HomeMy WebLinkAboutPermit Building 1999-09-03CITY OF SPruNGFIEID,
SPRINGFIELD
Location of Proposed Work: 3250 OSAGE ST
Assessors Map #: 1802062a
Lot: 190 Block:
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Page 1
.fob Number: 991105
Office
Inspection Lj-ne
726 -37 59
726 -37 69
Tax Lot #
Subdivision
08700
HAYDEN GARDENS 3
Owner: HAYDEN ENTERPRfSES
Address: 3258 PINYON STREET
Describe Work: S.F. RESIDENCE
Phone #: 744-6955
city/state/zip: SPRINGFIELD, OREGON 97478
NEW
General:
Plumbing:
Mechanical:
Electrical:
ContracEor
IAYDEN ENTERPRI OO922O8
2522 SW GLACIER PL #110 REDMOND OR
HAREBEINTNER OO882O1
5150 E STREET, SPRINGFIELD, OREGON
HAYDEN ENTERPRI OO922OB
2622 SW GLACIER PL #110 REDMOND OR
ELITE ELECTRTC 0099768
38289 COURTNEY CREEK DR BROWNSVILLE
Const.
ContracEor #Expiree
o7 /2e / 03
o7/02/00
o7 /2e / 03
o6/1,o/oo
Phone
923 -6607
741,-L766
923 - 6607
361 - 8260
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: L520
OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: SGC
To request an inspect,ion, call the 24 hour recording at 726-37G9.
A11 lnspections reguested before 7:00 a.m. will be made the same working day,
i-nspections reguested after 7:00 a.m. will be made the following work day.
--- REQUIRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLUITIBING - prior to insulation or decking.
POST AIiID BEAM - Prior to floor insulation or decking.
rNsuLATroN - Floor; prior to decking wal1/Ceiling; prior to cover
SAI{ITARY SEWER LINE - prior to filling trench.
STORM SEWER IJINE - Prior to filling trench.
WATER LfNE - Prior to filling trench.
ROUGH PLITITIBING - Prior to cover -
ROUGH MECHANfCAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRTCAL sERvrcE - Must. be approved to obtain permanent power.
SHEAR WALIJ NATLTNG - Before coveri-ng sheathing with finish materials.
FRAMfNG - Prior to cover.
rNsuLATroN - Floor; prior to decking wa1I/ceiling; prj-or to cover
DRYWALL - Prior to taping.
CURBCUT - AfLer forms are erected but prior to placement of concrete.
srDEwAtK - After excavation is complete, forms and sub-base materialin p1ace.
FINAL PLIIMBING - When all plumbing work j_s complete.
FrNAL MECHANTCAL - when all mechanical work is complete.
FrNAr, ErJEcrRrcAL - when all el-ectricar work is complete.
FrNAL BUTLDTNG - when all requi-red inspecti-ons have been approved andthe building is complete.
toilotn 7Z''
rtt!ication t
OAt'{ 952-
090" Yot
calting
nllrflbe'
SPFIilGFIELI,
Job Number: 991106
ctTv oF a
Page 2
Lot Faces: S
Solar Approved: Y
House
Garage
Total Height: 15
Lot Type: CORNER
Setbacks
swE
26 2L L4
46 L4
Setbk From NPL: 14
N
10
50
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUTLDING PERMIT ---
Square Feet x
1,120
400
$/Square Feet
59 .64
18.34
(A)
Value
77,997.00
7 ,336 . OO
85, 333.00
391.00
27 .37
tl.73
430.10
--- PLI'MBTNG PERMIT ---
Item
Residential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
Fee
150.00
(c)
150.00
lt.20
4.80
176. 00
--- MECHANICAIJ PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechani-cal- Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
4.50
6.00
3.00
(D)
15.00
10.00
1. 05
.45
26.50
--- MISCELLAI{EOUS PERMTTS ---
Surcharge/admin
Sidewalk
Curb Cut
PLAN REVTEW FEE
WTLLAMALANE SDC
ELECTRTCAL PERMIT
CITY SDC
TOTAL MISCELLANEOUS PERMITS (E)
0.00
53.24
50.00
80.00
1, 000 . 00
170.50
2 , L98 .94
3,572.59
(Excluding Electrical)
unless otherwise noted
--- TOTAL AI{OI'NT DUE ---
(A, B, C, D, and E combined)4,205.1&
--- BUILDING VALUE,PLA.I{ CHECK AND BUITDING PERMIT - - -
This permit is granted on the express condj-tion that the said constructj_onshalI, in al-I respecEs, conform to the ordinance adopted by the City ofspri-ngfie1d, including the Development. Code, regulati-ng the construction anduse of buildlngs, and may be suspended or revoked at any time upon viol-ati_onof any provisions of said ordinances.
