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Home My WebLink AboutPermit Building 1997-07-18SPNIilGFIELEl 225 North Fifth Street Springfield, OR 97477 o RESIDENTIAI, PERMTT APPLICATION CITY OF SPRINGFIELD COMMI'NTTY SERVICES DTVISTON BUIIJDING SAFETY a o Of f i-ce : Inspectsion Line: Page 1 .fob Number: 970855 726 -37 59 726 -37 69 Location of Proposed Work: 4101 VIRGINIA ST 4103 Assessors Uap #z L7023233 Tax Lot #:Lot: 26 Block: Subdivision: 10100 I,I.YATT 2 SPilNGFIEID, Owner: KEYS HOMES Address: PO BOX 25083 Describe Work: DUPLEX Phone #: 503-292-5578 ciEy/state/zLp: poRTLAND, OREGON 97225 NEW General: Electrical: Contractor KEYS HOMES 0094105 7185 SW Sharon Portland OR 97225000 FAR NORTH ELECT O1OO894 155 B Ave Ste 330 Lake Oswego OR 97 ConEt. Contractor #Expires oe /2e / e7 06 /2e / e8 Phone 292 - 557 I 636 -4115 QUAD AREA: 3RSC # OF UNITS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 3396 -- OFFICB USE -- LAND USE:. 1-L20 ZONING CODE: MDR # OF BDRMS: 6 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 To request an inepecEion, caII the 24 hour recording aL 725-3759. A11 inspections reguested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTTONS --- FOOTING - After trenches are excavated. FOITIIDATfON - After forms are erected but, prior to concrete placement.. TNDERFIJOOR PLITIIBING - Prior to insulation or decking. POST A}iID BEAITI - Prior Eo f loor insuLation or decking. INSITIJATION - F1oor,. prior to decking Wa1l/Ceiling; Prior to cover SANITARY SEWER LINE - Prior to fill-ing Erench. STORIII SEWER LINE - Prior to fill-ing trench. WATER LINE - Prior to filling trench. ROUGH PLI,}IBING - Prior Lo cover. ROUGH MECIIAIiIICAL - Prior to cover. ROUGH ELECTRfCAL - Prior Lo cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SIIEAR WALL NAILING - Before covering sheathing with finish materials. FRNIING - Prior to cover. INSULATION - FLoor; prior to decking Wa1l/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erecEed but prior to placement of concrete. SIDEWAIJK - After excavation is completse, forms and sub-base material in place. FINAL PLITMBING - When all plumbing work is complete. FINA.L MECIIANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all reguired inspect,ions have been approved and the buiLding is complete. Total Height: 26 Setbk From NPL: 18 Solar Approved: Y 3PF!l|.GF!ELE, ,h, Job Number: 970855 SPruNGFTEA,a Page 2 Lot Type: CORNER House Garage Setbackssw 31 10 N 23 18 E 5 Item Main Garage TotaL Value Building Permit, Fee Surcharge/Admin TOTAIJ FEE --- BUII.DING PER}IIT --- Sguare Feet x 2940 400 $/Sguare Feet 54 -66 L6.27 (A) Value 190, 100 . 00 5, 509 . 00 L95, 608 . 00 65l..25 52.1A 703 .3s --- SYSTEMS DEVELOP}IENT CEARGE (SDC) (B) 3,833.74 Systems Development Charge is due on all undeveloped propert,ies within the Citylimits and the citys urban Growth Boundry which are being improved. --- PLU}IBING PERMTT --- Item Residential Bath(s)4 Plumbing PermiE Surcharge/Admin TOTAI, CITARGE (c) Fee 320.00 320.00 25 .60 345.50 .-- DIECTIAI{ICAL PER}IIT --- Exhaust Hood Vent Fan Dryer Vent. Mechanical Permit. Issuance Surcharge/Admin TOTAI. PERMIT 4 9.00 1,2 . O0 5.00 (D) 27.00 10.00 2.L6 39. 15 .-- MTSCELLAI{EOUS PER}IITS .-- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE EI,ECTRICAL PERM]T WTLLAMALANE SDC TOTAL }IISCELLAI{EOUS PERMITS 0.00 32 .95 15.40 50.00 248 .40 l-, 848 . 