HomeMy WebLinkAboutPermit Building 1997-05-09SPFIi.GFIELD
RESIDENTIAI. PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMI'NITY SERVICES DIVISION
BUTLDING SAFETY
Page L
ilob Nrurber: 970513
225 North Fifth Street
Springfield, OR 97477
Loeat,ion of Proposed Yilork: 4105 VfRGINIA A\rE
Assessors Map #z L7023233
Lot: 27 Block:
Tax Lot #: 10000
Subdivision: hIyATT MEADOWS 2
Office:
fnspect,ion Line:
726 -37 s9
725 -37 69
SPilNGFIEI.D,
Owner: COZY HOMES
AddrCSS: L275 SOUTH 2ND STREET
Phone #: 747-8704
Citsy/State/Zip: SpRINGFIELD, OREGON 97477
NEWDescribe Work: S.F. RESIDENCE
General-:
Plumbing:
Mechanical:
Electrical:
Contractor
cozY HoMES 0032947
L275 S 2nd Springfield OR 92477OOOO
BMC MECHANICAL O1O357O
548 W Oregon Ave Creswell OR 9742G0
MARSIIALLS OO2579O
4131 E St Springfield OR 974280000
BILLS ELECTRIC 0021351
3170 W 11th Eugene OR 97402OOOO
Const.
Contractor #Expiree
05 /to / e7
t2 /!5 / 97
12 /23 / e7
04 /28 / ee
Phone
747-8704
895 - 457 5
747-7445
687-1851
QUAD AREA: 3RSC
# OF I'NTTS: 1
CONSTR. TYPE: Vt.I
SECONDARY HEAT: FP
rNSUL PATH: SGC
.- OFFICE USE --
LAND USE: 111-1
ZONING CODE: MDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: t7O5
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To requeEt, an inspection,call the 24 hour recording aE 726-3769.
A11 inspections requested before 7:00 a.m. will be mad.e the same working day,inspections req$rested after ?:00 a.m. will be made the folLowing work day.
--- REQUIRED INSPECTTONS -__
FOOTING - After trenches are excavated.
FoIrl[DATroN - After forms are erected but, prior to concret,e placement.POST AIID BEAII - prior to floor insulat,ion or decking.
IIIIDERFLoOR MEcHN{rcAL - prior to insu]ation or decking.
IrllDERFLooR PLITMBTNG - prior to insulation or decking.
SAIITTARY SEWER IJrNE - prior to filling trench.
STORM SEWER LrNE - prior to filling trench.
WATER LINE - prior to filling trench.
TNSULATTON - F100r; prior to decking waIl/ceiling; prior to coverROUGH PLIIIBING - prior to cover.
ROUGH IIECIIAIIICAL - prior to cover.
ROUGH ELECTRICAL - Prior Lo cover.
ROUGH GAs - after rine is inst.alred and capped if not attached to anappliance
GAs sERvrcE - After Ii-ne is instal-Ied and line has been connected to aminimum of one appliance. pressure test done at this point.ELECTRTCAT' sERVrcE - Must be approved to obtain permanent. power.FR.AMING - prior Eo cover.
TNSULATTON - F100r; prior to d.ecking wal]/ceiling; prior to coverDRYWALL - prior to t,aping.
ctRBcur - After forms are erected but prior to placement of concret.e.srDEwAr.K - After excavati-on is comprete, forms and sub_base materiari-n p1aee.
SPFINGF!ELD
Job Number: 970513
SPilNGFIEI.O,
Page 2
FINAL PLITUBfNG - When all plumbing work is complete.
FINAL IIECHAIIICAL - When all mechanical work is complet,e.
FfNAL ELECTRICAL - When all electrical work is complete.
FrNAr. Burr,DrNG - when all required inspections have been approved and
the bui-Lding is complet,e.
Lot Faces: N
SoLar Approved: Y
House
Garage
Total Height: 15
Lot Type: INTERIOR
Setbk From NPL: 49
N
't2
18
Setbackssw
375
E
5
5
Item
Main
Garage
Tota1 Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDTNG PER}TIT --.
Square Feet x
13 08
397
$/Square Feet
64 .66
L6.27
(A)
VaLue
84 ,575 .00
6 ,459 .00
91, 034.00
409.00
32.72
44L.72
--- SYSTEMS DEVEI,OPIIENT CTIARGE (SDC)
(B) 2 ,480 .87
systems Development charge is due on all- undeveloped properties within the citylimits and the Citys urban Growth Boundry which are being improved.
