HomeMy WebLinkAboutPermit Building 1998-05-06SPFIi.CFIELO
RESIDENTIAL PERMTT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISTON
BUILDING SAFETY
Page 1
Job Nurnber: 980253
225 North Fifth Street
Springfield, OR 97477
tocation of Proposed Work: 898 S 32ND PL
Assessors Map #: 18020500
Lot: 150 Block:
Office:
Inspection Line:
726-3759
7 26 -37 59
Tax Lot #
Subdivision
00905
HAYDEN GARDENS 3
qTT OF SPruNGFIEI^O,
Owner: HAYDEN HOMES
Address: 1019 ASH GROVE LOOP
Describe Work: S.F. RESIDENCE
Phone #: 895-5515
city/state/zip: GRESWELL, oREGON 97426
NEW
General:
Plumbing:
Mechanical
El-ectrical
QUAD AREA: 3RSC
# OF IINITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 242L
Contractor
HAYDEN HOMES OO922O8
2622 SW GLACIER PL #110 REDMOND OR
EMERALD VALLEY 0065066
3856 HAYDEN BR]DGE RD SPRINGFIELD O
HAYDEN 0092208
110 REDMOND OR
0000968
oR 977410000
2622 SW PL#
ALLEN
725
ICE USE --
USE: 1111
CODE: LDR
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: WH
INSUL PATH: P1
will be made the same working daY,
be made the following work daY'
Const.
ContracEor #Expires
07 /2e/e8
os/]-0/e8
o7/2e/eB
oe/07/ee
Phone
923 - 6607
7 25 - 9485
923 - 6607
545-0s33
:4
To request an insPecEion, call the cording at 725-3769
A11 inspections requested before 7
inspections requesLed after 7:00 a
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated'
F.ITNDATToN - After forms are erected but prior to concrete placement '
UNDERFLOOR PLtruBING - Prior to insulation or decking'
UNDERFLoOR MECHANICAL - Prior Lo insulation or decking'
POST AIID BEAII - Prior to ffoor insulation or decking'
INsuLATIoN-Floor;priortodeckingWal}/Ceiting;Priortocover
WATER LINE - Prior to filling trench'
SANITARY SEWER LINE - Prior to filfing trench'
STORM SEWER IIINE - Prior to fi11lng trench'
ROUGH PLITMBING - Prior to cover '
ROUGH ELECTRICAL - Pri-or to cover'
ROUGH MECHANICAI, - PTiOT TO COVET.
ELE.TRT.AL sERvrcE - Must be approved,to obtain permanent power'
SHEARWALL,NAILING-Beforecoveringsheathingwithfinishmaterials'
FRAMING - Prior to cover'
INSULATION - Floor; prior to decking Wa1l/Ceiling; Prior to cover
DRYWALL - Prior to taPing'
CURBCUT - After forms are erected but prior to placement of concrete '
SIDEWAI,K-Afterexcavationiscompfete,formsandsub-basematerial
in place _ a __-L 1ete.
FINAL PLUMBING - When all plumbing work is comp-
FINAL MECIIANICAI' - Wf'"" aII mechanical work is complete '
FINAI' ELECTRIcA; - ;;"rr aI] electrical work is complete'
FINAL BUILDING - When all requirea :-nspections have been approwed and
the building is comPlete'
00 a.m.
m. will
SPFI,{GF!ELE,
.Tob Number: 980253
OTT OF SPruNGFIEID,
Page 2
Total Height: 24
Lot Type: INTERfOR
N
House
Setbk From NPL: 19 Solar Approved: Y
Setbacks
SW E
ftem
Mai-n
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
20L2
409
$,/square Feet
64 .66
L6.27
(A)
Value
130, 096 . 00
6,554.OO
135, 750.00
5L5 .25
41.30
557.55
--- PLIIMBTNG PERMIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
L92.50
t92.50
15.41
207.9L(c)
--- MECHANICAL PERMIT ---
Exhaust Hood
Vent Fan
Dryer Vent
Mechanical Permi-t
Issuance
Surcharge/Admin
TOTAL PERMIT
4
4.50
12.00
3.00
19.50
10.00
1_ .57
(D)31.07
--- MTSCELLANEOUS PER}TTTS
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
TOTAL MISCELLA.}IEOUS PERMITS
0.00
19.00
14.80
2 ,399 .48
(E)2 ,433 .28
(Excluding Elect.rical )
unless oEherwise noted
- - - TOTAL AITTOI,NT DUE - -.
(A, B, C, D, and E combined)3,229.8L
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express conditj-on that Lhe said construction
sha11, 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 violati-on
of any prowisions of saj-d ordi-nances.
APF!XGFIELE,
Job Number: 980253
CITY OF SPilNGFIEI.O,
Page 3
Plan Check Fee: 351-.89 Date Paid:
Received By:
Plans Reviewed By: DON MOORE Date:
Building Site Reviewed By: LrSA HOPPER
03/03/s8
04 /22 / eB
Receipt Number: 28963
--- ADDITIONAI, COMMEMTS ---
A & T ESTIMATE ONLY FOR CITY SDC CREDIT PURPOSES
PA
SEPERATE ELECT. PERMIT REQUIRED
NO C OF O UNTIL STDEWALKS AND PUBLIC IMPROV. ACCEPTED BY CITY
DRTVEWAY REQU]RED TO BE PAVED
4 STREET TREES REQUIRED
By eignaEure, I state and agree, that I have carefully examined
the completed application and do hereby certify that all informatj-on hereon
is true and correct, and I further certify that any and al-I work performed
shall 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 Serwj-ces Diwision, Building Safetsy. I further certify that only
contractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all requi-red inspections are requested at the
proper time, that each address is readable from the street, that the permit
card is locat.ed at the front of the property, and the approved set of plans
will remain on the site at all tj-mes during construction.
5-6tr'
Signature v---7:Date
oN ---
Receipt Number
Date Paid
Amount Received
Recei-ved By <)\u\\
SPAII{GFIELE,
NOTICE:
THls PERMIT SHALL E[PCfifti6fltlEB{BfrfroN DEvrcE pERMrr ApplrcArroN
AUTHOBIZED UNDER THIS PERMIT IS I(IFY OF SPRINGFIELD
69MMENCED oR ISABAND6NED FBHILDING SAFETY DIVISION
2z!I!XIS0P4SfREEI0D. oFFrcE:
SPRINGFIELD OR 97477 INSPECTION LINE:
726 3759
726-3769
ct4JOB LOCATION:
ASSESSORS MAP *, /TbT.O (OO rAX LOr *: OO?Af
r
CITY:ft STATE:ZTP:
BACKFLOW PERMIT IS $15.00 + $.75 (STATE SURCHARGE) + $.45 (ADMIN. FEE) = gt6.20
OVNER:
ADDRESS:? Zt',..d PHONE #:
PHONE *: 1 L([, -C0t
3a177
b__=-/_fg
EQ
CONTRACTOR:
ADDRESS:
CITY:ZIPz
CONSTRUCTION CONTRACTORS REGISTRATION #:66ff EXPTRES:hil
BY SIGNING THIS PERMIT/APPLICATION, I AGREB TO CALL FOR AN INSPBCTION ONCtl THE
BACKFLOV PREVBNTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTI(.),I(726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS
CORRECT.
ATTENTION:Oregon law requires You to
follow rules adoPted bY the Oregon UtilitY
Notif ication Center. Those rules are set forth
in OAR 952-001-0010 through oAR 952-001-
STATE: CL
n ies of the rules bY
calling the center. (Note:e
number for the Oregon Uti lity Notification
Centeris 1-800-332'-234r'.1.
FOR OFFICE USE
DATE
DATE OF APPLICATION:r {t €€o zf
0901"{ISSUED BY:lJ*?RECETPT *:
TOTAL AHOUNT COLLECTED:9/, Lo ?fo {*
v
CITY
CITY OF OREGON
225 FTFTE STREET
SPRINGFTELD, OREGoN 97
1. LOCATTON OP INSTALLA*%, sl. 32-t
TNSPECTION REQI,EST I 7MgW4
OFPICE: 726-3759
!iPFtr<iFIELO
Ll80
BI,ECIS,ICAL PERI{IT APPLI CATION
Job Nunber
3. COI{PIJTE FEE SCEEDULE BELOg
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
S
tuh'-
$ gs. oo*#;*-
Z_s 1s.00 30
$ 40.00
7 "r
TTON
QI A Nev Residential-Single orMulti-Family per dvelling unit.Service Included:
ftems Cost
Peif
of
are non-transferable and expire
1s not s tarted vithin 180 days
1 suance or i f vork is suspended for
180 days.
