HomeMy WebLinkAboutPermit Building 1997-02-03SPfrINGFTEID,
SPFINGFIELD
General:
Plumbing:
Mechanical:
El-ectrical:
h,
RESTDENTTAL PERMTT APPLTCATION
CITY OF SPRTNGFIELD
COMMI'NITY SERVTCES DTVISION
BUILDTNG SAFETY
page 1
rTob Nr:mber: 97OOOG
225 North FifEh St,reetSpringfield, OR 97477
Location of propoeed Work: 1391 WIIIBLEDON pLAssessors Map #: L7033422Lot: 20 Block:
O\dner: SOVEREfGN BUILDERS
Address: pO BOX 5821
Tax Lot #: OOg22
Subdivision: OAKTREE
Phone #: 744-091_6ciry/state/zip: EUGENE, oREGON 97405
NEW
Const.
Contractor #Expiree
LO/os/e7
os/05/e7
06/2s/e8
05/08/e7
Office:
fnspection Line:
726 -37s9
726 -37 69
Descri-be Work: S.F. RESfDENCE
Cont,raet,or
SOVERETGN BUILD 0086477
l-31-8 Wimbledon place Springfield OR
CUSTOM PLI'MBING 0081994
3248 Kentwood Dr Eugene OR 97401000
HOME COMFORT 0084:.64
85262 Peaceful_ Va11ey Rd Eugene ORL H MORRTS 6001838
PO Box 456 Eugene OR 9Z44OOOOO
Phone
7 44 - 091_5
485-1145
345-2838
7 47 -08].L
QUAD AREA: 1RNW
# OF UNrTS: L
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 223s
-- OFFICE USE --
LAND USE: 1111
ZONfNG CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
To requeeE an inepection,call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. wil-I be made the same working day,inspections requested after 7:00 a.m. wirr be made the for_towing work d.ay.
--- REQUIRED TNSPECTToNS ___
FOOTING - After trenches are excavated.
FoIrrlDATroN - After forms are erected but prior to concrete pracement.IrIIDERPIJOOR PLITMBING - prior to insulation or d.ecking
LIIDERFLOOR UE.HANTCAL - prior to insulation or decking.
ROUGH GAs - after line is instar-red and capped if not, attached to anappli-ance
POST AIID BEAII - prior to floor insul_ation or decking.rNsur-ATroN - F100r; prior to decking waII/ceiling; prior to coverWATER LINE - prior to filling t.rench.
SA.I{ITARY SEWER rJfNE - prior tso filling trench.
STORM SEWER LINE - prior to filling trench.
ROUGH PLITIIBING - pri-or to cover.
ROUGH I{ECIIA}IICAL - prior to cover.
ROUGH BLECTRICAL - Prior Lo eover.
Er'BCTRTCAL SERVTCE - Must be approved to obtain permanenu power.SHEAR WALrJ NArr,rNG - Before covering sheaEhing with finish materials.FR.AIIfNG - prior to cover.
rNsur'ATroN - Froor; prior to decking warr/ceiling; prior Eo coverDRYWALIJ - prior to taping.
clrRBcur - After forms are erected but prior to placement, of concreEe.STDEWALK - After excavation is comprete, forms and sub-base materialin p1ace.
SPFIi'GFIELC,
Job Number: 97OOO5
FINAL PIJI'ITBING When all pI umbing work isFTNAL ITIEC}IAIITCAIJ complete.When al]mechanical work is completeFTNAL ELECTRTCAL When alL electrical work is eomplete.GAS SERVTCE After line is installed and line has been connected to ami-nimum of one a ppl iance. pressure test done at this pointFTNAL BUILDTNG When aI 1 required inspections have been approved andt,he building is c omplete
Page 2
LoL Coverage:25?Setbk From NpL: 54
Lot Sq. Ft :8582Total Height: 22Lot Tlpe: fNTERIORSetbacks
SPE
20 l_5 1s22 l_5
--- BUrLD rNG PBRMTT ..-
Square Feet x
1781
454
SYSTEMS DEVEI.OPMEMT CIIARGE (SDC)
PI,I'MB rNG PER}IIT ---
z
... UBCIIA}ITCAIJ PERUTT ---
4
--- DITSCELLANEOUS
Lot Faces: S
Topography: 2
SoLar Approved Y
House
Garage
Item
Main
Garage
Total VaLue
Building permit FeeSurcharge/admin
TOTAL FEE
ftem
Residential Bath (s)
Plumbing permit
Surcharge/aamin
TOTAI. CHARGE
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LrNE & w/u
GAS F.P.
Mechanical permit
fssuance
Surcharge/admin
TOTAL PERMTT
Surcharge/Admin
Sidewalk
Curb Cut
WTLLAMALANE SDC
N
32
Systems Development Charge is due on aII undevelopelimits and the citys urbln nr"rJr. Bound.ry which are
(B) 2 ,52L.47
d properties within the Citybeing improved.
$/Sguare Feet
64.66
76.27
(A)
(c)
(D)
Value
115, 159 . oo
7,397.00
122 ,546 . oo
484.75
38.78
523 .53
Fee
150.00
150.00
12.80
L7 2 .80
6.00
4.50
L2.00
3.00
5.00
4.50
35. 00
10.00
2.80
47.80
0.00
22.75
13.45
000 . 001
SPfrINGFTELD,
PERMTTS ---
SPMNGFTEID,
SPFTNGFIELD
cTob Number: 97OO06
TEMP. POWER
TOTAIJ MTSCELI.AI\IEOUS PERMITS
(Excluding Electrical )un1eEg otherwise noEed
.-- TOTAL
--- BUTLDTNG VALUE,
Pl-an Check Fee: 315 . 09Received By:
--- VALIDATION ---
ATIOI'!Ir DI'E ---(A, B, c, D, and E combined)
PI.ATiI CHECK AND BUTLDTNG
Page 3
43.20
(E)L, 07 g .40
4 ,345 .00
PERMTT ---
Receipt Number: 24220
Z*3-77
Date
This permit is granted on Lhe express condition that the said const.ructionIiiii;.i1.;:'J:ilffff,J:a;l;to rhe ordinance adopred by rhe ciry or
H "J; ;::l*m; #.:li"::"*xxll 5i.i.":;il,::'::,.i:_:"il:;ti;:. :::
Pl-ans Reviewed By: DON MOOREBuilding Site Reviewed By: LrSA HOppER
PATH 1 ___ ADDTTToNAL
DRTVEWAY REQUTRED TO BE PAVED2 STREET TREES REQUTRED
f further agree to ensure thatproper time, that each addresscard is l_ocated at the front ofwill remain on the site at ali-
Date paid:
Date:
01,/06/s7
0L/30 / e7
coMMEt[rs _ _ _
By eignat,ure,f state and agree, that f havethe completed application carefully exami nedand do hereby cert,i fy that all informatlon hereonis true and co rrect, and I further certify t hat any and all work perfo rmedshall be done in accordance with the Ordinances of the City of Spr ingfield,and the Laws o f the State of Oregon pertaining t o the work describ ed herein,and that NO OCCUPANCY will be made of any struct ure wiLhout permis sion of EheCommunity S ervices Division Building Safety.f further certifywith ORS 701. 05;
that onlycontractorsand employees who are in compliance will- beused on this proj ect
?1r_:1l1u,rred-inspecrions are requesred. ar rhers readable from the street, tfra-t tfre permitthe property, and the "pp.or"J-set of planstimes during construcEion.