PLI'ITBING PERMIT -. -
Item
ResidentiaL Bath(s)2
Plumbing Permit
Surcharge/admin
TOTAIJ CHARGE
Fee
r_50.00
150.00
12 .80
(c)L72.80
--- MECIIAI{ICAL PER}IIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove / tnserE /Fireplace Unit
Dryer Vent
GAS PTPTNG
Mechanical permit
Issuance
Surcharge/Admin
TOTAI. PERUTT
a
(D)
6.00
4.50
6.00
4 .50
3.00
2 .50
26 .50
10.00
2.L3
38.53
- - - MISEELIJANEOUS PERMITS -. -Surcharge/admin
Sidewal-k
Curb Cut
PLAN REVIEW FEE
ELECTRTCAL PERMIT
WILLAMALANE SDC
0.00
17.80
14.80
50.00
L24.20
1, 000 . 00
TOTAIJ IIISCELI.A}IEOUS PER}TITS (E)1, 215 . g0
I
SPFIi.GFIELD
ilob Number: 970513 Page 3
(Excluding Electrical)
un1esE ot,herwiee noted
--- TOTAI, A}IOI'NT DUE ---
(A, B, C, D, and E courbined)4,350 .82
--- BUIIJDING VALUE, PI.A}I CHECK AI{D BUILDTNG PERMIT ---
This permit is granted on the express condition that the said constructionshaI1, in all respects, conform to the ordinance adopted by the city ofspringfield, inctuding the Development code, regulat,ing the construction anduse of buildings, and may be suspended or revoked at any time upon violationof any provisions of said ordinances.
Received By:
Pl-ans Reviewed By: BOB BARNHARTBuilding Site Reviewed By: LISA HOppER
Date: 0s/0G/97
--- ADDTTIONAI. COMMEIITS
DRIVEWAY REQUIRED TO BE PAVED
]- STREET TREES REQUIRED
By signature, I state and asrree, that f have carefully exami nedthe completed application and do hereby cert.ify that. arr informaEion hereonis true and correct, and f further certify Ehat any and all work performedshall be done in accordance with the Ordinances of the Cit y 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 theCommunity Services Division,Building Safety. I further ce rtify thaE onlycontractors and employees who are in compliance with oRs 70 1.055 will beused on this project.
r furt'her agree to ensure that alL reguired inspections are requested. at theproper time' that each address is readabre from t.he street, tnit trre permitcard is located at. the front of the property, and the approved. set of planswiLl remain on the site at alr- times auring-construc.ion.
Signature ?
e
--- VALTDATToN ___
Receipt Number
Date paid:
AmounE Received:
Received By:
SPHTNGFTELD a o
a
CITV oF SPRIT{GFIELD SYSTEMS DE\TELOPIIENT CIIARGE
(RESIDENTIAL)
Page 1
Name or Company: COZy HOMES
LOCATiON: 4105 VIRGINIA AVE
Developement Tlpe: R Building Size
ilob No. : 97 06]-3
Lot Size:Sq Ft
1. STORIT! DRATNAGE
fmpervious Sq Ft
2. SAI{ITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR.ANSPORTATION
Number Of UniEs
1x
2358
X Trip Rate
1.010 X
X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
x Cost Per Trip
45L .26 $4ss.77
$s09.33
$984. s0
$45s.77
$45s.18
$s2 . 0s
$413.13
i2 ,362 .7 3
$118 . 14
Transportation Total
4. SAIiIITARY SEWER - MI'ndC
Number Of PFUS
aa
5. ADMINISTRATIVE FEES
Base Charge (SubEotal Above)
x
x
Per PFU +
20.690 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable
TOTAL - MWMC SDC
(see Page 2)
SITBTOTAL - (Add Items 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNIS ERNST Dare: 05/0L/97
$2 ,480 .87
SPRI,lrGFIELD
.Job Number: 97O6L3
a
FIXTURE UNTT CALCULATION TABLE
a a
Page 2
SPruNGFIELD,
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/Solids/utc
Int,ecepEors For Sand/Auto Wash,/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Btc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal-I
Shower, Gang
Sink, Bar, Commercial, Residential Kit,chen
Urinal , Stal-l/Wa1l
Wash Basin/Lavatory, Sing1e
Wat,er Closet, Public Installat,ion
Water C1osets, Private
Miscellaneous
TOTAL FIXTURE UNITS =')')
CREDIT CALCITLATION TABLE: Based on assessed vaIue. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $r-000)
Year Annexed: L969
Credit For Parcel Or Land Only If Applicable: 15,000 X 3.47 = 52.05
Improvement (if after annexation date): 0 X 3.47 = O.OO
CREDIT TOTAI = $52.05
(If land value is multiplied by 1 then the parcet/Iand credit is not accuraUe.)
