HomeMy WebLinkAboutPermit Building 1995-09-16SP'lINGFIELD
RESIDENTIAL PERMTT APPIJICATION
CITY OF SPRINGFIEIJD
COMMT'NITY SERVICES DIVISTON
BUILDING SAFETY
Page 1
ilob Number: 951945
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 2351 N 31ST ST
Assessors l,tap #: 17033021
Lot: 1 Block:
Office:
Inspection Line:
726 -37 59
726 -37 69
Tax Lot #:
Subdivision:
05000
DUCK HAVEN
SPilNGFIEID, ONEGONCITY OF
Owner: AIiITHOI{Y DEMUTH
Address: 626 NORTH 52ND STREET
Describe Work: S.F. RESIDENCE
Phone #: 726-03L6
City/State/Zip: SPRINGFIELD, OREGON 97478
NEW
General-:
Contractor
or{NER 0058022
525 N 52nd Springfield OR 974780000
Const.
Contractor #Expiree
L2/1,2/e6
Phone
725 - 03].6
QUAD AREA: 3RNC
# OF UNfTS: 1
CONSTR. TYPE : \lN
WATER HEATER: E
SQ FOOTAGE: 2369
-- oFFrcE usE --
LAND USE: lLLL
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
INSUL PATH: Pl
To request an inapection, caLl- the 24 hour recording at 726-3769.
A11 inspections requested before 7:00 a.m. witl be made Ehe same working day,
inspecEions requested after 7:00 a.m. wilL be made the following work day.
--- REQUTRED INSPECTTONS ---
TEMPORARY POWER
FOOTING - Aftser Erenches are excavated.
FOITIIDATION - After forms are erected but, prior to concrete placement.
POST AfiID BEAI{ - Prior to f loor insulation or decking.
ITIIDERFLOOR PLITMBING - Prior to insul-ation or decking.
ITIIDERFIJOOR MECIIAT{ICAL - Prior to insulaEion or decking.
INSULATION - Ffoor; prior to decking Wall/Ceiling; Prior to cover
SAIIITARY SEWER LINE - Prior to filling trench.
WATER LfNE - Prior to filling trench.
STORU SEWER LINE - Prior to filling trench.
WATER LINE - Prior Eo filling trench.
ROTIGH ITIECIIANICAL - Prior to cover.
ROUGH ETECTRfCAL - Prior to cover.
ELECTRICAL SERVfCE - MusE be approved to obtain permanent power.
FR.AIIING - Prior to cover.
INSULATION - Ffoor; prior to decking wa11/Ceiling; Prior to cover
DRYWATL - Prior to taping.
.€{IRICEF- Af ter forms are erected but prior to placement of concrete.
SI'EE#*ilt - After excavation is compleEe, forms and sub-base material
in p1ace.
FINAL PLTITIBING - 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 reguired inspections have been approved and
the building is complete.
Lot Faces: W
Setbk From NPL: 5
Lot Sq. Ft.: 7920
Solar Approved: Y
Tota1 Height: 19
Lot Type: INTERIOR
CITY OF
SPFIIiIGFIELE,
Job Number; 951-946
House
Garage
ftem
Mai-n
Garagre
Total Value
Building permit FeeSurcharge/aamin
TOTAIJ TEE
ftem
Residential Bath (s)
Plumbing permit
Surcharge/admin
TOTAI. CHARGE
Exhaust Hood
Vent Fan
Dryer Vent
WTLLAMALAIVE SDC
Mechanical permit
fssuance
Surcharge/admin
TOTAL PERMIT
Surcharge/aamin
WTLLAMALA}IE SDC
TOTAL MISCELLAI{EOUS PER}!rTS
(Excluding Electricat )
unleEs otherwise noted
Systems Development Charge is due on aLl_ undevellimits and. the Citys Urbln er"rti, Boundry which
N
5
Setbacks
Sry
L1
l_9
E
--- BUTLDING PERMTT -.-Square Feet x
t7 94
575
--- SYSTEMS DEVEI.OP}TEMT CIIARGE (SDC)
- - - PLI'}TB rNG PERMTT ---
2
-. - ITTECIIA.}ITCAL PERMTT ---
3
- - - MrSCELLAI{EOUS PERMTTS ---
--- TOTAL A}TOUNT DUE ---(A, B, c, D, and E combined)
oped properties within t.he Cityare being improved.
