HomeMy WebLinkAboutPermit Building 1998-11-24SPRI]I'GFIELI,
RESIDENTIAT PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 981366
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 3312 OSSAGE ST
Assessors Map #: LBO2O62L
Lot: 1BB Block:
Office
Inspect.ion Line
't26 -37 59
726-3769
Tax Lot #:
Subdivision:
08500
HAYDEN GARDENS
SPruNGFIEIT',
Owner: HAYDEN HOMES
Address: 3258 PINYON ST
Describe Work: S.F. RESIDENCE
Phone #: 744-6966
city/state/zip: sPLFD oR, 974'78
NEW
General:
Plumbing:
Mechani-caI
Electrical
Cont,ractor
HAYDEN ENTERPRT OO922O8
2622 SW GLACIER PL #110 REDMOND OR
EMERALD VALLEY 0065066
3856 HAYDEN BRIDGE RD SPRINGFIELD O
EFFICIENT A]R 0087556
7555 West 10th Ave #11 Lakewood CO
ELITE ELECTRfC OO9975B
38289 COURTNEY CREEK DR BROWNSVILLE
ConsE.
Cont,ract,or #Expires
07/2e/e8
os/1,0/e8
L2/23/e2
06/1-o/e8
Phone
923 -6607
7 26 - 9485
232 - 4353
367 -8250
QUAD AREA: 3RSC
OCCY GROUP: R3
HEAT SOURCE: FE
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1 4
# OF BLDGS
# OF BDRMS
SQ FOOTAGE
1
4
2416
A11 inspections requested before 7
inspections requested after 7:00 a
FOOTING - After trenches are excavated.
FOIINDATION - After forms are erected but prior
ITNDERFLOOR PLIIMBING - Prior to insulation or de
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
To request an inspection, call the 24 hour reco
00 a.m. will be
m. will be ma ,o
REQUIRED INSPECTIONS
t
cking
POST AND BEAI{ - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; fiffir-ao cover
ROUGH PLITMBING - Prior to cover ,. -',UF.
ROUGH MECHANICAL - PriOr TO COVCT. ,,,H!SPE!.T,:T.,. ^ROUGH ELECTRICAL - Prior to cover. 4lllr.r,^* "r .l>,r;.r, ,
sHEAR wAr.,r, NATLTNG - Before covering sheathing witrr (fA#i#+fuUeT+riS 'l,frlp*,-
FRAMTNG - prior to cover " 'il 1f,1: :'l' . "'
'r l. ,'/r.,, -- 'n THF ,n
rNsurJATroN - Floor; prior to decking wal1/ceiling; pr+o;,.Lo'cov.r, ''"i ltt!t:,ti:',f,!A?f
DRYWALL - Prior to taping "'l-'[ ;,, tr' :1'; j,,,,,':l !l1$7
ELECTRICAL SERVICE - Must be approved to obtain permanent power '',,).?
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAIJ MECHAIiIICAL - When al-I mechanical work is complete.
FrNAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - when all required inspections have been approved and
the building is complete.
SPFINGFIELD
.fob Number: 981366 Page 2
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Lot Sg. FL. : 71,34
Totaf Height: 23
Lot Type: INTERIOR
Setbacks
SWE
18 9 L4
Lot Coverage: 20 Z
Setbk From NPL: 30
N
47
Item
Main
Garage
UNFINISHED BONUS RM
Total- Val-ue
Buj-1ding Permit. Fee
Surcharge/admin
TOTAL FEE
BUITDING PERMIT ---
Square Feet x
20]-6
409
409
$/Square Feet
64 .65
]-6.27
34 .56
(A)
Val-ue
130,355.00
6,654.O0
14,135.00
151, 144 . 00
550
44
00
00
594.00
Item
Residential- Bath(s)
Plumbing Permit
Surcharge,/admin
TOTAL CIIARGE
3
Fee
a92 .50
l,92 .50
1-5 .4L
207.9L(c)
MECHANTCAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
6.00
4 .50
9.00
3.00
(D)
22 .50
10.00
1. 81
34.31
MISCELLANEOUS PERMITS
Surcharge/admln
Sidewalk
Curb Cut
CITY SDC
WILLA]VT\LA]{E
PLAN CHECK
ELECT. PERM]T
TOTAI. MISCELLA}iIEOUS PERMITS
0.00
l-4.20
14.80
2 ,265 .97
1, 000 . 00
80.00
155.60
(E)3,531.57
(Excluding Electrical)
unless otsherwise noted
TOTAL AMOI'NT DUE - - -
(A, B, C, D, and E combined)4 ,367 .7 9
--- PLIIMBING PERMIT ---
SPRINGFIELD
Job Number: 981366
SPilNGFIELq
Page 3
BUILDING VALUE, PLAIiI CHECK AND BUTLDING PERMIT
This permit is granted on the express condition that t.he said construction
sha1l, in all respecLs, conform to the Ordinance adopted by the City of
Springfield, including the Devel-opment Code, regulating the constructj-on and
use of buildings, and may be suspended or revoked at any t.ime upon viol-ation
of any provisions of said ordinances.
