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Home My WebLink AboutPermit Building 1997-1-23 SPRINOFIELD Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970032 225 North Fifth Street Springfield. OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 1024 OLD ORCHARD LN Assessors Map #: 17032344 Lot: 5 Block: Tax Lot #: 05400 subdivision: RIVER GLEN Owner: ANSLOW & DEGENEAULT Address: 56 EAST 15TH AVE Phone #: 484-0070 City/State/Zip: EUGENE. OREGON 97401 Describe Work: S.F. RESIDENCE NEW Const. Contractor Contractor # Expires Phone General: ANSLOW & DEGENE 0049169 10/16/97 484-0070 56 E 15th Ave Eugene OR 974010000 Plumbing: ABSOLUTE PLUMBI 0067664 07/11/97 345-3055 2235 Arthur Court Eugene OR 9740500 MeclJ.anical: MARSHALLS 0025790 12/23/97 747-7445 4131 E St Springfield OR 974780000 Electrical: JB ELECTRIC 0084200 06/22/97 687-5770 1786 Balboa St Eugene OR 974010000 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: 3705 # 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. 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 WATER LINE - Prior to filling trench. SANITARY SEWER LINE - Prior to filling trench. 'STORM SEWER 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. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. SPRINOFIELD Job Number: 970032 Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical 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 BUILDING - When all required inspections have been approved and the building is complete. N Lot Sq. Ft.: 9802 Total Height: 28 Lot Type: INTERIOR Setbacks S W E 13 5 28 10 Lot Coverage: 23.4 \ Setbk From NPL: 48 Lot Faces: S Topography: 2 Solar Approved: Y House Garage Item Main Garage UNFINISHED BONUS RM. Total Value BUILDING PERMIT --- Square Feet x 2216 944 545 $/Square Feet 64.66 16.27 51.73 = Value 143,287.00 15,359.00 28,193.00 186,839.00 Building Permit Fee Surcharge/Admin 628.75 50.30 TOTAL FEE (A) 679.05 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 3,080.93 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) 3 Fee 192.50 Plumbing Permit Surcharge/Admin 192.50 15.41 TOTAL CHARGE (C) 207.91 --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F.P. 5 6.00 4.50 15.00 3.00 5.00 4.50 Mechanical Permit Issuance surcharge/Admin 38.00 10.00 3.04 TOTAL PERMIT (D) 51. 04 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut 0.00 17.05 14.20 SPRINGFIELD Job Number: 970032 Page 3 WILLAMALANE SDC ELECTRICAL PERMIT 1,000.00 189.00 TOTAL MISCELLANEOUS PERMITS (E) 1,220.25 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E combined) 5,239.18 --- 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: 408.69 Date Paid: 01/13/97 Received By: Plans Reviewed By: DON MOORE Date: 01/22/97 Building Site Reviewed By: LISA HOPPER Receipt Number: 24292 --- ADDITIONAL COMMENTS --- PATH 1; BONUS ROOM OVER GARAGE IS UNFINISHED (INSULATE WALLS FROM HOUSE) DRIVEWAY REQUIRED TO BE PAVED 1 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. \/ lfrwdd(~~ ~gnature<-J ~ ~-~~~. II V I-Z~ -'/7 date Date Paid: _n VALIDATION ~t13?51 1- Zj-t(7 5,2?:/lt'g \&11__ Receipt Number: Amount Received: Received By: . -' J r.~ fol!owit:rr-r nrl')i~.~t "'.. ,.,.,'u.l.o, i'~on'il.- 'n"'-"~,..' f. ,--.1,; -'..Jf'~~f'" ~, _,. ,J c.t....... .1..t ((, . ...... J)'''''/~1. -, .. -, .' . .' '.. _ 225 FIFTH STREET Zon'r' L,.vt2. SPRINGFIELD, OREGON 97477 .!----<-- INSPEcTION REQUEST: 726~f-7691.-2j.~_7~ 'City Job Number OFFICE: 726-3759' 1,..,....... U^A . 