HomeMy WebLinkAboutPermit Building 1996-05-31aTr SPilNGFTEI^O,
SPFINGFIELD
Address: L275 SOUTH 2ND STREET
Describe Work: DUptEX
Cont,ractor
RESIDENTIAII PERMIT APPLICATION
CITY OF SPRINGFTELD
COMUI'NITY SERVICES DIVISION
BUILDING SAFETY
Page l-
ilob Nnmber: 960326
a a
Office:
Inspection Line:
725 -37 59
726 -3759
225 North Fifth Street
Springfield, OR 97477
Location of proposed Work: 4092 VIRGINfA ST 4094Assessors Map #: 19020500Lot: 9 glock:
Owner: TO!! WfRFS
Tax Lot #:
Subdivision:
0310 0
WYATT MEADOWS
oREGON 97477
phone #: 747_9704Citylsrar e / Zip: SpRTNGFIELD,
NEW
Const.
Contract,or #
General:
Plumbing:
Mechanical_:
Electrical:
QUAD AREA: 3RSC
# OF UNrTS: 2
CONSTR. TypE: VN
WATER HEATER: E
SQ FOOTAGE: 3L49
To request
-- oFFrcE USE __
LAND USE: 1,t20
Expiree
06 /L0 / e6
L2 /ts / e6
06 /Lo / e6
04/28/e5
at 726-3769.
Phone
747-8704
895-457 5
747 -8704
687-1851
# OF BLDGS: 1
OCCY cROUp: R3
HEAT SOURCE: WH
TNSIIL PATH: pl_
TOM WrRFS EIflIER oo32g471,275 S 2nd Springfield OR 97477OOOO
BMC MECHANTCAL O1O357O548 W Oregon Ave Creswe1l OR 974260
TOM wrRFS oo32g47L275 S 2nd Springfield OR 97477OoOOBTLLS ELECTRTC 00213513170 W 11th Eugene OR 974O2OOOO
an inspection,
ZONTNG CODE: LDR# OF BDRMS: 4
RANGE: E
call- the 24 hour reco rding
A1J- inspections requested before 7:oo a.m. will be made the same working day,inspections requested after 7:oo a.m. wilr_ be made the folr_owing work day.
FoorrNc _ Afrer rrenches-;;".:::::::"::r"*crroNs ---
FOLTIDATT.N - After forms are erected bu. prior to concrete placemenE.ITNDERFLOOR PLUI{BrNG _ prior to insulation or iecf:_ng.POST AriID BEA!{ - prior to f100r insur-atior:' o. J."tirrg.TNSULATToN - F100r,' prior to decking warr/ce'rrng; prior to coverSTORI! SEWER LINE _ prior to filling trench.SATiIITARY SEWER LfNE _ prior Lo filling trench.WATER LINE - PT,Rouc* pLr,llBrNG l"l.f3. t.': t:::.::.""n .
ROUGH MECHANfCAL _ prior to co,re..ROUGII ELECTRfCAL _ prior to cover.ELECTRICAL SERVfCE _ Must bu
-"pp.orred
to obtainFR.AIIING - Prior to cover '-vvvs uv uuLdLrf permanent power.
;X#ffl-:"r;rl'1"!l'.:;il;.to deckins walr/ceilins; prior ro cover
cuRBCur - After forms arl erected but prior to placement of concrete.t'ot*lr"*r;":::tt excavation is complete, forms ]nd sub-base maLerial
FrNAL pLIrI{BINc _ When all plumbing work is complete.FrNAL T{ECHANTCAL - when ar-r- mechanical ,o-L is'complete.
;illl #ffi|-*L _ when al_l_ elecrrical work is complere.
rhe buildr"r*l3t"3,li.li.nltted lnspections h"re been approved and
SPNINGFIELEl
ilob Number: 95O326
o SPilNGFIELD,
Page 2
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5600
Total- Height: 23
Lot Type: CORNER
SetbacksswE
r_8 5 11
18
Lot Coverage: 35 ?
