HomeMy WebLinkAboutPermit Building 1995-11-21SPFINGFIELD
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMIII'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
dlob Nurnber: 951550
225 North Fifth Street
Springfield, oR 97477
Location of Propoaed Work: 1438 WIMBLEDON PL
Assessors Map #: j.7033422
Lot: 9 Block:
office:
Inspection Line:
725 -37 s9
725-3759
Tax Lot #
Subdivision
00811
OAKTREE
OFSPruNGFIELD, ONEGON
Owner: I(AY WEHBA
Address:. 1456 WIMBLEDON PLACE
Describe Work: S.F. RESIDENCE
Phone #: 74],-5234
city/state/ztp: SPRTNGFTELD, OREGON 97477
NEW
Contractor
ConEt.
Cont,ractsor #Expires
os/76/e6
Phone
342-5305General:STEPHEN KNELLER OO9913O
4520 High St Eugene OR 974050000
QUAD AREA: 1RNW
# OF IINITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
SQ FOOTAGE: 24L5
-. OFFICE USE --
LAND USE: 1111-
ZONING CODE: l,DR
# OF BDRMS: 3
WATER HEATER: G
# OF BLDGS: L
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
To requeEt an inspectsion, call the 24 }:rour recording aL 726-3759
A11 inspecLions requestsed before 7:00 a.m. will be made Uhe same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--. REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITIIDATION - After forms are erected but prior Eo concrete placement.
ITIIDERFLOOR PLITMBING - Prior to insulation or decking.
ITNDERFLOOR MECIIAIiIICAL - Prior to insulation or decking.
POST AIID BEA!! - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SNiIITARY SEWER LINE - Prior to fi-1Iing trench.
STORU SEWER LINE - Prior to fiIli-ng trench.
WATER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior Lo cover.
ELECTRICAIJ SERVfCE - Must be approved to obtain permanenL power.
FRAI|ING - Prior to cover.
INSULATTON - Floor; prior to decking Wal1/Ceiling; Prior to cover
DRYYiIALL - Prior to t.aping.
ROUGH cAS - after l-ine is installed and capped if noE attached to an
appliance
cAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at Ehis point.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHATiIICAL - When af f mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCIIr - After forms are erected buE prior to placement of concrete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
SPRI]llGFIELD
rTob Number: 951GGO
CITY OF SPilNGFIEI^D, ONEGON
Page 2
Lot Faces: E
?opography: 2
Solar Approved: y
Lot Sg. Ft.: 9550
Total Height: 21_
Lot Type: fNTERIOR
Setbacks
SWE
5.5 19
20
Lot. Coverage: 25.3 Z
Set.bk From NpL: 30
House
Garage
N
5
Item
Main
Garage
PORCH
Total Value
Building permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUILDTNG PERMTT ---
Square Feet x
1,897
518
305
$/Square Feet
56.2
t4.L
10.1
(A)
Value
105, 511. 00
7,304.00
3,091.00
117, 005 . 00
473.50
37.89
511.39
--- SYSTEMS DEVEIJOPMENT CIIARGE (SDC)
(B)2,656 .33
systems DevelopmenE charge is due on at1 undeveroped properties wj-thin the citylimits and the cit.ys urban Growth Boundry which are being improved.
