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Home My WebLink AboutPermit Building 1997-09-24SPFIilGFIELEl RESIDENTIAI. PERMIT APPLICATION CITY OF SPRINGFIEI.D COMMI'NITY SERVICES DIVISION BUII.DING SAFETY Page 1 Job Nurnber: 97LL96 225 North Fifth Street Springfield, oR 97477 Location of Proposed Work: 3153 WAYSIDE LP Assessors Map #: 17032241- Lot: Block: office: Inspection Line: 725-3759 726 -37 69 Tax Lot #: 01500 Subdivision: ATT OF SPruNGFIEI,O, ONEGON Owner: STEVEN ALDRIDGE Address: 3163 WAYSIDE LOOP Describe Work: TWO STORY ADDITION Phone #: 747-4646 city/state/zip: SPRINGFTELD, OREGON 97477 ADDITION General-: ConEractor OWNER Const. Contractor # 111 1 :VN Expiree Phone QUAD AREA: 5RNW OCCY GROUP: R3 SQ FOOTAGE: 883 b,ZONING CODE: LDR HEAT SOURCE: WH o+. To requeat an inspection, call t ng at 726-3769. A11 inspections requested before 7:00 a made the same worki-ng day, inspections requested after 7:00 a.m. wif following work day --- REQUIRED INSPECTI FOOTfNG - After trenches are excavated. FOITNDATfON - After forms are erected but prior to concrete placement. ITNDERFLOOR PLITIIBING - Prior to insulation or decking. POST AtiID BEAII - Prior to f loor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior Lo cover ROUGH PLI,MBING - Prior Io cover. ROUGH MECHAI{ICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. SHEAR WALL NAILING - Before covering sheathing with finish materiaLs. FRAITIING - Prior to cover. INSULATION - Floor; prior Eo decking Wall/Ceiling; Prior to cover DRYWALI - Prior to t.aping. FINAL PIJTIIBING - When all plumbing work is complete. FINAL MECHAI'IICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspecEions have been approved and the building is complete. Lot Faces: E Solar Approved: Y Total Height: 22.5 Lot Type: INTERIOR Setbk From NPL: 15 Item Main Total Value Building Permit. Fee Surcharge/admin --- BUTLDING PERMIT --- Square Feet x 883 $/Sguare Feet 64.56 Val-ue 57, 095 . 00 57, 095.00 307 24 00 56 TOTAI, FEE (A)331.56 SPFIi.GFIELE, ilob Number: 97LL96 OTTOF ONEGON Page 2 --- PLIIMBING PERMIT IEem Fixtures Plumbing Permit Surcharge/admin TOTAL CHARGE (c) Fee 40.00 40.00 3.20 43.20 Vent Fan MechanicaL Permit Issuance Surcharge/admin TOTAL PERMIT --- UECIIAI{ICAL PERMIT --- 1 (D) 3.00 15.00 10.00 1,.20 25.20 --- MISCEIJTAI{EOUS PERMITS Surcharge/edmin STORM SDC TOTAL MISCELIJAIVEOUS PERMTTS (E) 0.00 1_23 .53 L23 .63 (Excluding Electrical) unless oEherwiEe noted --- TOTAL AIITOI,NT DUE --- (A, B, C, D, and E combined)524.59 -.- BUILDING VALUE, PLAN CHECK AI{D BUILDING PERMIT This permit is granted on the express condltj-on that tshe said constructionshaIL, in all respects, conform to the ordinance adopted by the city ofSpringfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any tj-me upon violation of any provisions of said ordinances. Plan Check Fee : 199 . 55 Dat,e paid: Received By: Pl-ans Reviewed By: DON MOORE Date: Bui-1ding Si-te Reviewed By: LISA HOPPER Receipt Number:. 27007 --- ADDITIONAL COMMENTS --- MINIML]M SETBACK IS 15 FEET FROM NORTH PROPERTY LINE TO HIGH POINT TO MEET SOLAR REQUIREMENTS PATH 1; SEPARATE ELECTRICAL PERMTT IS REQUIRED ADDITIONAL PERMITS MAY BE REQUTRED FOR INTERIOR REMODEL INDICATED ON PLANS,BUT NO DETATLS OR INFORMATION SI'BMITTED. By signa t,ure, f atate and agree, that I have carefutly examj-nedthe completed application and do hereby certify that all information hereonis true and correct, and I further certify that any and all work performedshall- be done in accordance with the ord.inances of the City of Springfield.,and the Laws of the State of Oregon pertaining to the work described. herein,and that No OCCUPAIICY will be made of any structure without permission of theCommunity Services Divi-sion, Bui-Iding Safety. r further certify that onlycontractors and employees who are in compliance wit.h oRs 701.055 will, beused on this project. 