HomeMy WebLinkAboutPermit Building 1996-01-19RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUII.DING SAFETY
Page 1
ilob Number: 950006
726 -37 59
726-3769
225 North Fifth Street
Springfield, OR 97477
Loqation of Propoeed Work: 1455 WIMBLEDON PL
Assessors t"tap #: 1,7033422
Lot : 11 Bl-ock:
Office
Inspeeti-on Line
Tax Lot #: 00813
Subdivision: WTMBLEDoN
CITY OF SPilNGFIELD, ONEGON
Owner: ART IIAIIIN
Address: PO BOX 5821
Describe Work: S.F. RESfDENCE
Phone #: 744-O9L5
City/State/zip: EUGENE, OREGON 974os
NEW
General:
Plumbing:
Mechanical:
Efectrical:
Contractor
SOVEREIGN BUILD 0086477
1318 Wimbledon Place Springfield OR
CUSTOM PLT]MBING 0081994
3248 Kentwood Dr Eugene OR 97401000
HOME COMFORT OO84L64
85262 Peaceful Valley Rd Eugene OR
LH MORRIS OOO1838
PO Box 455 Eugene OR 974400000
Const.
Contractor #Expiree
Lo/os/e6
os/06/e5
06 /25 / eG
06/08/s5
Phone
7 44 - 091,6
485-LL46
34s -2838
7 47 - OELL
QUAD AREA: 1RNW
# OF IINITS: 1
CONSTR. TYPE: VN
SECONDARY HEA?: FP
INSUL PATH: PI
-- oFFrcE usE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
WATER HEATER: G
SQ FOOTAGE: 3724
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To requests an inspection, call the 24 hour recording at 726-3769.
A11 inspections request,ed before 7:00 a.m. wiLl be made the same working day,
inspections requested after 7:00 a.m. will be made the foll-owing work day.
--- REQUTRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR MECIIAIYICAL - Pri-or to insulation or decking.
TNDERFIJOOR PLIruBING - Prj-or to insulation or decking.
POST AIiID BEAII - Prior Eo floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
SAI.IITARY SEWER LrNE - Prior to fifl-ing trench.
STORII SEWER LINE - Prior to fil-ling trench.
WATER LINE - Prior to filLing trench.
ROUGH PLI,ITIBING - Prior To cover.
ROUGH MECIIAI'IICAL - Prior To cover.
ROUGH ELECTRICAL - Prior to cover.
EIJECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAIIfNG - Prior to cover.
RoucH GAs - after Line is installed and capped if not attached Eo an
appliance
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
rNsur.ATroN - Floor; prior to decking wal]/ceiling; prior to cover
DRYIIIALIJ - Prior to taping.
CITRBCUT - After forms are erected but prior to placement of concrete.
srDEwAr.K - After excavation is complete, forms and sub-base materlal
in pIace.
SPRINGFIELD
SPRINGFIELD
Job Number: 960006
OTT OF SPruNGFIEIT', ONEGON
Page 2
FINAIJ PIJITITIBING - When all plumbing work is complete.
FINAL ITIECIINIICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work j-s complete.
FINAL BUILDfNG - When all reguired inspections have been approved and
the building is complete.
