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Home My WebLink AboutPermit Building 1999-06-23dTr^ ISPRIITTGFIELD Owner: Address RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DTVISION BUILDTNG SAFETY Page 1 ilob Nnniber: 990694 225 North Flfth Street Springf i-e1d, OR 97 477 Location of proposed Work: 3g95 OSAGE STAssessors Map #: LBO2O61-4Lot: 24 Block:Tax Lot # Subdi-vision phone #: 747-3BOgcity/state/zip: spLFD oR, 9: 478 NEW Const. Contractor #Expires aa/23/e8 13300 JASPER PARK 357 -L7 92 # OF BLDGS: 1 # OF BDRMS: 3 INSUL PATH: P1 726-37 59 . the same working following work day Office: Inspection Line: 726 -37 59 725 -37 69 BRTAN HI'MPHREYS : 6892 FORSYTHIA ST Describe Work: S.F.RESfDENCE Contractor General BR]AN HUMPHREYS QUAD AREA: SRSC OCCY cROUp: R3 HEAT SOURCE: FG SQ FOOTAGE: 1,976 To reguest an inspect,ion, 0L03284 OFFICE USE -- LAND USE: 1111 CONSTR. TypE: VlrI SECONDARY HEAT: G cal-l- t.he 24 hour Phone A11 inspections reguested beforeinspections requested after 7:00 7:00 a. m. recording at. a.m. will_ be madewill- be made the day FoorrNG - Arrer rrenches -;..:::l::i.i:t"crroNs - - - FOUNDATT.N - After forms are erected but prior to concrete placement.ITNDERFLOOR pLt!{BfNG _ pri-or to insulation or decking.UNDERFLOOR DRArN - prior to cover or placement of concrete.LNDERFT'OOR MECHANTCAT. - prior to insulation or decking.POST AtiID BEAM _ prior to floor insulation or decking.fNSULATfON - Floor; prior to decking Wa]I/Ceiling; prior to coverWATER LfNE _ pri-or t.o filling trench.SAMTARY SEWER LINE _ prior to filling trench.STORM SEWER LrNE _ prior to filllng trench.ROUGH PLI,MBING - Prior To cover.*o'n'"53ir;r::t"t line is instal-Ied and capped if nor arrached ro an ROUGH MECHANfCAL _ pri_or to cover.ROUGH ELECTRICAL _ pri_or to cover. ;Xff:"::""Ii::'l: ;"::::'" coverins sheathins with rinish marerials rNsuLATroN - F100r; prior to decking wa11/ceiJ-ing; prior to coverDRYWALL - prior to taping. ELECTRfCAL SERVICE _ Must be approved to obtaincAs sERVrcE - Arrer rine is ir,'rlarled and rir,. i,5]tffiH":"ff]ll"u ." ,minimum of one appliance. pressure test done at this point..URBCUT - After forms are erected but prior tol:_ac.*ent of concrete.t'ot*ll*n;":::tt excavation is complete, forms lnd sub-base maLeriar- FINAL PLIMBING _ When all plumbing work is complete.FfNAL MECHANfCAT _ When a1l_ mechanical work is complete.FINAL ELECTRICAL _ When a1l_ electrical work is complete.FrNAL BUTLDTNG - when all reguired inspections have been approved andthe building is complete. . SPRIHGFIELD Job Number: 990694 CITY OF ONEGON Page 2 Lot Faces: S Topography: 2 House Garage Lot Sq. Ft.: Total Height 5059 L7 Lot Coverage: 32 % Lot Type: TNTERIOR N 31 Setbackssw 5 18 E 5 Item Main Garage Total Value Building Permit Fee Surcharge/admin TOTAL FEE --- BUII,DING PERMIT --- Square Feet x 153 6 440 $/Square Feet 59 .54 18.34 (A) VaIue 1,05 , 967 .00 8, 070.00 115, 037 . 00 469 37 00 52 506.52 --- PLI'MBING PERMIT --- Item Residential Bath(s) Plumbing Permit Surcharge /Admi-n TOTAL CIIARGE 2 Fee 150.00 160.00 L2.BO L7 2 .80(c) --- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Wood Stove / Tnsert /Fireplace Unit Dryer Vent GAS PIPE W/H Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 3 6.00 4.50 9.00 4.50 3.00 5.00 32 10 2 00 00 56 (D)44.56 --- MISCELLA}.IEOUS PERMITS Surcharge/edmin Sidewal-k Curb Cut CITY SDC ELECT. PERMIT WILLAIVT\LA}iE TOTAL MTSCELLANEOUS PERMITS 0.00 50.00 50.00 2,297 .92 1,57 .40 1, 000 . 00 (E)3,585.32 (Excluding Electrical) unless oEherwise noted -. - TOTAIJ AII,OI,NT DUE - - - (A, B, C, D, and E combined)*J*4*2t 'l3o 1, t 1 SPRINGFIELD Job Number: 990594 CITY OF SPruNGFIELT', ONEGON Page 3 --- BUILDING VALUE, PLAIiI CHECK AI.ID BUILDING PERMIT --- This permit is granted on the express condition that the said construction shal-l, in all- respects, conform to the Ordlnance adopt.ed by the City of Sprj-ngfie1d, 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 ordj-nances. Plan Check Fee: 304.85 Date Paid Received By: Plans Reviewed By: AL WARD Date Building Site Reviewed By: BOB BARNHART Receipt Number: 0347L7os /20 / ee 06/22/ee --- ADDITIONAL COMMEMTS DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By eignat,ure, I Btate 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 sha1l be done in accordance with the Ordinances of the Ci-ty of Springfield, and the Laws of the State of Oregon pert.aining to the work described herein, and that NO OCCUPANCY wj-l-l- be made of any structure without permission of the Community Serwj-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. f further agree to ensure that al-l reguired 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 al-l times during construction. S ture Date --- VALIDATION --- Receipt Numrcer , 0?tl 5E L Date Paid., 6 3 f7 tr7 of. tfAmount Received Received By SPFlINGFIELt, 1. LOCATION OF INSTALLATION LEGAL oN 18 /r/ 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. 