HomeMy WebLinkAboutPermit Building 1995-12-04CITY OF ONEGON
SPRINGF!ELD
RESIDENIIAL PER}TIT APPLICATION
CITY OF SPRINGFIEI,D
COMMIINITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nurnber: 95L67 6
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 7217 THURSTON RD
Assessors ttap #: L7023524
Lot: Block:
Office:
Inspection Line:
725-3759
725-3769
Tax Lot #:
Subdivision:
05901
PARCEL 1
Owner: ROLLIE KORINEK
Address: 6 HAYDEN BRIDGE WAY
Describe Work: S.f. RESIDENCE
Phone #: 741-L625
city/state/zip: SPRINGFTELD, OREGON 97477
NEW
Contractor
GOLDENRIDGE CON
PO Box 24808 Eugene OR 9740
€{r#P€r++r**{8,fl+€}. @*lcivot
3248 Kentwood Dr Eugene OR 97401000
MARSHALLS OO2579O
4131 E St Springfield OR 974780000
THORNTON EI.ECTR OO4255O
PO Box 5044 Eugene OR 974050000
Const.
Contractor #
0032s90
20000 /O/'
Expires Phone
06 /06 /96 683-5442General:
Plumbing:
Mechanical:
Electrical:
748 -oaTl.*1"JA-' t
1,2 /23 / es
o6/t7 /e6
7 47 -7 445
344-7354
QUAD AREA: 4RNE
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2084
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: P1
To requests an inepection, call the 24 hour recording at 726-3769
A11 inspections reguested before 7:00 a.m. will be made the same working day,
inspections reqluesEed after 7:00 a.m. wi]-I be made the foll-owing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBfNG - Prior to insulation or decking.
ITNDERFLOOR MECIINiIICAL - Prior Eo insulaEion or decking.
POST At{D BEADI - Prior to floor insulation or decking.
INSUIJATION - Floor; prior to decking Wal1/Ceiling; Prior Lo cover
SNiIITARY SEWER LINE - Prior to fil-Iing trench.
STORM SEWER LINE - Prior to filling Erench.
WATER LINE - Prior to filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIAIIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FP"AIIING - Prior to cover.
INSULATION - Floor; prior to decking wa1]/ceiling; Prior to cover
DRYIVALt - Prior to taPing.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCUT - After forms are erected but prior to placement of concrete.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIINIICAL - When all mechanicaL work is complete.
FINAL ELECTRICAL - When all efectrical work is compfete.
FINAL BUILDING - When all reguired inspections have been approved and
the building is comPlet,e.
s;PR!NGFIELD
Job Number: 951676
qTT OF ONEGON
Page 2
Lot. Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 6875
Total Height: 22
Lot Type: INTERIOR
Setbacks
SWE
34 l_0 L6
10
Lot Coverage : 1-9 .9 %
Setbk From NPL: 20
N
28
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUTLDING PERMIT ---
Square Feet x
158 0
504
$,/sguare Feet
56.2
L4.L
Value
88, 795 . 00
7, 106 . 00
95,902.OO
42L .00
33.68
454 .68(A)
--- SYSTEMS DEVELOPUENT CIIARGE (SDC)
(B)2,390.24
Systems Development Charge is due on all undeveloped properties within the Cityl-imits and the citys urban Growt,h Boundry which are being improved.