Setbk From NPL: 37
N
20
ftem
Main
Garage
Tota1 Value
Building Permi-t Fee
Surcharge/Admin
- - - BUIIJDTNG PERMIT '- -
Square Feet x
2355
644
$/Sguare Feet
64.15
]-t.04
Value
151, 151 . 00
7, 1l_0 . 00
].58 ,27L .00
s55.75
45.25
TOTAIJ FEE (A)511.01
SYSTEMS DEVEI,OP}TENT CIIARGE (SDC)
(B) 3,535.91
systems Development charge is d.ue on arr undeveloped properties within the cityl-imits and the citys urban Growth Bound.ry which are being improved.
- -. PLUIIBING PERIIIT - - -ftem
Resident,ial- Bath (s)4
Plumbing permit
Surcharge/Admin
TOTAI, CHARGE
Fee
320.00
320.00
25 .50
(c)34s. 50
--- }TECIIATiIICAL PERMTT ---Exhaust Hood
Vent Fan
Dryer Vent
Mechanical permit.
fssuance
Surcharge/admin
TOTAL PER}ITT
5
(D)
9.00
18.00
6.00
33.00
10.00
2 .64
45 .64
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMTT
PLAN REVTEW FEE
TOTAIJ MISCEI.LAI{EOUS PERMITS
(Excluding Electrical)
unless otherwiee noted
--- MISCEIJLAI.IEOUS PERMITS __-
--- TOTAL AITOI'NT DUE ---
0.00
32.20
16.00
1, 849 . 00
248 .40
367.74
(E)2 ,5L2 .34
(A, B, C, D, and E combined)7, 151.50
SPFIilGFIELE',
$,
Page 3
.fo]: Number: 95O326
Received BY: DON MOORE
Plans Reviewed BY: DON MOORE
Building Site Reviewed By: T']SA HOPPER
--- BUII,DING VALUE,PI,A}I CHECK ATiID BUII.DING PERMIT ---
ThispermitisgrantedontheexpressconditionthattheSaidconstruction
shaI}, in al} respects, conform lo t'he ordinance adopted by the City of
Springfield,inct-uaingtheDevelopmentCode,regu}atingtheConstrucEionand
use of buildings, and may be susplnded or revoked at any time upon violation
of any provisions of said ordinances '
Date: 03/27/96
. - - ADDITIONAT COIIMEMTS '-'
A & T ESTfMATE ONLY, INDIVIDUAL LOTS NOT I'ISTED
rN COUNTY SYSTEM AS OF 3/L2/96
PATH 1 APPROVED FOR 2 BEDROOM DUPLEX ONLY
NO OCCUPANCY UNTII, INFRASTUCTURE ACCEPTED BY THE CITY
NEED A.D.A. RAMP
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I atate and agree, tha t I have carefullY examined
the completed applicatj-on and do her eby certsify that all information hereon
is true and correct, and I further c ertify that any and alf work performed
sha1l 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 that NO OCCUPANCY wil-L 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 inspectsions are requested at the
proper Lime, that each address is readabfe from the sLreet, that the permit
card is focated at the front of the property, and the approved set of plans
wil-l remain on te at all times during construction
5 3t q
ture e
--- VALID.A,TION ---
ReceipL Number:
Date Paid:
Amount Received:
Received By:
5:3t-qu,atql,x
\h
ONEGONOTT OF SPilNGFIELD,
SPFTNGF!ELE'
Name or Company: TOM WIRFS
Location:. 4092 VIRGINIA ST 4094Developement Tlpe: R Building Size:
CITY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESIDE}IITIAL)
Job No. : 96032G
Lot Size
Page 1
Sq Ft.
