HomeMy WebLinkAboutPermit Building 1998-04-20SPFIItlGFIELD
RESIDENTIAI, PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 980350
225 North Fifth Street
Springfield, OR 97477
tocaEion of Proposed Work: 77L5 THURSTON RD
Assessors tutap #z ]-702351]-
Lot : Bl-ock:
Office
fnspection Line
7 26 -37 59
726-3769
Tax Lot #: 01000
Subdivision:
SPilNGFTEI.O,
Owner: ,JOE ESTES ,JR
Address: 77L5 THURSTON ROAD
Describe Work: ADD CLoSET/FOYER/BDRM
Phone #: 747-9231
city/state/zip: SPRTNGFIELD, OREGON 97478
ADDITION
Contractor
ConsE.
ContracEor #Expires
o5/22/eB
Phone
822 -39s0General-rIAMI,ow ot230L7
9L546 HORSE CREEK RD MCKENZIE BRIDG
QUAD AREA: 5RNE
# OF UNITS: 1
CONSTR. TYPE: VN
-- oFFrcE usE --
LAND USE: 111-1
ZONING CODE: LDR
SQ FOOTAGE: 333
# OF BLDGS: 1
OCCY GROUP: R3
Item
Main
Garage
Total- Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMTT ---
Square Feet x
333
(A)
Value
21,532 . OO
0.00
2L,532.OO
152.50
L2.2L
L64.7L
--- MISCELLA}iIEOUS PERMITS
Surcharge/admin
SDC
TOTAIJ MISCEIJIJANEOUS PERMITS (E)
0.00
108.58
r.08.58
(Excluding Electrical)
unless otherwiee noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)273.39
--- BUILDING VALUE, PLAIiI CHECK AND BUTLDING PERMTT ---
This permit is granted on the express condit.ion that t.he said construction
shalI, in aLl- respects, conform to the Ordinance adopted by the City ofSpringfield, including the DeveLopment Code, regulating the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
NOTICE:
THIS PERMITSHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERII,IIT Is r,roi
COMMENCED OR IS ABANDONED FOB
ANY 180 gAv nggloo.
$/Square Feet
64 .66
SPFITTIGFIELD
Job Number: 980350 Page 2
Received By:
Plans Reviewed By: TOM MARX
Building Site Reviewed By:
Pl-an Check Fee 99.13
LISA HOPPER
Date Paid. 03/24/98
Date: 04/t5/98
Receipt Number: 29190
--- ADDITIONAL COMMENTS ---
ELECTRTCAL PERMIT REQUIRED
By eignature, I state and agree, that I have carefully examined
the completed application and do hereby certify Lhat all information hereon
is true and correct, and I further certify that any and aII work performed
shal1 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 permissi-on of the
Community Services Division, Building Safety. I further certify that only
conLracLors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree Lo ensure that al-I required 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 Lhe property, and the approved set of plans
wil-l remain on the site at af1 times during consLrucLion.
i-gnature te
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
el 4bx
Lef
beu -:l
q( r^''
Jots NU - L/d0t7)
CITY SPRr I{GFI STEMS DEVELOPHENT CHARGE
l,'IORKSHEET
NAME OR COMPANY:.Toe Esrag
LOCATION 7 7 t{ %ltp<7an/ Po
DEVELCPMENT T'/PE:AOoIT/6^)R.,
BUILDING SIZE OT SI Ft
1. STORM DRAII\IAGI 1J6a Eqe !^y tL = 18
/oy ,o ' tq
,taYil- lto
488IMPTRVIOUS SQ. FT.
2. SANIIARY SEI{ER-CITY
NO. OF PFU'S
5. ADMiNISIRAIIVE FEES
BASE CHARGE (SUBIOTAL ABOVE) X .05
X 5.16.86 PER PFU $(See Reverse S'ide)
IRANSPORT-A i i0N
NO OF UNITS X TRIP RATE X COST PTR TRIP
x
-
x $472.49
x _ x $472.49
x $472.49
4 . SAN iTARY S t,rER - M,niMC
N0' 0F FEU''
-x -PER
FEu + $10 M''',C/ADM FEt
M[^/MC CREDiI IF APPLICABLE (SEE REVERSE)
TOTAL-MWI4C SDC
SUBTOTAL (ADD ITEMS 1.2.3 & 4)
X $0.225 PER SQ. FT. $ r as. st
s lD7 .