Receipt Number:
Date paid:
Amount. Received:
Received By:
^--O,
aD
CITY OF SPilNGFIEIT',
SPRINGFIELD
Page 1
CITY OF SPRINGFIELD SYSTE}TS DEVELOPMENT CITARGE
(RESIDENTIAL)
Name or Company: SOVEREIGN BUILDERS
Location: 1391 WIMBLEDON PL
Developement. Type: R Building Size:
.fob No. : 970006
Lot Size Sq Ft
1. STORM DR,AINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,NiISPORTATION
Number Of Units
1X
2902
)n
x Trip Rate
1.010 x
X 0.2L6 Per Sq Ft. =
X 44.75 Per PFU =
x Cost Per Trip
45]- .25 $45s.77
$526.83
$89s.00
$4ss.77
$423.80
$o. oo
$423.80
s2 , 4OL.40
$120.07
Transportation Tot.al
4. SAI{ITARY SEWER - MWMC
Number Of PFUs
20
5. ADITINISTRATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
20.690 +
MWMC Admin Fee
10.00
MI,1MC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAI, SDC
Reviewed By: DENNIS ERNST Date: 01-/L3/97
$2,52L.47
CITY OF SPilNGFIELI',
SPFI]i.GFTELD
Job Number: 970005 Page 2
FIXTURE I'NIT CALCULATION TABLE
Number of
New Fixture
Unit
Equivalent
Fixture
UnitsFixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease,/OiI/Solids/Utc
Inteceptors For Sand/Auto Wash/ntc
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, Stall/Wa1}
Wash Basin/Lavatory, Single
Water Closet, Public Instal-}ation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =20
CREDIT CALCIILATION TAIILE: Based on assessed vaIue. If improvements occured
after annexat.ion date, credits are calculated separately.(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable: O X 0.00 = O. OO
Improvement (if after annexation date): 0 X 0.00 = O.OO
CREDIT TOTAL = $0.00
(If land value is muttiplied by 1 then the parcel/Iand credit is not accurate.)
2
0
0
0
0
1
0
0
0
1
0
1
0
z
0
2
0
4
0
0
0
0
0
0
0
2
0
2
0
a
0
8
0
2
1
2
3
5
2
6
1
3
2
2
1
5
4
Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
ADDRESS:STATE:ZIP:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
l
A. Singte-Family Detached
t Single Family home
NO. OF UNITS L X $1,000 per unit = $
B. Singte-Family Attached
NAME:
Deve ment
w
L
Manufactured home not in a Park d)
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
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Willamalane Credit approval. See SOC Credit WorksheeL
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
$
t0Nlo$
$
$ON cx)
=-I
Date
??
City of Springfield
ent
?
91ffi
d
ut
t-.
2
SPEINGFIELE,
LICATION
OIIFICE:
INSPECTION LINE:
&
726-3759
726-3769oR 97477
JOB L0cArIoN: l3q I tn I l"n):; /,L" ( w,,nblrd&-)
ASSESSORS MAP
OUNER:
ADDRESS:
It:10
1\
TAX LOT #:gZL
Y 144-mru
DR ztp,Ll lqoSCITY:STATB:
BACKFLOW PERMIT rS $15.00 + $.75 (STATB SURCHARGE) + $.45 (ADMIN. FEE) = $16.20
coNrRAcro p,, E*...^) / L,^*JS.aDe-
PHoNE *,6q5-L(A{ADDRESS:
CITY:C-r*vo.il STATE: OR zw:Q?4ZG
CONSTRUCTION CONTRACTORS REGISTRATION *, (-O ZE\EXPIRES: l(7
BY SIGNING THIS PERMIT/APPLICATION, I AGRBB TO CALL FOR AN INSPECTION ONCE THE
BACKFLOV PREVBNTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE TOR INSPBCTION
(726-3769). I ALSo STATE TuAT ALL INFoRMATI0N 0N THIS PERMIT/APPLICATIoN IS
CORRECT.