4
0
0
0
0
0
5
0
0
0
0
2
0
2
0
I
0
1
3
6
2
6
1
3
2
2
2
l_
6
4
0
0
0
0
0
l_
0
0
0
0
1
0
2
0
2
0
SPRINGFIELD, OREGON 97477
INSPECf,ION REQUEST: 726-3169
OFFICE: 726-3759
1 ON
I,EGAI DESCRTPTION
JOB PTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
BILL'S ELECTRTC
3170W11THAVE
EUGENE OR97402
SPRINGFIELO
ELECTRICAL PERHIT APPLICATION
-City Job Number
COHPI^ETE FEE SCEEDTJLE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Servi.ce Incl-uded:
I tems Cos t
zoning, ancl
approval.efr,
225 FTFTE STREET
, ,,,, (Yw/
,'",.19:.lP.:g:l
-, ,. ftn4 3
3
A
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Sertice or Feeder
B. Services or Feeders
Ins tallation, Alterationsor Relocation:
$ 8s.00
s 1s.00
s 40.00
s s0.00
s 60.00
$100.00
$130.00
s300.00
s 40.00
$ 3s.00
$ 2.00
oo
tbeo
200 amps
201 amps
401 amps
601 amps
Over 1000
Reconnec t
or less
to 400 amps
-to 600 amps
-tor1000 amps-
amps/vo1 ts
Only
I SUPERVISOR LIC. #9805
, EXP. DATE 1Ol30/95' ccB #21351
( EXP. DATE 4t28/g5
Expiration Date
C- Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less L-/- $ 40.00
201 amps to 400 amps
-
S 55.00Signature of Supervising trician
Ovners Name
over 401 to 600 amps
-
$ 80.00
-Over 600 amps or 1000-voITs see rrBrr aEotE-
D. Branch Circuits
Nev, Alteration or Extension per panelAddress
Ci ty
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
Ovners Signature:
DATE:
Hiscellaneous (Service/feeder not included)
-Each installation
One Circuit
Each AdditionalCircuit or vith Serviceor Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
,n""" 7?fr7o/
E
Pump or irrigation SSign/0ut1ine Lighting- SLimited Energy/Res
-
SLimited Energy/Comm S
40.00
40. 00
20. 00
36.00
o
RECETVET)
5
/7a2- 3z 33 /a€op
J;I1ri\.\a
IH,HI:U:-'U:'?'fli3 ii;ll'l;.l # :'
approval.
SPFrINGFTELc}
Ci Job Number
Service Included:
I tems
Qfr,
EI^EgfRI CAL PERHIT APPLICATIONZsnt225 FIFTS STREET
SPRINGFIELD, OREGON 97
INSPECTION REQTIEST:72
OFFICE: 726-3759 3. COHPLETE FEE SCBSDIJLE BELO\I
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
1 ALI,ATION
LEGAL DE
A
Cos t
$ 85.00
$ 1s.00
$ 40.00
Sum
&_
s_
JOB
if vor
are non-transferable and exPire
is not started vithin 180 daYs
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Servi-ce or Feeder
ON
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALL\TION ONLY
BILL'S ELECTBIC
3170W11THAVE
EUGENE OR 97402
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20i. amps to 400 amPs
--401 amps to 600 amPs _
601 amps tor1000 amPs-
0ver 1000 amps/vo1ts
Reconnect Only
B
s s0.00
s 60.00
$100.00
s130. 00
s300.00
s 40.00S SUPERVISOR LIC. #9805
EXP. DATE 1O/3O/98E ccg #21gs1
c EXP. DATE 4t28t9g C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 401 to 6o0 amps
-
$ gO-00'
-
Over 600 amps or 1000 voTTs see "8" above
D. Branch Circui ts ; ..
Nev, Alteration or Extension Per Panel
Expiration Date
tT"f Supe ising Electrician
Ovners Name
Address
cit Phone
TION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Onners Signature:
DATE:
One Circuit S 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.O0
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
$ 40.00
$ 40.00
s 20.00
$ 36.00
RECETVEN
5 @
a I)
t
Willamalane
Park & Recreation District
A. Single-Family Detached
I\ Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
D. Manufactured Home Park
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
1
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name
ype tions are on the
Trax Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
PHONE:
STATE:
Manufactured home not in a park
X $1,000 per unit = $\u)cp
X $924 per unit $
NO. OF UNITS
WILLAMALANE SDC
X $692 per unit
$
$
X $699 per unit
$
$
$
\DCJD @
2. SDC CREDIT (if appticabte) SDC-payer must furnish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
Deve pment Se
U
\QCDd
.L,
City of Springfield
partment Date
t\
_L,g