$,/Square Feet
56.20
14.10
(A)
Page 2
Val_ue
100, 923 . oo
9,109. oo
108, 931 . OO
453.25
36.26
489.51
2 ,244 .67
Fee
150.00
150.00
L2 .80
L72.80
4.50
9.00
3.00
0. 00
15.50
10.00
1.33
(B)
(c)
(D)27.83
0.00
1, 000 . 00
(E)1, 000 . 00
3,934.81_
--- BUTLDTNG VALUE, Pr.Al,iI EHECK AI{D BUTLDING PERTTTT - - -
This permit is granted on the express condition that the said const.ructionshaIl, in all respects, conform to the ordinance adopted by the city ofspringfield, including the DeveLopment code, regulating the construction anduse of buildings, and may be suspended or revoked. at any time upon violationof any provisions of said ordinances.
SPllINGFIELD
Job Number: 9S!94G
CITY OF SPilNGFIEIT',ONEGON
Page 3
Plan Check Fee:. 294.61_ Date paid:
Received By: LORNE PLEGER
Pl-ans Reviewed By: BOB BARNHART Date:
Building SiEe Reviewed By: LISA HOppER
L2 /28 / e5
oL/LO/e6
Receipt Number: 19908
--- ADDTTIONAL COMMEMTS
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REOUIRED
By eignatsure, f atate and agree, that I have carefully examinedthe completed application and do hereby cerEify that alL information hereonis true and correcL, and I further certify Ehat any and all work performed
shall be done in accordance with tshe 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 cert,ify that only
contractors and employees who are in compliance with oRS 70L.055 wil-1 be
used on this project.
I further agree to ensure thaE all required 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
wil-I remain on the sit,e at all times during construction.
/- 4asignatureDate
--- VAIIIDATION ---
Receipt Number
Date Paid
Amount Received:
Received By:
ctTy oF ONEGON
SPR!NGFIELD
Name or Company
Location: 2$61" N 31ST ST
Developement T)pe: R Building Size
CITY OF SPRTNGFIEI,D SYSTEMS DEVELOPMENT CIIARGE(RESIDENTIAL)
ANTHONY DEIVIUTH
Page 1
Sq Ft
Job No. : 95L94G
Lot Size:
1. STORM DRAINAGE
fmpervious Sq Ft
2. SAI'IfTARY SEWER - CrTy
Number Of PFUs
(see Page 2)
3. TRA}ISPORTATION
Number Of Units
1X
X 0.2L0 per Sq Ft =
X 43.43 Per PFU =
x Cost Per Trip
437.93
x
3025
1B
Trip Rate
1.010 x $442.3L
$53s.45
$7el.74
$442.31,
$347. s0
i6e.23
i2'78.27
$2,L37.78
$105.89
Transportation Total
4. SAIVITARY SEWER - MVSIIIC
Number Of PFUs
18
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above)
x
x
Per PFU +
1-8.750 +
MWMC Admin Fee
r_0 . 00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SITBTOTAL - (Add lEems L, 2, 3 & 4)
x 0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER Date: 01,/02/96
$2 ,244 .67
CITY OF
SPRINGFTELD
Job Number: 95]- 946
TOTAL FTXTURE UNTTS =
FIXTURE UNTT CALCULATTON TABTE
Fixture Type
Bathtub
Drinking FountainFloor Drain
Interceptors For crease,/oi1/solids/gtcrnteceprors For Sand/Auto *""i7"a.Laundry Tub/Clotheswasher
Clotheswasher _ 3 Or MoreReceptor For Refrigerator/Water Station/EtcReceptor for CommerciaL Sink/Dishwasher/EtcShower, Single StaIl
Shower, Gang
Sink, Bar, Commercial, Residential- KitchenUrinal_, Stal_l_/Wa11
Ialash Basin/Lavatory, SingleWater Closet, pub]ic lnstallationWat.er Closet, private
Miscellaneous
Number of
New Fixture Unit
Equivalent
Page 2
Fi-xture
Units
18
z
1
2
3
5
6
1
3
2
2
1
6
4
1
0
0
0
0
1
0
0
0
1
0
1
0
2
0
a
0
0
U
0
0
0
0
0
2
0
a
0
2
0
8
0
CREDIT CALCULATTON
Credit For parcel Or Land. Only If Applicable:
fmprovement (if after annexation date):
TABLE: Based on assessed value- rf improvements occuredafter annexation date, credits are calculated separately(calculations are by glooo)Year Annexed: 1,974
19,950 x 3.47 = 69.23
0 x 3.47 = o.oo
CREDTT TOTAL - $69.23
(rf land value is multipried by l- then the parcel/land cred.it. is nor accurate.)