--- PIJI'IIBING PERMIT ---Item
Residential Bath (s)2
Plumbing Permit
Surcharge/Admin
TOTAL CIIARGE
Fee
150.00
150.00
72 .80
L7 2 .80(c)
--- I{ECIIAI{ICAL PER}IIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
MechanicaL Permit
fssuance
Surcharge/Admin
TOTAL PERMIT
4
5.00
4.50
12.00
3.00
35.00
10.00
2 .80
(D)47.80
- - - MTSCELIJAI{EOUS PERITTITS
Surcharge/admin
Sidewalk
Curb Cut
W]LLAMALANE SDC
ELECTRICAL PERMIT
TOTAL MTSCEI.I,AI{EOUS PERMITS (E)
0.00
19.15
l_5.10
1,000.00
L57.40
1,201.55
(Excluding Electrical)
unleEs otherwise noted
--- TOTAI. AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,589 .97
--- BUTIJDING VALUE, PLA.hI CHECK AI\ID BUILDING PERMTT ---
This permit. is granted on the express cond.ition that the said constructionsharr, in aLf respects, conform to the ordinance adopted by t.he city ofSpringfield, including the Development Code, regulating the construcLion anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
SPRINGF!ELD
Job Number: 951660
qTT OF SPruNGFIELI', ONEGON
Page 3
PIan Check Fee:
Received By:
Pl-ans Reviewed By:
307.78
DON MOORE
Date Paidt Lo/L6/95
Date: LL/2L/95
Receipt Number 19291
Building Site Reviewed By LTSA HOPPER
--- ADDITIONAL COMIIENTS
PATH 1,. SEPARATE ELECTRTCAL PERMIT IS REQUIRED
DRTVEWAY REQUTRED TO BE PAVED
1 STREET TREES REQUIRED
By signature, I stat,e and agree, t hat I have carefully examinedthe completed application and do hereby certify that alL information hereonis true and correct, and f furt her certify that any and al-l work performedshall- be done in accordance wi th the Ordinances of the City of Springfield.,and the Laws of the State of Oregon p ertaining to the work described herej_n,and that NO OCCUPAMy wilL be made of any structure without permission of theCommuniEy Services Division, Building Safety. f further certify that onlycontractors and employees who are in compliance wit.h oRs 201.055 wil1 beused on this project.
r further agree Eo ensure that al-l reguj-red inspections are reguested at theproper time, that, each address is readabl-e from the street, ttrat tne permitcard is located at the front of the property, and the approved set of planswil-l remain on the site at ar-r times during construction.
//.z/,7s-ure Date
Receipt Number:
Date Paid:
Amount Recei_ved:
Received By
--- VALIDATION ---
/?@
2/,
?.?7
SP'IINGF!ELD
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVEIJOPMENT CHARGE
(RESIDEMTIAI.)
CffT OF SPilNGFIEIT', ONEGON
Name or Company: KAY WEHBA
Location: 1438 WIMBLEDON PL
Developement Tlpe: R Building Size:
Job No. : 951650
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.NiISPORTATION
Number of Units
1X
X 0.210 Per Sq Ft =
X 43.43 Per PFU =
X Cost Per Trip
437.93
x
Transportation Total
4. SAI'IITARY SEWER - MIIMC
Number Of PFUs
21,
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
367 5
2L
Trip Rate
1.010 x i442.3L
;77L.75
$912.03
;442.3L
$403.7s
$o. oo
$403.7s
$2,529 .84
i1-26 .49
x
x
Per PFU +
18.750 +
MWMC Admi-n Fee
10.00
MI^MC CREDIT If Applicable (see eage 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add IEems 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER Date : 1-o /1-9 / 95
$2,555.33
SPFINGFIELD
Job Number: 951550 Page 2
FIXTT'RE I'NIT CALCUTATION TABLE
CITY OF SPruNGFIELD, ONEGON
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/Stc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Stc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single StaLL
Shower, Gang
Sink, Bar, Commercial, Residential Kit,chen
Urinal, SEa11/WaI1
Wash Basin/Lavatory, Single
Water Closet, Public Instal-lation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =2L
CREDIT CALCIILATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are caLculated separately.
(cafculations are by $1000)
Year Annexed: L995
Credit For Parcel Or Land Only If Applicable: 47,250 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/land crediL is not accurate.)
