HomeMy WebLinkAboutPermit Building 1997-06-02SPF!HGF!ELD
a
RESTDENTTAT PERMIT APPLTCATTON
CTTY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
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Office:
Inspection Line:
page 1_
ilob Number: 920596
ffi
225 North Fifth Street
Springfield, OR 974j7
Location of proposed Work z 4L4L VIRGINIA AVEAssessors Map #: L7023233
Lot: 35 Block:
726 - 37 59
7 26 -37 69
Tax Lot #:
Subdivision:
o9200
WYATT MEADOWS 2
Or,vner: YORKSHIRE HOMES
Address: 186 SOUTH PACfFIC HWy
phone #: 503-B3B-0096
city/state/zip: MoNMOUITH, oREGoN s736L'
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical:
ElectricaL:
Contractor
YORKSHTRE HOMES 01.0L767
1049 Yorkshire Ct Se SaLem OR 97301
MEIER PLUMBING OO95O25
3457 Potts Dr NE Keizer OR 97303000
SALEM HEATING OOO].505
PO Box l-2005 Salem OR 97309OOOO
NORTHSIDE ELECT OO8O593
PO Box 12668 Salem OR 973090000
Const.
Contractor #Expires
08 /24 / e7
1.1./ot/e7
0s /te / e7
03/L8/oo
Phone
838-0096
393-0819
581-1536
399 -7 509
QUAD AREA: 3RSC
# OF I.}NITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1-468
-- OFFICE USE --
LAND USE: 1l-11
ZONfNc CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: TPC
To request an inspection, cal-I the 24 lno.ur recording at 726-3769.
A11 inspections reguesLed before 7:00 a.m. will be made the same working d.ay,inspections requested after 7:00 a.m. wilL be made the following work d.ay.
--- REQUTRED TNSPECTTONS ---
FOOTING - After Lrenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
POST AI.ID BEAII - Prior to floor insulation or decking.
ITNDERFLOOR MECIIAI{ICAL - Prior to insuLation or decking.
ITIIDERFLOOR PLITMBING - Prior to insulation or decking.
UIATER LINE - Prior to filling trench.
SAI{ITARY SEWER LrNE - Prior to filling trench.
STORM SEWER LINE - Prior Eo filling trench.
INSULATION - Fl-oor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLITMBING - Prior to cover.
ROUGH MECHAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover
ELECTRICAIJ SERVfCE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing wj-th finish materials.
FRAIIING - Prior to cover.
INSUIJATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
DRYWAIJIJ - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEUIALK - After excavation is complete, forms and sub-base material
in place.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIIAI{ICAL - When all mechanical work is compl-ete.
FINAL ELECTRICAL - When alI electrical work is complete.
FINAIJ BUILDING - When all required inspections have been approved and
the buifding is complete.
SPRI'VGFIELO
Job Number: 970596
a o
Page 2
SPilNGFIELT',
Lot Faces: N
Sofar Approved: Y
House
Garage
Total HeighE: 151-5
Lot Type: INTERfOR
SetbacksswE
2277
Setbk From NPL: 50
N
18
t-8
Item
Main
Garage
Total Value
Buitding Permit Fee
surcharge/admin
TOTAT FEE
--- BUII.DING PER}IIT ---
Sguare Feet x
LO44
424
$/Sguare Feet
64.65
L6.27
(A)
Val-ue
67, 505 . 0o
6,898.00
74,403.O0
358
28
00
64
385.54
..- SYSTEUS DEVELOPIIE}{T CIIARGE (SDC)
(B)2,L31.41
Systems Development Charge is due on a1l- undeveloped properti-es wi-thin Ehe Cj-ty
limits and the Citys Urban Growth Boundry which are being improved.
--- PLUIIBING PERI'IT ---
Fee
150.002
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CIIARGE (c)
160.00
12.80
L72.80
--- MECIIA}IICAL PERMIT ---
5
4
6
3
00Furnace
Exhaust Hood
Vent Fan
Dryer Vent
TOTAL PER}TIT
a
50
00
00
(D)
19.50
10.00
t .57
31.07
--- I{ISCELI,A}IEOUS PERIdITS
Surcharge/aAmin
Sidewalk
Curb Cuts
WILLAMAI,ANE SDC
PLAN REVIEW FEE
TOTAIJ UISCEI.LAIIEOUS PER}IITS
0.00
].7.65
13.90
1, 000 . 00
50.00
(E)1, 091.55
(Excluding Electrical)
unlesE otsherwise noted
--- TOTAL AUOI'NT DUE ---
(A, B, C, D, and E combined)3 ,8L3 .47
Mechanical- PermiE
Issuance
Surcharge/edmin
!sPF!NGF!ELO
Job Number: 970596
't t ti I /i r6;t',ra frYb
a a
Page 3
SPruNGFIEA,
--- BUII.DING VAI.UE, PI.AIiI CHECK AI\ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shaIl, in aII respects, conform to the Ordinance adopted by the CiLy of
Springfield, including the DevelopmenE Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date:04/25/97
--- ADDITIONAL COMMENTS ---
ELECTRICAL PERMIT REQUIRED PRIOR TO ELECTRICAL INSTALI,ATION
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By eignaEure, I state and agree, that f have care fully examined
the completed application and do hereby certify that all information hereon
is true and correct, and. I furgher certify that any and all work performed
sha1I be done in accordance with the ordinances of the City of Springfield,
and the Laws of the State of Oregon perLaining to Ehe work described herein,
and that NO OCCUPANCy will be made of any structure without permission of the
