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HomeMy WebLinkAboutPermit Building 1995-10-16a SPRINGF!ELD RESIDEMTIAT PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY t Page 1 ilob Nunber: 950751 225 North Fifth Street Springfield, OR 97477 Loeation of Proposed Work: 850 S 32ND PL Assessors t'lap #: L8O2O5L2 Lot: 89 Block: office: Inspection Line: 725 -37 59 725 -37 59 Tax Lot # Subdivision 02500 HAYDEN GARDENS 1 Owner: IIAYDEN ENTERPRISES AddrESS:. 899 SOUTH 32ND STREET Phone #: 744-6955 city/state/zip: SPRTNGFIELD, OREGON 97478 Describe Work: S.F. RESIDENCE NEW General: Plumbing: Mechanical ElecLricaI Contractor HAYDEN ENTERPRI OO922O8 1511 SW 33rd Redmond OR 977550000 EMERALD VALLEY 0051737 2727 N 2oth Springfield OR 97477000 HAYDEN ENTERPRI OO922O8 151L SW 33rd Redmond OR 977550000 ALLEN ELECTRIC OOOO958 201 N 3rd Madras OR 977410000 ConsE. Contsractor #Expires o7/2e/e6 oe /Le / e6 o7/2e/e6 oe/24/90 Phone 923 - 6507 583-5116 923 -5507 4'7 5 -2139 QUAD AREA: 3RSC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: L693 OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 To requeat, an inspection, call the 24 hour recording at 726-3769. A11 inspections requested before ?:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOTNDATION - After forms are erected but prior to concrete placement. ITNDERFTOOR PLITITIBING - Prior to insulation or decking. POST AriID BEN{ - Prior to floor insulation or decki-ng. INSULATION - Floor; prior to decking Wa]I/Ceiling; Prior to cover SAIIITARY SEWER LINE - Prior to filling trench. sToRIrI SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. ROUGII PLI,MBING . PriOr IO COVET. ROUGH MECIIATiIICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAI{ING - Prior Eo cover. INSILATIQN - Floor; prior to decking wal}/Ceiling; Prior to cover DRYViIALL - Prior to taping. CURBCII:r - Af ter f orms are erecEed but prj-or to placement of concrete. SIDEWALK - After excavaEion is complete, forms and sub-base material in place. FINAL PLITMBING - When a1I plumbing work is complete. FINAL ELECTRICAL - When all electrical work is compleEe. FINAL MECIINiIICAL - When all mechanical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. SPRINGFIELD Job Number: 950751-Page 2 Total Height: 15 Lot T)4)e: INTERIOR Setbk From NPL: 10 Solar Approved: Y Item Main Garage Total Val-ue Building Permit Fee surcharge/admin TOTAL FEE --- BUII,DING PERMTT --- Square Feet x 113 3 s50 $/Square Feet s6 .20 14.10 (A) Value 53, 575.00 7,895.00 71, 571.00 349.00 27.92 37 5 .92 --- SYSTEITIS DEVELOPMENT CHARGE (SDC) (B)1, 588 . 05 Systems Development, Charge is due on afL undeveloped properties within the City limits and the Citys Urban Growth Boundry which are being improved. PLIIMBING PERMIT Item Residential Bat.h (s) Plumbing Permit Surcharge/admin TOTAI, CIIARGE ) Fee 150.00 150 L2 00 80 (c)L7 2 .80 --- }IECITAI{ICAL PERMTT --- Exhaust Hood Vent Fan Dryer Vent MechanicaL Permit Issuance Surcharge/admin TOTAL PERMIT 3 4.50 9.00 3.00 (D) 16. s0 10.00 1, .32 27.82 - - - MISCEIJIJA}IEOUS PERMITS Sidewalk Curb Cut PLAN REVIEW WILLAMALANE SDC ELECTRICAL PERMITw<d, TOTAI. ITIISCELLA}iIEOUS PERMITS 20 .50 13.90 40.00 400.00 1_24.20 (E) f,"- s98.50 (Excluding Electrical ) unless otherwise noEed --- TOTAL AMOUI{T DUE --- (A, B, C, D, and E combined)A.r+H*?z?.2 --- BUTLDING VAIUE, PLA}I CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction sha1l, in all respects, conform to Ehe 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 ti-me upon violatj-on of any provisions of said