HomeMy WebLinkAboutPermit Building 1999-1-8
~,
NOTICE:
THISPERMrTSHALLEXPIRElfE~lll@~ PERMIT APPLICATION
AUTHORIZED UNDER THIS PERMICMOIF SPRINGFIELD
COMMENCEDORISABANDO~TY SERVICES DIVISION
ANY 180 DAY PERIOD. BUILDING SAFETY
Page 1
Job Number: 990598
225 North Fifth Street
springfield, OR 97477
Office, 726-3759
Inspection Line: 726-3769
Location of proposed Work: 1236 JANUS ST.
Assessors Map #: 17033422
Lot: Block:
Tax Lot #: 00208
Subdivision:
Owner: GEORGE KIMBALL
Address, 1236 JANUS ST,
Phone #: 747-1415
City/State/Zip' SPLFD OR,97477
Describe Work: ADDITION
NEW
Contractor
Const.
Contractor #
Expires
Phone
Plumbing:
GEORGE KIMBALL 0064256
1236 JANUS ST SPRINGFIELD OR 974770
R & S CONSTRUCT 0124287
PO BOX 229 DALLAS OR 973380000
02/07/01
747-1415
General:
07/24/98
623-0603
QUAD AREA: 1RNW
CONSTR, TYPE: VN
OFFICE USE --
LAND USE: 1111
INSUL PATH, P1
OCCY GROUP: R3
SQ FOOTAGE: 320
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. "ATr'~iljh5N:aj'glforHaw feo~J,Pe..'tN/jloJ t't,ork day.
follow rules adoDted by the Oregon Utility
- - - REQUIR;~Btii\~,foWc't?,~9r. Those rules are set forth
FOOTING - After trenches are exca"jj)l(JgR 952-001-001 0 through. OAR 952-001-
FOUNDATION - After forms, are erectOOg6'.uro&litci'fo6fa;Ii'C\Jpf&'St8t tlnti'r'OWl'Bi .
UNDERFLOOR PLUMBING - pr~or to '~su1eamfl!l tfle cgl1fif.:-{Wote: the telephone
SANITARY SEWER LINE - Pnor to hlli1fi1htlaT'iBflhe Oregon Utility Notification
UNDERFLOOR DRAIN - Prior to cover or plaq<;gyrre\'iS"f-8'Q'O'}gJ2-2~44),
STORM SEWER LINE - Prior to filling trench.
~OST AND BEAM - Prior to floor insulation or decking.
INSULATION _ Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLUMBING - Prior to cover.
ROUGH GAS _ after line is installed and capped if not attached to an
appliance
ROUGH GAS _ after line is installed and capped if not attached to an
appliance
ROUGH ELECTRICAL - Prior to cover.
SLAB _ To be made after all inslab building service equipment, conduit
piping, and other equipment items are in place but prior to concrete
FRAMING - Prior to cover.
INSULATION _ Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
GAS SERVICE _ After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
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 arid
the building is complete.
Item
Main
BUILDING PERMIT ---
Square Feet x $/Square Feet
0000000
value
0.00
"
Page 2
Job Number: 990598
Garage
ADDITION
Total value
320
69.64
0,00
22,285,00
22,285,00
Building Permit Fee
Surcharge/Admin
158.50
12,69
(A)
171.19
TOTAL FEE
PLUMBING PERMIT ---
Item
Fixtures
Sanitary Sewer
9
20
Fee
90,00
25.00
Plumbing Permit
Surcharge/Admin
115,00
9,20
(C)
124.20
TOTAL CHARGE
MECHANICAL PERMIT ---
Furnace
vent Fan
Dryer vent
GAS PIPE W/H
2
6.00
6.00
3.00
5.00
Mechanical permit
Issuance
Surcharge/Admin
20.00
10.00
1.60
(D)
31.60
TOTAL PERMIT
___ MISCELLANEOUS PERMITS ---
0.00
76.27
surcharge/Admin
CITY SDC
TOTAL MISCELLANEOUS PERMITS
(E)
76.27
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, 0, and E combined)
403.26
'f'f,z...t
~
L./'t 1- nl
___ 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: 103.03 Date Paid: 05/04/99
Received By,
plans Reviewed By: AL WARD Date: 06/08/99
Building Site Reviewed By: BOB BARNHART
Receipt Number: 033831
_ _ _ ADDITIONAL COMMENTS
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
"
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Page 3
Job Number: 990598
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.