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WOBK:
ASSESSORS MAP:
I]{GFTELt)
/{
JOB NUMBER
225 Fifth Street
Sprlngfietd, Oregon g7477
TAX LOT:
SUBDIVISIONLOT BLOCK:
PHONE:
ztP:
/))
STATE:
7z 6
CITY:
ADDRESS:
OWNER
ADDITION DEMOLISH OTHER
DESCRIBE WORK:
NEw u" REMoDEL
ADDRESS EXPIRES PHONE
MECHANICAL:
ELECTFIICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
WATER HEATEFI:RANGE:
r OF BDRMS:
- OFFICE USE _
OCOY GROUP:
E OF STORIES:
QUAD AREA:
, OF BLDGS
FLOOD PLAIN:
ZONING CODE
SECONDARY HEAT:
SQUARE FOOTAGE:
LAND USE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All inspections requested before 7:00 a.rn. will be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be made the following work day.
REOUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumbing - When alt
plumblng worl( is complete.
Slte Snspectlon - To be made
after excavation, but prior to
settlng forms.
Rough Electrlcal - Prior to Flnal Electrlcal - When all
electrical work is complete.cover.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrlcal Servlce - Must be
approved to obtaln permanent
electrlcal power.
Flnal Mechanical - Wtten all
mechanical worl< ls conrplete.
Footlng - After trenches are
excavated.Final Buildlng - Wlren alt
required lnspections have been
approved and building is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
or,*6Aj //NE ;
4*s 514.i' -Foundatlon - After forms are
erected but prlor to concrete
placement.
Underground Plumblng - Prior
to fllllng trench.
MOBILE HOME INSPE TIONS
Underlloor Plumblng / Mechanlcal
- Prior to lnsulatlon or decking.Wood Stovo - After lnstallation.
Post and Eeam - Prlor to floor
lnsulatlon or decklng.lnsert - After flrePlace aPProval
and lnstallatlon of unlt.
Blocking and Set-Up - When all
blocklng ls complete.
Floor lnsulation - Prlor to
decklng.Curbcut & Approaclr - After
forms are erected bttt Prior to
placement of concreJe.
Plumbing Connections - When
home has been connected to
water and sewer.
Sanltary Sewer - Prlor to fllling
trench.Electrical Connection - When
blocking, set-up, and Plumbing
lnspections have becn appraved
and the home is connectecl to
the service panel.
Sidewalk & Drlveway - After
excavation is complete, forms
and sub-base material in Place.
Water Llne - Prlor to filling
trench.
Fence - When comPleted.
Rough Plumbing - Prior to
cover.
Streel Treos - When all required
trees are Planted.
Final - After all required
inspections are approved and
porches, sklrting, (lecl(s, and
ventlng have been installed.
%o_#_A
,
os/6
CONTRACTOR'S NAME
# OF UNITS:
--
tl
Storm Sewer - Prlor to fllling
trench.
tl
E
E
tl
tl
Er
E
tl
r
tl
tl
E
l-l Flreptace - Prtor to factns t]u materlals and framlng lnsp.
n Framlng - Prlor to cover.
