HomeMy WebLinkAboutPermit Building 1997-05-09a
RESIDEMTIAL PER}IIT APPLICATION
CITY OF SPRINGFIEI.D
COMMI'NITY SERVICES DTVISTON
BUTLDING SAFETY
a
Office:
Inspecti-on Line:
Page 1
Job Nr:rnber: 97 062L
726 -37 59
726 -37 59
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 4109 VIRGINIA AVE
Assessors lutap #t ]-7023233
Lot: 28 BLock:
Tax Lot #: 09900
Subdivision: WYATT MEADOWS 2
SPruNGFIEID,
Owner: COZY HOMES
AddrCSS:. 1.275 SOUTH 2ND STREET
Phone #: 747-8704
City/State/Zrp: SPRINGFTELD, OREGON 9747i
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
MechanicaL
Electrical
Contractor
cozY HoMEs 0032947
L275 S 2nd Springfield OR 974770000
BMC MECHANICAL O1O357O
548 I^I Oregon Ave Creswell OR 974260
MARSTALLS 0025790
4l-31- E St Springfiel-d OR 974780000
BILLS ELECTRIC OO2]-351
3l-70 W 11Eh Eugene OR 974020000
Const.
Contractor #Expires
06 /ro / e7
t2 /Ls / e7
1.2 /23 / e7
04/28/e8
Phone
747-8704
895 - 4s7 s
7 47 -7 445
687-1851
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: SGC
-- OFFICE USE --
LAND USE: 1111-
ZONING CODE: MDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 1820
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To reque6t, an inepection, call- the 24 hour recording aL 726-3769.
A11 inspecLions requested before 7:00 a.m. will be made the same working day,
inspect.ions requested after 7:00 a.m. will be made the foll-owing work day.
--- REQUIRED TNSPECTTONS ---
TE}TPORARY POWER
FOOTING - AfLer trenches are excavated.
FOITNDATION - After forms are erecLed buts prior to concrete placement
POST AI{D BEAI{ - Prior to floor insulation or decking.
TNDERFLOOR PIJITMBING - Prior to insulation or decking.
ITNDERFLOOR MECIIATiIICAL - Prior Eo insulation or decking.
ROUGH GAS - after line is inst,alled and capped if not attached to an
appliance
SNiIITARY SEWER LINE - Prior to fill-ing trench.
STORM SEWER LINE - Prior Eo filling trench.
WATER IJINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
UNDERFLOOR MECIIAI{ICAL - Prior t,o insulaLion or decking.
FRAMfNG - Prior Eo cover.
INSULATION - Floor; prior Lo decking wa11/Ceiling; Prior to cover
DRYWALL - Prior to taping
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPRINGFIELD
,Job Number: 97052L
a SPruNGFIEIT',a
Page 2
CURBCUT - After forms are erected but prior to placement of concret,e.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIIANfCAL - When aLl- mechanical work is complete.
FINAL ELECTRICAL - When all electrical work j_s complete.
FINAL GAS - When a1l- gas work is complete.
FINAL BUTLDTNG - when arl required inspections have been approved and
the building is compIetse.
Lot Faees: N
Solar Approved: Y
House
Garage
Total Height: l-9
Lot Type: INTERIOR
SeEbacksswE
28105
Setbk From NPL: 50
N
18
Item
Main
Garage
Total Value
Building Permit, Fee
Surcharge/eamin
--- BUILDING PERMIT ---
Square Feet x
14 00
429
$/Square Feet
64 .56
L6.27
Value
9O ,524 . OO
5, 980.00
97 ,504.00
427.00
34.L5
TOTAL FEE (A)46L.L6
--- SYSTEDIS DEVELOPMEIUT CTTARGE (SDC)
(B) 2,382.23
Systems Development Charge is due on all undeveloped properties within the City
limits and the CiLys Urban crowth Boundry which are being improved.
--- PLI'MBING PER}IIT ---
Item
Residential Bath (s)
Plumbing Permit.
