HomeMy WebLinkAboutPermit Building 1995-12-26ATT OF SPruNGFIEU',
SPRTNGFIELD
RESIDENTIAL PERMIT APPLICATION
CTTY OF SPRINGFTELD
COMMT'NITY SERVICES DIVTSION
BUILDTNG SAFETY
Page 1
ilob Number: 951825
225 North Fiftsh Street
Springfield, OR 97477
Location of Proposed Work: 1355 WIMBLEDON pL
Assessors Map #: L7033422
Lot: 2L Block:
Office:
fnspection Lj-ne:
726 -37 59
725-3769
Tax Lot #
Subdivision
00823
OAKTREE
Owner: SOVEREIGN BUfLDERS
Address: PO BOX 5821
Phone #: 744-09L5
citylstate/zip: EUGENE, OREGON 97405
NEWDescribe Work: S.F. RESIDENCE
GeneraL:
Plumbing:
Mechanical:
El-ectrical:
ConEracEor
SOVEREIGN BU]LD 0086477
131-8 Wimbl-edon PLace Springfiel-d OR
CUSTOM PLUMBTNG 0081994
3248 Kentwood Dr Eugene OR 974O1OOO
HOME COMFORT oo84t54
85262 Peaceful Va1ley Rd Eugene OR
LH MORRTS ooo1838
PO Box 466 Eugene OR 9744OOOOO
Conat,.
Contractor #Expires
1.0/os/e5
os/06/e5
06 /2s / e5
06/08/es
Phone
744-091"6
485 -1,1,46
345-2838
7 47 - 08l,L
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
fNSUL PATH: P1
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 2273
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To request an inapecEion,cal] the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will- be made the same working day,inspections requested after 7:00 a.m. will- be mad.e the foll-owing work day.
--- REQUIRED TNSPECTTONS ___
FOOTfNG - After trenches are excavated.
FOITNDATTON - After forms are erected but prior to concrete pracement.
IrNDERFr.ooR PLITMBTNG - prior to insuration or d.ecking.
LNDERFTJooR MECHANTCAL - prior to insur-ation or deckj_ng.
POST AI{D BEA.M - prior to floor insulation or decking.rNsuLATroN - Floor; prior to d.ecking wa]I/ceiling; prior to coverSAI{TTARY SEWER LINE - prior to filling trench.
STORM SEWER tINE - prior to filling trench.
WATER tINE - prior to filling trench.
ROUGH PtIrUBfNc - prior to cover.
ROUGH MECHANfCAL - prior to cover.
ROUGH GAS - after line is install_ed andappliance capped if not att.ached to an
GAs sERvrcE - After line is installed and line has been connected to aminimum of one appliance. pressure t,est done at this point..ROUGH ELECTRfCAL - prior to cover.
FRiMIfNG - prior to cover.
rNsuLATroN - Floor; prior to decki-ng walr/ceiling; prior to coverDRYIIALL - prj-or to taping.
ELECTRTCAL SERVTCE - Must be approved Eo obtain permanent. power.FfNAIJ GAS - When aII gas work is complete.cuRBcur - After forms are erected but prior to pracement of concret.e.STDEWALK - After excavation is complete, forms ano sub-base materialin place.
SPRINGFIELD
.fob Number: 951825
ATTOF
Page 2
FrNAL PLIIMBING - When all plumbing work is complete.FfNAL MECHAIIICAL - When aI1 mechanical work is complFINAL ELECTRICAL - When a1l el_ectrical- work is complFINAL BUILDfNG - When all reguired inspections havethe building is complete.
.ete.
et,e.
been approved and
Lot Faces: SE
Topography: 2
Solar Approved: y
Lot. Sq. Ft. : TGBO
TotaL Height: 22
Lot Type: fNTERIOR
SetbacksswE
615
25
LoL Coverage: 30 ?