ordinances. SPRINGF!ELO Job Number: 95075L SPilNGFIELD, Page 3 - - - ADDITIONAI. COMITIE}iI:TS DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I Etate 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 cerEify that any and aff work performed shal-l- be done in accordance with the Ordlnances of the City of Springfield, and the Laws of the StaEe of Oregon pertaining to the work described hereJ-n, and that NO OCCUPANCY will be made of any structure wiLhout permissi-on of the Community Services Di-vision, Building Safety. I further cerEify that only contractors and employees who are in compliance with ORS 701.055 wj-I1 be used on this projecE. 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 is l-ocated at Ehe front of the property, and the approved set of plans will remain on the si at aff times during construction Datel- --- VALIDATION --- Receipt Number Date Paid Amount Received Recei-ved By /2/.7, CITY OF OREGO'U 225 FIPTE STREET SPRINGFIELD, oREGoN 97477 INSPECTION REQUEST: 726-37 0PBICB: 726-3759 Z':nt, I,EGAL JOB DESCRIPTION Permits are non-trallsferable and expire if vork is not started vithin 180 days of lssuance or if vork ls suspended for 180 days. 2. COI{TRACTOR INSTALT.ATION ONLY Electrical Contractor Allen Electr Address 12 SW 3rd St,. City Madras Pho ne 475-'r 39 Supervisor ticense Number 10065 Expiration Date 10-1-95 Constr Contr. Number 6P,7 45 Expiration Date ture of ing Electrician Owners Name 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder -tiach lnstallatiotl Pump or irrigation S i gnl0u t'1. ine Ligh t ing- Li rni ted EnergY/ltes - [,imi ted llnergy/Comm !iPRTNGFIELO ELECTRTCAL PERHIT APPLICATION and does nor al. 6en*-Uo:it- 1\City Job Nunber Arnnorlzed Signatu nJ na COXPI..ETB PEB SCBBDIII,E BELOg A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost I g gs.oo 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amps/volts - Reconnect OnlY Sumi5 ob L.ta s 40.00 Services or Feeders Installation, Alterations or Relocation: $ s0.00 $ 60.00 s100.00 $ 130.00 $300.00 $ 40.00 Temporary Services or'Feeders Insiallaiion, Alteration or Relocation 200 amps or less $ 40'00 over 4b1 to 6oo amps - $ Bo.oo Over 600 amps or fbOO voTts see 'Bu a66fiiil Branch Circuits l.Iev, Alteration or Extension Per Panel One Circuit $ 35'00 n""n Aaai tional Circuit or vith Service 6r'i;(.gtlr.r l'pt'tnIt ---- $ 2'00 MlscelIaneotts (Servlce/leeder not Included) Address ci ,enone. >44@ ouNrr.n TN$rAl.l.A'l' I oN The lnstallatlon ts bcing made on property I ovn vhich is not intended for sale, lease or rent. Onners Signature: DATE: B c D -4 l,: s40 $40 $20 s36 .00 .00 .00 .00 5 SUI}TOTAL OF ABOVE 5Z State Surcharge forAf,-. *40 RECBI\IBD hh*L /ay "o ct6t15l t. Lo*{fftB oi:Ftt",,oxo* b/ tf 4-95 I ts.0b---6v4---T.w: SPRINGFTELD oa Page 1 CTTY OF SPRTNGFIELD SYSTEMS DEVELOPMENT CIIARGE (COMMERCIAL / RESIDENTIAIJ) Name or Company: HAYDEN ENTERPRISES Location: 860 S 32ND PL Developement Tlpe: R Building Size Job No.: 950751 Lot Size: 0 Sq Ft 1. STORM DR.LINAGE Impervious Sq Ft 2. SA}iIITARY SEWER - CITY Number Of PFUs (see Page 2) X O.2O9 Per Sq Ft = X 43.25 Per PFU = Cost Per Trip 436.t9 0 $440. ss $o. oo #778.68 $440. ss i3L9 .42 $26.23 $293.L9 iL ,5L2 .43 $7s.62 3. TR.A,TiISPORTATION Number Of Units 1X 18 Trip Rate 1.010 x x x Transportatj-on Total 4. SANITARY SEWER - MIiMC Number Of PFUs 18 5. ADMINISTRATTVE FEES Base Charge (Subtotal Above) x x PeT PFU L7 .L90 + MWMC Admin Fee + 10.00 MIMC CREDIT If Applicable (see Page 2) TOTA], - MWMC SDC SITBTOTAL - (Add lEems 1, 2, 3 & 4) x 0.50 TOTAL