2. COI\TRACTOR INSTALLATION ONLY land use PERHIT APPLICATION Ci ty Job Nurnber COHPLETE FEE SCEEDTIIJ BELOV Nev Residential-Single or MuIti-Family per dvelling unit. Service Included: I tems Cos t s 8s.00 L $ ls.oo )O 225 FIFTE STREET SPRINGFTELD, oREGoN 974 INSPECTI0N REQIIESTz 72 OFFICE: 726-3759 Electrical Contractor SignatLlre 3 A t33oo Sum Superv i.so r CE nse Number 3q a3: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation B D E lr( f{ 4,/a_ 5-ve Address I s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 s 40.00 s ss.00 $ 80.00 see rrBtt a cit Expiration Date Constr Contr. N Expiration Date Phone 7ql 63)\ ' to- 3i)c C um ,0 Signature of rvising Electrician Owners Name eaaressbt? L Phone k7- 3 F0I 200 amps''or less I 201 amps to 400 amps / Over 401 to 600 amps 0ver 600 amps or 1000-id[s Branch Circuits J r p f. Ci ty OVNER INSTALI,ATION The installation is being made on roperty I ovn vhich is not intended or saIe, lease or rent. Nev, Alteration or Extension Per Panel One rrlircuit $ 35.00 sacil edditionalCircuit or vith Serviceor Feeder Permit _ $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Ou tline l,ighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 32 Administrative Fee TOTAL Itf- $ $ $ $ 00 00 00 00 40 40 20 36 0sners Signature: 5 DATE: RECEIVED B , j' ta /b7Yg Jsq JOURNAL NR JOB NO. q?O 6q4- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY:AN LOCATION DEVELOPMENT TYPE 5r l1- BUILDING SIZE OT SI Ft Toof 1. STORM DRAINAGE t2 a) IMPERViOUS SQ. FT 2. SANITARY SEI,JER-CITY BASE E Zj<la = ,69 7t -rr/Q = zbo 5{ w =t =t7c.{tg / zo=#, 7 bqT x $0.227 PER SQ. FT. $ Gil,3[ NO. OF PFU'S (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP l,o x $475.32 x $475.32 4. SANITARY SEt,JER-l'4t,,lMC A. REIMBURSEMENT COST: NO. OF FEU'S I X zrt,++ PER FEU B. IMPROVEMENT COST: N0. 0F FEU'S I X z;,zc>PER FEU Mi^jMC CREDIT IF APPLICABLE (SEE REVERSE) MI^IMC ADMINISTRATIVE FEE 5. ADl"lINISTRATIVE FEES t6 X $47.14 PER PFU $ 848,s2 $ 4 8o,oz $ $ 277,14- $ zC,t> X X SDC Coordi nator ATTACH 'A. hlPD <$-6+,0{ > $1 .00 SUBTOTAL (ADD ITEMS 1,2,3 & 4)$ z,t e*.. BTOTAL ABOVE) X .05 $ toq. 4z Date b -7qq ToTAL SDC $ 4 2q7, ?z_ FIXTURE UNIT CALCU[ ^TION TABLE: Number of New Fix, (NOTE: For remodels, calculate only*ne NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES 'rs X Unit Equivalent : Fixture Units UNIT FIXTURE EOUIVALENT UNITS Bathtub..... Drinking Fountain.... Floor Drain. ..........:..... lnterceptors For Grease/Oil/Solids/Etc............... lnterceptors For Sand/Auto Wash/Etc............... Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer).............. Receptor For Refrigerator/Water Station/Etc...... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.....:.... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen....... Urinal, Stall/Wall... Wash Basin/Lavatory, Single........ Toilet, Public lnstallation. Toilet, Private....... 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 z- 'z- lHead - Miscellaneous TOTAL FIXTURE UNITS ttr CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits rates 2t- Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value)x$ (Rate X Assessed Value) CREDIT TOTAL 4 Z7 X $ tf,c,urt + $ c+,qr Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1 989 1 990 1 991 1992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1.15 o.96 o.83 0.67 o.52 0.38 o.21 :----'.-'f979 or before $4.27\;id:.:- -a.1s1981 4.12 1982 3.99 1983 3.83 1984 3.68 1985 3.48 1986 3.18 1987 2.82 1988 2.42 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Onlyl Residential. Commerical........ lndustrial... Governmental..... o.4 o.9 o5 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT 2.- L fr NAME:B Willamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE WORKSHEET .loo. nro. 11 ,{ -L2,LDate PHONE:1 1?- ADDRESS:STATE:zlP:t?1?B LOCATION OF PROPOSED BUILDING SITE: Street Address: Plat Name:Tax Lot Number:t33cn 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calcvlations and dwetting t ype detinitions 1e on the bacK) A. Single-Family Detachect )q Single namiiy homd Manufactured home not in a park NO. OF UNtrS l. _ X $1,000 per unit = $IC s B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. Manufac'tured Home Park X $699 per unlt = $ \crG WLLAMALANE SDC $ 2. SDC CREDIT (il appncable) SDOaayer must tunhstr proof of Wltamatane Credit approval. See SOC Credit Wottcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduoed for Credit! $ trot ?\s DErblopment Services Department City of Sprihgfield NO. OF UNiTS