Community Services Division, Building Safety. I further cerEify Ehat only
contractors and employees who are in compliance with ORS 70L.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the properLy, and the approved set of plans
will remain on the site at times during construction
SignaEure Date
I
,TroN - - -
Receipt Number:
Date Paid:
Amount Received:
Received BY:
Page l-
CITY OF SPRINGFIEI.D SYSTET'TS DEVEIJOPITEITT CEARGE
(RESIDENTTAI,)
Name or Company: YORKSHIRE HOMES
Location: 414MRGINIA AVE
Developement fipe: R Building Size:
ilob No. : 970596
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Fts
2. SA}IITARY SEWER . CITY
Number of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
Lx
X O.2L6 Per Sq Ft =
X 44.75 Per PFU =
Costs Per TriP
451 .25 =
x
Transportation Total
4. SANITARY SEWER - UWMC
Number of PFus
r_8
5. AD}TINISTRATIVE FEES
Base Charge (Subtotal Above)
2029
18
Trip Rate
1.010 x
x
54ss.77
$438.26
$8os. s0
$45s.77
$3e2.42
$s2 .0s
$330.37
s2,029.91
$101. s0
x
x
PET PE.U
20.690
+ MWMC Admin Fee
+ 10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBrOTAL - (Add It€aa 1, 2, 3 & 4)
x 0.50
TOTAI, SDC
Reviewed BY: DENNIS ERNST DaEe: 04/23/97
$2,131.4t
,fob Number: 920596
Fixture Type
FTXTT'RE UNTT CEECI'I.ATTON TAAI,E
Number of
New Fixture
Unit
Equivalent
Page 2
Fixt,ure
Units
BathEub
Drinking Fountaj-n
Floor Drain
Interceptors For Grease/Oi1/solids/gtc
Inteceptors For Sand/Auto Wash/Etc
Laundry fub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator,/Water Station/Stc
Receptor for Commercial Sink/Dishwasher,/Etsc
Shower, Single Stalt
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, StaIl/WaII
Wash Basin/Lavatory, Single
Wat,er Closet, Public Installation
Wat,er Closet, Private
Miscellaneous
TOTAL FIXTT'RE IINITS =1g
CREDIT CAITCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculatsions are by $1000)
Year Annexed: L969
Credit For Parce1 Or Land Only If Applicable: 15,000 x 3.47 = 52.05
Improvement (if after annexation date): 0 X 3.47 = 0.00
CREDIT TOTAL = $52.05
(If land value is multsiplied by 1 then the parcel/Iand credit is not accurate.)
2
1
2
3
6
2
6
l-
3
2
2
2
1
6
4
2
0
0
0
0
1
0
0
0
0
0
1
0
2
0
2
0
4
0
0
0
0
2
0
0
0
0
0
2
0
z
0
8
0
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
Job. No.
srArE: P& zrp: Q-l?rlo[
NAME:
ADDR
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
1.
ype definitions are on the
t,
ax Lot Number:
\\
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
A. Single-Family Detached
NO. OF UN-ITS T x $1,000 per unit = $ tDCn Cg
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
NO. OF UNITS X $699 per unit = $
\D00.oo
6
pment S
WTLLAMALANE SDC $
2. SDC CREDIT (if applicable) SDGpayer must tumish proof of
Wllamalane ireOit-approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC.reduced for Credit) $
City of Springfield
Department Date
00\
lu,A,
,,
spRTNGFTEU), oREGoN 97477, (p:24":91 ELECTRTCAT PBRMTT
SPA -GFTELO
729-3!69 ..,;, ::; .::--* O fY]\ ****-*€fry Job NumberTNSPECTTON REQTIEST:
OFFICE: 726-3759
1. LOCATTON OF INSTALI,,AIION
J DESCRTPTTON
L,
3. COUPI.ETE FEE SCMDULE BELOS
A. Nev Residential-Single orHulti-Family per dvelling unit.Service Included:
I tems
-+
I
1000 sq.ft. or less
Eaeh additional 500
. sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular DvelIing
Service or Feeder
Permits are non-transferable and expireif vork is not started vithin 180 diysof lssuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
\Cos t
s 8s.00
s 1s.00
$ 40.00
Sum
.E
I!
ELectrical Contractor
Address PO. Bot I e3e3
Cl ty 8al.rw.Pirone 6o:,-.586-48??
Supe rvisor License Number )2 4.4:9
Expiration Date t0-t -q8
constr Contr. Number DgO1q3
Expiratio" oar" 3-t8-44 . .
Signature of Supervising Electrician
Ovners Name
Address I
.8. Services or Feedersfnstallation, Alterationsor Relocation:
c
200 amps or less
201 amps to 400 amps
-
1101 amps to 600 amps
-601 amps to 1000 amps
Over 1000 amps/volts
-Reconnect Only
$300.00s 40.00
Ternporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
00
o0
00
00
50
60
$
s
$100.
s130.
200 amps"or less
201 amps to 400 amps
-Over 401 to 600 amps
0ver 600 amps or 1000-T6ffis
s 40,00
s ss.00s 80.00
see -ttBtt above
Ci ty tflo +h phone 5O6-8,38-oOQlo
OVNER INSTALI.ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Omers Signature:
DATE:
Ner, Alteration or Extension Per Panel
One circuit $ 35-00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2-00
E. Hiscellaneous (Service/feeder not included)
-Each installation- Pump or irrigation
Sign/0ut1ine Lighting_
Limi ted Energy/Res _Limited EnergY/Comm
s 40.00
$ 40.00
s 20.00s 36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrat'ive Fee
TOTAL
RECBIVED B
5 %
7. e<
/Di"'ad