HomeMy WebLinkAboutPermit Building 1997-05-09,
SPTTIrrGFIELD
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RESIDENTIAL PERMIT APPLIC.A,TION
CITY OF SPRTNGFIELD
COM!{IINITY SERVICES DIVISION
BUILDING SAFETY
t
Page 1-
ilob Number: 970519
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 4113 VIRGINfA AVE
Assessors t"tap #| L7023233
Lot:29 Block:
Office:
Inspection Line:
726 -37 59
725 -37 69
Tax Lot #
Subdivision
09800
I^TYATT MEADOWS 2
Ownerz COZY HOUES
Address.. L275 SOIITH 2ND STREET
Phone #: 747-8704
city/state/zip: SpRINGFIELD, OREGON 97477
NEWDescribe Work: S.F. RESIDENCE
General:
Plumbing:
Mechanical
ElectricaL
cozY HoMES 0032947
1275 S 2nd Springfield OR 9747Z0OOO
BMC MECHANICAL O1O357O
548 W Oregon Ave Creswell OR 9742G0
MARSIALLS oo2579o
4131 E St Springfield OR 9747BOOOO
BTLLS ELECTR]C 0021351
3170 W 1-1th Eugene OR 974O2OOOO
ConEt.
Contractor #E:<pires
06 /L0 / e7
t2 /L5 / 97
L2/23/e7
04 /28 / e8
Phone
747-8704
895-4575
747-7445
587-1851_
QUAD AREA: 3RSC
# OF UNrTS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: SGe
-- oFFrcE usE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 1735
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To requeEt an inspe ction, call the 24 hour recording aE 726-37G9.
A11 inspections requested before 7:00 a.m. will be mad.e the same working day,inspections requested after 7:00 a.m. wiLl- be made the forlowinq work day.
--- REQUIRED TNSPECTIONS ___
FOOTING - After trenches are excavated.
FoIr![DATroN - After forms are erected but. prior to concrete placement.
IrllDERFLooR PLITMBTNG - prior to insulation or decking.
tNDERFtooR DrEcIrAtIrcArJ - prior t.o insul-ation or decking.
POST AIID BEA}I - prior t,o floor insul_aEion or decking.
rNsuLATroN - Floor, prior to decking warr/ceiring; prior Lo coverSANfTARY SEWER IJINE - prior Lo filling trench.
STORM SEWER LfNE - prior to filLing trench.
WATER LINE - prior to filling trench.
ROUGH PLITMBfNG - prior to cover.
ROUGH MECIIAI{ICAL - prior to cover.
ROUGH ELECTRICAL - prior to cover.
ELECTRTCAL SERVTCE - Must be approved to obEain permanenE power.RoucH eAs - after line is instarled and capped if not attached to anappliance
GAs sERvrcE - After Line is instaLled and line has been connected to aminimum of one appliance. pressure test done at this point.FRAM NG - prior to cover.
rNsuLATroN - Froor; prior to decking walr-/ceiling; prior to coverDRYWALL - prior to t,aping.
clrRBcur - After forms are erected but prior to placement of concreEe.STDEWALK - After excavation is comprete, forms and sub-base materialin place.
Contractor
SPFIl.GFIELD
Job Number: 9706L9
SPilNGFTEI.O,
Page 2
FINAIJ PIJITIIBTNG - When all plumbing work is complete.
FINAL I{ECIIANICAL - When afL mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is eomplete.
FINAIJ BUILDING - When all reguired inspections have been approved and
the buiLding is complete.
LoL Faces: N
So1ar Approved: Y
House
Garage
Total Height: 16
Lot T)pe: INTERfOR
Setbk From NPL: 55
N
35
20
Setbackssw
29s
E
5
5
Item
Main
Garage
Total- Value
Building Permit. Fee
Surcharge/admin
TOTAIJ FEE
--- BUII,DING PER}IIT ---
Square Feet x
1,263
4'70
$/Square Feet
54 .66
]-5.27
(A)
Value
81, 555 . 00
7,647.00
89,313.00
403.00
32.24
435.24
--- SYSTE}IS DE\rELOPUEIIT CIIARGE (SDC)
(B)2,272.24
Systems Development, Charge is due on all undeveloped properties within the Citylimits and the citys urban crowth Boundry which are being improved.
