HomeMy WebLinkAboutPermit Building 1996-12-18SPPIilGF!ELD
225 North Fifth StreeE
Springfield, OR 97477
RESIDENTIAL PERIIIT APPLICATION
CITY OF SPRINGFIELD
COM}TI'NITY SERVICES DIVISION
BUITDING SAFETY
Page L
Job Nu.uber: 95L523
Office:
Inspection Li-ne:
726 -37s9
726 -37 59
Location of Proposed Work: 2507 WALNUT RIDGE RD
Assessors Map #. L70323o0 Tax Lot #:
Lot: 33 Block: Subdivision:
01003
RIVER GLEN
SPilNGFTEII',
Orrner: FIIIIIRE B HO!{ES Phone #: 485-3L76
Address: 3593 RrVER POTNTE DRrVECity/State/Zip: EUGENE, OREGON 97408
Describe Work: S.F. RESIDENCE NEW
Genera]:
Plumbing:
Mechanica]:
ElecLricaf:
Contractor
F"UTURE B HOMES 0035499
3593 River Pointe Dr Eugene OR 9740
CUSTOM PLUMBING 0081994
3248 Kentwood Dr Eugene OR 97401000
ROLFS HEATING OLO2455
PO Box 56 Dexter OR 97431-0000
BOB FISHER ELEC 0095275
180 Kingsbury Ave Eugene OR 9740400
Const.
Contractor #Expires
05 /L8 / e7
os/06/e7
to/04/e7
o1-/2s/e7
Phone
485 -3L7 6
485-tL46
686 -4927
689-7973
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2374
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
To requeat an inspection, call the 24 hour recording at 726-3759-
A11 inspections requested before 7:00 a.m. wilf be made the same working day,
inspections req$rested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOIrIIDATION - After forms are erecLed buts prior to concreUe p]acement,.
II{DERFLOOR PLITMBING - Prior to insu1ation or decking.
IrIIDERFLOOR IIECIIA]IICAL - Prior to insul-ation or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AIID BEAII - Prior to floor insulat.ion or decking.
fNSULATION - Floor; prior tro decking Wal1/Ceiling; Prior to cover
WATER LINE - Prior to filling trench.
SAIIITARY SEWER LINE - Prior to filling trench.
STORM SEWER IJINE - Prior to filling trench.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
ROUGH MECIIAI.IICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power-
ROUGH PLITIIBING - Prior to cover.
FRAIIING - Prior to cover.
INSULATION - Ffoor,' prior to decking wall/ceiling; Prior to cover
DRYWALL - Prior to taping
CITRBCIII - After forms are erecLed but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPR'NGFIELC,
.Tob Number: 96]-523 Page 2
FINAL PLUIIBING - When all plumbing work is compleLe.
FINAL MECHAD.IICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is compleLe.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5979
Total- HeighE: 23
Lot Type: CORNER
SetbacksswE
20 L8 10
Lot Coverage: 34 Z
Setbk From NPL: 24
N
5
5
Item
Main
Garage
ToEal Value
Building Permit Fee
surcharge/admin
TOTAL FEE
--- BT'ILDING PERMIT ---
Square Feet x
183 0
544
$/Sguare Feet
64 .66
L6.27
(A)
Value
118, 328 . 00
8, 851 . 00
127,L79.00
496 . OO
39.58
53s.68
--- SYSTEMS DEVEI.OPDTENT CHARGE (SDC)
(B)2 ,7 47 .35
Systems Development Charge is due on al-l- undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PIJI'I{BING PERMIT ---
Item
Residential Bath(s)
Plumbing PermiL
Surcharge/edmin
TOTAL CIIARGE
2
Fee
l-60.00
L50.00
1,2 .80
L72.80(c)
--- MEEIIAI{ICAL PERMIT ---
Mechanical Permit
fssuance
Surcharge/admin
TOTAI, PER}TIT
3
5.00
4.50
9.00
3.00
s.00
(D)
27.50
10.00
2.2t
39.71
--- MISCELLA}iIEOUS PERMITS
Surcharge/aOmin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
0.00
32.80
L4.20
1, 000 . oo
183.60
TOTAL MISCELI.AIiIEOUS PERMITS (E)1,230.60
Furnace
Exhaust Hood
VenE Fan
Dryer Vent
GAS LINE & W/H
SPFTNGFIELC,
ilob Nunber: 951523
SPruNGFIELD,
Page 3
(Excluding Eleetrieal)
unless otherwise noted
--- TOTAL N,IOITNT DUE ---
(A, B, C, D, and E combined)4,726.L4
-.- BUII.DING VALI'E, PI,A}I CHECK AI{D BUILDTNG PER}TIT --.
