HomeMy WebLinkAboutPermit Building 1999-03-19OF SPilNGFIE.I:I',
SPRIlllGFIELD res you to
rego n UtilitY
Notification Center ose ru are set forth
in OAR 952'001-00 10 through oAR 952'001-
0090 You maY obtain copies of the rules bY
calling the center. (Note the telePhone
number forthe Oregon U tility Notification
Cente r is 1-800-332 -23441.
RESIDENTIAI, PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUTLDTNG SAFETY
Page 1
ilob Nurnber: 990281
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2475 19TH ST
Assessors Map #: 1-7032443
Lot. : Bl-ock:
Office:
Inspecti-on Line:
725 - 37 59
7 25 -31 69
Tax Lot #: 01300
Subdi-vision:
Owner: DAIiI ITIOREHOUSE
Addressl. 2475 19TH STREET
Describe Work: GARAGE
Phone #: 741-9892
Cit.y/State/zip: SPRINGFIELD, OREGON 97477
NEW
QUAD AREA: 5RNW
ZONING CODE: LDR
VN
SQ FOOTAGE: l92O
- - OFFICE USE - -
LAND USE: 1111
OCCY GROUP: U
# OF BLDGS: 1
CONSTR. TYPE:
To requesE an inspection, cal-f the 24 }:rour recording aL 726-3769
.I
A1J- inspections requested before 7:00 a.m. wilt be made the same working dayf
inspections requested after 7:00 a.m. will be made the following work day. i
--- REQUTRED TNSPECTTONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placement.
SLAB - To be made after all inslab building service equipment, conduit
piping, and other eguipment items are in place but prior to concrete
ROUGH ELECTRICAL - Prior to cover.
FR.AITIING - Prior to cover.
FINAL ELECTRICAL - When alf electrical- work is complete.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
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Lot Faces: W
Solar Approved: Y
Garage
ToEal Height: 16
Lot. Type: INTERIOR
Setbacks
NSWE
L3 108 155 30
Setbk From NPL
Item
Main
Total Val-ue
Building Permit Fee
Surcharge/admin
TOTAL FEE
BUILDING PERMTT ---
Square Feet x
]-920
$/Square Feet
18.34
Value
35,213 .00
35,213 .00
220
L7
00
50
(A)237.60
It.em
Storm Sewer
Plumbing Permit
Surcharge/aamin
TOTAL ETIARGE
--- PLI'MBING PERMIT ---
155
Fee
55.00
55.00
4 .40
59 .40
Surcharge/admin
--- MISCELLANEOUS PERMITS
(c)
0.00
SPRINGF!ELD
.fob Number: 99028L
a
Page 2
CITY SYS DEV CHARGES
TOTAI, II{ISCELTANEOUS PERMITS (E)
549.a6
549.16
(Excluding Electrical )
unless otherwise noted
- - - TOTAI, A}TOI'NT DUE -. -
(A, B, C, D, and E combined)845. r.5
--- BUILDING VALUE, PLA.I{ CHECK AND BUILDING PERMIT ---
Thj-s permit is granted on the express condition thaL the said constructi-on
shall-, in all respects, conform to 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 at any time upon violation
of any provisions of said ordinances.
Pl-an Check Fee: 143.00 Date Paid
Received By: LORNE PLEGER
Plans Revj-ewed By: DON MOORE DaLe
Building Site Reviewed By: LISA HOPPER
03/02/ee
03/1-e/ee
Receipt Number: 33018
--- ADDITIONAI, COMMENTS ---
THIS STRUCTURE CANNOT EXCEED HEIGHT OR S]ZE OF RES
EXIST]NG RESIDENCE IS 21OO SQ FT & 15' TALL
By signature, 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 f further certify that any and all work performed
sha1l be done in accordance with the ordinances of the City of Springfi-eld,
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, Buj-lding Safety. I further certify that only
contracLors and employees who are in compliance with ORS 701.055 will be
used on this project.
f further agree to ensure that al-f reguired inspections are requested at the
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 construction.
t Signature
tl/L, /q 'W
v Date
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALIDATION ---
0? 37t *
3-11 - 1a
s'lQ, lL*tu)
J0URNAL oR JoB NO. 4q OZAI
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY rVz eF- u 66SE
LOCATION:Z4zq nt* *
DEVELOPMENT TYPE
BUILDING SIZE
1. STORM DRAINAGE
IMPERVIOUS SQ. FT
2. SANITARY SEI^IER-CITY
SI
b4 r<%
Z7o+ X $0.227 PER SQ. FT
"p Ft.