--- PIJI'IIBING PERTTIT --'
ftem
Residential Bath(s)2
Fee
150.00
Plumbing Permit
Surcharge/edmin
TOTAL CIIARGE
150
L2
00
80
(c)L72.80
--- }TECIIAI{ICAIJ PERUIT --'
Furnace
Exhaust Hood
Vent Fan
Wood Stove/ InserL /Fj-replace Unit
Dryer Vent
GAS PIPING
Mechanical Permit
fssuance
Surcharge/admin
TOTAL PER}TIT
a
6.00
4.50
6.00
4 .50
3.00
2 .50
(D)
26 .50
10.00
2 .1,3
38.53
--- MTSCEI,LAI{EOUS PER}IITS ---
Surcharge/Admin
Sidewalk
Curb Cut,
PLAN REVIEW FEE
ELECTRTCAL PERMIT
WILLAIVIALANE SDC
0.00
L8.70
l_4.80
50.00
L24.20
1, 000 . 00
TOTAL MISCELIJ.AI{EOUS PERMITS (E)L ,2L7 .7 0
SPNINGFIELE'
rfob Number: 97O6L9
a C
Page 3
(Excluding Electrical)
unlees ot,herwise noted
.-- TOTAL A}IOI'NT DUE ---
(A, B, C, D, and E combined)4,L36 .6L
--- BUILDING VAIJUE, PLA.}I CHECK AI{D BUILDING PERMIT ---
This permit is grant,ed on the express condition Ehat the said constructionshall, in all respects, conform t,o t,he ord.inance adopted by Ehe city ofSpringfield, including the Development Code, regulating the construction anduse of buildings, and may be suspended or revoked. at any time upon vj-o1agionof any provisions of said ordinances.
Received By:
P1ans Reviewed By: DoN MOORE
Building Site Reviewed By: LISA HOppER
Date: 05/06/97
--- ADDITIONAI, COITMEIITS
DRIVEWAY REQUTRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, f state and agree,that, I have carefully examinedthe completed application and do hereby certify that all information hereonis true and correct, and I fur ther certify that any and all work performedshaLl be done in accordance wi th the Ordinances of the City of Springfield,and t.he Laws of the State of Oregon pe rtaining to the work described herein,and that NO OCCUPANCy wi]l be made of any structure without permission of theCommunity Services Division, Building Safety. f further certify that onL vcontractors and employees who are in compliance with ORS 701.055 will_ beused on this project
I further agree to ensure thaE aII re quired inspections are requested at Eheproper time, that each address is readable from t.he sLreeL, that, t.he permitcard is l_ocated at the front of t,he property, and the approved set of planswil-l remain on t site at all_ t imes during construction.
