Loading...
HomeMy WebLinkAboutPermit Building 1997-4-22 (2) [I SPRINGFIELD ._~ Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 970309 225 North Fifth Street springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 4022 FORSYTHIA ST Assessors Map #: 18020500 Lot: 80 Block: Tax Lot #: 03100 Subdivision: WYATT 2 Owner: COZY HOMES Address: 1275 SOUTH 2ND STREET Phone #: 747-8704 City/State/Zip: SPRINGFIELD, OREGON 97477 Describe Work: S.F. RESIDENCE Contractor Canst. Contractor # NEW Expires Phone 06/10/97 747-8704 12/15/97 895-4575 12/23/97 747-7445 04/28/97 687-1851 General: COZY HOMES 0032947 1275 S 2nd Springfield OR 974770000 Plumbing: BMC MECHANICAL 0103570 648 W Oregon Ave Creswell OR 974260 Mechanical: MARSHALLS 0025790 4131 E St Springfield OR 974780000 Electrical: BILLS ELECTRIC 0021351 3170 W 11th Eugene OR 974020000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 1602 OFFICE USE -- LAND USE: 1111 ZONING CODE: MDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE INSUL PATH: SGC 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 MECHANICAL - Prior to insulation or decking. UNDERFLOOR PLUMBING - Prior to 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. 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. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. PRE BACKFILL: To verify site is clean of debris prior to final grading and backfill. FINAL BUILDING - inspections have been a House Garage N 10 Lot Setbacks S W 10 40 10 E 25 18 Item Main Garage Total Value BUILDING PERMIT Square Feet x 1206 400 $/Square Feet 64.66 16.27 Building Permit Fee Surcharge/Admin TOTAL FEE --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- and From NPL: 10 = Value 77,980.00 6,508.00 84,488.00 388.00 31. 04 (A) 419.04 (B) 2,526.49 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 Plumbing Permit Surcharge/Admin TOTAL CHARGE - -- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent 2 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut PLAN REVIEW FEE ELECTRICAL PERMIT WILLAMALANE SDC TOTAL MISCELLANEOUS PERMITS (E) (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUB (A, B, C, D, and E combined) Fee 160.00 160.00 12.80 (C) 172.80 6.00 4.50 6.00 3.00 19.50 10.00 1. 57 (D) 31. 07 0.00 13.00 12.40 60.00 167.40 1,000.00 1,252.80 4,402.20 SPRINGFIELD ~- Job Number: 970309 Page 3 -- - BUILDING VALUB, 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. Received By: Plans Reviewed By: DON MOORE Date: 03/28/97 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS A & T ESTIMATE ONLY FOR SDC CREDIT PURPOSES DRIVEWAY REQUIRED TO BE PAVED Amount Received: 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 remai~Site at all times during construction. +,~~;I'~ ~ Signature \./ Dte / --- VALIDATION ~~_~k7 4.11.C\1 ,44\)1,1.0 'thWi). ~ Receipt Number: Date Paid: Received BY:./~ i _ 'IIIIf . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: COZY Location: 4022 Developement Type: R HOMES FORSYTHIA ST Building Size: Job No.: 970309 Lot Size: 1. STORM DRAINAGS Impervious Sq Ft 3771 X 0.216 Per Sq Ft = 2. SANITARY SEWER - CITY Number Of PFUs 18 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 18 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: 03/27/97 Page 1 Sq Ft $814.54 $805.50 $455.77 $382.42 $52.05 $330.37 $2,406.18 $120.31 $2,526.49 .1 . ~ .... . Job Number: 970309 . 