8 - 13 --?7
DATE
FOR OFFICE USE
DATE OF APPLICATION:1T JOB II:
RECEIPT lt:
TOTAL AMOUNT COLLECTED:
t3
ISSUED BY:
(os
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
./1 _" /00cQ
SPfiINGFI€LO
225 .YIYIE, STREET
SPRTNGPIELD, OREGoN 97477
INSPECTION REQLTEST z 726-37 69
OFEICE: 725-3759
h
ELECTIUCAL PERHIT APPLICATION
City Job llum b", q1 00o u
3. COHPLETE PEE SCffiDIILE BELOV
Nev Resldentlal-Single or
Hulti-FamllY Per dvelling unit'
Service Included:Items Cost
1 OF
o ?.U lt?ae ,{
m 2
Phone
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs T
401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconnect 0nIY
C
D.vt
a
E
I $ 8s.00
-L Sls.oo 7b
$ 40.00
$ s0.00
s 60.00
s100.00
$ 130.00
$300.00
$ 40.00
40.00
55.00
80. 00
ee lBr aE?E-
A
Sum
<,6
jO
6
JOB DESCAIPTIONW@€, ' --.
Permits are non-transferable and exp.iie
lf vork ls not started vlthlri 180 dals
of issuairce or lf vork 1s suspended for
'180 days
2. CONTL{Cf,OR TNSTATLATION ONLY
Electrical contrae &, L,l'!' U-1p16--E&f
Add ress
Ci ty E/t2.Phone a47'-ogt(
Supervisor Llcen-se Number 3 O Oe - S
Expiration Dat e lOt r
Slgnature of Su lsing Electrician
Constr Contr. Number O( (3 8/
Temporary Services or'Feeders
Installaiion, Alteration or Relocation
200 amps or less
201 amps to 400 amPs
-Over 401 to 600 amPs
Over 600 amps or 1000-TdITs
Branch Circui ts
Nev, Alteratlon oi Extension Per Panel
One Circuiq $ 35.00
Each Addi tional' Circuit or vlth Service
Hiscellaneous (Service/feeder not included)
/
OIINER ALI.ATION
Clsners Signature:
DATE:
The. installatloh ls belng made on
property I ovn vhich ls not intended
for iale,'leaSe of rent.
$
s
$
s
;d0vners ,
Address
Cl ty
p
-Each lnstallation
Puinp or. irriggtion
Sign/OutIlnb Lightlng
Llmi ted Eneigy./Res
$ 40.00
s 40.00
$ 20.00
s 36.00
SI.ETOTAL OE ABOYE
5Z'State Surcharge
TOTAL
r'..:,:
ara
,oRECEIVED B
5
+3ob Admin E<
Explration Dale L-.t -7-7
OREGO'VL
sPRl!.r GFIELI)
less
600 amps
1000 amps
Zonino L
225 FrFTB STREET ;
SPRINGFIELD' OREGON 97 /+17 7
INSPECTTON REQI'EST
OFFICE: 726-3759
: 726-3169 .
1 T
Permi ts are non- t ransferable exp i re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
LBO days.
CONTRACTOR INSTALT,ATION ONLY
E1 ical Contractor
Address
Ci ty e
Supervisor Li ber
Expiration Date
Constr Contr
Expiratio
Signa trician
Ovners Name
Address
Ci ty Phone
OVNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0rners Signature:
DATE:
ELECTRICAL PERHIT TION
Ci ty Job Nunber
SCEEDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:ftems Cost
1-000 sq.ft. or less S 85.00
gach additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Refocation:
3
A
DE
Sum
above
B
D
200 amps or
201 amps to
401 amps to
601 amps to
0ver 10OO
Reconnec t
s s0.00
s 50.00
s 1oo. 00
$130. 00
$300.00
s 40.00
amps/volts _0nIy
C.Temporary Services or Feeders
Insta}lation, Alteration or Relocation
I
200 amps"or less I S 40-00
201 amps to 400 amps S 55-00
over 4b1 to 600 amps
-
S 80.00
Over 600 amps or 1000 voTts see rrB*
Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscel-faneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutLine Lighting-
Limited Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAI
00
00
00
00
$40
$ao
$20
$36
5
umber
of Supervising
Da te
RECEIVED B
7^