Surcharge/aAmin
TOTAI, CIIARGE
z
Fee
150.00
150.00
12.80
L72.80(c)
--- MECIIA}IICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood SLove / tnserr- /Fireplace Unit
Dryer Vent
GAS LTNE/W-H VENT
Mechanical Permit
Issuance
Surcharge/edmin
TOTAL PERMIT
3
5.00
4.50
9.00
4.50
3.00
s.00
32.00
10.00
2 .55
(D)44.55
-- - MISCEI,I,AIiIEOUS PERMITS
Surcharge/admin
Sidewalk
Curb CuE
WTLLAMALANE S/D/C'S
PLAN CHECK FEE
0.00
18.70
1,4 .65
1, 000 . 00
50.00
SPFII'GFIELEl
a
h,
Job Number: 97062]-
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Page 3
ELECTRICAL PERMTT
TOTAL MISCELI.A}IEOUS PERMITS (E)
J.67.40
L,250.75
(Excluding Electrical)
unlesg otherwise not,ed
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)4,32L.50
--- BUILDING VAIJUE, PIJA}I CHECK ATiID BUILDING PERMIT
This permit is grant,ed on the express condition t,hat the said construction
shall-, in all respects, conform to t,he Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construcEion 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: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date: 05/06/97
--- ADDITIONAL COMMENTS
PATH 1
DRIVEWAY REQU]RED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I 6tate and agree, that I have carefully examined
the completed application and do hereby certify t.hat aII information hereon
is true and correct, and I further certify that any and all- work performed
shall- be done in accordance wit,h 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 will be made of any structure wit.hout permission of the
Community Services Division, Building SafeLy. I further certify that onty
contractors and employees who are in compliance with ORS 701.055 wilL be
used on Ehis project.
I further agree Uo ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at Lhe front of the property, and the approved set of plans
Signature Dat
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received
Received By
will- remain on ,":
fr"
at all times during construction.
u)
SPRINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEMT CEARGE
(RESIDEMTIAI)
Name or Companyz COZY HOMES
Location: 4L09 VIRGINIA AVE
Developement T)T)e: R Building Size
Job No. : 97062L
Lot Si-ze:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}iIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,LTiISPORTATION
Number Of Units
1X
2529 X O.2L6 Per Sq Ft =
20 X 44.75 Per PFU =
xxTrip Rate
L. 0l_0 x
Cost Per Trip
45]-.26 $4ss.77
$s46.26
$89s.00
*4ss.77
$423.80
$s2 . 0s
$37r_.7s
12 ,268 .7 9
$113 .4!l
Transportation Total
4. SATiIITARY SEWER - MVII{C
Number Of PFUs
20
5. ADMINISTR,ATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
20.690 +
MWMC Admin Fee
l_0 . 00
MWMC CREDIT If Applicable (see Page 2)
TOTAI - M!'MC SDC
SITBTOTAL - (Add ftsemg 1, 2, 3 & 4)
x 0.50
TOTAI. SDC
Reviewed By: DENNIS ERNST Date: 05/oL/97
$2,382.23
Jl,:L',':r'mfJsi;,"-,;.T:_1:lr,,l,
: :
SPs.INGFIELO
ELECIRICAI PERHIT APPLICATION
fonir225 FIFTB STRXET
SPRINGFTELD, 0REGON 97471
INSPECTION REQIIEST: '126-3V,59
,OFFICE: 726-3159
1 INST
Dir,
City Job Number
COHP i-rrr rsr'scHEDuLE BELor{
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
3
A
Sum
h_,% l(ffil+il$.i. \s?o
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,re non-transferable and expires not started vithin 1B0 days
ce or if vork is suspended for
I
t'l/-
$5s 8s.00
$ 1s.00
s 40.00
s s0.00
s 60.00
$100.00
s130.00
s300.00s 40.00
;1;.I[ "if vork i
of issuan
180 days.
3L
2. CONTRACTOR INSTAIIATTON ONLY
BILL'S ELECTRIC
3170W11THAVE
EUGENE ON97402
SUPERVISOR LIC. #980S
EXP. DATE 1OI3OI98
ccB #21 351
EXP. DATE 4t28t9b
Expiration Date
s ture of Su sing E tricianC
0vners Name
Each Manuf'd Home- or
-Hodular Dvelling
Sertice or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps tor1000 amps-
0ver 1000 amps./volts
Reconnect 0n1y
B
C.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less ./
201 amps to 400 amps
-Over 401 to 600 amps
-
.00$40
$ss
SBo
^l0.to
00
00
Add
cit
INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
0ver 600 amps or 1000-voITs see rrgtr uffi[.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.00
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limi ted Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
J
v Phone
s 40.
S +0.
$ 20.
$ 36.
00
00
00
00
gD
.tN/
\\-RECETVED BY:
5
t no
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:P
1
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name ax Lot Number:
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 applicabte) SDC-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Development Se
(Check appropriate dwelling(s). SDC calculations and dwelling t
ype delinitions are on the back.)
:
A. Single-Family Detached
I\ Single Family home Manufactured home not in a park
NO. OF UNITS \X $1,000 per unit = $
q)
$
$
$
00$
$
$t o)
City of Springfield
partment Date
o
5,fr