HomeMy WebLinkAboutPermit Building 1995-12-04SPR!NGFIELD
RESIDENTIAL PERMIT APPLIEATION
CITY OF SPRINGFIEI,D
COMMI'NITY SERVICES DIVISION
BUILDTNG SAFETY
Page 1
ilob Number: 95L779
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 224 SEIIARD ST
Assessors Map #: L7032332
Lot: Block:
office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #: 03500
Subdivision:
CITY OF SPilNGFIELT', ONEGON
Owner: iIERRY TABOR
Address: 224 SEWARD
Describe Work: FAIdILY ROOIT! ADDITfON
Phone #: 746-0L79
citylstare/zip: SPRINGFIELD, OREGON 97477
ADDITION
ConEractor
General: OWNER OOL8222
224 Seward Springfiel-d OR 97477OOOO
Efectrical-: OWNER
Conet.
Cont,racEor #Expiree
08/os/e6
Phone
746-0L79
QUAD AREA: 5RNW
OCCY GROUP: R3
SQ FOOTAGE: 5L2
OFFICE USE --
LAND USE: 111-l-
CONSTR. TYPE: VN
ZONING CODE: LDR
INSUL PATH: P1
To request an inspecEion, cal-I the 24 hour recordj-ng aL 725-3759.
A11 inspections requested before 7:00 a.m. will be made Ehe same working day,
inspecEions requested aft,er ?:OO a.m. will be made the following work day.
--- REQUIRED INSPECTIONS --.
FOOTING - After Lrenches are excavated.
FOITNDATION - After forms are erected but prior Eo concrete placement.
T IIDERFLOOR MECIIAIiIICAIJ - Prior to insulauion or decking.
FRAIIING - Prior to cover.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
STORM SEWER LINE - Prior to fil-l-ing trench.
ROUGH ELECTRICAL - Prior Eo cover.
FRAI{ING - Prior to cover.
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
DRYSIALL - Prior Eo taping.
FINAL MECHAI'IICAL - When all mechanical work is compleEe.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When aI1 required inspections have been approved and
t.he building is complete.
Lot Faces: S
Solar Approved: Y
House
Total Height: 15
Lot Type: CORNER
Setbacks
SWE
25 42
Setbk From NPL: 34
N
26
IEem
Main
Totaf Value
Building Permit Fee
Surcharge/Admin
BUILDING PERMIT
Square Feet x
5a2
$/Square Feet
56.20
VaIue
28,774.0O
28,774.OO
188.50
15.09
TOTAL FEE (A)203.59
SPRINGFIELI,
ilob Number: 95L779
OTT OF ONEGON
Page 2
--- SYSTE}TS DEVEI.OPMENT CIIARGE (SDC)
(B)1L2.90
Systems Development Charge is due on all undeveloped properties witshin the City
Iimits and the Citys Urban Growth Boundry which are being improved.
PIJIIMBING PERMIT
Item
Storm Sewer
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
Fee
25.00
25.00
2.OO
(c)27 .OO
--- MISCELLAI{EOUS PERMITS ---
Surcharge/admin
PLAN REVIEW FEE
TOTAT MISCEI.I.NiIEOUS PERMITS (E)
0.00
L22.53
L22.53
(Excluding Electrical.)
un1eEs otherwiee noted
--- TOTAI. AMOI'NT DUE ---
(A, B, C, D, and E combined)466.02
--- BUILDING VALUE, PIA}I CHECK A}ID BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, 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 ordinances.
