HomeMy WebLinkAboutPermit Building 1999-06-03SPRTII'GFIELD
225 North Fifth Stree
Springfield, OR 97477
Location of Proposed
Assessors tUap #: 1802
Lot: 13
Owner: DENNIS MINIITM
Address: 8745 THURSTON RD
Describe Work: S.F.RESIDENCE
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUII,DING SAFETY
Page 1
ilob Nurnber: 990596
Office: 726-3759
ction Line: 726-3759
03300
,JASPER PARK
8495
,9'741 I
NEW
I
SPruNGFIELT',
GeneraL:
Plumbing:
Mechanical:
Electrical:
Contractor
DENNIS MINIUM
8745 THURSTON RD SPRI
DON LEWIS PLUMB
2055 MISSION ST SE
MARSHALLS 0025
4110 OLYMPIC ST SPRINGFIELD OR 9741
ANTONE ELECTRIC OOB2B35
27514 SNYDER RD .TUNCTION CITY OR 97
# Expires Phone
11,/ 99 599-30e9
3 -3425/s
1 41-1445
ao / 01, / 01, 688 - 4444
QUAD AREA: 3RSC
OCCY GROUP: R3
HEAT SOURCE: FG
INSUL PATH: P1
-- OFFICE USE --
LAND USE: 1111
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 1780
# OF BLDGS
# OF BDRMS
RANGE: G
1
a
To requests an inspection, call Lhe 24 ]:ro.ur recording aL 726-3759.
A11 inspections requested before 7:00 a.m. will- be made Lhe same working day,
inspections requested after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATfON - After forms are erected but prior to concrete placement.
ITNDERFIJOOR PLID4BING - Prior to insulation or decking.
ITNDERFLOOR DRAIN - Prior Lo cover or pl-acement of concrete.
ITNDERFLOOR MECHANICAL - Prior to insufation or decking.
POST AND BEAITI - Prior to f l-oor insul-ation or decking.
INSUIJATION - Floor; prior to decking Wal1/Ceiling; Prior to cover
WATER LINE - Prior to fl11ing trench.
SANITARY SEWER LINE - Prior to filling trench.
STORM SEWER LINE - Prior to filling trench.
ROUGH PLIIMBING - Prior Lo cover.
ROUGH GAS - after line is instaffed and capped if not attached to an
appliance
ROUGH MECHANICAL - Prior to cover.
ROUGH EIJECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materlals.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/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..
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.
ru,es
@go.You trray obtain
-0070
SPRINGFIELD
Job Number: 990596
SPilNGFIELT'.
Page 2
FINAL PLITITTBING - when all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When aII electrical work is complete.
FINAL BUfLDING - When all required inspections have been approved and
the building is complete.
Lot Faces: N
Topography: 2
House
Garage
Lot Sg. Ft.:
Totaf Height
6'1 91-
18
Lot Coverag'e: 26 Z
Lot Type: INTERIOR
N
Setbacks
SW
35 5
E
18
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/eamin
TOTAI, FEE
--- BUII,DING PER}IIT ---
Square Feet x
r_380
400
$/Square Feet
69 .64
18.34
(A)
Value
96, 103 .00
7, 336 .00
103,439.00
442 . OO
35.36
477 .35
--- PLI'MBING PERMIT ---
Item
Residential BaLh (s)
Plumbing Permit
Surcharge/admin
TOTAL CIIARGE
Fee
150.00
150.00
L2.BO
t7 2 .80(c)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS PIPE W/H
Mechanical Permit
Issuance
Surcharge/admin
TOTAI, PERMIT
3
6.00
4.50
9.00
3.00
s.00
(D)
27.50
10.00
2 .21,
39.7L
--- MISCELLANEOUS PERMITS
Surcharge/admin
Sidewal-k
Curb Cut
CITY SDC
ELECTRICAL PERMIT
WILLAMALANE
PLAN REVIEW
TOTAL MISCEI,LA}iIEOUS PERMITS
0.00
50.00
50.00
2,28a.32
L24.20
1, 000 . 00
287 .30
+ 44:
+45
-t*,q
-4oJ\
3 ,8L2 .82(E)
(Excluding Electrical)
unless oEherwise noted
--- TOTAI, AMOI'NT DUE ---
(A, B, C, D, and E combined)4 ,502 .69
Flwt /t+e" rl7?t0z/7
SPFINGFIELD
ilob Number: 990596
SPruNGFIELD,
Page 3
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT
This permit is granted on the express condition that the said construction
shall, in a1J- respects, conform to the ordinance adopted by the City of
Springfield, including the Development Code, regulating the constructj-on and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: AL WARD Date: 05/28/99
Building Site Reviewed By: BOB BARNHART
--- ADDITIONAL COMMENTS
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I etate and agree, that I have earefully examined
the completed application and do hereby certify that afl- informat.i-on hereon
i-s 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 Springfi.eld,
and the Laws of Ehe State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any strucLure without permission of the
Community Servj-ces 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 thaL all required inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is tocated at the front of the property, and the approved set of plans
the sj-te at all times during construction
{r
Si gnature Date
will remain on
I
--- VALIDATION ---
Receipt Number
Date Paid 6 f
LJ
Amount Received: '
Received By
02. 1
[,RrrtGFIELO
BACKPLOIJ PREVENTION DEVICE PBRHIT APPLIJA]" ON
CITY OF SPRINGT'IELD
BUILDING SAFETY DIVISION
225 FIFTH STREET
SPRINGT'IELD OR 97477
JOB LOCATION:
AssBSsORs MAP tl z (? o e /L/lr,.