$7
$
a
X
$
SDC Coordi nator
Date:4-z-76
TOIAL SDC
5, I
to8,6
$
€>???
SF GFIELO
ess
00 amps
00 amps
000 amps
vo1 ts
?ftil$gffiJl;afr,usa
200 amps
201 amps
40L amps
601 amps
(
225 FIFTS STREET
SPRTNGFTEI^D, oREGoN 97477 "1:
1 LOCATION OF
EI.,ECTRICAL PERHIT APPLICATION
Ort ' city Job NumberINSPECTION REQT EST: 726-o{ffifzed Sisnature
OFPICE: 726-3759
3
A
COHPIJTE FEE SCffiDTII,E BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
00 Sum
JOB DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is susnend6$rfi85yortoigo-divi. ATTEI'J'IloN:oregoilla\i
torrow tlies adopt6d by the oregon Utility"
2 . coNrRAcrmtifi;&;aet'te NIbRDfl.Yle:fi"r'#-[H:
in OAR 952-001-0010 thro
Electrical c@Boavodil'nay obtain copi6s of the rules by
.Jringlh@non"Address nuiioelioitne oregon utitity t'lotification
Center i s 1 -80 0-932'2344t-'
Phone
or
to
to
to
I
4
6
1
s s0.00
s 60.00
s100.00
s 130. 00
s300.00
$ 40.00
Ci ty
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners
Address
Pho
ces or Feeders
Iteration or Relocation
!'ln y Pftrlnrl 200 amps"or less
201 amps to 400 amps
-Over 40L to 600 amps
Over 600 amps or 1000 voITs
s
s
$
s
40.00
5s.00
80.00
ee rBr aSove
cit
OVNER ON
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners Signature:
D. Branch Circuits
,u Nev, Alteration or Extension Per Panel
onecircuit I $35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
35b0
"" 7{7-?13 /
E. Miscellaneous (Service/feeder not included)
-Eaeh installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI
$ 40.00
s 40.00
s 20.00
s 36.00
RECETVED
5
I
flz\ I Untr UlUl I t-rAll.rULA I l(/lU ,f1,OLtr. Num0er or New Frxlures X Untt Equivalent : Fixrure.Units..., . .
(NOTE: foiflimoOels, caicutaie.only i,.e NET additional fixturesl ,,r,,?NUMBER OF UN,T FIXTURE\/
FTXTURE WPE NEW FIXTUFIES - EOUIVALENT UNITS
Bathtub......
Drinking Fountain....
Floor Drain
lnterceptors For Grease/Oil/SolidslEtc""""""""'
lnterceptors For Sand/Auto WashiEtc""""""""'
Laundry Tub/Clotheswasher. -. "'
Clotheswasher - 3 Or More..-.-
Mobiie Home Park Trap (1 Per Trailer) """"".'""
Receptor For Refrigerat-or/Water Station/Etc""""
Receptor For Commercial Sink,'Dishwasher/Etc"
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar. Commerbial, Residential Kitchen""""'
Urinal, Stalliwall...
Wash BasiniLavatorY, Single"'
Toiiet, Pubiic lnstallation'
Toiler, Private......'
Miscellaneous
TOTAL F|XTURE UNITS
BLE Based on assessed value lf improvements occurred after annexation date in table'
CREDIT CALCULATION TA
calculate ci'edits s rates
cH
2
1
2
3
b
2
b
b
1
3
2
ll
2
2
,l
b
4
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
XS
(Rate X Assessed Value)x $-
(Rate X Assessed Value)
.............. 0.4
,............. o.9
05
.............. o.5
CREDIT TOTAL = $
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating PurPoses Only)
Fesicieniiai.....
Commerical....
lndustrial.......
Governmental.
Year
Annexed
Rate per s1,COO
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 987
1 988
1 0qq
1 990
199',I
1 992
1 993
1 994
1 995
1 996
$2.56
2.17
1.73
1.31
o.92
o.74
0.61
o.45
o.31
o.17
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
TMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT