HomeMy WebLinkAboutPermit Building 1997-4-24
SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 970575
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1033 OLD ORCHARD LN
Assessors Map #: 17032344
Lot: 3 Block:
Tax Lot #: 05200
Subdivision: RIVER GLEN
Owner: FUTURE B HOMES Phone #: 485-3176
Address: 3593 RIVER POINTE DRIVECity/state/zip: EUGENE, OREGON 97408
Describe Work: S.F. RESIDENCE NEW
Canst.
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 0102455 10/04/97 686-4927
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELE 0096275 01/25/98 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: Pl
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
WATER HEATER: G
SQ FOOTAGE: 2493
# 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
STORM SEWER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH MECHANICAL - Prior to cover.
ROUGH PLUMBING - Prior to cover,
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
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.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SPAINOFIELD
Job Number: 970575
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.
BACKFLOW DEVICE - After device is installed but before backfilling
trench.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Solar Approved: Y
Total Height: 23
Lot Type: CULDESAC
Setbacks
S W E
6 30 29
20
Page 2
Setbk From NPL: 25
N
House 34
Garage 13
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1997
496
$/Square Feet
64,66
16.27
Building Permit Fee
Surcharge/Admin
TOTAL FEE
(A)
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
Value
129,126.00
8,070.00
137,196.00
518.50
41.49
559.99
(B) 2,999.05
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 DEVICE
3
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
(C)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS PIPING/FIREPLACE
4
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
(D)
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
Fee
192.50
10.00
202.50
16.21
218,71
6.00
4.50
12.00
3.00
6,50
32,00
10.00
2.56
44.56
0.00
16.30
14.20
SPRINOFIELD
l:tl'~
Job Number: 970575
Page 3
WILLAMALANE SDC
ELECTRICAL PERMIT
PLAN REVIEW CREDIT
1,000.00
183.60
-277.30
TOTAL MISCELLANEOUS PERMITS
(E)
936.80
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
~
4,759.11
5,00
"'T ,\7T, \ \
--- 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: 337.03 Date Paid: 04/18/97
Received By: LISA HOPPER
Plans Reviewed By: DON MOORE Date: 04/24/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 25372
--- ADDITIONAL COMMENTS ---
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
wm "_:O;~"dO' 000",=0';00. :J/>-<f /'11
~ Date I
-- - VALIDATION
Receipt Number: AtA"\\
Date Paid: 4t.4~1
Amount Received: \ \ 4.. \.'<1\.\\
Received By: ~~ .
.
.
Zoninjl
L-uL
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
AUUlOl12od Signature
97477
726-3769
1\t)~~Tb\dOF l~(~~
~ f) ~"1.~E~PTI?)'OWO
~ ~~~~~~MQ~
P~'lJits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contract~~f\'I<'(\O( (\.Qtt
Address \ 9fL~(Y'\" \1~ 'f1~~
Ci ty f t ~ l'\(L ~onelo1~."1h3
Supervisor LIcense Number '?1C\~~
Expi ra t ion Da te \ \) . \. . C:Vl
Constr Contr. Number C\\~f)~
Expiration Date \,A,.c;:).C\ij
Sign~tu~ oA sU:ner~ising Electrician
"-lI(>>~)/L~
o~ner~ Name ~l it t AJ I. ~ )\~
Address ~l?A~ \_Q, I ).0 ( ~
Ci ty ~ ~ 11\0. Phone ~':i \II.Q
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
~~TE~~----------------~~i\-P\'t----
RECEIPT II: ,~\ N'\ f\c:....lL.....',
RECEIVED BY: ~\1\..lJ--- V- \' \
fJM
KLE(;J;RICAL PERMIT APPLICATION
(\1l)~,~
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. Ne~ Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less \ $ 85.00 ~
Each additional 500
sq. ft or portion 3 45
thereof $ 15.00
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder $ 40.00
Services 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' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
\ $ 40.00 ~
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'10~
~: \ U.~\ <"60'vQ
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOT A ,
,
t..
...
.
.
CITY OF SPRINGFIELD SYSTEMS DKVBLOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 1033 OLD ORCHARD LN
Developement Type: R Building Size:
Job No.: 970575
Lot Size:
l. STORM DRAINAGE
Impervious Sq Ft 2887 X 0.216 Per Sq Ft =
2. SANITARY SIlWER - 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: 04/23/97
Page 1
Sq Ft
$623.59
$1,208.25
$455.77
=
$568,63
$0.00
$568.63
$2,856.24
$142.81
$2,999.06
-'
.
.
Job Number: 970575
l"IXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For SandlAuto WashlEtc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water StationlEtc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash BasinlLavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
2
o
o
o
o
2
o
o
o
1
o
1
o
3
o
3
o
.
Page 2
Unit
Equivalent
Fixture
Units
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
0.00
0.00
X
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
.
SYSTEM DEVELOPMENT CHARGE
NAME: ~l \\\ ll- ~\\oo;~T
ADDRESS: t) SC\ ~ \(Uw \11\ ~
-
Job. No. C\~()~-,~
PHONE: 4S<6. 311 ~
STATE: ~IP: iL7402(
LOCATION OF PROPOSED BUILDING SITE:
Street Address: \l'J"?> 3 O\d n, ~~Mi
Plat Name: ~\W(1tQ.X\ T~X Lot Number: \1 Ont1\-1 Cf:/2J1J
1. f)EVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. BinlJIA-F::lmilv DAt::lchAd,
\ Single Family home
. NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ t ~ ,(j)
B. Sing,le-FRmilv (ittRchpr[
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ManufactlJrAd Home Park,
NO. OF UNITS
X $699 per unit =
$
$ \ DOO.oo
1r
$
WILLAMALANE SDC
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)
~\~
Development sqx.~epartment
City of Springfield
4:,
Date
$ \ODOPJ
~, ~\