"Kl--l WalllCelllng lnsulatlon - Prlor tol-J cover.
[-_l Drywall - Prlor to taplng.
E
E
E
.,'^
'
.;,
!..
HSE GAR ACCP.L.
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Typ
-
lnlerior
-
Corner
-
Panhandle
-
Cul-de-sac
S IS THE PROPOSED WORK iN THE -
HrsroRtcAL DlsTRlcT, oR oN
THE HISTORICAL BEGISTEFI?
-
ll yes, this applicatlon must be slgned
and approved by the Historlcal
Coordinator prior to permit issuance.
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction 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.
Receipt Number:-
Plans Fleviewed By Date
Plan Check Fee
Date Paid
Received By:
VALUE
(A)
BUILDING PERMIT
Total Value
Building Permit Fee
State Surcharge
Total Fcc
SO, FT. X $/SQ. FTITEM
Main
Garage
Caryrort
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
N0
FT,
FT.
FT.
PLUMBING PERMIT
Plumbing Permit'
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ ln-sert/Flreplace Unit
4,\> /rDE * w//grye+-t*errt- ' /'5=
1€o
'itrte sur"h urou ,y'O t rZ?,77
77..Total Permit (D)
af fip. _
,Bn,AZXkAe 7 230
No
Mechanical Permit
-bst€i+ce_-
Vent Fan
MECHANICAL PERMIT
Fu rn ace
Exhaust Hood By slgnature, I state and agree, that I have carofully examlned
tho completed application and do hereby certlfy that all
lnformation hereon is true and cgrrect, and I f urther cerilly
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
hereln, and that NO OCCUPANCy will be made of any
structure without permission of the Buildirrg Safety Division.
I further certify that only contractors and employees who
are ln compliance with OFIS 7O1.O5S will be used on thls
proiect.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card ls located at the front
of the property, and the approved set of plans will remain
slgnature
Date .-.---
on the site at all ti mes during construcilon
MISCELLANEOUS PERMITS
Mobile Home
State lssuance ,
State Surcharge
Sidewalk
-_=-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Miscellaneous Perrnits (E)
ToTAL AMoUNT oUE (exctuding.electrica n ,10.2 7
(A, B, C, D, ancJ E Combined)
VALIDATION:
RECEIPT NUMBER
-
ATUOUNT RECEIVED -
z7DATE PAID
FIECEIVED BY
rt, ,
225 FTDTE STREET
SPRTNGFTEH),OREGON 974
TNSPECTTON REOUEST 72
OFFTCE:59
1.
726-37
TION OF
JOB DESCRTPTTON
not requiro epeciflc land uce
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
seRrxcrtel.o
ELECTRTCAL PERHTT APPLICATTON
Ci ty Job Nurnber Tstfqb
SCBEDIILE BELOS
Cos t
s 8s.00
$ 1s.00
$ 40.00
Nev Residential_Single orMulti-Family per avEtting unit.Jervrce Included:
f tems
L000 sq.ft. or ]essEach additional 500sq. ft or portion
thereof
Each Manufrd Home or
-
Modular Dwelling
Service or Feeder
z i., and dires
.ttrpr't:VBl,
Aull',orlzed
6-0
L
A
7
Sum
lr
Permits are non-transferable and expirif uork is not srarted "ii[i"-i8O daysof issuance or if vork i" "u.p"naed io180 days.
2. COT.ITRACTOR TNSTALI^ATTON ONLY
'e
r
EIec t ri ca
Address
I Contracto
Ci ty pn""" 6lG- f fuJt
supervisor License Number 3AQ&C|€
c.
