HomeMy WebLinkAboutPermit Building 1995-08-15OTT OF SPilNGFIELD,
-\
SPRINGFIELD
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
a
ilob Number: 951135
225 North Fifth Street
Springfield, oR 97477
Location of Propoaed Work: 1834 SWAI{K CT
Assessors l"tap #: l-.7032542
Lot: Block:
Of f i-ce:
Inspection Line:
725 -37 59
726 -37 69
Tax Lot #: 05200
Subdivision:
Owner: VERYL KELSON
Address: 1834 SWANK COURT
Describe Work: CARPORT/SHOP
Phone #: 726-8395
city/state/zip: SPRTNGFIELD, OREGON 97477
NEW
Contractor
Conet.
Cont,ract,or #Expiree
07 /30/es
Phone
726 - 8395General-:
Electri-ca1
owNER 0067507
1834 Swank Ct Springfield OR 974770
OIINER
QUAD AREA: 2RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: 288
-- oFFrcE usE --
LAND USE: 1111
OCCY GROUP: M
# OF BLDGS: 1
CONSTR. TYPE:
To requeet an inspecEion, call the 24 hour recording aL 726-3769.
A11 inspections requested before 7:00 a.m. will be made the same working day,
inspections requested after 7:00 a.m. will- be made the fol-lowing work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavaEed.
SLAB - To be made after aII inslab building service eguipment, conduit
piping, and other equipment items are in place buE prior to concrete
STORM SEWER LINE - Prior to fillj-ng trench.
FRAMING - Prior to cover.
FINAL BUILDING - When all reguired i-nspections have been approved and
the building is complete.
--- BUII,DING PERI{IT ---
Sguare Feet x $/Square FeetItem
Main
Garage
SHOP
Total- VaLue
Building Permit Fee
Surcharge/Admin
TOTAI. FEE
96 14.1
Value
0.00
0.00
1,354.00
3,293.00
44 50
573
48.07(A)
--- SYSTEMS DEVEI.OPMENT CTIARGE (SDC)
(B)L28.99
Systems Development Charge is due on all undeveloped properties within the City
Limits and the Citys Urban Growth Boundry which are being j-mproved.
Item
Storm Sewer
Fee
25 .00
--- PLI'}IBING PER}TIT ---
L
SPRINGFIELD
Job Number: 951-l-36
CITY OF a
Page 2
Plumbing Permit
Surcharge/admin
TOTAL CIIARGE (c)
25.00
2.OO
27.00
(Excluding Elect,rical)
unlesE otherwise noted
--- TOTAT N.IOITNT DUE ---
(A, B, C, D, and E combined)204 . 05
--- BUILDING VALUE, PLA.II CHECK AIiID BUILDTNG PERIIIT ---
This permit is granted on the express condition that the said construction
shal-I, in a]I 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.
Plan Check Feel. 28.93 Date Paid:
Received By: DON MOORE
Plans Reviewed By: BOB BARNHART Date:
Building Site Reviewed By: LISA HOPPER
o7/07/es
oe/08/es
Receipt Number:. t822O
--- ADDITIONAT COMMENTS ---
DRTVEWAY REQUIRED TO BE PAVED
By signat,ure, I stsatse and agree, that I have carefully examined
the completed applicaEion and do hereby cerEj-fy that all information hereon
is true and correct, and I further certify that any and all 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 sEructure without permission of the
Community Services Division, Building SafeLy. I further certify that only
contractors and employees who are in compliance with oRs 701.055 will be
used on this project.