--- PLI'}IBING PERMIT ---
ftem
Residential Bath (s)5
Plumbing Permit
Surcharge/Admin
TOTAL CIIARGE (c)
Fee
L92 .50
192 .50
15.41
207.9L
--- MECIIAIiIICAL PERMTT
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechani-caI Permit
fssuance
Surcharge/admin
TOTAL PERMIT
6
4
L2
3
00
50
00
(D)
25.50
10.00
2 .05
37 .55
--- MISCELLAI{EOUS PERITTITS ---
Surcharge/admin
Sidewal-k
Curb Cut
WILLAMALANE SDC
TOTAL MISCELI,AT.IEOUS PERMITS (E)
0.00
L5 .45
L6 .45
1, 000 . 00
L, 032 .90
(Excluding Electrical )
unless otherwise noted
--- TOTAL AI,IOI'NT DUE ---
(A, B, C, D, and E combined)4,L23 .28
--- BUII,DING VAI,UE, PIJAIiI CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the constructi-on and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
4
SPRINGF!ELI,
Job Number: 951676
CITY OF ONEGON
Page 3
Plan Check Fee: 273.65
Received By:
Plans Revj-ewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date Paidt t0/L9/9s
Date: t1,/29/95
Receipt Number: 19333
--- ADDTTIONAI, COM}IEtiilTS ---
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I sEaEe and agree, that I have carefuLly examined
the completed application and do hereby certify that all j-nformation hereon
is true and correct, and I further certify Ehat any and all work performed
sha1l 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 that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all reguired inspections are reguested at Ehe
proper time, Ehat each address is readable from the street, that the permiU
card is l-ocated at the front of the property, and the approved set of plans
will remain on iLe at all- times during construcEion.
Signa Date
--- VAI,IDATION ---
/7zszReceipt Number:
Date Paid:
AmounE Received:
Received By:
^ilr e48T'a-Y-
tz,//,/qr-/
Page 1
CITY OF SPRTNGFIELD SYSTEMS DEVEIJOPMENT CHARGE
(RESIDENTIAL)
Name or Company: ROLLIE KORINEK
LOCATiON: 72L7 THURSTON RD
Developement Tlpe: R Building Size:
Job No. : 95L676
Lot Size:Sq Ft
]-. STORM DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUS
(see Page 2)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
221,2 X 0.210 Per Sq Ft, =
23 X 43.43 Per PFU =
x Cost Per Trip
437.93
3. TRJAI.ISPORTATION
Number Of Unitss
1X
Y Trip Rate
1.010 x
Transportation Total
4. SATiIITARY SEWER - MT{UC
Number Of PFUs
23
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
$442.3L
$464.s2
$e98.89
$442.3t
$44L.25
$70. ss
$370.70
$2 ,27 6 .42
$113.82x 0.50
TOTAI. SDC
Reviewed By: TROY MCAILISTER Date: LL/22/95
s2,390 .25
Job Number: 95L676 Page 2
FIXTURE I'NIT CALCUI,ATION TABLE
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/ntc
Inteceptors For Sand/Auto Wash/Et,c
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator,/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta11
Shower, Gang
Sink, Bar, Commercial, ResidentiaL Kitchen
Urinat, StaI1,/Wal1
Wash Basin/Lavatory, Single
Water Closet, PubLic Instal-Iation
WaLer Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CALCITLATION TABLE: Based on assessed va]ue. If improvemenEs occured
after annexation date, credits are calculated separately.
(calcufations are by $1000)
Year Annexed: 1960
Credit For Parcel Or Land Only If Applicable: 20,330 X 3.47 = 70.55
Improvement (if after annexation date): 0 X 3.47 = 0.00
CREDTT TOTAL - $70.55
(If land value is multiplied by l- then the parce]/Land credit is not accurate.)
2
1
a
3
6
6
1
3
2
2
2
l_
6
4
a
0
0
0
0
t_
0
0
0
0
0
1
0
3
0
3
0
4
0
0
0
0
0
0
0
0
0
2
0
3
0
L2
0
23
SPRIl\.!GFIELD
BU p"r.,4..'+?;-t67b
Il
225 FTFTH STREET
SPRTNGFTELD, 0REGON 97 477
fNSPECTfON REOUEST: 126_3769OFFICE: 726-3759
BI,ECTRTCAL PERHTT APPLICATTON
Nunber Qs t (n a
IETE FEE SCEED{IIJ BELOg
City Job
1 LOCATTON OF TNSTALI.A TT
A Neu Residential-Single orMulti-Family per dvElling unit.Service Included:
JOB DESCRTPTION 1000 sq.ft. or l_ess
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home orModular DvelIingSertice or Feeder
B. Services- or FeedersInstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps _-
60L amps to 1000 amps-
Over 1000 amps/vo1ts --Reconnect OnIy
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
ftems Cost Sum
/ s 8s.00 *f -
( 's 1s.oo 1{ -Permits are non-transferable and expireif vork is not started vithin iaO aiy"of issuance or if vork is suspended forL80 days.