Expiration Date U
Constr Contr. Number
Services or FeedersInstal-1ation, Alterationsor Relocation:
200 amps or less201 amps to 400 amps
-
40L amps to 600 amps
-
601 amps to 1000 amps-Over 1"000 amps/volt;
-
Reconnect Only
Tempo_rary Services or Feedersfnstallation, Alteration oi-n"Iocation
200 amps or ]ess S 4O.OO201 amps to 400 amps
-
i SS.OO0ver 401 to 600 amps S 8O.OOOver 600 amps or tbOOTtjTt" ,"" ,Bi affi
Branch Circuits
Nev, Alteration or Extension per panel_
One Circui t
Each Additional $ 35'oo
Circuit or vith Serviceor Feeder permit _ $ 2.OO
Misce]laneous (Service,/feeder not included)-Each installation
Pump or irrigation $ 4O.OO
Sign/0utline Lighting- S 40.Oo
Limited Energy/Res -- I S 20.00
Limited Energy/Comm $ 36.00 W"
B
s s0.00
s 60.00
$100.00
s130.00
$300.00
$ 40.00L
Expiration Date
Signature of Supervi sing Electrician
Ovners Name
one
D.
Address
Ci ty
i
OIJNER TNSTALTATTON
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners ture:
E
A^Ltl)20
--rro,-/2-DATE:
RECEIVDD
5
1
____:6T_
--7T;T; o
CITY OFSPR OREGO'U
l"\-
225 PTYIN STRBBf,
SPRTNGTIELD, oRECoN 97477
INSPBCTTON RBQUEST: 726-3769
OPFICE: 726-3759
)
I,gGAL
JOB
2. CO}II?ACf,OR TNSTATI,ATION ONLI
Permits are non-transferable and expirelf vork is not started vithin 180 daysof lssuance or lf vork ls suspended for
180 days.
sPtrtrq{GFrELo
PERHTT
ty Job Nunber
3. COHPI,ETE PBE SCEBDI'I,B BBLOV
Nev Residentlal-Single orHulti-Family per dwelling unit.
Service Included:Items Cost
/ $ ss.oo
-A- g 1s.oo
$ 40.00
B Services or FeedersInstaIIation, Alterations
or Relocation:
c
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIIing
Servlce or Feeder
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
ON
A
D.
Sum
F5 6',
q5 -^
Electricar contractor Ga *-J € lefii'c
Address .<75/l /tb./nu I - ,<ci
ct p f t.l phoneht j_2S.fG
Supervisor License Number
Exp lration Date /o* I -r/s
Cons tr Contr. Number
Expiratlon Dat .//D -7./
Stgnature of Supervlsing Blectrlcian
)1 l,v-.2,1 1'1-'ryLLla
Omers Name n
/-:Ad&ess(/,/bh .5)LA 57-
cl Phon "7ZQ - 03t Q
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
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/vo1ts
Reconnect 0nly
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $
201 amfs to 400 amps
-
$
over 4b1 to 6oo amps
-
$
0ver 600 amps or tOO0-ilofts s
Branch Circuits
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
ee rrBr aSoE
40.00
55.00
80.00
.00
.00
.00
.00
6?)
i
OSNER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
Onners Signature:
$40
$40
$20
$36
i3o .5
bDATE:
FSCEIVBD il 1qo-Qo
t@
Willamalane
Park & Recreation Districl Job. No.
SYSTEM DEVELOPMENT CHARGE
WOHKSHEET
PHotTIE:
ADDRESS:
LOCATION OF PROPOSED BUILDING
Street Address:
Plat Name:
1
Se
STATE:ZIP:
Tax Lot Number:
Manufactured home not in a
X $.l,000 per unit = $
$
sr
DEVELOPMENT fyfF lg!,.gr appropriate dwelling(s). sDC calcutarions and dweling type definitions are on tfre bacf<.j -rr'
A. Single-Family Detached
-1- Singte Famity home
NO. OF UNITS I
B. Single-Family Attached
NO. OF UNITS X $924 per unit
C. Mufti-FamilyApartment
NO. OF UNTTS X $692 per unit
D. Manufac{ured Home park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (if appticabte) SDC-payer must fumish proof of
Willamalane Credit approval. See SOC Credit Woksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced tor
$
$
D .00$
$
$\uu0p0
City of Springfield
me nt Date
t(e
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