HomeMy WebLinkAboutPermit Building 1978-05-13SPRINGFIELD
o
h,
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIEI,D
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Nunber: 950735
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 3538 S REDWOOD DR
Assessors I'tap #: L80205L2
Lot: 73 Block:
Office:
Inspection Line:
726 -37 s9
726-37 59
Tax Lot #
Subdivision
02500
}IAYDEN GARDENS 1
OwneT: IIAYDEN ENTERPRISES
Address: 899 SOUTH 32ND STREET
Phone #: 744-6956
City/State/Zrp: SPRINGFIELD, OREGON 97478
Describe Work: S.F. RESIDENCE NEW
General:
Plumbing:
Mechanical
El-ectrical-
Contractor
HAYDEN ENTERPR] OO922O8
1511 SW 33rd Redmond OR 97755OOOO
EMERALD VALLEY 0051737
2727 N 2Oth Springfield OR 97477000
HAYDEN ENTERPRI OO922O8
15L1 SW 33rd Redmond OR 977550000
ALLEN ELECTRIC OOOO958
20L N 3rd Madras OR 977410000
ConsE.
Contractor #Expiree
o7 /2e / e6
0e/1.e/e6
07 /2e / e6
oe /24 / eo
Phone
923 - 6507
683 - 5115
923 -5607
47 5 -2L39
QUAD AREA: 3RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 1593
-- OFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
To request an inepection, call the 24 howr recording aL 726-3769.
A11 inspections reguested before 7:00 a.m. will be made Ehe same working day,
inspections reqnlesEed after 7:00 a.m. wj-II be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erecEed buE prior to concreEe placement.
IIIIDERFLOOR PLUIIBING - Prior to insulation or decking.
POST AriID BEA!{ - Prior to floor insulation or decking.
INSULATTON - Floor; prior to decking Wa11/Ceiling; Prior to cover
SAIIITARY SEWER LINE - Prior to filling trench.
STORII SEWER LINE - Prior to filling trench.
WATER LINE - Prior to fill-ing trench.
ROUGH PLI,MBING - PriOr TO CO\IET.
ROUGH MECIIAI{ICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR.AIIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior 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 PLUIIBING - When all plumbing work is complete.
FINAL MECIIAI.IICAL - When al-l- mechanical work is complete.
FINAT ETECTRICAL - When alI efectrical work is complete.
FINAL BUILDING - When a1I required inspections have been approved and
the building is complete.
SPFIilGFIELD
a
h,
.Iob Number: 950735
SPilNGFIEI.O,
Page 2
Total Height: 15
Lot Type: INTERIOR
Setbk From NPL: 50 Solar Approved: Y
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/edmin
TOTAL FEE
--- BUII.DING PERMIT ---
Square Feet x
113 3
560
$/Sguare Feet
56.20
1,4.L0
(A)
VaIue
53,575.0O
7 ,896 . OO
7L,571,.00
349.00
27.92
37 6 .92
--- SYSTEITIS DEVETOPMEMT CHARGE (SDC)
(B)
SysEems Development Charge is due on all undeveloped properties within the City
limits and Ehe Citys Urban Growth Boundry which are being improved.
--- PLI,MBING PERITTIT ---
1. 588 .05. :o+
Item
Residential Bath(s)
Plumbing Permit
Surcharge/edmin
TOTAL CIIARGE
2
Fee
150.00
150.00
12.80
t72.80(c)
--- MECHA}iIICAL PERMIT ---
Exhaust Hood
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Ramin
TOTAL PERMIT (D)
4.50
3.00
15.50
10.00
1.33
27 .83
--- MISCELI,A}IEOUS PERMITS ---
Surcharge/admin
Sidewal-k
Curb Cut
PLAN REVIEW
ELECTRICAL PERMIT
TOTAL MISCELLA}IEOUS PERMITS
0.00
20.50
13.90
40.00
L24.20
(E)198.50
(Excluding Electrical)
unlegs otsherwiEe noted
--- TOTAL A}{OI'NT DUE .--
(A, B, C, D, and E combined)2,364.ffi
--- BUILDING VALUE, PITAtrI CHECK AIID BUILDING PERMIT
This permit is granted on the express condition that the said construction
shal1, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the DevelopmenL Code, regulating the construction and
use of buildings, and may be suspended or revoked aE any time upon violation
of any provisions of said ordinances.