SDC Reviewed By: KIP BURDICK Date: o7/03/95 $1,588.05 SPRINGFIELD Job Number: 950751 oa Page 2 FIXTT'RE I'NIT CALCULATION TABLE SPilNGFIELD, Fixture Type Number of New Fixture Unit Equivalent Fixture UNATS Bathtub Drinking Fountain Floor Drain fnterceptors For Grease/Oi1/Sol-ids/Etc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clot.heswasher - 3 Or More Receptor For Refrigerator/Water Station/utc Receptor for Commercial Sink/Dishwasher/Etc Shower, Single Stall Shower, Gang Sink, Bar, Commercial Urinal , Stall/Wal-1 Wash Basin/Lavatory, Single water Closet, Public Installation Water CLoset, Private Miscellaneous TOTAL FIXTURE UNITS =1B CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured after annexation date, credits are calculated separately (calculations are by $1000) Year Annexed: 1960 Credit For Parcel Or Land Only If Applicable: 7,580 X 3.45 = 26.23 Improvement (if after annexation date): 0 X 3.46 = 0.00 CREDIT TOTAL = $26.23 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) 2 1 z 3 5 z 6 1 3 2 a 1 6 4 2 0 0 0 1 0 0 0 0 o 1 0 ) n 0 4 U 0 0 U 2 U 0 0 0 2 2 0 8 0 aq a Willamalane Park & Recreation District SYSTEMS DEVELOPMENT CHARCE WORKSHEET fob No.4atEt ' '', bQQl*.PHONE:NAA4E ADDRESS: LOCATION OF FROPOSED BUILDING SITE Street Address if Known: Platt Name: 1 g4A Errg 4+srArE: ru- ze Qt4-t 8 A Single Family - Detached tI Single Family home Tax Lot Numbec fun Manufactured home not in a Park X $400 PER UNIT;-NO OF UNITS I B. Sinele Famitv - Attached NO OF UNITS X $370 PER UNIT = C. Multi-FamilyAoartment NO OF UNITS x $?77 PER UNIT = D. Manuhctured Home Park ' No oF uNtrs x $2so PER UNlr = WPRD SDC . $ 2. SDC CREDIT (tf applicable) SDC-payer must furnish proof of WPRD Credit approval. S*soC"Creditworksh*L $ 3. TOTAL WPRD NET SDC ASSESSED (tf SDC reduced for Credi0 $ t $ $ $ $ it r (nnrirne l-1 ctr.\n Date % lK m,n(o l7 DEVELOPMi:NT TYPE (Check appropriate dwetlingG). SDC Calculations and dwelling t)"effiu W- S;']lII\IGFIELE) RESIDENTIAL PERMIT APPLICATION lnspections: 726'3769 Office: 726-3759 LOCATION OF PRO ED WORK: ASSESSORS MAP: LOT:Qq BLOCK; q5m5l 0 ,lh JOB NUMBER 225 Fifth Street Spri ngf ield, Oregon 97 477 TAX SUBDIVISI PHONE ZIP:STATE: OWN ADDR CITY: ADDITION SH - OTHER DESCRIBE WORK: NEW t--- REMoDEL ADDRESS EXPIRES PHON ENAME (obOZMECHANICA B#ONTCONT GEN PLUMBING: ELECTRICAL: CONST. ll t IStuse- LOH fifa-l A-)e L L l(n43 - OFFICE USE - RANGE: * OF UNITS: LAND USE: WATEFI HEATER: # OF BDRMS ZONING CODE: FLOOD PLAIN _R3+M I QUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARE FOOTAGE: CONSTR. TYPE; HEAT SOUFICE: OCCY GROUP: * OF STORIES: To request an lnspectlon, you must call 726-3769. Thls ls a24 hour recordlng. All inspectlons requested before 7:00 a.m. wlll be made the same working day, lnspectlons requested after 7:00 a.m. wlll be made the following work day. REQUIRED INSPECTIONS Temporary Electric ll-Rough Mechanlcal - Prior tol-r cover. [-7-Rough Electrical - Prior tol-l cover. [TkElectrical Service - Must be.J approved to obtain permanent electrlcal power. l-f-Final Plumbing - When alltJ plumbing work ls complete. f-ftFlnal Electrical - When all - electrical work is complete. l-!.Footing - After trenches are - excavaleo. Site lnspeclion - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Masonry - Steel location, bond beams, grouting. Underground Plumbing - Prior to fllling trench. Fireplace - Prlor to faclng materlals and framlng lnsp. Wood Stove - After lnstallatlon lnsert - After flreplace approval and lnstallatlon of unlt. rbcut&Approach-After forms are erected but prior to placement of concrete. f*Flnal Building - When alltJ required lnspections have been approved and building is completed. inal Mechanlcal - When all mechanical work ls complete. OtherllFoundatlon - After forms arelJ erected but prior to concrete placement, l-*Eram:ng - Prior to cover. Il]-fA,alttCelllng lnsulation - Prior tolJ cover. D-orywell - Prlor to taping. ET ffifost and Beam - Prior to floort- lnsulation or decking. l.