Setbk From NpL: 15
N
10House
Garage
ftem
Main
Garage
Total Val_ue
Building permit Fee
Surcharge/Admin
TOTAL FEE
ftem
Residential Bath(s)
Plumbing permit
Surcharge/Admin
TOTAL CHARGE
Furnace
Exhaust Hood
Vent. Fan
Mechanical permit
fssuance
Surcharge/admin
TOTAI. PERMIT
--- BUTLDTNG PERMIT ---
Square Feet x
183 3
440
$,/sguare Feet
56.2
l_4.1
Value
103, 015. 00
6 ,204 .00
LO9 ,279 . o0
- - - SYSTEIIS
- - - PLT'ITBTNG
a
--- MECHANTCAL
3
- - - }IISCELLA.}IEOUS
DEVELoPITTENT CHARGE
455.50
35.45
(A)491.95
(B)2,475.L5
,rties within the Cityimproved.
Fee
r_50 . 00
150.00
12. B0
(c)L72.80
5.00
4 .50
9.00
15.00
3.00
42 .50
10.00
3.41
(D)5s.91
0.00
27.25
13.50
1, 000 . 0o
1,040.95
(sDc)
Systems Development Charge is due on al_l undeveloped. propelimits and the Citys urbJn cr"rti, Boundry whicrr are being
PERMTT ---
PERMTT ---
Wood Stove / InserL /Fireplace UnitDryer Vent
Surcharge/admin
Sidewal_k
Curb Cut
WTLLAI\,1'\LAT{E
TOTAL MTSCELIAI{EOUS PERMITS
(Excluding Electrical )unless ot,herwise noEed
--- TOTAL
PERMTTS
AIIOI,NI DI'E .--
(4, B, C, D, and E combined)
(E)
4 ,237 .57
SPHINGFIELD
ilob Number: 951825
ONEGONOTTOF
Page 3
--- BUTLDTNG VALUE,PTAI{ CHECK A}ID BUILDING PER}IIT - - -
This permit is granted on the express condition that the said constructionsha]l, in alL respects, conform to the ordinance adopted by the city ofspringfield, including the Development code, reguJ-ating the construction anduse of buildings, and may be suspended or revoked at any time upon vioLationof any prowj-sions of said ordinances.
Plan Check Fee 296.08 Date paid:
Received By: DON MOORE
Pl-ans Reviewed By: DUANE HUSSEY Date:Building Site Reviewed By: LISA HoppER
LL/22 / es
L2/22/ es
PATH 1
___ ADDTTToNAL COMMENTS
DRTVEWAY REQUTRED TO BE PAVED2 STREET TREES REQUIRED
By signature, f stsa te and agree, that f have carefully examinedtshe completed appl ication and do he reby certify Ehat aII information hereonis true and correc t and f further cert.ify that any and aLl work performedshal-l- be done in accordance with the Ordinances of the Cit y of Springfield,and the Laws of the State of Oregon pertaining to the work described herein,and that NO OCCUPANCy will be made of any structure wi thout permission of theCommunity Services Division , Building Safety.f further certify that onlywith ORS 701.055 will_ be
contractors and employees who are in complianceused on this project
Receipt Number: t9664
ZC ef-
r further agree to ensure that all reguired inspections are requested at theproper time, that each address is readabl_e from Lhe street, tirat tne permitcard is l0cated at the fron. of the property, and the approved set of planswil-l- remain on the site at a1i times duringr construction.