OFFICE:
INSI.icl.iON LINE:
726-3759
726-3769
{*t'th
TAX ,C.i.7oo
t-al
OVNBR:
CITY:
5 oiitication
n
ADDRBSST 3tr2f e 341/-<*-PH0: 3 il
e STATB:_pl.
BACKFLO}I PERHIT IS $15.00 + \.O5 (STATE SURCHARGE) + $.4: //,I)MIN. rEB)
Tn, g,
CITY: l,/-^*t-*a ,4 STAflI'S
CONSTRUCTION CONTRACTORS REGISTRATION II;UNDER TH}TBFfiSET lsNOT.7 e *e a
DY SIGNING TTIIS PBRHIT/APPLICATION, I AGRBBTOY
POB OTFICE USE
lSODAYPERIOD.
CALL FOR ,N lNSPDCTION
7s: zs
FOR
ONCB TIIE
BACKFLOU PRBVBNTION DEVICE HAS DBBN INSTALLBD AND IS VIS B:,I: FOR INSPECTION(726-3769). I ALSO STATE TIIAT ALL INFORMATION ON TIIIS l' R:.ir I:/APPLICATION IS
CORRECT.
;ATE
I fDATE OF APPLICATIONI
RECETPT tr: ?)-7 f1 / o ISSUED BY:
TOTAL AHOUNT COLLECTED:/e. 1z>
U";
.roB {t ,7'7 0 f? e
f.rlffltrT^vl _.d
,.,,ffi,'.
Cl
coNTR caOnz l/zuT.( Dn(Rj;.)D\, I 2*u.Zs.-4-:_.
ADDRESS z 2,t=-z e 6dt,-+/-,<,52 .1.*-t.-,!;lOTlCE:pHo ,E ti: ? So> ,S2t.s-
€$ H't[Em*t a
T:=," PM ENr
WORKSHEET
NAME:\"^**'ill
Job. No. 110516
CHARGE
PHoNE: ]:tU-Bt9S
ADDRESs, Bl'tS Qrusun*nT$ srArE: et1. zrp, t'1't'18
LOCATION OF PROPOSED BUTLDING SITE:
Street Address:
Plat Name: -I'?:65-()6 \L\ Tax Lot Numbe r: OBjIQ
1. DEVELOPMENT TypE (Chgck appropriare dwelling(s). sDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detaehed
IC Single Family home Manufactured home not in a park6p
NO. OF UNITS X $1'000 Per unit = $
B. Single-Family Attached
NO. OF UNITS X $924 Per unit = $
C. Multi-Family Apartment
D. Manufac'tured Home Park
wILLAMALANE SDC $
2. SDC CREDIT (u appncaote) SDCaayelT"t-(.'$shproot ot
Wiltamalane Credit approval' see'i'oc Credit Worcneet' $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduced for Credit) $
\ CJ(-o
I
Date
rr
D
Clty of
rnenfservices Department
'B*JoURML oR JoB *U. 'ffi Ofr (^
F.l .
ATTACHMENT A
CITY OF 'SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY:MI IUH
Os.o.-ST
DEVELOPMENT TYPE:SF D
LOCATION:
J
BUILDING SIZE
1. SroRN oRntruneE t180+ lb (tco> + zcss #7 )
IMPERVIOUS SQ. FT.zz A-x $0.227 PER SQ. Fr. $6'5+
2. SANiTARY SEI^IER-CITY
x $47.14 PER PFU 5 8ts.( G
. Ft.
