HomeMy WebLinkAboutPermit Building 1997-04-09SPFINGFIELD
a
RESIDENTIAI. PERMIT APPLICATION
CITY OF SPRINGFIELD
COMIII'NITY SERVICES DTVISION
BUII,DING SAFETY
:o
Office:
Inspection Line:
Page 1
ilob Nunber: 97 0L7 6
726-37 59
725-37 69
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 4041 VIRGINIA AVE
Assessors l,tap #: 18020500
Lot: 12 Block:
Tax Lot #:
Subdivision:
03100
WYATT 2
SPruNGFTELD,
Ownerz COZY HOMES
Address: L275 SOUTH 2ND
Describe Work: S.F. RESIDENCE
Phone #: 747-A704
city/state/zip: SPRINGFIELD, OREGON 97477
NEW
Contractor
ConEt.
Contractor #Expiree
06/ro/e7
LO /23 / es
L2 /23 / e7
04/2e/e7
Phone
7 47 -87 04
532 - 47 65
7 47 -7 445
587-t_851
General:
Plumbing:
Mechanical-:
El-ectrical-:
cozY HoMEs 0032947
L275 S 2nd Springfield OR 974770000
BMC 0045400
MARSHALLS OO2579O
4l-31 E St Springfield OR 974780000
B]LLS ELECTRTC 002135].
3l-70 W 11th Eugene OR 974O2OOOO
QUAD AREA: 3RSC
# OF UNITS: l-
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1708
-- oFFrcE usE --
LAND USE: 1111
ZONING CODE: MDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
To request an inepection, call- the 24 hour recording aL 726-3769.
A11 inspections reguested before 7:00 a.m. wil-1 be made the same working day,
inspectj-ons requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTIONS ---
FOITNDATION - After forms are erected buL prior to concrete placement.
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
POST AIID BEAITI - Prior Lo floor insul-ation or decking.
ITNDERFLOOR MECIIAIiIICAL - Prior to insulation or decking.
TNDERFIJOOR PLITMBING - Prior to insulation or decking.
INSULATION - Floor,' prior Lo decking Wal1/Ceiling; Prior to cover
SAI{ITARY SEWER LINE - Prior to fil-Iing trench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLTMBING - Prior to cover.
ROUGH DIECEAIiIICAt - Prior to cover.
ROUGH EI,ECTRICAL - Prior To cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR.AIIING - Prior Lo cover.
INSULATION - Floor; prior Eo decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PIJITMBING - When all plumbing work is complete.
FINAL MECIIAI'IICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all elecLrical work is complete.
PRE BACKFILL: To verify sit,e is cfean of debris prior to final grading
and backf ill-.
SPRINGF!ELD
Job Number : 97 01,7 6
o SPruNGFIEIT',t a
Page 2
FINAIJ BUIIJDING - When all required inspections have been approved andthe building is complete.
Lot Faces: E
Solar Approved: Y
House
Garage
ToLaI Height,: 15
Lot Type: INTERIOR
Setbacks
SI^IE
2L 20
16 18
Setbk From NPL: 18
N
7
fEem
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
--- BUII.DING PERMIT ---
Square Feet x
13 08
400
$/Square Feet
64 .66
L6.27
Val-ue
84, 575.00
5,508.00
91,083.00
409.00
32.72
TOTAIJ FEE (A)44L.72
.-. SYSTEIIS DEVELOPMENT CHARGE (SDC)
(B) 2 ,22L.44
Systems Development Charge is due on all undeveloped properLies within the City
Limits and t,he Citys Urban crowt,h Boundry which are being improved.
- - - PLT'MBING PERMIT -. -
Item
Residential Bath(s)
Fee
150.00
Plumbing Permit
Surcharge/Admin
TOTAI, CIIARGE
r_5 0
L2
00
80
(c)L72.80
--- MECHAI{ICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
a
5.00
4 .50
6.00
3.00
19. s0
10.00
1, .57
(D)31.07
-- - MISCELI,ATiIEOUS PER!,IITS
Surcharge/admin
Sidewalk
Curb Cut
WILLAMALANE SDC
ELECTR]CAL PERMIT
PLAN REVIEW FEE
TOTAL MISCEI.LAI{EOUS PERMITS
0.00
L5.25
13.90
1, 000 . 00
L57.40
80.00
L,276.55(E)
4,L43.58(Excluding Electrical)
unlesg ot,herwiee noted
--- TOTAL A}IOI'NT DUE ---
(A, B, C, D, and E combined)
SPFINGFIELD
a
h,
.fob Number : 97 O1,7 6
SPilNGFIELD,a
Page 3
--- BUILDING VAIJUE, PI'AIV CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shaIl, in all respects, conform to t,he Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the const.ruction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: BOB BARNHART
Building SiLe Reviewed By:
Date: 04/08/97
--- ADDITIONAI, COMMENTS ---
A & T ESTIMATE ONLY. INDTVIDUAL LOTS NOT LISTED
rN couNTY SYSTEM AS OF L/2e/97
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify Ehat all informaLion hereon
is true and correct, and I furEher certify thaE any and all- work performed
shaff be done in accordance with the ordinances of the City of Springfield,
and the Laws of the State of Oregon perEaining to the work described herein,
and that NO OCCUPANCY wiLl be made of any structure without permission of the
Community Services Divisj-on, 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 required inspect.ions are requested at the
proper time, that each address is readable from the streeL, that the permit
card is located aE the front of the property, and the approved set of plans
will- remain on t te at all times during construction.