S
Date
--- VALIDATTON ---
Receipt Number
Date paid
Amount Received
Received By:
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAL)
Name or Company:SOVEREIGN BUILDERS Job No. : 951925
Lot Size:
Localion: 1355 WIMBLEDoN PLDevelopement Tlpe: R Building Si_ze:sq Fr
].. STORM DRATNAGE
Impervious Sq Ft
2. SAI{TTARY SEWER - CrTY
Number Of pFUs
(see page 2)
3154 X 0.2L0 per Sq Ft =
20 X 43.43 per pFU =
3. TRANSPORTATION
Number Of Units
1X
x Trip Rate
1.010 x
Cost per Trip
437.93
$662 .34
$858.50
$442 .31,
$38s. oo
$0.00
$3es. oo
$2,358.25
$Lt7 - 91,
x
$442 .31
Transportation Total_
4. SA.I{ITARY SEWER - MWMCNumber Of pFUs
)A
MWMC CREDTT rf Applicable
TOTAL - MhMC SDC
x
x
Per pFU +
18.750 +
MWMC Admin Fee
10.00
(see page 2)
SUBTOTAL - (Add ftems L, 2, 3 & 4)
5. ADMINISTRATTVE FEESBase Charge (Subtotal Above) x 0.50
TOTAL SDC
Reviewed By: TROY MCALLfSTER Date: tt/29/95
$2 ,47 6 .L6
Job Number: 951825 Page 2
FIXTURE I'NIT CALCULATTON TABLE
Fixt.ure Tlpe
Bathtub
Drinking Fountain
Floor Drai-n
fnterceptors For crease,/Oil_/Solids/Etcfnteceptors For Sand/Auto Wash/EtcLaundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator,/Water Station/ntcReceptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal-l
Shower, Gang
Sink, Bar, Commercial, Residential_ KltchenUrinal, StaI1/Wa11
Wash Basin/Lavatory, Single
Wat,er Closet, public fnstallat.ionWater Closet, private
Miscellaneous
TOTAL FTXTURE UNTTS =
CREDTT CALCULATION
Credit For parcel Or Land Only ff Applicable
fmprovement (if after annexation date) :
TABLE: Based on assessed var-ue- rf improvements occuredafter annexation date, credits are ca1culated separately(calculations are by gIOOO)
Number of
New Fixture
Unit
Equivalent
Fixture
Unlts
2
1
2
3
6
2
6
1
3
2
2
1
5
4
z
0
0
0
0
1
0
0
0
1
0
1
0
2
0
a
0
4
0
0
0
0
2
0
0
0
2
0
2
0
0
I
0
Year Annexed
0 x 0.00 =
o x o.oo =
CREDTT TOTAI, -(rf land value is multiplied by 1 then the parcel/land credit is not
20
0.00
0.00
$0.00
accurate. )
225 PIBTB STREET
SPRINGBIET^D, OREGON 97477.
INSPECTION REQUEST: 726-3769
1.' I'CATION OP INSTALTATTON
IJGAI DESCRIPTION
-2
DESCATPTION
Perrnlts are non-transferable andlf vork ls not started vtthiri 180of lssuairce or lf vork ls sus pended for'180 days.
2. CONINACTOR TNSTALT^A,TrON ONLY B
Electrlcal Contrac tor L.4 l?ld?ErS W
Address
cl ?PO,Phone 247.-Ok//
Supervisor Llcen-se Number 1 6a c-5
Expiration Dare /0-/-q3
Constr Contr. Number O/ ??c.
Explratlon Date
SPRINGFI€'LO
ELBSTRICAL PBRHIT APPLICATION
ci Job N umber
3.HPIJTE FEE SCIIEDI.'I^E BELOV
. A. Nev Resldentlal-Sing1e orHuIti-Fbmily per dvelling unit.Service Included:
ftems Cost
| $ Bs.oo
L. S 1s.00
$ 40.00
Services or Feedersfnstallation, Alcerationsor Relocation:
$ s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
D.
Nev, Alteratlbn ol Extension per panel
$ 3s.00
200 amps or 1ess
201 amps to 400 amps ----
401 amps to 600 amps
-
601 amps to lO00 amps-over 1000 amps/volts
-
Reconnect 0nIy
Temporary Services or'Feedersfnstallation, Alteration or Relocation
J!! amps or less $ 40,00201 amps t9 400 amps
-
$ SS.Ooover 401 to'600 amis ] i eO.0o --0ver 600 ampg.or 1000f-[s..see "Bi affiil
Branch Circuits
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf ,'d Home or
Hodular Dvelling
Servlce or Feeder
Sum
_gE_z
_t
Slgna
Ouners
Address
clr
OITNER
of Su e'ivlslng Electrician
P
Nqn e
The. instaLlatloh is. belrig made on
?ropq.r_ty f-ovn.yhtch is not intendedtor sal.e, 'Iease of rent.
Oiners Slgnaturei ,, , .. .:,
:. : ,j
.. .'
. .:.