5-qSignatureDate
Receipt Number:
Date paid:
Amount Received:
Received By:
VI
SPHINGFIELD
Page 1
CITY OF SPRINGFIEI,D SYSTEMS DEVELOPMENT CTIARGE
(RESIDENTIAL)
Name or Company:
Location:
Developement Tlpe
COZY HOMES
41-13 VIRGINTA Al/E
: R Building Size:
Job No. : 97O6L9
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of pFUs
(see Page 2)
X 0.2L6 per Sg Ft =
X 44.75 per pFU =
x Cost. Per Trip
45L.26
3. TR,JAI{SPORTATTON
Number Of Units
1X
2550
18
Trip Rate
L.010 x
x
$4ss.77
$572 .40
$80s. s0
#4ss.77
;382 -42
$s2.0s
$330.37
$2 , L64 .04
$108.20
Transportatj_on Total
4. SAIiITTARY sEwER - }TIIMC
Number Of pFUs
18
Per PFU +
20.690 +
MWMC Admin Fee
10.00
x
x
MWMC CREDTT rf Applicable (see page 2)
TOTAI - MI,IMC sDc
SITBToTAL - (Add lEems 1, 2, 3 & 4)
5. ADMINTSTRATTVE FEES
Base Charge (Subtotal Above) x o.5o
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 05/oL/97
$2,272.24
SPFTIll(iFTELD
Zfr,
Page 2
Job Number: 97061-9
FIXTIIRE I,NIT CAI,CUI.ATION TABI'E
Number of
New Fixture
Unit
EguivalentFixture TYPe
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/oi1/Sotids/suc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Cfotheswasher - 3 Or More
Receptor For RefrigetaLor/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall-
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stalt/WaIl
Wash Basin/Lavatory, Single
Water Closet, Publ-ic Install-ation
water Closet, Private
MiscelLaneous
TOTAI FIXTURE UNITS =
CREDIT CALCULATfON TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately
(calcul-ations are by $1000)
Year Annexed: L969
n
1
a
3
6
a
6
1
3
a
2
z
l_
5
4
1
0
U
n
0
1
0
0
0
l_
0
1
0
a
0
2
0
2
0
0
0
0
2
0
0
0
0
0
a
0
8
0
l-8
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date):
15, 000
0
3 -47 =
3.47 =
52-05
0.00
x
x
$s2.0s
(If land val-ue is multiplied by 1 then the parcel/land credit is not accurate.)
CREDIT TOTAI, -
FixLure
Units
Willamalanq
Farr< & n-e-&eation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:
1
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name
ype definitions are on the back.)
:
A. Single-Family Detached
\ Single Family home
NO. OF UNITS I
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
Deve pme nt Se
T Lot Number
(Check appropriate dwelling(s). SDC calculations and dwelling t
,01+tl
lDmq'
6
6)
Manufactured home not in a park
X $1,000 per unit = $I pE
X $924 per unit = $
X $692 per unit = $
X $699 per unit $
$
$
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
\Mllamalane Credit approval. See SDC Credit Wotksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)b
City of Springfield
partment Date
q
I
1 P
Permi are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Z. CONTRACTOR INSTALI^ATION ONLY
SPRINGFIELT]
CAL PERHIT APPLICATION
b Number
SCHEDIILE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
I tems Cos t
*;;gl:x,J15J3';1;,,,:
''; -'r-g DL ELECTRT225 FIffB STREET t.,::,-5_(
INS,ECTfON RE.UEST: 7Z6ASV69',:.:;;..,.,, -,
^
!.. ^ City Jo
OFFICE: 726-3759 ".'r':;'---/Vfl- -*3. COHPI}TffiEE
ON
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dvelling
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
-LL fi_s 8s.00
s 1s.00 ,0
s 40.00
BILL'S ELECTRIC
3170 W 11TH AVE
EUGENE OR 97402
SUPERVISOR LIC. #98OS
EXP. DATE 1O/3O/94
ccB #21 351
EXP. DATE 4128198
Expiration Date
Signa ture of Su sing Electrician
200 amps or Iess
201 amps to 400 amps
-401 amps to 600 amps _601 amps to,1000 amps_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or Less $ 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
$ 80.00
-Over 600 amps or 1000 voTts see ttgtt "ffi["-
s s0.00
s 60.00
$100.00
s130.00
s300.00
s 40.00
C
il-,
Ovners Name
Address
Ci ty Phone
ON
The installation is being made on
property I ovn vhich is not intended
for saIe, Iease or rent.
0rmers Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit S 2.0Q
E Hisce]laneous (Service/feeder not included)
-Each installation
Pump or irrigation SSign/0utline Lighting- S
Limi ted Energy/Res
-
$Limited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
40.00
40.00
20.00
36.00
5
BRECETVED
DATE: