HomeMy WebLinkAboutPermit Building 1996-08-28SPRI]l.GFIELD
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RESIDEI'ITTAIJ PERI{IT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
ilob Number: 960814
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 1403 WIMBIJEDON PL
Assessors ttap #: l.7033422
Lot: L9 Block:
Office
Inspection Line
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
00821
OAKTREE
OwneT: EI.I,ISON A}ID PIJATZ
Address: 23 OAKWAY CENTER
Describe Work: S.F. RESIDENCE
Phone #: 345-4347
City/State/zip: EUGENE, OREGON 97401
NEW
Contractor
Const.
Cont,ractor #Expires
o7 /23 / e6
06 /1-0 / e7
02 /26 / e7
03 /30 / e7
Phone
345-4347
588-1931
745-7577
588-9057
General:
Plumbing:
Mechanical:
Electrical:
ELLISON & PLATZ OOO5O34
23 Oakway Center Eugene OR 97401000
DON LEWIS OO33O75
500 Greenfiel-d St Eugene OR 9740416
HARVEY & SON 0055582
4580 Main St Springfield OR 9747860
L&EELECTRfC 0083195
4107 \TESSEN DRIVE, EUGENE OR
QUAD AREA: 1RNW
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 2756
-- OFFICE USE --
LAND USE: 111-1
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
INSUI, PATH: P1
To request an inspection, cal-I the 24 hour recording aL 726-3759.
A11 inspections requested before 7:00 a.m. wiLf be made the same working day,
inspections requested afEer 7:00 a.m. wilf be made the foffowing work day.
--- REQUTRED TNSPECTTONS ---
SITE - To be made after excavation but prior to setting forms.
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erected buE prior to concrete placement
ITIIDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR I{ECHANICAL - Prior to insulaLion or decking.
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AtiID BEAI! - Prior to f loor insul-ation or decking.
INSULATION - Floor,' prior to decking Wall-/Ceiling; Prior to cover
STORII SEWER LINE - Prior to filling trench.
SAI{ITARY SEWER LINE - Prior to filling trench.
WATER LrNE - Prior Eo filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIA.I{ICAL - Prior to cover.
ROUGII ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR.A}{ING - Prior to cover.
INSULATION - F1oor,' prior to decking Wal1/Ceiling; Prior to cover
DRYWALL - Prior tso taping.
SIDEWALK - After excavation is complete, forms and sub-base materiaf
in p1ace.
SP'I!i.GFIELD
Job Number: 96OBLA
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Page 2
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLUIIBING - When all plumbing work is complete.
FINAL I{ECIIA.I.IICAL - When af l- mechanical work is complete.
GAS SERVICE - After line is installed and Line has been connected to a
mini-mum of one appliance. Pressure test done at this point.
FINAL EIJECTRICAL - When all electrical work is complete.
FINAL BUTLDTNG - when all required inspect,ions have been approved and
the buil-ding is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. FL.: 8078
Total Height: 25.5
Lot Type: INTERIOR
SetbacksswE
20 L4 1l_
1,4
Lot Coverage: 24 t
Setbk From NPL: 45
N
18
18
Item
Main
Garage
BONUS
Total Value
Building Permit Fee
Surcharge/aamin
--- BUTLDING PERMTT ---
Square Feet x
l-98 5
5t7
253
$/Square Feet
64 .66
L5.2'7
51.73
Value
L28 ,4L5 . OO
8 , 41,2 .00
13, 088.00
149, 915 . 0o
545.50
43 .65
TOTAL FEE (A)589.15
--- sysTE![s DEVELOPMENT CTTARGE (SDC)
(B) 2,755.42
Systems Development Charge is due on a1l undeveloped properties within the City
limits and the Citys Urban crowth Boundry which are being improved.
--- PLIIMBING PERMIT
Item
Residential Bat,h(s)
Plumbing Permit
Surcharge/Admin
TOTAI. CIIARGE (c)
Fee
L92 .50
J.92.50
15.41
207.9L
--- MECIIANTCAT PERITIT ---
Furnace
Exhaust, Hood
Vent Fan
Wood Stove / Insert /Fireplace UniL
Dryer Vent
GAS PIPING HOT WATER
Mechanical- Permit
Issuance
Surcharge/admin
TOTAI. PERMIT
5
L2
4
15
4
3
5
.00
.50
.00
.50
.00
.50
44 .50
10.00
3 .57
58. 07
--- MISCELTAIiIEOUS PERI{ITS ---
(D)
Surcharge/aamin
Sidewal-k
0.00
22 .00
SP'IINGFIELD
qTob Number: 9608L4
a.a
Page 3
SPilNGFIEIT',
Curb Cut
WILLAMALANE SDC
TEMP ELEC. PERMIT
TOTAT MISCELLAI{EOUS PERMITS (E)
13.30
1,000.00
43.20
1,078.50
(Excl-uding EIect,rical )
unleEs otherwise noted
--- TOTAL A}TOI'NT DUE ---
(A, B, c, D, and E combined)4, 589. 05
--- BUILDING VAI,UE, PIJA}iI CHECK AIiID BUILDING PERMIT
This permit is granted on the express condition that the said construct.ion
shal}, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regutating the construction and
use of buildings, and may be suspended or revoked at any t.ime upon viol-ation
of any provisions of said ordinances.
Plan Check Fee: 354.58 Date Paid:
Received By: LORNE PLEGER
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LISA HOPPER
06 /L8 / e6
o7/oe/e6
Receipt Number z 22070
--- ADDITIONAL COMMENTS ---
PATH 1
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I Bt,at,e and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shall 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 t,hat NO OCCUPANCY will be made of any sEructure without permission of the
Community Services Division, Building SafeEy. I further cerEify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
r further agree to ensure that all required inspect.ions are requested at the
proper Eime, that each address is readabl-e from the street, that the permit
card is located at the front of the property, and the approved set of plans
wil-I rema on the t at all times during construction.
?-i-1 -7b
Signature Date
!BPIIIiIGFIELD
Job Number: 96081,4
a SPilNGFIEI.D,
Page 4
--- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
23orto
6-28 -q\.
cl ,brer.oq
VL
SPFIilGFIELr,
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Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE
(RESIDEMTIAI,)
Name or Company: ELLfSON AND PLATZ
Location: 1403 WIMBLEDON PL
Developement T)pe: R Building Si-ze:
Job No.: 950814
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SAI{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
1X
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
x Cost Per Trj-p
437 -93
2940
25
Trip Rate
t-. 010 x $442.3L
i6L7.40
$1, oB5 . 75
i442.31,
$478.7s
$0. oo
$478.7s
$2,624.2L
$131.21
Transportation Total
4. SAI.IITARY SEWER - DMIC
Number Of PFUs
25
5. AD}TINTSTRATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
18.750 +
MIIMC Admin Fee
l_0.00
MIIMC CREDIT If Applicable (see Page 2)
TOTAI - MIMC SDC
SITBTOTAt - (Add lt.ems 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: 05/20/95
92,755.42
SPRINGFIELE,
Job Number: 950814 Page 2
FIXTURE I'NIT CALEULATION TABLE
SPilNGFIELD, ONEGONCITY
Fixture Tlpe
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/OJ-L/SoIids/rtc
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, SLall/Wa11
Wash Basin/LavaLory, Sing1e
Water Closet, Public InstaLlation
Water Closet., Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CALCITLATION TABLE: Based on assessed va1ue. If improvements occured
after annexation daUe, credits are cal-culated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable: 0 X 0.00 = 0.00
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/Iand credit is nots accurate.)
2
0
0
0
0
1
0
0
0
1
0
1
0
3
0
3
0
4
0
0
0
0
2
0
0
0
2
0
z
0
3
0
a
1
a
3
6
a
6
1
3
2
2
2
1
6
4 L2
0
25
SFRIHGFIELD
BACKFLOS PREVET.ITION DEVICE PBRI{IT APPLICATION
CITY OT SPRINGTIELD
BUTLDING SAPEf,Y DIVISION
225 FIFTH STREE?
SPRINGFIELD OR 97477
JOB LOCATION:o Ll
OFFICE: ?26-3759
INSPECIION LINE: t}6_i769
c+.
TAX LOT {l:7oASSESSORS MAP *:
OUNER:1., { <^r ,e Fo'W.-
CITY OF SPR OBEGOff
ADDRESS: ltlo? L-:i rwbL.c- "t 0+,PHot{E *: 2t1l -1A e E
CTTY:STATE: o (ZIP: 11 .t7J
BACKPLOT PERHTT rs 515'00 + $.7s 151618 SIRCIIARGE) + $.45 (ADHrN. FEE). $16.20
CONTRACTOR:O 2-?En lavt.(-/Y\+ (o,
ADDRESS:o Ba A PHONE S: b8b .* 7oG'a-
CIIY: a.--,STATE: z. t<-ZIPI 77laY
C0NSTRUCTION C0I|TRACTOBS REGISTRATION *: Gt c-_:EXPIRES:J"aa .?g
BY SIGNING THIS PERI.IIT/APPLICATION, I AGREE TO CALL FOR ATT INSPECTION ONCE THEBACKFL0U PREVEMT0N DEvrcE HAs BEEN rnsrlir,ro-ato rs vrsIBLE FoR TNSpEcTIoN(726-3769)' r ALso STATE Tflrrr ALL rNFoRHAiion ou rHrS pERHTT/AppLrcArroN rsCORRECT.