Received By:
Plans Reviewed By: DON MOORE
Building Site Reviewed By: LISA HOPPER
Date:1,2/04/9s
--- ADDITIONAI, COMMENTS
By signature, I aEate and agree, that I have carefully examined
the completed application and do hereby cerEify that all information hereon
is true and correct, and I further certify that any and aII work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are j-n compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that alf required inspections are requested at the
proper time, that each address is readabl-e from the streeL, that the permit
card is tocated at the front of the property, and the approved set of plans
wil-L remain on the site aL all times during construction.
tg-r qs
Signatu Date
SPRINGFIELD
.fob Number: 95L779
CITY OF SPruNGFIELI', ONEGON
Page 3
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VAI.IDATION ---
fa e, /4
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOP}IENT CHARGE
(RESIDENTIAI,)
Name or Company: .]ERRY TABOR
Location:. 224 SEWARD ST
Developement T)4ge: R Building Size:
.fob No. : 95L779
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft
2. SANTTARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Uni-ts
5. ADMINISTRJATIVE FEES
Base Charge (Subtotal Above)
5a2 X 0.210 Per Sq Ft =
X 43.43 Per PFU =
X Trip Rate X Cost Per Trj-p
0
$1-07. s2
$0. 0o
$o. oo
$0.00
$o. oo
$0.00
slo7.s2
$s.38
Transportation Total
4. SAIiIITARY SEWER - MI'MC
Number Of PFUs
0
MIMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add lt,ems 1, 2, 3 & 4)
Per PFU + MhMC Admin Fee
t-8.750
x
x
x 0.50
TOTAT SDC
Reviewed By: TROY MCALLISTER Date: 1,1,/L5/95
$r.12 .90
Sq Ft
Job Number: 951,779 Page 2
FIXTURE I'NIT CALCULATTON TABTE
Fixture Tlpe
Number of
New Fixture
Unit.
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oit/Solids/Btc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/ Clot.heswasher
Clotrheswasher - 3 Or More
Receptor For Refrigerator/Water Station,/ftc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal1
Shower, Gang
Sj-nk, Bar, Commercial, Residential Kitchen
Urinal, Sta1l/Wall
Wash Basin/Lavatory, Sj-ngle
Water Closet, Public Installation
Water Closet, Private
Miscel-Ianeous
TOTAL FIXTTIRE UNITS =
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are calculated separat,ely.
(caLculations are by $1000)
Year Annexed:
Credit For Parcel- Or Land Only If Applicable: O X 0.00 = O.OO
Improvement (if after annexaLion date): 0 X 0.00 = O.OO
CREDIT TOTAL = $0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
2
3
6
a
6
1
3
z
2
2
1
6
4
SPfi JFIEL()
Th e lollowing Proloct eg afi,uiro eTcciiizoning, ano
approval.
Zcn u
spRrNGFrELD, OREGON 97 4Jil,-,,,:,":.- ..t j '::'
INSPEC;TION REQUEST: 726-3769
OFFICE: 726-3759
1.LOCATION OF INSTALTATTON
JOB DE ON
Permits are non-transferabl-e and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days. ,
,
2. CONTRACTOR INSTA-LI,ATTON ONLY
Electrical Contractor
Address
City Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Dat"
Signature of Supervising Electrician
0vners Name
Address 22/
Ynone 7y'6 - O/V?
225 TTFIE STREET
Ci ty
OVNER INSTALI,A.TION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
B
C
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI
ELECTRICAL PERUIT APPLICATION
Ci ty Job Nunber
COHPLETE FEE SCMDUI^E BELOS
Nev Residential--Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular Dvelling
Service or Feeder
s 8s.00
1s.00
Services or Feeders
InstalIation, 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/volts
Reconnect Only
Temporary Services or Feeders
Installation, ALteration or Relocation
3
A
Sum
s
s 40.00
s s0.00
s 60.00
200 amps''or less
20L amps to 400 amps
-Over 401 to 600 amps
over 600 amps or 1000-vofTs
s100.00
s130.00
s300.00s 40.00
s 40.
S 55'
S 80.
seg tt
$ 3s.00
s 2.00
00
o0
00
B" a66G-
Nev, Alteration or Extension Per Panel
One Circuit L-
Each Addi tional
Circuit or vith Service
or Feeder Permi, 2_
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S
Sign/OutIine Lighting- S
Limited Energy/Res $
Limited Energy/Comm S
3fr@lfls
/,t ?
.c/ ae4-*lea
2<rc.'Lr.
40.00
40.00
20.00
36.00
RECEIVED
2
5
/L