HomeMy WebLinkAboutPermit Building 1995-08-29CITY OF SPruNGFIEIT',
SPRINGFIELD
o
RESIDENTIAL PERMIT APPI,ICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
rlob Nr:rnber: 951230
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 355 N l-5TH ST
Assessors l"tap #: L7033624
Lot : Bl-ock:
Office:
Inspection Line:
725 -37 s9
726 -37 69
Tax Lot #: 07702
Subdivision:
Owner: DAVID HITDSON
Address t 687 ASPEN STREET
Describe Work: S.F. RESIDENCE
Phone #: 726-7604
citylstaEe/zip: SPRTNGF]ELD, OREGON 97477
NEW
Contractor
ConsE.
Contractor #Expires Phone
726 -7 604General:OWNER
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: LL46
-- oFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 2
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOIIRCE: WH
INSUL PATH: P1
To request an inspection, cal-l- the 24 howr recording at 725-3769
A11 inspections requested before 7:00 a.m. will be made the same working day,
i-nspections requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
FOOTING - After Erenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
POST A}{D BEA}I - Prior to floor insulation or decking.
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
SATiIITARY SEWER LINE - Prior to fi-11ing tsrench.
STORM SEWER LINE - Prior to filling trench.
WATER LINE - Prior to fill-ing trench.
ROUGH PIJI,MBING - Prior Io cover.
ROUGH MECHAIIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FR.N{ING - Prior to cover.
INSULATION - Floor; prior to decking Wal1/Ceiling; Prior to cover
DRYWALL - Prior to taping.
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
CURBCIII - After forms are erected but prior to placement of concrete.
FINAL PIJITMBING - When all plumbing work is complete.
FINAL MECIIAI{fCAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Lot Faces: W
Topography: 2
Sofar Approved: Y
House
Garage
Lot Sq. Ft.: 5035
TotaL Height,: 1-5
Lot Type: PANIIANDLE
Setbacks
SWE
62t20
62L
Lot Coverage: L9 Z
Setbk From NPL: 51
N
SPFINGFIELD
Job Number: 951-230
CITY OF o
Page 2
ftem
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUII,DING PERMIT ---
Square Feet x
950
$,/sguare Feet
56.2
VaIue
53,390.00
0.00
55, 370 . 00
301.00
24 .08
325.08(A)
--- SYSTEMS DEVELOPMENT CIIARGE (SDC)
(B)L ,548 .24
Systems Development Charge is due on all undeveloped properties within the City
limiUs and the Citys Urban Growth Boundry which are being improved.
--- PLI'I{BING PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
1
Fee
9l..20
9L.20
7.30
98.50(c)
--- }TECHNIICAL PER}TIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
2
4.50
5.00
3.00
15.00
10.00
L.20
(D)26.20
- - - }IISCEI.I.AT{EOUS PERUITS
Surcharge/edmin
Sidewalk
Curb Cut
WILLAMALANE SDC
TOTAI, MISCELI,A}IEOUS PERMITS
0.00
13.60
13.50
1, 000.00
(E)L,027 .20
(Excluding Electrical )
unless oEherwise noted
--- TOTAL A}TOI'NT DUE ---
(A, B, C, D, and E combined)3 ,025 .22
--- BUILDING VAI.UE, PI.A}iI CHECK AT{D BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shafl-, in all respects, conform Eo 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 aE any time upon viol-atj-on
of any provisions of said ordinances.
SPRINGFIELD
.fob Number : 95123 0
CITY OF SPilNGFIEI-O,a
Page 3
Plan Check Fee: 195.55
Received By:
Pfans Reviewed By: DON MOORE
Building Sj-te Reviewed By: LISA HOPPER
Date Paidt 07/26/95
Date: o8/28/95
ReceipE Number a8457
--- ADDITIONAL COMMENTS ---
A & T ESTIMATE ONLY, ACTUAL VALUE NOT LISTED IN
A & T AS OF e/1/9s
PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED.
DRIVEWAY REQUIRED TO BE PAVED
By signature, I atate and agree, that T have carefully examined
t,he completed application and do hereby certify thaE all information hereon
is true and correct, and I further certify that any and al-I work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the SEate of Oregon pertaining to the work described herein,
and that NO OCCUPANCY witl be made of any strucEure without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance wiLh ORS 701.055 wil] be
used on this project.
T further agree to ensure thaE all required inspections are requested at the
proper Eime, that each address is readable from the street, thaE the permit
card is focated at the front of the property, and the approved set of plans
will remain on the site at all- times during construction.
