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HomeMy WebLinkAboutPermit Building 1997-06-02afr, a 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 tn*t -qr