00 (E)2,204,75 (Excluding Electrical) unless otherwiee noted --- TOTAL AI}fOI'NT DUE --- (A, B, C, D, and E conbined)7 ,L26.50 gPFTNGFIELEl .fob Number: 970855 a a t Page 3 --- BUII.DING VALUE, PLAAI CHECK AI.ID BUILDING PERMIT --- This permit is granted on the express condit.ion UhaU Ehe said construcEion sha1I, in al-I respects, conform to the Ordinance adoptsed by the City of Springfield, including the Development Code, regulating the const,rucEion and use of buildings, and may be suspended or revoked at any time upon violat,ion of any provisions of said ordinances. Received By: Plans Reviewed By: BOB BARNHART Building Site Reviewed By: LISA HOPPER Date: O7 /L5/97 --- ADDITIONAL COMMEIflTS --- A & T ESTIMATE ONLY FOR SDC CREDIT PI'RPOSES DRIVEWAY REQUIRED TO BE PAVED 4 STREET TREES REQUIRED By eignature, I Etate and agree, that I have carefully examined the completed application and do hereby certify thaE all information hereon is true and correct, and I further certify that any and al-l work performed shall be done in accordance with Ehe Ordinances of the Cit,y of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and t,haE NO OCCUPANCY will- be made of any sLrucLure without permission of the Community Services Division, Building Safety. I further certify thaE only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I further agree Lo ensure E all required inspections are reguested at the s is readable from the street, that the permit of the property, and the approved set of plans 1 t,imes during construction.will remain on the s a1 proper time, thaE each card is located at the v s ture Receipt Number: Datse Paid: Amount Recei-ved: Received By: --- VALIDATION --- Date N .,:g SPFlINGFI€L() EI^ECIRICAL PERHIT LICATION 225 FIVtg, STREET SPRTNGFTELD, OREGON 97 477 Permits are non-transferable if vork is not started vithi INSPECTION REQUESTz 726-3769 OFPICE: 726-3759 1 F INSTAI.LATTON lre n1 days of issuance or if vork is suspended for 180 days. 2. COT{TRA TOR INSTALI,ATION ONLI Electrical Contractor Addres Ci ty.Phone Supervisor License Number 3144S ExP iration Date Constr Contr. Number o\r3c{ Expiration Date 4.rr q( Supervising Electrician Ovners Name Add ci Phone OgNER TNSTALI.,ATION t, The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE City Job'Nunbe 3. COHPI^ETE FEE SCffiDUIJ BELOV A. Nev Residential-Single or Mu1ti-FamilY Per dvelling unit' Service Included: eturo.0( 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home- or Modular 'DveIIing Service or Feeder I tems Cos t $ 8s.00 $ 1s.00 $ 40.00 Sum "* t .8. c. D Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 5q'99 ior "ri,r to 4oo amps - q-q9'99 aor "ri" to.600 amPs - $199'99 601 amiis to' 1000 amPs- $119'99over rboo amps/vorta - $3oo'oo' TemporarY Services or Feeders Insiallaiion, Alteration or Relocation 10_2oo amps'"or less j- I 19'ooior "rp" to 400 amps - q :l'ooover 4b1 to 600 amps - $ 80.00 Over 600 amps or fOOOlilfs see nBn Branch Circuits Nev, Alteration or Extension Per Panel g::rti::ll'o""r $ 3s'oo . Circuit or vith Service or Feeder Permit - $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res Limited EnergY/Comm. 5. SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL s 40.00 $ 40.00 $ 20.00 s 35.00 DDAETITtrN 00 SPRIIi.GFIELD a a a Page 1 CTTY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE (RESIDENTIAL) Name or Company: KEYS HOMES Location: 4101 VIRGINTA ST 4103 Developement Tlpe: R Buitding Size Job No. : 970855 Lot Size:Sq Ft 1. STORId DRAINEGE Impervj-ous Sq Ft 2. SAI{ITARY SEWER - CITY Number Of PFUS (see Page 2) 3. TRJAI{SPORTATION Number Of Units2x x Transportation Total 4. SA}iIITARY SEWER - MIMC Number Of PFUs 32 X 0.226 Per Sq Ft = X 45.86 Per PFU = x Cost Per Trip 472 .49 2554 32 Trip Rate 1.0r_0 x s9s4 - 43 $s77 .20 #1,,499.s2 $9s4 .43 $672 . 08 $52.0s $520.03 $3, 551.18 $182 . s5 x x Per PFU + 20.590 + MIaMC Admin Fee 10.00 MI^MC CREDIT If Applicable (see Page 2) TOTAL - MI^MC SDC SIIBTOTAL - (Add Iteme 1, 2, 3 & 4) 5. ADMINISTR.A,TIVE FEES Base Charge (Subtotal- Above) x 0.50 TOTAI, SDC Reviewed By: DENNIS ERNST Date: o7 / og / 97 $3, 833.74 SPF!NGFTELD Job Number: 970855 a FIXTURE I'NIT CALCUTATION TABLE a Page 2 Fixture Tlpe Number of New Fixture Unit Equivalent Fixture Units Bathtub Drinking Fountain Floor Drain Interceptors For crease/Oi1/Solids/ftc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 OrMore Receptor For Refrigerator/Water Station/ftc Receptor for Commercial- Sink/Dishwasher,/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial, Residential Kitchen UrinaL, Sta11/Wa11 Wash Basin/LavaLory, Single Water Closet, Public Installation Water Cl-oset, Private Miscellaneous TOTAL FIXTURE UNITS =36 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately.(calculations are by $t-ooo) Year Annexed: 1-969 Credit For Parcel or Land Only If Applicable: l-5,ooo x 3.47 = 52.05 Improvement (if after annexation date): 0 X 3.47 = O.OO CREDIT TOTAL = $52.05 (If land val-ue is multiplied by 1 then the parcel/1and credit, is not accurate.) a 1 a 3 6 n 6 1 3 2 l_ 6 4 4 0 0 0 0 a 0 0 U 0 0 0 4 0 4 0 8 0 0 n 0 4 0 0 0 0 0 4 0 4 0 L6 0 a $Willamalane Park & Recreation District City of Springfield Job- No. NAME: ADDRESS LOCATION OF PROPOSED BUILDING Street Address: Plat Name: 1 WILLAMALANE SDC 2. SDC CREDIT (il applicable) SDC-payer must lurnish proof of Willamalane Credit approval. See SDC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced lor Credit) SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: STATE: $ IP: Tax Lot mber: (Check appropriate dwelling(s). SDC calculations and dwelling t ype delinitions are on the back.) : A. Single-Family Detached Single Family home Manufactured home not in a park NO. OF UNITS X $1,000 per Uflit = $ B. Single-Family Attached NO. OF UNITS n()J X $924 per unit = $t(4{.d C. Multi-Family Apartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park NO. OF UNITS X $699 per unit $ d) $ $l\(A8P Llf_,9 Date (. \-1DNAIM$ \D\O^ t :t SPIIING]:IELO BACKFLOW PRDVBNTION DBVICB PBRMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DTVISION 225 FIFTH STREET SPRINGFIELD OR 97477 OITFICE: INSPECTION LINE: 'a ,.1. ,',S 726-3759 726-37 69 \tJOB LOCATION: ASSESSORS MAP I[:\\ OUNER: ADDRESS: CITY: BACI(F101{ PIRMIT IS $15.00 + $.ZS 1 TAX LOT II:Io'r oo L, C, le PHONB II L. 5fl ZIP: .45 (ADMIN. rrEE) = 516.20 CONTRACTOR ,20 a- ADDRESS:,2r>{01 3 b/-2- Sge) v722{CITY:/1o STATE:Cr< STATE TIIAT ALL INFORMATION ON TIIIS PERMIT/A fl iffi'#i u/rtu") ZIP: CONSTRUCTION CONTRACTORS REGISTRATION I}:EXPIRES: BY SIGNING TI'IIS PERMIT/APPLICATIoN, I AGREE T0 CALL FoR AN INSPECTIoN oNCE TirE DACKFLOV PREVENTION DEVICE IIAS DBBN INSTALLED AND IS VISIBLB TOR INSPECTION (726-37 6 CORRECT. e). FOR OFI;TCE USE DATE OF APPLICATION: RECEIPT II: TOTAL AHOUNT COLLBCTED: ISSUED DY: JOB I[:Qlc,rsr lr 225 FI,YTE STREET SPRINGFIELD, oREGoN 97477^l INSPECTION REQUEST. 726-3769 OFPICE. 726-3759 1 TI JOB uthorized Signature M nsferable and exPire ted vithin 180 days .B c ELECIRICAL PERHIT -.__-CftY*Job Nunbe COHPT,ETE FEE SCEEDUIJ BELOII Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included: ng projoet as submilte<J l-re the fozoninA, ar;d does not require sp".+i;,c Lndapproval. Zonin SPrlINGFIEL() 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home- or Modular 'DveIIing Sertice or Feeder 3 A I tems Cos t $ 8s.oo s 2.oo 40.00 80.00 ee rrB. a56F Sum A'ND \oPermits are non-tra if vork is not star of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALI.,ATTON ONLY Electrical Contractor Address \) ci Phone Supervisor License Number 31q4S Expiration Date .\.q8 Constr Contr. Number o\r30{t Expiration Date 4.rr qR si ing trician 0wners Name Address Ci Phone s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/volts - Reconnect OnIY Temporary Services or Feeders Insiallaiion, Alteration or Relocation 200 amps''or less 201 amps to 400 amPs - Over 401 to 600 amPs over 600 amps or fOOOTorfs s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 $ $ s s $ 40.00 s 40.00 $ 20.00 s 36.00 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for saIe, Iease or rent. Ovners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 E Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utline Lighting- Limited Energy/Res SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 51 RECEIVED B 5 o