a~~" .--.
signk{; Y---
~
7
t7p'
r=-J~~~
Date
\
l?91
VALIDATION - --
Date Paid,
~S&(J~,
6/i/ff
'L{fJ~~
Receipt Number:
Amount Received:
Received By'
... "
" .' ',., ' ','" .',~ ~,JpURljAL OR JOBNU. 3qCJ~.i:.. '
CITY OF 'SPRINGFIEL~TI~~~i~s AOEVElIMENT' CHARG~,
WORKSHEET
NAME OR COMPANY: J(tMAA '-L-
LOCATION: /'2.3C ~ ~LJ5
DEVELOPMENT TYPE:, SF D
BUILDING SIZE:
LOT SIZE
SQ. Ft.
1. STORM DRAINAG~
32.0
IMPERVIOUS SQ. FT. ~zcJ
X $0.227 PER SQ. FT. $ ,Z.b'f-
2. SANITARY SEWER-CITY
NO. OF PFU'S
(See Reverse Side)
X $47.14 PER PFU
$
3, TRANSPORTATION
"."
NO OF UNITS X TRIP RATE X COST PER TRIP
o:a.
X ~' X $475,32
$ 09;", ,. 1
X
X $475.32
$
4. SANITARY SEWER-MWMC
A. REIMBURSEMENT COST:
NO. OF FEU'S
X 277.# PER FEU
$~
B, IMPROVEMENT COST: .
l
NO. OF FEU'S
, X 2.6.20 PER FEU
$_2~t.9.0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
< $ - >
$~
TOTAL-MWMC SDC $-
SUBTOTAL (ADD ITEMS 1.2,3 & 4) $ ,2...(d4-
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X ,05 $ 2,. c,.3
msl.,...
SDC Coordinator
ATfACH'A.WPD
Date: 5//01'1"'1
TOTAL SD($ 7(P. Z ';f
'FIXtURE UNIT CAtl!:utaIOr.'TABLE: Nu~b~.rof New f'ixt. X'Unit Equivalent F Fixture Un~ts
(No.TE: For remodels, calculate ani"'" NET additional fixtures) ':',', ' ,
NUMBER o.F UNIT FIXTURE " .
FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS
Bathtub.,.....,..."..,.,.,...,...,.,....."..,."."."............"...... ,
Drinking Fountain......, .... ..........., ...,........,...,.......,.,...
Floor Drain............... ....,....,.... .:.... ........,.........:,....,....
Interceptors For Grease/o.il/Solids/Etc........,....,..,
Interceptors For Sand/Auto Wash/Etc.........,........
Laundry Tub/Clotheswasher..... ........ ,....,..,.............
Clotheswasher - 3 o.r More....,..........,..,..............,...
Mobile Home Park Trap (1 perTrailer).................,
Receptor For Refrigerator/Water Station/Etc....,...
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall....,..........,.............,...... .............
Shower, Gang......:........:........,.........................,.......
Sink: Bar, Commercial, Residential Kitchen........................
Urinal, Stall/Wal!...,.., ...........,................. ..,..,........,.....
Wash Basin/Lavatory, Single..................,......,........
Toilet, Public Installation.......................................,
Toilet, Private..................................................,.....
Miscellaneous:
" .