SPFINGFIELD
Job Number: 991106
OF SPruNGFIEIT',o
Page 3
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: 0B/26/99
--- ADDITIONAL COMMENTS ---
A & T DEFAULT AMOUNT USED FOR CREDIT PIIRPOSES ONLY
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, I sEate 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 wil-l 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 wj-th ORS 701.055 will be
used on this project.
I further agree to ensure that al-l required inspections are requested at the
proper time, that each address is readable from the street, that the permit
c.af4.is located at the front of the property, and the approved set of plans
i*il.I: remain on the site at al-l- times durlng construction.
1 3
SilTneture Date
Receipt Number:
Dat.e Paid:
Amount Received
Received By
005
005
0.0U *
0'00 *
iF
,*
UUU
000
525. g 4+
B6B.B6+
49t .60+
207 . ,t 6+
I 0 4 . 68 +
2tt98.g4
525.94+
B6B.B6+
491.60+
20't . ,t 6+
104.68+
2t198.84
JOURN/ )P IOB NO.
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY aY oaxt L,uz
LOCATION ?2 /- /)a)<A (,6
DEVELOPMENT TYPE:F
BUILDING SIZE
7-z r. 16 : $5--4)so : lzoI. STORM DRAINAGE 1o v4Z- ; IZLO
iorf -ro -- 5 3r
. Ft.
17o-F
D lbJ
IMPERVIOUS SQ.
2. SAMTARY SEWER-CITY
NO. OF PFU'S I8
p7. Z, Z€a7 x$0.232 PER SQ. FT.
X$48.27 PER PFU
ol X $486.73 PER TRIP
S .sz-<.q/-
$ Ee\ ,eb
$ 47 /, ar:
$ z4z,zb
S zz,os
<$ * 6z,os>
$ 10.00
(See Reverse Side)
3. TRANSPORTATION
NO OF LTNITS X TRIP RATE X COST PER PM PEAK HOUR TRIP
lx
X 5486.73 PER TRiP
4. SANITARY SEWER-MWMC
A. REIMBTIRSEMENT COST:
NO. OF FEU'S X 24Z,76PER FEU
B. MPROVEMENT COST:
NO. OF FEU'S I X ZZ,ISPER FEU
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATTVE FEE
sx
TOTAL-MWMC SDC S zoz , 7L
SUBToTAL (ADD ITEMS t,2,3 & 4)
5. ADMINISTRATTVE FEES:
$ Z,o?3.c2_
BASE (suBToTAL ABOVE) X .0s /6
SDC Coordinator
ATTACH'A.WPD
oate: 8- / 7-??
TOTAL SDC ffi
L
FIXTURE UNIT CALCULATION TABLE| Number of New Fixtures X Unit Equivalent : Fixrure Units
(NOTE: For remodels, calculate only the NET 'itional fixtures)
FIXTURE TYPE
Bathtub.
Drinking Fountain......
Floor Drain.
Interceptors For Grease/OiVSolids/Etc
Interceptors For Sand/Auto Wash./Etc.
Laundry Tub/Clotheswasher/Tr4op Sink..................
Clotheswasher - 3 Or More
Mobile Home Park Trap (l Per Trailer)..
Receptor For RefrigeratorAVater Station/Etc...........
Receptor For Commercial Sink {DishwasherlEtc......
Shorver, Single Stall..
Shower, Gang.
Sink: Bar, Commercial, Residential Kitchen............
Urinal, Stall/Wall..-..
Wash Basin/Lavatory, Single.
Toilet, Public Installation.............
Toilet, Private.
