HomeMy WebLinkAboutPermit Building 1996-10-08OTT OF SPNilVGFIEID,
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Page 1
Job Nnrnber: 96L253
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 444 19TH ST
Assessors t'tap #: 17033513
Lot: Block:
Office:
Inspection Line:
726 -3759
725 - 37 69
Tax Lot #: L2OO2
Subdivision:
OtlITeT: STEVE LOVELADY
Address z L96 33RD STREET
Describe Work : MAIIUFACTURED HOIIE
Phone #: 744-L5O'l
citylstate/zj-p: SPRTNGFTELD, oREGoN 97478
NEW
ConUractor
Const.
Contractor #Expires
Lt/L2 / e6
L1-/L2/e6
L2/27 /e6
Phone
726 -2L71,
'726-2L7L
588-1600
General:
Plumbing:
Electrical:
GREAT WESTERN 0045472
5024 Main Street Springfield OR 974
GREAT WESTERN 0046472
5024 Main Street Springfield OR 974
HERITAGE INV 0053137
1-042 Harn Lane Eugene OR 974040000
QUAD AREA: 2RNW
# OF IINITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 4
RANGE: E
# OF BLDGS: L
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: L455
To requeat an inepection,caLL the 24 hour recording aL 726-3769.
All inspections requested before 7:00 a.m. will- be made Lhe same working day,
inspections requested after 7:00 a.m. will be made the fo]]owing work day.
--- REQUTRED TNSPECTTONS ---
PEDESTAL - Prior to cover.
FOOTING - After trenches are excavated.
SAI{ITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to fifling trench.
WATER LINE - Prior to filling trench.
!{AI{UF HOME/MOBILE HOME SET UP - When all blocking is compleEe.
MA.IIUF. HOME/MOBILE HOME ELECTRICAT, - When bloeking, setup, and
plumbing inspections have been approved and home is connected to panel
MAI{UF. HOI4E/MOBILE HOME PLU!,IBING - Af ter home has been connected to
water and sewer.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavaEion is complete, forms and sub-base material
in place.
FINAL SET Up - After all required inspections are approved and porches
skirging, decks, venting, house numbers, eLc. have been installed.
Lot Faces: E
House
Lot TYPe: PANIIANDLE
Setbacks
SWE
33 l-0 l-1
N
43
$/Square Feet
--- BUITDING PERMIT ---
Square Feet x Val-ue
44 ,7 92 .00
0.00
Item
Main
Garage
RESIDENTIAL PERMIT APPI.ICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVTCES DIVISION
BUII,DING SAFETY
SPRINGFIELD
Job Number: 96:-.253
CITT OF SPNilVGFIEID,
Page 2
FTG/PERIM FOUNDATION
Tota1 Val-ue
Building Permit Fee
Surcharge/aamin
TOTAL FEE
4 ,7L5 .0O
49, 508 . 00
s0.50
4 .05
(A)54 .55
SYSTEIIS DEVEI,OP}TENT CIIARGE (SDC)
(B)2 ,568 .60
Systems Development Charge is due on aLl- undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
- -. PLUIIBING PERUIT - - -
Fee
40.00
40.00
40.00
Plumbing Permit
Surcharge/Admin
120.00
9.60
TOTAL CIIARGE (c)L29.50
IUem
Sanitary Sewer
water
Storm Sewer
1,26
L26
L25
-- - MISCELLATiIEOUS PERMITS
Mobile Home
State Issuance
Surcharge/admin
Sidewafk
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
TOTAL IIISCEIJLAI{EOUS PERMITS
105.00
20.00
8.40
11.80
]-2.70
1, 000 . 00
86.40
(E)1,244 .30
(Exctuding Electrical)
unlese other-wise noted
--- TOTAL A}IOT'NT DUE ---
(A, B, C, D, and E eombined)3, 997 .05
-.- BUII,DING VAI.UE, PI.AIiI CHECK AT{D BUII.DING PERMIT ---
This permit is granted on the express condition thaL the said construction
shal1, 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 Eime upon vioLation
of any provisions of said ordinances.
Received BY:
Plans Reviewed By: LISA HOPPER
Building Site Reviewed By: LISA HOPPER
Date : 09 /27 / 96
--- ADDITIONAL COMMEMTS ---
SPFIi.GFIELD
Job Number: 961-253
OFSPruUGFIEID,cr|r
Page 3
PARTITION REQUIRES PANIANDLE TO BE PAVED
APPI,ICANT TO SI'BM]T DRAINAGE PLAN.
