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Home My WebLink AboutPermit Building 1995-10-23 SPRINGFIELD I Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 951552 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Propoaed Work: 1006 OLD ORCHARD LN Assessors Map #: 17032300 Lot: 6 Block: Tax Lot #: 01003 Subdivision: RIVER GLEN owner: ANSLOW/DEGENEAULT Address: 56 E 15TH AVENUE Phone #: 484-0070 City/State/zip: EUGENE, OREGON 97401 Describe Work: S.F. RESIDENCE NEW Contractor Const. Contractor # Expires Phone General: ANSLOW & DEGENE 0049169 56 E 15th Ave Eugene OR 974010000 Plumbing: ABSOLUTE PLUMBI 0067664 2235 Arthur Court Eugene OR 9740500 Mechanical: MARSHALLS 0025790 4131 E St Springfield OR 974780000 Electrical: BINNS ELECTRIC 0073762 210 Wallis Str Unit #C Eugene OR 97 10/16/95 484-0070 07/11/95 345-3055 12/23/95 747-7445 06/06/95 687-1362 QUAD AREA: 2RNW # OF UNITS: 1 CONSTR, TYPE: VN SECONDARY HEAT: FP OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 2 WATER HEATER: G # 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 PLUMBING - Prior to insulation or decking. UNDERFLOOR MECHANICAL - Prior to insulation or decking, POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking wall/ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench. STORM 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, ROUGH GAS - after line is installed and capped if not attached to an appliance GAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. 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. "* f.I~ Oetu~cr IIIVTlt /;fJ/1fAS1eI1t171~ /3 ~ &f O/17f ~ No 'SeuJBe- tfee;K-t/fJ LIAl7lL ~ "0/ 17f6 C/;Y. Job Number: 951552 Page 2 CURB CUT - 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. FINAL ELECTRICAL - When all electrical work is complete, FINAL BUILDING - When all required inspections have been approved and the building is complete, N Lot Sq. Ft,: 10120 Total Height: 21 Lot Type: CORNER Setbacks S W E 10 5 20 Lot Coverage: 25,5 % Setbk From NPL: 30 Lot Faces: S, Topography: 2 Solar Approved: Y House Garage 16 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1970 618 $/Square Feet 56,2 14,1 = Value 110,714,00 8,714,00 119,428.00 Building Permit Fee Surcharge/Admin 478,00 38,24 TOTAL FEE (A) 516.24 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 2,430.72 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 0,00 Plumbing Permit Surcharge/Admin 160,00 12,80 TOTAL CHARGE (C) 172.80 -- - MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent 3 6,00 4,50 9,00 3,00 Mechanical Permit Issuance Surcharge/Admin 27,50 10,00 2,21 TOTAL PERMIT (D) 39.71 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL PERMIT WILLAMALANE SDC 0,00 42,55 14,20 156,60 1,000,00 TOTAL MISCELLANEOUS PERMITS (E) 1,213.35 Job Number: 951552 Page 3 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 4,372.82 --- 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. - - - ADDITIONAL COMMENTS SEPARATE ELECTRICAL PERMIT IS REQUIRED; PATH 1 DRIVEWAY REQUIRED TO BE PAVED 6 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. ~7b~ Signature D!t~//2Y95 - -- VALIDATION Date Paid: /9.37/ /0/20S- #/(P,02- AIX/L, Receipt Number: Amount Received: Received By: .. . The following project as submitted has the zoning, and does not require speelllc land 225 ,UJ-.'" STREET approval. J n n ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonlng~ PV I'C..-I Q INSPECTION REOUEST: 726-3769 If) /~/a~ City Job Number /.5/ S5L OFFICE: 726-3759 Dole -+~1;J...~ .- . Authorized Slgnature3. COM~E FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION, -I' /~ t!!