This permit is granEed on the express condition t,hat the said construction
shalI, in all respects, conform to the ordinance adopted by the city ofSpringfield, including the Development Code, regulating Ehe construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Pl-an Check Fee: 322.40 Date paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Building Site Revj-ewed By: LISA HOPPER
tL/08/e6
L2 /L5 / e5
Receipt Number: 23749
--- ADDTTIONAL COMMEIII:IS ---
PATH 1
SEPARATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
4 STREET TREES REQUIRED
By signature, I stsate and agree, that I have carefully examined
tshe compJ-eted application and do hereby certify that all information hereonis t,rue and correcE, and I further certify that any and aII work performed
sha11 be done in accordance with the Ordinances of the City of springfield,
and the Laws of the State of Oregon pertaining to Ehe work described herein,
and that NO OCCUPANCY will be made of any strucEure without permission of the
Community Services Division, Building Safety. I further certify Ehat only
contractors and employees who are in compliance with oRS 7ol-.055 will be
used on this project,.
f further agree Eo ensure that all required inspections are reguest.ed at theproper time, that each address is readable from the street,, that t,he permit
card is located at the front of the property, and the approved set of plans
will remain on t.he sit,e at all times during construction.
lz-t8
Date
u(Receipt Number
Date Paid
Amount Received
Received By
4
,1?6.tcl
CITY
SPTI'NGFIELD
Page 1
CITY OF SPRINGFIEIJD SYSTE}TS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FLII|URE B HOMES
Location; 2507 WALNIIT RIDGE RD
Developement Tlpe: R Building Size:
.Tob No. : 96:.523
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.AI{SPORTATION
Number Of Unitst_x x
Transportation Total
4. SAI{ITARY SEWER - MWMC
Number Of PFUs
zz
X 0.21-6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
451,.26
3292
22
Trip Rate
1.010 x $4ss.77
$7LA . 07
$984. s0
$4ss.77
$46s.18
$0.00
$46s . l_8
#2 ,6L5 .52
$130.83
2!
Per PFU +
20.590 +
MWMC Admin Fee
10.00
MIrMC CREDIT If Applicable (see eage 2)
TOTAL - MWMC SDC
SUBTOTAIJ (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X O.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date:1,1,/L3/9G
$2,747.35
SPRINGFIELD
'Job Number: 96L523 Page 2
FIXTI'RE T'NIT CAIJCUI'ATION TABLE
CffTOF ONEGON
Fixture Tlpe
Number of
New Fixture
Unit
EquJ-valent
Fi-xture
Units
Bathtub
Dri-nking Fountain
Floor Drain
Intercept,ors For Grease/Oi-1/SoLids/Utc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/ftc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, StalI/WaII
Wash Basin/Lavatory, Single
Water Closet, Public Inst.all-ation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE I]NITS =
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
afEer annexation date, credits are calcul-ated separately
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land OnIy If Applicable: 0 X 0.00 = 0. OO
Improvement (if after annexation date): 0 X 0.00 = 0.00
CREDIT TOTAL = $0.00
(If land value is multiplied by 1 then the parcel/land credit is not, accurate.)
