HomeMy WebLinkAboutPermit Building 1996-10-18ATT OF SPruNGFIEI-O,
SPRINGFIELE,
RESIDENTIAIJ PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page L
Job Nr:rnber: 950893
225 North Fifth Street
Springfield, OR 97477
LocaEion of Proposed Work: 240 S 34TH ST 242
Assessors MaP #: a7O23a31
Lot: 1" 2 Block:
Tax Lot #: 05105
Subdivision: MILLARD COURT
Office:
Inspection Line:
726 -37 59
726 -37 69
Owner: IIABITAT FOR HIr!I,AI{ITY
Addressl. ]-2lH AND G STREET
Describe Work: TAI{DEM DUPLEX
Phone #: 74L-1707
ciEy/staEe/zrp: SPRINGFIELD, OREGON 97477
NEW
Contractor
General:OWNER
ConEt.
Contractor #Expires Phone
7 4a-17 07
QUAD AREA: 3RSC
# OF UNITS: 2
CONSTR. TYPE: VN
WATER HEATER: E
SQ FOOTAGE: 2202
-- OFFICE USE --
LAND USE: aa2O
ZONING CODE: MDR
# OF BDRMS: 5
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: BE
INSUL PATH: SGC
To request an insPection,call the 24 lno:ur recording aL 726-3759.
A1I 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.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erecEed but prior to concrete placement '
ITNDERFLOOR PLITMBING - Prior to insulation or decking.
T NDERFLOOR I{ECIIA}{ICAL - Prior to insulation or decking '
POST AIID BEAII - Prior to floor insutation or decking.
INSULATION - Fl-oor; prior to decking wa1l/ceiling; Prior to cover
STORM SEWER tINE - Prior to filling trench.
SAI{ITARY SEWER LINE - Prior to filling trench.
WATER LINE - Prior to filling trench.
ROUGH PLWBING - PTiOT TO COVCT.
ROUGH MECIIAI.IICAL - Prior to cover.
ROUGH ELECTRICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAITIING - Prior to cover.
INSULATION - Ffoor; prior to decking wa1}/ceiling; Prior to cover
DRYWALL - Prior to taPing.
SIDEWALK - AfLer excavation is complete, forms and sub-base material
in place.
cuRBcur - After forms are erected but prior to placement of concrete.
FINAL PLITMBING - When aII plumbing work is compleEe'
FINAL MECIIA.I'IICAL - When a1f mechanicaf work is compJ-ete.
FINAL ELECTRICAL - when all electrical work is complete.
FINAL BUITDING - When aII required inspections have been approved and
the building is comPlete.
Lot Faces: N
Topography: 2
Solar Approved: Y
Lot Sq. Ft.: 6790
Total Height: 18
Lot Type: coRNER
Setbacks
swE
16 15 1"5
Lot Coverage: 36 %
Setbk From NPL: 30
N
20House
SPRIAIGFIELD
h,
Job Number: 950893
Cfi'TOF
Page 2
Item
Main
Garage
Total Value
Building PermiE Fee
Surcharge/admin
TOTAI, FEE
.-- BUII,DING PERMIT ---
Square Feet x
2202
$/Square Feet
64 .55
(A)
Value
L42 ,38l. . OO
0.00
142,381.00
529.75
42.38
572.L3
SYSTE}IS DEVELOPMENT CIIARGE (SDC)
(B)3,923.2L
Systems Development Charge is due on all undeveloped properties within Lhe City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLU}IBING PERMIT ---
Fee
324 . OO4
Item
Residential Bath(s)
Plumbing Permit
surcharge/aAmin
TOTAI. CIIARGE (c)
324 . O0
25 .92
349.92
.-- MECIIAI{ICAL PERIIIT ---
Exhaust Hood
VenE Fan
Dryer vent
WALL HEATERS
Mechanical PermiE
Issuance
Surcharge/eamin
TOTAI. PERMIT
4
9.00
12.00
5.00
45.00
72
10
5
00
00
75
(D)87.76
- - - MISCEI.I.AI{EOUS PERMITS
Surcharge/admin
Sidewal-k
WILLAMALANE SDC
PLAN REVIEW FEE
TOTAI, MISCELI,A}IEOUS PERMITS (E)
0.00
22 .00
1, 848 . 00
344.34
2,2L4.34
(Excluding EIectsrical )
unleeE otherwige noted
--- TOTAL A}IOI'NT DUE ---
(A, B, C, D, and E combined)7 ,L47 .35
--- BUITDING VAI,UE, PLAilt CIIECK AT{D BUII,DING PERI{IT --'
This permit is granted on the express condition that the said construction
shaIt, 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 Lime upon violation
of any provisions of said ordinances.