Received By:
P1ans Reviewed By: AL WARD
Building Site Reviewed By: BOB BARNHART
Date: 1,L/L2/98
DRIVEWAY REQU]RED TO BE
2 STREET TREES REQUIRED
--- ADDTTIONAL COMMENTS
PAVED
By signature, I state and agree, that I have carefulfy examined
the completed application and do hereby certify that al-1 information hereon
is true and correct, and I further certify that any and all work performed
shal-I 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-1 be made of any structure without permission of the
Community Services Division, Building Safety. I further certify thaL only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that al-I required inspections are requested at the
proper time, that each address is readable from the street, that the permj-t
card is l-ocated at the front of the property, and the approved set of plans
will remain on the site at all times during construction.
,"4%h%tu
Signature 7 Date
,TION
Receipt Number:
Date Paid:
Amount Received:
Received By:
/ "rftz
oltr{
s) - _.r{GFtELo
The loltowing proiect as submlited hae the
ifni^g, anc?bes'not requlre e9ecilic lend
alrprc;ai. i
9taPf.-))-- 2'+-
726to036$d
BIAGTRTCAL I8Bf,IT APPIICATION
@I{PI.ET" PEE SCEET'IA BBU)g
Nev Residentlal-Slngle or
Hultl-Faally per drelllng unlt.
Servlce fncludeds. Iteus Cost
/ s B5.oo fif
{L
z?S'glgfi SmBEr
SPEuGEIBU,, OREGON
If,STECIION,REOIIBSI C
OPEICBT ,126-3759
\iiir INSIAIJATTON oz
3
c.
A.
" Sul
JOB T'BSCRTFMON J 1000 sq.ft. or less
Eaeh addltlonal 5(X)
sq. ft or portlon
thereof
Bach t{anuf 'd 8orc. or
Hodular 'tlvelllng
Serv.l.qes or Feedcrs
Installation, Alterations
or Relocatlon:
g 15.00 b o
$ 40.00
tlon or Relocation
r.tlon Date
Omers Nare
Address g?58 &ru
ci Phone
OINER IilSTAIIATTOII
Over
D. Branch
Nev, Alteration
One Circuit
Each Addttional
Clrcuit or rlth Servlce
or Feeder Pernlt
Llnit EnergJy/Cou
SUBIOTAI OF ABOVB
5Z State Surcharge
3Z Adntntstratlve 8ee
TOTAL
$ 2.W
(Servlce/feeder not included)
tlontlon
$
$
40.00
55.00
.oo
rDOYE
of
tlnr-
.Panel
't'Y/'
-35.00
The lnstallatlon ls belng aade
propert!,
for salet
I'orn vhlijr ls riot
lease or rent.
fimers Slgnature:
DATB: .
%s 40.00
s 40.00
$ 20.00
$ 36.00
CITY OF SPB,,VG OREGON
RECSIVE)
lntende!d1
5
us6
u,qter q&t366
,
Expiratlon
constr contr
00
00
or Peeders
AiIACiiMENI A
C iT/ OF SPR I\IGFIELD SYSTEMS DEVTLOP^'ENT CHARGE
I./ORKSHEET '?8 rBGt
L{nvDt x-)
DEVEL0PME|II ryPt: sFD
BUILDING SiZi 0r SiZ r
N0 0F UN- iS X TP.IP P,1, a X COS I PiR T,i:,]
v r/ 7tr a,)A a-l !.aL
x _ x s475.32
SQ.Fc
5
s '*Y
s Z=,a_e
<$ i
$ i0.00
s z+fi,sq
$ A r qf,#?
