HomeMy WebLinkAboutPermit Building 1997-06-02SPFINGFIELD
a
RESIDENTIAIJ PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMI'NITY SERVICES DTVISION
BUILDING SAFETY
t
Office:
Inspection Line:
Page 1
'Job Number: 97 0592
725 -37 s9
726 -37 69
225 North Fifth Street
Springfield, OR 97477
Loeation of Propoeed Vilork: 4145 VIRGINIA AVE
Assessors ttap #: L7023234
Lot: 36 BLock:
Tax Lot #:
Subdivision:
09100
I^IYATT MEADOWS 2
SPruNGFTEI-D,
Owner: YORKSHIRE HOITIES
Address: 189 SOUTH PACIFIC Hi^fY
Phone #: 503-838-0095
city/state/zip: MoNMoTIIH, oREGoN 9736L
Describe Work: S.F. RESfDENCE NEW
General:
Plumbing:
Mechanical
Electrical
Contractor
YORKSHIRE HOMES OLOI76'7
l-049 Yorkshire CE Se Salem OR 97301-
MEIER PLIT{BING OO95O25
3457 Potts Dr NE Keizer OR 97303000
SALEM HEATING OOO15O5
PO Box 12005 Salem OR 973090000
NORTHSIDE ELECT OO8O593
PO Box 1,2558 Salem OR 973090000
Const,.
Contractor #Expires
o8/24/e7
rr/ oL/ e7
05/Le/e7
03 /L7 / oO
Phone
838-0095
393-0819
581- l_53 6
399-7609
QUAD AREA: 3RSC
# OF UNrTS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L476
-- oFFICE USE --
LAND USE: l-l-l-1
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUI, PATH: TPC
To request an inspection, caII the 24 hour recording aE 726-3769.
A11 inspections reguested before 7:00 a.m. wil-I be made the same worki-ng day,
inspections requested after 7:00 a.m. wiLl- be made Ehe following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavaLed.
FOtIIDATION - AfEer forms are erected buE prior to concrete placement,.
POST Al{D BEA}I - Prior t,o f loor insulation or decking.
ITNDERFTOOR PLTMBING - Prior Eo insulation or decking.
ITNDERFLOOR I{ECHAIIICAL - Prior to insulation or decking.
WATER LINE - Prior to filfing trench.
SAI{ITARY SEWER LINE - Prior to filling Lrench.
STORII SEWER LINE - Prior to filling trench.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIAIIICAL - Prior to eover.
ROUGH ETECTRICAL - Prior to cover.
ELECTRICAL SERVfCE - Must be approved to obtain permanent power.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FRN{ING - Prior to cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - Aft.er forms are erected but prior to placement of concrete.
SIDEWALK - After excavat,ion i-s complete, forms and sub-base material
in place.
FINAL PLITI{BING - When aI1 plumbing work is comp1eEe.
FINAL MECIIAI{fCAL - When all mechanical work is complete.
FINAL ETECTRICAT - When all electrical work is complete.
FINAL BUIIJDING - When all required inspecEions have been approved and
the building is complete.
SPNINGFIELD
Job Number: 970592
a a
Page 2
Lot Faces: N
Solar Approved: Y
House
Garage
Total Height: 15
Lot Type: fNTERIOR
SeEbacks
SWE
22 7.5 7.5
7-5
Setbk From NPL: 50
N
18
Item
Main
Garage
Total Val-ue
Building Permit Fee
Surcharge/edmin
TOTAL FEE
--- BUILDING PERMIT ---
Sguare Feet x
LO52
424
$/Square reet
64.66
L6.27
(A)
Val-ue
68 , 022 .00
6, 898 . 00
74,920.OO
386 .64
--- SYSTEITS DEVETOP}TENT CI{ARGE (SDC)
(B)2,L34.58
Systems Development, Charge is due on al-l undeveloped properties within the CiEy
limiLs and the Citys Urban Growth Boundry which are being improved.