-ljloor lnsulation - Prior toLE decking. [-l]-€anitary Sewer - Prior to flllingtJ trench. [l[-storm Sewer - Prior to tilllng - trencn. [l-lA/ater Line - Prior to fiilinglJ trench. I LJAough Plumblng - Prior to - cover. MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocklng ls complete. Plumblng Connectlons - When home has been connected to water and sewer. Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home ls connected to the servlce panel. pfsidewalk & Driveway - After 'J excavation is complete, forms and sub-base material ln place. |_-l Fence - When completed Streel Trees - When all required trees are planted. derlloor Plumbing/ Mechanical Prior to lnsulation or decking, Final - After all required lnspections are approved and porches, sklrtlng, decks, and venting have been lnstalled. \ [DAJ E E EE E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Type,-/ lnterlor - Corner - Panhandle - Cul-de-sac Setbacks PL,HSE GAR ACC N S E t5 \_s THE PROPOSED WORK tN THE HISTORICAL DISTRICT. OR ON . TH E H tsroRlcAL REGtsrERq=n-a- lf yes, this appllcatlon must be slgned and approved by the Hlstorlcal Coordinator prior to permit lssuance. APPROVED:hL-/ S\ot) l\-\L ! X $/SQ. FT,VALUE State Surcharge t3o/O Total Fee r.o3 Lfl* 3ru.qe(A) An)q0.' \\i3 Stp 21) 115!0€tgraTotal Value Bulldlng Permit Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit ls granted on the express condition that the said construction shall, in all respects, conform to the Ordlnance adopted by the City of Sprlngfleld, 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 sald ordinances. _ .\r^. Plans Reviewed By )< Date Recelved By: Plan Check Fee: Date Paid: Recelpt Nu SYSTEMS DEVELOPMENT C (B) HARGE (SDC) 4 rsso* Systems Development Charge ls due on all undeveloped properties wlthin the City limits which are belng lmproved. ITEM Flxtures Resldentlal Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home ItoD,co \ AEDt 3o/o FEE e t18- 8D(c) N0 FT. FT. FT. PLUMBING PERMIT Plumblng Permlt State Surcharge Total Charge ADDITIONAL COMMENTS Wood Stove/ lnsert/Flreplace Unit Dryer Vent q,d) \\ o .50 \ \.) D() r33 (D)A? a3 C)4 No 3,co Vent Fan Mechanlcal Permlt lssuance State Surcharge Total Permlt MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed application and do hereby certify that all lnformation hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done ln accordance wlth the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure without permisslon of the Buildlng Safety Dlvlslon. I further certlfy that only contractors and employees who are ln compliance with ORS 701.055 wlll be used on thls proJect. I further agree to ensure that all required inspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln on the site at all times during constructlon. Signature Date MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sldewalk _.--_-: ft Curbcut -- ft Demolitlon Total Mlscellaneous Permits (E) aF@-S arge TOTAL AMOUNT DUE (excludlng electrical) (A, B, C, D, and E Combined)RECEIVED BY -- DATE PAID AMOUNT RECEIVED UGFF Sfrhn r\r . JnAorrhQYn; VALIDATION: RECEIPT NUMBER