3 ,(6 - ?7
DATE
POR OFFICE USE
DATE OT APPLICATION:q7
RECEIPT S:
?OTAL AHOI'NT COLLECTED:
ISSUED BY:
JOB I}:
ik
CITY OF
225 FIFTE STREET Autl-rort;od Signatu
SPRINGFTELD, oREGON 97 477
INSPEC:TfON REQUEST: 726-3169
OFPICE: 726-3759
ro
1 OF T
I..EGAL DESCRI ON &L
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor Trtc.
Address \rO: -\zSsu Dr^
Ci ty pnone 15ul -bOO1
Supervisor License Number tlt lt+
-.ExP iration Date to -(- q 5
Constr Contr. Number tCl5\ )5
Expiration Date V lo-fu
Signature of Supervibing Electrician
(
Owners Name
Address
Ci ty Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, fease or rent.
0vners Signature:
DATE:
ELECTRICAL PERHIT APPLICATION
City Job Number ?boa/4
COHPLETE FEE SCMDI.ILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
ftems Cost
z,: ii:')g, and does not roquire epecific land uee
approval.
ctv
s1,F IELO
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular DvelIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
0'y\
3
A
Sum
L--' S 85.00 BS a
+ s 1s.oo 60 @
s 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect OnIy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00
over 4bl to 6oo amps
-
S 80:00
Over 600 amps or 1OOO voTts see trgn .Sffi
C
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Hiscellaneous (Service/feeder not included)
-Each instaLlation
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s 40.00
s 40.00
$ 20.00
s 36.00
RECETVED
5 | ':?
,NZJ---w-Wf.
jr"
t
NAME:
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WOHKSHEET
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
Job.No. IAA4
\PHONE:
srATE: M^r, Q74O (
Manufactured home not in a park
X $1,ooo per unit = $ IDOO .C/')
ADDRESS:
LOCATION OF PROPOSED BUI G 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.)
A. Single-Family Detached
\ Single Family home
NO. OF UNTTS I
B. Single-Family Attached
$
$
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
\Mllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$lDoo @
g
\DDo.00
_L zsJSL-
NO. OF UNITS
WILLAMALANE SDC
Develo Se
X $699 per unit
$
$
City ot Springtie
Date
\1n33*L2Oo84
CITY OF OREGO'U
5I>FIN(iF IEL,O
The follorving proiect as rubmitted h.s the
zoning, and does not require apecific lend
approval.
Lw(-Zoni
225 FTFTB STREET a*u-9-'b%l(
SPRINGFIELD, OREGON 97477 A,thorlzed
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
I-EGAi,
JOB
Permits are non-transferab ]e and pire
if vork is not started vithin 1"80 days
of issuance or if vork is suspended for
180 days.
CONTRACTOR INSTALLATION
EI rical Contractor
Addre
Ci ty e
Supervisor L ber
Expiration Dat
Constr Cont
Expi ra t i
Signa ctrician
Address
Qfr,
ELECTRICAI, PERHIT APPLICATION
qbDBt+
ON
Nunber
3. COMPTETE FEE SCMDULE BELOII
A Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service Included:Items Cost
s 8s.00
PTI
ON
Sum
Ci ty &)OUte- ,n"ffi;
C Temporary Services or Feeders
Installation, Alteration or Relocation
00
00
00rBr aSOv€-
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
one circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
200 amps"or less L S
201 amps to 400 amps
-
S
0ver 401 to 600 amps
-
$
Over 600 amps or 1000-voITs se
0
-Each installation
Pump or irrigation _ S
sign/0ut1ine Lighting- S
l,imi ted Energy/Res
-
$
s 1s.00
$ 40.00
B
s s0.00
s 60.00
s100. 00
s 130. 00
s300.00s 40.00
40
55
BO
e
ne
OIINER TION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
I
40.00
40.00
20. 00
36.00
\TE
of Supervising
Date
Numbe
-dEIVED B
5 &
0vners Name