HomeMy WebLinkAboutPermit Building 1999-05-25CITY OF
(-<PFI]llcFIELEt
AITENTION:Cregon iau{ requires you to
follow rules aclopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through Q$Bffife9f-o pERt{rr AppIJrcArroN
0090. You may obtain copies of the6glpp bF sr*ruoFrELD
calling the center. (Note: the t€Uinllulluhy sERvrc=s DrvrsroN
numbei for the Oregon Utility NotificdtgflprNc sAFEry
Center is 1 -800-332-2344).
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Workz 26t5 3l-ST ST
Assessors t'tap #z L7021-931
Lot : Bl-ock:
Page 1
Job Number: 990594
Office:
lnspection Line:
126 -37 59
726 -31 59
Tax Lot #: 00704
Subdivision:
Owner: NOR}dA}iI CHALEWINSKI
Address:. 261-5 31ST ST.
Describe Work: ADDITION
Phone #: 726-3051-
ciry/state/ zip: sPLFD OR, 97478
NEW
Generaf
ConsE.
contracEor c"".il[6|;[CE: Expires Phone
ALCO CONSTRUCTI OTTZilT{SPERMTSJALbENFIHEIETHE}AIOffK
55e N s3RD sr SPRTNGFTELD oR eTAIfrIoRIZEDUNDERTHISPERMITISNOT
QUAD AREA: 3RNC
OCCY GROUP: R3
INSUL PATH: P1
-- oFFrcE usE --
r,AND usE. 1111ANY180DAYPERloQ. oF BLDcs
CONSTR. TYPE: VN # OF BDRMS
SQ FOOTAGE: 1340
1
2
To request an inspecEion, call- the 24 }lrowt recording at 726-3769.
AI1 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 TNSPECTTONS ---
FOOTING - After trenches are excavated.
SLAB - To be made after aLl- inslab building service eguipment, conduit
piping, and other eguipment items are in place but pri-or Eo concrete
ROUGH PLITMBING - Prior to cover.
ROUGH MECHAIiIICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
SHEAR WALL NAILING - Before covering sheathing with finish materials.
FF,A.IIING - Prior to cover.
INSULATION - Floor; pri-or to decki-ng Wa11/Ceiling; Prj-or to cover
DRYWALL - Prior to taping.
FINAL PLITMBING - When all plumbing work i-s complet.e.
FINAL MECHAL{ICAL - When all mechanical work is complete.
FINAI, ETECTRICAL - When aLl efectrical work is compleLe.
FINAL BUILDING - When all required inspections have been approved and
the building is complete.
Total Height: 1B
Item
Main
Garage
ADDITION
Total Value
Buildlng Permit Fee
surcharge/Admin
--- BUII,DING PERMIT ---
Square Feet x $/Square Feet Value
0.00
0.00
73,L22.0O
77 ,472 . OO
357.00
29 .36
TOTAI, FEE
1050 69 .64
(A)395.35
SP;iINGF!ELE,
Job Number: 990594
CITY OF a
Page 2
PLI'MBING PERMIT
Item
Resi-dential Bath (s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
1
Fee
94.20
91,.20
7.30
98.50(c)
Vent Fan
Mechanical PermiE
Issuance
Surcharge/admin
TOTAL PERMIT
--- MECIIANICAL PERMIT ---
1
(D)
3.00
15.00
10.00
1.20
26.20
--- MISCELLAI.IEOUS PERMITS
Surcharge/Admin
CITY SDC
TOTAL MISCELLANEOUS PERMITS (E)
0.00
354 .68
354.68
(Excluding Electrical)
unlese otherwise noted
--- TOTAL AII{OITNT DUE ---
(A, B, C, D, and E combined)885 .74
BUILDING VALUE, PI,AI{ CHECK AIID BUII,DING PERMIT ---
This permit is granted on the express condition that the said construction
shal-I, 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.
Plan Check Fee: 238.55 Date Paid:
Received By:
Pl-ans Reviewed By: AL WARD Date:
Building Site Reviewed By: BOB BARNHART
Receipt Number: 033799
--- ADDITIONAL COMMENTS ---
A SEPERATE ELECTRICAL PERMIT IS REQUIRED
OWNER TO OBTAIN AUTHORIZATION FROM LANE CO. SANITAR]AN (682_3951 STAN PETRASEK)
FOR THE ION F SEPTIC CAPACITY. ADDITION REQUIRED TO BE LO, Fb.pI FVSITNTT
*M LoC re
By signat,ure, I 6 ue 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 al-f work performed
shal-l- 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, Bui-1ding Safety. T further certify that only
conLractors and employees who are in compliance with ORS 701.055 will be
used on this project.