SPRINGFIELD
Job Numlcer: 950735
a a
Page 3
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LrSA HOPPER
Date: o7 /o7 /95
--- ADDITIONAL COMMET{TS ---
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By eignaEure, I atate and agree, that I have carefully examined
the completed applicaEion and do hereby certify EhaE 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 Cit.y of Springfield,
and the Laws of the Stat,e of Oregon pert,aining Lo the work described herein,
and that NO OCCUPANCY will be made of any sEructure wit,hout permission of the
Community Services Division, Building Safety. I furt,her certify thaE only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that a]L reguired inspections are reguested at the
proper time, Ehat each address is readable from the street, that the permit
card is located at the front, of the properLy, and the approved set of plans
will remain on the site at al-] times during construction.
Date
--- VAI,TDATION ---
.{tu8Receipt Number
Date Paid
Amount Received
Received By
5 \3q V
225 FIFTE STREET F.\o'n
SPRINGFIELD, OREGON 97 477
INSPECTION REQUEST, 72q47$$hortze<1
OFFICE: 726-3759
BLECTRICAI PERHIT APPLICATION
Nunber
COHPIJTB FBE SCffiDT'LE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit-
Service rncfudedt ,,"*, cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amPs _601 amps to 1000 amPS-
Over 1000 amps/voIts
-
Reconnect 0n1Y
Temporary Services or Feeders
Installation, Al-teration or Relocation
SPR..r'SFlELI)
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
Qfr,The followir'41 pn,lcqt aa *bmkted ha8 tha
zaning, andb6es not rtqtilro qaeefiie land
approval.
1
3
A39zA 4
I-JGAL DESCRT
1-0b t7l*r 1zl
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or i.f vork is suspended for
180 days.
2. COMRACTOR INSTALLATION ONLY B.
Electrical contrac r.t r4l/*tt Ebd,4
Address I 2 s l.'l)=n sz
ciq /L//€DR/4< Phone tl z t - )t J /
Supervisor License Number al S
Expirat ion Date /O -/ ""7,r
C
Constr Contr. Number bA 7t/{
Expiration Date
Signature of sing Electrician
Owners Name
Address "d
b.
city 1p-Fizi Phone > lt u - zl?a{
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orrners Signature:
200 amps"or less
201 amps to 400 anPs
-
Over 40L to 600 amps
Over 600 amps or 1000 voTTs
Sum6
@1-
s s0.00
s 60.00
s 100. 00
s 130. oo
s300.00s 40.00
$
s
$
s
40.00
55.00
80.00
D- Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
ee ItB,t a6ovE-
not included)
40.00
40.00
20.00
36.00
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation S
signZOutl-ine Lighting-- S
Liili ted Energy/Res S
Limited Energy/Comm S
5
DATE:
RECEI J-Xl i l\ xRECEIVED
oo
LOCATION OF
q5u%
qS O,7z-c-B NO.
CITYoFSPRINGFIELDSYSTEMSDEVELoPMENTCHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
4e tre>1,tc-NAME OR COMPANY YDEN Te<
RF-owoo D DP-1*oz-o bl7 - O 2>(e eo
LOCAT ION:75 ?b 5.
^t 9rDEVELOPMENT TYPE:LD K-- NL
BUTLDING SIZE:
ryry-DuixeE
IMPERVIoUS SQ. FT.
2. SANITARY SEl,IER_CITY
NO. OF PFU'S
(See Reverse)
T SIZ
N,A x $0.209 PER SQ. FT
X $43.26 PER PFU
x $436.19
x $436. 19
x $436. 19
a. Ft.
