HomeMy WebLinkAboutPermit Building 1999-03-05CITY OF
SPRINGFIELE,
a
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
Job Nunber: 990155
Office:
Inspection Line:
726 -37 59
726 -37 69tr,t
Tax-Lot #: 10900
Subdivisi-on:
Owner:'JAIITES XIARHOS
Address: 1833 12TH STREET
Descri-be Work: ADDIT ,of
ciry/srar e/ zip:
Phone #: 746-8073
,w require
SPRINGFIELD, OREGON 97477
s you to
the oregon Utiiity NEw
set forth
conrracrJso?t R 952-001'0010 th
You maY obtain
OWNER calling the ienter. (Note the telePhone
number forthe Oregon U titity Notification
Cente r is 1-800-332 -2344\
s bExpires Phone
General
QUAD AREA: 2RNW
# OF IINITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
OFFICE USE - -
LAND USE: 11,20
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOIIRCE: FE
SQ FOOTAGE: L498
To requesE 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 following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
POST AND BEAM - Prior to fl-oor insulation or decking.
ITNDERFTOOR DRAIN - Prior Lo cover or placement of concrete.
ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking.
ITNDERFLOOR PLIIMBING - Prior to insulat j-on or decking.
pOs,TTNfBETm-- Prior to floor insulation or decking.
INSULATION - Floor; prior to decking wa11/CeiJ-ing; Prj-or to cover
W - Prior to cover or placement of concreLe.
ROUGH PLI,MBING _ PTiOT TO COVCT.
ROUGH MECHANICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
WATER LINE - Prior to filling trench.
SANITARY SEWER LINE - Prior to fil-lj-ng Erench.
STORM SEWER LINE - Prior to filling trench.
SHEAR WALL NAILING - Before covering sheathing with finish materials '
FR.AITIING - Prior Lo cover.
IN$ULATTQN - Floor; prior to decking Wa11/Ceiling; Prior to cover
DRYWALL - Prior t.o taping.
ELECTRICAL SERVICE - Must be approved to obtain permanent power-
CURBCUT - After forms are erected but prior to placement of concrete.
SIDEWALK - After excavation is complete, forms and sub-base materiaf
i-n p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When al-f electrical work is complete.
FINAT BUILDING - When aIt required inspectj-ons have been approved and
the buildi.ng is complete.
225 North Fi-fth Street
Springfield, OR 97477
Location of Proposed Work: 151-5 1lTH ST
Assessors Map #: 1-'703264i-
Lot: Block:
SPRIltlGFIELE,
.fob Number: 990155
CITY OF t
Page 2
Lot Faces: W
Total Height: 14
Lot Type: CORNER
House
Garage
Lot Sq. Ft.: 72OO
Setbk From NPL: 5
Lot Coverage: 35
Solar Approved: Y
z
N
5
Setbackssw
13
18
E
1,2
Item
Main
Garage
Total Value
Buildi-ng Permit Fee
Surcharge/admi-n
TOTAL FEE
BUILDING PERMIT
Square Feet x
1080
41,8
$/Square Feet
69 .64
18-34
(A)
VaIue
75,2LL.OO
7 ,656 .OO
82,877 .OO
382
30
00
55
4L2.56
PLIIMBING PERMIT
Item
Residential- Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
2
Fee
150.00
150
L2
00
80
(c)L7 2 .80
MECHATiIICAL PERMIT
Furnace
ExhausL Hood
Vent. Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
2
5.00
4 .50
6.00
3.00
1,9
10
1
50
00
57
(D)31.07
MISCELLANEOUS PERMITS
Surcharge/edmin
Si-dewalk
Curb Cut
CITY SDC
WILLAIVT\LANE
TOTAL MISCELLAI'IEOUS PERMITS
U
13
))
2,220
924
00
50
60
49
00
(E)3,l_80.59
(Excluding Electrical )
unless oEherwise noted
TOTAL AMOI'NT DUE
(A, B, C, D,and E combined)3 ,7 97 .L2
BUILDING VALUE, PI,AII CHECK A}iID BUILDING PERMTT
This permit is granted on the express condition that the sald construction
sha11, in all respects, conform to the Ordinance adopted by the City of
Sprj-ngfieId, including the Development Code, regulating the construction and
use of buildi-ngs, and may be suspended or revoked at any time upon viofation
of any provisi-ons of said ordinances.
ljPF!NGFIELD
Job Number: 990155
qTr o
Page 3
Pl-an Check Fee:
Received By:
248.30 Date Paid: 02/04/99
Date:03/04/99
Receipt Number: 32782
P1ans Reviewed By: AL WARD
Building Site Reviewed By:LISA HOPPER
--- ADDITIONAL COMMENTS ---
IF PROPERTY IS FOR RENT, SALE OR LEASE, A L]CENSED
ELECTRTCAL AND PLUMBING CONTRACTOR MUST BE USED
A SEPERATE ELECTRICAL PERM]T IS REQUIRED
DRIVEWAY REQUIRED TO BE PAVED
3 STREET TREES REQUIRED
By signature, f sEate and agree, that I have carefully examined
the completed application and do hereby certify that all- information hereon
is true and correct., and I further certify that any and all work performed
shal-l- be done in accordance with the ordinances of the City of Sprlngfield,
and the Laws of t.he State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY wil-I be made of any structure without permission of the
Community Servj-ces Division, Building Safety. 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 required inspect.ions are requested at the
proper time, that each address j-s readable from the street, that the permit
card is l-ocated at the front of the property, and the approved set of plans
wilf remain on the site at a tj-mes during construcLion
1'I
Signature
Receipt Number:
Date Paid:
Amount Received:
Received By:
v -a -'r r'
Date
--- VAI,TDATION ---
) 7oY I
f.r L
t
JOURNAL OR JOB I'IO.
ATTACHMENT A
CiTY OF SPRINu. IELD SYSTEMS DEVELOPM'
WORKSHEET
-10
-t7 c)t s3I CHARGE
NAME OR COMPANY
LOCATION
Xia-r ho s
!5(5 tfrt" SF
DEVELOPt'4TNT TYPE x
BUILDING SIZE LOT SIZ 0Ft
i. STORM DRAiNAGE
\+qB r- tz('t)al z(51 ) t ?t
IMPERViOUS SQ. FT b8G x $0.227 PER SQ. Fr. $ +13,5>
2. SANITARY Str^/ER-CITY
NO. OF PFU'S t(X $47.14 PER PFU s (4V,5L
(See Reverse Side)
3. TRANSPORTATION
NO OF UNiTS X TRIP RI.IE X COST PER TRIP
or x 5475.32 q. Z-*\ Aae lg/\e/t v I
x $475.32
4. SANITARY SEI^IER-M|,^JMC
A. REIMBURSEMENT COST
NO. OF FEU'S I X N1I+PER FEU S 2:11 ,4+
B. IMPROVEMENT COST
NO. OF FEU'S X Z.,zo PER FEU $ 25.20
1
$X
MI,^JMC CREDIT iF APPLICABLE (SEE REVERSE)
MI^/MC ADMINISTRATiVE FEE $ i000
5. ADMINISTRATiVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
lh<,Date: ztil lq?
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
s 7tL.(*
$ ztl+ ,15
$ to5, 7+
SDC Coordinator
ATTACH'A. I^JPD
tl TOTAL SDC s ?z 20A9
l-lA I UHE UNIT CALCULATION TABLE: Number of New Fixtures X Unir Equivarent = Fixture Unirs(NorE: For remodels, carculate only the NET additionar fixturesl
FrxruRE rypE illlf?iXrffirr:
=o,Y,XT,_r*, |,',X,]:'=
Bathtub.....
Drinking Fountain....
Floor Drain.
t2
I
2
b
2
6
6
1
2
l lHead
2
2
1
6
4
lnterceptors For Grease/OiliSolidsiErc.................
lnterceptors For Sand/Auto Wash/Etc..................
Laundry Tub/Clotheswasher....
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 per Trailer)......
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.....:....
Shower, Gang........
Sink: Bar, Commercial, Residential Kircnen..
Urinal, Stall/Watl.
Wash Basin lLavatory, Single.......
Toilet, Public lnstallation.
Toilet, Private......
Miscellaneous:
CREDIT CALCULATTON TABLE Basei on assessed value. lf imp
I 4Z-
//
-_7+-
z-_T
----._
/{TOTAL FIXTURE UNITS
rovements occurred after annexation date in :aole,calculate credits se a rates.
Credit for Parcet or Land Only If Applicable
lmprovement (if after aanexation date)
x$
(Rate X Assessed Value)X$ :
(Rate X Assessed Value)
CREDIT TOTAL
Year
Annexed
Hate per $1,OOO
Assessed Value
Year
Annexed
Rate per $ 1,000
Assessed Value
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
.r, +o
3.18
2.82
2.42
1 989
1 990
1 991
1 992
1 00a
1 994
1 995
1 996
1 997
$1.98
1.55
1.',I5
o.96
0.83
0.67
o.52
o.3B
o.21
RUNOFF COEFFICTENTS FOR STORM DRAINAGE
(For Estimating purposes Only)
Residential.........0.4
Commerical.......
lndustrial...........
o.9.. o5
Governmental..0.5
FIXUNIT.WPD lMPERVlous AREA = TorAL Lor stzE x RUNOFF coEFFtctENT
)
Willamalane
1
Park & Recreation District Job. No.
SYSTEM DEVELOPMENT CHARGE
RKSHEET
NAM
ADD]
PHONE:
RESS STATE:ZIP:
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit = $
D. Manufac'tured Home Park
NO. OF UNITS X $699 Per unit =
WILLAMALANE SDC
2. SDC CREDff ([ applicable) SDCjayer must lumish proof of
Willamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
$
q
Tax Lot Number:
(Check appropriate dwelling(s). SDC calculations and dwelling t
ype detinitions are on the back.)
:
A. Single-Family Detached
Single Family homd Manufactured home not in a park
NO. OF UNITS X $1,000 Per unit = $
B. Single-Family Attached
NO. OF UNITS
8Er3
oo
$
A4
Sr
$(f SDC reduced (or
Date
City of
&rfi
N)(.\A
\)tD $,#
S NGFIELO
The following project as submitted has the following
zoning, and does not require specific land use
LD{>a--cl -NUTIS=:
SHALL EXPIHE IFTHEWORK
€A,
approval.
Zoning
Date
fiD 0fi l$ AB
UNDEH THIS PERM ri lS i'iffiLrcrRr
CitY Jo
CAL PERUIT APPLICATION
b Nunber QlotS S-INSPECTION REQIIEST:
OFPICE: 726-3759
1. LOCATION OF
CCI 3. COHPLETE FBE SCBSDIILE BELOV
ial-Single or
per dvelling uni t.
uded:u* ?EZV/prroN
{oilow
Exp i ra
Cons t r
Exp
0vners Name {orn s i-/oS
eaaress / F d)
Ci ty )Phone 7W'fu71
OVNER INSTALLATION
The installation is b
property I ovn which
for sale, Iease or re
rs Signature
TION
(
Items Cost Sum
rtl
JOB 0090.V obtain
nurnber
Permits are non-transferable andl
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty one
Supervi-sor Li c Number am
0n
ps/volrs 5300.
(Note:
uril
B
C
D.
200 amps
20L amps
401- amps
60L amps
Over l-000
Reconnec t
less
400 amps
600 amps
1000 amps
ru or less
onal 500
o portion
t
Each Manuf'd Home. or
Modular 'Dwelling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
s 8s.00 {*
t $ rs.oo15)t
$ 40.00
40.00
s5. oo
80. oo
ee rrBrr aEi6
or
to
to
to
s
s
$r
ST
50
60
00
30
00
00
00
00
00
00
tion e
ntr Number
tion Date
ture of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $
201 amps to 400 amps
-
$
over 401 to 600 amps
-
$
Over 600 amps or 1000-I6-Es s
Branch Circuits
2
Nev, Alteration or Exterrsion Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2-OO
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation _-Sign/Outline Lightit g_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3% Administrative Fee
TOTAL
de on
in tended
ma
not
ngei
is
nt
5
00
00
00
00
Ct,
$40
$40
s20
s36
//d
RECEIVED
I
l, I