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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