0 .. U . h _.I.\OI.v.~...cOMPLETE FEE SCHEDULE BELOY ~L~aTIOtfA. I11,Urli. \.It\tln. A. New Reside:ial-Single or '~ Multi-Family per dwelling unit. , LEGfM. RJ!t'WPTIOtt~ Service Included: ~.\{)"t)~""4:- Dc I....ll.../l,.,,' Items Cost ELECTRICAL PERMIT APPLICATION (\~OO?/L Sum $ 85.00 S15 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dwelling Service or Feeder . ~t~~ \ ~O tL - ~~\)~~ Permit are non-transferable and expire if york is not started within 180 days of issuance or if work is suspended for 180 days. ! \ $ 15.00 qO $ 40.00 2. CONTRACTOR INSTALLATION ONLY B.' Services or Feeders Installation, Alterations or Relocation: Electrical Contractor JB Electric Address 1786 Balboa Street 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 S 40.00 Phone 687 -5770 Ci ty EOQene Supervisor Licen~e Number --18l2S Expiration Date In_ 1.QJ:l C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number 84200'" Expiration Date 6-22-"" Sign~tu~Cw~ Owners #~~tJ:-'\ t)o~ qt\a!\t&t- Address n~O ,0.. \~'*' ~ ~ . Ci ty ~ ~ .1\1- Phone ~L\; .ffilO OVNER INSTALLATION 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 S 55.00 S 80.00 see liB" above Branch Circuits D. New, Alteration or Extension Per Panel One Circui~ Each Additional Circuit or with Service or Feeder Permit S 35.00 $ 2.00 The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not inclLlded) -Each installation Pump or irrigation S 40.00 Sign/Outline Lighting S 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE /75'.CH 5% State Surcharge ~.7S- TOTAL c:; ,l.r / ~ 7."-'0 Owners Signature: ---------------r--------7------------- DATE: -Z:Z-q RECEIPT t: 1-t1'~iSl RECEIVED BY: Ini, . I { . . ft ,'. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAM~().t~ ~I ~t/ ADDRESS: .t;\ 0 , 0 . \ sm ~ ~ f / , , Job. No. q 1 tfJ?lJ-:- PHONE: STATE: ~ ZIP: 4.<b~ .ffilO a140i LOCATION OF PROPOSED BUILDING SITE: Street Address: \\)0.A- lCl\(\. \C).f ~~\7l" z\- ~ f\ L- Plat Name:\ ~.p t f.t\ 0 f\ Tax Lot Number: nffi ?-~44 n~ 1. DEVELOPMENT TYPE (Check approprtate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Sinole-F8milv Det8r.hed \ Single Family home NO. OF UNITS ( Manufactured home not in a park X $1,000 per unit = $ I nnn CO B. Sinolp.-F8milv Att8ched, NO. OF UNITS X $~24 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Jy18n11f8ctureo Home P8rk. $ $ \ \JCX) ro Iff NO. OF UNITS WILLAMALANE SDC X $699 perunit = 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of Willamalane Credit approval. See SDC Credit Worksheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) D\~'~~~~artm'", City of Springfield , $ \DOO pC) I ~? ,Q1 I Date SPRINGFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: ANSLOW & DEGENEAULT Location: 1024 OLD ORCHARD LN Developement Type: R Building Size: Job No.: 970032 Lot Size: 1. STORM DRAINAGE Impervious Sq Ft 3248 X 0.216 Per Sq Ft = 2. SANITARY SEWER - CITY Number Of PFUs 27 X 44.75 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 451.26 $455.77 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 27 Per PFU + 20.690 + 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: 01/15/97 Page 1 Sq Ft $701. 57 $1,208.25 $455.77 $568.63 $0.00 $568.63 $2,934.22 $146.71 $3,080.93 Job Number: 970032 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 2 o o o o 2 o o o 1 o 1 o 3 o 3 o 2 1 2 3 6 2 6 1 3 2 4 o o o o 4 o o o 2 o 2 o 3 o 12 o 2 2 1 6 4 27 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.)