HomeMy WebLinkAboutPermit Building 1995-03-18oTr SPilNGFIELI', ONEGON
SPRINGFIELD
RESIDENTTAL PERMTT APPTIEETION
CITY OF SPRINGFIELD
COMUT'NITY SERVICES DIVISION
BUII,DING SAFETY
page 1
Job Nrurber: 95153G
225 North Flfth Street
Springfield, OR 97477
Location of Proposed Work: 1951 N 17TH ST A_CAssessors Map #: 1_7032524
Lot: Block:
Office:
fnspection Line:
726 -37 59
726 -37 69
Tax Lot #: 03GOO
Subdivision:
Owner: H KWAKE TRUST
Address:. PO BOX 242
Phone #: 998-L97]-
City/Stare/zip: CHESHTRE, OR 974L9
NEWDescribe Work: TRIPLEX yll ATT GARAGE
General:
Contractor
TERAL fNC
PO Box 238
ConEt,.
Contractor #Expires
os/2e/e5
Phone
998-8504cheshire oR e741;3:;3tt
QUAD AREA: 2RNW
# OF UNITS: 3
CONSTR. TYPE: VN
WATER HEATER: E
-- oFFrcE USE --
LAND USE: 1134
ZONING CODE: MDR
# OF BDRMS: 7
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R1
HEAT SOIIRCE: WH
SQ FOOTAGE: 3233
To request an inspection, call L}:e 24 hour recording aE 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 fol-l-owing work day.
--- REQUTRED TNSPECTTONS ___
tNDERGROITND pLtMBING - prior to filling trench.
I,NDERGROI,ND ELECTRICAL - Prior Io Cover.
FOOTfNG - After trenches are excavated.
FoUNDATToN - After forms are erected but prior to concrete placement.
TTNDERFLOoR PLITMBTNG - prior to insulation or decking.
SAI{ITARY SEWER LINE - prior to fil_ling t,rench.
STORM SEWER IJfNE - prior to filling trench.
WATER LINE - prior to filling trench.
ROUGH PLITMBING - prior to cover.
ROUGH ELECTRICAL - prior to cover.
ROUGH MECHAI{fCAL - prior to cover.
ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.
FRA}IING - Prior to cover.
rNsuLATroN - Floor,' prior to decki-ng waI1/ceiling; prior to cover
FTREWATJTJ - Located and constructed according to pl_ans.
DRYWALL - Prior to taping.
RoucH cR.aDrNG - After gravel is in place but prior to placing concreLeFINAL PAVfNc - After paving is complete.
FINAIJ PIJIIMBING - When all plumbing work is complete.
FrNAr. Er-EcrRrcAL - when alr el-ectrical work is complete.
FrNAL MECHAT{rCAL - when arr mechanical work is complete.
FrNAL FrRE - when all- Fire Department requirements have been met.been met.
FrNAL srrE PLAI{ - After all requirements have been met for MinimumDevelopment standards or from the Development Agreement.
FrNAL BurLDrNc - when a1r required inspections have been approved and.the buil_ding is complete.
SPRINGFIELD
Job Number: 951535
SPilNGFIEIT', ONEGON
Page 2
Total Height: 27 SoLar Approved: Y Lot Type: fNTERfOR
N
Setbacks
SW
10 10
E
House
ftem
Main
Garage
Total- Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUTLDING PERMIT ---
Square Feet x
2543
690
$/Square Feet
55 .20
14.10
Val-ue
L42 ,91-7 . OO
9 ,729 . OO
1,52 ,646 . OO
s52.00
44 .1,6
(A)595.15
--- PLUIIBING PERMIT ---
It,em
Fixtures
Sanitary Sewer
Water
Storm Sewer
BACKFLOW DEVICE
Plumbing Permit
Surcharge/Admin
TOTAL CI{ARGE
20
70
70
IU
Fee
200.00
40.00
40.00
40.00
10.00
(c)
330.00
25.40
355.40
- -. ITTECIIAI.IICAL PERIIIT - - -
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
4
13.50
L2.OO
9.00
34
10
2
50
00
77
(D)47 .27
- - - }IISCELIA}IEOUS PERMITS
Surcharge/aamin
WILLAMALANE SDC
PLAN REVIEW
SYSTEM DEVEL CHARGE
TOTAI. MISCETLATiIEOUS PERIIITS
0.00
2 , 076 .00
50.00
3,185.tO
(E)5 ,32L . Ld
(Excluding Elect,rical)
unleeg otherwise noted
- - - TOTAL A}TOI'NT DUE -. -
(A, B, C, D, and E combined)6,32L.9
--- BUILDTNG VALUE, PIJAIV CHECK AI{D BUIIJDING PERMIT ---
This permit is granted on the express condition thab the said. construction
sharl, 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 t,ime upon viotationof any provisions of said ordinances.