2. CONTRACTOR INSTAI,LATTON ONLY
Elec tri cal Con tr actorT,V€)/tL,)bD AA_
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
Address g)
Phone bztr
Supervisor License Number 3@ /78
Expiration Date iO,-l-c? L
Constr Contr. Number {3 55o
Expiration Date /O -t-?6
Signature of S trician
0v'ners Name cLL r€
Address I.v
Ci ty Phone 74 I -/rt ){
C. Temporary Services or Feederslnstallation, Alteration or Relocation
200 amps',or l_ess S 40.00201 amps to 400 amps
-
S 55.00over 40L to 600 amps
-
$ g0.00
0ver 600 amps or 1000 volTs see ,,8,, a[6te
D. Branch Circuits
Nev, Alteration or Extension per panel
One Circui.t $ 35.00Each AdditionalCircuit or vith Serviceor Feeder permit _ $ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0u tl-ine Lighting-
Limited Energy/Res
-
Limited Energy/Comm
OVNER TNSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent.
Ovners Signature:
;i;:.-7:-tr
E
$ 40.00
s 40.00
$ 20.00
$ 36.00
RECEIVED
5 AD tro
City *ra
ing,projec{ as submlltod has.. hllowtnao ooeo not requirB ep€cfflc land Uss41
Willamalane:]*Y-
NAME:
Park & Recreation D.istrigJ ''
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
ADDRESS:
LOCATTON OF PHOPOSED BUILDING SITE:
Street Address
Plat Name nto )Tax Lot Number:i
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC
ype definitions are on the back.)
C. Multi-Familv Aoartment
NO. OF UNITS X $692 Per unit
D. Manufactured Home Park
X $699 Per unit
2. SDC CREDIT (if applicable) SDC-payer must fumish proof ol
Willamalane Credit approval. See SDC Credit Worksheet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Development
STATE:ZIP:
6q
dwel t
A. Single-Family Detached
Single Family home Manufactured home not in a Pa
NO. OF UNITS X $1,000 per urit = $
B. Single-Family Attached
NO. OF UNITS X $924 per unit
rk
OE
$
$
NO. OF UNITS
WILLAMALANE SDC \uc,oo$
$
$
,d
IDM Pd
City of Springfield
Department
gS
q5\to1 [,
225 FIFTE STREET
SPRTNGFTELD, oREGoN 974
aporoval.
726aAilq8-€dINSPECf,ION REQIIEST:
OFPICE: 726-3759
The foliowing protsct qs eubmlttqd holtlq
icning, ano?ies not requirs epmhic land
SPr....GFlELO
EI,ECTRICAL PERHIT APPLICATION
ci Job Number
COHPI..ETE FEE SCEEDTILE BELOV
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-
601 amiis to 1000 amps-
over 1000 amps/volts
-
Reconnect OnlY
Temporary Services or Feeders
Installalion, Alteration or Relocation
L-
3
A
1. LOCATION
JOB PTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
Address
ciy fr# ??y'or- Phone 6e*'#42
Supervisor License Number
Expiration Date
Constr Contr. Number \2t20
Expiration Date
ture ising Electrician
0wners Name,
Address
ci ty-Phone 74/462f
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0mers Signature:
DATE:
200 amps''or less *
201 amps to 400 amPs
-
Over 401 to 600 amPs
Over 600 amps or 1000 voTt
Sum
2. COI\IIRACTOR INSTALLATION ONLY B. SCTViCCS OT FCCdCTS
InstalIation, Alterations
Electrical con rractor 4z4n) r&ME fuT:' Relocation:
s s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
*e
C.
$ 40.00
s ss.oo
$ 80.00
s see rrBil
4oP'
"rr*
D. Branch Circuits
' Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service '
or Feeder Permit
-
$ 2'00 ,:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting-
Limited EnergY/Res
-
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
,o eO
s 40.00
s 40.00
$ 20.00
$ 36.00
5
RECEIVED B
C'TY OF SPP OREGOA'
7;"+-
7p,," I ) -''l-15
IJGAL DESCRIPTION ,'nmZ j5 ?- * o{9a/
)