HomeMy WebLinkAboutPermit Building 1997-06-02SPFIilGFIELD
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RESIDENTIAL PERMIT APPIJICATION
ETTY OF SPRINGFIEI,D
COMMI'NITY SERVICES DTVISION
BUTI.DING SAFETY
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Office:
InspecEion Line:
Page 1-
ilob Nunber: 970594
225 North Fifth Street
Springfield, OR 97477
Location of Proposed lilork: 4121 VIRGINfA AVE
Assessors I'tap #: 1-7023233
LoL:31 Block:
726-3759
726 -37 59
Tax Lot #:
Subdivision:
09500
WYATT MEADOWS 2
SPilNGFTEI.O,
Owner: YORKSHIRE HOMES
Address: 189 SOUTH PACIFIC HwY
Describe Work: S.F. RESIDENCE
Phone #: 503-838-0095
citylstate/zip: MoNMouTH, oREGoN 9736L
NEW
General:
Plumbing:
Mechanical:
Electri-ca1 :
ContracEor
YORKSHIRE HOMES 01"0L767
1049 Yorkshire Cts Se Salem OR 97301
MEIER PLI]MBING OO95O25
3457 Potts Dr NE Keizer OR 97303000
SALEM HEATING OOO]-505
PO Box 12005 Salem OR 973090000
NORTHSIDE ELECT OO8O593
PO Box L2568 Salem OR 973090000
Con6t.
Contractor #Expires
o8/24/97
Lt/oL/97
0s /Le / e7
03/t8/oo
Phone
838-0095
393-0819
s81- t_53 5
399 -7 609
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1458
-- oFFrcE usE --
LAND USE: 1111-
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: TPC
To request an inepection, cal-1 the 24 jl.o:ur recording aL 72G-3769.
A11 j-nspect.ions requested before 7:00 a.m. will be made the same \^rorking day,inspections requested after 7:00 a.m. wil] be made the following work day.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
FoIrrlDATroN - Af ter forms are erected buE pri-or to concret,e placement.
POST AIID BEAII - Prj-or to floor insulation or decking.
IrIIDERFLOOR PLIrIdBING - prior to insu]-at.ion or decking.
ITIIDERFIJOOR DIECHANICAIJ - prior to insulat j_on or decking.
WATER LINE - Prior to filling trench.
SAIIITARY SEWER LINE - prior to filling trench.
STORM SEWER LINE - prior Lo filling trench.
rNsuLATroN - Floor; prior to decking watt/ceiling; prior Lo cover
ROUGH PIJI,MBING - Prior Io cover.
ROUGH DIECIIANICAL - prior t.o cover.
ROUGH ELECTRICAL - Pri_or to cover.
ELEcrRrcAr. sERvrcE - Must be approved Eo obtain permanent power.
SHEAR WALL NATLTNG - Before covering sheat,hing with finish material_s.
FRA}IING - Pri_or to cover.
rNsuLATroN - Floor; prior to decking warl/ceiling; prior to cover
DRYWALL - Prior to taping.
CLRBCIIT - After forms are erected but prior to placement of concrete.
srDEwArJK - After excavation is complete, forms and sub-base materialin place.
FINAL PIJITMBING - When all plumbing work is complete.
FrNAr. MECIIAIITCAL - when alr mechanicar work is complete.
FrNAr. ELECTRTCAL - when arI el-ectrica] work is complete.
FrNAr. BurLDrNc - when all required inspections have been approved and.t,he building is complete.
#
SPFII|.GFIELE,
ilob Number: 970594
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Page 2
Lot Faces: N
Solar Approved: y Total Height: 16
Lot Type: INTERIOR
Setbk From NpL: 50
5
E
7
N
Set,backs
s
aa
w
7.5
7.5
House
Garage
ftem
Main
Garage
Tot.al Value
Building permit Fee
Surcharge/Admin
--- BUTLDTNG PERMTT ---
Square Feet x
to44
424
$/Sguare Feet
64 .66
15 -27
18
Value
67, 505 . 00
5, 898 . 00
74 ,403 . o0
3s8.00
28 .54
385.54(A)
ftem
Residential Bath(s)
Plumbing permit
Surcharge/aamin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical permit
Issuance
Surcharge/Admin
TOTAIJ PERI{TT
Surcharge/Admin
Sidewal_k
Curb Cut
WTLI,AMALANE SDC
PLAN REVTEW FEE
TOTAI. MTSCELIA}TEOUS PER}TrTS
(Excluding Elect,rical)
unlesE ot,herwiEe noted
--- TOTAL
--- SYSTEMS DEVELOP}IE}flT C}IARGE (SDC)
--- PtuuBrNc PERMIT .--
2
- - - MECIIAIIICAL PERMTT -.-
2
- - - DTTSCELI,ANEOUS PERMTTS
(B)2,L3L.47
Fee
150.00
160.00
12.80
(c)772.80
5.00
4.50
6.00
3.00
19.50
10.00
a .57
(D)31.07
0.00
17.55
13.90
1, 000 . 00
60.00
(E)1, 091 . 55
systems Development charge is due on all undeveloped properties within Lhe citylimits and the Citys urban
".orii, Boundry which are being improved.
