HomeMy WebLinkAboutPermit Building 1998-11-06. IFINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMIINITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nurnber: 981303
225 North Fi-fth Street
Springfield, OR 97477
Location of Proposed Work: 3325 OSAGE ST
Assessors Map #: :.8020521-
Lot : 1"87 Block:
Tax Lot #: 08400
Subdivision: HAYDEN 3
office:
Inspection Lj-ne:
726 -3't s9
726 -31 69
OF
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Describe Work: S.F. RESIDENCE
Phone #: 744-6965
city/state/zip: SPRINGFIELD, OREGON 97478
NEW
General:
Plumbing:
Mechanical
El-ectrical
QUAD AREA: 3RSC
# OF UNfTS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: HP
INSUL PATH: SGC
ConEracEor
HAYDEN ENT
2622 SW GLACIER PL #110
EMERALD VALLEY
3855 HAYDEN BRIDGE
EFFTCTENT -A.IR
EL]TE ELECTRIC
409 RIVER AVENUE,
- - OFFI
o092208
OR
65065
LAND
ZONING
# OF BDRMS: 4
WATER HEATER: E
SQ FOOTAGE: 28L6
ConsE.
Contract,or #
o
o
Expires
07 /2e/ee
os/Lo/ee
!2 /23 / e2
o6/L0/ee
Phone
923 -6607
726 -9485
232 - 4353
688-5401
ls
F
63tzurer
BLDGS: 1
GROUP: R3
SOURCE: FE
:E
To request an inspecEion, cal-l the 24 hour recordi-ng aL 726-3769.
A11 lnspections requested before 7:00 will be made the same working day,
j-nspections requested after 7:00 a.m made the following work day
FOOTING After trenches are exca
FOI'NDATION After forms are erected
I'NDERFLOOR PLIIMBING Prior to insul-
WATER LINE Prior to filling trench
2r I te placement
SANITARY SEWER LINE Prior to filli
STORM SEWER IJINE Prior to filling
POST AT.ID BEA.II{Prior to floor insul
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
ROUGH PLI,MBING - Prior Lo cover.
ROUGH MECHANICAL - Prior Io cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with fini-sh materials.
FF.AUING - Prior to cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; prior to cover
DRYVIALL - Prior to taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
CURBCUT - After forms are erected but prior to placement of concrete.
STDEWALK - After excavation is complete, forms and sub-base material
in p1ace.
FINAIJ PtITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRfCAL - When all electri-cal work is complete.
FrNAL BUTLDTNG - when all required inspections have been approved. and
the building is complete.
,rrrr
uor
/F 45
tu4
SPRIITIGFIELD
Job Number: 981303
OFSPilNGFIEA.
Page 2
Lot Faces: S
Topography: 2
Sol-ar Approved: Y
House
Garage
Lot Sq. Ft.: 6545
Total Height: 24
Lot Type: INTERIOR
Setbacks
swE
9 1,2
18 00
Lot Coverage: 2a Z
Setbk From NPL: 52
N
30
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/Admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
24L6
400
$/Sguare Feet
64 .66
L5.27
(A)
Value
L56,2L9.O0
6,508.00
L62,727 .OO
574.75
4s.98
620.73
--- PLI'MBING PERMIT ---
Item
Residentiaf Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
1,92 .50
L92 .50
1"5 .41,
207.9L(c)
--- MECHATiIICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechani-ca1 Permit
Issuance
Surcharge/edmin
TOTAL PERMIT
3
5.00
4.50
9.00
3.00
(D)
22 .50
10.00
1.81
34.31
--- MISCELI,ANEOUS PERMTTS ---
Surcharge/admin
Sidewalk
Curb Cut
PLAN REVIEW FEE
ELECT. PERMIT
CITY SDC
WILLAMALANE
TOTAL MISCELTA.I{EOUS PERMITS
0.00
L4.20
14.80
80.00
199.80
2,400 .88
1, 000 . 00
(E)3,709.58
(Excluding Electrical)
unless otherwise not,ed
--- TOTAL A.}IOI'NT DUE ---
(A, B, C, D, and E combined)4 ,57 2 .63
ISPRIilcFIELD
qfob Number: 981303
OF SPflNGFIELI',
Page 3
--- BUILDING VALUE, PLA.I{ 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, j-ncluding the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any tj-me upon vi-olation
of any provisions of sai-d ordinances.
Received By:
Pl-ans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: a0 /27 / 98
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY FOR CfTY SDC CREDTT PI]RPOSES
DRIVEWAY REQU]RED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I staEe and agree, that I have carefully examined
the compleLed appli-cation and do hereby certify that al-l information hereon
is true and correct, and I further certify that any and all work performed
shal-l- be done in accordance with the Ordinances of the City of Sprj-ngfie1d,
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. f further certify that only
contractors and employees who are in compliance with ORS 701.055 wi1] be
used on this projecE.
I further agree to ensure that all- required inspections are request.ed at the
proper time, that each address is readable from the street, that the permit
card j-s located at the front of the property, and the approved set of plans
will the sit.e at s during construction.
6 qtr
Signature Dat
- VALI
8U
DATION ---
Receipt Number
DaEe Paid
Amount Received
Received By
/82
CITY OF SPP'NG'FIELD, OFEGOA'
u:i EIFff, smE8f,
st8UrcrIBLIr, . OBEGON
INSSECf,IN.,RBOUBSIT
0PEICBT ,,126-3759
**n,
{a/t r)
E>,{lNCFlELO
lorr
Pcedcrr
#tyr ',t
t
-6
>fr
vjtrt.Ner Resldentlal-Slngle or
Hultl-Faal1y per drelltttg
Servlce fncludcd:
\ rtens4
non-tlf rort lr not started
Supervisor Llcense l{tnber ,//3 '{
Expira tlon Date
Constr Contr. Nunber
Erplretlon Da
of
t
itf.
A.
c.
unlt.
Cost
$ 85.00
s 15.00
. $ co.oo
" Surtr
-L JO
I
/4L
srPS
srrps
8,rPs
ar!ps
200
201
401
601
$100.
$130.
s300.s 40.
50
60
s
s
.gg.m
0a
00
00
00
Over 1000
Feedersor
Seconnect
Terporary
Installa
2fi) erps
20L 8!ps
401
tcrait Belocatortlon
tr lcss Xro +or7 rms
-ro oo0 rroe
-aups or lO(X)EEs
.+c$ 40.00
$ 55.00
$ 80.00
/s0 D;
One Circui
Each Additional
Ctrcult or vlth Servlce
or Peeder Pernlt
see rBi above
Bxtension Per Panel
$'35.00
s 2.@
.or......-
Omers llare
Address grg
rpF
,
ct
The lnstallatlon ls belng nade onproperty I'orn vhli:h ts not lntendedfor sale, lease or rent.
(}m{ER INSIAIJAIION
0trners
B. l{lscellaneous (Servlce/feeder not tncluded)
-E8ch installatlon
Pup or irrlgatlon 00
0o
00
00
40.
40.
20.
36.
Slgn/Ou
Ltrlted
tllne Llgtt
Bnergy/Res
$
$
$
$Llrlted Energy/Con
SU8f,{NAI, OP ABOVB
5Z State Surcharge
- 3Z'Adolnlstratlve Pee
TOTALRPCSIVE'
ture:
5
EIACTRICAL DEBI{TT APPIICAXTON
scEExr,la BBuxr
Alteratlons
w fi ,ZZ"Z none-ZV-a266
AT'I-ACHHENT A
C iI/ OF S PF'I'IGFI ELD SYSTEMS DEVELCIE\ENT C|{ARGEWORKSHEET el g l3a3
NAI,,IE OR CCI,IPAj'I'/ :
LOCAiiON 33 Z Os(6E
DtVEL0Pi'1til; i'i PE
BUILDiNG Srli
L D
L0r SiZ IQ
s5b 1,1{
rSxzo ) + (x*+o)+ (zt xzz\
iMPt i CLIS
)+
SQ FT ZSO L tl ci aa1 n-r ^^, tr-i1\ 19,C_l I L,\ _;:J- I I
-I SAN i rAP'/i.,/TR -C ITY
N0 . 0F t:,j's ZI X sil i4 ptR pFiJ s qgq.q*
(See Re;:rse Siie)
a.j I Krl\1.-\^- !:?AUi rIiul\
N0 0F UN:iS X TRIP R1,: X COSI PtR IRip
A v (/ 7c 1,)S #c, ca
V v tt--A A \+/5.Jt
4 . SAN ITARY Si'',^iER -tlrrMc
A. REIMEURSIMENT COSi
5. ADMiNiSTR{IIVE FEES :
BASE CHARGI (SUBTOTAL AEOVE) X .05
hYre
N0. 0F Fii'S I X 211,4*PER FEU
B. II,1PROVIYENT COST:
N0. 0F Ftr'S r X z-=.zO PER FEU
MI^/MC CREDII IF APPLIC,{8LE (SEE REVERSI)
MI^/MC ADI'IINISTRATiVE FEi
SUBTOIAL (ADD ITEMS 1.2,3 & 4)
S z--,**
$ 4,zc
s b4,o.5 ,
5 1000
TOIAL-MWMC SDC S z*O ,51
$ zzob,s5
s lI+,33
SDC Coordinator
ATTACH 'A. [^JPD
oate: taf 7o/q(
ToTAL Soc $ 24@,gv
(NOTE: For remodeis, carcula(e only i;':e NET addrtionar fixturesl
FIXTUBE TYPE
, ,aru, = :llliS
NUMBEN OF
NEW FIXTURES -il
ufllr
EOUI\/ALENT
FiXTUP:
UNITS
Bathtub.....
Drinking Founcain...
Fioor Drain.
lnterceptors For Grease/Oil/Solids/Erc......,..........
lnterceptors For Sand/Auto Wash/Erc........ -.........
Launiry TubiClorheswasher.
Clcthes'arasher - 3 Or rrlore.....
Mobiie Home Park Trao (1 per Traiier.)
Receptor For Refrige ratorl\Nater Statior:iErc........
Receptor For Commercial Sink/Dishuras,rerlEtc..
Shovrer, Singie Stall.....:....
Sho'ruer', Gang..
Sink: tar, Commercial, ResiCentiei Ki:c,:=n.
Urinai, SrailiWall..
Wash Basin /Lavarcry, Single......
Toiiet. Public lnstailation.
Toilet , Privare..
Misceilaneous:
CRED IT CALC U L,,1TIO N TABLE:Basec cn assesseC 'raiue. ii i
caicuiate crecirs s
lt I
TOTAL FIX;UAE UNITS 7t
rnproveri"len:s 0ccurreo aitei. annexation date in ::: :
Zl
2.J
l"
I
1
2
6
2
6
6
1
2
l lhead
2
2
1
6
4
Year
,a.nnexed
Eaie per $1,OOO
Assessed Value Anne.rec
Hate per $ 1,OCC
A.ssessed Vaiue
1979 or beiore
1 980
1 981
1 982
1 00?
1 984
I Oaq
1 986
1 001
1 988
)+.2 t
4.18
4.12
?oo
3.83
2AO
9.t9)e)
2.12
1 001
l CO'lvv:
10c.'
l qoE
1 996
1 9S7
$1.98
l. t5
0.96
naa
4.67
o.52
0.38
o.21
Credit for Parcel or Land Only lf Acplicable
lmprovement (if after aanexation date)
4,Z1 XS
(Hate X Assessed Vaiue)x$
{a+,og
(Bate X Assessed Value)
. CREDIT TOTAL
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential. ........... 0.4Commerical ........-. O.glndustrial.... O s
Governmenta1...................... O.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFTCTENT
$
FIXUNIT.WPD
r
--7il-
t.<
-
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRESS:
i1
(.
LOCATION OF PROPOSED BUILDING SITE:
Street Addre
Plat Name Tax Lot Number:
1. DEVELOPMENT TYPE (Check
ype detinitions
lre
on the back.)
A. Single-Family Detached
\\ Single Family home
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a Park
NO. OF UNITS X $1,000 per unit = $rD00e,
Job. No.
PHONE
srArE: $0- r,,r
.-
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Multi-Family Apartment
NO. OF UNITS X $692 Per unit
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALA,NE SDC $
2. SDC CREDTT (if applicable) SDC+ayer must fumish proof of
Willamatane Credit approval. See SOC Credt Worksheet'
3. TOTAL WILLAMA,LANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
$
$
$
$
N
S
q
City of Springfield
partment JL,],-,
\
m
6