Lot Faces: E
Setbk From NPL: 27
House
Garage
Lot Sq. Ft.: L0220
So1ar Approved: Y
Total Height: 24
Lot Type: INTERIOR
N
6
6
Setbacks
SW
6 10
E
28
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAI. FEE
--- BUILDING PERMIT ---
Square Feet x
297 0
754
$/Sguare Feet
56.20
t_4 . 10
(A)
Value
t55 ,9L4 . OO
10, 531 . 00
t7'7 , 545 .00
608.50
48 .69
657 .L9
SYSTEMS DEVEI,OPMEMT CIIARGE (SDC)
(B)2,779.96
Systems Development, Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'UBING PERMIT ---
IEem
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAI. CEARGE
3
Fee
L92 .50
L92 .50
15.41
207.9L(c)
--- MECIIN{ICAL PERMIT ---
Furnace
Exhaust Hood
Vent, Fan
Wood Stove / I'nser|u /Fireplace Unit
Dryer Vent
IN LIEU ASSMT
WILLAMALANE SDC'S
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
4
6
4
L2
4
3
5
0
.00
.50
.00
.50
.00
.00
.00
(D)
3s.00
10.00
2.80
47.80
--- UISCEI.I.AIiIEOUS PERMITS ---
Surcharge/aamin
Sidewalk
Curb Cut
WILLA}4J\LAISE SDC'S
0.00
24.70
13.60
1, 000 . 00
(E)1,038.30TOTAI, MISCELLA}IEOUS PERMITS
SPRINGFIELD
Job Number: 950005
CITY OF SPilNGFIELD, ONEGON
Page 3
(Excluding Electrical)
unlesg otherwige noted
--- TOTAL AI,IOI'NT DUE ---
(A, B, C, D, and E combined)4,73L.L6
--- BUILDING VALUE, PLAN CHECK AI{D BUILDING PERMIT
This permit is granted on the express condition that the said construction
shaII, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
PIan Check Fee: 395.53 Date Paid:
Received By: LORNE PLEGER
Plans Reviewed By: BOB BARNIIART Date:
Building Site Reviewed By: LISA HOPPER
oL/02/e6
oL/oe/e6
Receipt Number: L9942
--- ADDITIONAI, COMMENTS
STREET TREES ARE EXISTING ON THIS LOT
REQUIRES SEPERATE ELECTRICAL PERMIT
DRIVEWAY REQUIRED TO BE PAVED
By signatsure, I Btate and agree, that I have carefully examined
the completed application and do hereby certify that aII information hereon
is true and correct, and I further certify Ehat any and all work performed
shafl be done in accordance with Ehe Ordinances of the CiEy of Springfield,
and the Laws of the StaEe of Oregon pertaining Eo the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building SafeLy. I furEher certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this projecL.
I further agree to ensure that aII reguired inspections are reguested at the
proper time, that each address is readable from the street, that Ehe permit
card is locaEed at the front of the property, and the approved set of plans
will remain on the siEe aE all times during construction.
/- tq- "cture
Receipt Number:
Date Paid:
Amount Received:
Received By:
VAI,IDATION - - -
Date
,/\\l[
SPRINGFIELD
Page 1
CITY OF SPRINGFIEI,D SYSTEMS DEVETOPMENT CIIARGE
(RESIDENTIAL)
OF SPilNGFIELT', ONEGONqTr
Name or Company: ART IIAWN
Location: 1455 WIMBLEDON PL
Developement T)pe: R Building Size
Job No. : 950006
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,AI{SPORTATION
Number Of Units
1X
21,63 X 0.21,0 Per Sq Ft =
28 X 43.43 Per PFU =
s442.31,
$454.23
$L ,216 . O4
#442.31
$53s. Oo
$o. oo
$s3s.00
s2,647.58
$132 .38
Transportation Total
4. SATiIITARY SEWER - MWMC
Number Of PFUs
28
5. ADMINISTR.ATIVE FEES
Base Charge (Subtotal Above)
X Trip Rate
t_.010 x
Per PFU +
18.750 +
Cost Per Trip
437.93
x
MWMC Admi-n Fee
10.00
MIMC CREDIT If Applicable (see Page 2)
TOTAL - MI^MC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAI, SDC
Reviewed By: DENNIS ERNST Date: 01-/03/96
s2 ,77 9 .96
CrTY ONEGO'U
SP6lIhrGFI€LO
The icl m...,_ . raj
as
net raquire $p€cilio lend
B.