4
0
0
0
0
2
0
0
0
1
0
1
0
3
0
8
0
2
1
)
3
5
)
6
1
3
)
)
a
1
6
4
2
0
0
n
1
0
0
0
1
0
1
0
3
0
z
0
DCITY OF OPEGO'V
SPRIAIGFTELO
z&ring, and does not requiro
approval
225 FTTtg STREEf,
SPRINGFTELD, oREGoN 97477
INSPECIII0N REQUEST z 726-3
0FFICE: 726-3759 Authortled
1.ON OP
I,EGAL DESCRTPTTON
2
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. COI{TRACTOR INSTALI,ATTON ONLY
Electrical Contrac t., ,Mnlfl)S @
eadtess 4saz 4?%Z 644
ci Phone 3y'3 - 72?7
Supervisor License Number 2SZO S
Exp iration Date
Constr Contr.Number /SZ
Expiration Date e, /-rba-
Signature of trician
rs Name
Address
fu ELECTRICAL PERI{IT APPIJCATION
City Job Nurnber
FEE SCEEDT'I,E BELOII
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
p lt -tl -!'5
pn"".7y'/4zB/
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf 'd llome or
Modular Dvelling
Sertice or Feeder
Pump or irrigation _Sign/0ut1ine Lighting_
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI
t-- $ 8s.oo 2{:e
L s 15.00 _3a,4
A
3
$
$
$
$
Sum
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps _
40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect Only
Sso
$oo
st00
$130
$3oo
$40
c
uBu aE6E
D. Branch Circui ts ; .-
Nev, Alteration or Bxtension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.00
$ 2.00
E Miscellaneous (Service/feeder not included)
-Each installation
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less tZ $ 40
201 amps to 400 amps
-
S 55
over 4b1 to 600 amps
-
$ 80
0ver 600 amps or 1OOOEES see
fu*
.00
.00
.00
.00
.00
.00
00
00
00
Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Orners Signature:
DATE:
40.00
40.00
20.00
36.00
D TAT TI':EN
2i 5
a /a
Ao
AP]lTNGFIELE,
BACKFLOV PREVENTION DBVICE PERMIT APPLICATION
CITY OP SPRINGFIELD
BUILDING .SATBTY. DIVISION
%
225 FIFTH STREET
SPRINGFIELD OR 97477
OFFICE;
INSPECTION LINE:
726-3759
726-3769
JOB LOCATION:
7f,\)^/,
ASSESSORS MAP tr NOlNLI Z TAX LOT *:
OIINER:
ADDRESS: / 4 <'d (^-,,.'.\ I11"^PHONE *,11{l - bt 3L/
CITY:STATE:0/ZIP: 2 7(7 V
BACKFLoW PERMIT IS $15.00 + S.75 (STATE STRCHARGE) + $.45 (ADMIN. r'EE) = $16.20
CONTRACTOR: -
/7,,-ca
ADDRESS:c .)PHONE *:7(4- 7 /"
CITY:STATE: 01.ZIPt T z4Z_Z_
CONSTRUCTION CONTRACTORS REGISTRATION *:L 3 3o EXPIRES: L
BY SIGNING THIS PERMIT/APPLICATION, I AGREB TO CALL FOR AN INSPECTION ONCE TIIE
BACKFLOV PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE TOR INSPECTION
Ciio-gzogl. r ALso srATB THAT ALL TNFoRHATToN 0N Trtrs PERHTT/APPLrcATr0N rs
CORRECT.
Z 7L
FOR OFFICE USB
TOTAL AHOUNT COLLECTEDI /6,O
JoB {r,q5lbbDATE OF APPLICATION:
a_L
RECEIPT II:I 253 TsSUED BY:
)
The lol'H!ffi:$1-1,ffx[rffix,I'3'di$lflf"..'n
ADDRESS:STATE:
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
a Single Family home Manufactured home not in a Park
NO. OF UNITS X $1,000 per unit = $00
B. Single-Family Attached
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) SDO-payer must lurnish proof of
\Mllamalane ireOit'approval. See SDC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
\D NDfr
NAME:
eve pme
Willam a
Park & Recreatio
(if SDC reduced for Credit)
5
WORKSHEET
Job. No.
CHARGE
PHONE l
Qst
ztP: q111
,w
// t
Date
$
City of Springfie
S ment
2t 2'
D
+\ t OM
1
l