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HomeMy WebLinkAboutPermit Building 1996-11-25 [I &PAINOFIELD ~II) ., Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 950781 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location of Proposed Work: 3793 DOUGLAS DR V Assessors Map #: 18020612 Tax Lot #: 02600 ~ Lot: 105.1 Block: Subdivision: HAYDEN gJUl!i17 /.Y OWner: HAYDEN ENTERPRISE Phone #: 744-6966 Address: 899 SO. 32ND STREET City/State/Zip: SPRINGFIELD, OR. 97478 Describe Work: S.F. RESIDENCE Contractor Const. Contractor # NEW Expires Phone 07/29/ &f/( 923-6607 09/19/:tV1 683 - 5116 07/29/ q1 923-6607 ~/1[tl1 475-2139 General: HAYDEN ENTERPRI 0092208 1511 SW 33rd Redmond OR 977560000 Plumbing: EMERALD VALLEY 0051737 2727 N 20th Springfield OR 97477000 Mechanical: HAYDEN ENTERPRI 0092208 1511 SW 33rd Redmond OR 977560000 Electrical: ALLEN ELECTRIC 0000968 201 N 3rd Madras OR 977410000 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH SQ FOOTAGE: 1693 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. 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. 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. FINAL PLUMBING - When all plumbing work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. v Job Number: 950781 Page 2 Total Height: 15 Lot Type: INTERIOR Setbk From NPL: 35 Solar Approved: Y Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1133 560 $/Square Feet 56.20 14.10 Value 63,675.00 7,896.00 71,571. 00 Building Permit Fee Surcharge/Admin 349.00 27.92 TOTAL FEE (A) 376.92 --- SYSTEMS DEVELOPMENT CHARGE (SDC) --- (B) 1,588.05 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) 2 Fee 160.00 Plumbing Permit Surcharge/Admin 160.00 12.80 TOTAL CHARGE (C) 172.80 --- MECHANICAL PERMIT --- Exhaust Hood Dryer Vent 4.50 3.00 Mechanical Permit Issuance Surcharge/Admin 16.50 10.00 1. 33 TOTAL PERMIT (D) 27.83 --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut ELECTRICAL PERMIT PLAN REVIEW FEE 0.00 20.80 14.80 124.20 40.00 TOTAL MISCELLANEOUS PERMITS (E) 199.80 (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, Bf C, D, and E combined) 2,365.40 --- 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. Job Number: 950781 Page 3 Received By: Plans Reviewed By: DON MOORE Date: 07/03/96 Building Site Reviewed By: LISA HOPPER --- 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 will remain on the site at all times during construction. ~ __~ C- - , ---- Signature --..... f \ - ~ ,\-"'<=f-.. Date Date Paid: &~lLIDATION ~~.~ ~~-) Receipt Number: Amount Received: Received By: . FENCE PERMIT CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY 225 North Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Job Location: 3793 DOUGLAS DR Assessors Map #: 18020612 Tax Lot #: 02600 Owner: HAYDEN ENTERPRISE Address: 899 SO. 32ND STREET City/State/Zip: SPRINGFIELD, OR. 97478 Phone #: 744-6966 Fence Permit is $5.00 Contractor/Installer: HAYDEN ENTERPRI Address/City/State/Zip: 1511 SW 33rd Redmond OR 977560000 Phone #: 923-6607 Construction Contractors Registration #: 0092208 Expires: 07/29/9~ By signing this permit/application, I agree to call for an fence has been constructed (726-3769). I also stated that this application/permit is correct and that I was provided Development code requirements for fence standards. ~ -------- '--.\... ? ~ ( Signature inspection once my all information on with the Springfield <.... --.c. ~ (\--z...;,~ Date FOR OFFICE USE \ '1M)" CI~ \nm~ Date of Application: / /ll.ts q 0 Receipt #: a~~ l Checked for Deliquencies: NONE Job #: 950781 Issued By: LISA HOPPER Checked for Historical Status: NONE SPRINGFIELD CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDENTIAL) Name or Company: HAYDEN ENTERPRISE Location: 3793 DOUGLAS DR Developement Type: R Building Size: Job No.: 950781 Lot Size: 0 1. STORM DRAINAGE Impervious Sq Ft 0 X 0.209 Per Sq Ft = 2. SANITARY SEWER - CITY Number Of PFUs 18 X 43.26 Per PFU (see Page 2) 3. TRANSPORTATION Number Of Units 1 X X Trip Rate 1. 010 X X Cost Per Trip 436.19 $440.55 Transportation Total 4. SANITARY SEWER - MWMC Number Of PFUs 18 Per PFU + 17.190 + 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: KIP BURDICK Date: 07/03/95 Page 1 Sq Ft $0.00 $778.68 $440.55 $319,42 $26.23 $293.19 $1,512.43 $75.6j $1,588.05 SPRINGFIELD ~. Job Number: 950781 FIXTURE UNIT CALCULATION TABLE Page 2 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 Unit Equivalent Fixture Units 2 o o o o 1 o o o o o 1 o 2 o 2 o 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: 1960 Credit For Parcel Or Land Only If Applicable: Improvement (if after annexation date) : 7,580 3.46 x 26.23 o X 3.46 0.00 CREDIT TOTAL = $26.23 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) . . SPRINGFIELD ""'I11III "", o allowing project u" b . <.:oning, and does not r;q$~ mttted, ~as the folll approval. ro spocJflc land usa 225 ,FIFTH STREET z . ; '0(2.-- ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 onlrl9Lo- t1c:!T\ R \ INSPECTION REQUEST: 726-3fJi(;9Jlr Lr-ctl( . City Job Number "'"Tl.J 1 OFFICE: 726-3759 Auth . I . orlzed Signature MMCOMPLETE FEE SCHEDULE BELOV 1. ')LJl.WJ..ON M INXWT LATION _p n' 1'-1 ~ l n. "n L.9'1/(9 s- A. - u '~ml~~7ION ~~B~iliJOI~ \ldl.~ Permits are non-traftsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 ,days.' New Residential-Single or Multi-Family per dwelling Service Included: Items un'it. Cost Sum f3s 3D 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion ^ thereof . ~ $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. Branch Circuits 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Allen Electric or Relocation: Add'ress 12 SW 3rd St. City M"dr"", Phone 475- 2139 , Supervisor License Number 10065 Expiration Date 10-1-95 Constr Contr. Number 6R74~ Expiration Date 9-4-95 Signature of Supervising Electrician ~ v4~MYL-;;"'~. Owners Nam~ J(1q f\ 8\t- Address 5qq ~<h ?J1M City ~ Phone 1~.16l100 OWER 'INSTALLATION The, installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~=~~~-qF~-D---- $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE, ' 5% State Surcharge . , Te~JL $ 35.00 $ 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 S 36.00 1\~.c:O ~ .'"1...... ;2.. 4-" 1&1.W