SPFINGFIELE,
uTob Number: 951535
qrr ONEGON
Page 3
Received By:
Plans Reviewed By: LORNE PLEGER
Building Site Reviewed By: LISA HOppER
Date:09/27/95
--- ADDITIONAL COMMEIIrS
STREET TREES AS REQUIRED THROUGH DRC AGREEMENT
DRC #95-01-001, PLANNER IS LAUREN LEZELL
DRIVEWAY REQUIRED TO BE PAVED
By signat,ure, r state and agree, that r have carefulry examinedthe completed application and do hereby certify that at1 information hereonis true and correct, and I further cert.ify that any and. all work performedshall be done in accordance with the ordinances of t.he City of Springfield,
and the Laws of the SEate of oregon pertaining to the work d.escribed herein,and that NO OCCUPANCY wiLL be made of any sLructure without permission of the
Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with oRs zo1.055 will_ beused on this project.
I further agree to ensure that al-l reguired inspectj-ons are reguested at theproper Lime, that each address is readable from the st.reet, that the permitcard is located at, the front of the property, and the approved set of planswill remain sL times during construction
Dat.e
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VAI,IDATION ---
o
SPFII. -F'ELD
Ttre
ronin0, and doeg
app:'oval.
L
225 TIFTE SIREET c*. 10'lq ' qu
SPRINGPIELD, OREGON 97477 ,r .'i'r-:<l
INSPECTI0N REQUEST: 726-3769
OFFICE: 726-3759
not require spocilic Iand use
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nunber 7S L
3. COHPLETE FEE SCBEDTILE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1.
t8
ION OP INSTALLATIONr# sf a?R l^I&trrEL
LOCAT
bb tl,D, dP-.A
LEGALt'l-ov -a5-a TflX Lcf 37oo
JOB DESCRIPTION
,:?}'?6 .C..TPIPLEX
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLT
Electrical Contractor
Address
Ci ty 8r*a ,)
ense Number 2831 5 . --rl
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
thereof
Each Hanuf'd Home. or
Modular Dvelling
Service or Feeder
.8. Services or Feeders
... Insta1Iation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps _
3 s Bs. oo ZSS,*
z: $ 1s.oo j|_4a
$ 40.00
Sum
phonel&',.t'751'?J53*+/ 401 amps to 600^amps
-
601 amps to 1000 amPs-
s s0.00
s 60.00
s100. 00
s130. 00
$300.00
$ 40.00Supervisor Lic
Expiration Dat e
b
Exoiration Date
s of Supervis Electrician
Ovners
Address
E 2ttcf
0ver 1000 amps/volts
Reconnect Only
4 tlr I
c
constr contr. Number 3ai"l?t-e Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S
201 amps to 400 amps
-
S
over 4b1 to 600 amps
-
$
^-.-- zn^ rnnnT'IT- .\., v Cl Vvv dlriPJ vr ruvv Y v: !s P
40.00
5s.00
80.00
66 ilnll aEF
ci ty-Ynr"" ??8. '/? 7/
OVNER INSTATLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
)mers Signature:
ATE:a
D. Branch Circuits
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAL
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t
-
$ 2.00 -----
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting-
Limi ted Energy/Res
-
Limited EnergY/Comm
e
@
E
$ 40.00
s 40.00
$ 20.00
s 36.00
BCEIVED B
G
5
-$,af,9-o
{iBo sr.i"
Willamalane Q:\b3(rPark & Recreation District Job. No.