DRIVEWAY REQUIRED TO BE PAVED
By signature, I stsate 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 thats NO OCCUPAIICY will- be made of any structure without permission of the
Community Services Division, Building SafeEy. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on thj-s project.
I further agree to ensure that all required inspections are requested at the
proper time, Lhat each address is readable from the street, that the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at all Eimes during construction.
Signature Date
--- VALIDATION ---
ReceipE Number:
Date Paid:
AmounL Received:
Received By:
2,7
,/a-q.€6
=1,??.a s
SPF!NGFIELE,
Page 1
CITY OF SPRTNGFIELD SYSTEMS DEVEIJOPMENT CIIARGE
(RESIDENTIAL)
CITY OF SPilNGFIELT', ONEGON
Name or Company: STEVE LOVELADY
Location: 444 l-9TH ST
Developement T)pe: R Building Size
Job No. : 961,253
Lot Size Sq Ft
1. STOR}I DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI.ISPORTATION
Number Of Units
l_x
3993
18
X Trip Rate
1.010 x
X O.2L6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
45L.26 s4ss.77
$852 .4e
$80s. s0
$4ss.77
$382 .42
$s9.89
#322.s3
s2,446 .29
$1,22.3L
Transportation Total
4. SAI{ITARY SEWER - MVT}IC
Number Of PFUs
18
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x
Per PFU +
20.590 +
MWMC Admin Fee
10.00
MI^MC CREDIT ff Applicable (see Page 2)
TOTAL - MhMC SDC
SITBTOTAL - (Add lEems 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: o9/23/96
$2,558.50
SPF!NGFIELEt
.Iob Number: 96).253 Page 2
FIXTURE I'NIT CATCUIJATION TABLE
CITY OF SPruNGFIEI.D, OI?EGON
Fixture Type
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/OiI/SoIids/etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/eUc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal , Stall-/Wall
Wash Basin/Lavatory, Single
water Closet, Public Installation
water Closet, Private
Miscellaneous
TOT-AL FIXTURE UNITS =18
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexaEion date, credits are calculated separately
(calculations are by $L000)
Year Annexed: l-950
Credit For Parcel Or Land OnIy If Applicable: L7,25O X 3.47 = 59.89
Improvement (if after annexation date): 0 X 3.47 = 0.00
CREDTT TOTAL - $59.89
(If land value is multiplied by 1 then the parcel/Iand credit, is not accurate.)
0
0
0
n
0
0
0
0
0
0
2
0
8
0
2
1
2
3
5
6
1
3
2
2
1
5
4
0
0
0
0
1
0
0
0
0
0
1
0
2
0
0
The follow
225 FIFTE STREET
Date 1d -f (:
SPRINGFIELD, OREG0N 9747lrulhoilrod
INSPECTfON REQITESTT 726-3769
oFFTCE: 726-3759
1
DE CRI
Permits are non-t sferable and expireif vork is not started vithin 180 daysof issuance or if.vork is suspen?ed for
180 days.
2... CONTRACTOR ON ONLY
ELE TRICAL PERHIT APPLICATION
SPRINGFTELO
D %
qbob Nu-mber
3. COHPLETE FEE SCMDULE BELOV
A Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-
Modular Dvelling 4lService or Feeder O(
s 8s.00
s 1s.00
$ 40.00
B Services or FeedersInstaIlation, Alterationsor Relocation:
Sum
@
Electrical Contract
Address
Ci ty Phone
Supervisor nse
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Address
Ci ty Phone
INSTALLATTON
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
a
Ovners Signature:
DATE:
200 amps or ]ess
201 amps to 400 amps
-
40L amps to 600 amps
-
601 amps to 1000 amps-
over 1000 amps/volts
-
Reconnect Only
s 50.00
s 60.00
$100.00
s130.00
$300.00s 40.00
D.
C.Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps or less g 40.00
20L amps to 400 amps
-
S 55.00 ,
0ver 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTts see rrB[ aE6;d
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permi t $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limi ted Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
s 40.00
$ 40.00
s 20.00
s 36.00
5
RECDIVED B
CC)
\
$Willamalane
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
PHONE:
STATE:P
qr++\q+n 5\r"fStreet Add
Plat Name:Tax Lot Number:
1. DEVELgPMENT TYPE (Check,appropriate dwelling(s). SDC calculations and dwetting t
ype definitions are on the back.)
A. Single-Family Detached
Single Family home
-LManufactured
home not in a park
NO. OF UNITS I X $1,000 per unit = $
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 CREDTT (if applicable) SDC-payer must lumish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
t a
$
$
cx)$
I
$(if SDC reduced
Development
\
/a
City of Springfield
partment Date -? r76
oo
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