1. STORId DILATNAGE
fmpervious Sq Ft
2. SA}ITTARY SEWER - CrTY
Number Of pFUs
(see page 2)
2924 X O.2aO per Sq Ft =
32 X 43.43 per pFU =
3. TR.A,TiISPORTATION
Number Of Units
2X Trip Rate
1.010 x
Cost per Trip437.93 =
$514.04
$1, 389 . 76
s884 .62
$610. oo
$34.70
$s7s.3o
s3 ,453 .72
$173.19
x x
$884 .62
Transportation Total
4. SA}ITTARY SEI{ER - MT{MCNumber Of pFUs
32
MWMC CREDfT If Applicable
TOTAL - MWMC SDC
x
Per pFU +18.750 +
MWMC Admin Fee
10.00
(see Page 2)
SI'BTOTAL (Add Iteme 1, 2, 3 & 4)
5. AD}ITNIST&A,TrVE FEESBase Charge (Subtotal Above) x 0.50
TOTAI. SDC
Reviewed By: TROY MCATLISTER Date: B/L3/96
$3,535.90
SPRTItlGFTELE,
Job Number: 960325
Page 2
FIXTIIRE I,NIT CALCULATION TABLE
cffr
Number of
New Fixture
Unit
Equivalent
Fixture
UNlESFixture T)4)e
Bathtub
Drinking Fountain
Floor Drain
rnterceptors For Grease/oi1/SoIids/Btc
Inteceptors For Sand/Auto wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigeratot/Water Station/etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal , Stall-/WaI1
Wash Bas j-nf LavaLorY, 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 calcul-ated separately
(calculations are by $1ooo)
Year Annexed: L969
Credit For Parcel Or Land Only If Applicable: 10,000 X 3.47 = 34.70
Improvement (if aft,er annexation date): 0 X 3.47 = O.OO
CREDIT TOTAL = $34.70
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
a
1
2
3
6
a
6
1
3
2
a
z
1
6
4
)
0
0
0
)
0
0
0
0
0
a
0
4
0
4
0
4
0
0
0
0
4
0
0
0
0
o
4
0
4
0
r_6
0
INSPECTION REQUEST: 726-3769
OFPICE: 726-3759
1
I^EGAL DESCRIPTION
roN
Permi ts are on-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
BILL'S ELECTRIC
3170W11THAVE
EUGENE OR97402
SUPERVISOR LIC. #9805
EXP. DATE 10/30/95
ccB #21351
EXP. DATE 4I2BI95
Expiration Date
ture of Supe trician
SPRINGFlELO
as submitted hss thereqepeclfic land
ELECTRTCAL PERHIT APPLICATION
b Number
3. COHPI^ETE FEE SCEEDTILE BELOII
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
iontng, andapproval.not Qfr
225 FrFTE STREET j
SPRINGFTELD, OREGON 97477 .
U
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
1000 sq.ft. or less
Each addi.tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _60L amps tori.000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
E Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/Out1ine Lightine_ S
Limited Energy/Res $
Limited Energy/Comm S
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Admi.nistrative Fee
TOTAL
200 amps"or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ go.oo'
-Over 600 amps or 1OOO voTts see ttgtt .ffir"
4
4
s 8s.00
s 15.00
s 40.00
s s0.00
$ 60.00
$100.00
s130.00
$300.00
s 40.00
Sum
110b
C
Ovners Name
Address\A\B hoJnd
citv kJJ-QN Phone
,**\&-*r-ArroN
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.0O
not included)
40.00
40.00
20.00
DATE:
BRECETVET)
5 CD
2. CONTRACTOR INSTALI..ATTON ONLY
+
WillamalaneFai[& n-ecreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
$
1
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address
Plat Name:
ype definitions are on the
A. Single-Family Detached
Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS A X $924 per unit
C. Multi-Familv Aoartment
NO. OF UNITS X $692 per unit
PHONE:
Manufactured home not in a Park
X $'1,000 per unit = $
gt Tax Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
$
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit $
2. SDC CBEDIT (if applicable) SDO-payer must lurnish proof of
\Mllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
Od
Development Se
City of Springfield
Department
$
0tuil32(r
g
DO
gc
.oc
Date
t-rl
:;PAINGFIELD
BACKFLOV PREVENTION DEVICE PERMIT APPLICATION
CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISION
%
225 FIFTH STREET
SPRINGFTELD OR 97477
0FFICE: 726-3759
INSPBCTION LINE: 726-3769
JOB LOCATION:
ASsEssoRs MAp ll , I g 0 ) O\rco 3 tao TAX LOT *:
OVNER:e
LDdADDRBSS:
CTTY:; {JU.STATE:
pHoNE *21 41 -87orl
ZTP:
BACKFLOU PERMTT rs $15'00 + $.75 (srATE suRcHARGE) + $.45 (ADMrN. FEE) = S16.20
' lC llJ \OR l,*pO SWPCONTfu\CTOR
ADDRESS:1ro Lht{e Dr'
CTTY:U
CONSTRUCTION CONTRACTORS REGISTRATION *:
PHONB #:.07 z
a--,ZIP: [ //
EXPIRES:
2
STATE: O/€
?t
BY SIGNI.
