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HomeMy WebLinkAboutPermit Building 1996-7-19 BPRINQFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 960872 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 969 OLD ORCHARD LN Assessors Map #: 17032343 Lot: 30 Block: Tax Lot #: 01100 Subdivision: RIVERGLEN Owner: FUTURE B HOMES Address: 3593 RIVER POINTE DR Phone #: 485-3176 City/State/Zip: EUGENE, OREGON 97408 Describe Work: S.F. RESIDENCE NEW Cons t . Contractor Contractor # Expires Phone General: FUTURE B HOMES 0036499 05/18/97 485-3176 3593 River Pointe Dr Eugene OR 9740 Plumbing: CUSTOM PLUMBING 0081994 05/06/97 485-1146 3248 Kentwood Dr Eugene OR 97401000 Mechanical: ROLFS HEATING 0076473 10/04/96 741-0002 PO BOX 66, DEXTER, OR 97431 Electrical: BOB FISHER ELEC 0096275 01/25/96 689-7973 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: 2113 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG RANGE: E To request an inspection, call 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 PLUMBZNG - Prior to insulation or decking. UNDERFLOOR MECHANICAL - 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 MECHANZCAL - 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. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. SPRINOFIELD Job Number: 960872 FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. FENCE - After fence is constructed. BACKFLOW DEVICE - After device is installed but before backfilling trench. Lot Faces: N Topography: 2 Solar Approved: Y House Garage 18 Item Main Garage Total Value Building Permit Fee Surcharge/Admin TOTAL FEE Page 2 Lot Coverage: 31 t Setbk From NPL: 51 N Lot Sq. Ft.: 6696 Total Height: 19 Lot Type: INTERIOR Setbacks S W E 37 10 6 10 Value 105,784.00 7,761.00 113,545.00 414.50 33.17 447.67 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,276.35 PLUMBING PERMIT --- 2 (C) -- - MECHANICAL PERMIT --- 3 (D) --- MISCELLANEOUS PERMITS --- Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. BUILDING PERMIT --- Square Feet x 1636 477 s/square Feet 64.66 16,27 Item Residential Bath(s) BACKFLOW Plumbing Permit Surcharge/Admin TOTAL CHARGE Furnace Exhaust Hood Vent Fan Dryer Vent GAS PIPING HOT WATER GAS FIREPLACE Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT Surcharge/Admin Sidewalk Curb Cut WILLAMALANE SDC (A) Fee 160.00 10.00 170.00 13 .60 183.60 12.00 4,50 9,00 3,00 5.50 4.50 38.50 10.00 3.09 51. 59 0.00 19.30 13.00 1,000.00 SPRINOFIELD ~'" Job Number: 960872 Page 3 ELECTRICAL PERMIT PLAN REVIEW FEE il FENCE PERMIT Ya l Llt.-- W 750 183.60 250.00 5.00 TOTAL MISCELLANEOUS PERMITS (E) 1,470.90 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,430.11 --- 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. Received By: DON MOORE Plans Reviewed By: DON MOORE Date: 07/17/96 Building Site Reviewed By: LISA HOPPER - -- ADDITIONAL COMMENTS --- PATH 1 DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I state 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 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 remain on the site at all times during construction. \}~.:\ ~,~~O- s~e " ~ 1-1'1-1), Date ~- SPRINGFIELD Job Number: 960872 Receipt Number: Date Paid: Amount Received: Received By: - - - VALIDATION 215&0 l.::Jq - q(/J ~i(W.,( U? Page 4 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: FUTURE B HOMES Location: 969 OLD ORCHARD LN Developement Type: R Building Size: Job No.: 960872 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 2840 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 Trip Rate 1. 