4 {1
s ture Date
--- VALIDATION ---2u"ZReceipt Number:
Date Paid:
Amount Recei-ved
Received By
l'(3
SPHIilGF!ELD
fa o
CITY OF SPRINGFIELD SYSTEMS DEVELOPUENT CHARGE
(RESTDENTIAI,)
Page 1
SPruNGFIEI-O,
Name or Company: COZY HOMES
LocaLion.. 4O4L VIRGINIA AVE
Developement Tlpe: R Building S j-ze:
ilob No. : 970176
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}iIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI{SPORTATION
Number Of Units
1_X
X 0.21-6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
451.26
x
2426
18
Trip Rate
1.010 x $4ss.77
#s24.02
$8os. s0
94ss -77
$382 -42
$s2 . 0s
$330.37
$2, 115 .56
$10s.78
Transportation Total
4. SNiIITARY SEI{ER - MIII}IC
Number Of PFUs
18
5. ADMINISTRATIVE FEES
Base Charge (Subtotal ebove)
Per PFU +
20.590 +
MIIMC Admin Fee
10.00
MhIMC CREDIT If Applicable (see Page 2)
TOTAL - MT'MC SDC
SITBTOTAL - (Add luema 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Date: oL/30/97
$2,22L.44
SPFINGFIELD
Job Number: 97OL76
a
FIXTI'RE I'NIT CAI.CUI.ATION TABIJE
t a
Page 2
SPruNGFTEI-D,
Fixture Tl4pe
Number of
New Fixt,ure
Unit
Equivalent
Fixture
Uni-t.s
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oi1/Solids/utc
Inteceptors For Sand/Auto wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water station/utc
Receptor for Commercj-al Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential- Kitchen
Urina}, Sta11/wa1l
Wash Basin/Lavatory, Sing1e
Water Closet, Public Installation
WaUer Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =18
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calculated separately
(calculations are by $1000)
Year Annexed: 1959
Credit For Parcel Or Land OnIy If Applicable: 15,000 X 3.47 = 52.0s
Improvement (if after annexation date): 0 X 3.47 = 0.00
CREDIT TOTAL = $52.05
(If land value is multiplied by l- then the parcel/land credit is not accurate.)
0
0
0
0
2
0
0
0
0
0
2
0
z
0
8
0
z
1
a
3
5
z
6
l-
3
a
a
2
l-
6
4
2
0
0
0
0
l_
0
0
0
0
0
1
0
2
0
0
:!l'IitlJLil-IlL:Lu
225 FITTH STREET
{r',rkrA',q'
ION
Cos t
$ 85.00
$ 15.00
.$ ao.oo
$ s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
location
SPRINGFIELD, ORXGON 97
INSPECTION REOUEST: 7
0FFICE: 726-3159
1 0 STALLATION
ON
J SCRIPT
Per
if vor
of i.ss
180 days.
CONTRACTOR INSTALLATION ONLY
1000 sq.ft. or ]ess
Each addi. tional 500
sq. ft or Portion
the reo f
Each Manuf'd Home' or
|4odular Dvelling
Servi.ce or Feeder
Services or Feeders
Tnstallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPS
-
401 amps to 600 amPS --
601 amps to 1000 anPS-
0ver 1000 amPs/volts
-
Reconnect 0n1Y
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
lrd,,
_8r
9D_
.)
-)
A0
M
ELECT11ICAL PERHIT
City Job Number
COHPLETE FEE SCENDULE BELOV
Nev Residential-single or
tlutti-FamilY Per dvelling unit
Service Included: Items Sum
I
v
s are non-transferable and exPire
t. it not started within 180 daYs
u.n"" or if vork is susPended for
ts
2
s IElectrical Cotrtractor
Add res s
Ci ty Pl-rone
Superviso License Number
Expiration Date
Constr Contr. Number d i7
Expiration Date ._ ";
,7
Siglature cf Sup ervls].ctrician
Ovners I"lame
TemDorarY Servj ces or Feeders
in=iuffuiio", Al-teration or Re
200 amls"or ]ess I
201 amPs to 400 amPs _..-
0ver 401 to 600 amPS
-
Over 600 amPS or 1000 vol-ts
-Each installation
Pumo or irrigation
SienZOutline Lighting-
t-imi ted EnergY/Res
-
Limited EnergY/Comm
D. Brai-rch Circui ts
Nev, Alteration or Extension Per Panel
One Ci rcul t
Each Addi tional
Ci rcui t or vi th Servrce
or Feeder Permit
-
$ 3s.00
Miscellaneous (Service/feeder not includer
/,,/
d{". / FS I
C
4D$ 40.00
$ 5s.00
s Bo.0o
see ttBt'aSove
Add r
Ci. ty
e
Phone
$ 2.00
0 STALL\TION
The ins tallat j'on is being made on
Droperty I ovn vhich is not intended
ior'sale, lease or rent'
0vners Signature:
I?
s
c.)
$
$
40. 00
40.00
20.00
36.00
5
DATE:
RNCEI
RECEIVED I]Y:
a
,0"-/t1 "1
-u//'
u
€e Willamalane
Park & Recreation District Job. No.qN\fto
NAME:
ADDRE SS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
1.
ype definitions are on the back.)
:
A. Single-Family Detached
I Single Family home
NO. OF UNITS
SYSTEM DEVELOPMENT CHARGE
. WORKSHEET
PHONE:
STATE:-[fu'r,Q-'111
Manufactured home not in a Park .
g1,ooo per unit = S \ti 00 'Q
IiLot Number:
(check appropriate dwelling(s). sDC calculations and dwelling t
I X
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 UNTTS X $699 Per unit
WILLAMALANE SDC
2. SDC CREDTT (if applicable) SDC-payer must fumish proof of
\Mllamalane Credit approval. See SDC Credit Wotksheet'
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
lopment Se
$
$
$
ao$
6$
$d)
City of Springfield
epa rtment -L3 €7
Date