2. CONTRACf,OR
Electrical Contractor
Address ,3d
ciwzllzl< az Ph
Supervisor License Number
Expiration Date
Constr contr. Number /U'f
Expiration Date
Signa ture of Supervising Electrician
Ovners Name /*aa,,,{
Address /on 4s* ln n,ru /o.
Ci ty Phone @d 56ff
0mers Signature:
DATE:
B. Services or Feedersfnstallation, Alterationsor Relocation:
200 amps or less
20L amps/r 401 amps
ct
to 400 amps
-to 600 amps
-to 1.000 amps_
amps/vo1ts _Only
Sso
Soo
$100
s130
00
00
00
00
00
00
0040
55
BO
s
$
$
Sr
s300s40
c Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps''or less
201 amps to 400 arnps
-0ver 401 to 600 amps
0ver 600 amps or 1000-rETIs
00
00
ee rrBrr aSove-
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
D. Branch Circuits
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)
-Each installation
Pump or irrigation
-
$ 19.99sign/out)-ine Lightits- $ !Q'q9l,iilited EnergY/Res
-
$ ?9'99
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAL
oo
15
+5
?I)RBCEIVED
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY tl AY D €t{lJ.*-,u
LOCATION 818 2*o P L,
DEVEI-OPMENT TYPI P
BUILDING SIZE OI SIZ Ft
1. SIORM DRAII\IAGI
iMPERVIOUS SQ. FI Z, , rL X $0.220 pER SQ. FT $<-oo, B L
2. SANITARY SEXER-CITY
NC. OF PFU'S z3 X 5.i6.86 PER PFU $ ', a-- 73
(See Rerrerse Si de )
3. TRANSPORI-ATiON
NO OF UNiTS X TRIP RATI X COST PER TRIP
L:'X l-ot X$472.49 $ 477, zt
x $472 49
x s472.49
x
X
q
s
4. SANiTARY SE'NER.MI/.MC
Dt!,;
N0. 0F Ft+J-'s I X ^-t.7o PER FEU + $10 MI,'JMC/ADM FEE S ^ Q7.7e
t.4l^/MC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMiNISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
$ -sx,3f
T0TAL-M[^]MC SDC $ zz-1 , 1l
SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ z, zL{,zz-
I c
SDC Coordi nator
Date:3-6 48
TOIAL SDC $ ^)3aa,4tr
FIA I UHtr UlVl I UALUULA I lrJlv I AOLtr: Number of New Fixtures X Unit Equivalent = Fixture Units
(NOTE: For remodels, calculate only ^ NET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
?4
lnterceptors For Grease/Oil/SolidslEtc
lnterceptors For Sand/Auto Washi Etc
Laundry TubiClotheswasher... -
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer) '
Receptor For Refrigerator/Water StationiEtc""""
Receptor For Commercial SinkiDishwasher/Etc"
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen"".'""'
Urinal, Stall/Wall...
Wash Basini Lavatory, Single..... '7
Toiiet, Pubiic lnstallation....
Toilet, Private.......
Miscellaneous
TOTAL FIXTURE UNITS Z-7
2
1
2
3
6
2
b
o
1
3
2
i iHead
2
2
1
6
43
UNIT FIXTURE
EOUIVALENT UNITS
_2__
-)
,z
CREDIT CALCULATION TABLE:
calculate credits seParates.
Based on assessed value lf improvements occurred after annexation date in table,
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
3, 8q
(Bate X Assessed Value)
XS
(Rate X Assessed Value)
X S /{,etp
-
58,3r
CREDIT TOTAL s 56 ,3<
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per $1,COO
Assessed Value
1 979 or before s3.97
1 981
1 982
i 983
1 984
1 985
1 986
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 00tr
'r 996
s2.56
2.17
1.73
1.31
c.92
o.74
o.61
o.45
0.31
o.'t 7
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesioen iiai.
Commerical
lndustrial....
Governmental........
0.4
o.9
o5
o.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Bathtub......
Drinking Fountain....
Floor Drain..................