HomeMy WebLinkAboutPermit Electrical 1998-2-26 (5)
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SPRINGFIELD
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 980235
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 4072 FORSYTHIA ST
Assessors Map #: 17023144
Lot: 83 Block:
Tax Lot #: 08200
Subdivision: WYATT MEADOWS 2
OWner: COZY HOMES
Address: PO BOX 237
Phone #: 747-8704
City/State/Zip: SPRINGFIELD, OREGON 97477
Describe Work: S.F. RESIDENCE
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
COZY HOMES 0032947
1275 S 2ND SPRINGFIELD OR ~t270000
BMC MECHANICAL J,:c,J.lIO~-SVO
648 W OREGON AVE CRESWE~C(~)9~\~~O
MARSHALLS CJ ~02~0
4110 OLYMPIC ST SPRI!liH~ ~,.('~q-~
BILLS ELECTRIC .7~rT. ~1Jl:l21.<a'% I?<'{ 04/28/98
3170 W 11TH EUGENE OR 9~0~a V~;9 ~1'~
I?r~ 19/ro h, 19~.
OFFICE USE -~~ "4<2 '/U'A ',",
LAND USE: 1111 t:>q I?.t<:o 'I!;94t:::~PJ,.;OF BLDGS:
ZONING CODE: MDR ~~ {s> O~ GROUP:
# OF BDRMS: 3 ,.('0-" ~t SOURCE:
RANGE: E 'T INSUL PATH:
06/28/98
747-8704
General:
12/15/98
548-7510
Mechanical:
12/23/98
747-7445
Electrical:
687-1851
QUAD AREA: 3RNC
# OF UNITS: 1
CONSTR, TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1705
1
R3
FE
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 ---
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,
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,
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,
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,
Job Number: 980235
Page 2
Lot Faces: S
Solar Approved: Y
Total Height: 16
Lot Type: INTERIOR
Setbacks
S W E
22 6 5
18 5
Setbk From NPL: 40
N
House 16
Garage
Item
Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
1308
397
$/Square Feet
64,66
16,27
Value
84,575,00
6,459,00
91,034,00
Building Permit Fee
Surcharge/Admin
409,00
32,72
TOTAL FEE
(A)
441. 72
PLUMBING PERMIT ---
Item
Residential Bath(s)
2
Fee
160,00
Plumbing Permit
Surcharge/Admin
160,00
12,80
TOTAL CHARGE
(C)
172.80
u - MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
2
6,00
4,50
6,00
3,00
Mechanical Permit
Issuance
Surcharge/Admin
19,50
10,00
1. 57
TOTAL PERMIT
(D)
31.07
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
WILLAMALANE SDC
ELECTRICAL PERMIT
SYST DEVEL CHARGES
0,00
17,65
14,80
60,00
1,000,00
124,20
2,124,68
TOTAL MISCELLANEOUS PERMITS
(El
3,341.33
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
3,986.92
--- 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.
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SPRINQPIELD
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Job Number: 980235
Page 3
Received By:
Plans Reviewed By: BOB BARNHART Date: 02/25/98
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS ---
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~e at all times during construction,
Signature
DateJ.../;J.4/~/i
Date Paid:
u _ VALIDATION
r1?J\ ~~
& .;110 q~
t~ C( ~ Co. CfJ-.
~~~
Receipt Number:
Amount Received:
Received By:
"'~ .
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. . JOB NO. ,9 ~6 2. -:;; \'
ATIACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
N,A,ME OR COMP,'\N'I:
CO 22Y lJoMES
LOCATION
4071
FOR "SyiJ-l,A-
DEVELOPMENT TYPE:
0::::;.1<:". R..
BUILDING SIZE
LOT SIZE
<:;0, Ft,
1 . ~T0RM OR.~. i N.~GF
!l1PERVIQUS SO, FT, 2.3ol?
X 50,226 PER SO, FT, $ Q/. t. (
2, SANITARY 'E~FR-[TTY
NO, OF PFU' S I ~
(See Revecse Side)
X SJ6,86 PER PFU
$ m 3.4 R
3, TRANSPORT~TTON
'NO OF UNITS X TRIP R<\TE X COST PER TRIP
X I. n ( X $472 49
$ 477.2...1
X
X $472,49
$
X
X $472,49
$
4, SANTTARY SFwFR,M~MC
otJ,~
NO, OF -Fftr' S
X 2. 77. 7&. PER FEU + $10 MWMCI ADi1 FEE $ '7 7,7.7(,.