}!2 M/I~J LAu= A.' New Residential-Single or ,. " Multi-Family per dwelling unit. , LEGAL DESCRIPTION Service Included: /7,.e:)~ ~ t ~ 1")/(203 JOB DESCRIPTION -S',,r~A'~ Permits are' non-tr~nsferable and expire if vork is not star.ted'vithin 180 days 'of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrieal Contractor LSIIJN5 h&:::1llJc... Address 7- (0 LcJ A-z-LL S City E::' Uc,ex..>t:; Phone(. <if7-( 3 {;2- , Supervisor Licen.se Number .:.?'D~ I-g Expiration Date_/fJ -I> -9-;- Constr Contr. Number' '7 .5 7 ~ Z- Expi'ration Date_ t-b-:-7C::- Signature of ~pervisi~Eiectrician /~~.f/k . . ovners Na,me ,rlt6/;;;; " 'JJt: 4''::'_'~A,ut:J-. The installation is beirig made on property ,I ovn,vhich is not intended for sale, 'lease or rent. 'Ovn~rs Si~ture: :~~PT V: ' ,/D/J~;;""" RECEIVED BY: ~...., ,. -( '- Items Cost Sum 1000 sq.ft. or less ...-- $ 85.00 .e5. CC> Each additional 500 sq. ft or portion -::L ~.~ thereof, $ 15.00 Each Manufid Home or Modular Dwelling Service or Feeder $ 40.00 Serviees 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 200 amps or less 201 amps to ,400 amps Over 401 to 600 amps Over 600 amp~,or 1000 Braneh Circui ts ~ $ 40.00 $ 55.00 , $ 80.00 vOlts"see "B" 4D ,.or> above Nev, Alteration or Extension Per Panel , ' One Circun Each Additional Circuif or wfth Ser,vice or Fe'ederpet'mi t $ 35.00 $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or, irrigation' $ 40.00 Sign(OutlineLightlng $ 40.00 LAmited, EneigyVRes :$20.00 Liuiited ~nergy/Comlll $36.60 SUBTOTAL OF'ADOVE #e:;:.p:D /fP5',C<J 5%Sta.te ,sur.charge ~":"'!"[~~' ;l,)- ,,;,T?TAL "_,".", ~.....Lc:'.r. .;;L--: .r.r ... + 3D,b M\'i\\{\ ~~ - '1-~ -19'f, 00 E. 5,. . .... .. ..,. ~,' ... _: . '. .. , Job. No. q~\~~? ./ SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:\~f\s,\r')\0c:\.-- \\0 hOf\OII.~t ADDRESS: ?\\ (J . 0\ ~--\V\ f\"f .., . t( ~ . \ LOCATION OF PROPOSED BUILDING SITE: \! (\ Street Address: \N\t 0 \)~'rfl. f(\ ~' ruL.. Plat Name: \Z\\').~'( (\\~(\ ,.' Tax Lot Number: \1jD3~?fD~mj~) 1. DEVELOPMENT TYPf:, (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back,) PHONE: 4~4. 7'CY1CL STATE: ~IP: a-HD( A. flinole-F::lmilv Det::lc:hed \ Single Family home , NO. OF UNITS \ Manufactured home not in a park X $1,000 per unit = $ \\)~1J.a) B. .single-Familv Attached NO. OF UNITS X $924 per unit = $ C. ,Multi-Familv Aoartment NO. OF UNITS , X $692 per unit = $ D. Manufactured Home Park $ , $"- \(li\ .tfJ a $ troD po '- i NO. OF UNITS WILLAMALANE SDC X $699 per'unit '= 2. SDC CREDIT (if applicable) SDC-payer must fumish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAl:. WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) , \ \ \S(\ ! ~\\Jf)~~ Development .~~~,6~partment City of Springfield /C? I 23 I'S Date ,....,. . . . CITY OF SPRINGFIBLD SYSTBMS DBVBLOPMBNT CHARGB (COMMERCIAL / RBSIDENTIAL) Name or Company: ANSLOW/DEGENEAULT Location: 1006 OLD ORCHARD LN Developement Type: R Building Size: Job No.: 951552 Lot Size: 1. STORM DRAINAGB Impervious Sq Ft 3244 X 0.210 Per Sq Ft 2. SANITARY SEWER - CITY Number Of PFUs 19 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 a $442.31 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 19 x X Per PFU + MWMC Admin Fee 18.750 + 10.00 MWMC CREDIT If Applicable (see Page 2) TOTAL - MWMC SDC SUBTOTAL - (Add Items I, 2, 3 & 4) 5. ADMINISTRATIVE FBBS Base Charge (Subtotal Above) X 0.50 TOTAL SDC Reviewed By: TROY MCALLISTER Date: 09/29/95 Page 1 Sq Ft $681.24 $825.17 $442.31 $366.25 $0.00 $366.25 $2,314.97 $115.75 $2,430.72 ..,' . Job Number: 951552 . FIXTURB UNIT CALCULATION TABLB Page 2 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 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 3 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 x 0.00 = Fixture Units 2 o o o o 2 o o o 2 o 2 o 3 o B o 19 0.00 0.00 $0.00 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) o x 0.00 = CRBDIT TOTAL a