ELECTRICAL PBRHIT APPLICATIONii,.:., ,'li'r'
225 .YTrIE, STREET
SPRINGPIBLD, OREGoN 97477
fNSPgcf,roN REQUBSTz 726-37!.9,'.:,\=\U&
q\
Ci ty Job Nu-mber
FEE SCffiDIILE BELOg0FEICE: 726-3759
1.L
Ar$horieud
ON OP INSTALIATION
t)Nev Residential-Single or
Hulti-FamlIY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less $ 85'00
Each additional 500
sq. ft or Portionit'"t"of $ 15'oo
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder $ 40'00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or lesstoi ;;;' to 4oo amps -----r-
401 amps to 600 amPS
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0nIY
A
3
JOB DESCruPTIONrf,,'we gCa-r' SCCn cg -,
Penqits are non-transferable and-exp.ite
ii-"ott is not started vlthld 180 dils
;i i;;;"it"" ot lf vork ls susPended for
'180 daYs
2. CONTRACTOR INSTALI..A'TION ONLY
E1ectrlcal Contrac totk4' lillte0(5 EleF
Address 4g
cl S ?FA Phone 7 ?- ogu
Supervisor Llcense Number 3o o6-9
ixpiration Date,- ( - t5
Constr Contr. Number tv3 ?
Expl'ratlon Date :t- 7b
Stinature of Suiervlslng Electrician
0rners
Addre s
cl Phone
OgNER
c
D.' Branch Clrbuits
Nev, Alteration oi Extension Per Panel
One Clrcuii
.Each Additional' Circuit'or vlth Ser.vice
$ 3s.00
E. Hlscel]aneous (Servlce/feeder not included)
Temoorary Services or'Feeders
in"tuff"iion, Alteratlon or Relocation
2oo amps or ress t $ 19'99 fu-*
,oi ;,'b" tq 400 amps
-
E lt'99
ou"r qbr to 6oo amfs [ $ 8o'oo
0ver 600 amps ot-i6Oo ,oftt..i"u nBn a5ffi
Sum
f
$ s0.oo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 2.oo
The. installatloh ls belrig nade on
;;;p;;;i-i-;;; vhlch ls not intended
ior- ia1e,'lease or rent'
-Each installation
Puinp or lrrigation'.
Slgnloutllq! Lightlng.
-.L{rni tsd EneigY/B'es
$ 40.00
$ 40.00
,$ ,20. Q0
$ 36.00rsS
DATE:
4.6 *
--e5. STETOTAL OE'' ABOVE
5f 'state Surchhrge
TOTAL
; .. . .'. ' : t
RECEIVED B +3ob Adtnin tt-<+
a
h;
CITY
22.5 .PI.Ytg srRErr
SPRINGFIBLD, oREGoN 974
INSPECTION REQIIBST z 72
OPEICB: 726-3159
SPNINGFI€LO
200 amps or less,oi ;,r;" to 4oo amPs --r-..
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0nIY
@
EIJCTRICAL PERHIT CATION
City Job Nurnber
COHPI^ETE PEE SCBEDI,IIJ BELOU
Nev Residentlal-Single or
HuItl-FamlIY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less I $ B5'OO
Each additional 500
sq. ft or Portlontf,uruof l- $ 15'00
n""ft-i"nuf ''d Home or
-Hodular Dvelling
Servlce or Feeder $ 40'00
Services or Feeders
Installationr' Alterations
or Relocation:
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
77
Adhortz
3
A1-OP INST ,ON
I
DESCRIPTION Sum
'180 daYs
2. CONTRACTOR TNSTALI^ATTON ONLY B'
Electrlcal contrac to, L.4, illl)LAt3 ELK)T-
Address
c1 ?FD Phone 2+7-6 l(
Supervisor Llcense Number 3 L-9
ixpiration Date lO-l _n7
Constr Contr. Number t(T ?
Expl'ratlon Da!e <l
Signature of Supervls.lng Electrlcian
9rners
Address
Cl ty Phone
JOB DESCRTPIION
. V t fl ,JFu. )'1,^/9t? . -r,
Permlts are non-transferable and exp.fre
ii vortc ls not started vithlri 180 dils
;; i;;"ir"" ot lf vork ls susPended for
OSNER INSTALI,ATION
The. installatloir ls beirig made on
;;;p;;it.i onn vhlch 1s not intended
for sale,'leaSe or rent'
D.. Branch Clr'cui ts
Nev, Alteration ol Extension Per Panel
'0ne Cl rcul t'
Each Addl tional' circui.t or vlth Ser.vice.