44A(,
1 s :q)' lr;:N;c:
?I
2. SAN ir-AR'/ Si'rE,? -C ITY
NO. OF P9U'S
(See Rever"se Si ie)
3. TR/j\lspci-r I I0N
4 . SAN ImRY Si"^/tR -Mr/iMC
A. REIMEURSIMENT COSr
Ix s4.227 PtR s0. Fr. s m,+1
ZI x sji.14 PE,Q PFU s 1f? ,1 *
i|lPiRViCLTS SQ FT. I
q
N0. 0F FrJ'S r X Z!1,lfPt,? FEU
B. IMPROVIYINT COST
N0. 0F Ftr.l'S X'z=.zO PtR FEU
M[^/MC CREDII IF APPLIC.{SLE (SEE REVERSI)
MI,,/MC AOI'IINiSTRATi VE Fti
TOTAL -MhJMC SDC
SUBTOIAL (ADD ITti'lS 1,2,3 & 4)
ADMINiSIRAIIVI FEES:
BASE CHARGI (SUBTOTAL AEOVE) X .05 $
SDC Coordinator
ATTACH'A. l^/PD
IOIAL SOC 77tag
NAMI 0R C0l4PArtl'/:
L0CATi0N: 3ts rz- r>r"qc!.
oate: ltf*f?(/t
. ,^\u, = JIl[3(NOTE: For remodels. calculate only :re NET additional fixturesl
NUMBEH OF
FIXTUBE TYPE NEW FIXTURES
8athtub....tl
Drinking Fountain...
Floor Drain.
lnterceptors For Grease/Oil/Solids/Erc.....
lnterceptors For Sand/A.uto Wash/Erc.....
Launcry Tub/Clorheswasher.
Cictheswasner - 3 Or rVore.....
Mooiie Home Park Trao fi Per Trailer).....
Receotor For Reirige ratar lW ater Starioi; irc
Recaptor Fo r Commercial Sin k/Dishuras,-.erlErc..
Shower, Single Stall.....:.... ....r..........;....
Sho'arer', Gang..
Sir:k: Bar, Comrirercial, Residential Ki:c:=n........
Urinal, Stailiwalt..
\r''lash Basin lLav a.,ory, Single......
Toiiet, Public Instailar;on.
Tciiet , Private...
lvliscella neous:
TOTAL FIXTURE UNITS
ul'llT
EOUI\/ALENT
FiXTUP:
UNITS
2L
/.
1
)
6
z
6
6
1
aL
1llead
2
aL
1
4
+
I
lt I z.
/T-
CREDIT CALCULATION TABLE: Basec .: assessec ,rai ue. lf improvemenis occurred after annexation Ca!e ii: ::: :caicuiate creCits
Year
Annexed
fr::e per S1,O0O
Assessed Value
)+.2 t
4.18
4.12
?oo
J.OJ
J.O6
J, +O
J. t6
2.82
I trdl
Annexed
1 Cao
1 00n
199 1
100a
100.1
100i
'r 996
1 997
tt.Yd
I.JJ
l.l5
0.96
0.83
o.67
o.52
0.38
o.21
Rate per $ 1,OCC
Assessed Value
1979 or before
1 980
1 981
I YAZ
1 983
19A4
1 985
1 986
1 9e7
1 988
Credit for Parcel or Land Only lf Acplicable
lmprovement (if after arTnexation cate)
(Rate X Assessed Value)
xs i$-
x$ -
4,Z1 &,o€
(Hate X Assessed Value)
. CHEDIT TOTAL $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
ResiCential........
Commerical.......
lndustrial.....
Governmental...
o.4
0.9
05
0.5
txuNtr.wPo IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
tl I
€$Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE:
STATE: I
Job- No.q Bt 3Ce,
NAME
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:
l.t'-r-Gt t6
zrp: Q.,-1.t78
(.
1. DEVELOPMENT TypE (Check
ype definitions are on the back.)
A. Single-Family Detached
t Singte Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
lopment Services
Tax Lot Number: OASC-IO
appropriate dwelting(s). SDC calculations and dwelling t
Manufactured home not in a park
csS
X $1,000 per unit = $ t (I(F
X $924 per unit $
I
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufactured Home park
' NO. OF UNTTS X $699 per unit
WILLAMALANE SDC $
2. sDc cREDlr (it appricabre) sDC-payer must tumish proof of
Willamalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WTLLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit) $
$
OD
City of Springfield
Department #