HomeMy WebLinkAboutPermit Building 1997-06-02SPRIi.GFIELD
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RESIDEMTIAI. PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII.DING SAFETY
a
Of f i-ce:
Inspection Line:
Page 1
Job Number: 970590
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 4127 VIRGINfA AVE
Assessors t'tap #: L7023233
Lot:32 BLock:
726 -37 59
725 -3769
Tax LoE #:
Subdivision:
09500
I^TYATT MEADOWS 2
OwNEr: YORKSHIRE HOMES
Address: 189 SOUTH PACfFIC HWY
Phone #: 503-838-0095
City/State/zip: MONMOIIIH, OREGON 9736L
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical:
Electrical:
Contractor
YORKSHIRE HOMES OLOI-767
1049 Yorkshire Ct Se Salem OR 97301
MEIER PLUMBING OO95O25
3457 Potts Dr NE Keizer OR 97303000
SALEM HEATING OOO15O5
PO Box 12005 Safem OR 973090000
NORTHSIDE ELECT OO8O593
PO Box L2668 Salem OR 973090000
ConEt.
Contraetor #Expires
o8/24/e7
1-t/oL/e7
os /Le / e7
03 /L8 / Oo
Phone
838 - 0096
393-0819
581-1536
399-7 509
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L476
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BI,DGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: TPC
To requeat an inspecEion, call the 24 howr recording at 726-3769.
A11 inspect,ions requested before 7:00 a.m. will be made t,he same working day,
inspections requested after 7:00 a.m. will be made the fol-l-owing work day.
--- REQUTRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITIIDATION - After forms are erected but prior to concrete placement.
POST AfiID BEAII - Prior to floor insulation or decking.
ITNDERFIJOOR PLITIIIBING - Prior tso insulation or decking.
ITIIDERFLOOR MECIIAIIICAL - Prior to insul-ation or decking.
WATER IJINE - Prior to fill-ing t,rench.
SAI{ITARY SEWER LINE - Prior to filling trench.
STORI! SEWER IJINE - Prior to fil-ling Erench.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH IIECIIA]IICAL - Prior to cover.
ROUGH EIJECTRICAI. - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHBAR WALL NAITING - Before covering sheathing with finish mat,erials.
FR.AITIING - Prior to cover.
INSUIJATION - Floor; prior to decking Wa11/Ceiling; prior to cover
DRYWALL - Prior to taping.
CURBCIII - After forms are erected but prior to placement, of concrete.
srDEwAr.K - After excavation is compleEe, forms and sub-base material
i-n p1ace.
FINAIJ PLITMBING - When all plumbing work is complete.
FINAL IIECHAI{ICAL - When all mechanical work is complet,e.
FINAL ELECTRICAL - When al-l- electrical work is complete.
FrNAr, BurrJDrNc - when all required inspecEions have been approved and
the building is complete.
K
SPFINGFIELD
'Job Number: 970590
a 3 o
Page 2
Total Hei-ght: 15
Lot Type: INTERIOR
House
Garage 18
Setbk From NPL: 50 Solar Approved: Y
5
E
7
N
Setbackssw
22 7.5
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PER}TIT ---
Square Feet x
1,O52
424
$/Sguare Feet
64.65
L6.27
(A)
VaIue
68 ,022 .0O
5,898.00
74 , 920 .00
3s8.00
28 .64
385.54
--. SYSTE}IS DEVEI,OPMENT C}TARGE (SDC)
(B)2,L34.58
SysLems Development Charge is due on al-I undeveloped properties within the City
limit,s and the Citys Urban Growth Boundry which are being improved.
--- PLU}IBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permits
Surcharge/admin
TOTAI. CHARGE
a
Fee
150.00
150.00
t2 .80
L72.80(c)
--- }TECIIA}IICAIJ PER}IIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechani-ca1 Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
6.00
4.50
5.00
3.00
19.50
10.00
t .57
(D)31.07
- -- MISCEI,I,A}IEOUS PER}IITS
Surcharge/Admin
Sidewalk
Curb Cut,
WILLAMALANE SDC
PLAN REVIEW FEE
TOTAI, }IISCEI.LAI{EOUS PERMITS
0.00
L7.65
13.90
L, 000 . 00
50.00
(E)1, 091 . 55
(Excluding Electrical)
unless otherrviee noted
--- TOTAL A}.TOI'NT DUE ---
(A, B, C, D, and E corrbined)3 ,8L6 .54
SPRINGFIELE,
Job Number: 970590
h,
LIW $ryrnta Nel
a a a
Page 3
--- BUILDING VALI'E, PLA}I CHECK A}ID BUILDING PERMIT
This permit is granted on the express condiEion that the said construction
sha11, j-n all respects, conform to the Ordinance adopted by the City of
Springfield, including the Devefopment Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon viol-ation
of any provisions of said ordinances.
Received By:
PLans Reviewed By: BOB BARNHART
Building site Reviewed By: LISA HOPPER
Date: 04/25/97
--- ADDITfONAL COMMEIflTS ---
ELECTRICA], PERMIT REQUIRED PRIOR TO ELECTRICAI, INSTALLATION
DRIVEWAY REQUTRED TO BE PAVED
2 STREET TREES REQUIRED
By aignature, r Btate and agree, Ehat r have carefully examined
the completed application and do hereby certify that all- information hereon
is true and correct, and I further certify Ehat any and all work performed
shall be done in accordance with the ordinances of the City of Springfield,
and Lhe Laws of the SEate of Oregon pertsaining to the work described herein,
and that NO OCCUPANCY will be made of any sEructure without permission of the
Communit.y Services Division, Building Safety. I furt,her certify that only
contracEors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure thaE all reguired inspections are reguested at Ehe
proper time, that each address is readable from the street, that the permit,
card is located at the front of the property, and the approved set of plans
will remain on the site EaI s during construction
Signature Date
--- VAI.IDATION ---0tReceipt Number:
Date Paid:
Amount Received
Received By
SPx.olGFtELD
225 TIFTE STREBT
SPRINGFIELD OREGON,
appi ovai.
zorira fifi'L-
s7 471oae*{
t2.a4f)
,(v
ETA TRICAI. PBRHIT APPLICATION
o b Number
3. COMPLSTE FEE SCEEDT'LE BELOI{
A. Nev Residential-Single or
Hulti-Family per duelling unit.
Service Included:
f tems Cos t
s 8s.001000 sc,. f t. or less
Eaeh additional 500
sq. ft or portion'thereof
Each Hanuf'd Hone. or
Hodular Dvelling
Serviee or Feeder
s ls.00
$ 40.00
.B $ssvices or Feeders
Installation, Alterations
or Relocation:
INSPECTION REQIIEST : 726-3769
OFFICE: 726-3759
Ci ty
Supe
1. LOCATION OP INSTALTATTON+: :]? ,--d' <
2_
Permits are non-trans fer and expirelf r^rork is not started vithin 180 days
of lssuance or lf r^rork is suspended for
180 days.
2. CONTRACTOR INSTATI"ATION ONLY
Electrical Contractor
Address Po tz3ez
Sa tz t"* rnone 6o1-.685-48?9
rvisor License Number 22 3.1:9
200 amps or less
201 anps to 400 amps T/r01 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
-
Reconnect Oniy
200 amps"or less I S
201 amis to 400 amps
-
S
over 4b1 to 600 am-ps
-
$
Or'er 600 amps or 1000-16Tls s
Branch Circuits
Sum
s s0.00
$ 60.00
$100. c0
s130.00
$300.00
$ 40.00
Expiration Date
Constr Contr. N
Expiration Date
umber D8O5q
4-tg-qq
Signature of Electrician
Ovners Name
Address I 1
Ci ty FV.)arrm ,lh Phone 56e,-(38-oOqb
OIINER INSTALI.ATION
Temporary Services or Feeders
Installation, Alteration or Relocation
c.
D.
40.00
s5.00
80.00
ee -*B[ aEF
The installation ls being made on
property I ovn vhich is not intendedfor sale, ]ease or rent.
Ovners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation- Pump or irrigation'
sigir/outline Light ing-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ASOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s 40.00
s 40.00
s 20.00
s 36.00
/''^ oD200t 2-c)a3.vo
5
DATE:?D q'
RECBIVED B
-t -qtr
Nev, Alteration or Extension Per Panel
one circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Willamalane
FaIL & n-e"leJtion District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADD
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
PHONE:
ax Lot Num ber:
STATE: t& ZIP: Q]?{d
1
\\
(check iipropriate dweiling(s). sDc catculations and dwelling t
back.)ype definitions are on the
NO. OF UNITS
WILLAMALANE SDC
A. Single-Family Detached
\ Single Family home Manufactured home not in a park
NO. OF UNITS X $1,000 per unit = $I @
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family APartment
D. Manufactured Home Park
@
2. SDC CREDIT (if applicable) sDGpayer must lumish proof of a 0f
willamalane credit approval. see sDC Credt worksheet. u - F-
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC.reduced for Credit)
eve ment D
City of Springfield
Department
$\
q
00
Page l-
CITY OF SPRINGFIEI.D SYSTEMS DTTIEIJOPI{BTT CIIARGE
(RBSIDB!{TIAI.)