2
1
2
3
6
i
6
6
1
3
2
1/Head
2
2
1
6
4
TaTAL FIXTURE UNITS =
, CREDIT CALCULATlo.N TABLE:
calculate credits separates.
r
Based on assessed value. If improvements occurred after annexation date in table,
"
Year,
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1.000
Assessed Value
Il
1979 or before
1980
1981
1982
1983
1984 ,
, 1985"': . , , '-
19B6
1987
1988
$4.27
4.18
4.12
3.99
3.83
'3.6B
3.48
3.18
2.B2
2.42
'19B9
1990
1991
1992
1993
1994
""; .1.995
1996
1997
$1.98
1.55
1.15
0.96
0.83
0..67
0.52
0.3B
0.21
Improvement (if after annexation date)
X' '$' =
(Rate X Assessed Value)
X ,$ =
(Rate X Assessed Value)
CREDIT TOTAL = $
. .....
Credit for Parcel or Land o.nly If Applicable
RUNo.FF Co.EFFICIENTS FOR STQRM DRAINAGE
(For Estimating Purposes Only)
Residential................,...,....., 0..4
Commerica!......................... 0.9
Industria!.,..................,....... 05
Governmental...................... 0.5
FIXUNIT.WPD
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
(l1)l:::>
\,t.,-l)-VI
7Jd'7 6u!uc"
225 FIFTH STREET 6 asn pua, Oljpads aJlnbaJ IOU SBOp rELEC'l'RiCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 UIMOIIOja41Sa4palllwqnssajOa/oJd6ci"'C" , a:::; ra c
INSPECTION REQUEST: 726-3769 An Ci ty Job Number I /~ .) -j t1
OFFICE: 726-3759 ENTIOI~'vI8" ,
fOllolA.3rJJle CgHPLETE1 'FEE 6SCHEDULE . BELOII
.Notification Ce;;;"";, oy the Orego~ UU)~
In OAR A!i2-aNewoRes ilden'tJila" ~Si ng~~ I Yo r
--9 u,- l"('fh. :.a...::.........1o:' i filh
uv O. .You m.lN'bDt~Fariii.l~1fi'eIFHj8i i)ng uni t.
calling the ~s'!il6:r\! C'Pfl&1ud.E!H6 ruie u -
,numberforthe 0 . (Note: the telepho SflJems
Cent!lr.o'o. o:~9,,~~Yli/ity NO!ifiC;it:n
> sq.. .~,t;?_~r.ess
Each additional '500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
1. LOCATION OF ..wSTALLATION
/2 ~l. ~/o,(JtA(
LEGAL DESCRIPTION
17/J 1, 31(]'2 "" LO b
t~~~ION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Ccst
Sum
$ 8~.00
$ 1~,. 00
$ 40.00
2. CONTRACTOR INSTALLATION ONL/ .B. Services or Feeders
Installation, Alterations
Electrical ContracMOTICE: or Relocation:
THIS PERMIT c;a:(AU- EXPIRE IFTHEWORK
Address /'" ~ I" ~ERMITI.,,4.QQ,-amps or less
AUIHU Euul~uEfl "I v,' '"'Rtt' amps to 400 amps
Ci ty "0 el1F-I=nORISABANDONEDFOli'Ol amps to 600 amps
. 601 amps to 1000 amps
Supervi.sor m1llAOAYPERIOD. 'Over 1000 amps/volts
Reconnect Only
Expiration
Constr
Number
Date
, Si ,ature of supe;%ng Electrician
'~~I[L. ~,
'0 I/' (
Owners Name (r/(M-slJ i!~_hAj/
- '
'Address J?- Jt JA ~ (If. (
City 5" t/ Phone 7r7~/Yl5'
I
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or ren t .
'Jiii~c~L~_-
RECEIPT if; U )"fJ.UJ'1 /I
RECEIVED BY: U' VAY
$ 56.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see; liB" above
New, Alteration or Extension Per Panel
"
One Circuit I $ 35.00 '5'~
Each Additional
Circuit or with Service 3 ~
or Feeder Permit $ 2600 ,
no t 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
$
,$
$
$ 36.00
'I/. Q /)
'.61!f:
I. '2. ;
UL./..2j'
40.00
4\),00
20.00