SPFIi'GFIELD
h,
Job Number: 960893
CITT OF SPfrIIIIGFIEID,
Page 3
Received BY: DON MOORE
Plans Reviewed BY: DON MOORE
Building Site Reviewed By: LISA HOPPER
Dare: o7 /23 / 96
--- ADDITIONAL COMMENTS ---
PATH 1
NO SANITARY SEWER CONNECTION I]NTIL THE PUBLIC SEWER IS ACCEPTED
RED TO BE PAVED
Byg I Etsate and agree,that I have carefullY examined
the comp leted application and do hereby certify that aI1 information
is true and correct,and f further certify that any and all work perf
THE CITY.=
hereon
ormed
sha1l 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 sErucEure without permission of the
Community Services Division, Building Safety. I further certify that only
conLractors and employees who are in compliance with ORS 701.055 will be
used on this Project.
I further agree to ensure that all required inspections are reguested aE the
proper Eime, that each address is readable from Ehe street, that the permit
card is Located at the front of the property, and the approved set of plans
wilf remain on the site at all times during construction.
o
s ture Date
A3
- - VAI.IDATY]u6Receipt Number:
Date Paid:
Amount Received:
Received BY:
roN ---
CI-
I--1 bv
\,{1 ,
SPRINGFIELD
Page 1
CITY OF SPRINGFIEI,D SYSTEMS DEVELOPMENT CHARGE
(RESIDENTIAL)
CITY OF SPruNGFIELI', ONEGON
Name or Company: HABITAT FOR HIIMANITY
Location: 240 S 35TH ST 242
Developement T)4)e: R Building Size
Job No.: 950893
Lot Size:Sq Ft
1. STORM DR,A,INAGE
Impervious Sq Ft
2. SANITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TR,AI{SPORTATION
Number Of Units
2X
x
Transportatj-on Total
4. SA}IITARY SEWER - MT{}IC
Number Of PFUs
32
X 0.216 Per Sq Ft =
X 44.75 Per PFU =
Cost Per Trip
451_.26
3542
32
Trip Rate
1.010 x
x
$91r-. ss
i765.07
$1, 432 . 00
$e11. ss
$572.08
$44.31
i627 .77
$3,735.39
$186.82
x
x
Per PFU +
20.690 +
MiaMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTA], - MWMC SDC
SITBTOTAL - (Add Items 1, 2, 3 & 4)
5. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) x 0.50
TOTAIJ SDC
Reviewed By: TROY MCALLISTER Date: oe/22/96
$3 ,923 .2L
SPRINGFIELD
Job Number: 960893 Page 2
FIXTI'RE IINIT CAI,CUI,ATION TABI,E
CITY OF SPruNGFIELD, ONEGON
Fixture Tlpe
Number of
New Fixture
Unit
Equivalent
Fixture
Units
Bathtub
Drinking Fountain
Fl-oor Drain
rnEerceptors For Grease/oi1/solids/Btc
lnteceptors For Sand/Auto wash/Etc
Laundry Tub/CloEheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerat.or/Water StaEion/rtc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal-, Sta11,/Wa11
Wash Basin/Lavatory, Single
Water Closet, PubIic Installation
Water Closet, Private
Miscell-aneous
TOTAL FIXTURE UNITS =5Z
CREDIT CALCULATTON TABLE: Based on assessed vaLue. If improvements occured
after annexation date, crediLs are calculated separately.
(calculations are by $1000)
Year Annexed: 1960
Credit For Parce1 Or Land Only If Applicable: L2,770 X 3.4'7 = 44.3L
Improvement (if after annexation date): 0 x 3-47 = 0.00
cREDrr TOTAL - $44.31
(If land val-ue is multiplied by 1 then the parcel/land credit is not accuraEe.)
0
0
0
0
2
0
0
0
0
0
0
4
0
4
0
1
3
6
2
6
1
3
2
2
2
1
6
4
4
0
0
0
0
4
0
0
0
0
0
4
0
4
0
15
0
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
HKSHEET
NAME
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Singte-Family Detached
Single Family home
NO. OF UNTTS
B. Single-Family Attached
NO. OF UNITS A X $924 per unit $
Willamalane
Job. No.5
PHONE:
TE:
lNpTax Lot Number:
appropriate dwelling(s). SDC calculations and dwelling t
Manufactured home not in a Park
X $1,000 per unit = $
r(1(
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit $
D. Manufactured Home Park
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must lurnish proof of
\Mllamalane Credit approval. See SDC Credit Worksheet-
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for
$
$
$
N
-br_br-qLDevelop
City of Springfie
S epartment Date
C,ITY OFSPF
SP'itlvGFIEL()
225 FIFTE STREET
SPRINGFIEI^D, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
s7 +?7'"-lL-:k-=gq
726:37.69',.:;, -'
1.
2 42
ON OF tr
LEGAI DESCRIPTION
70 o
Electrical Contractor
Address
Ci ty pnone fit
Supervisor License Number 4zS
Expiration Date,D-q8
Co nstr Contr. Number N - igSL
Expi ra Da D-q7
Si o trician
0wners
Address G
ELE TRICAL PERHIT LICATION
Job Nurnber
3. COHPI,ETE FEE SCffiDTILE BELOV
Nev Residential-Single or
Mul,ti-FamilY Per dvelling unit'
Service Included:
I tems Cos t
s 8s.00L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder .$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
60L amps to 1000 amPS-
Over L000 amPs/vo1ts
-
Reconnect OnlY
M
ONS A
Sum
Permits are non-transferable and expire
if vork is not started vithin 1"80 days
oi i""uunce or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B
TemporarY Servi
Installation' A
200 amps''or 1
201 amps to 4
0ver 401 to 6
0ver 600 amPs
s 1s.00
s or Feeders
eration or Relocatio
00
00
00
s so.oo
$ 60.00
s 1oo. 0o
$130. 00
$300.00s 40.00
-bLn
$
s
$
s
s 40.00
s 40.00
$ 20.00
s 36.00
c ceIt
s
n
!0r040.