Name or Company: YORKSHIRE HOMES
Location: 4127 VIRGINIA AVE
Developement I:pe: R Building Size:
.fob No. : 970590
Lot, Size:Sq Ft
1. STOR}I DRAINAGE
Impervious Sq Ft
2. SNIITARY SEWER . CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
1X
2043 X 0.246 Per Sq Ft =
18 X 44.75 Per PFU =
X Trip Rate
1.010 x
Cost Per Trip
45L.26
$44L.29
$80s . s0
$4ss.77
i382.42
$s2 .05
$330 .37
$2,032.93
$101.5s
x
$4ss.77
Transportation Total
4. SA}IITIRY SEWER . ITI{ITC
Number Of PFIrs
18
5. AD}TINISTRATIVE FEES
Base Charge (Subtotal Above) X
x
x
Per PEI, +
20.690 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAI - MWMC SDC
SUBTOTAL - (Add lteus 1, 2, 3 e 4)
0. 50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 04/23/97
$2, 134.58
Job Number: 970590 Page 2
FIXTT'RE I'NIT CAICT'I.ATION TABIJE
Fixture I)pe
Number of
New Fixture
Unit
Eguivalent
FixEure
Units
BaEhtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Etc
fnteceptors For Sand/Auto Wash/Etc
Laundry ffrb/ Clotheswashe r
Clotheswasher - 3 Or More
Receptor For Refrigerator/Wat,er Station/Btc
Receptor for Commercial Sink/Dishwasher/ftc
Shower, Sing1e Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Sta1l/Wall
Wash Basin,/Lavatory, Single
Water Closet, hrblic Installation
Water Closet, Privat,e
Miscellaneous
TOTAL FIXTI'RE UNITS =
CREDIT CALCULATION TABIJE: Based on asereased value. If improvements occured
afEer annexation date, credits are calculated separately.(calculations are by $1000)
Year Annexed: 1969
Credit For Parcel Or Land OnIy If Applicable: 15,OOO X 3.47 = 52.05
Improvement (if after annexation date): O X 3.47 = O.OO
CREDIT TOTAIT = $52.05
(rf land value is multiplied by 1 then the parcel/land credit is noE accurate.)
2
1
2
3
6
2
6
L
3
2
2
2
l_
6
4
2
o
0
0
0
1
0
o
0
0
0
1
o
2
0
2
0
4
0
0
0
0
2
0
0
0
0
0
2
0
2
0
8
0
18
225 FII"IE STREET
SPRTNGFTELD, OREGON 97477
TNSPECTTON REQLIEST| 726-3769
OFPICE: 726-3759
1. LOCATION OP INSTALI,ATION
Kru
Permits are non-transferable and expirelf work is not started vithin 180 days
of lssuance or lf r.,ork is suspended for
180 days.
2. CONTRACTOR INSTATI,ATION ONLY
Electrical Contractor
Address PO.le3ez
Ci ty So Ptrone 6o1-.5fd-48??
Supervisor License Number 192,7-9
Expiration Date
Constr Contr. Number
Exp iration Date
Signa ture of ising Electrician
Ovners Name
Address I -7
b-:21:-g:J EI,ECTRICAL PBR}TIT
b Number
SP. -J(;FIELO
3. COHPI,ETE FEE SCEEDIII.E BELOS
A New Residential-Single or
Hulti-FamiIy per dvelling unit.
Service Included:ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion'thereof
Each Hanuf'd Home. or
Hodular Dvelling
Service or Feeder
3. Services or Feeders
Installation, Alterations
or Relocation:
c
D.
E
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
one circuit $ 35-00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
) s gs.oo
s 1s.00 \5
$ 40.00
. ^^oo
.E-a>()
a. oa
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
Sum
_&s
200 amps or less
201 amps to 400 amps T/r01 amps to 600 amps _601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Oniy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 40.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1b00-GTts see-"Bt' affi
Branch Circuits ; ..
Nev, Alteration or Extension Per Panel
citv Yt')onmnrrlh Phone 566-(38-ooqb
OIINER INSTALI.ATTON
The installation ls being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Limited Energy/Res -- S 20.00
RECEIVED
5
49c.\
...,..-.
z.n',c*LMl--
D