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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 9r,,6,rt