55.
BO
amps
es
00
00
or
amDs
1000 volts ee rrBrr aEOve-
a
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional-
Circuit or vith Service
or Feeder Permi t
$ 3s.00
$ 2.00
E Miscell-aneous (Service/feeder not included)
Ci ty
11 7q/- t 707
OVNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
0vners Signature:
-Each installation
Pump or irri.gation --Sign/0ut1ine Lighting--
Limited EnergY/Res
-
Limited EnergY/Comm
B
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRECEIVED
m
?tn L
DESCRIPTION
e
DATE:
SPFIINGFIELO
I*
SPRTNGEIELD, OREGON 97477
INSPECTION REQUESII 726-3769
OEEICE: 726-3759
aty
T,EGAL DESCRTPTION
t707 j/3/ br/0b
JOB DESCRIPTION
Pernits are non-transferable and expire
lf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CO}IIRACTOR INSTALI.ATION ONLT
Erectrical con tr^"torl,//, y'/OlEfS HlCf
Address
s?r?_Phone '74?-o8( (
A
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home- or
Hodular.'Dve11ing'
Service or Feeder
.8. Services or Feeders
Installation, Alterations
or Relocation:
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems
2..tTos
-L 3o*
Cos t
$ 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
Sum
Eove
Superv isor License Numbe:- 3O*- 9
Exp iration Date to-/-1A
Constr Contr. Number C)/? L ?
c-Temporary Services or Feeders
Installation, Alteration or Relocation
Expir ation Date 6-8- 1 e,
ci
Signa of Supervising Electrician
0vners
Address
200 amps or less
201 amps to 400 amps
-401 amps to 600 amPs _601 anps to'1000 amps-
over 1600 arnps/volts
-Reconnect OnlY
200 amps"or less S 40-00
ior "ri" to 4oo "rps -
$ ss-99
over 461 to 6oo amps
-
$ 8o.oo
0ver 600 amps or 1000-ToTEs see rB' a
OvnerslSignature:
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI,
-Each installation
Pump or irrigation
-
Sign/0ut1ine Lighting-
Limited EnergY/Res
Limited Energy/comm
-
2 rL New, Alteration or Extension Per Panel
one circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E- Hiscellaneous (Service/feeder not included)
city -4-,' i /",/./ Phone
OIINER INSTALITTION
The installation is being made on
property I ovn uhich is not intended
for sale, lease or rent.s 40.00
s 40.00
s 20.00
s 36.00
5
DATE:q
hr^FriEn
fr
a9_
1. I.OCATION OF INSIALIATION' 24811'lz]4t*#,Tit a++r^
\r ?r eE ll rzr, r Le,<
sPR._ FTELC,
200 amps or fess
201" amps to 400 amps
-401, amps to 600 amPs
-
0L amps to 1"000 amPS--
r 1000 amps/voIts
tltn
{J nnect 0n1Y
,eft,
1
JOB 5
Permi ts a e non transferable and exPi
if vork is t'tot started vithin 180 day
of issuance or if vork is suspended for
180 days.
2. CONTRAC"TOR INSTALT.ATION ONLY
ectrical Contractor
Add S
Ci ty PIt
ELECTRICAL PERHIT
Ci ty Job Nurnber
COHPLETE FEE SCHXDIJLE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ Bs -00
s 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
225 FIFTH STREET
SPRINGFIELD, OREGON 9]4]I
INS PEOIION REQUEST: 126 -31 9
0FFICE: 726-3159
r
1 TI
rrna
LA
1CRIPT
Supe rv i -s or ens e
Expi r:a t ion Da te
Constr Contr
Expirati
S
0wne rs
Add r *t^.\S
cir
ALLATION
The ins taIIa t ion is
propertY I ovn r,rhic
2S
Sum
Services or Feeders
ion, Alteration or Relocatio
s s0.00
s 60.00
s100.00
s130. 00
s300.00s 40.00
.00
.00
.00
il8il
ntuor Less I
to 400 amps *
to 600 amps
amps or 1000-vo-ITs
clan
Phone
being made on
h is not intended
rent. \
201 amps
Over 401
0ver 600
s40
$ss
S80
see aEove-
I
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circu j. t S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service./feeder not j'ncLuded)
-Each installation
Pump or i.rrj.gation
-
Sign/0utline Lighting-
L j.mi ted Energy/Res
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
or 40.00
40.00
20.00
36.006
5
DATE:
of Supervising EIect
ber
ure
Date
RECEIVED I]
ture:
$
s
$
$