON
The instal]ation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE:
$ 40.00
s ss.00
over 401 to 600 amps
-
S 80.00
0ver 600 amps or 1000-v-ofTs see rrgrr
"f,orl-
D. Branch Circuits
Nev, Alteration or Extension per panel
One Circuit $ 35.00
Each Additiona]Circuit or vith Serviceor Feeder Permit S 2.Og
Miscell-aneous (Service/feeder not in;luded)
-Each ins tal-1a t ion
Pump or irrigation g 40.00Sign/0ut1ine Lighting- S 40.00Limited Energy/Res
-
$ 20.00
Limi ted Energy/Conm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
200 amps''or less I201 amps to 400 amps
E
RECETVED B
5
It
5}. ,NGFTELO
0h
225 FIFTE STREET
SPKTNGFTELD, OREGON 97477
INSPECf,ION REQUEST: 726-
OFPI 37
1
ON
2.
Elec
COiTIRACTOR INSTALLATTON OIILY
Addr,
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR97402
Ci ty
Suoe:. SUPERVISOR LIC. #9BOS
Expir EXP.-DATE 1O/30/9t
ccB #21351
cons 1 EXp. DATE 4lz,lgb
Expiration Date
of Su Electri ;rn
Ovners Name
Address
Ci ty Phone
The instaLlation is being made onproperty I ovn vhich is not intendedfor sa1e, Iease or rent.
0vners Signature:
DATE:
ELECTRICAL PERHIT APPLICATION
City Job Nunber
3 COHPI^ETE FEE SCHEDUI^E BELOV
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
Items Cos t
( s Bs.oo1000 sq.ft. or less
Each addi tional 500sq. ft or portion
thereof
Each Manuf,d Home. or
Modular Dvelling
Service or Feeder
A
g
Sum
6s
dLPermits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
4 s 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
00
00
00
00
B. Services or Feeders
Ins tallation, Alterationsor Relocation:
200 amps or l-ess
20L amps to 400 amps
-
401 amps to 600 amps --60L amps to,1000 amps-
Over 1000 amps/volts
-
Reconnect 0n1y
C- Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less g 40.00
20L amps to 400 amps
-
S 55.00over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000-volTs see t'B" a6ove
D Branch Circui ts
Nev, Alteration or Extension per panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Serviceor Feeder Permit S Z.0O
E Miscellaneous (Service/feeder not included)
-Each instaflation
Pump or irrigation SSign/0utIine Lighting- SLimited Energy/Res
-
SLimited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
40.
40.
20.
36.
5
\
BRECETVED
00
,
PHONE:
lob No.
Willamalane
Park & Recreation District
SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME
'*OR=,r 41411ADDRESS:
LOCATION OF FROPOSED BUll F)lNta ctrr-
Streā¬t Address if Known:\CTP,\\G-,
Platt Name:
1
Tax Lot Numbec
ffiJr*appropriatedwelling(s).SDCCalculationsanddwettin8type
A. Single Family - Detached
+ single Famity home Manufactured home not in a park
NO OF UNITS
B. Single Family - Attached
NO OF UNITS
C. Multi-FamilyApartment
NO OF UNTTS X 5277 pER UNIT =
D. Manufactured Home park
NO OF UNTTS X $2SO pER UNIT =
WPRD SDC
2- sDc cREDrr (rf_appricabre) sDC-payer must furnish proof of WpRD creditapproval. S* SDC Credi t Wortcsh'ret.
3. TorAL WPRD NET sDc AssEssED (rf sDc reduced for credi0
I X $400 PER UNIT -=..
a.'
X $370 PER UNIT =
f,)d)
0
d
$
'$
$
$
$
/-^^a^.,,^;.\, q^.r [-lir ricinn l-)ata
$
OD
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- Fieceivul .l''o-n': ?tlt -1t11t-0BB
'IRGINIA
W:il _lffi?,*f--
;ili-:,'ffili p, si, +rz
-Brtilding-
qo*f14
rob *: o qUDlhO
Descr'iPt' ion
ReinsPection Fee
ReinsPect'ion Fee
TohaI:
Anrt Reeeived:
Checlt *:
Thank Yctt"t 1 Lisa H'
Fee
30.00
30.00 Check
t5
r5
00
00
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