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/C1otheswasher 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 2 o o o o 1 o o o o o 1 o 2 o 2 o Page 2 Unit Equivalent Fixture Units 2 1 2 3 6 2 6 1 3 2 4 o o o o 2 o o o o o 2 o 2 o 8 o 2 2 1 6 4 18 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately. (calculations are by $1000) Year Annexed: 1969 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 15,000 X 3.47 = 52.05 o 3.47 = x 0.00 CREDIT TOTAL = $52.05 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) . . ~,.,. Willamalane 't..J,--""f' Park & Recreation District ".., SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME: lTlffi \_~ .. PHONE: l41.<61tr\ ADDRESS: \~~~ ~T A~STATE:0i2- ZIP: Q141.1 . Job. No..ib() ~\9\ . LOCATION OF PROPOSED BUILDING SITE: . . Street Address: ~\j) 0 - \[\{S,,\ \(\t\~ _ ') .Plat Name~~ I Q.D'j._ Tax Lot~umber:. . . 1. DEVELOPME~ TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t . ype definitions are on the back.) A. Sinolp."F8milv Detached. \ Single Family home NO. OF UNITS Manufactured home not in a park X $1,000 per unit = $lDO-O ~ B. Sinale-F8milv Att8ched NO. OF UNITS X $~24 per unit - $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M8nllfl'lctllred Home P8rk, NO. OF UNITS WILLAMALANE SDC X $699 peru nit = $ $ lO rf\ ,cD JY" $ U:CO ~ 4 ilL 0\1 Date $ I 2. SDC CREDIT (if applicable)".SDC-payer must fumish proof of . Willamalane Credit approval. See sac Credit Wprl<sheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED < (if SDC reduced for Credit) ~ ~rul ' Develo-pm~er'v~- J:artmerit City of Springfield .. ~~"J~I=1.~/I :;I'I'IN\.~.~ Il.=.LO .~. ';1. ,...fct".'i)~ ."AI ~.~, ..",:IY.\W~'i" 'tiP~ ~~~ j~Jf' The following project ElS slJbmittf:d h~3 tho fol:o\',ino zoning, and does not roqlilre Spc.'Chlol;.nd u:;o approval. . ~~DIJ ELECTRICAL PERMIT APPLICATION 97477 Zoningl~,t..-. (\ 726-JY.6iJj'-1.2~7 City Job Number \Aln~ Authorized Signature ~M0I1PLE~'7 ",!':: SCHEDULE BELOII 1. LJJ..~13t~ INSTAL ) \ <tG6?_t%h(!JO~ ()~\Dn ~OBf\DESCRIPTI~ .f) 1/ 1\1@' 1,1 j l\ -r \~f) 1'(\ \' \ \lA..L , Perm are non-transferable and expIre if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 .85- Each additional 500 sq. ft or portion A .10 the reo f $ 15.00 Each Manuf'd Home. or Modular Dwelling - Service or Feeder : $ 40.00 Il. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 2. CONTRACTOR INSTALLATION ONLY Electrical contracto;~" I ( :S zlcl /j)t,;/ //~.. . Phone arf 7 / ff; I 9C(jU S Expiration Date / tJ -- / - c;t '? Constr Contr. Number;) /.3/; / Address :-317 0 Ci ty ~:/(/1 S . IL.' upervlsor lcense Number Expiration Date 1/-;- 9? r Si~ature of Supervising Electrician -<::::R/Jl /J ~ -:;..-- Owners Name lO~ ~ Address---ll\'1.S~ 6lnd Citll....~ Phone~ ~r:sTALLATION () r.:0 The installation is being'made on property I own whi~h is not intended for sale, lease or ren t. O...ners' Signa ture: ~~~~~---------------,\:1J-~C(~--------. RECEIPT #: _ ~ ~ \\0- .RECEIVED BY: ~~J}...Y - .'. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less --l:-- $ 40'.00 .1(:L 201 amps to 400 amps . $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "Il" above C. D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service 0[' Feeder Permit $ 35.00 $ 2.00 not included: Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee 'TOTAL 40.00 40.00 20.00 36.00 $ ~ , $ $ I ~C:;~ --,,-r:"\ :4...\t1=.. JiP". i5