E. Hiscellaneous (Servlce/feeder not included)
TemporarY Services or'Feeders
in"tuffuiion, Alteration or Relocation
200 amps or less $ 19'99
zOi at'p" tq 400 amPs
-
I l:'99o;;r qbr to 6oo amps
-
$ 8o'oo
over 600 amPs. ot-i6OO -o'ITs..see uBn aElE
gge
1o
61.
I
.__
$ 3s.00
$ 2.00
-Each lnstalration
Puinp or lrriggtion.
Stgn/0ut}lnb Lightlng
L{rqi ted EneigY/flesonners Slgnature:
DATE:
$ 4o.oo
$ 40.00
,$ ,20. Q0
$ .'36.00
5.. SIIBTOTAL OP..ABOVE
5f 'state .Surchhrge
TOTAT
i . . .'. 1 ': i !
"
'
oO
d)
RECEIVED D +iob Adonin lt-<
C.
a SPRIclGFTELO
Zcri rtr$, 8hd @appfovel.
Zonl225 YTYTfl, STREEf,
SPRINGFIEL,D, OREGON 97477
INSPBCITON REQUBSf,? 726-37
OPEICE: '726-3759
1. I.OCATION OF INSTALI.,ATION
BIACIRTCAI, PERHIT APPIJCATION
ci Nunber
Hodular DveIIing
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
c
COHPI.,ETE FEE SCMDUI,E BEI.,OS
Nev Residentlal-Single or
Hulti-FamilY Per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85'00
Each additional 500
sQ: ft or Portion
Each Hanuf'd Eome or'
df'u
0 l,l,f'lt.l1J ?L
3
A.
Sum
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of lssuairce or lf vork ls suspended for
180 days.
2. CO}U"ACf,OR INSTAIJ^ATION ONLY
s 40.00
Electrical Contractor
Address
cl ?^:.nr ( Phone
Supervisor License Number
Expiration Date
?tConstr contr. Number ?)
Expi'ration Date )-/
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect OnIY
Temporary Services or'Feeders
Insiallation, Alteration or Relocation
200 amps or less
201 amps to 400 amPs
-
Over 401 to 600 amps
-
Over 600 amps or 1000 volts
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or sith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign./Outline Ligh t ing-
Limited EnergY./Res y'
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State-Surcharge
TOTAL
I
s s0.00
$ 60.00
$1o0.oo
$130.00
$300.00
$ 40.00
T
Electrician
$ 40.00
$ ss.00
s 80.00
see (8" a566
DI
Owners Name
Address
Cl ty Phone
OVNER INSTALI.,ATION
The installatioh is beirig made on
ptoperty I ovn vhich is not intended
for sa1e, Iease or rent.
E.
tus 40.00
s 40.00
$ 20.00
$ 36.00
w5
DATE:
J
06 t. Uo
b0
lr trry r1Z\At3
77 l-5 L
WillamalaneFair &-n-ecteation District Job. No.
NAME:
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHOI{E:1ry-&\\o
srArE: u- =rr,41#Yl
m
0
ADDRESS:
LOCATION OF PROPOSED BUILDING S
Street Add s:
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
J single Family home Manufactured home not in a park
NO. OF UNITS I x $1,ooo per unit = $ \mn .()
B. Single-Family Attached
NO. OF UNITS X $924 Per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufac'tured Home Park
NO. OF UNITS X $699 Per unit = $
WILLAMALANE SDC $
2. SDC CREDIT (if applicable) SDO-payer must fumish proof of
willamalane ireoit-approval. See doc Creat Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $I
ngfi
epartment Date
OD0r()
-Ja,gbCity of