HomeMy WebLinkAboutPermit Building 1997-06-02afr,
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RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIEIJD
COMMI'NITY SERVICES DIVISION
BUIIJDING SAFETY
a
Office:
Inspect,ion Line:
Page 1
ilob Number: 970589
225 North Fifth Street
Springfield, OR 97477
Location of Propoeed Work: 4133 VIRGINIA AVE
Assessors l"tap #: L7023233
Lot: 33 Block:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
09400
WYATT MEA 2
SPilNGFTELD,
Owner: YORKSHIRE HOMES
Address: 189 SOUTH PACIFfC HWY
Phone #: 503-838-0096
City/Stsate/Zj-p: MONMOIJ:IH, OR 923G1
Describe Work: S.F. RESIDENCE NEW
Contract,or
Const.
Contractor #Expiree
08 /24 / e7
L!/ Ot/ e7
os/te/e7
03/L7/OO
Phone
838-0096
393-0819
581-1535
399 -7 509
GeneraL:
Plumbing:
Mechanical:
Electrical:
YORKSHIRE HOMES OLOL757
1049 Yorkshire Ct Se Sal-em OR 97301
MEIER PLI]MBING OO95O25
3457 Potts Dr NE Keizer OR 97303000
SALEM HEATING OOO15O5
PO Box 12005 Sal-em OR 973090000
NORTHSIDE ELECT OO8O593
PO Box L2668 Salem OR 973090000
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L463
-- oFFICE USE --
LAND USE: 1L11
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSIIL PATH: TPC
To requegt an inspestion, cafl the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,inspections requested aft,er ?:00 a.m. will be made the foLlowing work day.
--- REQUTRED TNSPECTTONS ---
TEITTPOR.ARY POWER
FOOTING - After trenches are excavated.
FoIr![DATroN - After forms are erected but prior to concrete placement,
POST Af.ID BEAII - Prior to f loor insulation or decking.
ITNDERFLOOR PIJITIT'BING - Prior to insulaEion or decking.
ITNDERFLOOR MECIIAI{ICAL - prior to insulat,ion or decking.
WATER LINE - Prior to filLing trench.
SAIIITARY SEWER LINE - prior to filling trench.
STORII SEWER LfNE - prior t,o filling trench.
rNsuLATroN - F1oor,. prior to decking walr/ceiling; prior to cover
ROUGH PLITMBING - prior to cover.
ROUGH MECIIAI'IICAL - prior to cover.
ROUGH ELECTRfCAL - prior to cover
ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.
SHEAR WALL NATLTNG - Before covering sheathing with finish materials.
FRAIIfNG - Prior to cover.
rNsur,ATroN - Floor,' prior to decking wall_/ceiring; prior to cover
DRYI{ALL - Prior to taping.
cuRBcuT - After forms are erected but prior to placement of concrete.
STDEWALK - After excavaEion is complete, forms and sub-base materialin pIace.
SPRIllGFIELD
fr'
SPRINGFIELD
Job Number: 970589
a 3
Page 2
FINAL PIJITMBING - When all plumbing work is complete.
FINAIJ MECIIA.I{ICAL - When all mechanical work is complete.
FINAIJ ELECTRICAL - When all el-ectrical work is compleEe.
FINAL BUIIJDfNG - When all reguired inspections have been approved and
the buiLding is complete.
Lot Faces: N
Solar Approved: Y
House
Garage
Total Height: 16
Lot Type: fNTERIOR
Setbk From NPL: 55
E
7.55
5
w
7
7
N
Setbacks
s
18
Item
Main
Garage
Total Val-ue
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--. BUU.DING PERMTT ---
Sguare Feet x
103 9
424
$/Square Feet,
64 .66
L6.27
(A)
Value
67 ,t82.00
5, 898 . 00
74,080.00
358.00
28 .54
385.54
SYSTEMS DEVEI.OPIIENT CIIARGE (SDC)
(B)2,L30 .04
systems Development charge is due on all undeveloped properties wighin the Citylimits and the citys urban Growth Boundry which are being improved.
--- PII'MBING PER}TIT ---
Item
Residential Bath(s)2
Plumbing Permit
Surcharge/Admin
TOTAI. CIIARGE
Fee
150.00
L60.00
12.80
L7 2 .80(c)
- -. }IECIINIICAT PER}IIT - - -
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical- Permit
Issuance
Surcharge/Admin
TOTAI. PERMIT
5.00
4.50
5.00
3.00
(D)
19.50
10.00
L .57
3r..07
-- - MISCEI,I.ATiIEOUS PERMITS
Surcharge/admin
SidewaLk
Curb Cut
WILLAIVIALANE SDC
TOTAL UISCEI.I.ANEOUS PERI{ITS (E)
0.00
1,7 .55
13.90
1, 000 . 00
l_,031_.55
(Excluding Electrical)
unlegg otherwiee noted
--- TOTAL ATTOUIiTT DUE ---
(A, B, C, D, and E cosrbined)
R cu,^t b0-oo
3,752.L0
5s
t\n \)\
SPFIi.GFIELEl
t
Job Number
%
!G? I @flYir;. h'A
r 970589
t
Page 3
BUrIJDTNG VAIJUE, PITA}I CHECK A}ID BUILDTNG PERIIIT ---
This permit is granted on t.he express condition Ehat the said constructionshaLl, in all respects, conform to the ordinance adopted by the city ofspringfierd, including the DeveLopment code, regulating the constructj-on anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Plan Check Fee: 232.70 Date paid:
Received By: LISA HOppER
Plans Reviewed By: BoB BARNHART DaTe:Building Site Reviewed By: LfSA HOppER
Receipt Number: 254L7
Dat.e
04/22/s7
04 /2s / e7
--- ADDITIONAL COMMENTSELECTRICAL PERMTT REQUTRED PRIOR TO ELECTRICAL TNSTALLATTONDRTVEWAY REQUTRED TO BE PAVED2 STREET TREES REQUTRED
By signature, f state and agree, that I have carefully examinedthe completed applica tion and do hereby certify that aII information hereonis true and correct,and I further certi fy that any and al1 work performedshall be done in acc ordance with the Ordinances of the City of Springfield,and the Laws of the State of Oregon pertaining to the work desc ribed herein,and that NO OCCUPANCY wi]l be made of any st,ructure without permission of t.heCommunity Services Division,Building SafeEy. f further c ertify that onlyconEractors and employees who are in compliance with ORS z 01.0s5 will beused on this proje
I further agree toproper time, that ,
card i.s located atwill remain on the
ct..
ensure t,hat
each address
the front of
site t
all reguired inspections are requested at theis readable from the street, ttra-t tne permitthe property, and the approved set of planstimes during construction.
Signature
Receipt Numberr
Date paid:
Amount Received:
Received By:
1
8 \2--'D3
WillamalaneF.?ria n-eEeition District Job. No-
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
------------- r* rfr=lnonmurrnLOCATION OF PROPOSED BUILT
NAME:PHONE:
ADDR \(q S.Qnsifro \\orr,srArE: P,r zrp: 0]ltrtot
Street Address:
Plat Name:
1
ype definitions are on the
A. Single-Family Detached
\ Single Family home
NO. OF UNITS I
NO. OF UNITS
WILLAMALANE SDC
\, r.N- ri\o$ta9.-
Ddv6[opme nt Seh$e3 oepartme nt
City of Springfield
ax Lot Numb er: rt0?3ttD G4m
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
Manufactured home not in a park
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
$
$
$
2. SDC CREDTT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SDC Gredit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC.reduced for Credit)
X $699 per unit
$
$
$
U.')0O.oo
\00000
g
&b
Date
q\
X $1,000 per unit = $ tOf'n CO
r^
Page 1
CITY OF SPRUIGFIELD SYSTEIIS DTITELOPIIEI{T CIIARGE
(RESIDEIrTIAI.)
Name or Company: YORKSHfRE HOMES
Locat,ion: 4133 VIRGINIA AVE
Developement Tlpe: R Building Size:
.fob No. : 970589
Lot Size:sq Ft
1. STORII DRAINAGE
Impervious Sq Ft
2. SAI{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
45L -26 =
3. TRN{SPORTATION
Number Of Units
1X
2023
r-8
Trip Rate
1.0r_0 x
x
s4ss.77
#436.97
$80s. s0
$4ss.77
$382.42
$s2 . 0s
$330.37
$2,O28.6L
$r-0r-.43
Transportation Tota1
4. SAI{ITARY SEWER - }TYIUC
Number Of PFUs
l_8
5. ADMINTSTRATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
20 "690 +
MIrMC Admin Fee
10.00
MhMC CREDIT If Applicable
TOTAL - MI^IMC SDC
(see Page 2)
SITBTOTAL - (Add lteme 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 04/23/97
s2, 130 .04
irob Numlcer: 97O589 Page 2
FIXTURE T'IIIT CALEULATION TABLE
Fixture Tlpe
Number of
New Fixture
unr_tr
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
fnterceptors For crease/Oi1/Solids/Btc
Inteceptors For Sand/Auto Wash,/Etc
Laundry Tublclotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water StationlEt.c
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
S j-nk, Bar, Commercial , Residential Kj_tchen
Urinal, Stall/WaIl
Wash Basin/Lavatory, Single
Water Closet, Public Installat,ion
Water Closet, Private
Miscellaneous
TOTAL FTXTURE IINITS =
CREDIT CALCLTLATION TABLE: Based on assessed value. If improvements occured
after annexaLion date, crediUs are calculated separately.(calculations are by gt-Ooo)
Year Annexed: L969
2
1
3
6
5
l_
3
2
2
1
6
4
2
0
0
0
0
1
0
0
0
0
0
1
0
2
0
0
4
0
0
0
0
2
0
0
0
0
0
2
0
2
0
8
0
18
Credit For Pareel Or Land Only If Applicable:
Improvement (if after annexation date):
15, 000
0
3.47 =
3.47 =
s2.05
0. 00
x
x
CREDIT TOTAL =$s2 .05
(If land value is multiplied by L then the parcet/land credit is not accurate.)
a)a-Iir
sPlt -<iFtELO
225 FIFTE STREBT
1
Permi ts arlf vork iof lssuan
180 days.
APPLICATIONqtc5tqSPR[NGTIELD, OREGON 97477
fNSPECTION REQUESTz 726-37OFPICE: 726-3759 City Job Number
3. COHPI^ETE FEE SCEEDI'LE BELOIT
A ev t ia1-Sing
-7
1. LOCATTON OP INSTALLATTON'Signature
6
1ta3
re non-transferable and expires not started vithin 180 daysce or lf work is suspended ior
Hu1 t i-Fami Iy per dve
cluded:Service fn
1000 sq.ft. or less
Each additional 500
. sq. ft or portion
thereof
Each Hanuf,d Home. or
Hodular Dvelling
Service or Feeder
.8. Services or FeedersInstalIation, Alterationsor Relocation:
le orlling unit.
ftems Cost
I s Bs.oo
s 1s.00
$ 40.00
4
ON
Sum
Ss
E-
2. COMRACTOR INSTALI.ATION OITLT
Electrical Contractor
Address P (3ot I e3ez
Sat. ,"r, ptrone Aoa-6f6-48??
s
Ci ty
Supervisor License Number )gA.4.9
Expiration Date
umber DgOSq
200 amps or less
201 amps to 400 amps
1101 amps to 600 amps
601 amps to i.000 amp
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or FeedersInstallation, Alteration or Relocation
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
40.00
s5.00
80.00
constr contr. N
Expiration Date - tg -qq
Signature of Supervising Electrician
Ovners Name
Address I
cit
DATE:
200 amps"or less
201 amps to 400 amps -_-
over 401 to 600 amps
-0ver 600 amps or 100016-ITs
D. Branch Circuits
$
$
$
s ee - t'Br aE6ve
YY,.\n,'-*h Phone s;Oa-(3t-oOgtc>
Nev, Alteration or Extension per panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit _ $ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
E
OITNER INSTALI"ATION
The installation ls being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
-Pump or irrigation SSign/0utIine Lighting- SLimited Energy/Res
-
$
00
00
o0
00
40
40
20
36
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
oq
< r.)
3-c- d-RECEIVED B /r?.o)
ELEqIRICAL PBRHIT
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