I further agree to ensure that all reguired inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is focated at the front of the propertsy, and the approved set of plans
wil-L n on the si-te t all times during construction
/" '(
Siqna t Date
--- VAI.IDATION ---
Receipt Number
Date Paid
Amount Received
\810S
I tt{=
Received By
SPFINGFIELD
a
Page 1
CITY OF SPRINGFIELD SYSTEMS DEVELOPMEMT CEARGE
OTT OF SPilNGFIELT',
Name or Company: VERYL KELSON
Location: 1834 SWANK CT
Developement T)pe: A Building Size:
Job No. : 951135
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SNiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,JAI{SPORTATION
Number Of Uni-ts
5. ADMINISTRATIVE FEES
Base Charge (Subtotal above)
585 X O.2LO Per Sq Ft =
X 43.43 Per PFU =
X Trip Rate X Cost Per Trip
0
#L22.8s
$o. oo
$0.00
$o. oo
$o. oo
$0.00
sL22.8s
$5 .14
Transportation Tot.al
4. SA}iIITARY SEWER - MWMC
Number Of PFUs
0
MhMC CREDIT If Applicable (see Page 2)
TOTAL - MI^MC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
Per PFU + MIIMC Admin Fee
18.750
x
x
x 0.50
TOTAL SDC
Revi-ewed By: TROY MCALLfSTER Date: 07/1,0/95
$128.99
CITY OF SPRINGFIELD,
SPFINGFIELED
Job Number: 951135
o
Page 2
FIXTI'RE I'NIT CALCULATION TABLE
Fixture Tlpe
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
FLoor Drain
Interceptors For crease,/OiI/SoIids/ftc
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 Stall
Shower, Gang
Sink, Bar, Commercial-
Urinal-, Sta11/Wa11
Wash Basin/Lavatory, Single
Water Closet, public Installation
WaEer Closet, Privat.e
Miscellaneous
TOTAL FIXTURE UNITS =
CREDIT CALCULATTON TABLE: Based on assessed va1ue. If improvements occured.after annexation dat.e, credits are caLcul_ated separately.(calculations are by g1OO0)
Year Annexed:
Credit For parcel Or Land Only If Applicable:
fmprovement, (if after annexation d.ate):
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
)
3
6
a
5
1
3
a
z
z
1
6
4
0
n
0
0
0
0
U
0
0
U
0
0
0
0
0
0
0
0
0
x
x
0.00 =
0.00 =
0.00
0.00
$o. oo
(rf land value is multipried by 1 then the parcel/rand credit is not accurate.)
CREDIT TOTAL =
CITY OF SPR OFEGO'U
225 FIFTE STREET
SPRTNGFTEID, oREGON 97477
INSPECTION REQIEST. 726-3769
OFPICE: 726-3759
Lae-
Nl^
1 OF
I.EGAL PTION
JOB DESCRIPTION
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.INSTALI^ATION
EIec t r I Contractor
Address
SP,III jELE
BLECTRICAL PERI{IT APPLICATION
Ci ty Job Number
COHPI,ETE FEE SCMDUI,E BELOS
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
Service or Feeder
$ 8s.00
$ 1s.00
$ 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 L000 amps/volts
-
Reconnect 0n1Y
One Circui t
Each Additional
$ 2.00
3
A
Sum
B
C
D.
s s0.00
s 60.00
$100.00
s130.00
$300.00s 40.00Supervisor Li
Expiration Da
Constr Con . Number
Phone
ber
Expi ra Da te
s ture o f Supervising Electric
Ovners Name
Address r
Ci ty Phone
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 6oo amps
-
$ 8o.oo
Over 600 amps or fbOO voTts see 'Bu a56if
Nev, Alteration or Extension Per Pane1
i s 3s.oo
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Circuit or vith Service
or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited Energy/Res
-
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAT
s 40.00
s 40.00
$ 20.00
$ 36.00Orners
DATE: .
5
RECEIVED DI
9 60
Q,qt
ci ty-
7z/ -?flt
REgIDENTIAL - COTAflERCIAL
9IDEIUALK / CURffiJl
APPLICATIOI.I / PEB1IT
SPRINGFIELc,
225 NoRTH FlFTll 9TreET
gPRlh!3F IELD, oreGorl :^1411
4.!3 NEERING D lvl5lol''lffitcE No. 126-71b3
INSP=CTION LIN= t 126 - )1ba h,
JOB ADDE99:i fi4 ,,frztan;,< &r l?o?LA5e=eees riae No.* / ZC3 2L 4 Z ux lor No. *a6zap
REC=IPT NO:
CA*1
5U3DrvrSroN:CI=C<
O.INiR,L
, -i4c4-- taY-
Pla+{= No.
