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