HomeMy WebLinkAboutPermit Building 1998-01-27ATT OF SPilNGFTEI-O,
5PFINGFIELD
RESIDEMTIAL PERMIT APPLICATION
CITY OF SPRINGFIEI.D
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 980047
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 255 15TH ST
Assessors l"tap #: L7033624
Lot: Block:
office:
Inspection Line:
726 -3759
726 -3'7 59
Tax Lot #: 08700
Subdivision:
Owner: RAD CONSTRUCTION
Address: Po BoX 7125
Describe Work: CON\/ SF TO DUPL/1587 B ST
Phone #: 726-9520
city/state/zi-p: EUGENE, OREGON 9740L
REMODEL
General:
Plumbing:
Mechanical:
eontractor
RAD
PO BOX 7125
S,.] PLUMBING
11s1 QUTNALT S
RAD CONSTRUCTIO
PO BOX 7125
Const.
ConEracEor #
01102 91
0000
0078s23
oR 9747
0r-102 91
0 000
Expiree
L2/05/ee
07 /L8 / e8
1-2/Os/ee
Phone
726 - 9520
7 47 - 5989
726 - 9520
# OF BLDGS: 1
OCCY GROUP: R3
A
zo
LAND
&to
QUAD AREA: 2RNW
# OF UNrTS: 2
CONSTR. TYPE: VN
0
To request an inspection, call- the 24 rding 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.
--- REQUTRED TNSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
POST AI.ID BEA}I - Prior to floor insulation or decking.
INSULATION - Fl-oor; prior to decking wal1/Ceiling; Prior to cover
SATiIITARY SEWER LINE - Prior to fil-Iing trench.
WATER LINE - Prior to filling trench.
STORI! SEWER LrNE - Prior Eo filling trench.
ROUGH PLITMBING - Prior to cover.
ROUGH MECIIA.I{ICAL - Prior to cover.
ROUGH ELECTRICAT - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
SHEAR WAIJIJ NAILING - Before covering sheathing with finish materials.
FRAMING - Prior to cover.
INSITLATION - Floor,' prior to decking Wa1l/Ceiling; Prior Lo cover
DRYYIIAL,L - Prior to taping.
FINAL MECTIATiIICAL - When all mechanical work is complete.
FINAL PLIIIBING - When all plumbing work is complete.
FINAL ELECTRICAL - When a]L electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
Ehe building is complete.
Lot Type: CORNER
--- BUII.DING PERMIT ---
Square Feet xItem
Main
Value
0.00
$/Square Feet
!3PRINGFIELD
Job Number: 980047
qTTOF
Page 2
Garage
REMODEI,
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE (A)
0.00
50, 000.00
50, 000 . 00
313.00
25 .04
338.04
--- PLI'MBING PERIIIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/aamin
TOTAL CHARGE
a
Fee
160.00
150.00
1,2 .80
L72.80(c)
--- MECIINiIICAL PERIdIT ---
Exhaust Hood
Vent Fan
MechanicaL Permit
Issuance
Surcharge/admin
TOTAI, PERMIT
2
9.00
5.00
15.00
10.00
L.20
(D)26.20
--- MISEELI.AI{EOUS PERMITS ---
Surcharge/admin
SDC
WILLAMALANE
TOTAL }TISCEI,I,AI{EOUS PERMITS (E)
0.00
L,437.82
1, 000 . 00
2,437.82
(Excluding Electrical )
unless oEherwiEe notsed
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)2,974.86
--- BUII.DING VAI,UE, PI.NiI CHECK A}ID BUILDING PER}TIT ---
This permit is granted on the express condition that the said construction
shalf, in all respects, conform to the Ordinance adopted by Ehe 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 provi-sions of said ordinances.
Received By:
Plans Reviewed By: TOM MARX
Building Site Reviewed By: LISA HOPPER
Date: oL/26/98
--- ADDITIONAL COMMENTS
€PFIXGFIELcl
Job Number: 980047
OTT OF SPilNGFIEI.O.
Page 3
CONVERSTON OF SINGLE FAMILY RESIDENCE TO DUPLEX
ELECTRICAL PERMIT REQUIRED
By eignaEure, I state 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
shafl 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 permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance with ORS 701.055 wifl be
used on this project.
I further agree to ensure that aLl required inspections are requested at, the
proper time, that each address is readable from Ehe street, that the permi-t
card is located at the front of the property, and the approved set of plans
will remain on the site at aLl times during consEruction.
f
Signature Date
--- VAI.IDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
)8 bo{
t-J-t--7<
K/"\)
.*a, Qlrl , \1.
C'TY OF SPF"VGFIELD, OREGON
approvet.
225 FIFTE STREET
SPRINGFIELD, OREGON 974I
INSPECTION REQT EST: 72fisteA6fu
OFPICE: 726-3759
1. LOCATION OP
I,EGAL DESCRIPTION
0 0-'bZ
JOB C
Permits are non-trans ferable and
if vork is not started vi thin l"B0
of issuance or if vork is susPend
SPfr ,FIELl,
000 sq.ft. or less
Each additional 500
q. ft or portion
reof
Manuf'd Home- or
ar Dvelling
e or Feeder
r Feeders
I , Alterations
or
Items Cost Sum
$ 8s.00
s 1s.00
$ 40.00
The foliouing prc{ect as submitted has the
zoning, a*d ".loes not roguirs *pecillc land uaa
BTECTRICAL PERHIT APPLICATION
ci Job Nunbe , qK 0 0 q)
3. COHPIJTE FEE SCEEDTILE BELOII
("+,\A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
edf
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor {*}-yt-
B
C
200
207I,O ,,Address [L"< 2 GV less I
400 amps ----+-"'amps r
amps to
$ s0.00
s 60.00
$100.00
s130.00
$300.00s 40.00
4a-
Ci ty l,Q Phone lLlLt -ao
Supervisor License Number 36(P6*S
Expiration Date L 7q
Constr Contr. Number 1bEl f
Expiration Date O 2-9
S ure of Supervising Electricianq,
Ovners Name
Address -/t
Ci ty 6rr**-phone PQ -?SIDT-
OVNER INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
401- amps to 600 amPs
-
601 amps to 1000 amps-
0ver L000 amps/voIts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $
201 amps to 400 amps
-
$
over 4b1 to 6oo amps
-
$
Over 600 amps or 1000-voITs se etrBxa
D. Branch Cireuits
Each Additional
Circuit or vith Service
or Feeder Permit ao $ 2.00
40.00
5s.00
80.00
Eove
Nev, Alteration or Extension Per Panel
one circuit ( $ 3s.oo +z,i
,&{
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
RECETVED B
(
# t&t,
JoB NO. q6oo47
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY Rnn c 5T Ru cT, aJ
LOCATION zbb l 6ru 4 t 581 "B' 3a
DEVELOPMENT TYPE t risrL'r < l=fi fo Du nrex
BUILDING SIZE
1. STORM DRAII]AGI
CT SI 0. Ft
X $0,225 PER SQ FT. $ t4Z,r8
Neut Da.tv€uaY
4za t{=
FT. d3oIMPERVIOUS SO
2. SANITARY SEI^IER.CITY Neal PF 0t,
I 6 X $.16. 86 PER PFUNO. OF PFU'S
(See Reverse Side)
3. TRANSP0RTAi iON (aoo I n,)
NO OF UNITS X TRIP RATE X COST PER TRIP
I x l,ottooX$47249
x $472 49
x $472.49
4
NO. OF FEU'S
$741, 7G
$ 477,21
PER FEU + $10 MI^JMC/ADM FEE $e
$ 66. +7
X
i)
c
SAN iTARY SEWER -MbJMC
X
MI,JMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADl.4INISTRATIVE FTES
BASE CHARGE (SUBIOIAL ABOVE) X .05
$
TOTAL-MI^/MC SDC $
SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 1,3b1,J5
SDC Coordi nator
Date l- ts -Qt
ToTAL SpC $ b137,8L
I l/\ I rr'rlL \"lrl I 9,{l-\'rJL^H I lrJlY I ADLtr: Number of New Fixlru'o.e X Unit Equivalent = Fixture Urriis(NorE: For remoders, carculate onr ^ e NET additional fixtures)
FIXTURE TYPE
Bathtub......
Drinking Fountain...
Floor Drain............
lnterceptors For Grease/Oil/So1idsiErc..............
lnterceptors For Sand/Auto WashlEtc
Laundry TubiClotheswasher....
Clotheswasher - 3 Or More.....
Mobiie Home Park Trap (1 per Trailer)................
Receptor For Refrigeratoriwater Station/Etc........
Receptor For Commercial Sink,,Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen..........
Urinal, Stall/Wall...
Wash BasiniLavatory, Single..
Toiiet, Pubiic lnstallation.
Toiler, Private.......
Miscellaneous:
NUMBER OF
NEW FIXTURES
z--
z-
TOTAL F|XTURE UNITS
UNIT
EOUIVALENT
=
eadH
2
1
2
3
6
2
6
6
It
3
2
tl
2
2
1
b
4
FIXTURE
UNITS
--
tb
CREDIT CALCULATION TABLE Based on assessed value. lf im provements occurred after annexation date in table.calculate credits se a rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x s_
(Rate X Assessed Value)x s_-
(Rate X Assessed Value)
CREDIT TOTAL = $
Year
Annexed
Flate per $1,000
Assessed Value
Year
Annexed
Rate per $1,COO
Assessed Value
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
$ 3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
'r 996
)z.co
2.17
1.73
1.31
0.92
o.74
0.61
o.45
0.31
o.17
RUNOFF COEFFICTENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyt
fiesiden tiai.,
Commerical
lndustrial....
Governmental
o.4
0.9
05
o.5
lMPERVlous AREA.= TorAL Lor stzE x RUNOFF coEFFtctENT
€$WillamalaneFairf& aLcreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
PHONE:bNAME:
,BlL,r'
(.
ADDRESS
LOCATIO N OF PROPOSED BUILDING
Street Address:
Plat Name:Tax Lot Number:
D. Manufactured Home Park
NO' OF UNITS X $699 Per unit
WILLAMALANE SDC $
2. SDC CREDIT (it applicable) SDo-payer must fumish prool of
Wlamatane ireOit'approvat. See dOC Creait Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations
yPe Oetinitions are on the back.)
A. Single-Family Detached
single Family home Manufactured home not in a park
B. Single-Family Attached
NO. OF UNITS X $924 Per unit = $
C. Multi-Family APartment
NO. OF UNITS X $692 per unit = $
and dwelling t
q
N
,a_ (if sDc
Deve lo
City of
$
0r
\
s\Ofi
for
Department Date
U\XAI
,
d
ll
fur\t!-