BACKFLOV
(726-37 6
CORRECT.
NG THIS PERMIT/AP|Li9{T-I9N' I AGRBB TO CALL FOR AN INSpECTT9N oNcE TrrBPREVENTION DEVICE HAS BEEN ir'riiAr,-r,NO AIIO-iS'iiSrrIN FOR INSPECTION9) ' r ALS. srArE runr aii rll'n6nunrror,r oll iuri-innurr/ApplrcATroN rs
-Lz-?7
FOR OFFICE USE
DATE OF APPLICATTON:
RECEIPT {}:2S TSSUED BY:
TO?AL AMOUNT COLLECTED:
)2
o
JOB {[:
cl
Cir;y of SPr'ingfielct
eeS Fifth st,r.eet,
9p,r'i ngf i el d r 0R 37 477
(503 ) 7et-3753
-Er.ri iding-
- Tr'ansact ion nrJmber' Oae85t
A,-tgus't 14r 199b Br?u AM
Received fr'onr: T0i'1 l'IIHFS ENTERFRISE'5: in
ioit."u"t.f0rrn : FOR 409e ANIr 34 UIF:G:t'lIA
Addr'ess: tE?S S eNn 5T
City: SPFLD St'r CIR 7-iP: 974?7
.lotr *: 360326
Irescr'ipt ion
F:ein:.pect, ion Fee
Tot, a1 I
Anrt, ReceivEd:
Chectr *:
Fee
i5.00
i5.0CI
i5 . [0 Checli
eSaa
)
Thantl Yorl 7 Lorne F'
4'
)
.!1 -
[4ar- 12 -97 04:25P lrlor^ ier Eng ineeri ng
MORTIER
ENGINEERING, P.C.
PO. BO{ lag 3 12{.5 PEARL STHEET
EUGEHE. OREBOH tr/440
PHOiIE (S4ll 184{000. FAX [5t1] {a{-€Bss
,.
Onren 6rover, P.E.
OLC/bjr
STRUCruRAL
EUILOING DE$IGN T FIRE PROTEGTIOT{
CODE CONSULTAT.IT O PI.A}.J CTIEChNG
COHSTRUCTIOhI INSPECNON
(' 1)4814-6E}5s P. (]2
August 20, 1996
CozT Hotrres
1275 S.2rd Strwt
Springfield, QR9'1477
RE: 4092 A,4094 Virgida Strcct, Striryfiel4 OR.- Epory Anclror Spccifll ImDecrior
w o #9280-RDR
As requested, a special inspection of the Rswl Foil-Fast Epoxy lnjection Gel rdhesive ancfuor
insmll*ionwfl$ptrlbrmed ofl August 20, 1996. The incfrllation was pcrformcd in compliance with
the manufacturcde instruction+ and ICBO Roport #4514. Four l/2" dierneter threidod rods weme
inst ll€d in 5/8' holes a mhimum of 4 112" into furndntion. See attached shcct for rpproximate
Iocstions.
I hope yur find this report adcquate for your purpoB€o at thir tinrc. Plearc mnftHt nrc ifyou have
fi.rrthsr qusstiorr$. Thnnk you for this opportunity to be of rervicc.
Very truly youra,a
I
a
A
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1", l- r,lir [-lulr
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Mar-LZ.-97 ()4;2.5P Mor*ier Engineering (--l)4E}4-6E}59 P.03
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12*5 PEAFL ST, r EUGENE.oBEGON STtt'ol TEtj (503) 484-9080
f gr5t1.