08/07/e7 ae /23 / e7 SPRti'GFIELD ,Job Number: 9'7 1-196 Page 3 I further agree to ensure that all required inspections are requested at t.he proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constructi_on. *y/qz;;6ure CITY OF SPI?INGFTEI.D,onE@oN Recei-pt Number: Date Paid: Amount Received Received By JOB NO.91 ttlb ATTACHMENT A CITY OF SPRiNGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY Srsvn 4 Y,,smrxo 11 t ontDae LOCATiON t6 a DEVELOPMENT TYPE:5 FK - Rar.nrnlL SIZ x x $472.49 q BUILDING SIZE 1. STORM DRAINAGI iMPERVIOUS SQ Fr. fzt x s0.226 PER SQ. rT. $ t t1 ,74 2. SANITARY SEi,lER-CITY D 6 B NO. OF PFU'S X $.16. 86 PER PFU so (See Re,rerse Side) 3. TRANSPORIATiON NO OF UNITS X TRIP RATE X COST PER TRIP x- x $472.49 $+ Ft X x s472.49 4. SANITARY ST,JER-M',JMC. NO. OF FEU.S X PER FEU + $10 t',lllI-4C/ADM FEE $ €_" MI.JMC CREDIT IF APPLICABLE (SEE REVERSE)s TOTAL-MWMC SDC $ SUBToTAL (ADD IIEMS 1.2.3 & 4) s I / 7,71 5. ADMINISTRATIVE FEES BASE CHARGE (SUBIOIAL ABOVE) X .05 $ €.8q s fis SDC Coordi nator Date:8-l/-E7 TOTAL SDC $ /23 .6< ' '/\ I tt,a-lL r\.rlYl I vAr-te(.,rL '' I r\-rly r AuLr-. lyumoer ot l\ew r-rx' (NOTE: For remodels, calculate on. .re NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES Bathtub...... Drinking Founrain.... Floor Drain.................. lnterceptors For Grease/Oil/So1idsiEtc................. lnterceprors For Sand/Auto WashrEtc.............. Unrt tsguivalenr = Fixrure. Units UNIT EOUIVALENT FIXTURE UNITS 1 - -l af lHead 2 .1 2 3 6 2 6 6 1 3 2 i 2 2 1 6 4 . -z- - --- Laundry TubiClotheswasher Ctotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer) Receptor For Refrigerator/Water Station/Etc Beceptor For Commercial Sink,,Dishwasher/Etc.. Shower, Gang......... Sink: Bar, Commercial, Residential Kitchen... Urinal, StalUwall.... Wash BasiniLavatory, Single....... ........... Toilet, Public lnstallation Toilet, Private....... Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: calculate credits Based on assessed value. lf im provements occurred after annexation date in table, Credit for Parcet or Land Only lf Applicable lmprovement (if after annexation date) x$ (Flate X Assessed Value)xs (Rate X Assessed Value) CREDIT TOTAL - $ . Annexed Bate per $1,00O Assessed Vatue Year Year Annexed Rate per $ 1,OOO Assessed Value 1979 or before 1 980 1 981 1 982 1 983' 1984 1 985 'r986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1 987 1 988 1 989 1990 1 991 1 992 1 993 1 994 1 995 1 996 s2.56 2.17 1.73 1.31 o.92 o.74 o.61 o.45 o.31 o.17 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Fesidential lndustrial Governmental 0.4 O;9 o5 o.5 lMPERVlous AREA = TorAL Lor slzE x RUNOFF coEFFtctENT CITY OF SPB OFEGO'VTh- d< f"-,rs NOTICE: iillilfillfiil*3ffiSilH,ffiq m rs ABAN DoN ED FoR oFFICE: 726-37flIY 180 DAY PERIOD. 1. LOCATION OF ON SHALL EXPIHE IF THE WORK UNDER THIS PERMIT IS NOT ELECTRICAL PERUIT APPLICATtrON S\ /GFIELO Ci ty Job Nunber 3. COHPLETE FEE SCffiDtILE BELOII Nev Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 s 40.00 B Services or Feeders Ins tallation, Alterations or Relocation: h, /lur-h:*lzod 77^ lot DESCRI l* Permi is 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 INSTALLATION ONLY Electrical Con tractor- Address Ci tv Phone 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 200 amps''or 201 amps to Over 401 to 0ver 600 amp 6D s s0.00 s 60.00 $100.00 Superv Expira Cons t r Temporary Services or Feeders Installalion, Alteration or Relocation s130.00 $300.00 $ 40.00 Lps _000 volt ee rrB, a6ffi r. Numbe Exp tion Date ignature of SuPervising Electr 1'Cran Ovners Na Addres cir 11 vnone 74'7-y'Ur'b OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: 1-sor cense Number t ion Da c. 40.00 5s.00 80.00 ps less 400 am 600 amsorl $ $ $ss s s $ $ D Branch Circuits Nev, Alteration or Extension Per Panel O oneCircuit / $35.00 Each Additional Circuit or vith Service or Feeder Permit /O $ 2.00 3L E. MisceLlaneous (Service/feeder not inclutied) -Each installation Pump or irrigation --Sign/Out1ine Lighti.g- Limited EnergY/Res - Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL o-t) 00 00 00 00 40 40 20 36 >4 fo RBCEIVED B 5 Qc, Lt. Permit #: Aaa..rr'3/ Issued by fi .rrtathado oate? Statement: lnformation Notice to Property Owners About Gonstruction Responsibil ities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before o building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and2, and either box 3,{ or 38 l. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3,{. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 38. I will be my own general contractor If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notiS the office issuing this building permit of the name of the contractor. I hereby certiff that the above information is correct and that I have read and do understand the Information roperty Owners about Construction Responsibilities on the reverse side of this form. OR (- (Signature of perml applicant) (White copy to issuing agency permit file, pink copy to applicant) J.do "3 Notice to P (Date) THIS PERMIT SHALL EXPIRE IFTHE WORK AUTHORIZED UNDEH THIS PERMIT IS NOT 1 NGFIELO (. EIJCTRTCAL PERHTT APPTJCATTON rwlng 1trtlQOFFICE: 726-3759 1. IOCATTON Or JOBc Permits alf vork iof lssuan 180 days. City Job Nunber 3 COHPI,ETE BELOV ftems 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf ,d llome. or - Hodular.'Dvelling' Sertice or Feeder Services or Feedersfnstallation, Alterationsor Relocation: 200 anps or 1ess 1201 amps to 400 amps - 401 amps to.600 amps - 601 amfs to 1000 amps-Over 1000 arnps/volt Reconnect Only Nev Residential-Single orHulti-Family per dvelling unit.Service fncluded: A O Cos t $ 8s.00 $ 1s.00 $ 40.00 $ s0.00 s 60.00 $100.00 $130.00 $300.00s 40.00 see trBil aEile- C re non-transferable and expires not started vithin lB0 daysce or if vork is suspended tor 2. COI{TRACf,OR TNSTALIAEON OIILT .8. Electrical Con Address ci Phone Supervisor License Number -S Expiration Date constr contr. Number '1n-rue c. Expiration Date Signa of Electrician Ovne rs Name D.(t Address ci Ph one 747 Temporary Services or FeedersInstallation, Alteration oi-Relocation 200 amps',or less201 amps to 400 anps - over 401 to 600 amis - over 600 amps or fbOOr-olts Branch Circuits CD6.n-^_/. $ 40.00 $ 55.00 $ 80.00 O9NER TNSTAI,ITTTON The installation is being made onproperty f ovn vhich is iot intenaedfor sale, Iease or rent. Ovnerlrsignature: Nev, Alteration or Extension per panel One Circuit Each AdditionalCircuit or vith Serviceor Feeder permit Hiscellaneous (Service/feed -riach installation Pump or irrigation ,Sign/ou tline Ligh t ing--Limited Energy/[es e- Ltmrted Energy/Comm SUBTOTAL OF ABOVE l1 9!"t. Surcharge32 Administrative Fee TOTAL E $ 3s.00 $ 2.00 er not included) $ $ $ $ 00 00 00 00 40. 40. 20. 36. DATE: BRECETVED 5 o- 7C Sum I - .. ' ::