HomeMy WebLinkAboutPermit Building 1998-09-08SPRTNGFIELEt
RESTDENTIAL PERMIT APPLICATION
CTTY OF SPRTNGFIEIJD
COMMT'NITY SERVICES DTVISTON
BUILDING SAFETY
Page 1
ilob Number: 981012
225 North Fifth Street
Springfield, OR 97471
Location of Proposed Work: 3333 OSAGE ST
Assessors Map #: 18020600
Lot:184 Block:
Office :
InspecLion Line:
726 -37 59
726-3769
Tax Lot #:
Subdivision:
00905
HAYDEN GARDENS 3
Owner: HAYDEN HOMES
Address: 3258 PINYON STREET
Phone #: '744-5956
cit.y/state/zip: SpRINGFIELD, OREGON 97478
NEWDescri-be Work: S.F. RESIDENCE
General:
Plumbing:
Mechanical:
Electrlcal:
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 241-6
Contractor
HAYDEN ENTERPRI OO922O8
2622 SW GLACIER PL #110 REDMOND OR
EMERALD VALLEY 0065055
3856 HAYDEN BRIDGE RD SPRINGFIELD O
HAYDEN ENTERPRI 0092208
2622 SW GLACIER PL #110 REDMOND
ALLEN ELECTRIC o0o&
12 SW 3RD ST MADRAS OR 9']141.0
-- OFFICE USE -
LAND USE: 111
ZON]NG CODE:
# OF BDRMS: 4
RANGE: E
ation
at
Const.
Cont,ractor #Expires
o7/2e/ee
os /ao / ee
o7 /2e / ee
Phone
7 44 - 6965
7 26 - 9485
923-6607
toa
o1 /99 546-0533
te 1
R3
6'E
To request an inspection, call the 24 hour recording at T
A11 inspections requested before 7:00 a.m. will be made Lhe same working day,inspections requested after 7:00 a.m. w1l-l- be made the following work day.
--- REQUIRED INSPECTIONS
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected
I,NDERFLOOR PLI,MBING _ Prior To insul
WATER LINE - Prior to fill-ing trench
SANITARY SEWER LINE - Prior to fil1i:
STORM SEWER LINE - Prior to filling
POST AND BEAII - Pri-or to floor insu]
INSULATION - Floor; prior to decking
ROUGH PLIIMBING - Prior to cover.
ROUGH MECHANfCAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering
FRAMING - Prlor to cover.
but pr to concrete placement
ngt
sheathing with finish
INSULATION - Fl-oor,. prior to decking Wa11/Ceiling; Prj_or to cover
DRYWALL - Prior to taping.
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 i-s complete.
FfNAL MECHAI{fCAL - When all mechanical- work is complete.
FINAL ELECTRICAL - When all elect.rical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is compl-ete.
cover
/F 46
SPFINGFIELD
Job Number: 981-01,2
OF SPruNGFIELT',
Page 2
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 4659
Total Height: 24
Lot Type: INTERIOR
Setbacks
SWE
L568
Lot Coverage: 39 Z
Setbk From NPL: 52
N
18
Item
Main
Garage
Tot.al Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMIT ---
Square Feet x
201,6
400
$/Square Feet
64 .56
L5 .2'7
(A)
Value
130,355.00
6, 508. 00
136,853.00
5L5.25
41.30
557 .55
PLI'MBING PERMIT
Item
Resldential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
1,92 .50
L92 .50
1,5 .41,
207.9L(c)
MECHA.I{ICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
fssuance
surcharge/admin
TOTAL PERMIT
3
5.00
4 .50
9.00
3.00
')a
10
1
50
00
B1
(D)34.31
MISCELLANEOUS PERMITS
Surcharge/admi-n
Sidewalk
Curb Cut
CITY SDC
PLAN REVTEW FEE
ELECTRICAL PERMIT
TOTAL MISCELLANEOUS PERMITS
0.00
L6 .45
14.80
2 ,432 .22
60.00
]40 .40
(E)2 , 663 .87
(Excluding Electrical )
unless otherwise notsed
TOTAL AT{OI'NT DUE - - -
(A, B, C, D, and E combined)3 ,463 .64
BUITDING VALUE, PLAN CHECK A}iID BUII,DING PERMIT
This permit ls granted on the express condition that the said construction
sha11, in al-l- respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulatj-ng the constructj-on and
use of bui-Idings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
SPFINGFIELE'
Job Number: 981-01-2
SPRINGflEA',
Page 3
Received By:
Plans Reviewed By: AL WARD
Building Site Reviewed By: LISA HOPPER
Date: oe/26/98
--- ADDITIONAL COMMENTS
A & T ESTIMATE ONLY FOR C]TY SDC CREDIT PURPOSES
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By signature, I 6tace and agree, that f 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
shaIl be done in accordance with the Ordinances of the Ci-ty of Springfield,
and the Laws of the State of Oregon pertaining to the work descri-bed herein,
and that NO OCCUPANCY will be made of any strucLure without permission of the
Communi-ty Services Division, Buildj-ng Safety. I furt.her 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 all required inspecLions are requested at the
proper time, Lhat each address is readable from the street, that the permlt
card is focated at the front of the property, and the approved set of plans
will- remain on the sit.e at all times during consLruction.
Signature Date
-----^ATTON ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
3t3nr- qz,qs
ATTACHMENT A
CiTY OF SPF. .GFIELD SYSTEMS DEVELO.
WORKSHEET
./UUKNAL UK JU6 I"IU
?8toia_
,ENT CHARGE
NAME OR COI,IPANY Hr VDF=tl l\rrvt'E
LOCATION a)/)4 ns*Ae
DEVELOPMENT TYPt z-FD
BUrLDrry"G S|ZE %tG LOT SLZE +G57 sQ Ft
1.STORM DRAiNAGE----- qfit;6+rbtzE)t t)t@) + 19t"3b + 751' tb +4o
IMPERVIOUS SQ. FT. IqSb X $0.227 PER SQ. FT. S *?4, *1
2. SANITARY SEI^/ER-CITY
NO. OF PFU'S --z_c $ t004,7L
(See Reverse Side)
3. TRANSPORTATION
NO OF UNIIS X TRiP RAiE X COST PER TRIP
X $47. 14 PER PFU
x $475.32
4 SAN ITARY SEI,,/ER-MWMC
A. REIMBURSEMENT COST
0F FEU'S / X Z7t,+*PER FEU
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
fh{,t
\t, 07
(
$ 27i,#+
5 -z5,eo
<$
$ i0.00
TOTAL-l'4t^JMC SDC $ ae,6+
$ ZZILftO
$ ll5,gL
/ x /,0/Y AAT? a)
NO
b IMPROVEI'1ENT COST:
NO. OF FEU'S x ?5',)zPER FEU
M[^/MC CREDIT IF APPLICABLE (SEE REVERSE)
MI//MC ADl',lINISTRATIVI FIE
SUBTOTAL (ADD ITIMS 1,2,3 & 4)
SDC Coordi nator
ATTACH'A. WPD
Date: 6 -/ 7- ?,?
TOTAL SDC s L+?7, L'>
I
/sl
BS
SPRINqFIELO
lend ueo
BIACmICAL r88l{rr
3. @IIPI.EIB PEB SCEEX'IA 88['g
:
A. Nev Residentlal-Slngle or
l{ultl-Fanl1y per drelltttg unlt. .
Servlce Included3 .: :, .:.+i... ,''Iteus Cost
ft. or .lcss $ 85.00ltlonal.5dlft or:portlon'
s 15.00
s not rsqulr€
4
z
225trm:,S[ts88f :.1: :
SIBIIGIIBIIT|.OBEGON
tlon lons
,: .:
, .:iri. l,''Sttt
s_
%
$ 4O.OO
I
,':
1-00
rnay ob
ris l
:Seeders
tlon or Reloca
20L to 4OO
s 40.00
s 55.00
s 80.00
see rBi eElifclanOverto 6O0
'"iB8oro.r."Ovcr 6@ aBPs'9
D. Branch Clrcults
5. ST'BIOTAL OP ABOVB
5Z State Surcharge'
3I Adulnlstratlve 8ee
TqfAL
Omers t{are Ner, Alteratlon or Bxtension Per Panel3?f{ 4-.at
ct
(,IIIBR IIISIAIJATTCI
one Clrcult :'
Bach Addltlonal ':,. T
Clrcult or vlth'Serylce
or Seeder Pemlt
$'35.00
$ 2.Oo
The'lnstellatton ls belng.:rade on
property I'om:vhii:h le rtot lntended
for, sales': leasc or ' rent. . . .
firaers Slgnature:
E. l{tscellaneous (Servlce/feeder not lncluded)
-Bach lnstaIlatlon
Pulp or trrlgatlonsifizoutune-Llghll"gTLhlted BnergY/Res
Ltdted PnergYlCnlt
s 40.00
$ 40;00
$ 20.00
$ 36.00.
OFEGOru-cl TY OF SPR'NGFIELD.
RECUTY.8I)
or, Relocat
,44*b,u,:'
E /{'/
CITY OF SPFINGFIELD, OREGOA'
I
It\TGFtELC,
ETAGIRICAL PERITIT
Ctty Job Nurber'
$r/'nzzs ErnE srBBEf, oll i,i
sPRrlrcEIBur, oRBGoN 97177 '1. ["t
ITISPBCII0il RE0UBSIT 126-37.69
OPEICE: 726-3759
ll\
Pernl ts transferablelf vork ls not started vl
of 'tssuence or l'f vork
180 days.
2. OOtIIR/IC1!R
Electrical Cont
Address
@TPI.ETB PBB SCEEXXIA BBIITT
liev Residentlal-Slngle or
llu1ti-Fanl1y per dvelllng unlt.
servlce rncruded: rteus cost
1000 . or less s 8s.00
Each lona1 500
sq.ft or portlon
$ 15.@f'd Bone. or
Drelllng
$ 40.00ce or Feeder
sq. ft
addi t
Serv.i.ces or Pcedcrs
Installation, Alterations
or Relocatlon:
SUBTOTAL OP ABOVE
5Z State Surcharge
3Z Adulnistratlve Fee
TOTAL
3.
.A.
c
1i u)CATTON
t
{
' Sun
o(
ct
Supervisor License Nurber
Expi ration Date
Constr Contr. Nunber
Expira tion Date
Slgoature of Supervlslag Electrlclan
Teloorarv Servlces or Feeders
Installaiion, Alteratlon or Reloeation
200 anps or less
201'anps to 40O trPs
-
401 aups to.600 trps
-
601 anps to 10OO !rPs-
Over 1000 anps/volts
-
Reconnect OnlY
$a 50
60
100
$
s
s
00
00
OQ
$130.00
$300.00
$ 40.00
Omers Naue
Address 72{{
Ci ty il Phone 7?-6V66
OSNER NSTALIAITON
The lnstallation ls belng aade on
property I ovn vhtbh ls not lntended
for sale' Iease or rent.
(hmers Slgnature:
DATts:
rroBffiH3:T 188".,,"*i : r r sd[8g,l i{tftiAkt B@REdEJt{EWqtK
,, ;'rovca;{ffpaEnqffiS pffinTY5'ffifr
D. : ib'ia;Ai' e'fil&if,l8'lD0NED FOR
-Bach installatlon
Purp or irrigatlon
Stgn/Outllne Llghtlng-
Lhlted BnergY/Res
Llnlted EnergJY/Cou
: ;,,, ,1'.)
Nev, Alteration or Bxtension Per Panel
One Circuit S 35.00
e."h Aaaitional
Circuit or vith Service
or Peeder Pernit S 2.00
E. Hiscellaneous (Servtce/feeder not included)
s 40.00
S 55.00!
-
s 80.00
see rBi aEiit
s 40.00
$ 40.00
$ 20.00
$ 36.00
5
RPCEN'BD
oo
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