,Each. {ddi tional' Clrcui.t or vl th Ser.vice.
l?Hlscellaneous (Servlce/feeder not included)-Each lnstallation
Pump or lrrigation
ltgnl0utlin! Lighttng -
.
Linit ted png5rf./Coqrtrr .T
$ z.oo
_:J_15 ',,D'--
I
$ 40.00
$ 40.00
$ ,20. oo
$ 36.00
DATE:5.. strnroral oE"AB0VE'
5Z'State Surcharge
TOTAL
=
It{*-a
RESEIVSD
+306 Adonrn E<-/g4co
Qrt: -.1
itt
iD
2?n n aaVTS
fv/a:.z
fuaa'-cP
=274-^/?effi
/ytr
7X /7
r2r/
*fr*7,
ara/7o., <r>@ "./
Sqanr,r;F--?-e
$WillamalaneFartE aecreation District Job.No. qd8?5
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHOT{E:NAME:
NO. OF UNITS
WLLAMALANE SDC
Development
srArE:-DLr,r' q1fi5ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Add
Plat Name: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
\ Single Family home
NO. OF UNITS X $1,000 per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNTTS X $692 Per unit = $
D. Manufac'tured Home Park
X $699 per unit = $
$
Manufactured home not in a
2. SDC CREDff (if applicabte) SDO-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if sDc
$
\t)DO,OD$
City of Springfield
s Department *tuq>
a)
I
++tobq-
SPrrINGFIELO
Qrt
CAL PERHIT APPLICATION
bNunber ?=lX)s225 .FIPTB SIREET
SPRINGFIELD, OREGON 97477
INSPBCTI0N REQTESTz 726-3769
OPEICE: 726-3759 :_ Pla1fi5
A$horized Slgneturo.
1 I'CATTON OF INSTALI.ATIONtl A
JOB DESCPJPTION7Erue Zt*q)f-SHqctg
Pernits are non-transferable una "*piL"lf vork ls not started vithlri 180 dils'of lssuahce or lf vork ls suspended for
'180 days.
2. CONTRACITOR TNSTALI^A,TION ONLT B.
Electrlcal Contractoc L.H, lvlh€Ers El&l-
Address
c1 <?to.Phone -747-ail I
Supervisor Llcense Number SOOG- S
ixpiration Date t0-l -1s
Constr Contr. Number Ol ?L
Explratlon Date
apProval.
Zoning-
EI.ECTRII
City Jo
vR
ltl
rvi
Ne
Hu
Se
BELOV
esldentlal-Single or
-Fam1Iy per dvelling unit.
ce Included:ftems Cost
$ 8s.00
Sum
1000 sq.ft. or less
sq. ft or portlon
thereof
Each Hanuf ''d Home or
-Hodular Drlel).ing
Servlce or Feeder
Services or FeedersInstallation, Alterations
or Relocation:
s 1s.00
$ 40.00
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps ----l-
401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0nIy
Slgna of slng Electrician
Ovners
Address
Ct
C. Temporary Services or'FeedersInstallation, Alteration or Relocation
200 amps or less I S 40.00 4o9201 amps tq 400 amps
-
$ 55.00 +-. over 401 to 600 amps -- $ 90.000ver 600 ampg. or l0QQlftlffs..see rBx aEEE-
D.. Branch Clrcuits.r
t@in"".:Z7a_-og/k
OVNER INSTALT^ATTON
The. installatloh ls. belrig made onqropq5-ty f ovn.vhlch 1s not intendedfor sale, 'leaie of'rent. l
Omers Slgnature:
Nev, Alteratlbn o'i Extension per panel_
Each Addl tional' Circul f 'or vl th Ser.vice.
cjr Feedef, ,!e.qmi t $ Z,OO
Hlscellaneous (Servlie/feeder not inc).uded)-Bach lnstallation
Pump or. lrrigation'
llgnlOu tliqe Ligh ting---l
Llmi ted pn-qrs-y./Coqrfl .T
5.. strsrorAl. oE'. ABOVE5f 'State Surchirge
TOTAL
{
t?
$ 40.00
$ 40.00
:$,20.00
$ 36.00
?-+-nere: /Z-
+306 Adonin E<_?L
' ". .::
a