NAME:Fl ,
ADDR
LOCATION OF PROPOSED BUILDING SITE:
B. Single-Family Attached
NO. OF UNITS
C. Multi-Familv Aoartment
\'4
NO. OF UNITS J
SYSTEM DEVELOPMENT CHABGE
WORKSHEET
PHONE:
X $924 per unit
4ct K, lQq I
,-W=t*4HFI
LStreet Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detached
Single Family home
NO. OF UNITS
Manufactured home not in a park
X $1,000 per unit = $
C-/
x $0gZ per unit aDrlutr
$
$
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for
ent Se
DO$
$
$
^L,City of
pm
sprringfield
D epartment Date
/
qV
-.-T--
JOB N0 . 15 t536
CITY OF SPRINGFiELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPAXY H . k) ALe Tr?d51-
LOCATION:
't860 t1 +1.e-rfz1r::r g)toih'|6 c /,, t1 63 Zj Zf ogle1
DEVELOPMENT TYPE:Tfa?Le{ - $ot,-Or*tG C
BUILDING SIZI SI
1. STORM DRAiNAGE
IMPERVIOUS SQ. FT Zl sB X $0.21 PER SQ. FT.
:'
2. SANiTARY SEI^JER-CITY
NO. OF PFU'S 39 X $43.43 PER PFU
(See Reverse)
3. TRANSPORTATION
NO OF UNiTS X TRIP RATE X COST PER IRIP
a X o,58 X$437.93
x _ x $437.93
x _ x $437.93
4. SANITARY SEWER-MI^JMC
51i6 $ai-ontG ?eertT 45Or81
$18.75 PER PFU + $10 MWI',IC ADMIN.FEE
. rL.
s
$
NO. OF PFU'S
-X
(Use PFU Total From Item 2 Above)
Mt^Jl'4C CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL.MI^IMC SDC
SUBTOTAL (ADD ITEMS 1.2,3 & 4)$ ?, o33
5. ADMINISTATTVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
{rug t^VlLLt9{€.rt B q5
Troy McAllister
SDC Coordi nator
$
5z
bu9-
7tb5o
1blg
Date:I
TOTAI SDC
f'0g 3,185 -
i
I
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivatent = Fixrure Urrits
(NOTE: For remodels, calculate r
FIXTURE TYPE
Bathtub......
Drinking Fountain....
Floor Drain
lnterceptors For Grease/Oil/Solids/Etc
Interceptors For Sand/Auto Wash/Etc.................
Laundry TubiClotheswasIer.......
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)
Receptor For RefrigeratorAVater Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta|I..........
Shower, Gang....
Sink: Bar, Commercial, Residential Kitchen..
Urinal, StallMall.........
Wash Basin lLavatory, Singie
Toilet, Public lnstallation.
Toilet , Private.
Miscellaneous:
, the NET additional fixtures)
NUMBER OF -NEW FIXTUREJ
'3
3
4
I
TOTAL FIXTURE UNITS
UNIT
EOUIVALENT
FIXTUPE
UNITS i
-z-
T
3a
6
-T-
+
adlHe
2
1
2
J
6
2
6
6
1
3
2
1
2
2
1
6
4
CREDIT CALCULATION T.ABLE: Based on assessed vaiue.
calculate credits separates.
lf improvements occurred after annexation date in table,
Year
Annexed
Rate per $'1,000
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 980
1 981
't982
1 983
1 984
1 985
1 986
$3.47
3.39
3.33
3.21
3.06
2.92
2.74
2.46
1 987
1 988
1 989
1 990
1 991
1 992
1 993
'1994
$2.1 3
1.76
1 .35
0.95
0.58
o.41
0.29
o.14
Credit for Parcel or Land Only lf Appticable
lmprovement (if after annexation date)
x s_
(Rate X Assessed Value)
(Rate X Assessed Value)
CREDIT TOTAL =$
!\