HomeMy WebLinkAboutPermit Building 1996-5-23
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960604
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 990 OLD ORCHARD LN
Assessors Map #: 17032300
Lot: 27 Block:
Tax Lot #: 01003
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
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 05/06/97 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: ROLFS HEATING 0102455 10/04/96 741-0002
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER 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: P1
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2652
# 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 ---
SITE - To be made after excavation but prior to setting forms,
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDERFLOOR PLUMBING - 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 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,
Job Number: 960604
Page 2
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.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: S
Topography: 2
Solar Approved: Y
Lot Sq. Ft,: 8057
Total Height: 21
Lot Type: CORNER
Setbacks
5 W E
22 12 13
18 12
Lot Coverage: 33 %
Setbk From NPL: 45
N
House 28
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1920
732
$/Square Feet
64,66
16,27
= Value
124,147,00
11,910,00
136,057,00
Building Permit Fee
Surcharge/Admin
516.25
41. 30
TOTAL FEE
(A)
557.55
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 2,642.42
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLUMBING PERMIT ---
Item
Residential Bath(s)
BACKFLOW
2
Fee
160,00
10,00
Plumbing Permit
Surcharge/Admin
170,00
13 ,60
TOTAL CHARGE
(C)
183.60
- -- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS FIREPLACE
GAS PIPING WH
4
12,00
4,5CD
12.00
3.00
4.50
5,00
Mechanical Permit
Issuance
Surcharge/Admin
41.0d)
10,00
3,28
TOTAL PERMIT
(D)
54.a
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
0,00
40,15
SPRINOFIELD
Job Number: 960604
Page 3
Curb Cut
WILLAMALANE SDC
ELECTRICAL PERMIT
13 .60
1,000.00
156.60
TOTAL MISCELLANEOUS PERMITS
(E)
1,210.35
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
~$jc3D~)
4,648.2~
_~.co
;S ~~ 3 .zVJ
--- 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:
Received By: DON
Plans Reviewed By: DON
Building Site Reviewed
335.56
MOORE
MOORE
By: LISA
Date Paid: 05/03/96
Receipt Number: 21382
Date: 05/16/96
HOPPER
- - - ADDITIONAL COMMENTS
PATH 1
INFRASTRUCTURE NOT YET COMPLETE AND APPROVED
DRIVEWAY REQUIRED TO BE PAVED
4 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.
s-h-J hL
~ -
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s~natu~ (\
Da tfe
~.
SPRINGFIELD
Job Number: 960604
Receipt Number:
Date Paid:
Amount Received:
Received By:
~ Jitf;""
I l~tA\oot
'Q\~j
Page 4
.
,
ojee! as oubmltted haG \ .9.
The following pr I r~ulre opecfflc Ia _
zoning, and does no ....,
225 PIFTH STREET epprovel. f)ULEcrRlCAL PERMIT APPLICATION
SPRINGPIELD, OREGON 97471 z iog.' (\ '\ f\l '~(v1
INSPECTION REQUEST: 726-3769 City Job Number IJ\ .ol J\.()J\
OPFICB: 726-3759 oat ':/ ~.
1. LOCAnPJi.. OP~5l'~'!~~ Ato~ed ~nalilP~ ~~;:; ,!,.......wJLE BRLOV
l\lA.\. ) tu~~1'\ \\1 'l. t:f0.-J A. New Residential-Single or
Multi-Family per dwelling unit,
LEGAL DESCRIPTION A\f\f"'\-:2... Service Included:
\1f)'?->"L9{)(l \00 l J\\J..}.....J Items Cost
\
~~~~~rr~ ~/o~tr1
;;jll ,
Permits are non-transferable and expire
if work is not started ~ithin 180 days
of issuance or if work is suspended fcr
180 days.
1000 sq. ft. or less
'.Each add it i onal 500
sq. ft or portion
thereof
Each Manuf'd Ho~e or
Modular Dwelling
Service or Feeder
Sum
\
4:
9-/S
liD
$ 85.00
$ 15.00
S 40.00
2. COh1rnACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical contractor'&b M5h1rEflL-fv1t, 111C.. or Relocation:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
\ $ 40,00 .1U
$ 55.00
$ 80.00
see "8" above
Address IW ~na6b(,(ry AvfL
City ~o , U Phone ~~q - J&l7:S
Supervisor Licen.se Number 3'175 ~
Expiration Date 10-1 -q7
Constr Contr. Number Qft:l7ef
.,
Expiration .Date ./-?5 -q]
Sign~):Jfp-b:Z:tridan
owne:s Name \.4L~tJ \Q,~. ~nL2
Address~~ ":)\_~ V~\JJfu.J...
City tt JQg X'Q.., Phone ~ S ,3 \1lo
OVNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
REw....vtw BY:
h?~~
f::1'tC-,,} J ~~ ~~
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 50.00
$ 60.00
$100.00
$130,00
$300.00
S 40,00
New, Alteration or Extension Per Panel
One Circuit
Each Additional.
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
Wl'a 3?'o
$ 40.00
$ 40.00
$ 20.00
S 36.00
\4.Sr/J
I . z;::,
4- . ,~ e.,
\'5\0 .LoO
4;0(0
Ul)
~
~~P'
.
.
SYSTEM DEVELOPMENT CHARGE
\' ,~ ' L WORKSHEET . "
NA~E: ~\J.J\Q. ~. '>r\nf{\C1CJ PHONE: +~5. ~ nl.o .
ADDRESS: ~~t[)~~ I. ~i\10X'~\'~STATE: ef-ZIP: Ql4O<t)
LOCATION OF PRO~~S~D BUtFRl~G ~~~~III\ 1\ A An, ~/\ Y') () .
Street Address: l.'\l.-\.\. ) \.\Nu... ~\ ~ \.1. , , X w l.)'-""
Plat Name:~k'ilJ.Qr.... (1}OA Tax Lot Number: \1 1.?:ii')O\ff)3?O
1. PEVELOPMENT TYPE (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back.)
A. Sinale-Familv Detached
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ loeD ,cfJ
B. Sinole-FRmilv AtfRched
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufactlJred Home Park
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for CreOi
\~~J \~ _
Development Se~ es Department
City of Springfield
X $699 per unit = $
$ \Il(D ,C6
tzf
$ \OmrV
/2.'-/%
$
NO. OF UNITS
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credil Worksheet.
~
Date
SPRINGFIELD
.~-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 990 OLD ORCHARD LN
Developement Type: R Building Size:
Job No.: 960604
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 3908 X 0,210 Per Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs 20 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
20
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: 05/06/96
Page 1
Sq Ft
$820,68
$868,60
$442,31
=
$385.00
$0,00
$385,00
$2,516.59
$125,83
$2,642.42
SPRINGFIELD
Job Number: 960604
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
2
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
4
o
o
o
2
o
2
o
2
o
8
o
2
2
1
6
4
20
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.)