HomeMy WebLinkAboutPermit Building 1996-12-10aTroF
SPRIIl.GFIELD
a
RESIDENTIAI. PERTTIT APPI,ICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVTCES DIVISION
BUTIJDING SAFETY
Page 1
ilob Number: 95L283
225 North Fifth SLreet
Springfield, OR 97477
Location of Propoaed Work: 952 SITMMfT BL\ID
Assessors tutap #: 17033411
Lot: Block:
Office:
Inspection Line:
726 -37 59
726-37 69
Tax Lot #: 05302
Subdivision:
Owner: BILL DION-}IATSON
Address: 952 SUMMIT BLVD
Describe Work: COMPLETE LOWER FLOOR
Phone #: 741,-0279
city/state/zip: SPRINGFTELD, OREGON 97477
REMODEL
General:
Mechanical:
Electrical:
Contractor
RAD CONSTRUCT]O
PO BOX 77,25, SPRINGFIELD,
RAD CONSTRUCTIO
PO BOX 7L25, SPRINGFIELD,
OWNER
Conat.
Contractor #Expires
L2/0s/96
12/as/e6
Phone
725-9520
726 - 9520
0087379
OR
oo87 37 9
OR
QUAD AREA: 1RNW
-- OFFICE USE --
LAND USE: 1111 # OF BLDGS: 1
To request an inspection, call Ehe 24 howr recording al 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections req$rested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After Lrenches are excavated.
ITNDERFLOOR PLIIMBING - Prior to insulation or decking.
POST AI{D BEA}I - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
ROUGH PLITMBING - Prior to cover.
ROUGH IIiECEAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
FR,AIIING - Prior to cover.
INSULATfON - Floor,' prior to decking wa1l/Ceiling; Prior to cover
DRYWALL - Prior to taping.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECIIAI'IICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all reguired inspections have been approved and
the building is compleEe.
Item
Main
Garage
LOWER FLR.ADD'N
Total- Value
Building Permit Fee
Surcharge/aamin
--- BUII,DING PERMIT ---
Square Feet x $/Square Feet Value
0.00
4, 000, 085.00
242 .50
L9 .41,
5b,tltl6 o. oo
' a --OO€-*8.6---O.A
TOTAI, FEE
873 4de>-
)
(A)26L.9L
SPFTNGFIELEl
Job Number: 96L283
OTT OF SPruNGFTEID,o
Page 2
--- SYSTEMS DEVEI.OPITTENT CIIARGE (SDC)
(B)49t.48
Systems Development Charge is due on all undeveloped properties within the Cj-ty
limits and the Citys Urban crowth Boundry which are being improved.
--- PLI'MBING PERMIT ---
ftem
Fixtures
Plumbing Permit
Surcharge/admin
TOTAI. CIIARGE
3
Fee
30.00
30.00
2 .40
(c)32 .40
Vent Fan
DUCT WORK
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
--- MECIIAI{ICAL PERMIT ---
3
(D)
0.00
4.50
26.20
15.00
10.00
L.20
-- - MISCELI.ATiIEOUS PERMITS
Surcharge/admin
PLAN REVIEW AD,JUST
TOTAI, MISCELLATiIEOUS PERMITS (E)
0.00
2 .93
2.93
(Excluding Electrical)
unleEs otherwise noted
- -. TOTAI. AMOT'NT DUE - - -
(A, B, C, D, and E combined)H.eyd r'a*lf
8L4.92
6b,?6ge1P6
--- BUII.DING VAI,UE, PI.AIiI CIIECK AT.ID BUILDING PERMIT ---
This permiL is granted on the express condition Ehat the said construction
shal1, in all respects, conform to Lhe Ordinance adopted by the City of
Springfietd, 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.
Plan Check Fee: 157.40 Date Paid:
Received By:
Plans Reviewed By: Date:
Building Site Reviewed By: LISA HOPPER
oe/24/e6
Lo /t7 / e6
Receipt Number t 23255
--- ADDITIONAL COMMENTS
PATH ]-
SEPARATE ELECTRICAL PERMIT IS REQU]RED
By signature, I staEe and agree, that I have carefully examined
the completed application and do hereby certify that al-I information hereon
is true and correcL, and I further certify that any and all work performed
sha1l 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 wilt be made of any strucLure without permission of the
Community Services Division, Building Safety. I furEher certify that only
contractors and employees who are in compliance with ORS 701.055 wil-I be
used on this project.
SPHINGFIELD
ilob Number: 96L283 Page 3
I further agree Eo ensure that all- required inspections are requested at the
proper Eime, that each address is readable from the street, that the permit
card is l-ocated at the front of the property, and the approved set of plans
wil-I remain on the e times construction.