!J ?->7 7aI
Lure Date
--- VALIDATION ---
ReceipE Number:
Date Paid:
Amount Received:
Received By
CITY OF
SPF!NGFIELD
o
Page 1
CITY OF SPRINGFTEI,D SYSTEMS DEVEI,OPUEMT CHARGE
(COMMERCIAL / RESIDENTIAL)
Name or Company: DAVID HUDSON
Location: 355 N 16TH ST
Developement Tlpe: R Building Size:
Job No. : 951-230
Lot Size Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SAIiIITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,N.ISPORTATION
Number Of Uni-ts
1X
x
X O.2LO Per Sq Ft =
X 43.43 Per PFU =
x Cost Per Trip
437.93
1718
11
Trip Rate
1.01_0 x
Per PFU +
18.750 +
MWMC Admin Fee
10.00
*442.31-
$350.78
i477.73
$442.3L
$2L6.25
$22.s6
$193.70
$L, 47 4 .5L
$73.73
Transportation Total
4. SA.}IITARY SE!'IER - }TWMC
Number of PFUS
L1
5. A^D}IINISTRATIVE FEES
Base Charge (Subtotaf Above)
x
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SI'BTOTAI, - (Add ITEMS 1, 2,3&4)
x 0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER Date: 08/01'/9s
s1, 548 .24
SPFINGFIELD
Job Number: 951230
o
Page 2
FIXTIIRE I,NIT CALCUI.ATION TABLE
CITY OF SPruNGFIELD,
FixLure Type
Number of
New Fixture
Unit
Eguivalent
Fixture
Units
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/OiL/Solids/Etc
Inteceptors For Sand/AuEo Wash,/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/utc
Receptor for Commercial- Sink/Dishwasher/Etc
Shower, Single Sta11
Shower, Gang
Sink, Bar, Commercial
Urinal-, Stall/Wal1
Wash Basin/LavaLory, Single
Water Cl-oset, Pub1ic InstallaLion
Water Closet, Private
Miscellaneous
TOTAL FIXT"URE UNITS =
CREDIT CALCULATION TABLE: Based on assessed va1ue. If improvements occured
after annexation date, credits are cal-culated separately.
(calculations are by $1000)
Year Annexed: 1950
Credit For Parcel Or Land Only If Applicable: 5,500 X 3.47 = 22.56
Improvement (if after annexaLion date): 0 X 3-47 = 0'00
CRBDTT TOTAL = $22.56
(If 1and value is muttiplied by 1 then the parcel-/land credit is noL accurate.)
)
0
0
0
0
2
0
0
0
0
0
2
0
1
o
4
0
2
1
)
3
6
a
6
1
3
2
a
-
1
5
4
1
0
0
0
0
1
0
0
0
0
0
1
0
1
0
1
0
11
OREGO'VCITY OF
225 FIFTE STREET
SPRINGFTEID, oREGoN 97 477
INSPECTION REQIEST. 726-3769
OFFICE: 726-3759
1 LOCATTON OP ON.4
I,EGAL DESCRIPTION12e3*z/4y-er-z
JOB DESCRIPTI
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1.80 days.
Z. COT.ITRACTOR INSTALT.ATTON ONIY
Electrical Contracto
Address
ci ty-Phone
Supervisor License Number
Exp iration Date
constr contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address 482
cir.y 5Tz-Z> vhone 7 263^74
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
lor sale, Iease or rent.
S
J *,-,..
sPF FIELE,
ELECTRICAL PERT{IT APPLICATION
Ci ty Job Nurube, ?(t L l'o
3. COHPI,gTB PEE SCHEDULE BEtOg
Nev Residential-Single or
Multi-Family per dvelling unit
Service Included:
I tems
L000 sq. f t . or less L'
Each additional 500
sq. ft or portion
thereof /
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Cos t
$ 8s.00
$ 1s.00
$ 40.00
B Services or FeedersInstaIlation, Alterations
or ReLocation:
A
Sum
AE
/,€'
200 amps or
201 amps to
401 amps to
601 amps to
Over 1000 am
Reconnect 0n
less
600 amps
1000 amps
ps /voI ts
1y
s s0.00
s 60.00
$100.00
s130. 00
s300.00
$ 40.00
Sovea
40.00
55.00
80.00
e rBl'
C Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
200 amps''or less $
201 amps to 400 amps
-
$
over 40L to 600 amps
-
$
Over 600 amps or 1000-vofTs se
-Each installation
Pump or irrigation S
sign/outline Lighting- S
t,:.mi ted Energy/Res $
Limi ted Energy/Comm $
40.00
40.00
20.00
35.00
SUBTOTAL OF ABOVE
5% State Surcharge
37" Administrative Fee
TOTAL
ners
1D
5 /?a.&*--z5:-e,
-__+--_
ture:
WillamalanePait & n-ecreation District 5\Job. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS:STATE:ZIP:
LOCATION OF PROPOSED BUTLDING SITE:
Street Address:3 \.rS \n \\o\n .L-
OJ
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype delinitions are on the back.)
A. Single-Family Detached
Single Family home I Manufactured home not in a park
NO. OF UNITS X $1,000 per unit = $ I DOC@
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family APartment
NO. OF UNITS X $692 Per unit
D. Manufactured Home Park
NO. OF UNITS X $699 Per unit
WILLAMALANE SDC $
2. SDC CREDIT ([ applicable) SDC-payer must furnish proof of
Wllamalane ireOit'approval. See SoC Crean Worksheet- $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
lDm.b
d
$It)nq)b&35
=$
=$
lo
City of
ment
td
rtment Date
)