NO. OF PFU'S tq
(See Reverse Side)
TRANSPORTATION
NO OF UNITS X TRiP RATE X COST PER TRIP
t.o x $475.32
x $475.32
$
$
$20
< s 27z-9
$ 10.00
$ "8.9
s zt1z.G1
5 tot .G3
. o'7
X
X
4. SANITARY SEI^IER-MWMC
A. P.EIMBURSEMENT COST:
5
(>€t-
SDC Coordinator
ATTACH'A.t^lPD
NO. OF FEU'S X 217,++PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X Z5.ZOPTR FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE).
MWMC ADMINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
TOTAL-MhIMC SDC
ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
Date 5l to /9?
TOTAL SDC 5z z8 l.3z
SIZE SQ
5 211 '4
FlxtuRE UNIT CAElcut Tlot$ TABLE: Number of NewFir
(NOTE: For remodels, calcutate onlflhe NET additionat fixturisl*ra,
O,
FIXTURE TYPE NEW FIXTUBES
II
s X'Unit Equivalent ; Fixture Units
UNIT FIXTURE
EOUIVALENT UNITS
Bathtub..-..
Drinking Fountain----
Floor Drain. .."""""""
lntercePto rs For Grease/Oil/Solids/Etc
Intercepto rs For Sand/Auto Wash/Etc'
Laundry Tub/Clotheswasher" " "
Clotheswasher - 3 Or More""
Mobi le Home Park TraP (1 Per Trailer)
RecePtor For Refrig erator/Water Station/Etc""""
Receptor For Commerci al Sink/Dishwasher/Etc..
Shower, Single Stall---"""'
Shower, Gang---...:.'
Sink: Bar, Commercial, Residential Kitchen'
Urinal, Stall/Wall...
Wash Basin/LavatorY, Single'
Toilet, Public lnstallation'
Toilet , Private..--.
Miscellaneous:
CREDTT CALCULATION TABLE:Based on assessed value.
c alculate credits
lf improvements occurred after annexation date in table,
t.#X $-"'. 15 . =73.25
(Rate X Assessed Value)x $- =
(Rate X Assessed Value)
CREDIT TOTAL - $
+
T
z-
g
ead
2
1
2
3
6
2
6
6
1
3
2
1/H
2
2
1
6
4
TOTAL FIXTURE UNITS lq
Credit for Parcei'or'Land Only lf Applicable
lmprovement (if after annexation date)
RUNOFF COEFFICIENTS FOR STO.RM DRAINAGE
(For Estimating PurPoses OnlY)
Year
Annexed
Rate per S1,OOO
Assdssed ValueYear'.
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
i 992
1 993
1 994
'r"; .1995
1 996
1 997
s1.98
1.55
1.15
0.96
o.83
0.67
o.52
0.38
o.21
1979 or before
1 9BO
'r 981
1 982
1 983
1 984
1 986
1 987
1 988
s4.27
4.18
4.12
3.99
3.83
:3.68
3.48
3.18
2.82
2.42
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
--777-
--1t
5PFl]NGFIELO
ELECTRICAL PERI{IT APPLICATION
Qfti,
225 FITTE STREET
SPRTNGFTEI^D, oREGoN 97 477
INSPECTION REQLJEST: 726-3769
OFFICE: 726-3759
Job Numbe , q?0 67 C
1. LOCATI OF INSTALT,ATION5 or,+&f,
3
A
Ci ty
COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems
?
J,EGAI
Itr D7- 0
DESCRIPTIONT;ii '""" O39a,:Cos t
s 8s.00
Sum
6e
Jo
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Z. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
ciry d, n.7 t;r^e Phone ( 881q{L/
Supervisor License Number 3 OO 6 3
Expiration Date
Constr Contr. Number 2ol58L
Expiration Date
Signature of Su
0vne s Name
Address t7 qr T/nasy'ap Po
9P Fd Phone 1V7-tv t5
1-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sa1e, lease or rent.
Ovners Signature:
Z s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps __40L amps to 600 amps _
601 amps to 1.000 amPs-
Over 1000 amps/voIts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000-voTts
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Light
Limited EnergY/Res
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
B
s s0.00
s 60.00
$ 100. 00
s130.00
s300.00s 40.00
pervisi ng Electrician
C
D
E
lns
40.00
s5. oo
BO. OO
ee rBr a6ovE-
40.00
40.00
20.00
36.00
$
s
$
s
s
$
$
s
tt
DATE f
RBCEIVED B
5
i4(