$ 523.O1
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x $475.32
x $475.32
4. SANITARY SEI^IER-Mi,Jl"lC
A. REIMBURSEMENT COST:
NO. OF FEU'S X PER FEU
B. IMPROVEMENT COST
NO. OF FEU'S X PER FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMiNISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1.2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
Msu
SDC Coordi nator
ATTACH 'A. I^IPD
X $47.14 PER PFU $
X
X
$
$
$
$
<$
$ 10.00
TOTAL-Ml^lt'4c SDC $
rg,o
$ Zle,lS
Date: 3k /qq
TOTAL SDC $ s44.rl,
$
FIXTURE UNIT CALCULAIION TABLE: Number of New Fixtur - Y Unit Equivatent : Fixture units
(NOTE: For remodels, calculate only i
FIXTURE TYPE
,tlET additional fixtures)
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
Bathtub.......
Drinking Fountain.....
Floor Drain
lnterceptors For Grease/Oil/Solids/Etc.
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 Sta11..........
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation.
Toilet, Private.......
Miscellaneous
TOTAL FIXTURE UNITS
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates
2
1
2
3
6
2
6
6
1
3
2
1/Head
2
2
1
6
4
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
x$
(Rate X Assessed Value)X$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.83
o.67
o.52
o.38
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Residential.......
Commerical....
lndustrial........
Governmental........
o.4
0.9
o5
o.5
FIXUNIT.WPD IMPERVTOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
I
(Rate X Assessed Value)
CREDIT TOTAL : $
CITY OF SPR"VGFIELD, OFEGO'U
sP.iiilGFIELl,
Th_e foltowing proiect as submited has the lollowinozonrng, and does not require specifi"'ianj'u!"',,vapproval
225 FIFTE flN.EEf,
SPRINGFIEID' OREGON 97477 oate
INSPBCf,ION REQUEST: 726-3
oFFICE: 726-3759
E[.ECIRTCAL PBRT{IT APPLICATION
ob Nunber ggOZgl
SCEEDI'I.E BELOV
Nev Residential-Sing1e or
Multi-Family Per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home- or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 60.00
Zoning
769Authonzed Signature
1. IOCATION OF INSTALI,ATION
3.
AVtTSfi€ >r
a)Sum
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:gra$'?"+t'*
Address 2llf 4 >T 200 amps or less | $ s0.00
20L amps to 400 amPs
$100.00Ci ty STFD Phone Vll4 91>401 amps to 600 amPs
601 amps
1000
to 1000 amps $130. 00
0ver $300.00
JOB DESCRTPTION
bxRA t"G
Supervisor License Number
Exp iration Date
Constr Contr. Number
Exp iration Date
Signature of Supervising Electrician
Nlo*r*',
C. Temporary Ser ders
Ins tallat ion or Relocation
200 amps'$ 40.00
20L amps
401
s5.00
0ver to a56FOver 600 amps o
D. Branch Circuits
Nev, Alteration or Extension Per
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit t2- $ 2'00 4so
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
93.s s
Reconnec t
amps
0n1y
/voI ts
$ 40.00
00
0s
Ovners Name
Address z\1t t'r 5i
Ci ty *p,Phone 97vt7
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0rners Signature:
DATE:
T>t
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECETVED
5 .,)O
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. COIITRACTOR INSTALI..ATION ONLY
Electrical Contractor Hoyl4€i-c^-),uult