Miscellaneous:
NUMBER OF
NEW FIXTURES
UNIT
EQUTVALENT
FIXTURE
UNITS
2
I
2
J
6
2
6
6
I
)
2
'z---
l,rFIead
2
2
I
6
4
---=-
L-
z*
s
TOTAL FIXTURE TII..iITS
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate
credits
t%
Credit for Parcel or Land Only If Applicable
Improvement (if after annexation date)
X$C7o{+, +7
(Rate X Assessed Value)x $_
(Rate X Assessed Value)
CREDIT TOTAL : $C,7, o{
J4l dlgl
Year
Annexed
Rate per $ 1,000
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
<{E-_ql!s&re $4.47
4.38
4.32
4.20
4.03
3.88
3.68
3.3 8
3.03
2.62
1980
1981
1982
1983
1984
I 985
1986
1987
r 988
1 989
1 990
1991
t992
r 993
1994
1995
t996
1997
I 998
2.18
1.75
1.35
1.17
1.03
0.86
0.7 |
0.57
0.39
0.18
RUNOFF COEFFICIENTS FOR STORM DRdINAGE
(For Estimating Purposes Only)
Residential...
Commerical.
Industrial...
GovemmentaI......................
0.4
0.9
0.5
0.5
FIXUNTT.WPD IMPERVIOUS AREA: TOTAL LOT SIZE X RUNOFF COEFFICIENT
4
t
'z__
Willam
Park & Recrea
a
tio
aneDistrictI
n
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
lob
ADDRESS:
LOCATION OF PROPOSED B ING SITE:
Street Address:
Plat Name:
1.
ype delinitions are on the
Tax Lot Number:r8D
(Check appropriate dwelling(s). SDC calculations and dwelling t
back.)
PHONE:
STATE:ZIP:
Manufactured home not in a park
X $1,000 Per unit = $tmo,0D
NAME:
G
A. Single-Family Detached
I\ Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufac'tured Home Park
$
$
$NO. OF UNITS
WILLAMALANE SDC
X $699 per unit
,00
2. SDC CREDTT (if applicabte) SDC+ayer must fumish proof of
Willamalane Credit approval See SOC Credit Wotksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(af SDC reduced for Credit)
$
$
$tD00 .oa
City of Springfield
ent Date
L
\
'!NGFIEL.)
qfr,
ANY 1
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDERTH ISNOT BLBCIts.ICAL PBRI{IT
WWt City Job Nunber.REQUESTT 726-3769
OFFICE: 726-3759 3. COHPI,ETE FEE SCEEDULE BELOV
1. LOCATION OF Nev Residential-Single or
HuIti-FamilY Per dvelling unit.
Service Included:Items Cost
A
JOB DESCRIPTION
I g Bs.oo tr
3,(2_
Permits are non-transferable and expire
if vork is not started vithin 180 days
of i""u"nce or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.,ATION ONLY
Electrical Contractor A,oA A l4({:
Address /,fA frl/4- -
Ci ty ukNL- Phone G88 '54o1
Supervisor License Number 't t35 :
Expiration Date al
Constr Contr. Number ]7t '35L.Temporary Services or Feeders
Installation, Alteration or RelocatiC
Expi ra t i Da te 200 amps"or less --[-201 amps to 400 amPs
-
0ver 401 to 600 amPs
-
0ver 600 amps or 1000 volt
Branch Circuits
si of Superv Electrician s see rrBrr a5o,ve-
UKqq
"$\
L
Ovners Name &/u
Address A.*, ?*Y CNJ
Ci ty SK4D.Phone rTqq-Glaa
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular 'DveIIing
Sertice or Feeder
A s 1s.00 @_
Sum
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less --f201 amps to 400 amPs 7
401 amps to 600 amps
-
601 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect OnIY
s 40.00
S 50;00
s 60.00
s100.00
s130.00
s300.00s 40.00 ?
onDs 40.00
s 55.00
$ 80.00
OVNER INSTALI,/\TION
The installation is being made on
property I ovn uhich is not intended
for sale' Iease or rent.
0vners Signature:
DATE:
Nev, Alteration or Exter,sion Per Panel
One Circuit S 35.00
ei"n aaaitionalCircuit or vith Servite
or Feeder Permit
-
S 2'00
Hiscellaneous (Service/feeder not included
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limi ted EnergY/Res
E
iiticattc
00
00
00
00
s40
s40
s20
s36
----
d)5. SUBTOTAL OF ABOVE
nf\f,Z state Surcharge
' 1jZ Admini.strative Fee
TOTALRECEIVED B
DESCRIPTION
D.
a a