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
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