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ - loc..sS-
IOTA,I -Ml"MC SDC $ 1 !l /. 7 I
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$ 2:027., ,Sf
5, AOMTNTSTRATTVF FFF)
BASE CHARGE (SUBTOTAL ABOVE) X ,05
$ 101./7'
19L
Date: 2-2.S~9rr
SDC Coordinator
TOTAl sac L4.1 z.f~tr
:IXTURE UNIT CALCULA TIOI\lAABLE: Number of New Fixtures X un.' uivalent = Fixture Units
JOTE: For remodels, calculate only the ~itional fixtures}
NUMBER OF UNIT FIXTURE
;XTURE TYPE NEW FIXTURES EQUIVALENT UNITS
athtub..,..,..""".."""""".."",.."",....,..,.."",;"""",..,
rinking. Fountain"",.."""""""""'..,....,..,......,...."..,
,oar Drain, ....,.."".."...."",.."",.."""....,..""... ...., ......
nerceptors For GreaseiOil/Solids:Etc................,
,terceptors For Sand/Auto Wash/Etc..................
.lUnd,y Tub/Clotheswasher"..""""..,..,..,.." ..........
!otheswasher, 3 Or More.....................................
labile Home Park Trap (1 Per Trailer)......,..........,
aceptor For Refrigerator/Water Station/Etc........
~ceptor For Commercial Sink/DishwasheriErc..
~ower, Single Stall....,............................................
',ower, Gang""..""" ,'" """"""" ",,""" ..",......" ,'..,
nk: Bar, CommerCial, Residential Kitchen........................
'lnal, Stall/Wall..""""""""""""""..",..,..""""""",
ash Basin/Lavatory, Single..................................
)jiet. Pubiic !nstallation........................................
)iler I Private.......................................... ......... ....
'scellaneous:
'2-
2..
'"2.
TOTAL FIXTURE UNITS
2
1
2
3
6
2
6
6
1
3
2
i/Head
2
2
1
6
4
=
., '
4-
"2.
7-
'Z...
R
J~
;EDIT CALCULATION TABLE: Basad on assessed value, If improvements occurred after annexation date in table.
iC'Jlate credits separates.
Year
Annexed
-<:::J97'9 or before
19tJU '
1981
1982
1983'
1984
1985
1986
Rate per $1,000
Assessed Value
J:),~
3,89
3,83
3,70
3,55
3,39
3,20
2,91
Year
Annexed
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
Rate per S 1,000
Assessed Value
$2,56
2,17
1,73
1.31
0,92
0,74
0,61
0.45
0,31
0,17
Credit for Parcel or Land Only If Applicable
:3 ,17 X $ ?~j'to
(Rate X Assessed Value)
X $
, (Rate X Assessed Value)
Improvement (if after annexation date)
= -Lni.",
=
CREDIT TOTAL = $ ...iQ.('~, <><C
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
hclsiciential.... ...... ..... .... ........ 0.4
Commerical..,......"....",......, 0,9
Industrial............................ 0 5
Governmental...................... 0,5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
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Job. No.
(\~~
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME, ~fl~V)\~D
ADDRESS:~~~
PHONE: J41 ~Jot
STATE:~IP: 01411
LOCATION OF PROPOSED BUILDING SITE: ('(.I _ '
Street Address: 4t"l CL ~\Slt\l0.i (1 J ~tM t-
Plat Name:\U}t\lt 9J\c\. -" Tax 'Lot ~mb~r: j1()1J?l\4-4nW
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1. DEVELOPME \T TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t
ype definitions are on the back.)
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\,
A. Siogle-F3milv Detached.
t Single Family home
, NO. OF UNITS ~
B. ,Sinole'-F::lmilv ~<:hf!r1
NO. OF UNITS
C. Mulli-Familv Aoartment
NO. OF UNITS
D. ,Mpnl/f3ctured Home Pa~
NO. OF UNITS
WILLAMALANE SDC
Manufactured home not in a park
X $1,000 per unit = $ -!.Q..CO .~
X $924 per unit = $
X $692 per unit = $
X $699 per unit = $
$ (DOO pO
II
$ IlX:O riJ
~Lo f q~
2. SDC CREDIT (if applicable) SOc-payer must furnish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
~0C;;)
Development servi~ ~epartment
City of Springfield
~I
Date