AIIOUNT DUE -.-(A, B, c, D, and E combi.ned)3 ,8L3 .47
TOTAL FEE
SPRINGF!ELD
Job Number: 970594
t-t tz t V;r6n ia kta
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Page 3
.-. BUILDING VAIJUE, PIJA}I CHECK AT{D BUII'DING PERUIT --'
This permit is granted on the express condition that the said construction
shall-, in all respects, conform to the ordinance adopted by the city ofSpringfield, including the Development Code, regulating the construction anduse of buildings, and may be suspended or revoked at any time upon viol-ationof any provisions of said ordinances.
Received By:
Pl-ans Reviewed By: BoB BARNIaRT
Building Site Reviewed By: LfSA HOppER
Date: 24/97/04
--- ADDITIONAIJ COMME}flTS ---
ELECTRTCAL PERMIT REQUIRED PRTOR TO ELECTRICAL TNSTALLATION
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUTRED
By eigna tsure, I et,ate and agree, Ehat I have carefully examinedthe completed application and do hereby certify that aI1 information hereonis true and correct, and f furEhe r certify that any and alL work performedshaLl be done in accordance wiEh t.he Ordinances of the City of Springfield,and Ehe Laws of the State of Or egon pertaining to the work des cribed herein,and that NO OCCUPANCy wiLl be made of any structure without permissi-on of theCommunity Services Division,Building Safety. f further ce rtify that onlycontractors and employees who are in compliance with ORS 70 L.055 will beused on this project.
f further agree to ensure that alL re guired inspections are reguested at theproper time, that each address is readable from the slreeL,that the permitcard is located at the front of the property, and the approved set of planswill remain on the site at aLl t during construct 10n.
Signature
Dat.e
VAL TION .--
Receipt Numberr
Date paid:
Amount Received:
Recej_ved By:
Page 1
CITY OF SPRINGFTEI,D SYSTEIIS DEVAI'OPI{ENT CIIARGE
(RESIDENTIAI.)
Name or ComPanY: YORKSHIRE HOMES
Location: 412MRGINIA AVE
Developements q4)e: R Building Sj-zet
.Iob No.: 970594
Lots Size:Sq Ft
L. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER . CITY
Number Of PFUs
(see Page 2)
3. TRANSPORTATION
Number Of Units
1X
2029 X 0.2LG Per Sq Ft, =
18 X 44.75 Per PFU =
i4ss.77
$43e.26
$80s. s0
$45s.77
$382.42
$s2 .0s
$330.37
$2, 029.91
Transportation Tota1
4. S.B}IITARY SEICER - I{WUC
Number Of PFUs
18
X Trip Rate
1.010 x
x
Per PEI, +
20.690 +
Cost Per Trip
45J..26
x
x
MWMC Admin Fee
10.00
MIMC CREDIT If Applicable
TOTAL - MWMC SDC
(see Page 2)
SIBTOTAI. - (Add It6Ea 1, 2, 3 & 4)
5. ADUINISTRATIVE FBES
Base Charge (SubtoEal Above) X O.5O $101.i+,6\
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 04/23/97
$2, 131.4t
ilob Number: 970594 Page 2
FIXTI'RE I'NIT CAIJCI'IATION TABLE
Fixture I\pe
Number of
New Fixture
Unit.