o
s ture Date
--- VALIDATION ...'l40lt0Receipt Number:
Date Paid:
Amount Received:
Received By:
t7-.p qb
OTTOF
CITY OF SPruNGFIELD,
SPRT]l.GFIELD
Page 1
CITY OF SPRINGFIEI,D SYSTEMS DEVELOPMENT CIIARGE
(RESIDENTIAL)
Name or Company: BILL DION-WATSON
Location: 952 SUMMIT BLVD
Developement Tl/pe: R Building Size:
,.fob No. : 96L283
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SATiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRANSPORTATION
Number Of Units
Transportation Total
4. SAI{ITARY SEWER - MI'IMC
Number Of PFUs
7
5. ADMINISTRATIVE FEES
Base Charge (Subtotal- Above)
X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
X Trip Rate X Cost, Per Trip
7
$0.00
$313.2s
$o. oo
$1s4 . 83
$o. oo
$r_s4.83
$458.08
$23.40
x
x
Per PFU +
2O.59O +
MWMC Admi-n Fee
10.00
MI1MC CREDIT If applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add Itema 1, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: DENNfS ERNST Date: 1,0/1,7/95
$491.48
CITY OF SPilNGFIEI-D,
SPRINGFIELD
'fob Number: 96L283 Page 2
FIXTURE I'NIT CALCULATION TABLE
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
FLoor Drain
Interceptors For Grease/Oi1/Sol-ids/Atc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stal-I
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stal1/Wa1L
Wash Basin/LavaLory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE IINITS =
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(cal-culations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable: 0 X 0.00 = 0.00
Improvement (if after annexation date): 0 X 0.00 = 0.00
CREDIT TOTAL = $0.00
(If land value is multiplied by 1 then the parcel-/l-and credit is not accurate.)
)
0
0
0
U
n
0
0
0
0
0
1
0
4
0
7
2
1
)
3
6
)
6
1
3
)
1
6
4
1
n
n
U
n
0
0
0
0
0
0
0
1
0
1
0
SPFI :LC'
ELECTRICAT PERHIT APPLICATION
afi,
..: i, ,.a.
lDL225 TIYTH STREET
SPRINGFIETD, ORXGON 97477 ' i. ';" -1 - ,
IHI3:T")rX3ffi'
: 726-37'f Atoffa Ci ty Job Nurnber ?6/b3
Authorlzed Sig
t I,OCATTON OF INSTALLATION
I..EGAL DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork J-s suspended for
180 days.
2. CONTRASIOR INSTALT.ATION ONLY
Electricaf Contractor
Address
Ci tv Phone
Supervisor License Number
Expiration Date-
Signature of Supervising Electrician
0vners Name
Address
Ci ty Phone
OVNER INSTALI,ATION
The instal]ation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
Onners Signature:
SCMDULE BELOV
New Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq,ft. or }ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
s 8s.00
s 15.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocat ion:
A
B
E
00
00
00
ess /OO14g4 S 50.00
00 amps S 60.00
00 amps 5100.00
ooo amps- S13o.oos/volts
-
S3oo.00
Sum
Zn Co
.'(Jt
Expiration Date
Constr Contr. Number
Temporary Services or Feeders
Installation, Alteration or RelocationC
200 amps or I
201 amps to 4
401 amps .to 6
60L amps to L
Over 1000 amp
Reeonnect Onl
200 amps''or
201 amps to
Over 401 to
Over 600 am
t-
4
6
ps
es
00
00
$40sss
sB0
see
s
amPs _
amps
1000-voITs rrgrr u[[[f-or
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit a^ S 2.00
Miscel-Ianeous (Service/feeder not incfuded)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited EnergY/Res
L j.mi ted EnergY/Comm
7
/2_
s
s
$
s
00
00
00
00
40
40
20
36
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
,/ -> aO<a/-,z./ o
DATE:
RECEIVED @Q2 ,'
JOB DESCRIPTI0N . /c;/,*- ,- : ktcr fr' ^l) \
Sn.et
-/
( -
SPFlII\GFtELI)
CAL PERHIT
-)r;; , - nL
,,, L?5141L
225 FIFTE STREET Ae.;r:.rr:.r<j -,,,,," ..,. U nt ELECTRI
INSPECf,TON REQUEST: 726-3769 Citv Jo
OFFICE: 726-3759
b Nurnber
3. COHPTETE PEE SCEEDTILE BELOIJ
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
amps or less
amps to 400 amps
-
TION OF INSTALI-ATTON
LEGAL DESCRIPTION
o ,fffiPfi7/ac*,--,
ON
Sum
40. 00
55.00
80.00
ee irBrt a6ove
not included)
40.00
40.00
20.00
36.00
A
/7-o7-v7-/// a?^
JOB PTION
6
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. COMRACTOR INSTALI.ATION OM.Y B.
Electrical Contractor
Address
Ci Phone *TEff
Supervisor Li
, .lt
ber _ _ '.--
C.
Expiration Date
40L amps to 600 amps _
601 amps to 1000 amps-
Over l-000 amps/volts
200 amps''or less
201 amps to 400 amps _
Over 401 to 600 amPs
Over 600 amps or 1000-7oFs
- a,//
Exoiration Date
constr contr. Number 6 V2-7a
s s0.00
s 60.00
s100. 00
s130. 00
$300.00s 40.00
$
$
s
s
7230/.oa.302/,1a
Signa
Ovners Name
Add ress
\)
"""1!{!-e4{1Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
f or sal-e , lease or ren t .
Ovners Signature:
DATE:
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
t)
D
E Miscellaneous (Service/feeder
-Each instafLation
Pump or irrigation $
sign/outJ-ine Lighting- S
Liiited Energy/Res , $w
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTATRECEIVED
Temporary Services or Feeders
Installation, Alteration or Relocation