4
0
0
0
0
4
0
0
0
0
0
0
8
0
2
1
3
6
6
1
3
2
2
1_
6
4
)
0
0
0
U
0
0
0
t-
0
1
0
2
0
0
SI)RIl\!(;F IELt)
225 FIFTH STREET
SPRINGFTELD, OREGoN 97477
INSPECTION REQUESTz 726'3769
OFPICE: 726-3759
ELE TRI CAL PERHIT APPLICATION
City Job Number alSz
3. COHPLETE FEE SCHEDTILE BELOV
A Nev Residentj.al-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DvelIing
Servi.ce or Feeder
s 8s.00
s ls.00
s 40.00
afr,
B. Services or Feeders
- Installation, Alterations
It5 ". Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over L000 amPs/vo1ts
-
Reconnect 0n1Y
tD (*'
Z rq)
N r,\
OF
JOB f
Permi ts a non-transferable and exPire
if vork is not started vi thin I'80 days
of issuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTALLATION ONLY
Sum
o0
0o
B" a56TE-
Electrical Contractor L
""30,s s0.00
s 60.00
s r.00. 00
s130. 00
s300.00
$ 40.00
$
s
$
s
Addr
Ci ty
Supe
S
Phone
rvisor License ber
Explration Date
Con str Contr. Number
Expi ra t i Date
Temporary Services or Feeders
Installation, Alteration or Relocation
less S
600 amps $
s or 1000 volts s
t t
+
C
200 amps''or
201 amps to
401 to
Over 600 amp
40
55
BO
.00
f
Ovners Name
Address
Ci tv Phone
OVNER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for saIe, Iease or rent'
0vners Signature:
DATE:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
n""f, eaaitional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each ins tal-Iation
Pump or irrigation
-
Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Admini.strative Fee
TOTAL
D
ee l'
40.00
40.00
20.00
36.00
E
BRECEIVED
5 ru
4ffiV-
z.
ui-
,ia.i r:.roiect es cubmitted has the
SPFlINGFIELO
ELECTRICAI PERHTT APPLICATTON
COHPI,ETE FEE SCMDULE BELOV
i, io; I ii,i require specific land ugo
7
225 TTFTE STREET .l (/(
SPRINGFTEL^D, oREGoN 974,71 .,. ,.,
INSPECf,ION REQUEST: 726-3769
OFFICE: 726-3759 rob Nunbe, QO / 523
J
A Nev Residential-Single orMulti-Family per dvelling unit.Service Included:
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home. or
Modular 'Dve1ling
Service or Feeder
Cost Sum
s Bs. oo g5
I tems
L
Permits are non-transferabLe and expireif vork is not started vithin 1B0 daysof issuance or if r.rork is suspended for
180 days.
2. CONTRACf,OR TNSTALI,ATTON OIILY
JOB DESCRIPTION
EIec t ri
Address
cal Contract
Ci ty frnpnq-
.\Lt censeSupervisor
B Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to. 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/vo1ts
-
Reconnect Only
3 s 1s.oo 6
s 40.00
s s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
fu*
Number
Expiration Date
constr contr. ,r*o"r q\0hq5
q')
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps'"or less L- S 40.00
201 amps to 400 amps
-
S 55.00
C
Expiration Date
Signature of pe rv1s].ng
Ovners Name
r].c1.Zrn over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 vofts see trgr uffill-
D. Branch Circui ts
Address
Ci ty Phone
OVNER INSTAILATTON
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Orners Signature:
DATE:
Nev, Alteration or Extension per panel
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit S 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation .S 40.00Sign/Outline Lighting- S 40.00Limited Energy/Res
-
$ 20.00Limited Energy/Comm S 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAT,
E
OO5
RECETVED
/o
1. LOCATION OF INSTALLATION^ <a? V/ ,', ',,r* ?fT { -
IJGAI, DESSRTPTTON/7e." 2: oo e ^3
WitlamallBe
F"?t| a-n-"Eeati o n D i st ri ct
NAME:
ADDRESS:
LOCATION
Street Add
PIat Name:
Develo
City of
Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE:ztP
OF PROPOSED BUILDING SITE:
rESS
$
$
qryns
Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
I\ Single Family home Manufactured home not in a park
No. oF UNITS x $1,000 per unit = $ l|}0lpd
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNTTS X $692 Per unit
D. Manufactured Home Park
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit
2. SDC CREDIT (if applicable) SDC-payer must lumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
\000 00
6
00
A-, tL, qb
$
I
$
Se
Springfi
ment Date
q\,'\hlq