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Int,erceptors For Grease,/Oi1/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/CloEheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Stc
Receptor for Commercial Sink/Dishwasher,/Etc
Shower, Single Stsall
Shower, Gang
Sink, Bar, CommerciaL, Residential Kitchen
Urinal, Stall/wa1l
Wash Baein/Lavatory, Single
tlater CIoseE, Public Installation
Water CIoseE, PrivaEe
Miscellaneous
TOTAIJ FIXTT'RE IINITS =
CREDfT CALCULATTON TABLE: Based on asaessed vaIue. If improvement,s occuredafter annexation date, credits are calculaEed separat,ery.(calculations are by gIOOO)
Year Annexed: 1969
2
0
0
0
0
1
0
0
0
0
0
l-
0
2
0
2
0
4
0
0
0
0
2
0
0
0
0
0
2
0
2
0
I
0
18
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
Credit For Parcel or Land Only If Applicable:
fmprovement, (if aft,er annexation datse):
15,000 x 3.47 =
0 x 3.47-
CREDfT TOTAL =
52.05
0.00
ss2 .0s
(rf land value is mult,iplied by 1 then the parcel/land credit is not accurate.)
€&Willamalane
Pait< & Recreation District Job.No. Qrnth
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADD
LOCATION OF PROPOSED BUILDING S
Street Address:
Plat Name:
ype definitions are on the
A. Single-Family Detached
\ Single Family home
ax Lot Number:
\\
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
PHONE:
srArE: trg zrp: Q-l?r(o[
Manufactured home not in a park
X $699 per unit = $
\l)0O Po
to
uff)
1
NO. OF UNITS X $1,000 per unit = $rnrnp
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-FamilyApartment
NO. OF UNITS X $692 per unit = $
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet. $
$
$
tr
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC.reduced for Credit)
DeveIo pme nt Se\&ei Department
City of Springfietd
\0m00
JtrA,T1
225 FIFTE SIREBT
SPRINGFIELD' OREGON
INSPECTION REOTIEST:
OrrrCet 726-3759
sP[--..rGFtELo
BLECIRICAI PBRHIT
City Jo,b Nunber
1000 sq.ft. or less
Eaeh additional 500
sq. ft or Portion'thereof
Each Hanuf'd Home' or
ilodular Dvelling
SerVice or Feeder
200 amps"or less
201 amps to 400 amPs
-
Over 401 to 600 amPs
0ver 500 amps or fOOO-1o-ITs
Branch Circuits
-Each installation- Pump or irrigation
Sign/OutIine Lightine-l
Limited EnergylRes
Limited Energy/Conn
ar:,u(a:2-3fl
726-3769
1. LOCATION OF INSTALLATION
Ci ty ta v"v,Phone
3. COUPI.ETE EEE SCEEDT]LE BELOII
A. Nev Residential-Single.oriiuiti-r"*iIY Per duelling unit'
service rncludedr ,,"*s cost
I g gs'oo
)- g 1s.oo
s 40.00
DE \4
Sumts
t5
Permits are non-transferable
li vork is not started vithin
oi t".uance or lf vork is sus
and expire
180 daYs
pended for
'Iot'6t5:4&tQ
180 days.
2. CONTRACTOR INSTATI,ATION ONLY
Electrical Contractor
Address
rlbo
Services or Feeders
InstaIlation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
--
/r01 amps to 600 amPs
-
601 amis to 1000 amps-
0ver 1000 amPs/volts
-
Reconneet OnIY
Tempora::y Services or Feeders
Insiallaiion, Alteration or Relocation
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
3e
s
s
$
s
s 40.00
$ 40.00
$ 20.00
$ 36.00
.8.
D
Supervisor License Number t2 e.4.9
Expiration Date,
Constr Contr. Number DgaSq
Exp lration Date 2- tg -qq
Signa of ervising Electrician
Ovners Name
Address
Nev, Alteration or Extension Per Pane1
One Circuit $ 35-00
Each AdditionalCircuit or vith Service
or Feeder Perarit $ 2.04
E. Hiscellaneous (Service/feeder not included)
40.00
55.00
80.00
ee _ i,Br a[ffi-
-l
Ci ty t'f)onmnrrlh ptrone 5Oa-(38-oOgla
OVNER INSTALI.,ATION
The installation is being made on
property I or.,n vhich is not intendedfor sale, lease or rent,
Ovners Signature:
DATEI SUBTOTAL OF ABOVE
2{. ftry" SurchargejZ Adninistrative Fee
TOTAL
RECEIVBD
5 o
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