--- PIJITMBING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI, CHARGE
)
Fee
160.00
160.00
L2.80
]-72.80(c)
.-- IIECIIA}IICAI, PER}IIT .--
Furnace
Exhaust Hood
Vent, Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/aamin
TOTAI, PERMIT
)
5.00
4.50
6.00
3.00
l_9
10
1
50
00
57
(D)31.07
--- MISCELTANEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
PLAN REVIEW FEE
TOTAL ITISCEI,I,AI{EOUS PERMITS
0.00
L7.65
13.90
1, 000 . 00
60.00
(E)1, 091.55
(Excluding Electrical)
un1eEs otherwiEe noted
--- TOTAL AITOI'lil:I DUE .--
(A, B, C, D, and E combined)3,8L6.64
358.00
28 .64
SPFINGF!ELD
o a
,Job Number
4tttE n':#,:^lnr0-
Page 3
SPruNGFIEI.D,
.-- BUILDTNG VALI'E, PI,A}iI CHECK A}ID BUITDING PER}IIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopEed by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violaEion
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART
Building Site Reviewed By: LISA HOPPER
Date: 04/25/97
--. ADDITIONAI, COMMENTS ---
ELECTRICAL PERMTT REQUIRED PRIOR TO EI,ECTRICAL INSTALLATION
DRIVEWAY REQUIRED TO BE PAVED
]- STREET TREES REQU]RED
By signature, I atate and agree, that I have carefully examined
Ehe completed applicaLion and do hereby certify that all information hereon
is true and correcE, and I further certify that any and all work performed
shatl be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and thaE NO OCCUPAIICY will- be made of any structure without permission of Ehe
CommuniEy Services Division, Building Safety. I further certify that only
contracEors and employees who are in compliance with ORS 70L.055 will be
used on this project.
I further agree to ensure thaL all required inspections are requesEed at the
proper time, that each address is readable from the street, that the permit
card is located at the front of the properEy, and the approved set of plans
wifl remain on the site at all ti during construction.
Signature Date
--- vAL TION ---
Receipt Number
Date Paid
Amount Received
Received By
:{liiing, ancl docs no
approval.
SPIA,-.GFIELD
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOIAL
Zonir'g rwlr
D**s:2Q_J2
225 FIFTB STBXBT .J : I'
SPRINGPIELD, OREGON 97477
INSPECTION REQUEST: 725-3769
OFFICE: 726-3759
1. LOCATI OP INSTAI,LATION
Permits are non-trans ferz and expire
lf vork is not started vithin 180 days
of lssuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
?Address {3ot le 3ev
citv Satzv"vr rnone 6o1-6f5-48??
Supervisor License Number )9 e.4:9
Expiration Date
Constr Contr. Number
Expiration Date
Signa ture of Supervising Electrician
Osners Name
Address I
r/)'th Phone 566-838-oOqb
0 rvt ELECIRICAL APPTICATION
City Job Number
COHPLETE FEE SCEEDTII^E BELOII
Nev Residential-Single or
Hulti-FamiIy per dvelling unit.
Service lncluded:Items Cost
.B
c.
E
L000 sq.ft. or less
Each additional 500
sq. ft or portion'thereof
Each Hanuf'd Home. or
ilodular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPS
-
/r01 amps to 600 amps _
601 amis to 1000 amPs-
over 1b00 amps/volts
-Reconneet OnIY
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps'or less I
201 amps to 400 amps
-
0ver 401 to 600 amPs
O'.';; $00 ilmps cr 1000-i6ITs
Branch Circuits
ee. ,,Bu a[6ve-
Nev, Alteration or Extension Per Panel
One circuit S 35'00
iach edditionalCircuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation' Pump or irrigation
Sign/Out1ine Light ing-
Limited Energy/Res
-
Limited EnergY/Comm
3
A
Sum
50.
60.
$300.
$ 40.
100
130
S
$
$
s
s
s
$
s
s 40.00
$ 40.00
$ 20.00
$ 36.00
00
00
00
00
00
00
40.00
s5.00
80.00
+
D
ci
OVNER INSTAII.,ATION
The installation is being made on
property I or.rn vhich is not intended
for sale, lease or rent.
Osners Signature:
tt oO
2 or)' .7d-
?," .7o
DATE:
1
RECBTVBD
Ocrg(
5
to -t *qF
3
2-* -qq
SPR!NGFIELO
o
CTTY OF SPRINGFIELD SYSTEMS DEVEIJOPMENT CIIARGE
(RESIDENTIAL)
Page 1
SPilNGFIEID,
Name or Company: YORKSHIRE HOMES
Location | 41"45 VIRGINIA A\rE
Developement Tlpe: R Building Size:
Job No.: 970592
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CTTY
Number Of PFUs
(see Page 2)
3. TP.ATiISPORTATION
Number Of Units
1X
X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
Cost Per Trip
451,.25
x
Transportation Total-
4. SA}iIITARY SEWER - MIIMC
Number Of PFUs
L8
5. ADITIINISTRATIVE FEES
Base Charge (Subtotal above) x
2043
18
Trip Rate
1.010 x $4ss.77
#441,.29
$80s. s0
$4ss.77
$382.42
$s2. os
$330.37
$2 , 032 .93
$101.5s
x
x
Per PFU +
20.690 +
MWMC Admin Fee
r_0 . 00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Item6 1, 2, 3 & 4)
0.50
TOTAI, SDC
Reviewed By: DENNIS ERNST Date: 04/23/97
$2, 134 .58
SPRINGFIELD
Job Number: 970592
a
Page 2
FTXTURE I'NIT CAI,CUI,ATION TABLE
Fixture Type
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oi1/Solids/Utc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/WaLer Station/Stc
Receptor for Commercial- Sink/Dishwasher/Etc
Shower, Single Stall-
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stal-1/wa11
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTT'RE I]NITS =18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately
(caLculations are by $1000)
Year Annexed: L969
Credit For Parcel Or Land Only If Applicable: 15,000 x 3.47 = 52.os
Improvement (if after annexation date): 0 x 3.47 = 0.00
CREDIT TOTAL = $52.05
(If land value is multiplied by 1 then the parcel/tand credit is not accurate.)