03/05/9e
05 /24 / ee
5r?*'
S|IRIIllGFIELD
Job Number: 990594 Page 3
I further agree to ensure that all required inspections are requested at the
proper time, that each address is readable from the street, thaL the permit
card is located at the front of the property, and the approved set of plans
wi-II remai on the at al-1 times during construction
Date
CITY OF SPruNGFIELD,
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Received:
Received By:
03vzo
5 25
5. ?,{
tCITY OF OBEGO'U
?oning. and does not require specitii ianJ u-se "
llate
,;rhorized Signature
225 FIFTB STREEf,
sPRrNGFrELD, oREGoN 97 477
INSPECTION REQIIEST: 726-3769
0FFICE: 726-3759
IJGAL //c{t7b?11 1/ od?o r
JOB DESCRTPTIONd 1onn cz
Permits are non-transferable and expire
lf vork is not started vithin 180.days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTAII,ATION ONLY
BI,ECTRICAL PERHIT APPLICATION
ty Job Nurnber 770 s?r
3. COHPIATB FBE SCBEDTILE BELOg
. A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf 'd llome. or
Hodular.'Dvelling
Service or Feeder
s 8s.00
$ 1s.00
.$ 40.00
B.Services or Feeders
Installation, Alterations
or Relocation:
r l-ut
vob
1. IOCATION OF
Z6r, f-7tr INST ALI.,ATION
Sum
Electrical Contrac ror frn U' /rhlf7 &frlf
Address
clty TrrcytrylSil ut Phone
Supervisor License Number
L/€6-Jlto
E:
Expiration Date 'ol o
Constr Contr. Number (ATJTHORIZED
Expiration Date COMMENCED
DAY
Signature Electrician
Ovners Name '_',fL,
Address CA*r.-76 6 </t
cl 5/1 F0 phone 7 L6, VotT
OIINER INSTALT,ATION
The lnstallation is being made on
property f ovn vhiih is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECE
200 amps or less
201 amls to 400 amps T
401 amps to 600 amps _
601 anfs to 1000 amps
Over 1000 amps/volts
-
Reconnect Only
6q
.00
.00
.00
.00
.00
.00
o
aE66
00
00
00
Bll
55.
FOR
$so
S60
$100
s130
$3oo
s40
or Feeders
tion or Relocation
80.
re(
amps"or less
atrps to 400 amps
401 to 600 anps
600 amps or tOO0ToTls
$
$
$
se
40
0ver
0ver
D.
E Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited EnergY/Res
Limited nnergY/Comm
,70
$ 40.00
$ 40.00
$ 20.00
s 36.00
5 SUBTOTAL OF ABOVE
"lgostate Surcharge
3Z Administrative Fee
TOTAL
--wq-
RECETVED BY:
f ,lO
0
Branch Circuits ; .-
New, ilteration or Extension Per Panel
e."h aaaitional":I;:ii":;r:iil,'ervice
$ z.oo
'/o
J0uRNAt 0R JoB N0. q?- {72t
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY NJael-lao I ulJ-p /ttttuSKt
L0CATI0N: ZAtf sl ^T *rruaet
DEVELOPMENT TYPE: EF ntt;tt*
BUILDING SIZE OT SI
1. STORM DRAINAGE
IMPERViOUS SQ. FT X $0.227 PER SQ FT. $ 341 ,st
2. SANITARY SEWER_CITY
Ft
N€t4 lRA 44* z6 i-t4Y z-L-
z6 Y t5,5 .
4e 7 =ZY lo s
153 e
NO. OF PFU'S
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
X $47.14 PER PFU
PER FEU
PER FEU
TOTAL-MhlMC SDC
X x $475.32
x $475.32
s€
X
4. SANITARY SEf,lER-Mt^lMC
A. REIMBURSEMENT COST:
NO. OF FEU'S X
B. IMPROVEMENT COST
NO. OF FEU'S Y
$
$
$
MWI"IC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^lMC AD]"lINISTRATIVE FEE
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
5. ADMINISTRATIVE FEES:
BASE (SUBTOTAL ABOVE) X .05
1
SDC Coordinator
ATTACH'A. l,lPD
$ 10.00
$'a-
$ f-%-,41
$ .3ffi- /7'3?
TOTAL SDC $ -
3U_t.ag
<$
Date .<-/-?q
I
I
FIXTURE UNIT CALCULATION TABLE: Number of New Fixtur^s X Unit Equivalent : Fixture lJnits
(NOTE: For remodels, calculate only
FIXTURE TYPE
NET additional fixtures)
NUMBER OF
NEW FIXTURES
UNIT
EOUIVALENT
FIXTURE
UNITS
Bathtub 2_
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 Stall.....:....
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single........
Toilet, Public lnstallation......
Toilet, Private.......
Miscellaneous
TOTAL FIXTURE UNITS I
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates
adlHe
2
1
2
3
6
2
6
6
1
3
2
1
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
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
1 989
'1990
1 991
1 992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
0.96
o.83
0.67
o.52
0.38
o.21
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only!
Residential.
Commerical
lndustrial...
Governmental...............
o.4
0.9
o5
o.5
FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICTENT
=-
4
(Rate X Assessed Value)
. CREDIT TOTAL = $
-