HomeMy WebLinkAboutPermit Building 1996-3-25
SPRINQFIELD
~-
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960335
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 957 OLD ORCHARD LN
Assessors Map #: 17032300
Lot: 31 Block:
Tax Lot #: 01003
Subdivision: RIVER GLEN
Owner: ,v,vAE B HOMES Phone #: 485-3176
Address: 3593 RIVER POINTE DRIVECity/State/zip: EUGENE, OREGON 97408
Describe Work: S.F. RESIDENCE NEW
Const.
Contractor Contractor # Expires Phone
General: FUTURE B HOMES 0036499 05/18/96 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/96 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: ROLFS HEATING 0020240 02/14/96 741-0002
Po Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/97 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR, TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: PI
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2095
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To request an inspection, cal1 the 24 hour recording at 726-3769.
All inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m, will be made the following work day.
REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - Prior to insulation or decking,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BEAM - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FRAMING - Prior to cover.
INSULATION - Floor, prior to decking Wall/Ceiling; Prior to cover
DRYWALL - 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,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
Job Number: 960335
Page 2
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
Solar Approved: Y
N
Lot Sq. Ft.: 6695
Total Height: 22
Lot Type: INTERIOR
Setbacks
S W E
30 14 6
6
Lot Coverage: 31.2 %
Setbk From NPL: 48
House
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1622
473
$/Square Feet
64,66
16,27
= Value
104,879.00
7,696.00
112,575.00
Building Permit Fee
Surcharge/Admin
462.25
36.98
TOTAL FEE
(A)
499.23
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,277.67
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160.00
Plumbing Permit
Surcharge/Admin
160.00
12.80
TOTAL CHARGE
(C)
172 . 80
- - - MECHANICAL PERMIT - --
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS F.P.
GAS LINE & W/H
3
6.00
4.50
9.00
3.00
4.50
5.00
Mechanical Permit
Issuance
Surcharge/Admin
32.00
10.00
2.56
TOTAL PERMIT
(D)
44.56
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
ELECTRICAL PERMIT
WILLAMALANE SDC
0.00
19.30
13.75
140.40
1,000,00
TOTAL MISCELLANEOUS PERMITS
(E)
1,173.45
SPRINGFIELD
Job Number: 960335
Page 3
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,167.71
--- BUILDING VALUE, PLAN CHECK AND 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 construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 290.23 Date Paid: 03/13/96 Receipt Number: 20682
Received By:
Plans Reviewed By: DON MOORE Date: 03/25/96
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
PATH 1; NO OCCUPANCY UNTIL INFRASTRUCTURE IS ACCEPTED BY THE CITY
NO SANITARY CONNECTION UNTIL SEWER IS ACCEPTED BY CITY
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I state and agree, that I have careful1y 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 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 required inspections are requested at the
proper time, that 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 r~; \Oqn, :~e ~~t/e~:I~:iii/n_&struction. ~ (IS.C{h
nat r - -) (}.U Date
Date Paid:
-- - VALIDATION
&\)~
~~C\I~
1\\6\ :~ \
~~)
Receipt Number:
Amount Received:
Received By:
.
.
The followIng project 89 6ubmitled has the f ~.
zon:ng, and does not1eq? specific land ~
approval. jC/
225 ru..... STREET . ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlna.. .
INSPECTION REQUEST: 726-376~ate ~5 Ci ty Job Number q 1'06 3 35
OFPleR: 726-3759 LVi?
Aulhorlzed Signature 3 ~ ../CoHPLF"'" ""'''...5CHEDULE BlLOV
1. LOCATION OP INSTALLATION /.,
0; ..t;7 DLJ C!A~ ~. A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/ 7 ~ Z 3 erZ!:> P.O. oIotJ3 Items Cos t Sum
JOB DESCRIPTION
S, F, A'.e:r ,
Permits are nen-transferable and expire
if Ilork is not started ~ithin 180 days
of issuance or if work is suspended fer
180 days.
2. w...AACTOR INSTALLATION ONLY B.
Electrical Contractor&b ASha..r 8reh1t.lnc..
Address~~'M~~l.IrV Avo
City~O, U Phone~&q-7<?73
supervi~r License Number 3'175 .s
Expiration Date ID-I-q7
COnstr Contr. Number q to:z 15
1000 sq.ft. or less /_ $ 85.00 S;;c:;oo
'~ach additional 500
sq. ft or portion
thereof '$ 15.00 ~fH)
Each Manuf'd Home or
Modular Dyelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration .Date 1-25 -'17
s~~~~ectrician
Owners Name ;=U~A'. 6 A
Address
City Phone_4~-~~
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT f:
RECEIVED BY I
'~~'JC\,^r~. 5.
..L' ~~
~~,\~_I ~.
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional'
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
--itl'Nd. 3?.::> ~~,
$ 40.00
S 40.00
$ 20.00
$ 36.00
/30 ,(hi:>
~.~o
-:? .' 0
I~, f"o
.
..
Job. No.
~\o~~
SYSTEM DEVELOPMENT CHARGE
\ ~ WORKSHEET
NAME: V~~ 4 \~ PHONE: L\.-~ <S. ~\~\O J
ADDRESS:_~~~ ~\.\'\&J l(\rfLSTATE:~IP: q~~
LOCATION OF PROPOSED BUIW Nq S}ff
Street Address: C\ ~fl ~ \ \r1. l \Jr{\'
Plat Name: It \ \1.Jj . r1 \Pf\ Tax Lot Number: _'2:ffJ ?n-O~CQ3!
1. DEVELOPMENT TYPE; (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. SinolA-Familv Deta~
~ Single Family home
NO. OF UNITS
B. SinolA-Familv AttachAQ
NO. OF UNITS
C. Multi-Familv ADartment
Manufactured hDme not in a park
X $1,000 per unit = $ JDDO . CO
X $924 per unit = $
NO. OF UNITS
X $692 per unit = $
D. Manufac;tured Home Park,
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit =' $
$ \.00 [) \ CO
o
$ _ \nm pD
~~/~
$
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
D)l~~~ ~~p~e",
City of Springfield
0/
Date
~\
,.
. .,
.
.
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 957 OLD ORCHARD LN
Developement Type: R Building Size:
Job No,: 960335
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 2846 X 0.210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 18 X 43.43 Per PFU
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X
Cost Per Trip
437.93
X Trip Rate
1. 010 X
$442.31
Transportation Total
4. SANITARY SEWER - MWMC
Number Of PFUs
18
X
X
Per PFU +
18.750 +
MWMC Admin Fee
10,00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 03/18/96
,
\
Page 1
Sq Ft
$597.66
$781,74
$442.31
=
$347.50
$0.00
$347.50
$2,169.21
$108.46
$2,277.67
..
.
Job Number: 960335
.
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
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
TOTAL FIXTURE UNITS
Number of
New Fixture
Unit
Equivalent
1
o
o
o
o
1
o
o
o
1
o
1
o
2
o
2
o
2
1
2
3
6
2
6
1
3
2
2
2
1
6
4
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
0.00 =
Fixture
Units
2
o
o
o
o
2
o
o
o
2
o
2
o
2
o
8
o
18
0.00
0.00
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
X
o
X
0.00 =
CREDIT TOTAL =