010 X X Cost Per Trip 437.93 $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 18 Per PFU + 18.750 + MWMC Admin Fee 10.00 X X 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: 07/02/96 Page 1 Sq Ft $596.40 $781.74 $442.31 = $347.50 $0.00 $347.50 $2,167.95 $108.40 $2,276.35 Job Number: 960872 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 Fixture Units 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 o o o o 2 o o o 2 o 2 o 2 o 8 o 2 2 1 6 4 18 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 x 0.00 = 0.00 o X 0.00 = 0.00 CREDIT TOTAL = $0.00 (If land value is multiplied by 1 then the parcel/land credit is not. accurate.) . .. Job. No. (\loD~f\1J- SYSTEM DEVELOPMENT CHARGE . . ... WORKSHEET NA~E: st. ~\ 1\0 _ ~ )\omoD PHONE: ~.(\\ll.67 . ADDRESS: ~~~ \?1ili.X'" \{1{\tQ ) STATE: l5{LZIP: cn~ LOCATION OF PROl\~SED BUI~~NG SI}{ \. J. .. _ Street Addr~:. '--\\cA l\j\o. ~~ \a\ (Iill\{L ~ Plat Namd: ^<lr)"Q~ [).\ef\Tax Lot ~umber: -\L()~Q~~O\\'c() 1. .DEVELOPMENT TYPE (Check approprtate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. SinalA-F8milv DAt8r:hAd \ Single Family home NO. OF UNITS ~ Manulactured home not in a park X $1,000 per unit = $ t\'r)O ,cO B. SinalA-F8milv ~r:hAd NO. OF UNITS X $924 per unit = $ C. Multi-Familv A08rtment NO. OF UNITS X $692 per unit = $ D. ManufacturAd HamA Park, NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ . $ \ Doty 00 ff $ \rfD.cd $ 2. SDC CREDIT (if applicable) SDC-payer must tumish proot of Willamalane Credit approval. See sac Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~~ / Developmentse~ment City of Springfield 7/ \ q / C(b Date . . approvo!. Zoning L~ 22.5 FIFTD STRRET n~_ -1 .1/1.-.. n ( SPRINGFIELD, OREGON 971ff1-J-- _: J VI I INSPECTION REQUEST: l2&"iQfi%lgnsl1Jre 7fVI OFFICE: 726-3759 3. 1. ~t~~_O~~~~~~. \~f5~~~ O\\CD _~~~I~~\~ Permits are nen-transferable and expire if vork is not started .ithin 180 days of issuance or if work is suspended fer 180 days. 2. COl\'TRACTOR INSTALLATION ONLY Electrical Contractor~ln(. AddressjW lo.~Q, CitY~L Phoneg6Q-7Q73 Supervisor Licen;se Number 3'175 .5 Expiration Date 1O-I-Q7 Constr Contr. Number q(., 21i, Expiration .Date [-2'3 - '17 -, Si~;;;e~::tectrieian own;rs Name~IJ-h I \ 0 t ~\~. Address ~~~ ~_I\(\\\)nl\tn, City cr"J:)Q1\O- Phone '\-~.\~N1VJ OVNER IN~~N . The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: 7-1 q Jt..,0 RECEIPT I: "L5l.<. f.,() RBCEIVED BY: Lt.. ELECTRICAL PERKlT APPLICATION City Job Number (\lo[)~f)~ COHPLBTE FEE SCHEDULE BELO\! New Residential-Single or Multi-Family per dwelling unit. Service Includedl Items 1000 sq.ft. or less 'Each additional 500 sq. ft or portion thereof Each Hw~uf'd ~ome or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: C. Temporary Services or'Feeders Installation, Alteration or Relocation 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 "8" above 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 Branch Circuits I .3 Cost Sum S 85.00 35 5 15.00 ~ $ 40.00 $ 50.00 $ 60.00 $100.00 5130.00 $300.00 $ 40.00 Nev, Alteration or Extension Per Panel One Circuit Each Additional' Circuit or vith Service or Feeder Permit 5. SUBTOTAL OF ABOVE 5% State'Surcharge 10"t'MJ ~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm $ 35.00 S 2.00 $ 40.00 S 60.00 $ 20.00 $ 36.00 \ fin fP ~..tf~ \N,lcO