4
0
0
0
0
2
0
0
0
0
0
a
0
a
0
8
0
a
1
a
3
5
)
6
1
3
z
a
1
A
4
)
0
0
0
0
1
0
0
0
0
0
1
0
U
z
n
Willamalane
Park & Recreation District Job.No. q-0tqL
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
1
NAME:
ADDRE
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
ype definitions are on the
A. Single-Family Detached
\ Single Family home
\\
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
PHONE:
srArE: w zrp: Q-]?rlol
Lot Number:
Manufactured home not in a Park
$\000.00
tr
NO. OF UNITS X $1,000 per unit = $ t0/^n P
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNTTS X $692 Per unit = $
D. Manufactured Home Park
X $699 per unit = $NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDO-payer must turnish proof of
Wllamalane ireOit'approval. See SDC Credit Worksheet. $
3. TOTAL WTLLAMALANE NET SDC ASSESSED
(if SDC.reduced tor Credit)
ment
City of Springfield
Department Date
$\00
X $924 per unit = $
1. LOCATION INSTALLATION
3p.-'i"wt l:).*- ''-'
.o,,,,. md-/
c*rbrWL
t4'll,r l ln\y
EI,ECTRTCAL PBRMTT APPLICATION
City Job Number
3. COUPI,STE FEE SCEEDTII,E BELOI{
A. Nev Residential-Single or
SPI. -GFIELO
Iy per dvelling uni t.
cluded:
225 FTFT,E STREET
SPRINGTIELD' OREGON 97477
INSPrcTION REQUEST: 726-3769
OFFICE: 726-3759
Permits are non-transferable and expire
if uork is not started vithin 180 days
of lssuance or lf r,rork is suspended for
180 days.
2. CO}ITRACTOR INSTALI,ATION ONLY
Mul t i-Fami
Service In
i00ti sq.tt. or less
Each additional 500
sq. ft or portion'thereof
Each Hanuf'd Home. or
Modular Dvelling
Serviee or Feeder
ftems Cost
I s Bs-oo
I $ 1s.00
$ 40.00
Sum
35
l5
Electrical Contractor
Address ?r)la3e 3
Ci ty Sat ptrone 6o:.,-.5f6:48/i?
.8. Services or Feeders
InstaIIation, Alterations
or Relocation:
c
200 amps or less
201 amps to 400 amPs --1101 amps to 600 amps _-
601 amis to 1000 amPs
Over 1000 anPs/vo1ts
-
Reconnect OnIY
Temoorary Services or Feeders
Installaiion, Alteration or Relocation
$
s
$
s
$
s
50.
60.
00
o0
00
o0
00
00
100
130
300Supervisor License Number )9 e.4:9
Expiration Date,
constr Contr. Nurnber D8 3
Expiration oare 3'18-44 ..
ture of Supe rvising Electrician
Osners Name
200 amps"or less
201 ambs to 400 amPs --
Over 401 to 600 amPs
.a...-- .-...n AEi^ .F 1000ETsvt'U- !_-! g.t.I,+
40-
$ 40.00
$ ss.00s 80.00
..o ,,3,t .q,-Evg-
Address I
City fV')onmnrrlh PhoneSoA-838-oOQlo
OVNER INSTALI.ATION
The installation ls being made on
piop"tty I ovn vhich is not intended
for sale, lease or rent.
Osners SigPature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each AdditionalCircuit or vith Service
or Feeder Permi t
-
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation' Pump or irrigatiott
Sign/Out1ine Light ing-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5X State Surcharge
3Z Administrative Fee
TOTAL
I
Sao
s40
$20
$36
00
o0
o0
00
RECEIVED B
5
n-t -q g