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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 ~ - l,~ ~LN~~~~ 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.)