I
tg
3. TRANS PORTA TION
NO OF UNITS X TRIP RATE X COST PER TRIP
I
X
t.o
$
S
4. SANITARY SEI,IER-Mt,lMC
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
ADMINISTRATIVE FEES
BASE CHARGE (SUBT0TAL AB0VE) X -0s
Kip Burd
NO. OF PFU'S Ig X $17.19 PER PFU + $10 MI'IMC ADM FEE
(Use PFU Tota'l From Item 2 Above)
s 3rq+9
Z9Zt
5
TOTAL -t'lwMc SDC
SUBT0TAL (ADD ITEMS 1,2,3 & 4) $ l,tztz
-a-
SDC Coordinator
Date:
TOTAL SDC s1 o4ss6 :
I
57 fn<
FIXTURE UNIT.LATtf- ^t TABLE: Number of Ncw fxtures X rrnit Equivatcnt - Fixturc Units
(NOTE: For
FIXTURE TYPE
Bathtub-----
Drinking Fountain.---
Floor Drain-----
lnterceptors For Grease/Oit/Solids/Etc" " -' - - "' - " "'
lnterceptors For Sand/Auto Wastr/Etc""""":"""'
Laundry Tub/Ctotheswastler" " "
Clotheswastrer - 3 Or More""'
Mobile Homc Park Trap (1 Per Trailcr)
Receptor For Refrigerator/lvater Station/Etc
Roceptor For Commercial Sink/Dishwasher/Etc"
Shower. Single Statl--.--.----
Shower. Gang--------- """"""""
Sink: Bar. Commercial. Residential Kitchen
Urinal, StallA/Vall..-
Wash Basin/Lavatory, Single"""""
Toilet, Public lnstallation
Toilct, Private..-.---.--
Miscetlaneous
only the htrr' additional fixturcsl
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE --
UNITS
CREDIT CALCULATTON TABLE: Based on assess
calculatc credits scparatcs
Credit fbi Parcet or Land Only lf Applicabte
lmprovelment (if after annexation date)
Z
Z
z-
TOT;\L Ft>il UR{- Ut!ll S
ed value- lf imProvements occurre
b.+b x $1,58
(Rate X Assessed Value)x$
(Rate X Assessed Value)
2
d after annexation datc in tabte,
LA 9
CREDIT TOTAL ZG 27
l
?-
"
I
/Head
2
1
2
J
6
2
6
6
1
3
2
1
2
2
1
6
4
2
Year
Anoexed
Rate per $ i,OOO
Assessed ValueYear
Annexed
Rate per $1.OOO
Assessed Value
1 985
1 986
1 987
1 9BB
1 989
1990
1 991
1 993
s 2.46
2.14
1--17
1.37
o.97
0.61
o-44
o.15
1979 or before
1 980
1981
1 982
1€83
't 984
1 985
$3.46
3.38
3.32
3.21
3-O6
2-92
2-73
L
\8
City of Springlield / Development Serices
Building Safety
225 North Fifth Street
Job Number
Job Address
7 5^Date t 7'?6
f,33 tCe->D-€_To pzZrz/ azi-e7_
3PtixttllLo
))-aD 7'a< 5',z-JS-ZaeZZ"y'/a
e).e*fr
Call for reinspection
*************** call for inspection 726-3769 *****726-3759*t ********
-:t*ii.T,ffi'
iffii;l^';";;o*"1?1-ll
**^t.',",,:*^;':'t*;ru,*:x:
Itt"-'"?Lo*o*o
-BrrilrJins-
9?'i5t'
Job *r 930?35
$escriPtion
Relnspect'ir"on
Fee
Total I
on.r *TfJ""ulT: osar
thanl'. yorr' Nancy
Fee
t5 '00
l1:BB checl'l
$.
I
l
: -i ..
')
Cit,Y of SPr'ingfield--
??-.t Fifth Str'eet
Sr,r ing+ieid, GR 97+77' tin:) ?ab-3753
Tr.ansaction nrjmtler' 02ee30
'
lr.l^.
-aO, 199[ 8: 1t Al't
Received f r-'ottr I
f,ont r'act /0un :
ArJdr'ess: ?378
Cit,Y: F:EB}'I0NB
-Er-ii ldinq-
Jotr *: 950735
Irescr iPt, ion
ReinsPect,ion Fee
Total I
Anrt, Received:
Chectr *: 498
Thantl you' Lorne F'
FHILLIF CRUI{HY
rnii:sae s F:Elll'lllot' ttR '
N CANAL EI-UN.,r e'r'-'
St,: 0R ZrP: 97?56
:::r-1.
18.00
15,00
Fee
15.00
Check
(
1\
(