iiPR< ESCRIFTIC'i.{,
at-,=tl/_l z--t la at-=
CUB-CIjT: R=9ID=NTIA f co:-tn=RrcAj-
-
S=COND DRI\€UJAY ( 9== TRA=IC I
=AUlEg APFLICATION FOR A -CoND DRt\€UJAy(T-4.1a)
OR, A COUNTY APPLICATIOI.{ FOR FACILITY P=F.-1IT (C AA-2O3)IF IN TFi= UG3.
e-/4b7
*
CH=CK=D FOR D=L NAJ=NCI=5
e#etu6 9IGNED:
DATE:DAi= G APCLICATION
oriJ\=R
)K.
CONTR.ACTOR
=GrsrR^aou *o.*
A9DE,55 P-O)(i:
PROCEDURE FOR IN9FECTIOI.{ REQUEST:
x
c/.LL 12b-3169 (EC2iUER ) STATE YouR clTY D=stGt.lAT=D Jo3 NLt'i3=R, Joz ADDq€gg,Typ= .FNgF=CrlOhl EAUE9TED AID IIHEN YOIJ IUILL B= R=ArY rcR NgP=CTlOt{, r-<-un-TRACToRg OR oL:,t€Rg NAX= A\DPl{oN= Nr.r'13=R. R=aU=ST5 R=cEl\€D B=rcF= \oo 41 rutLL 3= t-lAD= Ti{= gamE DAy, EA!= g-i' A=IE;R i,aeAY UJILL tsE HAD= TIi= I.I=XT IUOR<ING DAY
EXISTII.{.;
5E= Bi20K YOUR CITY D=sIGNATED +JO3 NO- rs;','
5ID=IUALK / DRI\GI'AY
rcF? ALL CONCRETE PAVING IUITHIN
rF{E STR=ET RIGHT OF IUAY. TO 3=
I,1AD= A=iER AL EXCAVATING
15 COi-IPLETE AND FOB1 U,}CR<
AND 5U3-3A5= HATERIAL 15
IN PLACE
,.CUF{B / A?*AAC|-.{ APRO*
.€r=R rcs15 A= ER=C7
BUT PRIOR TO PO-'RING
coNcR=TE.
FEE9: gIDELUALKS CUF?B.CUT
I1O.OO + tO.l5/LF.( X )
OF IUALK /4' - 2,/o lldn
$
llJ..,L< X
TOTAL PERHIT FEE,
rlO.OA + tO.l5/LF.( X )
COI-II1ERICAL DRIV=IUAY5 9HALL
HAVE 5' TO A'FLAIRS
3'. ON STA\DARD
I ;.]A\G CAREFULLY EXAYINED T}lE COi.IPLETED APPLICA T|CF}{ rcR PER'IIT, A\D DO }.]=R=BY CERTIFY ;}-.iAT ALLINrcE1ATION HER=ON 15 TRIIE AND CORR=CT A\D I FURTH=R CERTIFY TI]AT A\Y AND ALL u]oR< P=FO3-1=DSHALL BE DONE IN ACC,ORDANCE IUITH TII=ORDINANCEg G T+-{E CIl-r G SPRING#IELD , AND TH= LAUJS 4 TI..IESTATE oF OREGON PERTAINING TO TIIE TIJORK DEgCRIS=D H=R=IN. AND TI]AT NO OCCUPA\ICY tUiLL 3=G A!.iY gTEICTUR= U'tTi-loJT P=kll59toi.l ff Tt-.{= BU|LDING Dt\,tg IOI{. I FURiII=R CERTFT THAT ONLY CONTRACTCRS
IIJITH OR9 lOI-@> TIJILL BE USED ON TI]I5 PROJECT.
7-;t-2,f
A}.ID
DATE
..-,: i...
IjJOR( TO BE FEffi1ED BY:
EAUIRED INgPECTIO?.Ig
rj*to ARE
p